ObesityPhase 3ATTAIN-1NCT05869903
A Study of Orforglipron (LY3502970) in Adult Participants With Obesity or Overweight With Weight-Related Comorbidities
A Phase 3 study testing Orforglipron in people with Obesity and Overweight, run by Eli Lilly and Company at 138 sites in 10 countries.
Trial summary
This study will investigate the efficacy and safety of once daily oral orforglipron in adult participants with obesity or overweight with weight-related comorbidities. The study has two phases: a main phase and an extension phase. The main phase of the study lasted 72 weeks. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Obesity, Overweight, Overweight or Obesity
- What is being tested?
- Orforglipron
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 3,127 participants
- Where
- 138 sitesin 10 countries
- Study dates
- 5 Jun 2023to Oct 2027
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Have a BMI
- ≥30.0 kilogram/square meter (kg/m²),
- ≥27.0 kg/m² and presence of at least 1 of the following weight-related comorbidities (treated or untreated) at screening:
- Hypertension, dyslipidemia, obstructive sleep apnea, cardiovascular disease (for example, ischemic cardiovascular disease, New York Heart Association Functional Class I-III heart failure).
- Have a history of at least 1 self-reported unsuccessful dietary effort to lose body weight.
Who cannot join
- Have Type 1 diabetes, Type 2 diabetes, or any other types of diabetes, history of ketoacidosis, or hyperosmolar state/coma
- Have a self-reported change in body weight >5 kg (11 pounds) within 90 days prior to screening.
- Have family (first-degree relative) or personal history of medullary thyroid cancer (MTC) or multiple endocrine neoplasia (MEN)2 syndrome.
- Have had a history of chronic or acute pancreatitis.
Trial locations and contacts
138 sites in 10 countries.
138 sites in 10 countries
United States43 sites
University of Colorado Anschutz Medical Campus
Aurora, Colorado, 80045
Texas Diabetes & Endocrinology, P.A.
Austin, Texas, 78731
Pennington Biomedical Research Center
Baton Rouge, Louisiana, 70808
Elite Clinical Trials
Blackfoot, Idaho, 83221
The Institute for Liver Health II dba Arizona Clinical Trials - Mesa
Chandler, Arizona, 85225
John Muir Physician Network Research Center
Concord, California, 94520
Thyroid, Endocrinology, and Diabetes
Dallas, Texas, 75208
Velocity Clinical Research, Dallas
Dallas, Texas, 75230
Cedar Health Research
Dallas, Texas, 75251
Physicians' Research Options
Draper, Utah, 84020
AMCR Institute
Escondido, California, 92025
NorCal Medical Research, Inc
Greenbrae, California, 94904
East-West Medical Research Institute
Honolulu, Hawaii, 96814
Juno Research
Houston, Texas, 77054
Velocity Clinical Research, Huntington Park
Huntington Park, California, 90255
MedStar Health Research Institute (MedStar Physician Based Research Network)
Hyattsville, Maryland, 20782
Care Access - Lake Charles
Lake Charles, Louisiana, 70601
Long Island Cardiovascular Consultants
Lake Success, New York, 11042
Las Vegas Medical Research
Las Vegas, Nevada, 89128
Physicians Research Associates
Lawrenceville, Georgia, 30046
Velocity Clinical Research, Westlake
Los Angeles, California, 90057
East Coast Institute for Research, LLC
Macon, Georgia, 31210
New Age Medical Research Corporation
Miami, Florida, 33186
South Broward Research
Miramar, Florida, 33027
Catalina Research Institute, LLC
Montclair, California, 91763
Weill Cornell Medical College
New York, New York, 10021
Health Research of Hampton Roads, Inc.
