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Type 2 DiabetesPhase 3ACHIEVE-3NCT06045221

A Study of Orforglipron (LY3502970) Compared With Semaglutide in Participants With Type 2 Diabetes Inadequately Controlled With Metformin

A Phase 3 study testing Orforglipron and Semaglutide in people with Type 2 Diabetes, run by Eli Lilly and Company at 131 sites in 6 countries.

Completed

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

Official record

Search all trials

Trial summary

The main purpose of this study is to assess efficacy and safety of orforglipron compared with oral semaglutide in participants with Type 2 diabetes and inadequate glycemic control with metformin.The study will last around 61 weeks. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Type 2 Diabetes
What is being tested?
Orforglipron and Semaglutide
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,698 participants
Where
131 sitesin 6 countries
Study dates
22 Sep 2023to 22 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 Type 2 Diabetes
  • Have HbA1c ≥7.0% (53 mmol/mol) to ≤10.5% (91 mmol/mol), as determined by the central laboratory at screening.
  • Have been on stable diabetes treatment with metformin ≥1500 milligram (mg)/day during the 90 days prior to screening and maintained through randomization.
  • Are of stable body weight (±5%) for at least 90 days prior to screening and agree to not initiate an intensive diet or exercise program during the study with the intent of reducing body weight, other than the lifestyle and/or dietary measures for diabetes treatment

Who cannot join

  • Have Type 1 Diabetes
  • 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 a history of ketoacidosis or hyperosmolar state or coma within the last 6 months prior to screening, or between screening and randomization.
  • Have a New York Heart Association functional classification IV congestive heart failure.
  • Have an estimated glomerular filtration rate (eGFR) <45 milliliter/minute (mL/min)/1.73 square meter (m²) or lower than the country-specific threshold for discontinuing metformin therapy per local label as determined by the central laboratory at screening.
  • Have a serum calcitonin level of ≥35 nanogram/Liter (ng/L), as determined by the central laboratory at screening.
  • Have a history of an active or untreated malignancy or are in remission from a clinically significant malignancy for less than 5 years.

Trial locations and contacts

131 sites in 6 countries.

131 sites in 6 countries

United States64 sites
  • Albany Medical College, Division of Community Endocrinology

    Albany, New York, 12203

  • Velocity Clinical Research, Austin

    Austin, Texas, 78759

  • Heritage Valley Medical Group, Inc.

    Beaver, Pennsylvania, 15009

  • Northwest Clinical Trials

    Boise, Idaho, 83704

  • Joslin Diabetes Center

    Boston, Massachusetts, 02215

  • Ellipsis Research Group - Brooklyn - 7th Street

    Brooklyn, New York, 11215

  • San Fernando Valley Health Institute

    Canoga Park, California, 91304

  • Clinical Research of West Florida, Inc. (Clearwater)

    Clearwater, Florida, 33765

  • Aventiv Research Inc

    Columbus, Ohio, 43213

  • The Corvallis Clinic, P.C.

    Corvallis, Oregon, 97330

  • Connecticut Clinical Research - Cromwell

    Cromwell, Connecticut, 06416

  • Velocity Clinical Research, Dallas

    Dallas, Texas, 75230

  • Revival Research Institute, LLC

    Dearborn, Michigan, 48126

  • Neighborhood Healthcare Institute of Health

    Escondido, California, 92025

  • Diabetes and Thyroid Center of Ft. Worth

    Fort Worth, Texas, 76132

  • Velocity Clinical Research, Gardena

    Gardena, California, 90247

  • New West Physicians Clinical Research

    Golden, Colorado, 80401

  • American Health Network of Indiana, LLC - Greenfield

    Greenfield, Indiana, 46140

  • PharmQuest Life Sciences, LLC

    Greensboro, North Carolina, 27408

  • The Research Center of The Upstate

    Greenville, South Carolina, 29607

  • Juno Research

    Houston, Texas, 77040

  • Endocrine Ips, Pllc

    Houston, Texas, 77079

  • Clear Brook Medical Associates

    Houston, Texas, 77089

  • Family First Medical Center

    Idaho Falls, Idaho, 83404

  • Logan Health Research

    Kalispell, Montana, 59901

  • Kansas City Research Institute

    Kansas City, Missouri, 64131

  • New Phase Research and Development

    Knoxville, Tennessee, 37909

  • Wr-Crcn, Llc

    Las Vegas, Nevada, 89106

  • Balanced Life Health Care Solutions/SKYCRNG

    Lawrenceville, Georgia, 30046

  • Biopharma Informatic, LLC

    Los Angeles, California, 90035

  • Velocity Clinical Research, Westlake

    Los Angeles, California, 90057

  • South Florida Clinical Research Institute

    Margate, Florida, 33063

  • Clinical Neuroscience Solutions Inc.

