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ObesityPhase 3ATTAIN-2NCT05872620

A Study of Orforglipron in Adult Participants With Obesity or Overweight and Type 2 Diabetes

A Phase 3 study testing Orforglipron in people with Obesity and Overweight, run by Eli Lilly and Company at 136 sites in 11 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

This study will investigate the safety and efficacy of once daily oral treatment with orforglipron compared with placebo on body weight in adult participants with obesity or overweight and type 2 diabetes. The study will last about 77 weeks and may include up to 22 visits. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Obesity, Overweight, Type 2 Diabetes
What is being tested?
Orforglipron
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,613 participants
Where
136 sitesin 11 countries
Study dates
5 Jun 2023to 8 Aug 2025
Phase
Phase 3

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Have a body mass index (BMI) ≥27.0 kilogram/square meter (kg/m²).
  • Have a history of at least 1 self-reported unsuccessful dietary effort to lose body weight.
  • Have a diagnosis of Type 2 Diabetes (T2D), with HbA1c ≥7% (≥53 mmol/mol) to ≤10% (86 mmol/mol) and are on stable treatment for T2D for at least 90 days prior to screening, consisting of:
  • either diet/exercise alone or
  • up to 3 oral antihyperglycemic medications (excluding dipeptidyl peptidase IV inhibitors (DPP-4i) or glucagon-like peptide-1 (GLP-1) receptor agonists (RA).

Who cannot join

  • Have Type 1 Diabetes (T1D), history of ketoacidosis or hyperosmolar state/coma, or any other types of diabetes except T2D.
  • Have a self-reported change in body weight >5 kg (11 pounds) within 90 days prior to screening.
  • Are currently receiving or planning to receive treatment for diabetic retinopathy and/or macular edema (for example, laser photocoagulation or intravitreal injections of anti-vascular endothelial growth factor inhibitors).
  • Have family (first-degree relative) or personal history of medullary thyroid cancer (MTC) or multiple endocrine neoplasia 2 (MEN2) syndrome.
  • Have had a history of chronic or acute pancreatitis.

Trial locations and contacts

136 sites in 11 countries.

136 sites in 11 countries

United States37 sites
  • Albany Medical College, Division of Community Endocrinology

    Albany, New York, 12203

  • Albany Stratton VA Medical Center

    Albany, New York, 12208

  • IMA Clinical Research

    Albuquerque, New Mexico, 87109

  • MedStar Good Samaritan Hospital

    Baltimore, Maryland, 21239

  • Charlottesville Medical Research

    Charlottesville, Virginia, 22911

  • StudyMetrix Research

    City of Saint Peters, Missouri, 63303

  • Velocity Clinical Research, Dallas

    Dallas, Texas, 75230

  • Soma Clinical Trials

    Denison, Texas, 75020

  • Epic Medical Research - DeSoto

    DeSoto, Texas, 75115

  • AMCR Institute

    Escondido, California, 92025

  • Encore Medical Research

    Hollywood, Florida, 33024

  • Pacific Diabetes & Endocrine Center

    Honolulu, Hawaii, 96813

  • Biopharma Informatic, LLC

    Houston, Texas, 77043

  • Velocity Clinical Research, Huntington Park

    Huntington Park, California, 90255

  • East Coast Institute for Research, LLC

    Jacksonville, Florida, 32216

  • Alliance for Multispecialty Research, LLC

    Knoxville, Tennessee, 37909

  • Las Vegas Medical Research

    Las Vegas, Nevada, 89128

  • Balanced Life Health Care Solutions/SKYCRNG

    Lawrenceville, Georgia, 30046

  • NYC Research INC

    Long Island City, New York, 11106

  • Velocity Clinical Research, Westlake

    Los Angeles, California, 90057

  • South Florida Clinical Research Institute

    Margate, Florida, 33063

  • Solaris Clinical Research

    Meridian, Idaho, 83646

  • Catalina Research Institute, LLC

    Montclair, California, 91763

  • Suncoast Clinical Research, Inc.

