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A Study of Orforglipron (LY3502970) Compared With Dapagliflozin in Adult Participants With Type 2 Diabetes and Inadequate Glycemic Control With Metformin

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

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06192108
Acronym
ACHIEVE-2
Enrollment
962
Registered
2024-01-05
Start date
2024-01-10
Completion date
2025-09-26
Last updated
2025-10-20

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

Conditions

Type 2 Diabetes

Brief summary

The main purpose of this study is to assess the safety and efficacy of orforglipron compared with dapagliflozin in improving blood sugar control in participants with type 2 diabetes (T2D) with inadequate glycemic control using metformin. The study will last approximately 46 weeks.

Interventions

DRUGOrforglipron

Administered orally

DRUGDapagliflozin

Administered orally

Sponsors

Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Have a clinical diagnosis of T2D based on the World Health Organization classification or other locally applicable diagnostic standards. * Have HbA1c ≥7.0% (53 mmol/mol) to ≤10.5% (91 mmol/mol) at screening. * Have been on stable diabetes treatment with metformin ≥1500 milligram per day (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. * Have a body mass index (BMI) ≥23.0 kilogram/square meter (kg/m²) at screening.

Exclusion criteria

* Have Type 1 Diabetes (T1D) * Are currently receiving or planning to receive treatment for diabetic retinopathy and/or macular edema * Have an estimated glomerular filtration rate (eGFR) \<45 milliliter per minute (mL/min)/1.73 square meter (m2) * Have acute or chronic hepatitis * Have had chronic or acute pancreatitis any time. * Have been treated with any antihyperglycemic medication (other than metformin) within the 90 days prior to screening.

Design outcomes

Primary

MeasureTime frame
Change from Baseline in Hemoglobin A1c: (HbA1c)Baseline, Week 40

Secondary

MeasureTime frame
Percentage of Participants Who Achieved HbA1c <7.0% (53 millimole/mole(mmol/mol))Week 40
Percentage of Participants Who Achieved HbA1c ≤6.5% (48 mmol/mol)Week 40
Percentage Change from Baseline in Body WeightBaseline, Week 40
Change from Baseline in Body WeightBaseline, Week 40
Percentage Change from Baseline in Non-High-Density Lipoprotein (non-HDL)-CholesterolBaseline, Week 40
Percentage Change from Baseline in TriglyceridesBaseline, Week 40
Change from Baseline in Systolic Blood Pressure (SBP)Baseline, Week 40
Change from Baseline in HbA1cBaseline, Week 40
Percentage of Participants Who Achieved Weight Loss of ≥5% from BaselineBaseline to Week 40
Percentage of Participants Who Achieved Weight Loss of ≥10% from baselineBaseline to Week 40
Percentage of Participants Who Achieved Weight Loss of ≥15% from baselineBaseline to Week 40
Change from Baseline in Diastolic Blood Pressure (DBP)Baseline, Week 40
Percentage Change from Baseline in Total CholesterolBaseline, Week 40
Change from Baseline in Short Form 36 Version 2 (SF-36-v2) Acute Form Domain Summary ScoresBaseline, Week 40
Change from Baseline in Diabetes Treatment Satisfaction Questionnaire-Change (DTSQc) ScoresBaseline, Week 40
Change from Baseline in Fasting Serum GlucoseBaseline, Week 40

Countries

China, Germany, Mexico, Poland, Taiwan, United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 10, 2026