Overweight or ObesityPhase 2NCT05936151
A Study of Retatrutide (LY3437943) on Renal Function in Participants With Overweight or Obesity and Chronic Kidney Disease With or Without Type 2 Diabetes
A Phase 2 study testing Retatrutide in people with Overweight or Obesity and CKD, run by Eli Lilly and Company at 42 sites in 5 countries.
Trial summary
The main purpose of this study is to investigate the effect of retatrutide on renal function in participants with overweight or obesity and chronic kidney disease (CKD), with or without Type 2 Diabetes (T2D). The study will last around 31 weeks. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Overweight or Obesity, CKD, Type 2 Diabetes
- 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
- 146 participants
- Where
- 42 sitesin 5 countries
- Study dates
- 20 Jul 2023to 21 Oct 2025
- Phase
- Phase 2
- 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 a body mass index (BMI) ≥27 kilogram/square meter (kg/m²)
- Have either
- no T2D with an HbA1c < 6.5% or
- have T2D with an HbA1c ≤ 9.5% and treated with diet and exercise only or with stable doses of up to 3 oral antihyperglycemic medications, with or without basal insulin for at least 90 days before screening.
- Have been diagnosed with chronic kidney disease (CKD).
Who cannot join
- Have a self-reported change in body weight >5 kilogram (kg) (11 pounds) within 90 days before screening.
- Have used in 90 days before the screening any of the following antihyperglycemic class: Dipeptidyl Peptidase IV (DPP4) inhibitors, amylin analogs, glucagon-like peptide-RA (GLP-RA), gastric inhibitory polypeptide (GIP)/GIP-1 RA, and short acting or rapid acting insulins or U500 Insulin
- Have a prior or planned surgical treatment for obesity
- Have Type 1 Diabetes (T1D)
- Have acute or chronic hepatitis
- Have a history of malignant disease within 5 years before screening.
Trial locations and contacts
42 sites in 5 countries.
42 sites in 5 countries
United States19 sites
University of Colorado Anschutz Medical Campus
Aurora, Colorado, 80045
Teradan Clinical Trials, LLC
Brandon, Florida, 33511
Hope Clinical Research, Inc.
Canoga Park, California, 91303
The Institute for Liver Health II dba Arizona Clinical Trials - Mesa
Chandler, Arizona, 85225
Great Lakes Clinical Trials - Ravenswood
Chicago, Illinois, 60640
Cleveland Clinic
Cleveland, Ohio, 44195
Prime Health and Wellness/SKYCRNG
Fayette, Mississippi, 39069
Victorium Clinical Research - Houston
Houston, Texas, 77024
Endocrine Ips, Pllc
Houston, Texas, 77079
Indiana University Health University Hospital
Indianapolis, Indiana, 46202
Palm Research Center Tenaya
Las Vegas, Nevada, 89128
Care Access - 801 South Power Road, Mesa
Mesa, Arizona, 85206
NYU Langone Hospital - Long Island
Mineola, New York, 11501
Catalina Research Institute, LLC
Montclair, California, 91763
Suncoast Clinical Research, Inc.
New Port Richey, Florida, 34652
Peninsula Research Associates
Rolling Hills Estates, California, 90274
Headlands Research - Scottsdale
Scottsdale, Arizona, 85260
Medical Advancement Centers of Arizona
Tempe, Arizona, 85283
Tranquility Research
Webster, Texas, 77598
Canada9 sites
Centricity Research Brampton Endocrinology
Brampton, Ontario, L6S 0C6
Circulate Cardiac & Vascular Centre
Burlington, Ontario, L7M 1K9
Viacar Recherche Clinique
Greenfield Park, Quebec, J4V 2G8
Diex Recherche Joliette
Joliette, Quebec, J6E 6A9
9109-0126 Quebec Inc.
Montreal, Quebec, H4N 2W2
North York Diagnostic and Cardiac Centre
North York, Ontario, M6B 3H7
Stouffville Medical Research Institute Inc.
Stouffville, Ontario, L4A 1H2
Dr. Anil K. Gupta Medicine Professional Corporation
Toronto, Ontario, M9V 4B4
Fadia El Boreky Medicine
Waterloo, Ontario, N2J 1C4
United Kingdom7 sites
Addenbrooke's Hospital
Cambridge, Cambridgeshire, CB2 2QQ
Royal London Hospital
London, England, E1 1BB
North Middlesex Hospital
London, London, City of, N18 1QX
Futuremeds-Newcastle
Newcastle, England
City Hospital, Nottingham University Hospitals NHS Trust
Nottingham, NG5 1PB
Vascular Research Team
Salford, Greater Manchester, M6 8HD
FutureMeds Teesside - Middlefield Centre
Stockton-on-Tees, Durham County, TS19 8PE
Italy4 sites
Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII
Bergamo, 24127
Centro Cardiologico Monzino
Milan, Milano, 20138
Ospedale San Raffaele
Milan, 20132
Azienda Ospedaliera Universitaria Pisana
Pisa, Tuscany, 56126
Spain3 sites
Clínica nuevas Tecnologías en Diabetes y Endocrinología (NTDE)
Seville, 41003
Hospital Clinico de Valencia
Valencia, Valenciana, Comunitat, 46010
Hospital Universitario Doctor Peset
Valencia, Valenciana, Comunitat, 46017
About this study
Official title: A Phase 2b, Double-Blind Study to Investigate the Effect of Retatrutide on Renal Function in Participants With Overweight or Obesity and Chronic Kidney Disease With or Without Type 2 Diabetes
The main purpose of this study is to investigate the effect of retatrutide on renal function in participants with overweight or obesity and chronic kidney disease (CKD), with or without Type 2 Diabetes (T2D). The study will last around 31 weeks.