Newport News, Virginia, 23606
Alliance for Multispecialty Research, LLC
Norman, Oklahoma, 73069
Renstar Medical Research
Ocala, Florida, 34470
Eastside Research Associates
Redmond, Washington, 98052
SKY Integrative Medical Center/SKYCRNG
Ridgeland, Mississippi, 39157
Endocrine and Metabolic Consultants
Rockville, Maryland, 20852
Norcal Endocrinology & Internal Medicine
San Ramon, California, 94583
Consano Clinical Research, LLC
Shavano Park, Texas, 78231
Clinical Research Institute of Arizona (CRI) - Sun City West
Sun City West, Arizona, 85375
Jedidiah Clinical Research - Tampa - Bay Plaza
Tampa, Florida, 33619
Cotton O'Neil Clinical Research Center
Topeka, Kansas, 66606
Cotton O'Neil Diabetes & Endocrinology
Topeka, Kansas, 66606
Arcturus Healthcare , PLC, Troy Internal Medicine Research Division
Troy, Michigan, 48098
University Clinical Investigators, Inc.
Tustin, California, 92780
Rophe Adult and Pediatric Medicine/SKYCRNG
Union City, Georgia, 30291
Clinical Site Partners, LLC dba Flourish Research
Winter Park, Florida, 32789
Soma Clinical Trials
Wylie, Texas, 75098
China20 sites
Chinese PLA General Hospital
Beijing, Beijing Municipality, 100853
Chongqing General Hospital
Chongqing, Chongqing Municipality, 404117
Hainan General Hospital
Haikou, Hainan, 570311
Zhejiang Hospital
Hangzhou, Zhejiang, 310013
The Fourth Affiliated Hospital of Harbin Medical University
Harbin, Heilongjiang, 150001
The Second People's Hospital of Hefei
Hefei, Anhui, 230011
Jinan Central Hospital
Jinan, Shandong, 250013
The First People's Hospital of Yunnan Province
Kunming, Yunnan, 650034
The First Affiliated Hospital of Henan University of Science &Technology
Luoyang Shi, Henan, 471003
Jiangxi Provincial People's Hospital
Nanchang, Jiangxi, 330006
Nanjing First Hospital
Nanjing, Jiangsu, 210006
The Second Affiliated Hospital of Nanjing Medical University
Nanjing, Jiangsu, 210011
Ningbo First Hospital
Ningbo, Zhejiang, 315010
Jiading District Central Hospital
Shanghai, Shanghai Municipality, 201800
ShenZhen People's Hospital
Shenzhen, Guangdong, 518020
The First Affiliated Hospital of Soochow University
Suzhou, Jiangsu, 215006
Tianjin Medical University General Hospital
Tianjin, Tianjin Municipality, 300052
Tianjin Medical University Zhu Xianyi Memorial Hospital
Tianjin, Tianjin Municipality, 300134
The Second Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, 450014
Affiliated Hospital of Jiangsu University
Zhenjiang, Jiangsu, 212000
Japan18 sites
Adachi Kyosai Hospital
Adachi-ku, Tokyo, 120-0022
Mazda Hospital
Aki-gun, Hiroshima, 735-0017
Medical Corporation Chiseikai Tokyo Center Clinic
Chuo-ku, Tokyo, 103-0027
Tokyo-Eki Center-building Clinic
Chuo-ku, Tokyo, 103-0027
Fukuwa Clinic
Chuo-ku, Tokyo, 104-0031
Boocs Clinic Fukuoka
Fukuoka, 812-0025
Yutenji Medical Clinic
Meguro-ku, Tokyo, 153-0053
Kanno Naika
Mitaka, Tokyo, 181-0013
Osaka Nishiumeda Clinic
Osaka, 530-0001
Shimokitazawa Tomo Clinic
Setagaya-ku, Tokyo, 155-0031
Heishinkai Medical Group ToCROM Clinic
Shinjuku-ku, Tokyo, 160-0008
Sugiura Internal Medicine Clinic
Sōka, Saitama, 340-0015
Medical Corporation Heishinkai OCROM Clinic
