15374 Participants Needed

Tirzepatide for Obesity

(SURMOUNT-MMO Trial)

Recruiting at 827 trial locations
Venkatesh Nadar — IME Care Center
Anjanette Tan, MD | Diabetes & Thyroid ...
Wilner Jeudy - Physician - Next Level ...
Stacey Layle, MD - Artemis Institute ...
Dr. Anna Chang, MD, Endocrinology and ...
Neda Rasouli MD | Endocrinology ...
Dr. Sumana Gangi, MD, FACE | Southern ...
Joseph Soufer, MD - CEO/Medical ...
Overseen ByJoseph Soufer
Age: 18+
Sex: Any
Trial Phase: Phase 3
Sponsor: Eli Lilly and Company
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial
Approved in 5 JurisdictionsThis treatment is already approved in other countries

Trial Summary

What is the purpose of this trial?

This trial is testing tirzepatide, a medication that helps control blood sugar and reduce appetite, to see if it can lower health problems and death rates in adults who are very overweight. Tirzepatide was developed by Eli Lilly to improve blood sugar control in adults with type 2 diabetes.

Do I need to stop my current medications to join the trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What data supports the effectiveness of the drug tirzepatide for obesity?

Research shows that tirzepatide, a drug that works on specific hormones in the body, helps people with obesity and type 2 diabetes lose weight effectively. Studies found that it leads to more weight loss compared to other similar treatments and also improves other health factors like blood pressure and insulin sensitivity.12345

Is tirzepatide safe for humans?

Tirzepatide has been studied for type 2 diabetes and shows a safety profile similar to other drugs in its class, with common side effects like mild to moderate nausea, vomiting, diarrhea, and constipation. It has not shown an increased risk of serious heart-related events, making it generally safe for use in humans.678910

How is the drug Tirzepatide unique for treating obesity?

Tirzepatide is unique because it combines two actions in one drug, targeting both the GLP-1 and GIP receptors, which helps with weight loss and improves blood sugar control. This dual action makes it more effective for weight loss compared to other treatments that only target one of these pathways.1361112

Research Team

C1

Call 1-877-CTLILLY (1-877-285-4559 or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

Principal Investigator

Eli Lilly and Company

Eligibility Criteria

Adults with obesity are eligible, specifically those ≥40 years old with cardiovascular disease or older adults with multiple CV risk factors. Participants must have a BMI of ≥27 kg/m² but cannot have diabetes, recent serious heart conditions, pancreatitis, certain cancers in the last 5 years, or significant liver disease.

Inclusion Criteria

I am over 40 with heart disease or at high risk due to my age and health factors.
I am 40 or older with a diagnosed heart condition.
I am over 40 with heart disease or have risk factors for it.
See 8 more

Exclusion Criteria

I have severe stomach emptying issues or have had/planning weight loss surgery (not including liposuction or tummy tuck).
I have a history of medullary thyroid cancer or MEN2 in my family or myself.
I have type 1 or type 2 diabetes, or I've had ketoacidosis or a severe diabetic coma.
See 5 more

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive escalated doses of tirzepatide subcutaneously up to a maximum tolerated dose or placebo

Up to 5 years

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

Treatment Details

Interventions

  • Placebo
  • Tirzepatide
Trial OverviewThe trial is testing Tirzepatide's effectiveness in reducing health problems and death rates among obese adults compared to a placebo. It aims to provide more evidence for Tirzepatide as a beneficial treatment for this group.
Participant Groups
2Treatment groups
Experimental Treatment
Placebo Group
Group I: TirzepatideExperimental Treatment1 Intervention
Participants will receive escalated doses of tirzepatide subcutaneously (SC) up to a maximum tolerated dose.
Group II: PlaceboPlacebo Group1 Intervention
Participants will receive tirzepatide matched placebo.

