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.
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
Puerto Rico3 sites
Advanced Clinical Research, LLC
Bayamón, 00961
Manati Center for Clinical Research
Manati, 674
Latin Clinical Trial Center
San Juan, 909
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 group | Role | What they receive |
|---|---|---|
| 0.5 milligrams (mg) LY3437943 | Experimental | Participants received 0.5 mg LY3437943 administered as SC (subcutaneous) injection once weekly (QW). Receives: Drug: LY3437943 |
| 4 mg LY3437943 (2 mg) | Experimental | Participants received 2 mg LY3437943 starting dose followed by 4 mg LY3437943 administered as SC injection QW. Receives: Drug: LY3437943 |
| 4 mg LY3437943 (4 mg) | Experimental | Participants received 4 mg LY3437943 administered as SC injection QW. Receives: Drug: LY3437943 |
| 8 mg LY3437943 (2 mg) | Experimental | Participants 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) | Experimental | Participants 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) | Experimental | Participants 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 Dulaglutide | Active comparator | Participants received 1.5 mg dulaglutide administered as SC single-dose pen injection QW. Receives: Drug: Dulaglutide |
| Placebo | Placebo comparator | Participants 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.
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)
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
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
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
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
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
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
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
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
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.
- First posted30 Apr 2021
- Study start13 May 2021
- Primary completion8 Jul 2022
- Study completion27 Oct 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Type 2 DiabetesStudies of the same condition, open and under way.
- More trials run by Eli Lilly and CompanyThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Eli Lilly and Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Study director, Eli Lilly and Company
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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 42608321Coskun 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 40609566Rosenstock 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
Study at a glance
From the registry record, last updated by the sponsor on 3 Jul 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2 Study of Once-Weekly LY3437943 Compared With Placebo and Dulaglutide in Participants With Type 2 Diabetes
- ClinicalTrials.gov ID
- NCT04867785
- Acronym / sponsor ID
- 17774
- Conditions
- Type 2 Diabetes
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 281 participants (actual)
- Lead sponsor
- Eli Lilly and CompanyIndustry (pharma, biotech, devices)
- Study start
- 13 May 2021 (actual)
- Primary completion
- 8 Jul 2022 (actual)
- Study completion
- 27 Oct 2022 (actual)
- First posted
- 30 Apr 2021 (actual)
- Results
- Posted 3 Jul 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 8
| Arm | Type | Receives |
|---|---|---|
| 0.5 milligrams (mg) LY3437943 | Experimental | Drug: LY3437943Participants received 0.5 mg LY3437943 administered as SC (subcutaneous) injection once weekly (QW). |
| 4 mg LY3437943 (2 mg) | Experimental | Drug: LY3437943Participants received 2 mg LY3437943 starting dose followed by 4 mg LY3437943 administered as SC injection QW. |
| 4 mg LY3437943 (4 mg) | Experimental | Drug: LY3437943Participants received 4 mg LY3437943 administered as SC injection QW. |
| 8 mg LY3437943 (2 mg) | Experimental | Drug: LY3437943Participants received 2 mg LY3437943 starting dose followed by 4 mg LY3437943 and then 8 mg LY3437943 administered as SC injection QW. |
| 8 mg LY3437943 (4 mg) | Experimental | Drug: LY3437943Participants received 4 mg LY3437943 starting dose followed by 8 mg LY3437943 administered as a SC injection QW. |
| 12 mg LY3437943 (2 mg) | Experimental | Drug: LY3437943Participants 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. |
| 1.5 mg Dulaglutide | Active comparator | Drug: DulaglutideParticipants received 1.5 mg dulaglutide administered as SC single-dose pen injection QW. |
| Placebo | Placebo comparator | Drug: PlaceboParticipants received placebo administered as SC injection QW. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- 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.
Key exclusion criteria (10 listed)
- Have type 1 diabetes mellitus (T1DM)
- Have ketoacidosis
- Have retinopathy, maculopathy
- Have history of pancreatitis
- Have obesity induced by other endocrine disorders
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| LY3437943Administered SC | Drug | 0.5 milligrams (mg) LY3437943, 12 mg LY3437943 (2 mg), 4 mg LY3437943 (2 mg), 4 mg LY3437943 (4 mg), 8 mg LY3437943 (2 mg), 8 mg LY3437943 (4 mg) |
| DulaglutideAdministered SC | Drug | 1.5 mg Dulaglutide |
| PlaceboAdministered SC | Drug | Placebo |
Primary outcome
Change From Baseline in Hemoglobin A1c (HbA1c)
Time frame: Baseline, 24 Weeks
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.
9 secondary outcomes
Change From Baseline in HbA1c
Time frame: Baseline, 24 Weeks
Change From Baseline in HbA1c
Time frame: Baseline, 36 Weeks
Percentage of Participants Reaching HbA1c <7.0%
Time frame: Week 24
Percentage of Participant Reaching HbA1c <7.0%
Time frame: Week 36
Change From Baseline in Fasting Blood Glucose (FBG)
Time frame: Baseline, 24 Weeks
Change From Baseline in Fasting Blood Glucose (FBG)
Time frame: Baseline, 36 Weeks
Change From Baseline in Body Weight
Time frame: Baseline, 24 Weeks
Change From Baseline in Body Weight
Time frame: Baseline, 36 Weeks
Population PK: Average Steady-State Plasma Concentration (Cav,ss) of LY3437943
Time frame: Predose: Week 0, 1, 4, 12, 24, 30; Postdose: Week 2, 8, 16, 20, 36
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Jul 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42608321Ruotolo 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.
- Derived from this study: PubMed 40609566Coskun 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.
- Derived from this study: PubMed 37385280Rosenstock 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.
- A Study of LY3437943 in Participants With Type 2 DiabetesLink provided by the sponsor.
- Individual participant dataSharing planned: 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST) study director
Eli Lilly and Company
43 sites in 2 countries: see every site and its status.
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.