ObesityPhase 3TRIUMPH-1NCT05929066
A Study of Retatrutide (LY3437943) in Participants Who Have Obesity or Overweight
A Phase 3 study testing Retatrutide in people with Obesity and Overweight, run by Eli Lilly and Company at 134 sites in 12 countries.
Trial summary
The purpose of this study is to evaluate the efficacy and safety of retatrutide in participants who have obesity or overweight (J1I-MC-GZBJ master protocol) including subsets of participants who have knee osteoarthritis (OA) (J1I-MC-GOA1) or who have obstructive sleep apnea (OSA) (J1I-MC-GSA1). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Obesity, Overweight, Osteoarthritis, Knee
- What is being tested?
- Retatrutide
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 2,335 participants
- Where
- 134 sitesin 12 countries
- Study dates
- 10 Jul 2023to 30 Apr 2026
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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 body mass index (BMI) ≥30.0 kilograms per square meter (kg/m²), or ≥27.0 kg/m² with at least one of the following:
- hypertension
- dyslipidemia
- obstructive sleep apnea, or
- cardiovascular disease
- History of at least one unsuccessful dietary effort to reduce body weight
Show all 17Show fewer
- GOA1 Inclusion Criteria:
- Have index knee pain for >12 weeks prior to screening, and presence of index knee pain for >15 days over the previous month
- Have knee X-ray with moderate radiographic changes (Kellgren-Lawrence Grade 2 or 3) per central reading at screening
- Currently meets American College of Rheumatology (ACR) Criteria (clinical and radiological) for OA.
- GSA1 Inclusion Criteria:
- Previously diagnosed with OSA
- Have AHI ≥15 on polysomnography at screening (definition of moderate-to-severe OSA)
- For participants not on positive airway pressure (PAP) therapy: unable or unwilling to use PAP therapy and have not used PAP for at least 4 weeks prior to screening.
- If on PAP therapy, have been on PAP therapy for at least 3 consecutive months prior to screening, and willing to temporarily stop using PAP therapy for approximately 7 days prior to each of the sleep study (PSG) visits.
- GZBJ Addenda (2) inclusion criteria:
- Have completed the final treatment visit of GZBJ Week 80.
Who cannot join
- Have a self-reported or documented change in body weight >5 kg (11 pounds) within 90 days.
- Have taken weight loss drugs, including over-the-counter medications, within 90 days prior to screening.
- Have a prior or planned surgical treatment for obesity.
- Have diabetes mellitus.
- Have family or personal history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN-2)
- Have had pancreatitis.
Show all 17Show fewer
- GOA1 exclusion criteria
- Have had steroid joint injections within 90 days of screening.
- Have had other joint injections and procedures within 6 months of screening.
- Have joint disease other than osteoarthritis.
- GSA1 exclusion criteria
- Use stimulants (for example, modafinil, armodafinil, solriamfetol, pitolisant, amphetamine) less than 3 months prior to screening.
- Use hypnotics, mirtazapine, opioids, trazodone, and zonisamide less than 3 months prior to screening.
- Use a dental appliance or other device to treat OSA other than PAP therapy.
- GZBJ Addenda (2) exclusion criteria
- Have had study intervention discontinuation.
- Have had permanent dose reduction.
Trial locations and contacts
134 sites in 12 countries.
134 sites in 12 countries
United States39 sites
NeuroTrials Research Inc
Atlanta, Georgia, 30328
University of Colorado Anschutz Medical Campus
Aurora, Colorado, 80045
FutureSearch Trials of Neurology
Austin, Texas, 78731
Great Lakes Research Group, Inc.
