A Study of Tirzepatide (LY3298176) Versus Insulin Lispro (U100) in Participants With Type 2 Diabetes Inadequately Controlled on Insulin Glargine (U100) With or Without Metformin (SURPASS-6)
Type 2 Diabetes
About this trial
This is an interventional treatment trial for Type 2 Diabetes focused on measuring glucose-dependent insulinotropic polypeptide (GIP), glucagon-like peptide-1 (GLP-1), GIP/GLP-1 dual receptor agonist, T2DM
Eligibility Criteria
Inclusion Criteria:
- Have been diagnosed with type 2 diabetes mellitus (T2DM)
- Have HbA1c between ≥7.5% and ≤11%
- Have been treated for at least 90 days prior to day of screening with once or twice daily basal insulin with or without stable dose of metformin ≥1500 mg/day and up to maximum approved dose per country specific approved label, sulfonylureas or dipeptidyl peptidase 4 inhibitors
- Be of stable weight (± 5%) for at least 90 days
- Have a BMI ≥23 kilograms per meter squared (kg/m²) and ≤45 kg/m² at screening
Exclusion Criteria
- Have type 1 diabetes mellitus
- Have had chronic or acute pancreatitis any time prior to study entry
- Have proliferative diabetic retinopathy or diabetic macular edema or nonproliferative diabetic retinopathy requiring immediate or urgent treatment
- Have disorders associated with slowed emptying of the stomach, have had any stomach surgeries for the purpose of weight loss, or are chronically taking drugs that directly affect gastrointestinal motility
- Have had a heart attack, stroke, or hospitalization for congestive heart failure in the past 2 months
- Have a personal or family history of medullary thyroid carcinoma or personal history of multiple endocrine neoplasia syndrome type 2
- Have been taking weight loss drugs, including over-the-counter medications during the last 3 months
- Have an estimated glomerular filtration rate <30 mL/minute/1.73 m² [for participants on metformin, estimated glomerular filtration rate <45 mL/min/1.73 m2 (or lower than the country-specific threshold for using the protocol-required dose of metformin per local label)]
Sites / Locations
- Syed Research Consultants Llc
- Valley Research
- National Research Institute - Huntington Park
- National Research Institute - Huntington Park
- Valley Clinical Trials, Inc.
- National Research Institute - Huntington Park
- National Research Institute (NRI) - Santa Ana
- Encompass Clinical Research
- University Clinical Investigators, Inc.
- University of Colorado
- Excel Medical Clinical Trials
- I R & Health Center, Inc.
- Sun Coast Clinical Research, Inc
- South Broward Research
- Metabolic Research Institute, Inc.
- Rocky Mountain Clinical Research
- J H. Stroger Hosp of Cook Co
- Prairie Education and Research Cooperative
- Iowa Diabetes and Endocrinology Research Center
- Capital Diabetes and Endocrine Associates
- MedStar Health Research Institute
- Endocrine and Metabolic Consultants
- Glacier View Research Institute - Endocrinology
- Southern Nh Diabetes and Endocrinology
- Albany Medical College
- PMG Research of Wilmington
- Intend Research, LLC
- Heritage Valley Medical Group, Inc.
- Preferred Primary Care Physicians
- Tribe Clinical Research, LLC
- Dallas Diabetes Research Center
- Diabetes and Thyroid Center of Fort Worth
- Juno Research
- Biopharma Informatic, LLC
- North Hills Medical Research
- Texas Diabetes & Endocrinology, P.A.
- Clinical Trials of Texas, Inc.
- Consano Clinical Research, LLC
- Martin Diagnostic Clinic
- Rainier Clinical Research Center
- Centro Médico Viamonte
- Investigaciones Medicas Imoba Srl
- Instituto Centenario
- Instituto de Investigaciones Clínicas Rosario (IIC-Rosario)- Sanatorio Delta
- CIPADI
- Instituto Médico Catamarca
- Instituto Médico Especializado (IME)
- Asociación de Beneficencia Hospital Sirio Libanés
- CENUDIAB
- Centro Diabetologico Dr Waitman
- Centro Medico Privado San Vicente Diabetes
- Sanatorio Parque
- AZ Damiaan Oostende
- Centro de Pesq. em Diabetes e Doencas Endocrino Metabol.