    New Port Richey, Florida, 34652

  • Cahaba Research - Pelham

    Pelham, Alabama, 35124

  • Summit Headlands

    Portland, Oregon, 97210

  • Accellacare - Raleigh

    Raleigh, North Carolina, 27609

  • Endocrine Research Solutions, Inc.

    Roswell, Georgia, 30076

  • Diabetes and Glandular Disease Center

    San Antonio, Texas, 78229

  • VIP Trials

    San Antonio, Texas, 78230

  • Universal Research Group

    Tacoma, Washington, 98405

  • Arcturus Healthcare , PLC, Troy Internal Medicine Research Division

    Troy, Michigan, 48098

  • Novak Clinical Research - Tucson - North La Cholla Boulevard

    Tucson, Arizona, 85741

  • University Clinical Investigators, Inc.

    Tustin, California, 92780

  • Iowa Diabetes and Endocrinology Research Center

    West Des Moines, Iowa, 50265

  • North Georgia Clinical Research

    Woodstock, Georgia, 30189

  • Yuma Clinical Trials

    Yuma, Arizona, 85364

Other trials in United States

China18 sites
  • Chinese PLA General Hospital

    Beijing, Beijing Municipality, 100853

  • Chongqing General Hospital

    Chongqing, Chongqing Municipality, 400014

  • Dalian Municipal Central Hospital Affiliated of Dalian Medical University

    Dalian, Liaoning, 116033

  • The Fourth Affiliated Hospital of Harbin Medical University

    Harbin, Heilongjiang, 150001

  • The Second People's Hospital of Hefei

    Hefei, Anhui, 230011

  • Jinan Central Hospital

    Jinan, Shandong, 250013

  • The First People's Hospital of Yunnan Province

    Kunming, Yunnan, 650034

  • The First Affiliated Hospital of Henan University of Science &Technology

    Luoyang Shi, Henan, 471003

  • Jiangxi Provincial People's Hospital

    Nanchang, Jiangxi, 330006

  • Nanjing First Hospital

    Nanjing, Jiangsu, 210006

  • Jiangsu Province Official Hospital

    Nanjing, Jiangsu, 210008

  • The Second Affiliated Hospital of Nanjing Medical University

    Nanjing, Jiangsu, 210011

  • Nantong First People's Hospital

    Nantong, Jiangsu, 226001

  • ShenZhen People's Hospital

    Shenzhen, Guangdong, 518020

  • Tianjin Medical University General Hospital

    Tianjin, Tianjin Municipality, 300052

  • Tianjin Medical University Zhu Xianyi Memorial Hospital

    Tianjin, Tianjin Municipality

  • Wuxi People's Hospital

    Wuxi, Jiangsu, 214023

  • The Second Affiliated Hospital of Zhengzhou University

    Zhengzhou, Henan, 450014

Other trials in China

Germany15 sites
  • Universitaetsklinikum Koeln

    Cologne, North Rhine-Westphalia, 50937

  • InnoDiab Forschung Gmbh

    Essen, North Rhine-Westphalia, 45136

  • Medizentrum Essen Borbeck

    Essen, North Rhine-Westphalia, 45355

  • Diabetes Zentrum Dr. Tews

    Gelnhausen, 63571

  • Diabetes Zentrum Wilhelmsburg

    Hamburg, 21109

  • Hausarzt- und Diabetologische Schwerpunktpraxis Hohenmölsen - Weiβenfels

    Hohenmölsen, Saxony-Anhalt, 06679

  • AmBeNet GmbH

    Leipzig, Saxony, 04107

  • Universität zu Lübeck - Institut für Endokrinologie und Diabetes

    Lübeck, Schleswig-Holstein, 23562

  • SMO.MD GmbH

    Magdeburg, Saxony-Anhalt, 39120

  • CDG Studienambulanz Hartard

    München, Bavaria, 80809

  • Institut für Diabetesforschung GmbH Münster

    Münster, Nordrhein-, 48145

  • RED-Institut GmbH

    Oldenburg in Holstein, Schleswig-Holstein, 23758

  • Arztpraxis Christine Kosch Pirna

    Pirna, Saxony, 01796

  • Ceda-Research

    Pohlheim, Hesse, 35415

  • Gemeinschaftspraxis Dr. med. Josef und Wilma Großkopf

    Wallerfing, Bavaria, 94574

Other trials in Germany

Czechia12 sites
  • MUDr. Alena Vachova

    České Budějovice, South Bohemian Region, 37011

  • Nemocnice Cesky Krumlov

    Český Krumlov, 381 01

  • Endokrinologie MUDr. Rehorkova s.r.o.