Bay City, Michigan, 48706
Northwest Clinical Research Center
Bellevue, Washington, 98007
Teradan Clinical Trials, LLC
Brandon, Florida, 33511
Northwestern University
Chicago, Illinois, 60611
StudyMetrix Research
City of Saint Peters, Missouri, 63303
Altoona Center For Clinical Research
Duncansville, Pennsylvania, 16635
Lillestol Research
Fargo, North Dakota, 58104
Neuro-Pain Medical Center
Fresno, California, 93710
Valley Research
Fresno, California, 93720
Tribe Clinical Research, LLC
Greenville, South Carolina, 29607
East-West Medical Research Institute
Honolulu, Hawaii, 96814
Juno Research
Houston, Texas, 77040
Brengle Family Medicine
Indianapolis, Indiana, 46260
Palm Research Center Tenaya
Las Vegas, Nevada, 89128
Medical Investigations
Little Rock, Arkansas, 72211
Suncoast Research Group
Miami, Florida, 33135
New Horizon Research Center
Miami, Florida, 33165
Carteret Medical Group
Morehead City, North Carolina, 28557
Vanderbilt Health One Hundred Oaks
Nashville, Tennessee, 37204
Yale University School of Medicine
New Haven, Connecticut, 06519
Advanced Research Institute
Ogden, Utah, 84405
Clinical Neuroscience Solutions
Orlando, Florida, 32801
Central Phoenix Medical Clinic
Phoenix, Arizona, 85020
Arizona Research Center
Phoenix, Arizona, 85053
Progressive Medical Research
Port Orange, Florida, 32127
Rainier Clinical Research Center
Renton, Washington, 98057
Rochester Clinical Research, LLC
Rochester, New York, 14609
Artemis Institute for Clinical Research
San Diego, California, 92103
Tribe Clinical Research - Spartanburg
Spartanburg, South Carolina, 29301
Central Illinois Diabetes and Clinical Research a Division of Prairie Education and Research Cooperative
Springfield, Illinois, 62711
Clinvest Research LLC
Springfield, Missouri, 65807
Cotton O'Neil Diabetes & Endocrinology
Topeka, Kansas, 66606
MedVadis Research Corporation
Waltham, Massachusetts, 02451
Chase Medical Research, LLC
Waterbury, Connecticut, 06708
Trial Management Associates - Wilmington - Floral Parkway
Wilmington, North Carolina, 28403
North Georgia Clinical Research
Woodstock, Georgia, 30189
Mexico15 sites
Centro de Atención e Investigación Clínica
Aguascalientes, Aguascalientes, 20119
Investigacion En Salud Y Metabolismo S.C / Nutricion Clinica / Unidad de Base de Datos
Chihuahua City, Chihuahua, 31110
Instituto de Diabetes, Obesidad y Nutricion
Cuernavaca, Morelos, 62250
Diseno y Planeacion en Investigacion Medica
Guadalajara, Jalisco, 44130
Clinica de Investigacion en Reumatologia y Obesidad S. C.
Guadalajara, Jalisco, 44650
Private Practice - Dr. Arechavaleta Granell Maria del Rosario
Guadalajara, Jalisco, 44670
Unidad de Investigación Clínica y Atención Médica HEPA
Guadalajara, Jalisco, 44670
EME RED Hospitalaria
Mérida, Yucatán, 97000
Kohler and Milstein Research S.A. de C.V.
Mérida, Yucatán, 97070
Centro de Investigacion en Artritis y Osteoporosis SC
Mexicali, Estado de Baja California, 21200
RM Pharma Specialists
Mexico City, Mexico City, 03100
Clinica Omega
Mexico City, Mexico City, 06700
Unidad biomedica avanzada monterrey
Monterrey, Nuevo León, 64460
Hospital Universitario Dr. Jose Eleuterio Gonzalez
Monterrey, Nuevo León, 66460
Arké SMO S.A de C.V
Veracruz, Veracruz, 91910
India14 sites
Avron Hospitals
Ahmedabad, Gujarat, 380013
All India Institute of Medical Sciences
Bhubaneswar, Odisha, 751019
Endolife Speciality Hospitals
Guntur, Andhra Pradesh, 522001
Karnataka Institute of Medical Sciences
Hubli, Karnataka, 580021
Eternal Heart Care Center and Research Institute
Jaipur, Rajasthan, 302020
ILS Hospitals
Kolkata, West Benga, 700064
Wockhardt Hospital - Mumbai Central
Mumbai, Maharashtra, 400011
Deenanath Mangeshkar Hospital & Research Centre
Pune, Maharashtra, 411004
Chellaram Diabetes Institute
Pune, Maharashtra, 411021
Lifepoint Multispeciality Hospital
Pune, Maharashtra, 411057
Surat Institute of Digestive Sciences Hospitals
Surat, Gujarat, 395002
Indian Institute of Diabetes
Thiruvananthapuram, Kerala, 695031
Jothydev's Diabetes and Research Center
Trivandrum, Kerala, 695032
Christian Medical College Vellore
Vellore, Tamil Nadu, 632004
Poland12 sites
Uniwersytecki Szpital Kliniczny w Białymstoku
Bialystok, Podlaskie Voivodeship, 15-276
INTERCOR
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-605
Ambulatorium Sp. z o.o.