- CEDOES
- Cline Research Center
- QUANTA - Medicina Nuclear Alto da XV
- Centro de Pesquisas em Diabetes
- CPCLIN
- Hospital PUC-CAMPINAS
- CECIP - Centro de Estudos do Interior Paulista
- CEMEC - Centro Multidisciplinar de Estudos Clinicos EPP Ltda
- ISPEM - Instituto São José dos Campos em Pesquisas Médicas
- Instituto Brasil de Pesquisa Clínica - IBPCLIN
- IPEC - Instituto de Pesquisa Clínica
- CPQuali Pesquisa Clínica
- BR Trials - Ensaios Clínicos e Consultoria Ltda
- CEPIC - Centro Paulista de Investigação Clínica
- Diabetologicka ordinace pro dospele
- Diabetologicka a obezitologicka ambulance
- Diahelp s.r.o., Interni a diabetologicka ambulance
- ResTrial s.r.o.
- Schwerpunktpraxis für Diabetes
- InnoDiab Forschung Gmbh
- Medizentrum Essen-Borbeck
- Zentrum für klinische Studien
- RED-Institut GmbH
- MVZ im Altstadt-Carree Fulda GmbH
- Diabetologische Schwerpunktpraxis Harburg
- Diabeteszentrum Hamburg West
- Gemeinschaftspraxis Dr. med. Josef und Wilma Großkopf
- Iatriko Palaiou Falirou, Medical Center
- Athens Euroclinic
- General Hospital of Thessaloniki Papageorgiou
- Thermi Clinic
- Belinus Bt
- Debreceni Egyetem Klinikai Kozpont Belgyogyaszati Intezet
- Szent Margit Rendelőintézet Nonprofit Kft
- TRANTOR'99 Bt. Anyagcsere Centrum
- Policlinico Mater Domini
- Casa di Cura Multimedica-Policlinico Multispecialistico
- Ospedale Luigi Sacco
- Policlinico Univ. Agostino Gemelli
- Instituto Jalisciense de Investigacion en Diabetes y Obesida
- Unidad de patologia Clinica
- Centro de Inv. Medica de Occidente, SC
- Hospital Universitario "Dr. Jose Eleuterio Gonzalez"
- Centro de Estudios de Investigacion Metabolicos y Cardiovasculares
- Centro de Endocrinologia y Nutricion del Turabo
- Paola Mansilla-Letelier, MD
- SC Endodigest SRL
- S. C. Grandmed S.R.L.
- C.M.D.T.A. Neomed
- SC Gama Diamed SRL
- CMI DNBM Dr. Pop Lavinia
- SC Cosamext SRL
- SC Diabmed Dr Popescu Alexandrina SRL
- SC Dianutrilife Medica SRL
- Centrul Medical Dr. Negrisanu
- Cabinetul Medical Nicodiab SRL
- SC Nutrilife SRL
- Milena Sante SRL
- Arkhangelsk Regional Clinical Hospital
- Scientific and Clinical Center for Precision and Regenerative Medicine
- Pirogov Russian National Research Medical University
- First Moscow State Medical University
- SPb GUZ "Diagnostic Center #85"
- City Consultative and Diagnostic Center #1
- Saint-Petersburg State Budgetary Institution of Healthcare Institution
- St.Petersburg Polyclinic #117
- Diacrin s.r.o.
- MediVet s.r.o.
- Human care s.r.o.
- Diabetes care s.r.o.
- Areteus s.r.o.
- Hospital Quiron Infanta Luisa
- Hospital Universitario Marqués de Valdecilla
- Complejo Hospitalario Universitario De Ferrol - Hospital Naval
- Clínica Juaneda
- Hospital Universitario Virgen Macarena
- Baskent Universitesi Adana Uygulama ve Arastirma Merkezi Yuregir Hastanesi
- Akdeniz University Medical Faculty
- Aydin Adnan Menderes Universitesi
- Gaziantep University Medical Faculty
- Inonu Universitesi
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 Lispro (U100)
5 milligrams (mg) tirzepatide administered subcutaneously (SC) once a week with insulin glargine (U100) administered SC.
10 mg tirzepatide administered SC once a week with insulin glargine (U100) administered SC.
15 mg tirzepatide administered SC once a week with insulin glargine (U100) administered SC.
Insulin lispro (U100) administered SC three times a day with insulin glargine (U100) administered SC.