    Hradec Králové, 500 12

  • MUDr. Sabina Palova

    Jílové u Prahy, Praha-západ, 252 42

  • MUDr. Tomas Edelsberger

    Krnov, Moravskosl, 79401

  • Diahelp s.r.o

    Pardubice V, Pardubice, 530 02

  • Dialine - Interni a diabetologicka ambulance

    Pilsen, Plzeň-město, 301 00

  • MUDr. Jitka Zemanová - diabetologie a interna s.r.o.

    Pilsen, 326 00

  • Diabet2 s.r.o., diabetologicka a interni ambulance

    Prague, Praha 1, 11000

  • Milan Kvapil s.r.o., Diabetologicka ambulance

    Prague, Praha 4, 14900

  • ResTrial s.r.o.

    Prague, Praha 8, 18100

  • Milan Kvapil s.r.o., Diabetologicka ambulance Pribram

    Příbram, Central Bohemia, 26201

Other trials in Czechia

Argentina11 sites
  • Mautalen Salud e Investigación

    Buenos Aires, Buenos Aires F.D., C1128AAF

  • CONEXA Investigacion Clinica S.A.

    Buenos Aires, 1012

  • CEMEDIAB

    C.a.b.a., Ciudad Aut, C1205AAO

  • Instituto Centenario

    CABA, Ciudad Autónoma de Buenos Aire, 1204

  • Centro Diabetológico Dr. Waitman

    Córdoba, 5000

  • Clínica Universitaria Reina Fabiola

    Córdoba, X50004FHP

  • Instituto de Investigaciones Clinicas Rosario

    Rosario, Santa Fe Province, 2000

  • Instituto Médico Fundación Grupo Colaborativo Rosario Investigación y Prevención Medica

    Rosario, Santa Fe Province, 2000

  • Centro de Investigaciones Médicas Tucuman

    SAN M. de Tucuman, Tucumán Province, T4000AXL

  • Centro de Diagnóstico y Rehabilitación (CEDIR)