- Conditions
- Overweight or Obesity, CKD, Type 2 Diabetes
- Being tested
- Retatrutide, Placebo
- Medical subject headings
- Overweight, Obesity, Diabetes Mellitus, Type 2
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 | Experimental | Participants will receive multiple doses of retatrutide subcutaneously (SC) Receives: Drug: Retatrutide |
| Placebo | Placebo comparator | Participants will receive LY3437943 Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from Baseline in Glomerular Filtration Rate (mGFR)
The GFR in milliliter/minute per1.73 square meter (mL/min/1.73 m²) using iohexol clearance (mGFR-measured glomerular filtration rate)
Measured: Baseline, Week 24
Secondary outcomes (17)
Change from Baseline in Urine Albumin-to-Creatinine Ratio (UACR)
Measured: Baseline, Week 24
Change from Baseline in Creatinine-Corrected Fractional Urinary Sodium Excretion (FENa)
Measured: Baseline, Week 24
Change from Baseline in Filtration Fraction Estimated from Measured Glomerular Filtration Rate (mGFR)
Measured: Baseline, Week 24
Change from Baseline in Renal Mean Arterial Flow as Assessed by Magnetic Resonance Imaging (MRI), Corrected by Hematocrit
Measured: Baseline, Week 24
Change from Baseline in in Mean Arterial Flow (MAF)
Measured: Baseline, Week 24
Change from Baseline in Renal Artery Resistive Index (RARI)
Measured: Baseline, Week 24
Change from Baseline in Renal Blood Flow Velocity Peak Systolic Velocity (PSV) and End-diastolic Velocity (ESV)
Measured: Baseline, Week 24
Change from Baseline in Global Renal Perfusion (MRI)
Measured: Baseline, Week 24
Change from Baseline in Total Renal Parenchyma Volume (MRI)
Measured: Baseline, Week 24
Change from Baseline in Renal Cortex Volume (MRI)
Measured: Baseline, Week 24
Change from Baseline in Renal Cortex T1 (ms) (MRI)
Measured: Baseline, Week 24
Change from Baseline in Medulla T1 (ms) (MRI)
Measured: Baseline, Week 24
Change from Baseline in Renal Cortex R2 (BOLD MRI)
Measured: Baseline, Week 24
Change from Baseline in Medulla R2
Measured: Baseline, Week 24
Change from Baseline in Body Weight
Measured: Baseline, Week 24
Change from Baseline in 24-hr Urinary Albumin Excretion (UAE)
Measured: Baseline, Week 24
Change from Baseline in Change in 24-hour (hr) Urinary Electrolytes (milligrams/24hr (mg/24h))
Measured: Baseline, Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Jul 2023
- Study start20 Jul 2023
- Primary completion1 Oct 2025
- Study completion21 Oct 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Overweight or 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 146 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
- NCT05936151
- Sponsor's protocol ID
- 18725
- Other IDs
- J1I-MC-GZBU, 2023-504583-42-00, 2023
- Status last verified
- Nov 2025
- First submitted
- 30 Jun 2023
- Last updated
- 25 Nov 2025
- Results posted
- No
- 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
Heerspink HJL, van Raalte DH, Bjornstad P, Bunck MC, Wu P, Tunali I, Milicevic Z, Koeneman L. Rationale, design and baseline characteristics of the TRANSCEND-CKD trial of retatrutide in patients with chronic kidney disease. Nephrol Dial Transplant. 2026 May 29;41(6):1058-1068. doi: 10.1093/ndt/gfaf230.