Elblag, Warmian-Masurian Voivodeship, 82-300
Centrum Kliniczno-Badawcze
Elblag, Warmian-Masurian Voivodeship, 82-300
Centrum Badan Klinicznych PI-House sp. z o.o.
Gdansk, Pomeranian Voivodeship, 80-546
NZOZ Salvia CM
Katowice, Silesian Voivodeship, 40-772
Specjalistyczna Praktyka Lekarska Diabetologia, Leczenie Cukrzycy i Otylosci
Kielce, Świętokrzyskie Voivodeship, 25-355
CenterMed Lublin NZOZ
Lublin, Lublin Voivodeship, 20-044
Gabinety TERPA
Lublin, Lublin Voivodeship, 20-333
Centrum Zdrowia Metabolicznego Pawel Bogdanski
Poznan, Greater Poland Voivodeship, 60-589
Private Practice - Dr. Robert Witek
Tarnów, Lesser Poland Voivodeship, 33-100
MICS Centrum Medyczne Warszawa
Warsaw, Masovian Voivodeship, 00-874
Romania10 sites
SC Minimed SRL
Bacau, Bacău, 600274
C.M.D.T.A. Neomed
Brasov, Brașov County, 500283
Hightech Medical Services SRL-Centrul pentru Studiul Metabolismului
Bucharest, Bucharest, 011053
Diamed Obesity
Galati, Galați County, 800291
Centrul Medical Consultmed
Iași, Iaşi, 700547
Gama Diamed
Mangalia, Constanța County, 905500
Diabdana
Oradea, Bihor County, 410147
Clinica Korall
Satu Mare, Satu Mare County, 440055
Policlinica Astra Sibiu
Sibiu, Sibiu County, 550371
Cabinet Medical Dr.Geru
Timișoara, Timiș County, 300288
Canada9 sites
Aggarwal and Associates Limited
Brampton, Ontario, L6T 0G1
Dr. Steven V. Zizzo Medicine Professional Corporation
Hamilton, Ontario, L8J 0B6
Wharton Medical Clinic
Hamilton, Ontario, L8L 5G8
Centre de Recherche Clinique de Laval
Laval, Quebec, H7T 2P5
Clinique de médecine Urbaine du Quartier Latin
Montreal, Quebec, H2L 4E9
Your Research Network
Niagara Falls, Ontario, L2H 1H5
Bluewater Clinical Research Group Inc.
Sarnia, Ontario, N7T 4X3
Canadian Phase Onward
Toronto, Ontario, M3J 0K2
C.I.C. Mauricie inc.
Trois-Rivières, Quebec, G8T 7A1
United Kingdom9 sites
Heartlands Hospital
Birmingham, Birmingham, B9 5SS
Layton Medical Centre
Blackpool, Lancashire, FY3 7EN
Rowden Surgery
Chippenham, England, SN15 2SB
Panthera Biopartners - North London
Enfield, London, City of, EN3 4GS
Glasgow Royal Infirmary
Glasgow, Scotland, G31 2ER
Leicester General Hospital
Leicester, Leicestershire, LE5 4PW
Aintree University Hospital NHS Foundation Trust
Liverpool, United Kingdom, L9 7AL
St Clare Medical Centre
Penzance, TR18 3DX
Panthera Biopartners - Sheffield
Sheffield, Sheffield, S2 5FX
Australia8 sites
Fusion Clinical Research
Adelaide, South Australia, 5000
Nightingale Research
Adelaide, South Aust, 5000
Emeritus Research
Botany, New South Wales, 2019
Emeritus Research
Camberwell, Victoria, 3124
Barwon Health
Geelong, Victoria, 3220
Logan Hospital
Meadowbrook, Queensland, 4131
The AIM Centre / Hunter Diabetes Centre
Merewether, New South Wales, 2291
One Clinical Research
Nedlands, Western Australia, 6009
Hungary8 sites
DRC Gyógyszervizsgáló Központ
Balatonfüred, Veszprém megye, 8230
Óbudai Egészségügyi Centrum
Budapest, Budapest, 1036
ClinDiab Kft.
