Effect of Retatrutide Compared With Semaglutide in Adult Participants With Type 2 Diabetes and Inadequate Glycemic Control With Metformin With or Without SGLT2 Inhibitor (TRANSCEND-T2D-2)

Phase
Recruitment status
Active, not recruiting
Participants
Lead sponsor
Eli Lilly and Company
Start date
Number of sites

Summary
The purpose of this study is to investigate the efficacy and safety of retatrutide compared with semaglutide in participants with Type 2 Diabetes and inadequate glycemic control with metformin with or without sodium-glucose cotransporter-2 inhibitor (SGLT2i). The study will last about 26 months and may include up to 24 visits.
Short title
Effect of Retatrutide Compared With Semaglutide in Adult Participants With Type 2 Diabetes and Inadequate Glycemic Control With Metformin With or Without SGLT2 Inhibitor (TRANSCEND-T2D-2)
Official title
A Phase 3, Randomized, Multicenter, Open-label Study to Investigate the Efficacy and Safety of Retatrutide Once Weekly Compared With Semaglutide Once Weekly in Adult Participants With Type 2 Diabetes and Inadequate Glycemic Control With Metformin With or Without SGLT2 Inhibitor (TRANSCEND-T2D-2)

Control arm
Active comparator
Registry reports results
Listing at source
Recruitment status
Active, not recruiting
Phase
Study type
Interventional

Completion date
First posted
Registry last updated
Primary completion date
Start date

Participants
Participant count basis
Planned participants
Protocol amendments
Number of sites

Data monitoring committee
Registry sponsor category
Lead sponsor
Eli Lilly and Company
Source registry
ClinicalTrials.gov

Registry ID
ClinicalTrials.gov ID
Registry record
Open registry record

Allocation
Randomised
Model
Parallel groups
Purpose
Treatment
Masking
No masking
Sources for study design

  1. Change from Baseline in Hemoglobin A1c (HbA1c) (%)

    Timeframe: Baseline, Week 80

  1. Change from Baseline in HbA1c (%)

    Timeframe: Baseline, Week 80

  2. Percentage of Participants Who Achieve HbA1c ≤ 6.5%

    Timeframe: Week 80

  3. Percentage of Participants Who Achieve HbA1c < 5.7%

    Timeframe: Week 80

  4. Percent Change from Baseline in Body Weight

    Timeframe: Week 80

  5. Change from Baseline in Body Weight

    Timeframe: Baseline, Week 80

  6. Percentage of Participants Who Achieve Weight Reduction of ≥ 5%

    Timeframe: Week 80

  7. Percentage of Participants Who Achieve Weight Reduction of ≥ 10%

    Timeframe: Week 80

  8. Percentage of Participants Who Achieve Weight Reduction of ≥ 15%

    Timeframe: Week 80

  9. Percentage of Participants Who Achieve HbA1c ≤ 6.5% and ≥ 10% Weight Reduction

    Timeframe: Week 80

  10. Percent Change from Baseline in Triglycerides

    Timeframe: Week 80

  11. Percent Change from Baseline in Non- high-density lipoprotein (HDL) Cholesterol

    Timeframe: Week 80

  12. Change from Baseline in Systolic Blood Pressure (SBP)

    Timeframe: Baseline, Week 80

Sources for outcomes

Sex
All
Age groups
Adults, Older adults
Minimum age
18 Years
Healthy volunteers
No

  • Have Type 2 Diabetes (T2D)
  • Have HbA1c ≥ 7.0% (53 millimoles per mole (mmol/mol)) to ≤ 10.5% (91 mmol/mol)
  • Have been on a stable diabetes treatment consisting of metformin ≥ 1500 milligrams per day (mg/day) with or without SGLT2i during 90 days prior to screening
  • Are of stable weight for at least 90 days prior to screening
  • Have a Body Mass Index (BMI) ≥ 25.0 kilograms per meter squared (kg/m^2)

  • Have Type 1 Diabetes (T1D)
  • Have a history of ketoacidosis or hyperosmolar state or coma within the last 6 months prior to screening
  • Have a history of severe hypoglycemia or hypoglycemia unawareness within the last 6 months prior to screening
  • Are currently receiving or planning to receive treatment for diabetic retinopathy and/or macular edema
  • Have an estimated glomerular filtration rate (eGFR) <45 milliliters/minute/1.73 meter squared (mL/min/1.73 m^2) or lower than the country-specific threshold for discontinuing metformin therapy per local label as determined by the central laboratory
  • Have a prior or planned surgical treatment for obesity
  • Have New York Heart Association Functional Classification IV congestive heart failure
  • Have had an acute myocardial infarction, stroke, or were hospitalized for congestive heart failure within 90 days prior to screening
  • Have a known clinically significant gastric emptying abnormality
  • Have a history of an active or untreated malignancy or are in remission from a clinically significant malignancy for less than 5 years
  • Have any lifetime history of a suicide attempt
  • Had chronic or acute pancreatitis
  • Have a family or personal history of medullary thyroid carcinoma or multiple endocrine neoplasia (MEN) syndrome Type 2
  • Have taken prescribed or over-the-counter medication, or alternative remedies, intended to promote body weight reduction within 90 days prior to screening.
Sources for eligibility

  • University of Alabama - Department of Nutrition SciencesBirmingham, United States
  • Neighborhood Healthcare Institute of HealthEscondido, United States
  • Long Beach Research InstituteLong Beach, United States
  • Valley Clinical Trials, Inc.Northridge, United States
  • Rancho Cucamonga Clinical ResearchRancho Cucamonga, United States
  • University of Colorado Anschutz Medical CampusAurora, United States
  • Arrow Clinical TrialsDaytona Beach, United States
  • New Age Medical Research CorporationMiami, United States
  • South Broward ResearchMiramar, United States
  • Clinical Research of Central FloridaWinter Haven, United States
  • Herman Clinical ResearchSuwanee, United States
  • North Georgia Clinical ResearchWoodstock, United States
  • Pacific Diabetes & Endocrine CenterHonolulu, United States
  • Rocky Mountain Clinical ResearchIdaho Falls, United States
  • Deaconess Clinic - Gateway Health CenterNewburgh, United States
  • IMA Clinical Research Monroe - ArmandMonroe, United States
  • MedStar Health Research Institute (MedStar Physician Based Research Network)Hyattsville, United States
  • Brigham and Women's Hospital Diabetes ProgramBoston, United States
  • NECCR PrimaCare ResearchFall River, United States
  • Arcturus Healthcare , PLC, Troy Internal Medicine Research DivisionTroy, United States
  • Palm Research Center TenayaLas Vegas, United States
  • Palm Research Center SunsetLas Vegas, United States
  • NYC Research INCLong Island City, United States
  • Medication ManagementGreensboro, United States
  • Remington Davis Clinical ResearchColumbus, United States

And 52 more, listed on the interactive page.

Sources for sites

Other registry identifiers

  • J1I-MC-GZBZ
Sources for references

Related records

Drugs (2)

Lead sponsors (1)

Conditions (3)

Targets (3)