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Study · Randomized controlled trial · n = 316 · 2018

33 results

Efficacy and safety of LY3298176, a novel dual GIP and GLP-1 receptor agonist, in patients with type 2 diabetes: a randomised, placebo-controlled and active comparator-controlled phase 2 trial.

Frias JP, Nauck MA, Van J, Kutner ME, Cui X, Benson C, Urva S, Gimeno RE, Milicevic Z, Robins D, Haupt A

Lancet (London, England)4 Oct 2018Cited by 651 (Europe PMC)

Summary

The text of this summary is not shown here, because the article license does not allow reuse. Read it at the source (opens in a new tab)

Text rights: Publisher copyright. Results still quote short attributed sentences.

Results from this study33

30 results from studies that gave the peptide. 30 results from people.

  1. 01HumanRandomized controlled trialEfficacy outcome

    In adults with type 2 diabetes in a phase 2 trial, LY3298176 (tirzepatide) lowered HbA1c from baseline at 26 weeks in a dose-dependent way (-1·06%, -1·73%, -1·89% and -1·94% with 1, 5, 10 and 15 mg) versus -0·06% with placebo.

    In plain wordsIn adults with type 2 diabetes, tirzepatide lowered long-term blood sugar (HbA1c) more than placebo, and higher doses lowered it more.

    Outcome
    DecreaseHbA1c change from baseline to week 26 vs placebo
    Study

    n = 316

    Comparator
    Placebo
    Analysis
    Primary
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    1 mg, 5 mg, 10 mg or 15 mg once weekly · subcutaneous · 26 weeksAs given in this study (human).

    Source sentences

    Summary
    Mean changes from baseline in HbA1c with LY3298176 were -1·06% for 1 mg, -1·73% for 5 mg, -1·89% for 10 mg, and -1·94% for 15 mg, compared with -0·06% for placebo
    3 context sentences
    Summary · context
    posterior mean differences [80% credible set] vs placebo: -1·00% [-1·22 to -0·79] for 1 mg, -1·67% [-1·88 to -1·46] for 5 mg, -1·83% [-2·04 to -1·61] for 10 mg, and -1·89% [-2·11 to -1·67] for 15 mg
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
    Summary · context
    Because two participants did not receive treatment, the modified intention-to-treat and safety populations included 316 participants.
  2. 02HumanRandomized controlled trialEfficacy outcome

    In adults with type 2 diabetes, compared with dulaglutide (-1·21%), the posterior mean difference in HbA1c change at 26 weeks was -0·52%, -0·67% and -0·73% with LY3298176 (tirzepatide) 5, 10 and 15 mg, and 0·15% with 1 mg (80% credible sets: -0·72 to -0·31, -0·89 to -0·46, -0·95 to -0·52, and -0·08 to 0·38).

    In plain wordsIn adults with type 2 diabetes, tirzepatide at 5, 10 and 15 mg lowered long-term blood sugar (HbA1c) more than dulaglutide.

    Outcome
    DecreaseHbA1c change from baseline to week 26 vs dulaglutide
    Study

    n = 316

    Comparator
    Dulaglutide 1·5 mg
    Analysis
    Primary
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    1 mg, 5 mg, 10 mg or 15 mg once weekly · subcutaneous · 26 weeksAs given in this study (human).

    Source sentences

    Summary
    Compared with dulaglutide (-1·21%) the posterior mean differences (80% credible set) for change in HbA1c from baseline to 26 weeks with the LY3298176 doses were 0·15% (-0·08 to 0·38) for 1 mg, -0·52% (-0·72 to -0·31) for 5 mg, -0·67% (-0·89 to -0·46) for 10 mg, and -0·73% (-0·95 to -0·52) for 15 mg.
    2 context sentences
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
    Summary · context
    Because two participants did not receive treatment, the modified intention-to-treat and safety populations included 316 participants.
  3. 03HumanRandomized controlled trialEfficacy outcome

    In patients with diabetes, the HbA1c difference between LY3298176 1 mg and dulaglutide had an 80% credible set that crossed zero.