    Santa Fe, 3000

  • Sanatorio San Martin

    Venado Tuerto, Santa Fe Province, 2600

Other trials in Argentina

Australia11 sites
  • Emeritus Research

    Botany, New South Wales, 2019

  • Box Hill Hospital

    Box Hill, Victoria, 3128

  • Royal Brisbane and Women's Hospital

    Brisbane, Queensland, 4029

  • Core Research Group

    Brisbane, Queensland, 4064

  • Emeritus Research

    Camberwell, Victoria, 3124

  • Austin Health - Repatriation Hospital

    Heidelberg West, Victoria, 3081

  • Advara HeartCare Joondalup

    Joondalup, Western Australia, 6027

  • Logan Hospital

    Meadowbrook, Queensland, 4131

  • Baker IDI Heart and Diabetes Institute - Melbourne

    Melbourne, Victoria, 3004

  • The AIM Centre / Hunter Diabetes Centre

    Merewether, New South Wales, 2291

  • Southern Adelaide Diabetes & Endocrine Services

    Oaklands Park, South Australia, 5046

Other trials in Australia

India9 sites
  • Medstar Speciality Hospital

    Bangalore, Karnataka, 560092

  • Karnataka Institute of Medical Sciences

    Hubli, Karnataka, 580021

  • Kumudini Devi Diabetes Research Center

    Hyderabad, Telangana, 500082

  • TOTALL Diabetes Hormone Institute

    Indore, Madhya Pradesh, 452010

  • Arthur Asirvatham Hospital

    Madurai, Tamil Nadu, 625020

  • Topiwala National Medical College & B. Y. L. Nair Charitable Hospital

    Mumbai, Maharashtra, 400008

  • BSES MG Hospital

    Mumbai, Maharashtra, 400058

  • All India Institute of Medical Sciences (AIIMS) - Nagpur

    Nagpur, Maharashtra, 441108

  • Sahyadri Super Speciality Hospital

    Pune, Maharashtra, 411004

Other trials in India

Brazil8 sites
  • Centro de Pesquisa Clinica do Brasil

    Brasília, Federal District, 71625-175

  • Instituto de Pesquisa clinica de Campinas

    Campinas, São Paulo, 13060-080

  • Cendi - Endocrinologia e Diabetes

    Goiânia, Goiás, 74230-035

  • Centro de Pesquisa Clínica de Marília - CPCLIM

    Marília, São Paulo, 17504-072

  • Instituto Méderi de Pesquisa e Saúde

    Passo Fundo, Rio Grande do Sul, 99010-120

  • Pesquisare Saude

    Santo André, São Paulo, 09080-110

  • CEPIC - Centro Paulista de Investigação Clínica

    São Paulo, 04266-010

  • Instituto Lóbus

    Volta Redonda, Rio de Janeiro, 27253-003

Other trials in Brazil

Greece7 sites
  • Athens Medical Center

    Athens, Attikí, 151 25

  • University General Hospital of Larissa

    Larissa, Thessalía, 41110

  • Ippokrateio General Hospital of Thessaloniki

    Thessaloniki, Kentrikí Makedonía, 54642

  • Euromedica General Clinic of Thessaloniki

    Thessaloniki, Thessaloníki, 546 45

  • Papageorgiou General Hospital of Thessaloniki

    Thessaloniki, Thessaloníki, 564 29

  • Thermi Clinic

    Thessaloniki, Thessaloníki, 570 01

  • 424 Military General Training Hospital

    Thessaloniki, 564 29

Other trials in Greece

South Korea6 sites
  • Yeungnam Univeristy Medical Center

    Gyeongsan-si, Kyǒngsangbuk-do, 42415

  • Seoul National University Bundang Hospital

    Seongnam, Kyǒnggi-do, 13620

  • Korea University Anam Hospital

    Seoul, Seoul-teukbyeolsi [Seoul], 02841

  • The Catholic Univ. of Korea Seoul St. Mary's Hospital

    Seoul, Seoul-teukbyeolsi [Seoul], 06591

  • Kyung Hee University Hospital at Gangdong

    Seoul, Seoul-teukbyeolsi [Seoul], 134-090

  • Yonsei University-Wonju Severance Christian Hospital

    Wŏnju, Kang-won-do, 26426

Other trials in South Korea

Puerto Rico2 sites
  • Advanced Clinical Research, LLC

    Bayamón, PR, 00959

  • Isis Clinical Research Center

    Guaynabo, PR, 00968

Other trials in Puerto Rico

About this study

Official title: A Phase 3, Randomized, Double-Blind Study to Investigate the Efficacy and Safety of Once-Daily Oral LY3502970 Compared With Placebo in Adult Participants With Obesity or Overweight and Type 2 Diabetes (ATTAIN-2)

This study will investigate the safety and efficacy of once daily oral treatment with orforglipron compared with placebo on body weight in adult participants with obesity or overweight and type 2 diabetes. The study will last about 77 weeks and may include up to 22 visits.