Budapest, Budapest, 1089
Debreceni Egyetem Klinikai Központ
Debrecen, Debrecen, 4031
Debreceni Egyetem Klinikai Kozpont
Debrecen, Debrecen, 4032
Medifarma 98 Kft
Nyíregyháza, Nyíregyháza, 4400
Szegedi Tudományegyetem Szent-Györgyi Albert Klinikai Központ
Szeged, Csongrád megye, 6725
Regia Med Kft
Székesfehérvár, Fejér, 8000
Spain6 sites
CHUAC-Complejo Hospitalario Universitario A Coruña
A Coruña, A Coruña [La Coruña], 15006
Hospital Universitari Vall d'Hebron
Barcelona, Barcelona [Barcelona], 08035
Complejo Hospitalario Universitario de Ferrol (CHUF)- Hospital Naval
Ferrol, A Coruña [La Coruña], 15405
Hospital Universitario Marqués de Valdecilla
Santander, Cantabria, 39008
Clínica nuevas Tecnologías en Diabetes y Endocrinología (NTDE)
Seville, Sevilla, 41003
Hospital General Universitario de Valencia
Valencia, Valenciana, Comunitat, 46014
Brazil3 sites
CPQuali Pesquisa Clínica
São Paulo, São Paulo, 01228-000
CPCLIN
São Paulo, São Paulo, 01228-200
CEPIC - Centro Paulista de Investigação Clínica
São Paulo, São Paulo, 04266-010
About this study
Official title: A Master Protocol to Investigate the Efficacy and Safety of LY3437943 Once Weekly in Participants Without Type 2 Diabetes Who Have Obesity or Overweight: A Randomized, Double-Blind, Placebo-Controlled Trial (TRIUMPH-1)
The purpose of this study is to evaluate the efficacy and safety of retatrutide in participants who have obesity or overweight (J1I-MC-GZBJ master protocol) including subsets of participants who have knee osteoarthritis (OA) (J1I-MC-GOA1) or who have obstructive sleep apnea (OSA) (J1I-MC-GSA1). This study will last about 89 weeks and will include up to 24 visits. Addendum (2) is optional and available to approximately 500 participants to continue treatment with retatrutide for up to an additional 24 weeks.
- Conditions
- Obesity, Overweight, Osteoarthritis, Knee, Obstructive Sleep Apnea
- Being tested
- Retatrutide, Placebo
- Medical subject headings
- Obesity, Overweight, Osteoarthritis, Knee, Sleep Apnea, Obstructive
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RetatrutideDrug
Also called LY3437943
Administered SC
PlaceboDrug
Administered SC
| Study group | Role | What they receive |
|---|---|---|
| Retatrutide Dose 1 | Experimental | Participants will receive retatrutide subcutaneously (SC). Receives: Drug: Retatrutide |
| Retatrutide Dose 2 | Experimental | Participants will receive retatrutide SC. Receives: Drug: Retatrutide |
| Retatrutide Dose 3 | Experimental | Participants will receive retatrutide SC. Receives: Drug: Retatrutide |
| Placebo | Placebo comparator | Participants will receive placebo. Receives: Drug: Placebo |
| Retatrutide Extension Period | Experimental | Participants will receive retatrutide after the placebo-controlled 80 week treatment period for an additional 24 weeks. Receives: Drug: Retatrutide |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percent Change From Baseline in Body Weight
Measured: Baseline, Week 80
Change from Baseline in Apnea-Hypopnea Index (AHI) Events Per Hour for GSA1 Subset
Measured: Baseline, Week 80
Change from Baseline in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Score for GOA1 Subset
Measured: Baseline, Week 80
Percent Change from Baseline in Body Weight in Participants in Extension Subset
Measured: Baseline, Week 104
Secondary outcomes (49)
Percent Change from Baseline in Body Weight in Participants with Baseline BMI ≥ 35 kg/m2
Measured: Baseline, Week 80
Percentage of Participants who Achieve Body Weight Reduction of ≥ 5%
Measured: Baseline through Week 80
Percentage of Participants who Achieve Body Weight Reduction of ≥ 10%
Measured: Baseline through Week 80
Percentage of Participants who Achieve Body Weight Reduction of ≥ 15%
Measured: Baseline through Week 80
Percentage of Participants who Achieve Body Weight Reduction of ≥ 20%
Measured: Baseline through Week 80
Percentage of Participants who Achieve Body Weight Reduction of ≥ 25%
Measured: Baseline through Week 80
Percentage of Participants who Achieve Body Weight Reduction of ≥ 30%
Measured: Baseline through Week 80
Percentage of Participants who Achieve Body Weight Reduction of ≥ 35%
Measured: Baseline through Week 80
Change from Baseline in Waist Circumference
Measured: Baseline, Week 80
Change from Baseline in Systolic Blood Pressure (SBP)
Measured: Baseline, Week 80
