ObesityPhase 2NCT06373146
A Study of Tirzepatide (LY3298176) Plus Mibavademab Compared With Tirzepatide Alone in Adult Participants With Obesity
A Phase 2 study testing Tirzepatide and Mibavademab in people with Obesity, run by Eli Lilly and Company at 17 sites in United States.
Trial summary
The main purpose of this study is to determine if combining tirzepatide with mibavademab will result in more weight loss in adult participants than tirzepatide alone. The study will last about 74 weeks and may include up to 19 visits. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Obesity
- What is being tested?
- Tirzepatide and Mibavademab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 392 participants
- Where
- 17 sitesUnited States
- Study dates
- 24 Apr 2024to 2 Apr 2026
- Phase
- Phase 2
- Are there results?
- None posted in the registry
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 body mass index (BMI) of ≥30 kilogram/square meter (kg/m²) and ≤40 kg/m²
- Willing to learn how to self-inject study intervention (visually impaired persons who are not able to perform the injections must have the assistance of a sighted individual trained to inject the study intervention; persons with physical limitations who are not able to perform the injections must have the assistance of an individual trained to inject the study intervention)
- Male or female contraceptive use by participant should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
Who cannot join
- Have a history of diabetes mellitus, including Type 1 Diabetes Mellitus (T1DM) or Type 2 Diabetes Mellitus (T2DM), history of ketoacidosis, or hyperosmolar state/coma
- Have a self-reported change (increase or decrease) in body weight >5 kilogram (kg) within 3 months prior to screening
- Have a family or personal history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia (MEN) syndrome type 2
- Have acute or chronic hepatitis
- Have a history of an active or untreated malignancy or are in remission from a clinically significant malignancy for less than 5 years
Trial locations and contacts
17 sites in 1 country.
17 sites in 1 country
United States17 sites
Northwest Clinical Research Center
Bellevue, Washington, 98007
CTI Clinical Research Center
Cincinnati, Ohio, 45212
South Texas Clinical Research
Corpus Christi, Texas, 78404
Velocity Clinical Research, Dallas
Dallas, Texas, 75230
Lillestol Research
Fargo, North Dakota, 58104
Velocity Clinical Research, Gardena
Gardena, California, 90247
Juno Research
Houston, Texas, 77040
Irvine Clinical Research
Irvine, California, 92614
Velocity Clinical Research, Los Angeles
Los Angeles, California, 90017
Hassman Research Institute Marlton Site
Marlton, New Jersey, 08053
Tandem Clinical Research
Marrero, Louisiana, 70072
Solaris Clinical Research
Meridian, Idaho, 83646
Velocity Clinical Research - New Orleans
New Orleans, Louisiana, 70119
Velocity Clinical Research, North Hollywood
North Hollywood, California, 91606
Velocity Clinical Research, Santa Ana
Santa Ana, California, 92704
Velocity Clinical Research, Panorama City
Van Nuys, California, 91405
Diablo Clinical Research, Inc.
Walnut Creek, California, 94598
About this study
Official title: A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Proof-of-Concept Study of Once-Weekly Tirzepatide Plus Mibavademab Compared With Tirzepatide Alone in Adult Participants With Obesity
The main purpose of this study is to determine if combining tirzepatide with mibavademab will result in more weight loss in adult participants than tirzepatide alone. The study will last about 74 weeks and may include up to 19 visits.