    In plain wordsIn patients with diabetes, the estimated HbA1c difference between LY3298176 1 mg and dulaglutide included zero in its 80% credible range.

    Outcome
    Not applicableHbA1c versus LY3298176 1 mg
    Study

    n: not reported in source

    Comparator
    LY3298176 1 mg
    Analysis
    Primary
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    1.5 mg weekly · subcutaneous · 26 weeksAs given in this study (human).

    Measurements

    HbA1c change
    −1.21%
    dulaglutide
    Posterior mean difference in HbA1c
    0.15%
    LY3298176 1 mg versus dulaglutide, 80% credible set -0.08 to 0.38
    80% credible set
    −0.08 to 0.38%
    LY3298176 1 mg versus dulaglutide

    Source sentences

    Summary
    Compared with dulaglutide (-1·21%) the posterior mean differences (80% credible set) for change in HbA1c from baseline to 26 weeks with the LY3298176 doses were 0·15% (-0·08 to 0·38) for 1 mg
    1 context sentence
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
  4. 04HumanRandomized controlled trialEfficacy outcome

    In patients with diabetes, dulaglutide reduced HbA1c less than LY3298176 5 mg.

    In plain wordsIn patients with diabetes, dulaglutide reduced HbA1c less than LY3298176 5 mg.

    Outcome
    IncreaseHbA1c versus LY3298176 5 mg
    Study

    n: not reported in source

    Comparator
    LY3298176 5 mg
    Analysis
    Primary
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    1.5 mg weekly · subcutaneous · 26 weeksAs given in this study (human).

    Measurements

    HbA1c change
    −1.21%
    dulaglutide
    Posterior mean difference in HbA1c
    −0.52%
    LY3298176 5 mg versus dulaglutide, 80% credible set -0.72 to -0.31
    80% credible set
    −0.72 to −0.31%
    LY3298176 5 mg versus dulaglutide

    Source sentences

    Summary
    Compared with dulaglutide (-1·21%) the posterior mean differences (80% credible set) for change in HbA1c from baseline to 26 weeks with the LY3298176 doses were 0·15% (-0·08 to 0·38) for 1 mg, -0·52% (-0·72 to -0·31) for 5 mg, -0·67% (-0·89 to -0·46) for 10 mg, and -0·73% (-0·95 to -0·52) for 15 mg.
    1 context sentence
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
  5. 05HumanRandomized controlled trialEfficacy outcome

    In patients with diabetes, dulaglutide reduced HbA1c less than LY3298176 10 mg.

    In plain wordsIn patients with diabetes, dulaglutide reduced HbA1c less than LY3298176 10 mg.

    Outcome
    IncreaseHbA1c versus LY3298176 10 mg
    Study

    n: not reported in source

    Comparator
    LY3298176 10 mg
    Analysis
    Primary
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    1.5 mg weekly · subcutaneous · 26 weeksAs given in this study (human).

    Measurements

    HbA1c change
    −1.21%
    dulaglutide
    Posterior mean difference in HbA1c
    −0.67%
    LY3298176 10 mg versus dulaglutide, 80% credible set -0.89 to -0.46
    80% credible set
    −0.89 to −0.46%
    LY3298176 10 mg versus dulaglutide

    Source sentences

    Summary
    Compared with dulaglutide (-1·21%) the posterior mean differences (80% credible set) for change in HbA1c from baseline to 26 weeks with the LY3298176 doses were 0·15% (-0·08 to 0·38) for 1 mg, -0·52% (-0·72 to -0·31) for 5 mg, -0·67% (-0·89 to -0·46) for 10 mg, and -0·73% (-0·95 to -0·52) for 15 mg.
    1 context sentence
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
  6. 06HumanRandomized controlled trialEfficacy outcome

    In patients with diabetes, dulaglutide reduced HbA1c less than LY3298176 15 mg.

    In plain wordsIn patients with diabetes, dulaglutide reduced HbA1c less than LY3298176 15 mg.

