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Type 2 DiabetesPhase 2NCT04867785

A Study of LY3437943 in Participants With Type 2 Diabetes

A Phase 2 study testing LY3437943 and Dulaglutide in people with Type 2 Diabetes, run by Eli Lilly and Company at 43 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The main purpose of this study is to evaluate the efficacy and safety of LY3437943 in participants with type 2 diabetes (T2D) who failed to achieve adequate glycemic control on diet and exercise alone or on a stable dose of metformin. This study will last about 43 weeks. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Type 2 Diabetes
What is being tested?
LY3437943 and Dulaglutide
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
281 participants
Where
43 sitesin 2 countries
Study dates
13 May 2021to 27 Oct 2022
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Have Type 2 Diabetes (T2D)
  • Have an HbA1c value at screening of ≥7.0% and ≤10.5% and treated with diet and exercise alone or with a stable dose of metformin (either immediate release or extended release, 1000 milligram (mg)/day and not more than the locally approved dose) for at least 3 months prior to screening.

Who cannot join

  • Have type 1 diabetes mellitus (T1DM)
  • Have ketoacidosis
  • Have retinopathy, maculopathy
  • Have history of pancreatitis
  • Have obesity induced by other endocrine disorders
  • Have uncontrolled hypertension
Show all 10Show fewer
  • Have acute or chronic hepatitis
  • Have chronic kidney disease
  • Have an autoimmune abnormality for example, lupus or rheumatoid arthritis
  • Have an active or untreated malignancy

Trial locations and contacts

43 sites in 2 countries.

43 sites in 2 countries

United States40 sites
  • Heritage Valley Medical Group, Inc.

    Beaver, Pennsylvania, 15009

  • Elite Clinical Trials

    Blackfoot, Idaho, 83221

  • Humphreys Diabetes Center

    Boise, Idaho, 83702

  • San Fernando Valley Health Institute

    Canoga Park, California, 91304

  • Dallas Diabetes Research Center

    Dallas, Texas, 75230

  • Centennial Medical Group

    Elkridge, Maryland, 21075

  • Lillestol Research

    Fargo, North Dakota, 58104

  • Diabetes and Thyroid Center of Fort Worth

    Fort Worth, Texas, 76132

  • Valley Endocrine, Fresno

    Fresno, California, 93720

  • The Research Center of The Upstate

    Greenville, South Carolina, 29607

  • Endocrine Ips, Pllc

    Houston, Texas, 77079

  • Laila A Hassan, MD, PA

    Houston, Texas, 77089

  • National Research Institute - Huntington Park

    Huntington Park, California, 90255

  • Rocky Mountain Clinical Research

    Idaho Falls, Idaho, 83404

  • Logan Health Research

    Kalispell, Montana, 59901

  • South Florida Clinical Research Institute

    Margate, Florida, 33063

  • Southern Endocrinology Associates

    Mesquite, Texas, 75149

  • Catalina Research Institute, LLC

    Montclair, California, 91763

  • Intend Research, LLC

    Norman, Oklahoma, 73069

  • North Hills Family Medicine/North Hills Medical Research

    North Richland Hills, Texas, 76180

  • National Research Institute - Panorama City

    Panorama City, California, 91402

  • MediSync Clinical Research

    Petal, Mississippi, 39465

  • Preferred Primary Care Physicians

    Pittsburgh, Pennsylvania, 15236

  • Anderson Clinical Research

    Redlands, California, 92374

  • Rainier Clinical Research Center

    Renton, Washington, 98057

  • Elite Clinical Trials

    Rexburg, Idaho, 83440

  • Artemis Institute for Clinical Research

    Riverside, California, 92503

  • Artemis Institute for Clinical Research

    San Diego, California, 92103

  • National Research Institute (NRI) - Santa Ana

    Santa Ana, California, 92704

  • Syed Research Consultants Llc

    Sheffield, Alabama, 35660

  • Frontier Clinical Research, LLC

    Smithfield, Pennsylvania, 15478

  • Clinvest Research LLC

    Springfield, Missouri, 65810

  • Universal Research Group

    Tacoma, Washington, 98405

  • ForCare Clinical Research

    Tampa, Florida, 33613

  • Cotton O'Neil Clinic

    Topeka, Kansas, 66606

  • Preferred Primary Care Physicians

    Uniontown, Pennsylvania, 15401

  • The Vancouver Clinic

    Vancouver, Washington, 98664

  • Diablo Clinical Research, Inc.

