A Study of Tirzepatide (LY3298176) in Participants With Type 2 Diabetes on Metformin With or Without Sulfonylurea (SURPASS-AP-Combo)
Type 2 Diabetes

About this trial
This is an interventional treatment trial for Type 2 Diabetes focused on measuring T2DM
Eligibility Criteria
Inclusion Criteria:
- Type 2 diabetes mellitus
- Treated with stable metformin with or without a sulfonylurea (metformin ≥1000 milligrams/day; sulfonylurea should be at least half the maximum dose) for at least 2 months
- Are insulin-naive (except for the use of insulin for treatment of gestational diabetes or short-term use [≤14 consecutive days] for acute conditions)
- HbA1c ≥7.5% to ≤11.0% at screening
- Stable weight (±5%) ≥3 months, and agree to not initiate a diet and/or exercise program during the study with the intent of reducing body weight other than the lifestyle and dietary measures for diabetes treatment
- Body mass Index (BMI) ≥23 kilograms per meter squared
Exclusion Criteria:
- Type 1 diabetes mellitus
- Have history of chronic or acute pancreatitis
- Have history of proliferative diabetic retinopathy; or diabetic maculopathy; or non-proliferative diabetic retinopathy that requires acute treatment
- Have a history of severe hypoglycemia and/or hypoglycemia unawareness within the 6 months
- Have a history of ketoacidosis or hyperosmolar state/coma
- Have a known clinically significant gastric emptying abnormality, have undergone or plan to have during the course of the study, or chronically take drugs that directly affect GI motility
- Have acute myocardial infaction (MI), stroke or hospitalization due to congestive heart failure (CHF) within 2 months
- Have family or personal history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN-2)
- Have been treated with prescription drugs that promote weight loss or similar other body weight loss medications including over the counter (OTC) within 3 months
Sites / Locations
- Paratus Clinical Research Western Sydney
- Paratus Clinical Research Central Coast
- Holdsworth House Medical Practice
- Illawarra Shoalhaven Local Health District
- Core Research Group
- Barwon Health - The Geelong Hospital
- Adelaide Medical Solutions
- Peking University People's Hospital
- Huizhou Municipal Central Hospital
- Cangzhou People's Hospital
- Hebei Medical University
- The Fourth Affiliated Hospital of Harbin Medical University
- The First Affiliated Hospital of Henan University of Science &Technology
- The Second Affiliated Hospital of Zhengzhou University
- The First People's Hospital of Yueyang
- Bao Tou Central Hospital
- Changzhou No.2 People's Hospital
- Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School
- The First Hospital of Nanjing
- Zhongda Hospital Southeast University
- The Second Affiliated Hospital of Nanjing Medical University
- Nanjing Medical University - Nanjing Jiangning Hospital
- Suzhou Municipal Hospital
- The First Affiliated Hospital of Soochow University
- Wuxi People's Hospital
- Affiliated Hospital of Jiangsu University
- The Third Hospital of Nanchang
- The First Hospital of Jilin University
- Dalian University - The Affiliated Zhongshan Hospital
- Shengjing Hospital of China Medical University
- First Affiliated Hospital of Xi'an Jiaotong University
- 1st affiliated Hospital of Shanxi Medical University
- Jinan Central Hospital
- Qingdao Central Hospital
- Shanghai 6th people's hospital
- The First Affiliated Hospital of Xi'an Medical University
- West China Hospital Sichuan University
- Chengdu Fifth People's Hospital
- Tianjin Medical University General Hospital
- Chongqing Three Gorges Central Hospital
- Chongqing General Hospital
- Huzhou Central Hospital
- Shaoxing People's Hospital
- Beijing Peking Union Medical College Hospital
- Beijing Pinggu District Hospital
- Beijing Tsinghua Changgung Hospital
- Pingxiang People's Hospital
- Shanghai Putuo District Center Hospital
- Tianjin People's Hospital
- The Fourth People's Hospital of Zigong City
- King Edward Memorial Hospital and Research Center
- BSES Municipal General Hsptl
- Apollo Gleneagles Hospitals Kolkata
- Fortis Hospital
- Kyung Hee University Hospital
- Seoul National University Bundang Hospital
- Bucheon St. Mary's Hospital
- Hanyang University Guri Hospital
- Yonsei University Wonju Severance Christian Hospital
- Ulsan University Hospital
- Inje University Sanggye Paik Hospital
- Korea University Anam Hospital
- Keimyung University Dongsan Hospital
- Korea University Ansan Hospital
- Severance Hospital
- Asan Medical Center
- Hallym University Kangnam Sacred Heart Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Active Comparator
5 mg Tirzepatide
10 mg Tirzepatide
15 mg Tirzepatide
Insulin Glargine
Participants received 5 milligrams (mg) tirzepatide administered subcutaneously (SC) once weekly (QW).
Participants received 10 mg tirzepatide administered SC QW.
Participants received 15 mg tirzepatide administered SC QW.
Participants received insulin glargine administered once daily (QD) SC. The starting dose of insulin glargine was 6 Insulin Units (IU)/day at bedtime, titrated to a fasting blood glucose (FBG) between 72-100 milligrams per Deciliter (mg/dL), following a treat-to-target (TTT) algorithm.