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A Study of Tirzepatide (LY3298176) in Healthy Participants and Participants With Type 2 Diabetes (T2DM)

A Single- and Multiple-Ascending Dose Study in Healthy Subjects to Investigate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of LY3298176 and Multiple Doses in Patients With Type 2 Diabetes Mellitus

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02759107
Enrollment
142
Registered
2016-05-03
Start date
2016-05-11
Completion date
2017-06-26
Last updated
2024-01-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy, Type 2 Diabetes Mellitus (T2DM)

Brief summary

The main purposes of this study are to determine: * The safety of tirzepatide and any side effects that might be associated with it. * How much tirzepatide gets into the bloodstream and how long it takes the body to get rid of it. * How tirzepatide affects the levels of blood sugar. This study includes 3 parts (A, B and C). Part A involves a single dose of tirzepatide taken as a subcutaneous (SC) injection just under the skin and will be approximately 10 weeks in duration, including screening. Parts B and C involve 4 doses of tirzepatide taken once weekly (over 4 weeks) as a SC injection just under the skin and is approximately 12-14 weeks in duration, including screening. Each participant will enroll in only one part. This study is for research purposes only, and is not intended to treat any medical condition.

Interventions

DRUGTirzepatide

Administered SC

DRUGPlacebo

Administered SC

DRUGDulaglutide

Administered SC

Sponsors

Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
21 Years to 70 Years
Healthy volunteers
Yes

Inclusion criteria

* Healthy participants (Parts A and B) and participants with T2DM diagnosed at least 1 year before enrollment (Part C) * Have a screening body mass index (BMI) of greater than 18.5 and less than or equal to 40.0 kilograms per meter squared (kg/m²), inclusive * Participants with T2DM (Part C only): have T2DM controlled with diet and exercise alone or are stable on a single oral antidiabetic medication (metformin for at least 30 days or sulfonylureas). Participants receiving sulfonylureas may participate only if this treatment is stopped for at least 6 weeks before dosing with study drug

Exclusion criteria

* Have known allergies to tirzepatide, glucagon-like peptide (GLP)-1 analogs, or related compounds * Have an abnormality in the 12-lead electrocardiogram (ECG) at screening that, in the opinion of the investigator, increases the risks associated with participating in the study * Have a history or presence of pancreatitis (history of chronic pancreatitis or idiopathic acute pancreatitis), elevation in serum amylase or lipase (greater than 2-fold the upper limit of normal \[ULN\]) or gastrointestinal (GI) disorder (for example, relevant esophageal reflux or gall bladder disease) or any GI disease which impacts gastric emptying (for example, gastric bypass surgery, pyloric stenosis, with the exception of appendectomy) or could be aggravated by glucagon-like peptide-1 (GLP-1) analogs or dipeptidyl peptidase (DPP)-IV inhibitors Participants with T2DM (Part C only) * Have had more than 1 episode of severe hypoglycemia, as defined by the American Diabetes Association criteria, within 6 months before entry into the study or has a history of hypoglycemia unawareness or poor recognition of hypoglycemic symptoms All Study Participants (Parts B and C only) * have known allergies to tirzepatide, GLP-1 analogs, or related compounds, or acetaminophen

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With One or More Serious Adverse Event(s) (SAEs)Baseline through Day 43 (Part A) and Day 57 (Part B and C)Number of participants with one or more SAEs considered by the investigator to be related to study drug administration. A summary of SAEs and other non-serious adverse events (AEs), regardless of causality, were reported in the Reported Adverse Events module

Secondary

MeasureTime frameDescription
Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve (AUC) of Tirzepatide in Part A.Predose, 8hours(h), 24h,48h,72h,96h,120h,168h,336h postdose, day 29, day 43Area under the concentration versus time curve from zero to infinity (AUC \[0-∞\]) of Tirzepatide in Part A.
Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve (AUC) of Tirzepatide in Part BPredose, 8hours(h), 24h,48h,72h,168h postdoseArea under the concentration versus time curve during 1 dosing interval (AUC \[0-τ\]) of Tirzepatide in Part B. τ equals 168 hours.
Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve (AUC) of Tirzepatide in Part CPredose, 8hours(h), 24h,48h,72h,168h postdoseArea under the concentration versus time curve during 1 dosing interval (AUC \[0-τ\]) of Tirzepatide in Part C. τ equals 168 hours.
Pharmacodynamics (PD): Ratio of AUC of Glucose on Day 2 to Baseline (Part C)Pre-glucose dose, 0.5, 1, 1.5, 2 hours post-glucose dose on Day -1 and Day 2PD: Glucose area under the concentration versus time curve from time 0 to 2 hours (AUC\[0-2h\]) in Part C. Ratio to Baseline (Day -1) AUC (0-2h).
Pharmacodynamics (PD): Ratio of AUC of Glucose on Day 23 to Baseline (Part C)Pre-glucose dose, 0.5, 1, 1.5, 2 hours post-glucose dose on Day -1 and Day 23PD: Glucose area under the concentration versus time curve from time 0 to 2 hours (AUC\[0-2h\]) in Part C. Ratio to Baseline (Day -1) AUC (0-2h).