    Walnut Creek, California, 94598

  • Iowa Diabetes and Endocrinology Research Center

    West Des Moines, Iowa, 50265

  • Encore Medical Research - Weston

    Weston, Florida, 33331

Other trials in United States

Puerto Rico3 sites
  • Advanced Clinical Research, LLC

    Bayamón, 00961

  • Manati Center for Clinical Research

    Manati, 674

  • Latin Clinical Trial Center

    San Juan, 909

Other trials in Puerto Rico

About this study

Official title: A Phase 2 Study of Once-Weekly LY3437943 Compared With Placebo and Dulaglutide in Participants With Type 2 Diabetes

The main purpose of this study is to evaluate the efficacy and safety of LY3437943 in participants with type 2 diabetes (T2D) who failed to achieve adequate glycemic control on diet and exercise alone or on a stable dose of metformin. This study will last about 43 weeks.

Conditions
Type 2 Diabetes
Being tested
LY3437943, Dulaglutide, Placebo
Medical subject headings
Diabetes Mellitus, Type 2

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • LY3437943Drug

    Administered SC

  • DulaglutideDrug

    Administered SC

  • PlaceboDrug

    Administered SC

Study groups in NCT04867785
Study groupRoleWhat they receive
0.5 milligrams (mg) LY3437943ExperimentalParticipants received 0.5 mg LY3437943 administered as SC (subcutaneous) injection once weekly (QW).
Receives: Drug: LY3437943
4 mg LY3437943 (2 mg)ExperimentalParticipants received 2 mg LY3437943 starting dose followed by 4 mg LY3437943 administered as SC injection QW.
Receives: Drug: LY3437943
4 mg LY3437943 (4 mg)ExperimentalParticipants received 4 mg LY3437943 administered as SC injection QW.
Receives: Drug: LY3437943
8 mg LY3437943 (2 mg)ExperimentalParticipants received 2 mg LY3437943 starting dose followed by 4 mg LY3437943 and then 8 mg LY3437943 administered as SC injection QW.
Receives: Drug: LY3437943
8 mg LY3437943 (4 mg)ExperimentalParticipants received 4 mg LY3437943 starting dose followed by 8 mg LY3437943 administered as a SC injection QW.
Receives: Drug: LY3437943
12 mg LY3437943 (2 mg)ExperimentalParticipants received 2 mg LY3437943 starting dose followed by 4 mg LY3437943, then 8 mg LY3437943, then 12 mg LY3437943 administered as a SC injection QW.
Receives: Drug: LY3437943
1.5 mg DulaglutideActive comparatorParticipants received 1.5 mg dulaglutide administered as SC single-dose pen injection QW.
Receives: Drug: Dulaglutide
PlaceboPlacebo comparatorParticipants received placebo administered as SC injection QW.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Hemoglobin A1c (HbA1c)

    Change in HbA1c (%) from baseline in LY3437943 relative to placebo. HbA1c is the glycosylated fraction of hemoglobin A. HbA1c is measured primarily to identify average plasma glucose concentration over prolonged periods of time. Least squares (LS) mean was calculated using mixed model repeated measures (MMRM) for post-baseline measures: Variable = Treatment*Time + Strata*Time + Baseline*Time.

    Measured: Baseline, 24 Weeks

Secondary outcomes (9)
  1. Change From Baseline in HbA1c

    Change in HbA1c (%) from baseline in LY3437943 relative to dulaglutide. LSMean was calculated using MMRM for post-baseline measures: Variable = Treatment*Time + Strata*Time + Baseline*Time.

    Measured: Baseline, 24 Weeks

  2. Change From Baseline in HbA1c

    Change in HbA1c (%) from baseline in LY3437943 relative to placebo and dulaglutide. LSMean was calculated using MMRM for post-baseline measures: Variable = Treatment*Time + Baseline HbA1c Group (<=8.5%, >8.5%)*Time + Baseline Body Mass Index (BMI) Group (<30 kilograms/square meter (kg/m2), >=30 kg/m2)*Time + Baseline*Time.

    Measured: Baseline, 36 Weeks

  3. Percentage of Participants Reaching HbA1c <7.0%

    Percentage of participants reaching HbA1c <7.0% in LY3437943 relative to placebo and dulaglutide. Estimated percentage was determined by logistic regression model with an intercept term, treatment group, baseline BMI stratum [<30 kg/m2, ≥30 kg/m2] as fixed effects, and baseline HbA1c value as a covariate.

