Clinical trial Recruiting at 12 sites Phase 4 Interventional Ages 18 and up

Tirzepatide versus usual care for adults with obesity (no diabetes) in UK primary care

Official title: A Phase 4 Multicenter, Randomized, Open-Label, Interventional Study With Pragmatic Elements Investigating the Effectiveness of Tirzepatide Once Weekly Compared With Standard of Care in Adult Participants With Obesity and Without Diabetes in a Real-World Setting

Run by Eli Lilly and Company · NCT07247084 · Data updated 2026-11-12

This study will test whether tirzepatide helps adults with obesity who do not have diabetes lose weight and lower their chance of developing type 2 diabetes compared with standard care in UK primary care.

More Obesity trials

Quick facts

PhasePhase 4
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment3000 (estimated)
SponsorEli Lilly and Company
Industry-sponsored
Locations30 sites (Altrincham and 29 other locations)
StatusRecruiting
StartedNovember 24, 2025
Main results expectedJuly 2029
Study endsJuly 2032
Registry record updatedSeptember 9, 2026
Trial IDNCT07247084 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults without diabetes who have BMI 30–34.9, waist-to-height ratio >0.5, at least one weight-related comorbidity, and who have tried lifestyle measures to lose weight are the intended participants.

Probably not a fit

People who already have type 1 or type 2 diabetes, those with recent large weight changes, or individuals with contraindications to tirzepatide are unlikely to benefit from this study's intervention.

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

What this trial studies

This phase 4 interventional study will enroll adults with obesity but without diabetes and compare treatment with tirzepatide to standard of care over about 260 weeks in a real-world primary care setting. Participants must have BMI 30–34.9 kg/m2, an elevated waist-to-height ratio (>0.5), at least one weight-related comorbidity, and a prior attempt at lifestyle weight loss; people with any form of diabetes or recent large weight change are excluded. The trial will use data from participating UK primary care practices and electronic health records to track body weight changes and new diagnoses of type 2 diabetes. Outcomes aim to reflect effectiveness and safety of tirzepatide when used alongside routine clinical care.

Why it matters

Potential benefit: If successful, tirzepatide could provide sustained weight loss and reduce the risk of developing type 2 diabetes for people with obesity who do not yet have diabetes.

How similar studies have gone: Prior phase 3 SURMOUNT trials showed substantial weight loss with tirzepatide in people with obesity, and this study tests whether those results translate into routine primary care.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Have a body mass index ≥30 and ≤34.9 kilogram per square meter (kg/m2)
* Have an increased waist to height ratio (defined by \>0.5)
* Have at least one weight related comorbid condition
* Have had at least one attempt to lose weight with lifestyle intervention (diet and physical activity)

Exclusion Criteria:

* Have type 1 diabetes, type 2 diabetes, or any other types of diabetes
* Have had a change in body weight of greater than 5 kilograms (11 pounds) within 90 days prior to screening

Where it's running

  • P89008 Ashton Medical Group
    Ashton-under-Lyne, United Kingdom
    Recruiting
  • P89002 The Brooke Surgery
    Hyde SK14, United Kingdom
    Recruiting
  • P84035 Bodey Medical Centre
    Manchester, United Kingdom
    Recruiting
  • P84630 The Arch Medical Practice
    Manchester, United Kingdom
    Recruiting
  • P86004 Peterloo Medical Centre
    Manchester, United Kingdom
    Recruiting
  • P87019 Silverdale Medical Practice
    Manchester, United Kingdom
    Recruiting
Show 24 more locations
  • P85010 Woodlands Medical Practice
    Oldham, United Kingdom
    Recruiting
  • P85011 CH Medical Practice
    Oldham, United Kingdom
    Recruiting
  • P86022 Stonefield Street Surgery
    Rochdale, United Kingdom
    Recruiting
  • P87027 Langworthy Medical Practice
    Salford, United Kingdom
    Recruiting
  • P87016 The Sides Medical Centre
    Swinton, United Kingdom
    Recruiting
  • P87025 The Lakes Medical Practice
    Swinton, United Kingdom
    Recruiting
  • P91604 St John's Medical Centre
    Altrincham, United Kingdom
    Not yet recruiting
  • Y02319 SSP Bolton General Practice
    Bolton, United Kingdom
    Not yet recruiting
  • P83012 Tower Family Healthcare
    Bury, United Kingdom
    Not yet recruiting
  • P91014 Washway Road Medical Centre
    Cheshire, United Kingdom
    Not yet recruiting
  • P88007 Cheadle Hulme Medical Group (was Cheadle Hulme Health Centre) (Bridge House)
    Cheshire, United Kingdom
    Not yet recruiting
  • Y02790 SSP Bolton Medical Centre
    Great Lever, United Kingdom
    Not yet recruiting
  • P84678 Didsbury Medical Centre
    Manchester, United Kingdom
    Not yet recruiting
  • P84017 Ladybarn Group Practice
    Manchester, United Kingdom
    Not yet recruiting
  • P84068 Chorlton Family Practice
    Manchester, United Kingdom
    Not yet recruiting
  • P84012 Northenden Group Practice
    Manchester, United Kingdom
    Not yet recruiting
  • P83025 St Gabriels Medical Centre
    Manchester, United Kingdom
    Not yet recruiting
  • P91006 Urmston Group Practice
    Manchester, United Kingdom
    Not yet recruiting
  • P92620 SSP Ince Surgery (Lower Ince)
    Manchester, United Kingdom
    Not yet recruiting
  • P84034 Barlow Medical Centre
    Manchester, United Kingdom
    Not yet recruiting
  • P91021 Firsway Health Centre
    Sale, United Kingdom
    Not yet recruiting
  • P91013 Boundary House Medical Centre
    Sale, United Kingdom
    Not yet recruiting
  • P88632 Stockport Medical Group
    Stockport, United Kingdom
    Not yet recruiting
  • Y02322 SSP Leigh Family Practice
    Wigen, United Kingdom
    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.