PsoriasisPhase 4NCT06857942
A Study to Investigate the Effectiveness of Tirzepatide (LY3298176) Following Initiation of Ixekizumab (LY2439821) in Participants With Moderate-to-Severe Plaque PsO and Obesity or Overweight in Clinical Practice (TOGETHER AMPLIFY-PsO)
A Phase 4 study testing Tirzepatide in people with Psoriasis and Overweight or Obesity, run by Eli Lilly and Company at 38 sites in United States.
Trial summary
The main purpose of this study is to assess the effectiveness of adding tirzepatide to ixekizumab therapy in standard clinical practice in participants with moderate-to-severe plaque PsO and obesity or overweight with at least 1 weight-related comorbidity. The study will last up to 12 months. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Psoriasis, Overweight or Obesity
- What is being tested?
- Tirzepatide
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 200 participants
- Where
- 38 sitesUnited States
- Study dates
- 19 Mar 2025to May 2028
- Phase
- Phase 4
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Have a diagnosis of moderate-to-severe plaque PsO, as defined by a dermatologist or other experienced clinician treated PsO (for example, allergologist, nurse practitioner or physician assistant)
- Have body mass index (BMI) of 30 kilograms per meter squared (kg/m²) or greater (obesity) or 27 kg/m² to <30 kg/m² (overweight) in the presence of at least 1 weight-related comorbid condition (hypertension, dyslipidemia, type 2 diabetes mellitus, obstructive sleep apnea, or cardiovascular diseases).
- Must have initiated treatment with ixekizumab for approximately 3 months (± 1 month) prior to decision to add tirzepatide.
- Must be able to initiate tirzepatide (Day 0) within 30 days of treatment decision (baseline/screening).
Who cannot join
- Have currently received ixekizumab for more than 4 months or less than 2 months.
- Have had any exposure to tirzepatide or other glucagon-like peptide-1 receptor agonist (GLP-1 RAs), for example, dulaglutide, liraglutide, or semaglutide.
- Are currently enrolled in any other clinical study.
- Other exclusions
- Have a known hypersensitivity to tirzepatide or to any of its component.
- Have a personal or family history of medullary thyroid cancer.
Show all 13Show fewer
- Have multiple endocrine neoplasia type 2.
- Have type I diabetes mellitus.
- Have a history of chronic or acute pancreatitis at any time before screening (Visit 1).
- Have a history of proliferative diabetic retinopathy, diabetic maculopathy, or nonproliferative diabetic retinopathy that requires acute treatment.
- Have a history of ketoacidosis or hyperosmolar state/coma.
- Have a history of severe hypoglycemia and hypoglycemia unawareness within the 6 months before screening.
- Have a history of severe gastrointestinal complications, including gastroparesis, gastroesophageal reflux disease, dyspepsia, chronic nausea/constipation/vomiting.
Trial locations and contacts
38 sites in 1 country. Contact the study team or a site near you to ask about taking part.
Trial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or contact
Physicians interested in becoming principal investigators please contact contact
38 sites in 1 country
United States38 sites, 38 recruiting
- Recruiting
David Fivenson, MD, PLC
Ann Arbor, Michigan, 48103
734-222-9630
David Fivenson
- Recruiting
Bellaire Dermatology Associates
Bellaire, Texas, 77401
713-661-4383
Craig Teller
- Recruiting
Bellevue Dermatology Clinic
Bellevue, Washington, 98104
425-455-2275
Clive Liu
- Recruiting
Optima Research - Boardman
Boardman, Ohio, 44512
330-422-3234
Patrick Shannon
- Recruiting
Equity Medical - Bowling Green
Bowling Green, Kentucky, 42104
270-213-7777
James Allred
- Recruiting
Metro Boston Clinical Partners
Brighton, Massachusetts, 02135
Mark Amster
- Recruiting
The Derm Institute of West Michigan
Caledonia, Michigan, 49316
616-326-0114
Kristi Hawley
- Recruiting
Revival Research Institute, LLC
Cary, North Carolina, 27511
Zain Husain
- Recruiting
Columbia Dermatology & Aesthetics
Columbia, South Carolina, 29212
803-731-9600
Jessica Burgy
- Recruiting
Modern Research Associates, PLLC
Dallas, Texas, 75231
214-361-2008
Jennifer Cather
- Recruiting
Southeast Research Specialists
Douglasville, Georgia, 30135
678-702-3376
Firas George Hougeir
- Recruiting
Psoriasis Treatment Center of Central New Jersey
East Windsor, New Jersey, 08520
Alexa Hetzel
- Recruiting
First OC Dermatology Research Inc
Fountain Valley, California, 92708
714-531-2966
Vivian Laquer
- Recruiting
Center For Dermatology Clinical Research, Inc.
