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Clinical Trials List

Protocol NumberI8F-MC-GPGM
NCT Number(ClinicalTrials.gov Identfier)NCT03730662

2019-02-15 - 2021-04-22

Phase III

Terminated9

ICD-10E11.8

Type 2 diabetes mellitus with unspecified complications

Efficacy and Safety of LY3298176 Once Weekly Versus Insulin Glargine in Patients With Type 2 Diabetes and Increased Cardiovascular Risk (SURPASS-4)

  • Trial Applicant

    ELI LILLY AND COMPANY(TAIWAN), INC.

  • Sponsor

    Eli Lilly and Company

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2025/08/20

Investigators and Locations

Principal Investigator 田凱仁 Division of Endocrinology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator Chii-Min Hwu Division of Endocrinology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 黃建寧 Division of Endocrinology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator Ching-Chu Chen Division of Endocrinology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 曾士婷 Division of Endocrinology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator Horng-Yih Ou Division of Endocrinology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 陳榮福 Division of Endocrinology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 夏德霖 Division of Endocrinology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator LEE-MING CHUANG Division of Endocrinology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Condition/Disease

Type 2 Diabetes Mellitus

Objectives

The purpose of the trial is to assess the efficacy and safety of tirzepatide taken once a week to insulin glargine taken once daily in participants with type 2 diabetes and increased cardiovascular risk. The study will last about 108 weeks and may include up to 30 visits. Primary Objective  To demonstrate that QW LY3298176 10 mg and/or 15 mg is noninferior to insulin glargine for change from baseline in HbA1c at 52 weeks

Test Drug

LY3298176

Active Ingredient

LY3298176

Dosage Form

prefilled syringe

Dosage

2.5mg/5mg/7.5mg/ 10mg/ 12.5mg/ 15mg

Endpoints

Primary Outcome Measures :
Change from Baseline in Hemoglobin A1c (HbA1c) (10 mg and 15 mg) [ Time Frame: Baseline, Week 52 ]
Change from baseline in HbA1c (10 mg and 15 mg)

Inclution Criteria

-Have been diagnosed with type 2 diabetes mellitus (T2DM)
-Have HbA1c between ≥7.5% and ≤10.5%
-Be on stable treatment with unchanged dose of at least 1 and no more than 3 types of oral antihyperglycemic drugs, which may only include metformin, SGLT-2 inhibitors, and/or sulfonylureas for at least 3 months before screening
-Have increased risk for cardiovascular (CV) events
-Be of stable weight (± 5%)
-Have a BMI ≥25 kilograms per meter squared (kg/m2) at screening

Exclusion Criteria

-Have type 1 diabetes mellitus
-Have had chronic or acute pancreatitis any time prior to study entry
-Have proliferative diabetic retinopathy or diabetic maculopathy or nonproliferative diabetic retinopathy requiring immediate or urgent treatment
-Have disorders associated with slowed emptying of the stomach, or have had any stomach surgeries for the purpose of weight loss
-Have acute or chronic hepatitis, signs and symptoms of any other liver disease, or blood alanine transaminase (ALT) enzyme level >3.0 times the upper limit of normal (ULN) for the reference range, as determined by the central laboratory. Participants with nonalcoholic fatty liver disease (NAFLD) are eligible for participation in this trial only if there ALT level is ≤3.0 the ULN for the reference range
-Have had a heart attack, stroke, or hospitalization for congestive heart failure in the past 2 months
-Have a personal or family history of medullary thyroid carcinoma or personal history of multiple endocrine neoplasia syndrome type 2
-Have been taking any other diabetes medicines other than metformin, SGLT-2 inhibitors, and/or sulfonylureas during the last 3 months
-Have been taking weight loss drugs, including over-the-counter medications during the last 3 months

The Estimated Number of Participants

  • Taiwan

    60 participants

  • Global

    2002 participants