Percent Change from Baseline in Triglycerides
Measured: Baseline, Week 80
Percent Change from Baseline in Non-High-Density Lipoprotein (HDL)-Cholesterol
Measured: Baseline, Week 80
Percent Change form Baseline in Fasting Insulin
Measured: Baseline, Week 80
Percent Change from Baseline in High-Sensitivity C-Reactive Protein (hsCRP)
Measured: Baseline, Week 80
Change from Baseline in Short Form 36 Version 2 (SF-36v2) Acute Form Physical Functioning Domain Score
Measured: Baseline, Week 80
Change from Baseline in Impact of Weight on Quality of Life-Lite Clinical Trial (IWQOL-Lite-CT) Physical Function Composite Score
Measured: Baseline, Week 80
Change from Baseline in IWQOL-Lite-CT Psychosocial Composite Score
Measured: Baseline, Week 80
Change from Baseline in Body Mass Index (BMI)
Measured: Baseline, Week 80
Percentage of Participants who Achieve Waist-to-Height Ratio (WHtR) <0.5
Measured: Baseline through Week 80
Change from Baseline in HbA1c
Measured: Baseline, Week 80
Change from Baseline in Estimated Glomerular Filtration Rate (eGFR)
Measured: Baseline, Week 80
Percentage of Participants with a Change in Medication Use
Measured: Baseline through Week 80
Percentage of Participants who Develop Type 2 Diabetes
Measured: Baseline through Week 80
Time to Onset of Type 2 Diabetes
Measured: Baseline through Week 80
Percent Change from Baseline in AHI for GSA1 Subset
Measured: Baseline, Week 80
Percentage of Participants with ≥50% AHI Reduction from Baseline for GSA1 Subset
Measured: Baseline to Week 80
Percentage of Participants with AHI <5 or with AHI 5-14 with Epworth Sleepiness Scale (ESS) ≤10 for GSA1 Subset
Measured: Week 80
Percent Change from Baseline in Sleep Apnea-Specific Hypoxic Burden for GSA1 Subset
Measured: Baseline, Week 80
Change from Baseline in Patient-Reported Outcomes Measurement Information System (PROMIS) Short Form Sleep-related Impairment 8a T-score for GSA1 Subset
Measured: Baseline, Week 80
Change from Baseline in AHI Events Per Hour for GSA1 Subset in Participants with Baseline Body Mass Index (BMI) ≥ 35 kg/m2
Measured: Baseline, Week 80
Percentage of Participants who Achieve AHI < 5 for GSA1 Subset
Measured: Baseline, Week 80
Change from Baseline in ESS Score for GSA1 Subset
Measured: Baseline, Week 80
Change from Baseline in Functional Outcomes of Sleep Questionnaire (FOSQ) Total Score
Measured: Baseline to Week 80
Change from Baseline in PROMIS Sleep Disturbance Short Form 8b T-Score for GSA1 Subset
Measured: Baseline, Week 80
Change from Baseline in Neck Circumference for GSA1 Subset
Measured: Baseline, Week 80
Change from Baseline in the WOMAC Physical Function Subscale Score for GOA1 Subset
Measured: Baseline, Week 80
Percentage of Participants who Achieve ≥ 50% Reduction in the WOMAC Pain Subscale for GOA1 Subset
Measured: Baseline through Week 80
Percentage of Participants who Achieve ≥ 50% Reduction in the WOMAC Physical Function Subscale for GOA1 Subset
Measured: Baseline through Week 80
Change from Baseline in the WOMAC Pain Subscale Score for GOA1 Subset with Baseline BMI ≥ 35 kg/m2
Measured: Baseline, Week 80
Change from Baseline in the WOMAC Stiffness Subscale Score for GOA1 Subset
Measured: Baseline, Week 80
Change from Baseline in the WOMAC Total Score for GOA1 Subset
Measured: Baseline, Week 80
Change from Baseline in Average Pain Intensity Numeric Rating Scale (API-NRS) Score for GOA1 Subset
Measured: Baseline, Week 80
Change from Baseline in Worst Pain Intensity Numeric Rating Scale (WPI-NRS) Score for GOA1 Subset
Measured: Baseline, Week 80
Percentage of Participants with an Improved Categorical Shift in Patient Global Impression of Severity (PGIS) - Target Knee Function for GOA1 Subset
Measured: Baseline through Week 80
Percentage of Participants with an Improved Categorical Shift in PGIS - Target Knee Pain for GOA1 Subset
Measured: Baseline through Week 80
Change from Baseline in EQ-5D-5L for GOA1 Subset
Measured: Baseline, Week 80
Percentage of Participants with a Change in Use of Allowed Concomitant Pain Medication for GOA1 Subset
Measured: Baseline through Week 80
Change from Baseline in Joint Space Width for GOA1 Subset
Measured: Baseline, Week 80
Pharmacokinetics (PK): Steady State Area Under the Concentration Time Curve (AUC)
AUC is presented as a single average measure of AUC across the study duration.