Fremont, California, 94538
510-797-0140
Sunil Dhawan
- Recruiting
NeoClinical Research
Hialeah, Florida, 33016
305-456-9062
Martin Zaiac, MD
- Recruiting
Care Access - Hoboken
Hoboken, New Jersey, 07030
551-278-8680
Adolfo Fernandez- Obregon
- Recruiting
Skin Care Research
Hollywood, Florida, 33021
954-674-3535
Eduardo Weiss
- Recruiting
Encore Medical Research
Hollywood, Florida, 33024
954-400-1725
Jerome Obed
- Recruiting
Center for Clinical Studies
Houston, Texas, 77004
713-528-8818
Stephen Tyring
- Recruiting
Onsite Clinical Solutions - Huntersville
Huntersville, North Carolina, 28078
800-785-3150
Nicole Seminara-Zambrzycka
- Recruiting
Dawes Fretzin Clinical Research Group, LLC
Indianapolis, Indiana, 46250
317-516-5030
Scott Fretzin
- Recruiting
Tanner Clinic
Layton, Utah, 84041
Scott Checketts
- Recruiting
Metropolis Dermatology
Los Angeles, California, 90017
424-393-0005
Yen (James) Wang
- Recruiting
Equity Medical
New York, New York, 10023
212-466-6550
Michael Cameron
- Recruiting
Northridge Clinical Trials
Northridge, California, 91325
818-350-7482
Navid Ezra
- Recruiting
Austin Institute for Clinical Research
Pflugerville, Texas, 78660
512-279-2545
Edward Lain
- Recruiting
Medical Dermatology Specialists
Phoenix, Arizona, 85006
602-354-5770
Lindsay Ackerman
- Recruiting
The Indiana Clinical Trials Center, PC
Plainfield, Indiana, 46168
317-837-6082
Scott Guenthner
- Recruiting
Dermatology Associates of Plymouth Meeting
Plymouth Meeting, Pennsylvania, 19462
Jonathan Wolfe
- Recruiting
Oregon Dermatology and Research Center
Portland, Oregon, 97210
503-226-3376
Phoebe Rich, MD
- Recruiting
Stracskin
Portsmouth, New Hampshire, 03801
617-833-9995
Abel Jarell
- Recruiting
Skin Cancer and Dermatology Institute - Reno
Reno, Nevada, 89509
775-336-3658
Michael Heaphy
- Recruiting
Dermatology and Skin Cancer Specialists, LLC
Rockville, Maryland, 20850
Benjamin Lockshin
- Recruiting
Texas Dermatology and Laser Specialists
San Antonio, Texas, 78218
210-852-2779
John Browning
- Recruiting
DelRicht Research - Thompson's Station
Smyrna, Tennessee, 37167
629-895-1775
Pezhman Shoureshi
- Recruiting
MOORE Clinical Research, Inc. d/b/a TrueBlue Clinical Research
Tampa, Florida, 33607
813-948-7550
Stephen Lockwood
- Recruiting
Center for Clinical Studies
Webster, Texas, 77598
281-333-2288
PATRICIA LEE
- Recruiting
TruDerm & TruSpa
Wellington, Florida, 33449
Andleeb Usmani
About this study
Official title: A Phase 4, Prospective, Open-Label, Single Arm Study to Assess the Effectiveness of Tirzepatide After Initiation of Ixekizumab in Adult Participants With Moderate-to-Severe Plaque Psoriasis and Obesity or Overweight in Clinical Practice
The main purpose of this study is to assess the effectiveness of adding tirzepatide to ixekizumab therapy in standard clinical practice in participants with moderate-to-severe plaque PsO and obesity or overweight with at least 1 weight-related comorbidity.