Being tested
Orforglipron, Placebo
Medical subject headings
Obesity, Overweight, Diabetes Mellitus, Type 2

What participants receive

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

  • OrforglipronDrug

    Also called LY3502970

    Administered orally

  • PlaceboDrug

    Administered orally

Study groups in NCT05872620
Study groupRoleWhat they receive
PlaceboPlacebo comparatorParticipants received matching placebo capsule orally once daily (QD). Treatment was initiated with placebo corresponding to 1 milligram (mg) equivalent to Orforglipron, with dose escalation every 4 weeks to maintain blinding, and was continued through Week 72, unless dose modification was required.
Receives: Drug: Placebo
6 mg Orforglipron QDExperimentalParticipants received oral orforglipron capsule once daily. Treatment was initiated at 1 mg once daily, with dose escalation every 4 weeks to a target dose of 6 mg, which was maintained through Week 72, unless dose modification was required.
Receives: Drug: Orforglipron
12 mg Orforglipron QDExperimentalParticipants received oral orforglipron capsule once daily. Treatment was initiated at 1 mg once daily, with dose escalation every 4 weeks to a target dose of 12 mg, which was maintained through Week 72, unless dose modification was required.
Receives: Drug: Orforglipron
36 mg Orforglipron QDExperimentalParticipants received oral orforglipron capsule once daily. Treatment was initiated at 1 mg once daily, with dose escalation every 4 weeks to a target dose of 36 mg, which was maintained through Week 72, unless dose modification was required.
Receives: Drug: Orforglipron

What is being measured

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

  1. Percent Change From Baseline in Body Weight

    Values represented under Least Squares (LS) Mean are model-based estimates (MBE) of the unconditional average treatment effect. MBE was calculated using a mixed-model repeated measures (MMRM) for post-baseline measures with region + Baseline*Time*Treatment + Strata*Time*Treatment in the model. Strata were defined by joint levels of sex (female, male) and background oral antihyperglycemic medications (AHMs) classified according to their potential effect on body weight (promoting weight gain, weight reduction, or weight neutrality). Variance-covariance structure for change from baseline was unstructured.

    Measured: Baseline, Week 72

Secondary outcomes (14)
  1. Percentage of Participants Who Achieved With Greater Than or Equal to (≥) 5% Body Weight Reduction From Baseline

    Percentage of participants with ≥5% body weight reduction was analysed by Logistic regression with the following variables: region + Baseline*Time*Treatment + Strata*Time*Treatment in the model. Strata were defined by joint levels of sex (female, male) and background oral AHMs classified according to their potential effect on body weight (promoting weight gain, weight reduction, or weight neutrality).

    Measured: Baseline to Week 72

  2. Percentage of Participants Who Achieved ≥10% Body Weight Reduction From Baseline

    Percentage of participants with ≥10% body weight reduction was analysed by Logistic regression with the following variables: region + Baseline*Time*Treatment + Strata*Time*Treatment in the model. Strata were defined by joint levels of sex (female, male) and background oral AHMs classified according to their potential effect on body weight (promoting weight gain, weight reduction, or weight neutrality).

    Measured: Baseline to Week 72

  3. Percentage of Participants Who Achieved ≥15% Body Weight Reduction From Baseline

    Percentage of participants with ≥15% body weight reduction was analysed by Logistic regression with the following variables: region + Baseline*Time*Treatment + Strata*Time*Treatment in the model. Strata were defined by joint levels of sex (female, male) and background oral AHMs classified according to their potential effect on body weight (promoting weight gain, weight reduction, or weight neutrality).

    Measured: Baseline to Week 72

  4. Change From Baseline in Waist Circumference

    Values represented under Least Squares (LS) Mean are model-based estimates (MBE) of the unconditional average treatment effect. MBE was calculated using a mixed-model repeated measures (MMRM) for post-baseline measures with region + Baseline*Time*Treatment + Strata*Time*Treatment in the model. Strata were defined by joint levels of sex (female, male) and background oral AHMs classified according to their potential effect on body weight (promoting weight gain, weight reduction, or weight neutrality). Variance-covariance structure for change from baseline was unstructured.

    Measured: Baseline, Week 72

  5. Change From Baseline in Hemoglobin A1c (HbA1c) %

    • Hemoglobin A1c (HbA1c) is the glycosylated fraction of hemoglobin A, measured to reflect average plasma glucose concentration over prolonged periods of time.
    • Values represented under Least Squares (LS) Mean are model-based estimates (MBE) of the unconditional average treatment effect. MBE was calculated using a mixed-model repeated measures (MMRM) for post-baseline measures with region + Baseline*Time*Treatment + Strata*Time*Treatment in the model. Strata were defined by joint levels of sex (female, male) and background oral AHMs classified according to their potential effect on body weight (promoting weight gain, weight reduction, or weight neutrality). Variance-covariance structure for change from baseline was unstructured.