Measured: Baseline through Week 80
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Jul 2023
- Study start10 Jul 2023
- Primary completion6 Apr 2026
- Study completion30 Apr 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for ObesityStudies 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 2,335 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 8 AM - 8 PM Eastern Time (UTC/GMT - 5 hours, EST), Study director, Eli Lilly and Company
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05929066
- Sponsor's protocol ID
- 18557
- Other IDs
- J1I-MC-GZBJ, J1I-MC-GOA1, J1I-MC-GSA1, 2023-503657-35-00, 2023
- Acronym
- TRIUMPH-1
- Status last verified
- Aug 2026
- First submitted
- 26 Jun 2023
- Last updated
- 21 Aug 2026
- Results posted
- No
- Data monitoring committee
- Yes
- 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
Grunstein RR, Somers VK, Azarbarzin A, Malhotra A, Sands SA, Lucey BP, Allen SE, Giblin K, Falcon BL, Park SY, Lou J, Krueger K; TRIUMPH-1-OSA and TRIUMPH-2-OSA Investigators. Retatrutide Once Weekly for Treatment of Obstructive Sleep Apnea. N Engl J Med. 2026 Oct 21. doi: 10.1056/NEJMoa2611477. Online ahead of print.
PubMed 42904878Jastreboff AM, Kaplan LM, Davies MJ, Wilding JPH, Ahmad NN, Murray M, Du Y, Makarova N, Giblin K, Schloot NC, Wang Y; TRIUMPH-1 Investigators. Retatrutide, a Triple Hormone Receptor Agonist, for Treatment of Obesity. N Engl J Med. 2026 Sep 29. doi: 10.1056/NEJMoa2604169. Online ahead of print.
PubMed 42814954
Study at a glance
From the registry record, last updated by the sponsor on 21 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Master Protocol to Investigate the Efficacy and Safety of LY3437943 Once Weekly in Participants Without Type 2 Diabetes Who Have Obesity or Overweight: A Randomized, Double-Blind, Placebo-Controlled Trial (TRIUMPH-1)
- ClinicalTrials.gov ID
- NCT05929066
- Acronym / sponsor ID
- TRIUMPH-1 / 18557
- Conditions
- Obesity, Overweight, Osteoarthritis, Knee, Obstructive Sleep Apnea
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 2,335 participants (actual)
- Lead sponsor
- Eli Lilly and CompanyIndustry (pharma, biotech, devices)
- Study start
- 10 Jul 2023 (actual)
- Primary completion
- 6 Apr 2026 (actual)
- Study completion
- 30 Apr 2026 (actual)
- First posted
- 3 Jul 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the efficacy and safety of retatrutide in participants who have obesity or overweight (J1I-MC-GZBJ master protocol) including subsets of participants who have knee osteoarthritis (OA) (J1I-MC-GOA1) or who have obstructive sleep apnea (OSA) (J1I-MC-GSA1). This study will last about 89 weeks and will include up to 24 visits. Addendum (2) is optional and available to approximately 500 participants to continue treatment with retatrutide for up to an additional 24 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Retatrutide Dose 1 | Experimental | Drug: RetatrutideParticipants will receive retatrutide subcutaneously (SC). |
| Retatrutide Dose 2 | Experimental | Drug: RetatrutideParticipants will receive retatrutide SC. |
| Retatrutide Dose 3 | Experimental | Drug: RetatrutideParticipants will receive retatrutide SC. |
| Placebo | Placebo comparator | Drug: PlaceboParticipants will receive placebo. |
| Retatrutide Extension Period | Experimental | Drug: RetatrutideParticipants will receive retatrutide after the placebo-controlled 80 week treatment period for an additional 24 weeks. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (17 listed)
- Have body mass index (BMI) ≥30.0 kilograms per square meter (kg/m²), or ≥27.0 kg/m² with at least one of the following:
- History of at least one unsuccessful dietary effort to reduce body weight
- Have index knee pain for >12 weeks prior to screening, and presence of index knee pain for >15 days over the previous month
- Have knee X-ray with moderate radiographic changes (Kellgren-Lawrence Grade 2 or 3) per central reading at screening
- Currently meets American College of Rheumatology (ACR) Criteria (clinical and radiological) for OA.