Suita-shi, Osaka, 565-0853
NTT Nishinihon Takamatsu Clinic
Takamatsu, Kagawa-ken, 760-0076
Tsuchiura Medical & Health Care Center
Tsuchiura, Ibaraki, 300-0012
Oishi Clinic
Wakasugi, Fukuoka, 811-2310
Yokohama Minoru Clinic
Yokohama, Kanagawa, 232-0064
Iwamoto Internal Medicine Clinic
Zentsujichó, Kagawa-ken, 765-0071
Brazil14 sites
Hospital São Domingos
Bequimão, Maranhão, 65060-645
Centro de Pesquisa Sao Lucas
Campinas, São Paulo, 13060-803
Cline Research Center
Curitiba, Paraná, 80030-480
Quanta Diagnóstico e Terapia
Curitiba, Paraná, 80045170
Centro de Pesquisas em Diabetes e Doenças Endócrino-Metabólicas
Fortaleza, Ceará, 60430-350
CECIP - Centro de Estudos do Interior Paulista
Jaú, São Paulo, 17201130
Núcleo de Pesquisa Clínica do Rio Grande do Sul
Porto Alegre, Rio Grande do Sul, 90430-001
Hospital São Lucas de Copacabana
Rio de Janeiro, 22061-080
Centro Multidisciplinar de Estudos Clinicos
São Bernardo do Campo, São Paulo, 09715-090
CPQuali Pesquisa Clínica
São Paulo, 01228-000
CEPIC - Centro Paulista de Investigação Clínica
São Paulo, 04266-010
Hospital das Clinicas FMUSP
São Paulo, 05403-000
CEDOES
Vitória, Espírito Santo, 29055450
Integral Pesquisa e Ensino
Votuporanga, São Paulo, 15501-405
Spain13 sites
CHUAC-Complejo Hospitalario Universitario A Coruña
A Coruña, A Coruña [La Coruña], 15006
Centro Periférico de Especialidades Bola Azul
Almería, Almería, 04009
Hospital Germans Trias i Pujol
Badalona, Barcelona [Barcelona], 08916
Centro Médico Teknon
Barcelona, Barcelona [Barcelona], 08022
Hospital Universitari Vall d'Hebron
Barcelona, Barcelona [Barcelona], 08035
Complejo Hospitalario Universitario de Ferrol (CHUF)- Hospital Naval
Ferrol, A Coruña [La Coruña], 15405
Hospital Universitario Virgen de la Victoria
Málaga, Andalusia, 29010
Hospital Virgen del Camino
Sanlúcar de Barrameda, Cádiz, 11540
Hospital Quiron Infanta Luisa
Seville, Andalusia, 41010
Hospital General Universitario de Valencia
Valencia, Valenciana, Comunitat, 46014
Hospital Universitari i Politecnic La Fe
Valencia, 46026
Hospital Clínico Universitario de Valladolid
Valladolid, Castille and León, 47010
Hospital Virgen de las Montañas
Villamartín, Cádiz, 11650
India8 sites
Victoria Hospital, Bangalore Medical College And Research Institute
Bangalore, Karnataka, 560002
Endolife Speciality Hospitals
Guntur, Andhra Pradesh, 522001
Mysore Medical College
Mysore, Karnataka, 570001
Central India Cardiology and Research Institute
Nagpur, Maharashtra, 440015
All India Institute of Medical Sciences (AIIMS) - Nagpur
Nagpur, Maharashtra, 441108
Deenanath Mangeshkar Hospital & Research Centre
Pune, Maharashtra, 411004
Sahyadri Super Speciality Hospital
Pune, Maharashtra, 411004
Lifepoint Multispeciality Hospital
Pune, Maharashtra, 411057
Slovakia8 sites
Metabol KLINIK
Bratislava, Bratislava Region, 811 08
MediTask
Bratislava, 831 03
Human Care s.r.o.
Košice, Košice Region, 04001
Nemocnica s poliklinikou Lucenec
Lučenec, Banská Bystrica Region, 984 01
DIA-MED CENTRUM s.r.o.
Púchov, Trenčín Region, 020 01
DIAB sro
Rožňava, Košický Kr, 048 01
MEDI-DIA s.r.o.
Sabinov, Presov, 083 01
Areteus s.r.o.