    Measured: Baseline, Week 72

  6. Change From Baseline in Fasting Serum Glucose (FSG)

    Values represented under Least Squares (LS) Mean are model-based estimates (MBE) of the unconditional average treatment effect. MBE was calculated using a mixed-model repeated measures (MMRM) for post-baseline measures with region + Baseline*Time*Treatment + Strata*Time*Treatment in the model. Strata were defined by joint levels of sex (female, male) and background oral AHMs classified according to their potential effect on body weight (promoting weight gain, weight reduction, or weight neutrality). Variance-covariance structure for change from baseline was unstructured.

    Measured: Baseline, Week 72

  7. Percentage of Participants Who Achieved Hemoglobin A1c (HbA1c) Target Value (<6.5%)

    Percentage of participants who achieved hemoglobin A1c (HbA1c<6.5%) was analysed by Logistic regression with the following variables: region + Baseline*Time*Treatment + Strata*Time*Treatment in the model. Strata were defined by joint levels of sex (female, male) and background oral AHMs classified according to their potential effect on body weight (promoting weight gain, weight reduction, or weight neutrality).

    Measured: Baseline to Week 72

  8. Percentage of Participants Who Achieved Hemoglobin A1c (HbA1c) Target Value (<7.0%)

    Percentage of participants who achieved hemoglobin A1c (HbA1c<7%) was analysed by Logistic regression with the following variables: region + Baseline*Time*Treatment + Strata*Time*Treatment in the model. Strata were defined by joint levels of sex (female, male) and background oral AHMs classified according to their potential effect on body weight (promoting weight gain, weight reduction, or weight neutrality).

    Measured: Baseline to Week 72

  9. Change From Baseline in Systolic Blood Pressure (SBP) (Pooled Doses of Orforglipron 6 mg, 12 mg and 36 mg)

    Values represented under Least Squares (LS) Mean are model-based estimates (MBE) of the unconditional average treatment effect. MBE was calculated using a mixed-model repeated measures (MMRM) for post-baseline measures with region + Baseline*Time*Treatment + Strata*Time*Treatment in the model. Strata were defined by joint levels of sex (female, male) and background oral AHMs classified according to their potential effect on body weight (promoting weight gain, weight reduction, or weight neutrality). Variance-covariance structure for change from baseline was unstructured.

    Measured: Baseline, Week 72

  10. Change From Baseline in Diastolic Blood Pressure (DBP) (Pooled Doses of Orforglipron 6 mg, 12 mg and 36 mg)

    Values represented under Least Squares (LS) Mean are model-based estimates (MBE) of the unconditional average treatment effect. MBE was calculated using a mixed-model repeated measures (MMRM) for post-baseline measures with region + Baseline*Time*Treatment + Strata*Time*Treatment in the model. Strata were defined by joint levels of sex (female, male) and background oral AHMs classified according to their potential effect on body weight (promoting weight gain, weight reduction, or weight neutrality). Variance-covariance structure for change from baseline was unstructured.

    Measured: Baseline, Week 72

  11. Percent Change From Baseline in Fasting Insulin

    • Fasting Insulin is a test used to measure the amount of insulin in the body.
    • Values represented under "Geometric Least Squares Mean" are model-based estimates (MBE) of the unconditional average treatment effect. For post-baseline measures, MBE was calculated using a mixed-model repeated measures (MMRM) on log-transformed values, defined as log (Actual Measurement/Baseline) + Region + log (Baseline)*Time*Treatment + Strata*Time*Treatment in the model. Strata were defined by joint levels of sex (female, male) and background oral AHMs classified according to their potential effect on body weight (promoting weight gain, weight reduction, or weight neutrality). The variance-covariance structure was unstructured.