- Conditions
- Obesity
- Being tested
- Tirzepatide, Mibavademab, Tirzepatide-Placebo, Mibavademab-Placebo
- Keywords
- Glucagon-like peptide-1 (GLP-1), Leptin, Incretin, Weight maintenance
- Medical subject headings
- Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TirzepatideDrug
Also called LY3298176
Administered SC
MibavademabDrug
Also called REGN4461
Administered SC
Tirzepatide-PlaceboDrug
Administered SC
Mibavademab-PlaceboDrug
Administered SC
| Study group | Role | What they receive |
|---|---|---|
| Tirzepatide (TZP) + Mibavademab (MIBA) [Group A] | Experimental | Participants will receive TZP subcutaneously (SC) and MIBA for 24 weeks. Participants in Group A will be randomized (Randomization 2) to groups C and D at week 24. Receives: Drug: Tirzepatide; Drug: Mibavademab |
| TZP + Mibavademab-placebo (MIBA-PBO) [Group B] | Experimental | Participants will receive TZP SC and MIBA-PBO SC for 24 weeks. Participants in Group B will be randomized (Randomization 2) to Groups E, F, G, and H at week 24. Receives: Drug: Tirzepatide; Drug: Mibavademab-Placebo |
| TZP + MIBA then Tirzepatide-placebo (TZP-PBO) + MIBA [Group C] | Experimental | Participants will receive TZP SC and MIBA SC for 24 weeks followed by TZP-PBO SC and MIBA SC for 24 weeks. Receives: Drug: Tirzepatide; Drug: Mibavademab; Drug: Tirzepatide-Placebo |
| TZP + MIBA [Group D] | Experimental | Participants will receive TZP SC + MIBA SC for 48 weeks. Receives: Drug: Tirzepatide; Drug: Mibavademab |
| TZP + MIBA-PBO [Group E] | Experimental | Participants will receive TZP SC + MIBA-PBO SC for 48 weeks. Receives: Drug: Tirzepatide; Drug: Mibavademab-Placebo |
| TZP + MIBA-PBO then TZP-PBO + MIBA [Group F] | Experimental | Participants will receive TZP SC + MIBA-PBO SC for 24 weeks followed by TZP-PBO SC + MIBA SC for 24 weeks. Receives: Drug: Tirzepatide; Drug: Mibavademab; Drug: Tirzepatide-Placebo; Drug: Mibavademab-Placebo |
| TZP + MIBA-PBO then TZP + MIBA [Group G] | Experimental | Participants will receive TZP SC + MIBA-PBO SC for 24 weeks followed by TZP SC + MIBA SC for 24 weeks. Receives: Drug: Tirzepatide; Drug: Mibavademab; Drug: Mibavademab-Placebo |
| TZP + MIBA-PBO then TZP-PBO + MIBA-PBO [Group H] | Experimental | Participants will receive TZP SC + MIBA-PBO SC for 24 weeks followed by TZP-PBO SC + MIBA-PBO SC for 24 weeks. Receives: Drug: Tirzepatide; Drug: Tirzepatide-Placebo; Drug: Mibavademab-Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean Percent Change from Baseline in Body Weight
Measured: Baseline, Week 48
Secondary outcomes (13)
Mean Change from Baseline for Percent Change and Absolute Change in Body Weight (kg)
Measured: Baseline, Week 24
Mean Absolute Change from Baseline for Body Weight (kg)
Measured: Baseline, Week 48
Percentage of Participants Who Achieve ≥5% Body Weight Reduction
Measured: Baseline to Week 48
Percentage of Participants Who Achieve ≥10% Body Weight Reduction
Measured: Baseline to Week 48
Percentage of Participants Who Achieve ≥15% Body Weight Reduction
Measured: Baseline to Week 48
Percentage of Participants Who Achieve ≥20 Body Weight Reduction
Measured: Baseline to Week 48
Mean Percent Change from Randomization 2 for Body Weight
Measured: Week 24, Week 48
Mean Change from Randomization 2 for Body Weight (kg)
Measured: Week 24, Week 48
Mean Absolute Change from Randomization 2 for Body Weight (kg)
Measured: Week 24, Week 48
Change from Baseline to Week 24 in CoEQ Scores
Measured: Baseline, Week 24
Change from Baseline to Week 48 in CoEQ Scores
Measured: Baseline, Week 48
Change from Baseline in FCQ-T-r Scores
Measured: Baseline, Week 24
Change from Baseline in FCQ-T-r Scores
Measured: Baseline, Week 48
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Apr 2024
- Study start24 Apr 2024
- Primary completion15 Dec 2025
- Study completion2 Apr 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 392 participants (actual)
Sponsor and investigators
- Lead sponsor
- Eli Lilly and Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Regeneron Pharmaceuticals
- Responsible party
- Sponsor
- Investigators
- 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), Study director, Eli Lilly and Company
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06373146
- Sponsor's protocol ID
- 18750
- Other IDs
- I8F-MC-GPIV
- Status last verified
- May 2026
- First submitted
- 16 Apr 2024
- Last updated
- 6 May 2026
- Results posted
- No
- 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.