    Memphis, Tennessee, 38119

  • Southern Endocrinology Associates

    Mesquite, Texas, 75149

  • Miami Dade Medical Research Institute, LLC

    Miami, Florida, 33176

  • Tekton Research, Inc

    Moore, Oklahoma, 73160

  • Lucas Research, Inc

    Morehead City, North Carolina, 28557

  • DelRicht Research

    New Orleans, Louisiana, 70115

  • Infinity Clinical Research - Norco

    Norco, California, 92860

  • Alliance for Multispecialty Research, LLC

    Norman, Oklahoma, 73069

  • Valley Clinical Trials, Inc.

    Northridge, California, 91325

  • West Orange Endocrinology

    Ocoee, Florida, 34761

  • Absolute Clinical Research

    Phoenix, Arizona, 85051

  • Preferred Primary Care Physicians, Preferred Clinical Research (Ofc 18)

    Pittsburgh, Pennsylvania, 15236

  • Eastside Research Associates

    Redmond, Washington, 98052

  • Rainier Clinical Research Center

    Renton, Washington, 98057

  • SKY Integrative Medical Center/SKYCRNG

    Ridgeland, Mississippi, 39157

  • Synexus Clinical Research US, Inc.

    Salt Lake City, Utah, 84106

  • Norcal Endocrinology & Internal Medicine

    San Ramon, California, 94583

  • Encompass Clinical Research

    Spring Valley, California, 91978

  • Accellacare - Piedmont

    Statesville, North Carolina, 28625

  • Clinical Research Atlanta

    Stockbridge, Georgia, 30281

  • Latin Clinical Trial Center Florida

    Tamarac, Florida, 33321

  • Clinical Research of West Florida

    Tampa, Florida, 33606

  • Cotton O'Neil Diabetes & Endocrinology

    Topeka, Kansas, 66606

  • Premier Research

    Trenton, New Jersey, 08611

  • University Clinical Investigators, Inc.

    Tustin, California, 92780

  • Velocity Clinical Research, Valparaiso

    Valparaiso, Indiana, 46383

  • Texas Valley Clinical Research

    Weslaco, Texas, 78596

  • Metabolic Research Institute, Inc.

    West Palm Beach, Florida, 33401

  • Great Lakes Medical Research, LLC

    Westfield, New York, 14787

  • Tekton Research, Inc

    Wichita, Kansas, 67218

  • Wake Forest University Baptist Medical Center (WFUBMC)

