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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05260021
Registration number
NCT05260021
Ethics application status
Date submitted
25/02/2022
Date registered
2/03/2022
Titles & IDs
Public title
A Study to Evaluate Tirzepatide (LY3298176) in Pediatric and Adolescent Participants With Type 2 Diabetes Mellitus Inadequately Controlled With Metformin or Basal Insulin or Both
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Scientific title
A Randomized, Double-Blind, Placebo-Controlled, Phase 3 Study With an Open-Label Extension Assessing the Efficacy, Safety, and Pharmacokinetics/Pharmacodynamics of Tirzepatide in Pediatric and Adolescent Participants With Type 2 Diabetes Mellitus Inadequately Controlled With Metformin, or Basal Insulin, or Both
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Secondary ID [1]
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I8F-MC-GPGV
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Secondary ID [2]
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17121
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Universal Trial Number (UTN)
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Trial acronym
SURPASS-PEDS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Type2 Diabetes
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Diabetes Mellitus
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Diabetes Mellitus, Type 2
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T2D
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T2DM (Type 2 Diabetes Mellitus)
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Glucose Metabolism Disorders
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Endocrine System Diseases
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Metabolic Disease
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Condition category
Condition code
Metabolic and Endocrine
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Diabetes
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Metabolic and Endocrine
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Metabolic disorders
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Metabolic and Endocrine
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Other metabolic disorders
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Metabolic and Endocrine
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Other endocrine disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Tirzepatide Dose 1
Treatment: Drugs - Tirzepatide Dose 2
Treatment: Drugs - Placebo
Experimental: Tirzepatide Dose 1 - Double-Blind:
Participants receive Tirzepatide by weekly subcutaneous (SC) injection starting with a low dose then increase to a higher dose every four weeks until maintenance dose level 1 is reached.
Open-Label:
Participants will continue to receive Tirzepatide at the last dose level
Experimental: Tirzepatide Dose 2 - Double-Blind:
Participants receive Tirzepatide by weekly SC injection starting with a low dose then increase to a higher dose every four weeks until maintenance dose level 2 is reached.
Open-Label:
Participants will continue to receive Tirzepatide at the last dose level
Placebo comparator: Placebo - Double-Blind:
Participants receive placebo during the 30-week double-blind period.
Open-Label:
Participants will switch to Tirzepatide by weekly SC injection starting with a low dose then increase to a higher dose every four weeks until maintenance dose level 1 is reached.
Treatment: Drugs: Tirzepatide Dose 1
Administered SC
Treatment: Drugs: Tirzepatide Dose 2
Administered SC
Treatment: Drugs: Placebo
Administered SC
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change From Baseline in Hemoglobin A1c (HbA1c)
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Assessment method [1]
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Timepoint [1]
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Baseline, Week 30
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Secondary outcome [1]
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Change from Baseline in HbA1c (Individual Doses)
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Assessment method [1]
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Timepoint [1]
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Baseline, Week 30
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Secondary outcome [2]
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Change From Baseline in Body Mass Index (BMI) Standard Deviation Score (age and sex-matched)
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Assessment method [2]
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Timepoint [2]
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Baseline, Week 30
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Secondary outcome [3]
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Change From Baseline in Fasting Serum Glucose (FSG)
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Assessment method [3]
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Timepoint [3]
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Baseline, Week 30
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Secondary outcome [4]
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Percentage of Participants Who Achieve =6.5% of HbA1c
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Assessment method [4]
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Timepoint [4]
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Week 30
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Secondary outcome [5]
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Percentage of Participants Who Achieve <7.0% of HbA1c
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Assessment method [5]
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Timepoint [5]
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Week 30
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Secondary outcome [6]
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Percentage of Participants Who Achieve <5.7% of HbA1c
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Assessment method [6]
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Timepoint [6]
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Week 30
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Secondary outcome [7]
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Change From Baseline for Serum Lipid Levels
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Assessment method [7]
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Timepoint [7]
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Baseline, Week 30
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Secondary outcome [8]
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Change From Baseline in Height Standard Deviation Score (SDS)
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Assessment method [8]
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Timepoint [8]
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Baseline, Week 30
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Secondary outcome [9]
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Change From Baseline in Weight SDS
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Assessment method [9]
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Timepoint [9]
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Baseline, Week 30
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Secondary outcome [10]
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Pharmacokinetics (PK): Area Under the Concentration Curve (AUC), Steady State (ss) of Tirzepatide
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Assessment method [10]
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Timepoint [10]
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Baseline to Week 30
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Secondary outcome [11]
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Change From Baseline in PedsQL Generic Core Scale
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Assessment method [11]
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The PedsQL Generic Core Scale has 23 items that measure the core dimensions of health: physical, emotional, and social and school functioning. Scores range from 0 to 100. Higher scores indicate better health related quality of life.