The study will last up to 12 months.
- Conditions
- Psoriasis, Overweight or Obesity
- Being tested
- Tirzepatide
- Medical subject headings
- Psoriasis, Overweight, Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TirzepatideDrug
Also called LY3298176
Administered SC
| Study group | Role | What they receive |
|---|---|---|
| Tirzepatide | Experimental | Participants will continue to receive ixekizumab and take tirzepatide subcutaneously (SC) as per label. Receives: Drug: Tirzepatide |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Achieving Dermatology Life Quality Index (DLQI) (0,1)
The DLQI is a simple, patient-reported, 10-item, validated, quality of life questionnaire. Scores range from 0 to 30, with higher scores indicating greater impairment of quality of life.
Measured: 12 months
Percentage of Participants Achieving at least 10% Weight Reduction
Percentage of participants achieving at least 10% weight reduction.
Measured: 12 months
Secondary outcomes (7)
Percentage of Participants Achieving Body Surface Area (BSA) ≤1 % [National Psoriasis Foundation (NPF) treat to target]
The BSA is the arithmetic mean of the affected skin surface based on the assumption that the head represents 10%, upper extremities represent 20%, trunk represents 30%, and lower extremities represent 40% of the total body surface. The BSA is calculated through multiplying the affected BSA in the head, upper extremities, trunk, and lower extremities by the respective total BSA previously indicated and summing together the scores of each body area.
Measured: Month 6 and Month 12
Percentage of Participants Achieving BSA ≤3% (NPF acceptable goal)
The BSA is the arithmetic mean of the affected skin surface based on the assumption that the head represents 10%, upper extremities represent 20%, trunk represents 30%, and lower extremities represent 40% of the total body surface. The BSA is calculated through multiplying the affected BSA in the head, upper extremities, trunk, and lower extremities by the respective total BSA previously indicated and summing together the scores of each body area.
Measured: Month 6 and Month 12
Percentage of Participants Achieving Static Physician's Global Assessment (sPGA) (0,1)
The sPGA is an investigator-administered multi-item scale. It determines the participant's psoriasis (PsO) lesions, overall, at a given time point. Overall lesions are graded for plaque elevation, scaling, and erythema, on a range of clear (0), almost clear (1), mild (2), moderate (3), and severe (4).
Measured: Month 6 and Month 12
Percentage of Participants Achieving DLQI ≤5
The DLQI is a simple, patient-reported, 10-item, validated, quality of life questionnaire. Scores range from 0 to 30, with higher scores indicating greater impairment of quality of life.
Measured: Month 6 and Month 12
Percentage of Participants Achieving Patient Global Assessment (PatGA) Score ≤2
The PatGA of Psoriasis is a patient-reported single-item scale. Patient Global Assessments allow for an overall evaluation of disease severity or global impact of the disease from the patient's perspective. Participants are asked to rank the severity of their PsO "today" by selecting a number on a 0-to-5 numeric rating scale, with 0 indicating clear/no PsO and 5 indicating severe PsO.
Measured: Month 6 and Month 12
Mean Percent Change of Weight from Baseline
Mean percent change of weight from baseline.
Measured: Baseline, Month 6 and Baseline, Month 12
Percentage of Participants Achieving DLQI Score (0,1) and Least 10% Weight Reduction
The DLQI is a simple, patient-reported, 10-item, validated, quality of life questionnaire. Scores range from 0 to 30, with higher scores indicating greater impairment of quality of life.
Measured: Month 6 and Month 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Mar 2025
- Study start19 Mar 2025
- Primary completionMay 2028 (estimated)
- Study completionMay 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for PsoriasisStudies 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 4
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 200 participants (estimated)
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
- NCT06857942
- Sponsor's protocol ID
- 27319
- Other IDs
- I1F-MC-RHDD
- Status last verified
- Nov 2026
- First submitted
- 3 Mar 2025
- Last updated
- 4 Nov 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.