    Measured: Baseline, Week 72

  12. Percent Change From Baseline in Non-High-Density Lipoprotein (Non-HDL) Cholesterol (Pooled Doses of Orforglipron 6 mg, 12 mg and 36 mg)

    Values represented under "Geometric Least Squares Mean" are model-based estimates (MBE) of the unconditional average treatment effect. For post-baseline measures, MBE was calculated using a mixed-model repeated measures (MMRM) on log-transformed values, defined as log (Actual Measurement/Baseline) + Region + log (Baseline)*Time*Treatment + Strata*Time*Treatment in the model. Strata were defined by joint levels of sex (female, male) and background oral AHMs classified according to their potential effect on body weight (promoting weight gain, weight reduction, or weight neutrality). The variance-covariance structure was unstructured.

    Measured: Baseline, Week 72

  13. Percent Change From Baseline in Triglycerides (Pooled Doses of Orforglipron 6 mg, 12 mg and 36 mg)

    Values represented under "Geometric Least Square Mean" are model-based estimates (MBE) of the unconditional average treatment effect. For post-baseline measures, MBE was calculated using a mixed-model repeated measures (MMRM) on log-transformed values, defined on log-transformed values, defined as log (Actual Measurement/Baseline) + Region + log (Baseline)*Time*Treatment + Strata*Time*Treatment in the model. Strata were defined by joint levels of sex (female, male) and background oral AHMs classified according to their potential effect on body weight (promoting weight gain, weight reduction, or weight neutrality). The variance-covariance structure was unstructured.

    Measured: Baseline, Week 72

  14. Change From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Acute Form (Physical-Component and Mental-Component) Scores (Pooled Doses of Orforglipron 6 mg, 12 mg and 36 mg)

    The SF-36v2 acute form, (1-week recall version) assesses participants' health-related quality of life on 8 domains: Physical Functioning, Role-Physical, Bodily Pain, General Health, Vitality, Social Functioning, Role-Emotional, and Mental Health. The physical functioning domain assesses limitations due to health "now," whereas the remaining domains assess functioning "in the past week." Each domain is scored individually, and information from these 8 domains is aggregated into 2 health component summary scores, the Physical Component Summary and Mental Component Summary. Items are answered on Likert scales of varying lengths (3-point, 5-point, or 6-point scales). Scoring of each domain and both summary scores are norm based and presented in the form of T-scores, with a mean of 50 and a standard deviation of 10. Higher scores indicate better levels of function and/or better health. Range cannot be specified in norm-based scores.

    Measured: Baseline, Week 72

Timeline

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

  1. First posted24 May 2023
  2. Study start5 Jun 2023
  3. Primary completion8 Aug 2025
  4. Study completion8 Aug 2025

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
1,613 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05872620
Sponsor's protocol ID
18560
Other IDs
J2A-MC-GZGQ, 2022-502837-24-00, U1111-1289-8799
Acronym
ATTAIN-2
Status last verified
Sep 2026
First submitted
15 May 2023
Last updated
4 Sep 2026
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

  • Horn DB, Shukla AP, Huang H, Twum E, Allen SE, Kis SG. Orforglipron for obesity treatment in older patients >/=65 years with or without type 2 diabetes: A post hoc subgroup analysis of the ATTAIN-1 and ATTAIN-2 trials. Obes Pillars. 2026 Jul 14;19:100301. doi: 10.1016/j.obpill.2026.100301. eCollection 2026 Sep.

    PubMed 42577069
  • Horn DB, Ryan DH, Kis SG, Alves B, Mu Y, Kim SG, Aberle J, Bain SC, Allen S, Sarker E, Wu Q, Stefanski A, Jouravskaya I; ATTAIN-2 Trial Investigators. Orforglipron, an oral small-molecule GLP-1 receptor agonist, for the treatment of obesity in people with type 2 diabetes (ATTAIN-2): a phase 3, double-blind, randomised, multicentre, placebo-controlled trial. Lancet. 2026 Dec 20;406(10522):2927-2944. doi: 10.1016/S0140-6736(25)02165-8. Epub 2025 Nov 20.

    PubMed 41275875

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