Tirzepatide is already approved in United States, European Union, Canada, United Kingdom for the following indications:

🇺🇸
Approved in United States as Mounjaro for:
  • Type 2 diabetes
🇪🇺
Approved in European Union as Mounjaro for:
  • Type 2 diabetes
🇨🇦
Approved in Canada as Mounjaro for:
  • Type 2 diabetes
🇺🇸
Approved in United States as Zepbound for:
  • Weight loss
  • Moderate to severe obstructive sleep apnea
🇬🇧
Approved in United Kingdom as Zepbound for:
  • Weight loss

Find a Clinic Near You

Who Is Running the Clinical Trial?

Eli Lilly and Company

Lead Sponsor

Trials
2,708
Recruited
3,720,000+
Dr. Daniel Skovronsky profile image

Dr. Daniel Skovronsky

Eli Lilly and Company

Chief Medical Officer since 2018

MD from Harvard Medical School

David A. Ricks profile image

David A. Ricks

Eli Lilly and Company

Chief Executive Officer since 2017

BSc from Purdue University, MBA from Indiana University

Findings from Research

Tirzepatide significantly reduces body weight in patients with type 2 diabetes and obesity, with an average weight loss of -9.81 kg compared to placebo, based on a meta-analysis of 10 studies involving 9,873 patients.
While tirzepatide is effective for weight loss, it has a higher incidence of gastrointestinal side effects compared to placebo, although serious adverse events and hypoglycemia are less common, indicating a need for monitoring these reactions during treatment.
Weight loss efficiency and safety of tirzepatide: A Systematic review.Lin, F., Yu, B., Ling, B., et al.[2023]
In a 72-week phase 3 trial involving 938 adults with obesity and type 2 diabetes, tirzepatide (10 mg and 15 mg) led to significant weight loss, with reductions of -12.8% and -14.7% respectively, compared to only -3.2% with placebo.
The safety profile of tirzepatide was generally favorable, with most adverse events being mild to moderate gastrointestinal issues, and serious adverse events were rare, indicating it is a safe option for weight management in this population.
Tirzepatide once weekly for the treatment of obesity in people with type 2 diabetes (SURMOUNT-2): a double-blind, randomised, multicentre, placebo-controlled, phase 3 trial.Garvey, WT., Frias, JP., Jastreboff, AM., et al.[2023]
Tirzepatide, a once-weekly medication for type 2 diabetes, not only improves blood sugar control but also leads to significant weight loss and positive changes in cardiovascular health, such as reduced blood pressure and improved insulin sensitivity.
The weight loss and metabolic benefits of tirzepatide are linked to its dual action as a GIP and GLP-1 receptor agonist, suggesting that these mechanisms play a crucial role in its effectiveness for managing type 2 diabetes.
Perspectives on weight control in diabetes - Tirzepatide.Várkonyi, TT., Pósa, A., Pávó, N., et al.[2023]

References

Weight loss efficiency and safety of tirzepatide: A Systematic review. [2023]
Tirzepatide once weekly for the treatment of obesity in people with type 2 diabetes (SURMOUNT-2): a double-blind, randomised, multicentre, placebo-controlled, phase 3 trial. [2023]
Perspectives on weight control in diabetes - Tirzepatide. [2023]
Efficacy and safety of tirzepatide for treatment of overweight or obesity. A systematic review and meta-analysis. [2023]
Management of type 2 diabetes with the dual GIP/GLP-1 receptor agonist tirzepatide: a systematic review and meta-analysis. [2023]
Tirzepatide: Clinical review of the "twincretin" injectable. [2023]
Tirzepatide, a dual GIP/GLP-1 receptor co-agonist for the treatment of type 2 diabetes with unmatched effectiveness regrading glycaemic control and body weight reduction. [2022]
Efficacy and Safety of Tirzepatide in Adults With Type 2 Diabetes: A Perspective for Primary Care Providers. [2023]
Tirzepatide: First Approval. [2022]
10.United Statespubmed.ncbi.nlm.nih.gov
Tirzepatide, the Newest Medication for Type 2 Diabetes: A Review of the Literature and Implications for Clinical Practice. [2023]
A systematic review of the safety of tirzepatide-a new dual GLP1 and GIP agonist - is its safety profile acceptable? [2023]
12.United Arab Emiratespubmed.ncbi.nlm.nih.gov
Tirzepatide: A New Generation Therapeutic for Diabetes Type 2. [2023]