Study at a glance
From the registry record, last updated by the sponsor on 4 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 4, Prospective, Open-Label, Single Arm Study to Assess the Effectiveness of Tirzepatide After Initiation of Ixekizumab in Adult Participants With Moderate-to-Severe Plaque Psoriasis and Obesity or Overweight in Clinical Practice
- ClinicalTrials.gov ID
- NCT06857942
- Acronym / sponsor ID
- 27319
- Conditions
- Psoriasis, Overweight or Obesity
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 200 participants (estimated)
- Lead sponsor
- Eli Lilly and CompanyIndustry (pharma, biotech, devices)
- Study start
- 19 Mar 2025 (actual)
- Primary completion
- May 2028 (estimated)
- Study completion
- May 2028 (estimated)
- First posted
- 5 Mar 2025 (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 assess the effectiveness of adding tirzepatide to ixekizumab therapy in standard clinical practice in participants with moderate-to-severe plaque PsO and obesity or overweight with at least 1 weight-related comorbidity.
The study will last up to 12 months.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Tirzepatide | Experimental | Drug: TirzepatideParticipants will continue to receive ixekizumab and take tirzepatide subcutaneously (SC) as per label. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Have a diagnosis of moderate-to-severe plaque PsO, as defined by a dermatologist or other experienced clinician treated PsO (for example, allergologist, nurse practitioner or physician assistant)
- Have body mass index (BMI) of 30 kilograms per meter squared (kg/m²) or greater (obesity) or 27 kg/m² to <30 kg/m² (overweight) in the presence of at least 1 weight-related comorbid condition (hypertension, dyslipidemia, type 2 diabetes mellitus, obstructive sleep apnea, or cardiovascular diseases).
- Must have initiated treatment with ixekizumab for approximately 3 months (± 1 month) prior to decision to add tirzepatide.
- Must be able to initiate tirzepatide (Day 0) within 30 days of treatment decision (baseline/screening).
Key exclusion criteria (13 listed)
- Have currently received ixekizumab for more than 4 months or less than 2 months.
- Have had any exposure to tirzepatide or other glucagon-like peptide-1 receptor agonist (GLP-1 RAs), for example, dulaglutide, liraglutide, or semaglutide.
- Are currently enrolled in any other clinical study.
- Other exclusions
- Have a known hypersensitivity to tirzepatide or to any of its component.
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 |
|---|---|---|
| TirzepatideAlso: LY3298176Administered SC | Drug | Tirzepatide |
Primary outcome
Percentage of Participants Achieving Dermatology Life Quality Index (DLQI) (0,1)
Time frame: 12 months
The DLQI is a simple, patient-reported, 10-item, validated, quality of life questionnaire. Scores range from 0 to 30, with higher scores indicating greater impairment of quality of life.
Percentage of Participants Achieving at least 10% Weight Reduction
Time frame: 12 months
Percentage of participants achieving at least 10% weight reduction.
7 secondary outcomes
Percentage of Participants Achieving Body Surface Area (BSA) ≤1 % [National Psoriasis Foundation (NPF) treat to target]
Time frame: Month 6 and Month 12
Percentage of Participants Achieving BSA ≤3% (NPF acceptable goal)
Time frame: Month 6 and Month 12
Percentage of Participants Achieving Static Physician's Global Assessment (sPGA) (0,1)
Time frame: Month 6 and Month 12
Percentage of Participants Achieving DLQI ≤5
Time frame: Month 6 and Month 12
Percentage of Participants Achieving Patient Global Assessment (PatGA) Score ≤2
Time frame: Month 6 and Month 12
Mean Percent Change of Weight from Baseline
Time frame: Baseline, Month 6 and Baseline, Month 12
Percentage of Participants Achieving DLQI Score (0,1) and Least 10% Weight Reduction
Time frame: Month 6 and Month 12
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Nov 2026.
- Related InfoLink 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.
Trial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or contact
Physicians interested in becoming principal investigators please contact contact
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
38 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Tirzepatide in people with Psoriasis and Overweight or Obesity, run by Eli Lilly and Company at 38 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 4 inclusion and 13 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: looking for participants now, as of the sponsor's last update on 4 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 38 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. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
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?
Contact Trial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or (1-317-615-4559, LillyTrials@Lilly.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants Achieving Dermatology Life Quality Index (DLQI) (0,1) (time frame: 12 months). The study lists 2 primary outcomes in all. 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 4 Nov 2026.