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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05929066
Registration number
NCT05929066
Ethics application status
Date submitted
26/06/2023
Date registered
3/07/2023
Titles & IDs
Public title
A Study of Retatrutide (LY3437943) in Participants Who Have Obesity or Overweight
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Scientific title
A Master Protocol to Investigate the Efficacy and Safety of LY3437943 Once Weekly in Participants Without Type 2 Diabetes Who Have Obesity or Overweight: A Randomized, Double-Blind, Placebo-Controlled Trial (TRIUMPH-1)
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Secondary ID [1]
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J1I-MC-GZBJ
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Secondary ID [2]
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0
18557
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Universal Trial Number (UTN)
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Trial acronym
TRIUMPH-1
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Obesity
0
0
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Overweight
0
0
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Knee Pain Chronic
0
0
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Knee Osteoarthritis
0
0
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Obstructive Sleep Apnea
0
0
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Condition category
Condition code
Respiratory
0
0
0
0
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Sleep apnoea
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Diet and Nutrition
0
0
0
0
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Obesity
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Metabolic and Endocrine
0
0
0
0
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Other metabolic disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Retatrutide
Treatment: Drugs - Placebo
Experimental: Retatrutide Dose 1 - Participants will receive retatrutide subcutaneously (SC).
Experimental: Retatrutide Dose 2 - Participants will receive retatrutide SC.
Experimental: Retatrutide Dose 3 - Participants will receive retatrutide SC.
Placebo comparator: Placebo - Participants will receive placebo.
Treatment: Drugs: Retatrutide
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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Percent Change From Baseline in Body Weight
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Assessment method [1]
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Timepoint [1]
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Baseline, Week 80
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Primary outcome [2]
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Change from Baseline in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Score for GOA1 Subset
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Assessment method [2]
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0
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Timepoint [2]
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Baseline, Week 80
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Primary outcome [3]
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Change from Baseline in Apnea-Hypopnea Index (AHI) Events Per Hour for GSA1 Subset
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Assessment method [3]
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0
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Timepoint [3]
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0
Baseline, Week 80
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Secondary outcome [1]
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Change from Baseline in Body Mass Index (BMI)
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Assessment method [1]
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0
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Timepoint [1]
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Baseline, Week 80
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Secondary outcome [2]
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Change from Baseline in Waist Circumference
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Assessment method [2]
0
0
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Timepoint [2]
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Baseline, Week 80
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Secondary outcome [3]
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Change from Baseline in Systolic Blood Pressure (SBP)
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Assessment method [3]
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0
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Timepoint [3]
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Baseline, Week 80
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Secondary outcome [4]
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Percent Change form Baseline in Fasting Insulin
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Assessment method [4]
0
0
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Timepoint [4]
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0
Baseline, Week 80
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Secondary outcome [5]
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Change from Baseline in HbA1c
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Assessment method [5]
0
0
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Timepoint [5]
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Baseline, Week 80
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Secondary outcome [6]
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Change from Baseline in Short Form 36 Version 2 (SF-36v2) Acute Form Physical Functioning Domain Score
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Assessment method [6]
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0
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Timepoint [6]
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Baseline, Week 80
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Secondary outcome [7]
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Pharmacokinetics (PK): Steady State Area Under the Concentration Time Curve (AUC)
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Assessment method [7]
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AUC is presented as a single average measure of AUC across the study duration.
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Timepoint [7]
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Baseline through Week 80
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Secondary outcome [8]
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Change from Baseline in the WOMAC Physical Function Subscale Score for GOA1 Subset
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Assessment method [8]
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0
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Timepoint [8]
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Baseline, Week 80
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Secondary outcome [9]
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Change from Baseline in Average Pain Intensity Numeric Rating Scale (API-NRS) Score for GOA1 Subset
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Assessment method [9]
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Timepoint [9]
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Baseline, Week 80
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Secondary outcome [10]
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Change from Baseline in Worst Pain Intensity Numeric Rating Scale (WPI-NRS) Score for GOA1 Subset
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Assessment method [10]
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0
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Timepoint [10]
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Baseline, Week 80
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Secondary outcome [11]
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Percent Change from Baseline in AHI for GSA1 Subset
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Assessment method [11]
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Timepoint [11]
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Baseline, Week 80
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Secondary outcome [12]
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A Hierarchical Combination of Functional Outcomes of Sleep Questionnaire (FOSQ) 10 Score, FOSQ Vigilance Domain Score, and FOSQ Activity Level Domain Score for GSA1 Subset
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Assessment method [12]
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A hierarchical combination of change from baseline in the FOSQ 10 score, FOSQ Vigilance Domain Score, and FOSQ Activity Level Domain Score will be assessed by the win ratio. The reported unit will be the total "wins" for each treatment group from performing a hierarchical comparison of the components.
