Comparing LY3457263 to placebo for type 2 diabetes patients on semaglutide or tirzepatide
Official title: A Parallel-Group Treatment, Phase 2, Double-Blind Study of Once-Weekly Subcutaneous LY3457263 Compared to Placebo in Participants With Type 2 Diabetes Mellitus on a Stable Dose of Semaglutide or Tirzepatide Who Failed to Achieve HbA1c Goal
Run by Eli Lilly and Company · NCT06897475 · Data updated 2026-11-12
This study is testing if a new medication called LY3457263 can help people with type 2 diabetes who are already using semaglutide or tirzepatide lower their blood sugar levels better than a placebo.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 200 (estimated) |
| Sponsor | Eli Lilly and Company Industry-sponsored |
| Locations | 60 sites (Phoenix, Arizona and 59 other locations) |
| Status | Recruiting |
| Started | March 28, 2025 |
| Main results expected | May 2027 |
| Study ends | June 2027 |
| Registry record updated | November 4, 2026 |
| Trial ID | NCT06897475 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults with type 2 diabetes, HbA1c levels between 7.5% and 10.5%, and a BMI of 27 kg/m2 or higher who are stable on semaglutide or tirzepatide.
✕Probably not a fit
Patients with type 1 diabetes, recent cardiovascular events, or those who have undergone obesity surgery may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study evaluates the effectiveness of LY3457263 in lowering hemoglobin A1c (HbA1c) levels compared to a placebo in individuals with type 2 diabetes who are currently on a stable dose of either semaglutide or tirzepatide. Participants must have an HbA1c level between 7.5% and 10.5% and a body mass index (BMI) of 27 kg/m2 or higher. The study will last approximately 9 months, during which the changes in HbA1c will be closely monitored. The goal is to determine if LY3457263 can help patients achieve better glycemic control.
Why it matters
Potential benefit: If successful, this treatment could help patients with type 2 diabetes achieve better blood sugar control.
How similar studies have gone: Other studies have shown promising results with similar approaches in managing type 2 diabetes, indicating potential for success.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Have type 2 diabetes * Have HbA1c ≥7.5% to ≤10.5% at screening * Have a body mass index (BMI) of ≥27 kilograms per square meter (kg/m2) at screening * Have had a stable body weight for the three months prior to screening * On stable treatment dose of one of the following incretins for at least three months prior to screening: * Injectable semaglutide (1 and 2 milligram (mg)) * Injectable tirzepatide (5, 7.5, 10, 12.5 and 15 mg) Exclusion Criteria: * Have type 1 diabetes, latent autoimmune diabetes, or history of ketoacidosis or hyperosmolar coma * Have a prior or planned surgical treatment for obesity * Have any of the following cardiovascular conditions within three months prior to screening: * acute myocardial infarction * cerebrovascular accident (stroke) * unstable angina, or * hospitalization due to congestive heart failure * Have used insulin to control blood glucose within the past year (short-term use allowed) * Current use of prohibited oral antihyperglycemic medication (OAM) (including but not limited to, Dipeptidyl Peptidase IV Inhibitors (DPP-4i) and meglitinides) may be randomized if the prohibited OAM treatment was discontinued at least 3 months prior to screening * If participant has been on stable doses (for at least three months) of up to three permitted OAMs (limited to metformin, sodium-glucose cotransporter-2 (SGLT2) inhibitors, alpha-glucosidase inhibitors, sulfonylurea, and/or thiazolidinediones (TZD), they are permitted to participate in the study * Have taken any medications or alternative remedies for weight loss within three months prior to screening
Where it's running
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Helios Clinical Research - Phoenix
Phoenix, Arizona, United States Recruiting -
Wolverine Clinical Trials
Santa Ana, California, United States Recruiting -
Renstar Medical Research
Ocala, Florida, United States Recruiting -
Oviedo Medical Research
Oviedo, Florida, United States Recruiting -
Balanced Life Health Care Solutions/SKYCRNG
Lawrenceville, Georgia, United States Recruiting -
Physicians Research Associates
Lawrenceville, Georgia, United States Recruiting
Show 44 more locations
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Rophe Adult and Pediatric Medicine/SKYCRNG
Union City, Georgia, United States Recruiting -
North Georgia Clinical Research
Woodstock, Georgia, United States Recruiting -
Elite Clinical Trials
Rexburg, Idaho, United States Recruiting -
Investigators Research Group
Brownsburg, Indiana, United States Recruiting -
Clinical Research of Philadelphia
Pennington, New Jersey, United States Recruiting -
NYC Research INC
Long Island City, New York, United States Recruiting -
Richmond University Medical Center
Staten Island, New York, United States Recruiting -
Southgate Medical Group
West Seneca, New York, United States Recruiting -
Lucas Research, Inc.