Countries

Singapore, United States

Participant flow

Participants by arm

ArmCount
Part A Placebo
Participants received placebo by subcutaneous (SC) injection.
14
Part A 0.25 mg Tirzepatide
Participants received single dose of 0.25mg Tirzepatide by subcutaneous injection.
6
Part A 0.5mg Tirzepatide
Participants received single dose of 0.5mg Tirzepatide by subcutaneous injection.
12
Part A 1mg Tirzepatide
Participants received single dose of 1mg Tirzepatide by subcutaneous injection.
5
Part A 2.5mg Tirzepatide
Participants received single dose of 2.5mg Tirzepatide by subcutaneous injection.
6
Part A 5mg Tirzepatide
Participants received single dose of 5mg Tirzepatide by subcutaneous injection.
6
Part A 8mg Tirzepatide
Participants received single dose of 8mg Tirzepatide by subcutaneous injection.
7
Part B Placebo
Participants received placebo by subcutaneous injection.
4
Part B 1.5mg Dulaglutide
Participants received 1.5mg Dulaglutide once weekly for four weeks by subcutaneous injection.
4
Part B 0.5mg Tirzepatide
Participants received 0.5mg Tirzepatide once weekly for four weeks by subcutaneous injection.
6
Part B 1.5mg Tirzepatide
Participants received 1.5mg Tirzepatide once weekly for four weeks by subcutaneous injection.
6
Part B 4.5mg Tirzepatide
Participants received 4.5mg Tirzepatide once weekly for four weeks by subcutaneous injections.
6
Part B 5, 5, 8,10mg Tirzepatide
Participants received titrated doses of Tirzepatide once a week for four weeks by subcutaneous injection. 5mg QW followed by 5mg QW followed by 8mg QW followed by 10mg QW.
7
Part C Placebo
Participants received placebo by subcutaneous injection.
11
Part C 0.5mg Tirzepatide
Participants received 0.5mg Tirzepatide once weekly for four weeks by subcutaneous injection.
9
Part C 5mg Tirzepatide
Participants received 5mg Tirzepatide once weekly for four weeks by subcutaneous injection.
9
Part C 5, 5, 10,10mg Tirzepatide
Participants received titrated doses of Tirzepatide once a week for four weeks by subcutaneous injection. 5mg QW followed by 5mg QW followed by 10mg QW followed by 10mg QW.
12
Part C 5, 5, 10,15mg Tirzepatide
Participants received titrated doses of Tirzepatide once a week for four weeks by subcutaneous injection. 5mg QW followed by 5mg QW followed by 10mg QW followed by 15mg QW.
12
Total142

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009FG010FG011FG012FG013FG014FG015FG016FG017
Overall StudyAdverse Event000000000000200102
Overall StudyScheduling Conflict000000000100000000

