Clinical trial Recruiting at 55 sites Phase 2 Interventional Ages 18 to 75

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.

More Type 2 Diabetes trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment200 (estimated)
SponsorEli Lilly and Company
Industry-sponsored
Locations60 sites (Phoenix, Arizona and 59 other locations)
StatusRecruiting
StartedMarch 28, 2025
Main results expectedMay 2027
Study endsJune 2027
Registry record updatedNovember 4, 2026
Trial IDNCT06897475 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.