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
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 130 (estimated) |
| Sponsor | Eli Lilly and Company Industry-sponsored |
| Locations | 40 sites (Agra and 39 other locations) |
| Status | Recruiting |
| Started | July 15, 2026 |
| Main results expected | May 2027 |
| Study ends | May 2027 |
| Registry record updated | October 8, 2026 |
| Trial ID | NCT07613307 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
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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
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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
- Study coordinator: Trial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or
- Email: LillyTrials@Lilly.com
- Phone: 1-317-615-4559
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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.