    Measured: Week 24

  4. Percentage of Participant Reaching HbA1c <7.0%

    Percentage of participants reaching HbA1c <7.0% in LY3437943 relative to placebo and dulaglutide. Estimated percentage was determined by logistic regression model with an intercept term, treatment group, baseline BMI stratum [<30 kg/m2, ≥30 kg/m2] as fixed effects, and baseline HbA1c value as a covariate.

    Measured: Week 36

  5. Change From Baseline in Fasting Blood Glucose (FBG)

    Change in FBG from baseline in LY3437943 relative to placebo and dulaglutide. LSMean was calculated using MMRM for post-baseline measures: Variable = Treatment*Time + Strata*Time + Baseline*Time.

    Measured: Baseline, 24 Weeks

  6. Change From Baseline in Fasting Blood Glucose (FBG)

    Change in FBG from baseline in LY3437943 relative to placebo and dulaglutide. LSMean was calculated using MMRM for post-baseline measures: Variable = Treatment*Time + Baseline HbA1c Group (<=8.5%, >8.5%)*Time + Baseline BMI Group (<30kg/m2, >=30kg/m2)*Time + Baseline*Time.

    Measured: Baseline, 36 Weeks

  7. Change From Baseline in Body Weight

    Change in body weight from baseline in LY3437943 relative to placebo and dulaglutide. LSMean was calculated using MMRM for post-baseline measures: Variable = Treatment*Time + Strata*Time + Baseline*Time.

    Measured: Baseline, 24 Weeks

  8. Change From Baseline in Body Weight

    Change in body weight from baseline in LY3437943 relative to placebo and dulaglutide. LSMean was calculated using MMRM for post-baseline measures: Variable = Treatment*Time + Baseline HbA1c Group (<=8.5%, >8.5%)*Time + Baseline BMI Group (<30kg/m2, >=30kg/m2)*Time + Baseline*Time.

    Measured: Baseline, 36 Weeks

  9. Population PK: Average Steady-State Plasma Concentration (Cav,ss) of LY3437943

    The average steady-state plasma concentration of LY3437943 was evaluated using sparse sampling methodology/Population PK (PopPK) modeling.

    Measured: Predose: Week 0, 1, 4, 12, 24, 30; Postdose: Week 2, 8, 16, 20, 36

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Apr 2021
  2. Study start13 May 2021
  3. Primary completion8 Jul 2022
  4. Study completion27 Oct 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
281 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04867785
Sponsor's protocol ID
17774
Other IDs
J1I-MC-GZBD
Status last verified
Jun 2023
First submitted
29 Apr 2021
Last updated
3 Jul 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

Publications

  • Ruotolo G, Harris C, Lin Y, Wilson JM, Pirro V, Duffin KL, Thomas MK, Hartman ML, Neill CO, Coskun T, Milicevic Z, Haupt A, Sattar N, Nicholls SJ. Retatrutide-Associated Improvements in Cardiovascular Risk Biomarkers in Adults With Obesity With or Without Type 2 Diabetes. Diabetes Obes Metab. 2026 Aug 17. doi: 10.1111/dom.71200. Online ahead of print.

    PubMed 42608321
  • Coskun T, Wu Q, Schloot NC, Haupt A, Milicevic Z, Khouli C, Harris C. Effects of retatrutide on body composition in people with type 2 diabetes: a substudy of a phase 2, double-blind, parallel-group, placebo-controlled, randomised trial. Lancet Diabetes Endocrinol. 2025 Aug;13(8):674-684. doi: 10.1016/S2213-8587(25)00092-0. Epub 2025 Jun 30.

    PubMed 40609566
  • Rosenstock J, Frias J, Jastreboff AM, Du Y, Lou J, Gurbuz S, Thomas MK, Hartman ML, Haupt A, Milicevic Z, Coskun T. Retatrutide, a GIP, GLP-1 and glucagon receptor agonist, for people with type 2 diabetes: a randomised, double-blind, placebo and active-controlled, parallel-group, phase 2 trial conducted in the USA. Lancet. 2023 Aug 12;402(10401):529-544. doi: 10.1016/S0140-6736(23)01053-X. Epub 2023 Jun 26.

    PubMed 37385280

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing LY3437943 and Dulaglutide in people with Type 2 Diabetes, run by Eli Lilly and Company at 43 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 43 sites in United States, Puerto Rico. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 3 Jul 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in Hemoglobin A1c (HbA1c) (time frame: Baseline, 24 Weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04867785, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Jul 2023.

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