    Outcome
    IncreaseHbA1c versus LY3298176 15 mg
    Study

    n: not reported in source

    Comparator
    LY3298176 15 mg
    Analysis
    Primary
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    1.5 mg weekly · subcutaneous · 26 weeksAs given in this study (human).

    Measurements

    HbA1c change
    −1.21%
    dulaglutide
    Posterior mean difference in HbA1c
    −0.73%
    LY3298176 15 mg versus dulaglutide, 80% credible set -0.95 to -0.52
    80% credible set
    −0.95 to −0.52%
    LY3298176 15 mg versus dulaglutide

    Source sentences

    Summary
    Compared with dulaglutide (-1·21%) the posterior mean differences (80% credible set) for change in HbA1c from baseline to 26 weeks with the LY3298176 doses were 0·15% (-0·08 to 0·38) for 1 mg, -0·52% (-0·72 to -0·31) for 5 mg, -0·67% (-0·89 to -0·46) for 10 mg, and -0·73% (-0·95 to -0·52) for 15 mg.
    1 context sentence
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
  7. 07HumanRandomized controlled trialEfficacy outcome

    In adults with type 2 diabetes, 33% to 90% of patients on LY3298176 (tirzepatide) reached an HbA1c below 7·0% at 26 weeks, versus 52% on dulaglutide and 12% on placebo.

    In plain wordsIn adults with type 2 diabetes, 33% to 90% of people on tirzepatide reached an HbA1c below 7% across doses, versus 12% on placebo.

    Outcome
    IncreaseProportion with HbA1c below 7·0% at week 26
    Study

    n: not reported in source

    Comparator
    Placebo and dulaglutide
    Analysis
    Secondary
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    1 mg, 5 mg, 10 mg or 15 mg once weekly · subcutaneous · 26 weeksAs given in this study (human).

    Measurements

    Patients with HbA1c below 7·0%
    33 to 90%
    LY3298176 groups (range)
    Patients with HbA1c below 7·0%
    52%
    dulaglutide
    Patients with HbA1c below 7·0%
    12%
    placebo

    Source sentences

    Summary
    At 26 weeks, 33-90% of patients treated with LY3298176 achieved the HbA1c target of less than 7·0% (vs 52% with dulaglutide, 12% with placebo)
    2 context sentences
    Summary · context
    Secondary endpoints, measured in the mITT on treatment dataset
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
  8. 08HumanRandomized controlled trialEfficacy outcome

    In adults with type 2 diabetes, 15% to 82% of patients on LY3298176 (tirzepatide) reached the 6·5% HbA1c target at 26 weeks (worded "at least 6·5%" in the abstract), versus 39% on dulaglutide and 2% on placebo.

    In plain wordsIn adults with type 2 diabetes, 15% to 82% of people on tirzepatide reached a set HbA1c target across doses, versus 2% on placebo.

    Outcome
    IncreaseProportion reaching the 6·5% HbA1c target at week 26
    Study

    n: not reported in source

    Comparator
    Placebo and dulaglutide
    Analysis
    Secondary
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    1 mg, 5 mg, 10 mg or 15 mg once weekly · subcutaneous · 26 weeksAs given in this study (human).

    Measurements

    Patients reaching the 6·5% HbA1c target
    15 to 82%
    LY3298176 groups (range)
    Patients reaching the 6·5% HbA1c target
    39%
    dulaglutide
    Patients reaching the 6·5% HbA1c target
    2%
    placebo

    Source sentences

    Summary
    15-82% achieved the HbA1c target of at least 6·5% (vs 39% with dulaglutide, 2% with placebo)
    2 context sentences
    Summary · context
    Secondary endpoints, measured in the mITT on treatment dataset
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
  9. 09HumanRandomized controlled trialEfficacy outcome

    In adults with type 2 diabetes, fasting plasma glucose changed by -0·4 to -3·4 mmol/L with LY3298176 (tirzepatide) across doses, versus 0·9 mmol/L with placebo and -1·2 mmol/L with dulaglutide (no test reported).

    In plain wordsIn adults with type 2 diabetes, fasting blood sugar fell with tirzepatide across doses, while it rose with placebo.

