Orforglipron vs. dulaglutide in kids with type 2 diabetes
Official title: A Phase 3, Randomized, Open-Label Study to Investigate the Efficacy, Safety, and Pharmacokinetics of Once-Daily Oral Orforglipron Compared With Once-Weekly Dulaglutide in Pediatric Participants 10 to Less Than 18 Years of Age With Type 2 Diabetes
Run by Eli Lilly and Company · NCT07668336 · Data updated 2026-11-12
This study tests whether orforglipron works and is safe in children and teens with type 2 diabetes, compared with dulaglutide.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 10 Years to 17 Years |
| Sex | All |
| Enrollment | 170 (estimated) |
| Sponsor | Eli Lilly and Company Industry-sponsored |
| Locations | 71 sites (Sacramento, California and 70 other locations) |
| Status | Recruiting |
| Started | July 8, 2026 |
| Main results expected | March 2030 |
| Study ends | March 2030 |
| Registry record updated | November 5, 2026 |
| Trial ID | NCT07668336 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Children and adolescents aged 10 to less than 18 years with type 2 diabetes treated with diet and exercise plus metformin and/or basal insulin, and meeting specific HbA1c and weight criteria.
✕Probably not a fit
Patients with type 1 diabetes or those meeting high-risk exclusion criteria may not benefit from this treatment comparison.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized, phase 3 study compares the oral GLP-1 receptor agonist orforglipron to the injectable dulaglutide in participants aged 10 to under 18 with type 2 diabetes. The trial focuses on how well the medicines lower blood glucose, their safety, and how the body handles the drugs over about 61 weeks. Eligible participants typically have diabetes managed with diet, exercise, metformin and/or basal insulin, and meet specific weight and HbA1c criteria. Exclusion criteria include prior type 1 diabetes, certain complications, and prior weight-loss–promoting medications. Conducted at multiple pediatric endocrinology centers in California, Connecticut, and San Diego, the study is sponsored by Eli Lilly with no listed collaborators.
Why it matters
Potential benefit: If successful, participants may experience improved blood sugar control with a convenient oral medication.
How similar studies have gone: GLP-1 receptor agonist studies in youth have shown promise, but this direct oral agent in pediatric type 2 diabetes is relatively novel and data are still emerging.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Have type 2 diabetes treated with diet and exercise and metformin and/or basal insulin * Have HbA1c \> 6.5% to ≤ 11.0% at screening * Have a body weight ≥50 kilograms (kg) (110 pounds) and a body mass index (BMI) of \>85th percentile Exclusion Criteria: * Have type 1 diabetes * After the type 2 diabetes diagnosis, have a history of diabetic ketoacidosis or hyperosmolar syndrome * Have had at least one episode of severe hypoglycemia and/or at least one episode of hypoglycemic unawareness within the last 6 months before screening * Have a history of pancreatitis or gallbladder disease * Have a personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN2) * Have received treatment with any glucose-lowering agent(s) other than metformin, basal insulin, or (SGLT2) inhibitors within 90 days prior to screening * Have been treated with prescription drugs or over-the-counter medications that promote weight loss within 90 days prior to screening
Where it's running
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Sutter Valley Medical Foundation (SVMF) Pediatric Endocrinology
Sacramento, California, United States Recruiting -
Stamford Therapeutics Consortium
Stamford, Connecticut, United States Recruiting -
CenExel iResearch, LLC
Decatur, Georgia, United States Recruiting -
Medical Research Partners
Ammon, Idaho, United States Recruiting -
Cotton O'Neil Diabetes & Endocrinology
Topeka, Kansas, United States Recruiting -
Advantage Clinical Trials
The Bronx, New York, United States Recruiting
Show 44 more locations
-
Central States Research
Tulsa, Oklahoma, United States Recruiting -
Frontier Clinical Research, LLC
Smithfield, Pennsylvania, United States Recruiting -
Gadolin Research
Beaumont, Texas, United States Recruiting -
Driscoll Children's Hospital
Corpus Christi, Texas, United States Recruiting -
Proactive Clinical Research LLC
Edinburg, Texas, United States Recruiting -
Consano Clinical Research, LLC
Shavano Park, Texas, United States Recruiting -
Victoria Clinical Research Group
Victoria, Texas, United States Recruiting -
UZ Leuven
Leuven, Belgium Recruiting -
Azienda Ospedaliera Universitaria Meyer IRCCS
Florence, Italy Recruiting -
Nihon University Hospital
Chiyoda-ku, Japan Recruiting -
Fukuoka Children's Hospital
Fukuoka, Japan Recruiting -
Saitama Medical University Hospital
Iruma, Japan Recruiting -
Shiga General Hospital
Moriyama, Japan Recruiting -
Niigata University Medical & Dental Hospital
Niigata, Japan Recruiting -
Osaka City General Hospital
Osaka, Japan Recruiting -
Saitama City Hospital
Saitama, Japan Recruiting -
Sendai City Hospital - Asutonagamachi
Sendai, Japan Recruiting -
Shizuoka Children's Hospital
Shizuoka, Japan Recruiting -
Urakami Pediatric Endocrinology and Diabetes Clinic
Tokyo, Japan Recruiting -
Juntendo University Urayasu Hospital
Urayasu, Japan Recruiting -
H.R.U Málaga - Hospital General
Málaga, Spain Recruiting -
Hospital Universitario Virgen Del Rocio
Seville, Spain Recruiting -
Hull Royal Infirmary
Hull, United Kingdom Recruiting -
Alder Hey Children's Hospital
Liverpool, United Kingdom Recruiting -
Rady Children's Hospital
San Diego, California, United States Not yet recruiting -
Children's Healthcare of Atlanta - Center for Advanced Pediatrics (CAP)
Atlanta, Georgia, United States Not yet recruiting -
SUNY Upstate Medical University
Syracuse, New York, United States Not yet recruiting -
Vanderbilt Health One Hundred Oaks
Nashville, Tennessee, United States Not yet recruiting -
Cliniques universitaires Saint-Luc
Brussels, Belgium Not yet recruiting -
UZ Gent
Ghent, Belgium Not yet recruiting -
Instituto de Pesquisa clinica de Campinas
Campinas, Brazil Not yet recruiting -
Centro de Pesquisa Sao Lucas
Campinas, Brazil Not yet recruiting -
Cendi - Endocrinologia e Diabetes
Goiânia, Brazil Not yet recruiting -
Instituto Méderi de Pesquisa e Saúde
Passo Fundo, Brazil Not yet recruiting -
Instituto da Crianca com Diabetes
Porto Alegre, Brazil Not yet recruiting -
Instituto de Pesquisa Clinica
São Paulo, Brazil Not yet recruiting -
IBTED - Tecnologia e Educação em Diabetes
São Paulo, Brazil Not yet recruiting -
Avron Hospitals
Ahmedabad, India Not yet recruiting -
Gujarat Endocrin Pvt Ltd
Ahmedabad, India Not yet recruiting -
Jawaharlal Nehru Medical College
Aligarh, India Not yet recruiting -
All India Institute of Medical Sciences
Bhubaneswar, India Not yet recruiting -
Endolife Speciality Hospitals
Guntur, India Not yet recruiting -
King Edward Memorial Hospital & Seth Gordhandas Sunderdas Medical College
Mumbai, India Not yet recruiting -
Harmony Health Hub
Nashik, India Not yet recruiting
+21 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: 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.