Trebišov, Košice Region, 075 01
South Korea7 sites
Korea University Ansan Hospital
Ansan-si, Kyǒnggi-do, 15355
Hallym University Sacred Heart Hospital
Anyang-si, Kyǒnggi-do, 14068
Pusan National University Yangsan Hospital
Busan, Kyǒngsangnam-do, 50612
Gachon University Gil Medical Center
Namdong-gu, Incheon-gw, 21565
Konyang University Hospital
Seogu, Taejǒn-Kwangyǒkshi, 35365
Seoul National University Hospital
Seoul, Seoul-teukbyeolsi [Seoul], 03080
Ajou University Hospital
Suwon, Kyǒnggi-do, 16499
Taiwan5 sites
Changhua Christian Hospital
Changhua, 50006
Chiayi Christian Hospital
Chiayi City, Chiayi, 600
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 807
Chang Gung Memorial Hospital at Kaohsiung
Kaohsiung Niao Sung Dist, Kaohsiung, 83301
National Cheng Kung University Hospital
Tainan, 704
Puerto Rico2 sites
Dorado Medical Complex
Dorado, 00646
GCM Medical Group, PSC - Hato Rey Site
San Juan, PR, 00917
About this study
Official title: A Phase 3, Randomized, Double-Blind Study to Investigate the Efficacy and Safety of Once-Daily Oral Orforglipron Compared With Placebo in Adult Participants With Obesity or Overweight With Weight-Related Comorbidities (ATTAIN-1)
This study will investigate the efficacy and safety of once daily oral orforglipron in adult participants with obesity or overweight with weight-related comorbidities. The study has two phases: a main phase and an extension phase. The main phase of the study lasted 72 weeks. Participants with prediabetes will continue in the extension for another 2 years.
- Conditions
- Obesity, Overweight, Overweight or Obesity
- Being tested
- Orforglipron, Placebo
- Medical subject headings
- Obesity, Overweight
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
OrforglipronDrug
Also called LY3502970
Administered orally.
PlaceboDrug
Administered orally.
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Primary Treatment Period (Week 0-Week 72): Participants with normoglycemia or prediabetes at the time of randomization received orforglipron-matching placebo, administered orally once daily (QD), for a period of 72 weeks. Receives: Drug: Placebo |
| 6 mg Orforglipron | Experimental | Primary Treatment Period (Week 0-Week 72): Participants with normoglycemia or prediabetes at the time of randomization received orforglipron, administered orally QD, starting at a dose of 1 milligrams (mg) and escalated every 4 weeks until reaching a dose of 6 mg at week 8, which was then maintained up to week 72. Receives: Drug: Orforglipron |
| 12 mg Orforglipron | Experimental | Primary Treatment Period (Week 0-Week 72): Participants with normoglycemia or prediabetes at the time of randomization received orforglipron, administered orally QD, starting at a dose of 1 mg and escalated every 4 weeks until reaching a dose of 12 mg at week 12, which was then maintained up to week 72. Receives: Drug: Orforglipron |
| 36 mg Orforglipron | Experimental | Primary Treatment Period (Week 0-Week 72): Participants with normoglycemia or prediabetes at the time of randomization received orforglipron, administered orally QD, starting at a dose of 1 mg and escalated every 4 weeks until reaching a dose of 36 mg at week 20, which was then maintained up to week 72. Receives: Drug: Orforglipron |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percent Change From Baseline in Body Weight (Primary Treatment Period)
Values represented under "Least Squares (LS) Mean" are model-based estimates (MBE) of the unconditional average treatment effect. MBE was calculated using a mixed-model repeated measures (MMRM) for post-baseline measures with geographic region, baseline by time by treatment, and strata by time by treatment in the model. Strata was defined by joint levels of Sex (female, male) and prediabetes status (yes, no). Variance-covariance structure for change from baseline was unstructured.
Measured: Baseline, Week 72
Secondary outcomes (11)
Change From Baseline in Waist Circumference (Primary Treatment Period)
Values represented under "LS Mean" are model-based estimates (MBE) of the unconditional average treatment effect. MBE was calculated using a mixed-model repeated measures (MMRM) for post-baseline measures with geographic region, baseline by time by treatment, and strata by time by treatment in the model. Strata was defined by joint levels of Sex (female, male) and prediabetes status (yes, no). Variance-covariance structure for change from baseline was unstructured.