    Outcome
    DecreaseFasting plasma glucose change
    Study

    n: not reported in source

    Comparator
    Placebo and dulaglutide
    Analysis
    Secondary
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    1 mg, 5 mg, 10 mg or 15 mg once weekly · subcutaneous · 26 weeksAs given in this study (human).

    Source sentences

    Summary
    Changes in fasting plasma glucose ranged from -0·4 mmol/L to -3·4 mmol/L for LY3298176 (vs 0·9 mmol/L for placebo, -1·2 mmol/L for dulaglutide).
    2 context sentences
    Summary · context
    Secondary endpoints, measured in the mITT on treatment dataset
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
  10. 10HumanRandomized controlled trialEfficacy outcome

    In adults with type 2 diabetes, mean bodyweight changed by -0·9 to -11·3 kg with LY3298176 (tirzepatide) across doses, versus -0·4 kg with placebo and -2·7 kg with dulaglutide (no test reported).

    In plain wordsIn adults with type 2 diabetes, weight loss with tirzepatide ranged from 0·9 to 11·3 kg across doses, versus 0·4 kg with placebo.

    Outcome
    DecreaseBody weight change
    Study

    n: not reported in source

    Comparator
    Placebo and dulaglutide
    Analysis
    Secondary
    Outcome group
    Body weight · Metabolic and weight
    Studied dose
    1 mg, 5 mg, 10 mg or 15 mg once weekly · subcutaneous · 26 weeksAs given in this study (human).

    Source sentences

    Summary
    Changes in mean bodyweight ranged from -0·9 kg to -11·3 kg for LY3298176 (vs -0·4 kg for placebo, -2·7 kg for dulaglutide).
    2 context sentences
    Summary · context
    Secondary endpoints, measured in the mITT on treatment dataset
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
  11. 11HumanRandomized controlled trialEfficacy outcome

    In adults with type 2 diabetes, 14% to 71% of patients on LY3298176 (tirzepatide) lost at least 5% of body weight at 26 weeks, versus 22% on dulaglutide and 0% on placebo.

    In plain wordsIn type 2 diabetes, 14% to 71% of people on tirzepatide lost at least 5% of their weight across doses; none on placebo did.

    Outcome
    IncreaseProportion with at least 5% weight loss at week 26
    Study

    n: not reported in source

    Comparator
    Placebo and dulaglutide
    Analysis
    Secondary
    Outcome group
    Body weight · Metabolic and weight
    Studied dose
    1 mg, 5 mg, 10 mg or 15 mg once weekly · subcutaneous · 26 weeksAs given in this study (human).

    Measurements

    Patients with at least 5% weight loss
    14 to 71%
    LY3298176 groups (range)
    Patients with at least 5% weight loss
    22%
    dulaglutide
    Patients with at least 5% weight loss
    0%
    placebo

    Source sentences

    Summary
    At 26 weeks, 14-71% of those treated with LY3298176 achieved the weight loss target of at least 5% (vs 22% with dulaglutide, 0% with placebo) and 6-39% achieved the weight loss target of at least 10% (vs 9% with dulaglutide, 0% with placebo).
    2 context sentences
    Summary · context
    Secondary endpoints, measured in the mITT on treatment dataset
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
  12. 12HumanRandomized controlled trialEfficacy outcome

    In adults with type 2 diabetes, 6% to 39% of patients on LY3298176 (tirzepatide) lost at least 10% of body weight at 26 weeks, versus 9% on dulaglutide and 0% on placebo.

    In plain wordsIn type 2 diabetes, 6% to 39% of people on tirzepatide lost at least 10% of their weight across doses; none on placebo did.

    Outcome
    IncreaseProportion with at least 10% weight loss at week 26
    Study

    n: not reported in source

    Comparator
    Placebo and dulaglutide
    Analysis
    Secondary
    Outcome group
    Body weight · Metabolic and weight
    Studied dose
    1 mg, 5 mg, 10 mg or 15 mg once weekly · subcutaneous · 26 weeksAs given in this study (human).

