Clinical trial Recruiting at 33 sites Phase 3 Interventional Ages 18 to 65

Orforglipron for Type 2 Diabetes in Ramadan Fasters

Official title: A Phase 3b, Multicenter, Multi-Country, Open-Label, Single-Arm Study to Investigate the Efficacy and Safety of Orforglipron in Adult Participants With Type 2 Diabetes Who Observe Ramadan Fasting (ACHIEVE-RAM)

Run by Eli Lilly and Company · NCT07613307 · Data updated 2026-11-12

This study tests whether orforglipron helps people with type 2 diabetes who fast during Ramadan, to see if it improves blood sugar control safely.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment130 (estimated)
SponsorEli Lilly and Company
Industry-sponsored
Locations40 sites (Agra and 39 other locations)
StatusRecruiting
StartedJuly 15, 2026
Main results expectedMay 2027
Study endsMay 2027
Registry record updatedOctober 8, 2026
Trial IDNCT07613307 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with type 2 diabetes, HbA1c 7.0% to 9.5%, BMI ≥25 kg/m2, and intent to fast during Ramadan.

Probably not a fit

Patients who do not fast during Ramadan or have contraindications covered by the exclusion criteria may not see benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase 3 trial will enroll adults with type 2 diabetes who plan to fast during Ramadan. Participants will receive orforglipron and be followed for up to 48 weeks, with at least seven in-clinic visits and four virtual visits. The study monitors safety and efficacy in the context of Ramadan fasting to see how the treatment affects glucose management during periods of intentional dietary change. Eligibility requires stable weight, a specific range of HbA1c, and a commitment to fasting. Exclusion criteria rule out other forms of diabetes and certain thyroid and pancreatic conditions.

Why it matters

Potential benefit: If successful, participants may experience better blood sugar control during Ramadan with an acceptable safety profile.

How similar studies have gone: Earlier studies in related glucose-lowering therapies have shown benefits in similar fasting contexts, though this exact approach is being studied specifically for Ramadan.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Have a clinical diagnosis of T2D based on the World Health Organization (WHO) classification or other locally applicable diagnostic standards.
* Have an HbA1c value of at least 7.0% (53 millimoles per mole (mmol/mol)) to less than 9.5% (91 mmol/mol) at screening.
* Intend to be compliant with the fast during the Ramadan period.
* Have had stable body weight self-reported change of 5 kilograms (kg) or lower during the 90 days prior to screening.
* Have body mass index (BMI) of 25 kilograms per meter square (kg/m2) or higher at screening.

Exclusion Criteria:

* Have any form of diabetes other than T2D, including type 1 diabetes (T1D), gestational diabetes, latent autoimmune diabetes, maturity-onset diabetes of the young, and medication-induced diabetes
* Have a family (first-degree relative) or personal history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2.
* Have a history of chronic or acute pancreatitis any time prior to screening
* Have evidence of a significant, uncontrolled endocrine abnormality, for example, thyrotoxic or adrenal crises, in the opinion of the investigator
* Have a history of an active or untreated malignancy or are in remission from a clinically significant malignancy for less than 5 years.
* Have a history of cholecystectomy (surgically removed gallbladder)
* Have New York Heart Association Functional Classification IV congestive heart-failure.

Where it's running

  • Sarojini Naidu Medical College
    Agra, India
    Recruiting
  • Osmania General Hospital
    Hyderabad, India
    Recruiting
  • Brij Medical Centre Pvt. Ltd.
    Kanpur, India
    Recruiting
  • Apollo Multispeciality Hospitals limited
    Kolkata, India
    Recruiting
  • KGN Diabetes and Endocrinology Centre
    Mumbai, India
    Recruiting
  • Mysore Medical College and Research Institute
    Mysore, India
    Recruiting
Show 34 more locations
  • Supe Heart & Diabetes Hospital & Research Centre
    Nashik, India
    Recruiting
  • Diabetes Clinic
    Nellore, India
    Recruiting
  • Visakha Institute of Medical Sciences
    Visakhapatna, India
    Recruiting
  • King Fahad Specialist Hospital
    Dammam, Saudi Arabia
    Recruiting
  • Imam Abdulrahman Bin Faisal University
    Dammam, Saudi Arabia
    Recruiting
  • King Abdulaziz University Hospital
    Jeddah, Saudi Arabia
    Recruiting
  • Dr. Soliman Fakeeh Hospital
    Jeddah, Saudi Arabia
    Recruiting
  • King Saud University Medical City
    Riyadh, Saudi Arabia
    Recruiting
  • JOSHA Research
    Bloemfontein, South Africa
    Recruiting
  • TREAD Research
    Cape Town, South Africa
    Recruiting
  • TASK Central
    Cape Town, South Africa
    Recruiting
  • Tiervlei Trial Centre
    Cape Town, South Africa
    Recruiting
  • Synopsis Research
    Cape Town, South Africa
    Recruiting
  • Synergy Biomed Research Institute (SBRI)
    East London, South Africa
    Recruiting
  • Aliwal Shoal Medical Centre
    eMkhomazi, South Africa
    Recruiting
  • Fola Health
    Johannesburg, South Africa
    Recruiting
  • Trident Clinical
    Kimberley, South Africa
    Recruiting
  • Ubuntu Clinical Research Krugersdorp
    Krugersdorp, South Africa
    Recruiting
  • Drs H & V Makan Centre for Diabetes
    Lenasia, South Africa
    Recruiting
  • Be Part Research (PTY) LTD
    Paarl, South Africa
    Recruiting
  • Emmed Research
    Pretoria, South Africa
    Recruiting
  • Dr JM Engelbrecht Trial Site
    Somerset West, South Africa
    Recruiting
  • NMC Royal hospital
    Abu Dhabi, United Arab Emirates
    Recruiting
  • Sheikh Khalifa Medical City
    Abu Dhabi, United Arab Emirates
    Recruiting
  • NMC Abu Dhabi
    Abu Dhabi, United Arab Emirates
    Recruiting
  • Tawam Hospital
    Al Ain City, United Arab Emirates
    Recruiting
  • Dubai Hospital
    Dubai, United Arab Emirates
    Recruiting
  • King Abdulaziz University for Health Sciences Ministry of National Guard Health Affairs
    Al-Ahsa, Saudi Arabia
    Not yet recruiting
  • National Guard Health Affairs: King Abdulaziz Medical City
    Jeddah, Saudi Arabia
    Not yet recruiting
  • King Fahad Armed Forces Hospital Jeddah
    Jeddah, Saudi Arabia
    Not yet recruiting
  • Dr. Soliman Fakeeh Hospital
    Riyadh, Saudi Arabia
    Not yet recruiting
  • Osepdale Fatebenefratelli e Oftalmico
    Riyadh, Saudi Arabia
    Not yet recruiting
  • Burjeel Medical City
    Abu Dhabi, United Arab Emirates
    Not yet recruiting
  • Emirates Hospital Dubai
    Dubai, United Arab Emirates
    Not yet recruiting

Study contacts

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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.