Measured: Baseline, Week 72
Change From Baseline in Systolic Blood Pressure (SBP) (Pooled Doses of Orforglipron 6 mg, 12 mg and 36 mg) - Primary Treatment Period
Values represented under "LS Mean" are model-based estimates (MBE) of the unconditional average treatment effect. MBE was calculated using a mixed-model repeated measures (MMRM) for post-baseline measures with geographic region, baseline by time by treatment, and strata by time by treatment in the model. Strata was defined by joint levels of Sex (female, male) and prediabetes status (yes, no). Variance-covariance structure for change from baseline was unstructured.
Measured: Baseline, Week 72
Percent Change From Baseline in Non-High Density Lipoprotein (Non-HDL) Cholesterol (Pooled Doses of Orforglipron 6 mg, 12 mg and 36 mg) - Primary Treatment Period
Values represented under "Geometric LS Mean" are model-based estimates (MBE) of the unconditional average treatment effect. MBE was calculated using a mixed-model repeated measures (MMRM) for post-baseline measures with log (Actual Measurement/Baseline) = geographic region, log(baseline) by time by treatment, and strata by time by treatment in the model. Strata was defined by joint levels of Sex (female, male) and prediabetes status (yes, no). Variance-covariance structure for change from baseline was unstructured.
Measured: Baseline, Week 72
Percent Change From Baseline in Triglycerides (Pooled Doses of Orforglipron 6 mg, 12 mg and 36 mg) - Primary Treatment Period
Values represented under "Geometric LS Mean" are model-based estimates (MBE) of the unconditional average treatment effect. MBE was calculated using a mixed-model repeated measures (MMRM) for post-baseline measures with log (Actual Measurement/Baseline) = geographic region, log(baseline) by time by treatment, and strata by time by treatment in the model. Strata was defined by joint levels of Sex (female, male) and prediabetes status (yes, no). Variance-covariance structure for change from baseline was unstructured.
Measured: Baseline, Week 72
Change From Baseline in HbA1c (Primary Treatment Period)
- Hemoglobin A1c (HbA1c) is the glycosylated fraction of hemoglobin A, measured to reflect average plasma glucose concentration over prolonged periods of time.
- Values represented under "LS Mean" are model-based estimates (MBE) of the unconditional average treatment effect. MBE was calculated using a mixed-model repeated measures (MMRM) for post-baseline measures with geographic region, baseline by time by treatment, and strata by time by treatment in the model. Strata was defined by joint levels of Sex (female, male) and prediabetes status (yes, no). Variance-covariance structure for change from baseline was unstructured.
Measured: Baseline, Week 72
Change From Baseline in Fasting Serum Glucose (FSG) (Primary Treatment Period)
Values represented under "LS Mean" are model-based estimates (MBE) of the unconditional average treatment effect. MBE was calculated using a mixed-model repeated measures (MMRM) for post-baseline measures with geographic region, baseline by time by treatment, and strata by time by treatment in the model. Strata was defined by joint levels of Sex (female, male) and prediabetes status (yes, no). Variance-covariance structure for change from baseline was unstructured.
Measured: Baseline, Week 72
Percent Change From Baseline in Fasting Insulin (Primary Treatment Period)
- Fasting insulin is a blood test that measures the level of insulin in the blood after fasting.
- Values represented under "Geometric LS Mean" are model-based estimates (MBE) of the unconditional average treatment effect. MBE was calculated using a mixed-model repeated measures (MMRM) for post-baseline measures with log (Actual Measurement/Baseline) = geographic region, log(baseline) by time by treatment, and strata by time by treatment in the model. Strata was defined by joint levels of Sex (female, male) and prediabetes status (yes, no). Variance-covariance structure for change from baseline was unstructured.
Measured: Baseline, Week 72
Change From Baseline in Diastolic Blood Pressure (DBP) (Pooled Doses of Orforglipron 6 mg, 12 mg and 36 mg) - Primary Treatment Period
Values represented under "LS Mean" are model-based estimates (MBE) of the unconditional average treatment effect. MBE was calculated using a mixed-model repeated measures (MMRM) for post-baseline measures with geographic region, baseline by time by treatment, and strata by time by treatment in the model. Strata was defined by joint levels of Sex (female, male) and prediabetes status (yes, no). Variance-covariance structure for change from baseline was unstructured.