    Winston-Salem, North Carolina, 27104

  • North Georgia Clinical Research

    Woodstock, Georgia, 30189

Other trials in United States

China21 sites
  • Beijing Pinggu District Hospital

    Beijing, Beijing Municipality, 101200

  • West China Hospital of Sichuan University

    Chengdu, Sichuan, 610041

  • Chongqing General Hospital

    Chongqing, Chongqing Municipality, 400014

  • Dalian Municipal Central Hospital Affiliated of Dalian Medical University

    Dalian, Liaoning, 116033

  • Shunde Hospital of Southern Medical Univesity

    Foshan, Guangdong, 528399

  • Zhejiang Hospital

    Hangzhou, Zhejiang, 310013

  • The Fourth Hospital of Harbin Medical University

    Harbin, Heilongjiang, 150001

  • Huizhou Municipal Central Hospital

    Huizhou, Guangdong, 516001

  • Huzhou Central Hospital

    Huzhou, Zhejiang, 313000

  • Jinan Central Hospital

    Jinan, Shandong, 250013

  • First Affiliated Hospital of Kunming Medical University

    Kunming, Yunnan, 650032

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

    Luoyang Shi, Henan, 471003

  • Nanjing First Hospital

    Nanjing, Jiangsu, 210006

  • The Second Affiliated Hospital of Nanjing Medical University

    Nanjing, Jiangsu, 210011

  • Nanyang First People's Hospital

    Nanyang, Henan, 473014

  • Jiangxi Pingxiang People's Hospital

    Pingxiang, Jiangxi, 337055

  • Shanghai Sixth People's Hospital

    Shanghai, Shanghai Municipality, 200030

  • Pudong New Area People's Hospital Shanghai

    Shanghai, Shanghai Municipality, 201200

  • The First Affiliated Hospital of Wenzhou Medical University

    Wenzhou, Zhejiang, 325000

  • The Second Affiliated Hospital of Zhengzhou University

    Zhengzhou, Henan, 450014

  • Affiliated Hospital of Jiangsu University

    Zhenjiang, Jiangsu, 212000

Other trials in China

Argentina17 sites
  • Consultorio de Investigación Clínica EMO SRL

    Buenos Aires, Buenos Aires F.D., 1405

  • CIPREC

    Buenos Aires, Buenos Aires F.D., C1061AAS

  • Centro Médico Viamonte

    Buenos Aires, Buenos Aires F.D., C1120AAC

  • Instituto Centenario

    CABA, Buenos Aires F.D., 1204

  • Centro de Investigaciones Metabólicas (CINME)

    Ciudad Autónoma de Buenos Aires, Buenos Aires, 1056

  • Instituto de Investigaciones Clínicas Córdoba

    Córdoba, 5000

  • Instituto Médico DAMIC

    Córdoba, 5003DCE

  • CIMeL

    Lanus, Buenos Aires, B1824KAJ

  • Centro de Investigaciones Médicas Mar del Plata

    Mar del Plata, Buenos Aires, 7600

  • Policlinica Red OMIP

    Mar del Plata, Buenos Aires, 7600

  • INECO Neurociencias Oroño

    Rosario, Santa Fe Province, 2000

  • Instituto de Especialidades de la Salud Rosario

    Rosario, Santa Fe Province, 2000

  • Instituto Médico Catamarca IMEC

    Rosario, Santa Fe Province, 2000

  • Instituto Médico Fundación Grupo Colaborativo Rosario Investigación y Prevención Medica

    Rosario, Santa Fe Province, 2000

  • Fundacion Estudios Clinicos

    Rosario, Santa Fe Province, S2000DEJ

  • Centro de Salud e Investigaciones Médicas

    Santa Rosa, La Pampa Province, 6300

  • Sanatorio Norte

    Santiago del Estero, 4200

Other trials in Argentina

Mexico16 sites
  • Centro Para El Desarrollo de La Medicina Y de Asistencia Medica Especializada S.C.

    Culiacán, Sinaloa, 80230

  • Lahoja. Asociacion Para La Investigacion Y La Farmacovigilancia

    Durango, 34000

  • Centro de Investigacion Medica Integral

    Guadalajara, Jalisco, 44160

  • Instituto Jalisciense de Investigacion en Diabetes y Obesidad

    Guadalajara, Jalisco, 44600

  • CICEJ Centro de Investigación Clínica Endocrinológica de Jalisco S.C

    Guadalajara, Jalisco, 44670

  • Private Practice - Dr. Arechavaleta Granell Maria del Rosario

    Guadalajara, Jalisco, 44670

  • Virgen Cardiovascular Research SC

    Guadalajara, Jalisco, 44670

  • Caimed Investigacion En Salud S.A. de C.V.

    Mexico City, Mexico City, 06760

  • Centro Especializado En Diabetes, Obesidad Y Prevencion De Enfermedades Cardiovasculares

    Mexico City, Mexico City, 11650

  • Cardiolink Clin Trials

    Monterrey, Nuevo León, 64060

  • Unidad biomedica avanzada monterrey

    Monterrey, Nuevo León, 64460

  • Clínica García Flores SC

    Monterrey, Nuevo León, 64610

  • Eukarya PharmaSite

    Monterrey, Nuevo León, 64718

  • Hospital Universitario "Dr. Jose Eleuterio Gonzalez"

    Monterrey, Nuevo León, 66460

  • Centro de investigación y control metabólico

    San Nicolás de los Garza, Nuevo León, 66465

  • Centro de Investigacion Medica de Occidente, S.C.