Baseline characteristics

CharacteristicTotalPart A 0.25 mg TirzepatidePart A 0.5mg TirzepatidePart A 1mg TirzepatidePart A 2.5mg TirzepatidePart A 5mg TirzepatidePart A 8mg TirzepatidePart B PlaceboPart B 1.5mg DulaglutidePart B 0.5mg TirzepatidePart A PlaceboPart B 1.5mg TirzepatidePart B 4.5mg TirzepatidePart B 5, 5, 8,10mg TirzepatidePart C PlaceboPart C 0.5mg TirzepatidePart C 5mg TirzepatidePart C 5, 5, 10,10mg TirzepatidePart C 5, 5, 10,15mg Tirzepatide
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
9 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants4 Participants2 Participants1 Participants0 Participants1 Participants
Age, Categorical
Between 18 and 65 years
133 Participants6 Participants12 Participants4 Participants6 Participants6 Participants7 Participants4 Participants4 Participants6 Participants14 Participants6 Participants6 Participants7 Participants7 Participants7 Participants8 Participants12 Participants11 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
46 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants10 Participants9 Participants8 Participants7 Participants12 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
96 Participants6 Participants12 Participants5 Participants6 Participants6 Participants7 Participants4 Participants4 Participants6 Participants14 Participants6 Participants6 Participants7 Participants1 Participants0 Participants1 Participants5 Participants0 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
94 Participants6 Participants12 Participants5 Participants6 Participants6 Participants7 Participants4 Participants4 Participants6 Participants13 Participants6 Participants5 Participants7 Participants1 Participants0 Participants1 Participants5 Participants0 Participants
Race (NIH/OMB)
Black or African American
4 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants2 Participants0 Participants1 Participants0 Participants1 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
42 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants7 Participants9 Participants7 Participants7 Participants11 Participants
Region of Enrollment
Singapore
96 Participants6 Participants12 Participants5 Participants6 Participants6 Participants7 Participants4 Participants4 Participants6 Participants14 Participants6 Participants6 Participants7 Participants1 Participants0 Participants1 Participants5 Participants0 Participants
Region of Enrollment
United States
46 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants10 Participants9 Participants8 Participants7 Participants12 Participants
Sex: Female, Male
Female
34 Participants1 Participants1 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants6 Participants0 Participants4 Participants6 Participants7 Participants2 Participants6 Participants
Sex: Female, Male
Male
108 Participants5 Participants11 Participants4 Participants6 Participants6 Participants7 Participants4 Participants4 Participants6 Participants14 Participants6 Participants0 Participants7 Participants7 Participants3 Participants2 Participants10 Participants6 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
EG010
affected / at risk
EG011
affected / at risk
EG012
affected / at risk
EG013
affected / at risk
EG014
affected / at risk
EG015
affected / at risk
EG016
affected / at risk
EG017
affected / at risk
deaths
Total, all-cause mortality
0 / 140 / 60 / 120 / 50 / 60 / 60 / 70 / 40 / 40 / 60 / 60 / 60 / 70 / 110 / 90 / 90 / 120 / 12
other
Total, other adverse events
7 / 144 / 610 / 123 / 52 / 66 / 67 / 73 / 43 / 46 / 65 / 66 / 66 / 73 / 115 / 97 / 910 / 1211 / 12
serious
Total, serious adverse events
0 / 140 / 60 / 120 / 50 / 60 / 60 / 70 / 41 / 40 / 60 / 60 / 60 / 70 / 110 / 90 / 90 / 120 / 12

Outcome results

Primary

Number of Participants With One or More Serious Adverse Event(s) (SAEs)

Number of participants with one or more SAEs considered by the investigator to be related to study drug administration. A summary of SAEs and other non-serious adverse events (AEs), regardless of causality, were reported in the Reported Adverse Events module

Time frame: Baseline through Day 43 (Part A) and Day 57 (Part B and C)

Population: All randomized participants who received at least one dose of study drug.

ArmMeasureValue (NUMBER)
Tirzepatide (Part A)Number of Participants With One or More Serious Adverse Event(s) (SAEs)0 Participants
Placebo (Part A)Number of Participants With One or More Serious Adverse Event(s) (SAEs)0 Participants
Tirzepatide (Part B)Number of Participants With One or More Serious Adverse Event(s) (SAEs)0 Participants
Placebo (Part B)Number of Participants With One or More Serious Adverse Event(s) (SAEs)0 Participants
Dulaglutide (Part B)Number of Participants With One or More Serious Adverse Event(s) (SAEs)1 Participants
Tirzepatide (Part C)Number of Participants With One or More Serious Adverse Event(s) (SAEs)0 Participants
Placebo (Part C)Number of Participants With One or More Serious Adverse Event(s) (SAEs)0 Participants
Secondary

Pharmacodynamics (PD): Ratio of AUC of Glucose on Day 23 to Baseline (Part C)

PD: Glucose area under the concentration versus time curve from time 0 to 2 hours (AUC\[0-2h\]) in Part C. Ratio to Baseline (Day -1) AUC (0-2h).

Time frame: Pre-glucose dose, 0.5, 1, 1.5, 2 hours post-glucose dose on Day -1 and Day 23

Population: All randomized participants in part C who received at least one dose of Tirzepatide and had evaluable day 23 PD data.

ArmMeasureValue (GEOMETRIC_LEAST_SQUARES_MEAN)
Tirzepatide (Part A)Pharmacodynamics (PD): Ratio of AUC of Glucose on Day 23 to Baseline (Part C)0.96 ratio
Placebo (Part A)Pharmacodynamics (PD): Ratio of AUC of Glucose on Day 23 to Baseline (Part C)0.61 ratio
Tirzepatide (Part B)Pharmacodynamics (PD): Ratio of AUC of Glucose on Day 23 to Baseline (Part C)0.58 ratio
Placebo (Part B)Pharmacodynamics (PD): Ratio of AUC of Glucose on Day 23 to Baseline (Part C)0.57 ratio
Secondary

Pharmacodynamics (PD): Ratio of AUC of Glucose on Day 2 to Baseline (Part C)

PD: Glucose area under the concentration versus time curve from time 0 to 2 hours (AUC\[0-2h\]) in Part C. Ratio to Baseline (Day -1) AUC (0-2h).