Measured: Baseline, Week 72
Change From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Acute Form (Physical Component and Mental Component) Scores - (Pooled Doses of Orforglipron 6 mg, 12 mg and 36 mg) - Primary Treatment Period
The SF-36v2 is a participant-reported measure designed to assess health status using 36 items across 8 domains: Physical Functioning, Role-Physical, Bodily Pain, General Health, Vitality, Social Functioning, Role-Emotional, and Mental Health. The physical functioning domain assesses limitations due to health "now," whereas the remaining domains assess functioning "in the past week." Each domain is scored individually, and information from these 8 domains is aggregated into 2 health component summary scores, the Physical Component Summary and Mental Component Summary. Items are answered on Likert scales of varying lengths (3-point, 5-point, or 6-point scales). Scoring of each domain and both summary scores are norm based and presented in the form of T-scores, with a mean of 50 and a standard deviation of 10. Higher scores indicate better levels of function and/or better health. Range cannot be specified in norm-based scores.
Measured: Baseline, Week 72
Percent Change From Baseline in Body Weight (Primary and Additional Treatment Periods: Participants With Prediabetes at Randomization)
Measured: Baseline, Week 176
Time to Onset of Type 2 Diabetes (Primary and Additional Treatment Periods: Participants With Prediabetes at Randomization)
Measured: Baseline through Week 176, Baseline through Week 190
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 May 2023
- Study start5 Jun 2023
- Primary completion25 Jul 2025
- Study completionOct 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for ObesityStudies of the same condition, open and under way.
- More trials run by Eli Lilly and CompanyThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 3,127 participants (actual)
Sponsor and investigators
- Lead sponsor
- Eli Lilly and Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 8 AM - 8 PM Eastern time (UTC/GMT - 5 hours, EST), Study director, Eli Lilly and Company
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05869903
- Sponsor's protocol ID
- 18559
- Other IDs
- J2A-MC-GZGP, 2022-502839-19-00, U1111-1289-8877
- Acronym
- ATTAIN-1
- Status last verified
- Jul 2026
- First submitted
- 12 May 2023
- Last updated
- 14 Aug 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: 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.
Publications
Almandoz JP, Miras AD, Bluher M, Orozco Del Pino P, Mojdami D, Batterham RL, Trice K, Goebel B, Tangi F. Efficacy and safety of orforglipron in adults with body mass index of 27 to less than 30 kg/m2 and adiposity-related complications: A post hoc analysis of the ATTAIN-1 trial. Obes Pillars. 2026 Oct 14;20:100346. doi: 10.1016/j.obpill.2026.100346. eCollection 2026 Dec.
PubMed 42936354Shinde S, Kahles F, Vasileva-Metodiev S, Griffin R, Liu-Seifert H, Lebrec J, Xavier NA, Li R, Klise SR, Singh A, Aberle J. Predicting the Long-Term Risk of Type 2 Diabetes and Cardiovascular Disease With Orforglipron in People With Overweight or Obesity: A Post Hoc Analysis of the ATTAIN-1 Trial. Diabetes Obes Metab. 2026 Sep 17. doi: 10.1111/dom.71322. Online ahead of print.
PubMed 42750540Horn DB, Shukla AP, Huang H, Twum E, Allen SE, Kis SG. Orforglipron for obesity treatment in older patients >/=65 years with or without type 2 diabetes: A post hoc subgroup analysis of the ATTAIN-1 and ATTAIN-2 trials. Obes Pillars. 2026 Jul 14;19:100301. doi: 10.1016/j.obpill.2026.100301. eCollection 2026 Sep.
PubMed 42577069Wharton S, Aronne LJ, Stefanski A, Alfaris NF, Ciudin A, Yokote K, Halpern B, Shukla AP, Zhou C, Macpherson L, Allen SE, Ahmad NN, Klise SR; ATTAIN-1 Trial Investigators. Orforglipron, an Oral Small-Molecule GLP-1 Receptor Agonist for Obesity Treatment. N Engl J Med. 2025 Nov 6;393(18):1796-1806. doi: 10.1056/NEJMoa2511774. Epub 2025 Sep 16.