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Timepoint [12]
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Baseline to Week 80
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Secondary outcome [13]
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Percentage of Participants with =50% AHI Reduction from Baseline for GSA1 Subset
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Assessment method [13]
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Timepoint [13]
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Baseline to Week 80
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Secondary outcome [14]
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Percentage of Participants with AHI <5 or with AHI 5-14 with Epworth Sleepiness Scale (ESS) =10 for GSA1 Subset
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Assessment method [14]
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Timepoint [14]
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Week 80
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Eligibility
Key inclusion criteria
* Have body mass index (BMI) =30.0 kilograms per square meter (kg/m²), or =27.0 kg/m² with at least one of the following:
* hypertension
* dyslipidemia
* obstructive sleep apnea, or
* cardiovascular disease
* History of of at least one unsuccessful dietary effort to reduce body weight
GOA1
* Have index knee pain for >12 weeks prior to screening, and presence of index knee pain for >15 days over the previous month
* Have knee X-ray with moderate radiographic changes (Kellgren-Lawrence Grade 2 or 3) per central reading at screening
* Currently meets American College of Rheumatology (ACR) Criteria (clinical and radiological) for OA.
GSA1
* Previously diagnosed with OSA
* Have AHI =15 on polysomnography at screening (definition of moderate-to-severe OS)
* For participants not on positive airway pressure (PAP) therapy: unable or unwilling to use PAP therapy and have not used PAP for at least 4 weeks prior to screening.
* If on PAP therapy, have been on PAP therapy for at least 3 consecutive months prior to screening, and willing to temporarily stop using PAP therapy for approximately 7 days prior to each of the sleep study (PSG) visits.
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Minimum age
18
Years
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Maximum age
No limit
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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 a self-reported or documented change in body weight >5 kg (11 pounds) within 90 days.
* Have taken weight loss drugs, including over-the-counter medications, within 90 days prior to screening.
* Have a prior or planned surgical treatment for obesity.
* Have diabetes mellitus.
* Have family or personal history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN-2)
* Have had pancreatitis.
GOA1 exclusion criteria
* Have had steroid joint injections within 90 days of screening.
* Have had other joint injections and procedures within 6 months of screening.
* Have joint disease other than osteoarthritis.
GSA1 exclusion criteria
* Use stimulants (for example, modafinil, armodafinil, solriamfetol, pitolisant, amphetamine) less than 3 months prior to screening.
* Use hypnotics, mirtazapine, opioids, trazodone, and zonisamide less than 3 months prior to screening.
* Use a dental appliance or other device to treat OSA other than PAP therapy.
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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
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
10/07/2023
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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
13/05/2026
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Actual
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Sample size
Target
2100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,South AustVIC,WA
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Recruitment hospital [1]
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Emeritus Research - Botany
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Recruitment hospital [2]
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The AIM Centre / Hunter Diabetes Centre - Merewether
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Logan Hospital - Meadowbrook
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Fusion Clinical Research - Adelaide
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Nightingale Research - Adelaide
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Emeritus Research - Camberwell
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Recruitment hospital [7]
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Barwon Health - Geelong
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One Clinical Research - Nedlands
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Recruitment postcode(s) [1]
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2019 - Botany
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Recruitment postcode(s) [2]
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2291 - Merewether
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Recruitment postcode(s) [3]
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4131 - Meadowbrook
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Recruitment postcode(s) [4]
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5000 - Adelaide
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3124 - Camberwell
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Recruitment postcode(s) [6]
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3220 - Geelong
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Recruitment postcode(s) [7]
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6009 - Nedlands
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Recruitment outside Australia
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Sibiu
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London, City Of
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Penzance
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United Kingdom
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Sheffield
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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 evaluate the efficacy and safety of retatrutide in participants who have obesity or overweight (J1I-MC-GZBJ master protocol) including subsets of participants who have knee osteoarthritis (OA) (J1I-MC-GOA1) or who have obstructive sleep apnea (OSA) (J1I-MC-GSA1). This study will last about 89 weeks and will include up to 24 visits.
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Trial website
https://clinicaltrials.gov/study/NCT05929066
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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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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)
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Address
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Eli Lilly and Company
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Email
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Contact person for public queries
Name
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There may be multiple sites in this clinical trial. 1-877-CTLILLY (1-877-285- 4559) or
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Address
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Phone
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317-615-4559
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Fax
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Email
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[email protected]
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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
Query!
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)
Query!
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
Query!
Available to whom?
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
Query!
Available for what types of analyses?
Query!
How or where can data be obtained?
IPD available at link: http://vivli.org/
Query!
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/NCT05929066