Study at a glance
From the registry record, last updated by the sponsor on 6 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Proof-of-Concept Study of Once-Weekly Tirzepatide Plus Mibavademab Compared With Tirzepatide Alone in Adult Participants With Obesity
- ClinicalTrials.gov ID
- NCT06373146
- Acronym / sponsor ID
- 18750
- Conditions
- Obesity
- Keywords
- Glucagon-like peptide-1 (GLP-1), Leptin, Incretin, Weight maintenance
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 392 participants (actual)
- Lead sponsor
- Eli Lilly and CompanyIndustry (pharma, biotech, devices)
- Collaborators
- Regeneron Pharmaceuticals
- Study start
- 24 Apr 2024 (actual)
- Primary completion
- 15 Dec 2025 (actual)
- Study completion
- 2 Apr 2026 (actual)
- First posted
- 18 Apr 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main purpose of this study is to determine if combining tirzepatide with mibavademab will result in more weight loss in adult participants than tirzepatide alone. The study will last about 74 weeks and may include up to 19 visits.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 8
| Arm | Type | Receives |
|---|---|---|
| Tirzepatide (TZP) + Mibavademab (MIBA) [Group A] | Experimental | Drug: Tirzepatide, Drug: MibavademabParticipants will receive TZP subcutaneously (SC) and MIBA for 24 weeks. Participants in Group A will be randomized (Randomization 2) to groups C and D at week 24. |
| TZP + Mibavademab-placebo (MIBA-PBO) [Group B] | Experimental | Drug: Tirzepatide, Drug: Mibavademab-PlaceboParticipants will receive TZP SC and MIBA-PBO SC for 24 weeks. Participants in Group B will be randomized (Randomization 2) to Groups E, F, G, and H at week 24. |
| TZP + MIBA then Tirzepatide-placebo (TZP-PBO) + MIBA [Group C] | Experimental | Drug: Tirzepatide, Drug: Mibavademab, Drug: Tirzepatide-PlaceboParticipants will receive TZP SC and MIBA SC for 24 weeks followed by TZP-PBO SC and MIBA SC for 24 weeks. |
| TZP + MIBA [Group D] | Experimental | Drug: Tirzepatide, Drug: MibavademabParticipants will receive TZP SC + MIBA SC for 48 weeks. |
| TZP + MIBA-PBO [Group E] | Experimental | Drug: Tirzepatide, Drug: Mibavademab-PlaceboParticipants will receive TZP SC + MIBA-PBO SC for 48 weeks. |
| TZP + MIBA-PBO then TZP-PBO + MIBA [Group F] | Experimental | Drug: Tirzepatide, Drug: Mibavademab, Drug: Tirzepatide-Placebo, Drug: Mibavademab-PlaceboParticipants will receive TZP SC + MIBA-PBO SC for 24 weeks followed by TZP-PBO SC + MIBA SC for 24 weeks. |
| TZP + MIBA-PBO then TZP + MIBA [Group G] | Experimental | Drug: Tirzepatide, Drug: Mibavademab, Drug: Mibavademab-PlaceboParticipants will receive TZP SC + MIBA-PBO SC for 24 weeks followed by TZP SC + MIBA SC for 24 weeks. |
| TZP + MIBA-PBO then TZP-PBO + MIBA-PBO [Group H] | Experimental | Drug: Tirzepatide, Drug: Tirzepatide-Placebo, Drug: Mibavademab-PlaceboParticipants will receive TZP SC + MIBA-PBO SC for 24 weeks followed by TZP-PBO SC + MIBA-PBO SC for 24 weeks. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Have a body mass index (BMI) of ≥30 kilogram/square meter (kg/m²) and ≤40 kg/m²
- Willing to learn how to self-inject study intervention (visually impaired persons who are not able to perform the injections must have the assistance of a sighted individual trained to inject the study intervention; persons with physical limitations who are not able to perform the injections must have the assistance of an individual trained to inject the study intervention)
- Male or female contraceptive use by participant should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
Key exclusion criteria (5 listed)
- Have a history of diabetes mellitus, including Type 1 Diabetes Mellitus (T1DM) or Type 2 Diabetes Mellitus (T2DM), history of ketoacidosis, or hyperosmolar state/coma