    Zapopan, Jalisco, 44260

Other trials in Mexico

Japan9 sites
  • Gifu University Hospital

    Gifu, 501-1112

  • Takai Internal Medicine Clinic

    Kamakura-shi, Kanagawa, 247-0056

  • Shiraiwa Medical Clinic

    Kashihara, Osaka, 582-0005

  • Mikannohana Clinic, Diabetes, Endocrinology and Metabolism

    Matsuyama, Ehime, 116099

  • Nakamoto Internal Medicine Clinic

    Mito, Ibaraki, 310-0826

  • Nakakinen clinic

    Naka, Ibaraki, 311-0113

  • Medical Corporation Sato Medical clinic

    Ootaku, Tokyo, 143-0015

  • Manda Memorial Hospital

    Sapporo, Hokkaido, 060-0062

  • Ohishi Internal Medicine Clinic

    Tsuchiura, Ibaraki, 300-0835

Other trials in Japan

Puerto Rico4 sites
  • Isis Clinical Research Center

    Guaynabo, PR, 00968

  • Research and Cardiovascular Corp.

    Ponce, 00717

  • Mgcendo Llc

    San Juan, PR, 00921

  • Latin Clinical Trial Center

    San Juan, 00909

Other trials in Puerto Rico

About this study

Official title: A Phase 3, Randomized, Open-Label Study to Investigate the Efficacy and Safety of Once Daily Oral LY3502970 Compared With Oral Semaglutide in Adult Participants With Type 2 Diabetes and Inadequate Glycemic Control With Metformin (ACHIEVE-3)

The main purpose of this study is to assess efficacy and safety of orforglipron compared with oral semaglutide in participants with Type 2 diabetes and inadequate glycemic control with metformin.The study will last around 61 weeks.

Conditions
Type 2 Diabetes
Being tested
Orforglipron, Semaglutide
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.

  • OrforglipronDrug

    Also called LY3502970

    Administered orally

  • SemaglutideDrug

    Administered orally

Study groups in NCT06045221
Study groupRoleWhat they receive
12 mg OrforglipronExperimentalParticipants initiated treatment with a 1 mg once-daily oral dose of orforglipron and increased the dose every 4 weeks until the targeted dose of 12 mg once-daily was reached, after which this dose was to be continued for the remainder of the 52-week treatment period.
Receives: Drug: Orforglipron
36 mg OrforglipronExperimentalParticipants initiated treatment with a 1 mg once-daily oral dose of orforglipron and increased the dose every 4 weeks until the targeted dose of 36 mg once-daily was reached, after which this dose was to be continued for the remainder of the 52-week treatment period.
Receives: Drug: Orforglipron
7 mg SemaglutideActive comparatorParticipants initiated treatment with a 3 mg once-daily oral dose of semaglutide and increased the dose every 4 weeks until the targeted dose of 7 mg once-daily was reached, after which this dose was to be continued for the remainder of the 52-week treatment period.
Receives: Drug: Semaglutide
14 mg SemaglutideActive comparatorParticipants initiated treatment with a 3 mg once-daily oral dose of semaglutide and increased the dose every 4 weeks until the targeted dose of 14 mg once-daily was reached, after which this dose was to be continued for the remainder of the 52-week treatment period.
Receives: Drug: Semaglutide

What is being measured

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

  1. Change From Baseline in Hemoglobin A1c (HbA1c) [Non-inferiority of 36 mg Orforglipron Versus 14 mg Semaglutide and 12 mg Orforglipron Versus 7 mg Semaglutide]

    • HbA1c is the glycosylated fraction of hemoglobin A. It is measured to identify average plasma glucose concentration over prolonged periods of time.
    • LS mean was analysed by mixed model repeated measures (MMRM) model with Country + Baseline*Time*Treatment + Strata*Time*Treatment as variables. Strata is defined by joint levels of HbA1c level (<=8.0%, >8.0%).