Key exclusion criteria (17 listed)
- Have a self-reported or documented change in body weight >5 kg (11 pounds) within 90 days.
- Have taken weight loss drugs, including over-the-counter medications, within 90 days prior to screening.
- Have a prior or planned surgical treatment for obesity.
- Have diabetes mellitus.
- Have family or personal history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN-2)
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 |
|---|---|---|
| RetatrutideAlso: LY3437943Administered SC | Drug | Retatrutide Dose 1, Retatrutide Dose 2, Retatrutide Dose 3, Retatrutide Extension Period |
| PlaceboAdministered SC | Drug | Placebo |
Primary outcome
Percent Change From Baseline in Body Weight
Time frame: Baseline, Week 80
Change from Baseline in Apnea-Hypopnea Index (AHI) Events Per Hour for GSA1 Subset
Time frame: Baseline, Week 80
Change from Baseline in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Score for GOA1 Subset
Time frame: Baseline, Week 80
Percent Change from Baseline in Body Weight in Participants in Extension Subset
Time frame: Baseline, Week 104
49 secondary outcomes
Percent Change from Baseline in Body Weight in Participants with Baseline BMI ≥ 35 kg/m2
Time frame: Baseline, Week 80
Percentage of Participants who Achieve Body Weight Reduction of ≥ 5%
Time frame: Baseline through Week 80
Percentage of Participants who Achieve Body Weight Reduction of ≥ 10%
Time frame: Baseline through Week 80
Percentage of Participants who Achieve Body Weight Reduction of ≥ 15%
Time frame: Baseline through Week 80
Percentage of Participants who Achieve Body Weight Reduction of ≥ 20%
Time frame: Baseline through Week 80
Percentage of Participants who Achieve Body Weight Reduction of ≥ 25%
Time frame: Baseline through Week 80
Percentage of Participants who Achieve Body Weight Reduction of ≥ 30%
Time frame: Baseline through Week 80
Percentage of Participants who Achieve Body Weight Reduction of ≥ 35%
Time frame: Baseline through Week 80
Change from Baseline in Waist Circumference
Time frame: Baseline, Week 80
Change from Baseline in Systolic Blood Pressure (SBP)
Time frame: Baseline, Week 80
Percent Change from Baseline in Triglycerides
Time frame: Baseline, Week 80
Percent Change from Baseline in Non-High-Density Lipoprotein (HDL)-Cholesterol
Time frame: Baseline, Week 80
Percent Change form Baseline in Fasting Insulin
Time frame: Baseline, Week 80
Percent Change from Baseline in High-Sensitivity C-Reactive Protein (hsCRP)
Time frame: Baseline, Week 80
Change from Baseline in Short Form 36 Version 2 (SF-36v2) Acute Form Physical Functioning Domain Score
Time frame: Baseline, Week 80
Change from Baseline in Impact of Weight on Quality of Life-Lite Clinical Trial (IWQOL-Lite-CT) Physical Function Composite Score
Time frame: Baseline, Week 80
Change from Baseline in IWQOL-Lite-CT Psychosocial Composite Score
Time frame: Baseline, Week 80
Change from Baseline in Body Mass Index (BMI)
Time frame: Baseline, Week 80
Percentage of Participants who Achieve Waist-to-Height Ratio (WHtR) <0.5
Time frame: Baseline through Week 80
Change from Baseline in HbA1c
Time frame: Baseline, Week 80
Change from Baseline in Estimated Glomerular Filtration Rate (eGFR)
Time frame: Baseline, Week 80
Percentage of Participants with a Change in Medication Use
Time frame: Baseline through Week 80
Percentage of Participants who Develop Type 2 Diabetes
Time frame: Baseline through Week 80
Time to Onset of Type 2 Diabetes
Time frame: Baseline through Week 80
Percent Change from Baseline in AHI for GSA1 Subset