Time frame: Pre-glucose dose, 0.5, 1, 1.5, 2 hours post-glucose dose on Day -1 and Day 2

Population: All randomized participants in part C who received at least one dose of Tirzepatide and had evaluable day 2 PD data.

ArmMeasureValue (GEOMETRIC_LEAST_SQUARES_MEAN)
Tirzepatide (Part A)Pharmacodynamics (PD): Ratio of AUC of Glucose on Day 2 to Baseline (Part C)0.99 ratio
Placebo (Part A)Pharmacodynamics (PD): Ratio of AUC of Glucose on Day 2 to Baseline (Part C)0.72 ratio
Tirzepatide (Part B)Pharmacodynamics (PD): Ratio of AUC of Glucose on Day 2 to Baseline (Part C)0.65 ratio
Placebo (Part B)Pharmacodynamics (PD): Ratio of AUC of Glucose on Day 2 to Baseline (Part C)0.73 ratio
Secondary

Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve (AUC) of Tirzepatide in Part A.

Area under the concentration versus time curve from zero to infinity (AUC \[0-∞\]) of Tirzepatide in Part A.

Time frame: Predose, 8hours(h), 24h,48h,72h,96h,120h,168h,336h postdose, day 29, day 43

Population: All randomized participants in part A who received at least one dose of Tirzepatide and had evaluable PK data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Tirzepatide (Part A)Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve (AUC) of Tirzepatide in Part A.5760 Hour * nanogram per milliliter (h*ng/mL)Geometric Coefficient of Variation 22
Placebo (Part A)Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve (AUC) of Tirzepatide in Part A.12000 Hour * nanogram per milliliter (h*ng/mL)Geometric Coefficient of Variation 24
Tirzepatide (Part B)Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve (AUC) of Tirzepatide in Part A.22600 Hour * nanogram per milliliter (h*ng/mL)Geometric Coefficient of Variation 14
Placebo (Part B)Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve (AUC) of Tirzepatide in Part A.53200 Hour * nanogram per milliliter (h*ng/mL)Geometric Coefficient of Variation 36
Dulaglutide (Part B)Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve (AUC) of Tirzepatide in Part A.90500 Hour * nanogram per milliliter (h*ng/mL)Geometric Coefficient of Variation 15
Tirzepatide (Part C)Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve (AUC) of Tirzepatide in Part A.169000 Hour * nanogram per milliliter (h*ng/mL)Geometric Coefficient of Variation 8
Secondary

Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve (AUC) of Tirzepatide in Part B

Area under the concentration versus time curve during 1 dosing interval (AUC \[0-τ\]) of Tirzepatide in Part B. τ equals 168 hours.

Time frame: Predose, 8hours(h), 24h,48h,72h,168h postdose

Population: All randomized participants in part B who received at least one dose of the Tirzepatide and had evaluable PK data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Tirzepatide (Part A)Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve (AUC) of Tirzepatide in Part B6000 Hour * nanogram per milliliter (h*ng/mL)Geometric Coefficient of Variation 23
Placebo (Part A)Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve (AUC) of Tirzepatide in Part B16300 Hour * nanogram per milliliter (h*ng/mL)Geometric Coefficient of Variation 13
Tirzepatide (Part B)Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve (AUC) of Tirzepatide in Part B53300 Hour * nanogram per milliliter (h*ng/mL)Geometric Coefficient of Variation 19
Placebo (Part B)Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve (AUC) of Tirzepatide in Part B56900 Hour * nanogram per milliliter (h*ng/mL)Geometric Coefficient of Variation 10
Secondary

Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve (AUC) of Tirzepatide in Part C

Area under the concentration versus time curve during 1 dosing interval (AUC \[0-τ\]) of Tirzepatide in Part C. τ equals 168 hours.

Time frame: Predose, 8hours(h), 24h,48h,72h,168h postdose

Population: All randomized participants in part C who received at least one dose of Tirzepatide and had evaluable PK data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Tirzepatide (Part A)Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve (AUC) of Tirzepatide in Part C4770 Hour * nanogram per milliliter (h*ng/mL)Geometric Coefficient of Variation 30
Placebo (Part A)Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve (AUC) of Tirzepatide in Part C50500 Hour * nanogram per milliliter (h*ng/mL)Geometric Coefficient of Variation 20
Tirzepatide (Part B)Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve (AUC) of Tirzepatide in Part C41900 Hour * nanogram per milliliter (h*ng/mL)Geometric Coefficient of Variation 26
Placebo (Part B)Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve (AUC) of Tirzepatide in Part C37990 Hour * nanogram per milliliter (h*ng/mL)Geometric Coefficient of Variation 21

Source: ClinicalTrials.gov · Data processed: Mar 5, 2026