PubMed 41160422
Study at a glance
From the registry record, last updated by the sponsor on 25 Nov 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2b, Double-Blind Study to Investigate the Effect of Retatrutide on Renal Function in Participants With Overweight or Obesity and Chronic Kidney Disease With or Without Type 2 Diabetes
- ClinicalTrials.gov ID
- NCT05936151
- Acronym / sponsor ID
- 18725
- Conditions
- Overweight or Obesity, CKD, Type 2 Diabetes
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 146 participants (actual)
- Lead sponsor
- Eli Lilly and CompanyIndustry (pharma, biotech, devices)
- Study start
- 20 Jul 2023 (actual)
- Primary completion
- 1 Oct 2025 (actual)
- Study completion
- 21 Oct 2025 (actual)
- First posted
- 7 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 main purpose of this study is to investigate the effect of retatrutide on renal function in participants with overweight or obesity and chronic kidney disease (CKD), with or without Type 2 Diabetes (T2D). The study will last around 31 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Retatrutide | Experimental | Drug: RetatrutideParticipants will receive multiple doses of retatrutide subcutaneously (SC) |
| Placebo | Placebo comparator | Drug: PlaceboParticipants will receive LY3437943 |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Have a body mass index (BMI) ≥27 kilogram/square meter (kg/m²)
- Have either
- Have been diagnosed with chronic kidney disease (CKD).
Key exclusion criteria (6 listed)
- Have a self-reported change in body weight >5 kilogram (kg) (11 pounds) within 90 days before screening.
- Have used in 90 days before the screening any of the following antihyperglycemic class: Dipeptidyl Peptidase IV (DPP4) inhibitors, amylin analogs, glucagon-like peptide-RA (GLP-RA), gastric inhibitory polypeptide (GIP)/GIP-1 RA, and short acting or rapid acting insulins or U500 Insulin
- Have a prior or planned surgical treatment for obesity
- Have Type 1 Diabetes (T1D)
- Have acute or chronic hepatitis
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 |
| PlaceboAdministered SC | Drug | Placebo |
Primary outcome
Change from Baseline in Glomerular Filtration Rate (mGFR)
Time frame: Baseline, Week 24
The GFR in milliliter/minute per1.73 square meter (mL/min/1.73 m²) using iohexol clearance (mGFR-measured glomerular filtration rate)
17 secondary outcomes
Change from Baseline in Urine Albumin-to-Creatinine Ratio (UACR)
Time frame: Baseline, Week 24
Change from Baseline in Creatinine-Corrected Fractional Urinary Sodium Excretion (FENa)
Time frame: Baseline, Week 24
Change from Baseline in Filtration Fraction Estimated from Measured Glomerular Filtration Rate (mGFR)
Time frame: Baseline, Week 24
Change from Baseline in Renal Mean Arterial Flow as Assessed by Magnetic Resonance Imaging (MRI), Corrected by Hematocrit
Time frame: Baseline, Week 24
Change from Baseline in in Mean Arterial Flow (MAF)
Time frame: Baseline, Week 24
Change from Baseline in Renal Artery Resistive Index (RARI)
Time frame: Baseline, Week 24
Change from Baseline in Renal Blood Flow Velocity Peak Systolic Velocity (PSV) and End-diastolic Velocity (ESV)
Time frame: Baseline, Week 24
Change from Baseline in Global Renal Perfusion (MRI)
Time frame: Baseline, Week 24
Change from Baseline in Total Renal Parenchyma Volume (MRI)
Time frame: Baseline, Week 24
Change from Baseline in Renal Cortex Volume (MRI)
Time frame: Baseline, Week 24
Change from Baseline in Renal Cortex T1 (ms) (MRI)
Time frame: Baseline, Week 24
Change from Baseline in Medulla T1 (ms) (MRI)
Time frame: Baseline, Week 24
Change from Baseline in Renal Cortex R2 (BOLD MRI)
Time frame: Baseline, Week 24
Change from Baseline in Medulla R2
Time frame: Baseline, Week 24
Change from Baseline in Body Weight
Time frame: Baseline, Week 24
Change from Baseline in 24-hr Urinary Albumin Excretion (UAE)
Time frame: Baseline, Week 24
Change from Baseline in Change in 24-hour (hr) Urinary Electrolytes (milligrams/24hr (mg/24h))
Time frame: Baseline, Week 24
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 25 Nov 2025.
- Derived from this study: PubMed 41160422Heerspink HJL, van Raalte DH, Bjornstad P, Bunck MC, Wu P, Tunali I, Milicevic Z, Koeneman L. Rationale, design and baseline characteristics of the TRANSCEND-CKD trial of retatrutide in patients with chronic kidney disease. Nephrol Dial Transplant. 2026 May 29;41(6):1058-1068. doi: 10.1093/ndt/gfaf230.
- A Study of Retatrutide (LY3437943) on Renal Function in Participants With Overweight or Obesity and Chronic Kidney Disease With or Without 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
42 sites in 5 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Retatrutide in people with Overweight or Obesity and CKD, run by Eli Lilly and Company at 42 sites in 5 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 5 inclusion and 6 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 25 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 42 sites in United States, Canada, United Kingdom, Italy, Spain. 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?
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?
Change from Baseline in Glomerular Filtration Rate (mGFR) (time frame: Baseline, Week 24). 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 NCT05936151, which also lists 1 linked publication.
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 25 Nov 2025.