Time frame: Baseline, Week 80
Percentage of Participants with ≥50% AHI Reduction from Baseline for GSA1 Subset
Time frame: Baseline to Week 80
Percentage of Participants with AHI <5 or with AHI 5-14 with Epworth Sleepiness Scale (ESS) ≤10 for GSA1 Subset
Time frame: Week 80
Percent Change from Baseline in Sleep Apnea-Specific Hypoxic Burden for GSA1 Subset
Time frame: Baseline, Week 80
Change from Baseline in Patient-Reported Outcomes Measurement Information System (PROMIS) Short Form Sleep-related Impairment 8a T-score for GSA1 Subset
Time frame: Baseline, Week 80
Change from Baseline in AHI Events Per Hour for GSA1 Subset in Participants with Baseline Body Mass Index (BMI) ≥ 35 kg/m2
Time frame: Baseline, Week 80
Percentage of Participants who Achieve AHI < 5 for GSA1 Subset
Time frame: Baseline, Week 80
Change from Baseline in ESS Score for GSA1 Subset
Time frame: Baseline, Week 80
Change from Baseline in Functional Outcomes of Sleep Questionnaire (FOSQ) Total Score
Time frame: Baseline to Week 80
Change from Baseline in PROMIS Sleep Disturbance Short Form 8b T-Score for GSA1 Subset
Time frame: Baseline, Week 80
Change from Baseline in Neck Circumference for GSA1 Subset
Time frame: Baseline, Week 80
Change from Baseline in the WOMAC Physical Function Subscale Score for GOA1 Subset
Time frame: Baseline, Week 80
Percentage of Participants who Achieve ≥ 50% Reduction in the WOMAC Pain Subscale for GOA1 Subset
Time frame: Baseline through Week 80
Percentage of Participants who Achieve ≥ 50% Reduction in the WOMAC Physical Function Subscale for GOA1 Subset
Time frame: Baseline through Week 80
Change from Baseline in the WOMAC Pain Subscale Score for GOA1 Subset with Baseline BMI ≥ 35 kg/m2
Time frame: Baseline, Week 80
Change from Baseline in the WOMAC Stiffness Subscale Score for GOA1 Subset
Time frame: Baseline, Week 80
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Aug 2026.
- Derived from this study: PubMed 42904878Grunstein RR, Somers VK, Azarbarzin A, Malhotra A, Sands SA, Lucey BP, Allen SE, Giblin K, Falcon BL, Park SY, Lou J, Krueger K; TRIUMPH-1-OSA and TRIUMPH-2-OSA Investigators. Retatrutide Once Weekly for Treatment of Obstructive Sleep Apnea. N Engl J Med. 2026 Oct 21. doi: 10.1056/NEJMoa2611477. Online ahead of print.
- Derived from this study: PubMed 42814954Jastreboff AM, Kaplan LM, Davies MJ, Wilding JPH, Ahmad NN, Murray M, Du Y, Makarova N, Giblin K, Schloot NC, Wang Y; TRIUMPH-1 Investigators. Retatrutide, a Triple Hormone Receptor Agonist, for Treatment of Obesity. N Engl J Med. 2026 Sep 29. doi: 10.1056/NEJMoa2604169. Online ahead of print.
- A Study of Retatrutide (LY3437943) in Participants Who Have Obesity or Overweight (TRIUMPH-1)Link 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 8 AM - 8 PM Eastern Time (UTC/GMT - 5 hours, EST) study director
Eli Lilly and Company
134 sites in 12 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Retatrutide in people with Obesity and Overweight, run by Eli Lilly and Company at 134 sites in 12 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 17 inclusion and 17 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 21 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 134 sites in United States, Mexico, India, Poland, Romania and 7 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Percent Change From Baseline in Body Weight (time frame: Baseline, Week 80). The study lists 4 primary outcomes in all. 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 NCT05929066, which also lists 2 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 21 Aug 2026.