    Measured: Baseline, Week 52

Secondary outcomes (20)
  1. Change From Baseline in Hemoglobin A1c (HbA1c) [Non-inferiority of 12 mg Orforglipron Versus 14 mg Semaglutide, Superiority of 12 mg and 36 mg Orforglipron Versus 7 mg and 14 mg Semaglutide]

    • HbA1c is the glycosylated fraction of hemoglobin A. It is measured to identify average plasma glucose concentration over prolonged periods of time.
    • LS mean was analysed by mixed model repeated measures (MMRM) model with Country + Baseline*Time*Treatment + Strata*Time*Treatment as variables. Strata is defined by joint levels of HbA1c level (<=8.0%, >8.0%).

    Measured: Baseline, Week 52

  2. Percentage of Participants Who Achieved HbA1c <7.0% [53 Millimoles/Mole (mmol/Mol)]

    The reported values represent model-based group mean percentages estimated from a logistic regression model using imputed data, with estimates combined across multiple imputations using Rubin's rule. Logistic regression model variables: Country + Treatment*Baseline + Treatment*Strata (defined by baseline HbA1c level [<=8.0%, >8.0%]).

    Measured: Week 52

  3. Percentage of Participants Who Achieved HbA1c <=6.5% (48 mmol/Mol)

    The reported values represent model-based group mean percentages estimated from a logistic regression model using imputed data, with estimates combined across multiple imputations using Rubin's rule. Logistic regression model variables: Country + Treatment*Baseline + Treatment*Strata (defined by baseline HbA1c level [<=8.0%, >8.0%]).

    Measured: Week 52

  4. Percentage of Participants Who Achieved HbA1c <5.7% (39 mmol/Mol)

    The reported values represent model-based group mean percentages estimated from a logistic regression model using imputed data, with estimates combined across multiple imputations using Rubin's rule. Logistic regression model variables: Country + Treatment*Baseline + Treatment*Strata (defined by baseline HbA1c level [<=8.0%, >8.0%]).

    Measured: Week 52

  5. Percent Change From Baseline in Body Weight

    LS mean was analysed by MMRM model with Country + Baseline*Time*Treatment + Strata*Time*Treatment as variables. Strata is defined by joint levels of HbA1c level (<=8.0%, >8.0%).

    Measured: Baseline, Week 52

  6. Change From Baseline in Body Weight

    LS mean was analysed by MMRM model with Country + Baseline*Time*Treatment + Strata*Time*Treatment as variables. Strata is defined by joint levels of HbA1c level (<=8.0%, >8.0%).

    Measured: Baseline, Week 52

  7. Change From Baseline in Fasting Serum Glucose

    LS mean was analysed by MMRM model with Country + Baseline*Time*Treatment + Strata*Time*Treatment as variables. Strata is defined by joint levels of HbA1c level (<=8.0%, >8.0%).

    Measured: Baseline, Week 52

  8. Change From Baseline in Daily Average 7-point Self-monitored Blood Glucose (SMBG)

    The SMBG data were collected at the following 7 time points: Morning Premeal - Fasting, Morning 2-hour Post meal, Midday Premeal, Midday 2-hour Post meal, Evening Premeal, Evening 2-hour Post meal and Bedtime. The daily average was calculated as the average of the 7 blood glucose values collected on a particular day. LS mean was analysed by MMRM model with Country + Baseline*Time*Treatment + Strata*Time*Treatment as variables. Strata is defined by joint levels of HbA1c level (<=8.0%, >8.0%).

    Measured: Baseline, Week 52

  9. Percentage of Participants Who Achieved Weight Loss of >=5%

    The reported values represent model-based group mean percentages estimated from a logistic regression model using imputed data, with estimates combined across multiple imputations using Rubin's rule. Logistic regression model variables: Country + Treatment*Baseline + Treatment*Strata (defined by baseline HbA1c level [<=8.0%, >8.0%]).

    Measured: Week 52

  10. Percentage of Participants Who Achieved Weight Loss of >=10%

    The reported values represent model-based group mean percentages estimated from a logistic regression model using imputed data, with estimates combined across multiple imputations using Rubin's rule. Logistic regression model variables: Country + Treatment*Baseline + Treatment*Strata (defined by baseline HbA1c level [<=8.0%, >8.0%]).