PubMed 40960239
Study at a glance
From the registry record, last updated by the sponsor on 14 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Double-Blind Study to Investigate the Efficacy and Safety of Once-Daily Oral Orforglipron Compared With Placebo in Adult Participants With Obesity or Overweight With Weight-Related Comorbidities (ATTAIN-1)
- ClinicalTrials.gov ID
- NCT05869903
- Acronym / sponsor ID
- ATTAIN-1 / 18559
- Conditions
- Obesity, Overweight, Overweight or Obesity
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 3,127 participants (actual)
- Lead sponsor
- Eli Lilly and CompanyIndustry (pharma, biotech, devices)
- Study start
- 5 Jun 2023 (actual)
- Primary completion
- 25 Jul 2025 (actual)
- Study completion
- Oct 2027 (estimated)
- First posted
- 22 May 2023 (actual)
- Results
- Posted 14 Aug 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will investigate the efficacy and safety of once daily oral orforglipron in adult participants with obesity or overweight with weight-related comorbidities. The study has two phases: a main phase and an extension phase. The main phase of the study lasted 72 weeks. Participants with prediabetes will continue in the extension for another 2 years.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: PlaceboPrimary Treatment Period (Week 0-Week 72): Participants with normoglycemia or prediabetes at the time of randomization received orforglipron-matching placebo, administered orally once daily (QD), for a period of 72 weeks. |
| 6 mg Orforglipron | Experimental | Drug: OrforglipronPrimary Treatment Period (Week 0-Week 72): Participants with normoglycemia or prediabetes at the time of randomization received orforglipron, administered orally QD, starting at a dose of 1 milligrams (mg) and escalated every 4 weeks until reaching a dose of 6 mg at week 8, which was then maintained up to week 72. |
| 12 mg Orforglipron | Experimental | Drug: OrforglipronPrimary Treatment Period (Week 0-Week 72): Participants with normoglycemia or prediabetes at the time of randomization received orforglipron, administered orally QD, starting at a dose of 1 mg and escalated every 4 weeks until reaching a dose of 12 mg at week 12, which was then maintained up to week 72. |
| 36 mg Orforglipron | Experimental | Drug: OrforglipronPrimary Treatment Period (Week 0-Week 72): Participants with normoglycemia or prediabetes at the time of randomization received orforglipron, administered orally QD, starting at a dose of 1 mg and escalated every 4 weeks until reaching a dose of 36 mg at week 20, which was then maintained up to week 72. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Have a BMI
- Have a history of at least 1 self-reported unsuccessful dietary effort to lose body weight.
Key exclusion criteria (4 listed)
- Have Type 1 diabetes, Type 2 diabetes, or any other types of diabetes, history of ketoacidosis, or hyperosmolar state/coma
- Have a self-reported change in body weight >5 kg (11 pounds) within 90 days prior to screening.
- Have family (first-degree relative) or personal history of medullary thyroid cancer (MTC) or multiple endocrine neoplasia (MEN)2 syndrome.
- Have had a history of chronic or acute pancreatitis.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| OrforglipronAlso: LY3502970Administered orally. | Drug | 12 mg Orforglipron, 36 mg Orforglipron, 6 mg Orforglipron |
| PlaceboAdministered orally. | Drug | Placebo |
Primary outcome
Percent Change From Baseline in Body Weight (Primary Treatment Period)
Time frame: Baseline, Week 72
Values represented under "Least Squares (LS) Mean" are model-based estimates (MBE) of the unconditional average treatment effect. MBE was calculated using a mixed-model repeated measures (MMRM) for post-baseline measures with geographic region, baseline by time by treatment, and strata by time by treatment in the model. Strata was defined by joint levels of Sex (female, male) and prediabetes status (yes, no). Variance-covariance structure for change from baseline was unstructured.
