Trial intelligence / Profile preview

Orforglipron vs Semaglutide in Type 2 Diabetes (ACHIEVE-3)

NCT06045221Phase 3

Key facts

Status
Completed
Start
Sep 2023
Primary completion
Aug 2025
Countries
6
Conditions
type 2 diabetes mellitus (T2DM)
01

Overview

Phase 3, randomised, open-label trial of orforglipron in type 2 diabetes mellitus (T2DM) (4 arms), sponsored by Eli Lilly and Company. Primary endpoint: Change From Baseline in Hemoglobin A1c at 52 weeks. Started Sep 2023; status: completed.

02

Design

4 arms
Study design
RandomizedOpen-label
  • 12 mg Orforglipron

    1 mg once-daily oral dose increased every 4 weeks to 12 mg once-daily

  • 36 mg Orforglipron

    1 mg once-daily oral dose increased every 4 weeks to 36 mg once-daily

  • 7 mg Semaglutide

    3 mg once-daily oral dose increased every 4 weeks to 7 mg once-daily

  • 14 mg Semaglutide

    3 mg once-daily oral dose increased every 4 weeks to 14 mg once-daily

03

Who it enrols

Adults with Type 2 Diabetes, HbA1c 7.0-10.5%, on stable metformin >=1500 mg/day, with stable body weight. Excludes Type 1 Diabetes, recent ketoacidosis, severe heart failure (NYHA IV), eGFR <45, and active malignancies.

04

Endpoints

Primary

  • Change From Baseline in Hemoglobin A1c

Secondary

  • Change From Baseline in Hemoglobin A1c

  • Percentage of Participants Who Achieved HbA1c <7.0%

  • Percentage of Participants Who Achieved HbA1c <=6.5%

  • Percentage of Participants Who Achieved HbA1c <5.7%

  • Percent Change From Baseline in Body Weight

  • Change From Baseline in Body Weight

  • Change From Baseline in Fasting Serum Glucose

  • Change From Baseline in Daily Average 7-point Self-monitored Blood Glucose

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