- Have a self-reported change (increase or decrease) in body weight >5 kilogram (kg) within 3 months prior to screening
- Have a family or personal history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia (MEN) syndrome type 2
- Have acute or chronic hepatitis
- Have a history of an active or untreated malignancy or are in remission from a clinically significant malignancy for less than 5 years
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 |
|---|---|---|
| TirzepatideAlso: LY3298176Administered SC | Drug | TZP + MIBA [Group D], TZP + MIBA then Tirzepatide-placebo (TZP-PBO) + MIBA [Group C], TZP + MIBA-PBO [Group E], TZP + MIBA-PBO then TZP + MIBA [Group G], TZP + MIBA-PBO then TZP-PBO + MIBA [Group F], TZP + MIBA-PBO then TZP-PBO + MIBA-PBO [Group H], TZP + Mibavademab-placebo (MIBA-PBO) [Group B], Tirzepatide (TZP) + Mibavademab (MIBA) [Group A] |
| MibavademabAlso: REGN4461Administered SC | Drug | TZP + MIBA [Group D], TZP + MIBA then Tirzepatide-placebo (TZP-PBO) + MIBA [Group C], TZP + MIBA-PBO then TZP + MIBA [Group G], TZP + MIBA-PBO then TZP-PBO + MIBA [Group F], Tirzepatide (TZP) + Mibavademab (MIBA) [Group A] |
| Tirzepatide-PlaceboAdministered SC | Drug | TZP + MIBA then Tirzepatide-placebo (TZP-PBO) + MIBA [Group C], TZP + MIBA-PBO then TZP-PBO + MIBA [Group F], TZP + MIBA-PBO then TZP-PBO + MIBA-PBO [Group H] |
| Mibavademab-PlaceboAdministered SC | Drug | TZP + MIBA-PBO [Group E], TZP + MIBA-PBO then TZP + MIBA [Group G], TZP + MIBA-PBO then TZP-PBO + MIBA [Group F], TZP + MIBA-PBO then TZP-PBO + MIBA-PBO [Group H], TZP + Mibavademab-placebo (MIBA-PBO) [Group B] |
Primary outcome
Mean Percent Change from Baseline in Body Weight
Time frame: Baseline, Week 48
13 secondary outcomes
Mean Change from Baseline for Percent Change and Absolute Change in Body Weight (kg)
Time frame: Baseline, Week 24
Mean Absolute Change from Baseline for Body Weight (kg)
Time frame: Baseline, Week 48
Percentage of Participants Who Achieve ≥5% Body Weight Reduction
Time frame: Baseline to Week 48
Percentage of Participants Who Achieve ≥10% Body Weight Reduction
Time frame: Baseline to Week 48
Percentage of Participants Who Achieve ≥15% Body Weight Reduction
Time frame: Baseline to Week 48
Percentage of Participants Who Achieve ≥20 Body Weight Reduction
Time frame: Baseline to Week 48
Mean Percent Change from Randomization 2 for Body Weight
Time frame: Week 24, Week 48
Mean Change from Randomization 2 for Body Weight (kg)
Time frame: Week 24, Week 48
Mean Absolute Change from Randomization 2 for Body Weight (kg)
Time frame: Week 24, Week 48
Change from Baseline to Week 24 in CoEQ Scores
Time frame: Baseline, Week 24
Change from Baseline to Week 48 in CoEQ Scores
Time frame: Baseline, Week 48
Change from Baseline in FCQ-T-r Scores
Time frame: Baseline, Week 24
Change from Baseline in FCQ-T-r Scores
Time frame: Baseline, Week 48
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 May 2026.
- A Study of Tirzepatide (LY3298176) Plus Mibavademab Compared With Tirzepatide Alone in Adult Participants With ObesityLink 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 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST) study director
Eli Lilly and Company
17 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Tirzepatide and Mibavademab in people with Obesity, run by Eli Lilly and Company at 17 sites in United States.
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 3 inclusion and 5 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: finished, as of the sponsor's last update on 6 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 17 sites in United States. 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. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Mean Percent Change from Baseline in Body Weight (time frame: Baseline, Week 48). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 6 May 2026.