    Measurements

    Patients with at least 10% weight loss
    6 to 39%
    LY3298176 groups (range)
    Patients with at least 10% weight loss
    9%
    dulaglutide
    Patients with at least 10% weight loss
    0%
    placebo

    Source sentences

    Summary
    At 26 weeks, 14-71% of those treated with LY3298176 achieved the weight loss target of at least 5% (vs 22% with dulaglutide, 0% with placebo) and 6-39% achieved the weight loss target of at least 10% (vs 9% with dulaglutide, 0% with placebo).
    2 context sentences
    Summary · context
    Secondary endpoints, measured in the mITT on treatment dataset
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
  13. 13HumanRandomized controlled trialEfficacy outcome

    In adults with type 2 diabetes, waist circumference changed by -2·1 to -10·2 cm with LY3298176 (tirzepatide) across doses, versus -1·3 cm with placebo and -2·5 cm with dulaglutide (no test reported).

    In plain wordsIn adults with type 2 diabetes, waist size fell by 2·1 to 10·2 cm across tirzepatide doses, versus 1·3 cm with placebo.

    Outcome
    DecreaseWaist circumference change
    Study

    n: not reported in source

    Comparator
    Placebo and dulaglutide
    Analysis
    Secondary
    Outcome group
    Body composition · Metabolic and weight
    Studied dose
    1 mg, 5 mg, 10 mg or 15 mg once weekly · subcutaneous · 26 weeksAs given in this study (human).

    Source sentences

    Summary
    Changes in waist circumference ranged from -2·1 cm to -10·2 cm for LY3298176 (vs -1·3 cm for placebo, -2·5 cm for dulaglutide).
    2 context sentences
    Summary · context
    Secondary endpoints, measured in the mITT on treatment dataset
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
  14. 14HumanRandomized controlled trialEfficacy outcome

    In adults with type 2 diabetes, total cholesterol changed by 0·2 to -0·3 mmol/L with LY3298176 (tirzepatide) across doses, versus 0·3 mmol/L with placebo and -0·2 mmol/L with dulaglutide (no test reported).

    In plain wordsIn adults with type 2 diabetes, total cholesterol changes with tirzepatide ranged from a rise of 0·2 to a fall of 0·3 mmol/L across doses.

    Outcome
    MixedTotal cholesterol change
    Study

    n: not reported in source

    Comparator
    Placebo and dulaglutide
    Analysis
    Secondary
    Outcome group
    Lipids · Metabolic and weight
    Studied dose
    1 mg, 5 mg, 10 mg or 15 mg once weekly · subcutaneous · 26 weeksAs given in this study (human).

    Source sentences

    Summary
    Changes in total cholesterol ranged from 0·2 mmol/L to -0·3 mmol/L for LY3298176 (vs 0·3 mmol/L for placebo, -0·2 mmol/L for dulaglutide).
    2 context sentences
    Summary · context
    Secondary endpoints, measured in the mITT on treatment dataset
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
  15. 15HumanRandomized controlled trialEfficacy outcome

    In adults with type 2 diabetes, changes in HDL and LDL cholesterol did not differ between the LY3298176 (tirzepatide) and placebo groups.

    In plain wordsIn adults with type 2 diabetes, HDL and LDL cholesterol changes with tirzepatide did not differ from placebo.

    Outcome
    No significant changeHDL and LDL cholesterol change
    Study

    n: not reported in source

    Comparator
    Placebo
    Analysis
    Secondary
    Outcome group
    Lipids · Metabolic and weight
    Studied dose
    1 mg, 5 mg, 10 mg or 15 mg once weekly · subcutaneous · 26 weeksAs given in this study (human).

    Source sentences

    Summary
    Changes in HDL or LDL cholesterol did not differ between the LY3298176 and placebo groups.
    2 context sentences
    Summary · context
    Secondary endpoints, measured in the mITT on treatment dataset
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
  16. 16HumanRandomized controlled trialEfficacy outcome

    In adults with type 2 diabetes, triglyceride concentration changed by 0 to -0·8 mmol/L with LY3298176 (tirzepatide) across doses, versus 0·3 mmol/L with placebo and -0·3 mmol/L with dulaglutide (no test reported).

