A Study of Tirzepatide (LY3298176) Once a Week Versus Insulin Glargine Once a Day in Participants With Type 2 Diabetes and Increased Cardiovascular Risk (SURPASS-4)
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ClinicalTrials.gov Identifier: NCT03730662 |
Recruitment Status :
Recruiting
First Posted : November 5, 2018
Last Update Posted : February 19, 2019
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Type 2 Diabetes Mellitus | Drug: Tirzepatide Drug: Insulin Glargine | Phase 3 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 1878 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | Efficacy and Safety of LY3298176 Once Weekly Versus Insulin Glargine in Patients With Type 2 Diabetes and Increased Cardiovascular Risk (SURPASS-4) |
Actual Study Start Date : | November 20, 2018 |
Estimated Primary Completion Date : | May 15, 2021 |
Estimated Study Completion Date : | June 15, 2021 |

Arm | Intervention/treatment |
---|---|
Experimental: 5 mg Tirzepatide
5 milligrams (mg) tirzepatide administered subcutaneously (SC) once a week.
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Drug: Tirzepatide
Administered SC.
Other Name: LY3298176 |
Experimental: 10 mg Tirzepatide
10 mg tirzepatide administered SC once a week.
|
Drug: Tirzepatide
Administered SC.
Other Name: LY3298176 |
Experimental: 15 mg Tirzepatide
15 mg tirzepatide administered SC once a week.
|
Drug: Tirzepatide
Administered SC.
Other Name: LY3298176 |
Active Comparator: Insulin Glargine
Insulin glargine administered SC once a day.
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Drug: Insulin Glargine
Administered SC |
- 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)
- Change from Baseline in HbA1c (5 mg) [ Time Frame: Baseline, Week 52 ]Change from baseline in HbA1c (5 mg)
- Change from Baseline in Body Weight [ Time Frame: Baseline, Week 52 ]Change from baseline in body weight
- Percentage of Participants with HbA1c of <7.0% [ Time Frame: Week 52 ]Percentage of participants with HbA1c of <7.0%
- Change from Baseline in Fasting Serum Glucose [ Time Frame: Baseline, Week 52 ]Change from baseline in fasting serum glucose
- Change from Baseline in 7-Point Self-Monitored Blood Glucose (SMBG) Values [ Time Frame: Baseline, Week 52 ]Change from baseline in 7-point SMBG values
- Pharmacokinetics (PK): Steady State Area Under the Concentration Time Curve (AUC) of Tirzepatide [ Time Frame: Baseline through Week 52 ]PK: Steady state AUC of tirzepatide
- Rate of Total Hypoglycemia [ Time Frame: Baseline through Week 52 ]Rate of total hypoglycemia

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Participants must:
- 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
Participants must not:
- 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

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03730662
Contact: There may be multiple sites in this clinical trial. 1-877-CTLILLY (1-877-285-4559) or | 1-317-615-4559 | clinicaltrials.gov@lilly.com |

Study Director: | Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST) | Eli Lilly and Company |
Additional Information:
Responsible Party: | Eli Lilly and Company |
ClinicalTrials.gov Identifier: | NCT03730662 History of Changes |
Other Study ID Numbers: |
17072 I8F-MC-GPGM ( Other Identifier: Eli Lilly and Company ) 2018-002618-11 ( EudraCT Number ) |
First Posted: | November 5, 2018 Key Record Dates |
Last Update Posted: | February 19, 2019 |
Last Verified: | February 1, 2019 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Yes |
Plan Description: | Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement. |
Supporting Materials: |
Study Protocol Statistical Analysis Plan (SAP) Clinical Study Report (CSR) |
Time Frame: | Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting. |
Access Criteria: | A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement. |
URL: | http://www.clinicalstudydatarequest.com |
Studies a U.S. FDA-regulated Drug Product: | Yes | |
Studies a U.S. FDA-regulated Device Product: | No |
Keywords provided by Eli Lilly and Company:
GIP GLP-1 glucose metabolism disorders |
metabolic diseases endocrine system diseases cardiovascular risk |
Additional relevant MeSH terms:
Diabetes Mellitus Diabetes Mellitus, Type 2 Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases |
Insulin, Globin Zinc Insulin Insulin Glargine Hypoglycemic Agents Physiological Effects of Drugs |