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A Study of Orforglipron in Participants With Overweight at Risk of Development of Obesity-Related Complications or Progression to Class 1 Obesity

A Phase 3, Randomized, Double-blind, Placebo-controlled Study to Investigate the Efficacy and Safety of Once-Daily Oral Orforglipron Compared With Placebo in Individuals With Overweight at Risk of Development of Obesity-Related Complications or Progression to Class 1 Obesity

Status
Not yet recruiting
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07794579
Acronym
ATTAIN-NOW
Enrollment
2001
Registered
2026-08-31
Start date
2026-09-01
Completion date
2030-09-01
Last updated
2026-08-31

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

Conditions

Obesity, Abdominal, Overweight, Prediabetic State, Prehypertension

Keywords

Predyslipidemia, Weight management, Cardiovascular risk factors, Obesity prevention, Lower BMI, Early intervention in people with obesity

Brief summary

This study will evaluate the efficacy and safety of orforglipron in participants with overweight and assess whether it helps reduce the future risk of obesity-related conditions, including type 2 diabetes, hypertension, and dyslipidemia, and progression to class 1 obesity.

Interventions

DRUGOrforglipron

Administered orally

DRUGPlacebo

Administered orally

Sponsors

Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

* Have an increased waist-to-height ratio of ≥0.5 * Have at least one pre-obesity-related complication (prediabetes, prehypertension, predyslipidemia) * Have at least one unsuccessful attempt to reduce body weight based on diet and exercise * Have a BMI greater than or equal to 25 to less than or equal to 29.9 kg/m2 or equivalent-/region-specific overweight thresholds

Exclusion criteria

* Have type 1 diabetes, type 2 diabetes, or any other type of diabetes * Do not have a stable body weight within 90 days before screening * Have a documented obesity diagnosis or self-reported history of BMI ≥30 kg/m² (or an equivalent region-specific threshold) * Have taken medications for weight loss, including over-the counter medications or alternative therapies, within 180 days prior to screening * Have a prior or planned surgical treatment or procedure for obesity * Have hypertension or history of hypertension * Have dyslipidemia or history of dyslipidemia

Design outcomes

Primary

MeasureTime frameDescription
Time to Onset of Obesity Related Complications or Class 1 ObesityBaseline to Week 104Obesity related complications defined as type 2 diabetes, hypertension, or dyslipidemia; Class 1 obesity defined as body mass index (BMI) ≥30 kilograms per square meter (kg/m2) or an equivalent region-specific threshold

Secondary

MeasureTime frame
Percent Change from Baseline in Body WeightBaseline, Week 104
Time to Onset of Waist-to-Height Ratio ≥0.6Baseline to Week 104
Change from Baseline in Waist CircumferenceBaseline, Week 104
Time to Onset of Class 1 ObesityBaseline to Week 104
Time to First Occurrence of Composite Endpoint of Type 2 Diabetes, Hypertension, DyslipidemiaBaseline to Week 104
Time to Onset of Type 2 DiabetesBaseline to Week 104
Percent Change from Baseline in Total Fat MassBaseline, Week 104
Change from Baseline in Systolic Blood PressureBaseline, Week 104
Change from Baseline in Glycated Hemoglobin (HbA1c)Baseline, Week 104
Percent Change from Baseline in TriglyceridesBaseline, Week 104
Change from Baseline in Impact of Weight on Quality of Life-Lite Clinical Trials Version (IWQOL-Lite-CT) ScoreBaseline, Week 104
Pharmacokinetics (PK): Steady-State Area Under the Curve (AUC) of OrforglipronWeek 4, 12, 24, 52, and 76

Countries

Argentina, China, Czechia, Germany, India, Japan, Mexico, Puerto Rico, South Korea, Spain, Taiwan, United States

Contacts

CONTACTTrial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or
LillyTrials@Lilly.com317-615-4559
CONTACTPhysicians interested in becoming principal investigators please contact
clinical_inquiry_hub@lilly.com
STUDY_DIRECTORCall 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)

Eli Lilly and Company

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Sep 1, 2026