    Measured: Week 52

  11. Percentage of Participants Who Achieved Weight Loss of >=15%

    The reported values represent model-based group mean percentages estimated from a logistic regression model using imputed data, with estimates combined across multiple imputations using Rubin's rule. Logistic regression model variables: Country + Treatment*Baseline + Treatment*Strata (defined by baseline HbA1c level [<=8.0%, >8.0%]).

    Measured: Week 52

  12. Change From Baseline in Systolic Blood Pressure (SBP)

    LS mean was analysed by MMRM model with Country + Baseline*Time*Treatment + Strata*Time*Treatment as variables. Strata is defined by joint levels of HbA1c level (<=8.0%, >8.0%).

    Measured: Baseline, Week 52

  13. Change From Baseline in Diastolic Blood Pressure (DBP)

    LS mean was analysed by MMRM model with Country + Baseline*Time*Treatment + Strata*Time*Treatment as variables. Strata is defined by joint levels of HbA1c level (<=8.0%, >8.0%).

    Measured: Baseline, Week 52

  14. Percent Change From Baseline in Total Serum Cholesterol

    LS mean was analysed by MMRM model with Country + log(Baseline)*Time*Treatment + Strata*Time*Treatment as variables. Strata is defined by joint levels of HbA1c level (<=8.0%, >8.0%).

    Measured: Baseline, Week 52

  15. Percent Change From Baseline in Serum Low Density Lipoprotein (LDL) Cholesterol

    LS mean was analysed by MMRM model with Country + log(Baseline)*Time*Treatment + Strata*Time*Treatment as variables. Strata is defined by joint levels of HbA1c level (<=8.0%, >8.0%).

    Measured: Baseline, Week 52

  16. Percent Change From Baseline in Serum Non High Density Lipoprotein (Non-HDL) Cholesterol

    LS mean was analysed by MMRM model with Country + log(Baseline)*Time*Treatment + Strata*Time*Treatment as variables. Strata is defined by joint levels of HbA1c level (<=8.0%, >8.0%).

    Measured: Baseline, Week 52

  17. Percent Change From Baseline in Serum Triglycerides

    LS mean was analysed by MMRM model with Country + log(Baseline)*Time*Treatment + Strata*Time*Treatment as variables. Strata is defined by joint levels of HbA1c level (<=8.0%, >8.0%).

    Measured: Baseline, Week 52

  18. Percent Change From Baseline in Serum High Density Lipoprotein (HDL) Cholesterol

    LS mean was analysed by MMRM model with Country + log(Baseline)*Time*Treatment + Strata*Time*Treatment as variables. Strata is defined by joint levels of HbA1c level (<=8.0%, >8.0%).

    Measured: Baseline, Week 52

  19. Percent Change From Baseline in Serum Very Low Density Lipoprotein (VLDL) Cholesterol

    LS mean was analysed by MMRM model with Country + log(Baseline)*Time*Treatment + Strata*Time*Treatment as variables. Strata is defined by joint levels of HbA1c level (<=8.0%, >8.0%).

    Measured: Baseline, Week 52

  20. Change From Baseline in Short Form 36 Version 2 (SF-36-v2) Acute Form (Physical Component and Mental Component Scores)

    The SF-36v2 is a participant-reported measure designed to assess health status using 36 items across 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 52

Timeline

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

  1. First posted21 Sep 2023
  2. Study start22 Sep 2023
  3. Primary completion22 Aug 2025
  4. Study completion22 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
None (open label)
Enrolment
1,698 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06045221
Sponsor's protocol ID
18565
Other IDs
J2A-MC-GZGU, U1111-1290-6014
Acronym
ACHIEVE-3
Status last verified
Aug 2026
First submitted
13 Sep 2023
Last updated
15 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

  • Rosenstock J, Yabe D, Cox D, Li J, Denning M, Wu WS, Liu R, Zhao Y; ACHIEVE-3 Investigators. Efficacy and safety of once-daily oral orforglipron compared with oral semaglutide in adults with type 2 diabetes (ACHIEVE-3): a multinational, multicentre, non-inferiority, open-label, randomised, phase 3 trial. Lancet. 2026 Mar 21;407(10534):1147-1160. doi: 10.1016/S0140-6736(26)00202-3. Epub 2026 Feb 26.

    PubMed 41765029

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