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Timepoint [11]
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Baseline, Week 52
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Secondary outcome [12]
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Change From Baseline PedsQL (3.2) Diabetic Module
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Assessment method [12]
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The PedsQL 3.2 Diabetes Module has 33 items for ages 13 to 45 years, and 32 items (1 less item for the Worry Scale) for ages 2 to 12 years. The 5 dimensions consist of diabetes symptoms, treatment barriers, treatment adherence, worry and communication. Scores range from 0 to 100. Higher scores indicate less problems.
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Timepoint [12]
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Baseline, Week 52
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Eligibility
Key inclusion criteria
* Male or female, aged 10 to below 18 years at screening visit
* Have type 2 diabetes, treated with diet and exercise and metformin and/or basal insulin. Metformin and/or basal insulin dose must be stable for at least 90 days prior to study screening.
* Have HbA1c >6.5% to =11% at screening
* Have body weight =50 kilogram (kg) 110 pounds and BMI of >85th percentile of the general age and gender-matched population for that country or region.
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Minimum age
10
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Maximum age
18
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Have Type 1 diabetes mellitus (T1DM), or positive GAD65 or IA2 antibodies
* After the T2DM diagnosis, have a history of diabetic ketoacidosis or hyperosmolar syndrome
* Have had =1 episode of severe hypoglycemia and/or =1 episode of hypoglycemic unawareness within the last 6 months.
* Have family or personal history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN2).
* Had chronic or acute pancreatitis any time prior to study entry
* Female participants who are pregnant or breast feeding or intending to become pregnant.
* Using prescription or over the counter medications for weight loss within 90 days of the screening visit.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
13/04/2022
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/02/2025
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Actual
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Sample size
Target
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Accrual to date
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Final
99
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,WA
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Recruitment hospital [1]
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The Children's Hospital at Westmead - Westmead
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Recruitment hospital [2]
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Centre for Children's Health Research - Brisbane
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Recruitment hospital [3]
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Perth Children's Hospital - Perth
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Recruitment postcode(s) [1]
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2145 - Westmead
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Recruitment postcode(s) [2]
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4101 - Brisbane
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Recruitment postcode(s) [3]
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6009 - Perth
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Recruitment outside Australia
Country [1]
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United States of America
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California
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United States of America
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State/province [2]
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Colorado
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United States of America
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Delaware
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United States of America
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Indiana
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United States of America
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Michigan
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United States of America
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Missouri
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United States of America
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New York
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Pennsylvania
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Texas
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Brazil
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Espírito Santo
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Brazil
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Paraná
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Brazil
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State/province [12]
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Rio Grande Do Sul
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Brazil
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São Paulo
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Brazil
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State/province [14]
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Rio De Janeiro
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France
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State/province [15]
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Maine-et-Loire
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France
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Paris
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India
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Delhi
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India
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Gujarat
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India
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Karnataka
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India
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Maharashtra
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India
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Tamil Nadu
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India
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Chandigarh
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Israel
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HaDarom
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Israel
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HaMerkaz
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Israel
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HaTsafon
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Israel
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Yerushalayim
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Italy
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Campania
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Italy
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Veneto
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Italy
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Ancona
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Mexico
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Nuevo León
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Mexico
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Tamaulipas
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Mexico
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Chihuahua
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Mexico
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Puebla
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Mexico
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Veracruz
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United Kingdom
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England
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United Kingdom
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Kingston Upon Hull
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United Kingdom
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Leicestershire
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Eli Lilly and Company
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to learn more about the safety and efficacy of tirzepatide compared to placebo in children or teenagers with type 2 diabetes taking metformin, or basal insulin, or both. The overall study will last about 60 weeks with up to 14 clinic visits and 6 phone visits. Clinic visits will include blood sample collection, physical exam and questionnaire.
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Trial website
https://clinicaltrials.gov/study/NCT05260021
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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1-877-CTLilly (1877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
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Address
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Eli Lilly and Company
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Country
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Fax
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Email
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Contact person for public queries
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
Supporting document/s available: Study protocol, Statistical analysis plan (SAP), Clinical study report (CSR)
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When will data be available (start and end dates)?
Data are available 6 months after the primary publication and approval of the indication studied in the US and European Union (EU), whichever is later. Data will be indefinitely available for requesting.
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Available to whom?
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: http://vivli.org/
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05260021