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ObesityPhase 2NCT06643728

A Study to Investigate Weight Management With Bimagrumab (LY3985863) and Tirzepatide (LY3298176), Alone or in Combination, in Adults With Obesity or Overweight

A Phase 2 study testing Bimagrumab and Tirzepatide in people with Obesity and Overweight, run by Eli Lilly and Company at 12 sites in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The main purpose of this study is to evaluate the efficacy and safety of Bimagrumab and Tirzepatide, alone or in combination, in adults with obesity or overweight, with at least one obesity related comorbidity, without Type 2 Diabetes. The study will last about 70 weeks. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Obesity, Overweight
What is being tested?
Bimagrumab and Tirzepatide
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
252 participants
Where
12 sitesUnited States
Study dates
21 Oct 2024to Jan 2027
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Have a BMI of
  • ≥30 kilograms per square meter (kg/m2) or
  • ≥27 kg/m2 and <30 kg/m2, with at least one of the following weight-related comorbidities:
  • Hypertension
  • Dyslipidemia
  • Cardiovascular disease
  • Obstructive sleep apnea
  • Have had a stable body weight for the 3 months prior to randomization (<5% body weight gain and/or loss)

Who cannot join

  • Have a prior or planned surgical treatment for obesity
  • Have at least one laboratory value suggestive of diabetes during screening
  • Use of metformin, or any other glucose-lowering medications
  • Have Type 1 Diabetes, latent autoimmune diabetes, been diagnosed with any form of diabetes mellitus except for a prior diagnosis of gestational diabetes mellitus, or history of ketoacidosis or hyperosmolar coma
  • Have poorly controlled hypertension
  • Have any of the following cardiovascular conditions within 3 months prior to screening:
Show all 19Show fewer
  • acute myocardial infarction
  • cerebrovascular accident (stroke)
  • unstable angina, or
  • hospitalization due to congestive heart failure
  • Have ongoing or a history of frequent intermittent or chronic tachyarrhythmia syndromes
  • Have ongoing or a history of bradyarrhythmias other than sinus bradycardia
  • Have a history of New York Heart Association (NYHA) Functional Classification III or IV congestive heart failure
  • Have a history of symptomatic gallbladder disease within the past 2 years
  • Have signs and symptoms of any liver disease
  • Have a disease or condition known to cause gastrointestinal malabsorption or a known clinically significant gastric emptying abnormality
  • Have a history of acute or chronic pancreatitis
  • Have renal impairment, measured as estimated glomerular filtration rate <30 mL/minute/1.73 m2
  • Currently taking or have taken medications that may cause significant weight gain or promote weight loss within 3 months prior to screening

Trial locations and contacts

12 sites in 1 country.

12 sites in 1 country

United States12 sites
  • Pinnacle Research Group, LLC

    Anniston, Alabama, 36207

  • Central Research Associates

    Birmingham, Alabama, 35205

  • Great Lakes Clinical Trials - Ravenswood

    Chicago, Illinois, 60640

  • East-West Medical Research Institute

    Honolulu, Hawaii, 96814

  • Clinical Neuroscience Solutions, Inc. dba CNS Healthcare

    Jacksonville, Florida, 32256

  • Altus Research

    Lake Worth, Florida, 33461

  • Suncoast Research Group

    Miami, Florida, 33135

  • Keystone Clinical Studies

    Plymouth Meeting, Pennsylvania, 19462

  • Eastside Research Associates

    Redmond, Washington, 98052

  • Rainier Clinical Research Center

    Renton, Washington, 98057

  • SKY Integrative Medical Center/SKYCRNG

    Ridgeland, Mississippi, 39157

  • Diablo Clinical Research, Inc.

    Walnut Creek, California, 94598

Other trials in United States

About this study

Official title: A Phase 2, Double-Blind, Randomized, Placebo-Controlled Study of Bimagrumab and Tirzepatide, Alone or in Combination, to Investigate the Efficacy and Safety in Adult Participants With Obesity or Overweight Without Type 2 Diabetes

The main purpose of this study is to evaluate the efficacy and safety of Bimagrumab and Tirzepatide, alone or in combination, in adults with obesity or overweight, with at least one obesity related comorbidity, without Type 2 Diabetes. The study will last about 70 weeks.