11 secondary outcomes
Change From Baseline in Waist Circumference (Primary Treatment Period)
Time frame: Baseline, Week 72
Change From Baseline in Systolic Blood Pressure (SBP) (Pooled Doses of Orforglipron 6 mg, 12 mg and 36 mg) - Primary Treatment Period
Time frame: Baseline, Week 72
Percent Change From Baseline in Non-High Density Lipoprotein (Non-HDL) Cholesterol (Pooled Doses of Orforglipron 6 mg, 12 mg and 36 mg) - Primary Treatment Period
Time frame: Baseline, Week 72
Percent Change From Baseline in Triglycerides (Pooled Doses of Orforglipron 6 mg, 12 mg and 36 mg) - Primary Treatment Period
Time frame: Baseline, Week 72
Change From Baseline in HbA1c (Primary Treatment Period)
Time frame: Baseline, Week 72
Change From Baseline in Fasting Serum Glucose (FSG) (Primary Treatment Period)
Time frame: Baseline, Week 72
Percent Change From Baseline in Fasting Insulin (Primary Treatment Period)
Time frame: Baseline, Week 72
Change From Baseline in Diastolic Blood Pressure (DBP) (Pooled Doses of Orforglipron 6 mg, 12 mg and 36 mg) - Primary Treatment Period
Time frame: Baseline, Week 72
Change From Baseline in Short Form-36 Health Survey Version 2 (SF-36v2) Acute Form (Physical Component and Mental Component) Scores - (Pooled Doses of Orforglipron 6 mg, 12 mg and 36 mg) - Primary Treatment Period
Time frame: Baseline, Week 72
Percent Change From Baseline in Body Weight (Primary and Additional Treatment Periods: Participants With Prediabetes at Randomization)
Time frame: Baseline, Week 176
Time to Onset of Type 2 Diabetes (Primary and Additional Treatment Periods: Participants With Prediabetes at Randomization)
Time frame: Baseline through Week 176, Baseline through Week 190
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Aug 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42936354Almandoz JP, Miras AD, Bluher M, Orozco Del Pino P, Mojdami D, Batterham RL, Trice K, Goebel B, Tangi F. Efficacy and safety of orforglipron in adults with body mass index of 27 to less than 30 kg/m2 and adiposity-related complications: A post hoc analysis of the ATTAIN-1 trial. Obes Pillars. 2026 Oct 14;20:100346. doi: 10.1016/j.obpill.2026.100346. eCollection 2026 Dec.
- Derived from this study: PubMed 42750540Shinde S, Kahles F, Vasileva-Metodiev S, Griffin R, Liu-Seifert H, Lebrec J, Xavier NA, Li R, Klise SR, Singh A, Aberle J. Predicting the Long-Term Risk of Type 2 Diabetes and Cardiovascular Disease With Orforglipron in People With Overweight or Obesity: A Post Hoc Analysis of the ATTAIN-1 Trial. Diabetes Obes Metab. 2026 Sep 17. doi: 10.1111/dom.71322. Online ahead of print.
- Derived from this study: PubMed 42577069Horn DB, Shukla AP, Huang H, Twum E, Allen SE, Kis SG. Orforglipron for obesity treatment in older patients >/=65 years with or without type 2 diabetes: A post hoc subgroup analysis of the ATTAIN-1 and ATTAIN-2 trials. Obes Pillars. 2026 Jul 14;19:100301. doi: 10.1016/j.obpill.2026.100301. eCollection 2026 Sep.
- Derived from this study: PubMed 40960239Wharton S, Aronne LJ, Stefanski A, Alfaris NF, Ciudin A, Yokote K, Halpern B, Shukla AP, Zhou C, Macpherson L, Allen SE, Ahmad NN, Klise SR; ATTAIN-1 Trial Investigators. Orforglipron, an Oral Small-Molecule GLP-1 Receptor Agonist for Obesity Treatment. N Engl J Med. 2025 Nov 6;393(18):1796-1806. doi: 10.1056/NEJMoa2511774. Epub 2025 Sep 16.
- A Study of Orforglipron (LY3502970) in Adult Participants With Obesity or Overweight With Weight-Related Comorbidities (ATTAIN-1)Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 8 AM - 8 PM Eastern time (UTC/GMT - 5 hours, EST) study director
Eli Lilly and Company
138 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Orforglipron in people with Obesity and Overweight, run by Eli Lilly and Company at 138 sites in 10 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 14 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 138 sites in United States, China, Japan, Brazil, Spain and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 14 Aug 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percent Change From Baseline in Body Weight (Primary Treatment Period) (time frame: Baseline, Week 72). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05869903, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Aug 2026.