Morehead City, North Carolina, United States Recruiting -
Shelby Clinical Research
Shelby, North Carolina, United States Recruiting -
Providence Health Partners-Center for Clinical Research
Dayton, Ohio, United States Recruiting -
Alliance for Multispecialty Research, LLC
Norman, Oklahoma, United States Recruiting -
Frontier Clinical Research, LLC
Scottdale, Pennsylvania, United States Recruiting -
Juno Research
Houston, Texas, United States Recruiting -
Southern Endocrinology Associates
Mesquite, Texas, United States Recruiting -
Texas Diabetes & Endocrinology, P.A.
Round Rock, Texas, United States Recruiting -
Consano Clinical Research, LLC
Shavano Park, Texas, United States Recruiting -
Texas Valley Clinical Research
Weslaco, Texas, United States Recruiting -
Eastside Research Associates
Redmond, Washington, United States Recruiting -
Centricity Research Brampton Endocrinology
Brampton, Canada Recruiting -
Ecogene-21
Chicoutimi, Canada Recruiting -
Winterberry Research Inc.
Hamilton, Canada Recruiting -
Viacar Recherche Clinique
Longueuil, Canada Recruiting -
G A Research Associates
Moncton, Canada Recruiting -
Bluewater Clinical Research Group Inc.
Sarnia, Canada Recruiting -
Maple Leaf Research
Toronto, Canada Recruiting -
Diabetes Heart Research Centre
Toronto, Canada Recruiting -
Fadia El Boreky Medicine
Waterloo, Canada Recruiting -
Legeartis - Poradnie Specjalistyczne
Bialystok, Poland Recruiting -
Centrum Badan Klinicznych PI-House sp. z o.o.
Gdansk, Poland Recruiting -
Medyczne Centrum Diabetologiczno Endokrynologiczno Metaboliczne DIAB-ENDO-MET
Krakow, Poland Recruiting -
Centrum Terapii Wspolczesnej J. M. Jasnorzewska Spolka Komandytowo-Akcyjna
Lodz, Poland Recruiting -
Ekamed
Lublin, Poland Recruiting -
Private Practice - Dr. Robert Witek
Tarnów, Poland Recruiting -
NBR Polska
Warsaw, Poland Recruiting -
Szpital Czerniakowski
Warsaw, Poland Recruiting -
4 Wojskowy Szpital Kliniczny z Polikliniką SPZOZ
Wroclaw, Poland Recruiting -
Centro de Endocrinologia Alcantara Gonzalez
Bayamón, Puerto Rico Recruiting -
Mgcendo Llc
San Juan, Puerto Rico Recruiting -
FutureMeds - Birmingham
Birmingham, United Kingdom Recruiting -
Layton Medical Centre
Blackpool, United Kingdom Recruiting -
Southmead Hospital
Bristol, United Kingdom Recruiting -
FutureMeds - Liverpool
Bromborough, United Kingdom Recruiting -
Futuremeds-Newcastle
Newcastle, United Kingdom Recruiting
+10 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Trial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or
- Email: LillyTrials@Lilly.com
- Phone: 1-317-615-4559
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Acute Blood Flow Restriction Walking in Type 2 Diabetes
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Continuous Glucose Monitoring in Type 2 Diabetes Not on Insulin
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Differentiating heart disease in autoimmune vs. type 2 diabetes
This study tests whether adult-onset autoimmune diabetes (AID/LADA) and type 2 diabetes (T2D) differ in how diabetic heart disease develops, using advanced heart imaging in people with AID, T2D, and healthy controls.
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Lifestyle Metabotype Study B: Understanding Personalized Glucose Responses
This study tests how lifestyle, metabolism, and brain energy use relate to each person’s blood sugar response after meals, across people with and without prediabetes or type 2 diabetes.
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Lifestyle Metabotype Study: How Daily Habits Shape Blood Sugar
This observational study tests whether personal lifestyle and biological factors can predict how a person’s blood sugar responds after meals.
-
Switching to Zenagamtide From Tirzepatide in Adults With Overweight or Obesity With or Without Type 2 Diabetes
This study tests whether adults who are overweight or have obesity (with or without type 2 diabetes) can switch from tirzepatide to a new treatment called zenagamtide to find a tolerable dose.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.