Conditions
Obesity, Overweight
Being tested
Bimagrumab, Tirzepatide, Bimagrumab Placebo, Tirzepatide Placebo
Keywords
Muscle, Lean, Fat
Medical subject headings
Obesity, Overweight, Platelet Glycoprotein IV Deficiency

What participants receive

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

  • BimagrumabDrug

    Also called LY3985863, BYM338, VER201

    Administered SC

  • TirzepatideDrug

    Also called LY3298176

    Administered SC

  • Bimagrumab PlaceboDrug

    Administered SC

  • Tirzepatide PlaceboDrug

    Administered SC

Study groups in NCT06643728
Study groupRoleWhat they receive
Part A: Bimagrumab Dose 2 + Tirzepatide PlaceboExperimentalParticipants will receive bimagrumab subcutaneously (SC) and tirzepatide placebo SC
Receives: Drug: Bimagrumab; Drug: Tirzepatide Placebo
Part A: Bimagrumab Placebo + Tirzepatide Dose 1Active comparatorParticipants will receive bimagrumab placebo SC and tirzepatide SC
Receives: Drug: Tirzepatide; Drug: Bimagrumab Placebo
Part A: Bimagrumab Placebo + Tirzepatide Dose 2Active comparatorParticipants will receive bimagrumab placebo SC and tirzepatide SC
Receives: Drug: Tirzepatide; Drug: Bimagrumab Placebo
Part A: Bimagrumab Dose 1 + Tirzepatide Dose 1ExperimentalParticipants will receive bimagrumab SC and tirzepatide SC
Receives: Drug: Bimagrumab; Drug: Tirzepatide
Part A: Bimagrumab Dose 1 + Tirzepatide Dose 2ExperimentalParticipants will receive bimagrumab SC and tirzepatide SC
Receives: Drug: Bimagrumab; Drug: Tirzepatide
Part A: Bimagrumab Dose 2 + Tirzepatide Dose 2ExperimentalParticipants will receive bimagrumab SC and tirzepatide SC
Receives: Drug: Bimagrumab; Drug: Tirzepatide
Part A: Bimagrumab Placebo + Tirzepatide PlaceboPlacebo comparatorParticipants will receive bimagrumab placebo SC and tirzepatide placebo SC
Receives: Drug: Bimagrumab Placebo; Drug: Tirzepatide Placebo
Part B: Bimagrumab Dose 2 (no titration) + Tirzepatide Dose 1ExperimentalParticipants will receive bimagrumab SC and tirzepatide SC
Receives: Drug: Bimagrumab; Drug: Tirzepatide
Part B: Bimagrumab Dose 2 (fast titration) + Tirzepatide Dose 1ExperimentalParticipants will receive bimagrumab SC and tirzepatide SC
Receives: Drug: Bimagrumab; Drug: Tirzepatide
Part B: Bimagrumab Dose 2 (slow titration) + Tirzepatide Dose 1ExperimentalParticipants will receive bimagrumab SC and tirzepatide SC
Receives: Drug: Bimagrumab; Drug: Tirzepatide
Part B: Bimagrumab Dose 1 + Tirzepatide PlaceboExperimentalParticipants will receive bimagrumab SC and tirzepatide placebo SC
Receives: Drug: Bimagrumab; Drug: Tirzepatide Placebo
Part B: Bimagrumab Placebo + Tirzepatide PlaceboPlacebo comparatorParticipants will receive bimagrumab placebo SC and tirzepatide placebo SC
Receives: Drug: Bimagrumab Placebo; Drug: Tirzepatide Placebo

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

    Measured: Baseline, Week 24

Secondary outcomes (10)
  1. Percent Change from Baseline in Total Body Fat Mass by Dual-Energy X-Ray Absorptiometry (DXA)

    Measured: Baseline, Week 24, Week 48

  2. Change from Baseline in Body Weight

    Measured: Baseline, Week 24, Week 48

  3. Percentage of Participants Achieving ≥5% Body Weight Reduction

    Measured: Baseline, Week 24, Week 48

  4. Percentage of Participants Achieving ≥10% Body Weight Reduction

    Measured: Baseline, Week 24, Week 48

  5. Percentage of Participants Achieving ≥15% Body Weight Reduction

    Measured: Baseline, Week 24, Week 48

  6. Change from Baseline in Waist Circumference

    Measured: Baseline, Week 24, Week 48

  7. Change from Baseline in Body Mass Index (BMI)

    Measured: Baseline, Week 24, Week 48

  8. Change from Baseline in Waist-to-Height Ratio (WHtR)

    Measured: Baseline, Week 24, Week 48

  9. Percent Change from Baseline in Visceral Adipose Tissue (VAT)

    Measured: Baseline, Week 24, Week 48

  10. Percent Change from Baseline in Total Body Lean Mass by DXA

    Measured: Baseline, Week 24, Week 48

Timeline

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

  1. First posted16 Oct 2024
  2. Study start21 Oct 2024
  3. Primary completion16 Jan 2026
  4. Study completionJan 2027 (estimated)

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
252 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06643728
Sponsor's protocol ID
27265
Other IDs
J4Z-MC-GIDF
Status last verified
May 2026
First submitted
14 Oct 2024
Last updated
26 May 2026
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.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Bimagrumab and Tirzepatide in people with Obesity and Overweight, run by Eli Lilly and Company at 12 sites in United States.

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 8 inclusion and 19 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: under way, not looking for participants, as of the sponsor's last update on 26 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in United States. 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?

This study is still under way. Results are not available in the source record yet.

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 24). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 26 May 2026.

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