    In plain wordsIn type 2 diabetes, triglycerides changed from 0 to a fall of 0·8 mmol/L across tirzepatide doses, versus a rise of 0·3 with placebo.

    Outcome
    DecreaseTriglyceride change
    Study

    n: not reported in source

    Comparator
    Placebo and dulaglutide
    Analysis
    Secondary
    Outcome group
    Lipids · Metabolic and weight
    Studied dose
    1 mg, 5 mg, 10 mg or 15 mg once weekly · subcutaneous · 26 weeksAs given in this study (human).

    Source sentences

    Summary
    Changes in triglyceride concentration ranged from 0 mmol/L to -0·8 mmol/L for LY3298176 (vs 0·3 mmol/L for placebo, -0·3 mmol/L for dulaglutide).
    2 context sentences
    Summary · context
    Secondary endpoints, measured in the mITT on treatment dataset
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
  17. 17HumanRandomized controlled trialEfficacy outcome

    In patients with diabetes, 52% receiving dulaglutide versus 12% receiving placebo achieved HbA1c below 7.0% at 26 weeks.

    In plain wordsIn patients with diabetes, 52% on dulaglutide and 12% on placebo reached an HbA1c below 7.0%.

    Outcome
    Direction not reportedHbA1c below target
    Study

    n: not reported in source

    Comparator
    Placebo
    Analysis
    Secondary
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    1.5 mg weekly · subcutaneous · 26 weeksAs given in this study (human).

    Measurements

    Proportion with HbA1c <7.0%
    52%
    dulaglutide
    Proportion with HbA1c <7.0%
    12%
    placebo

    Source sentences

    Summary
    At 26 weeks, 33-90% of patients treated with LY3298176 achieved the HbA1c target of less than 7·0% (vs 52% with dulaglutide, 12% with placebo) and 15-82% achieved the HbA1c target of at least 6·5% (vs 39% with dulaglutide, 2% with placebo).
    1 context sentence
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
  18. 18HumanRandomized controlled trialEfficacy outcome

    In patients with diabetes, 39% receiving dulaglutide versus 2% receiving placebo achieved the second HbA1c target at 26 weeks, which the abstract words inconsistently (methods: 6.5% or lower, results: at least 6.5%).

    In plain wordsIn patients with diabetes, 39% on dulaglutide and 2% on placebo reached the second HbA1c target, which the abstract words inconsistently.

    Outcome
    Direction not reportedSecond HbA1c target as reported
    Study

    n: not reported in source

    Comparator
    Placebo
    Analysis
    Secondary
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    1.5 mg weekly · subcutaneous · 26 weeksAs given in this study (human).

    Measurements

    Proportion reaching second HbA1c target (6.5%)
    39%
    dulaglutide
    Proportion reaching second HbA1c target (6.5%)
    2%
    placebo

    Source sentences

    Summary
    At 26 weeks, 33-90% of patients treated with LY3298176 achieved the HbA1c target of less than 7·0% (vs 52% with dulaglutide, 12% with placebo) and 15-82% achieved the HbA1c target of at least 6·5% (vs 39% with dulaglutide, 2% with placebo).
    2 context sentences
    Summary · context
    proportion of patients reaching the HbA1c target (≤6·5% and <7·0%) from baseline to weeks 12 and 26
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
  19. 19HumanRandomized controlled trialEfficacy outcome

    In patients with diabetes, fasting plasma glucose changed by -1.2 mmol/L with dulaglutide versus 0.9 mmol/L with placebo.

    In plain wordsIn patients with diabetes, fasting blood glucose fell with dulaglutide and changed in the other direction with placebo.

    Outcome
    DecreaseFasting plasma glucose change
    Study

    n: not reported in source

    Comparator
    Placebo
    Analysis
    Secondary
    Outcome group
    Glycemic control · Metabolic and weight
    Studied dose
    1.5 mg weekly · subcutaneous · 26 weeksAs given in this study (human).

    Measurements

    Fasting plasma glucose change
    −1.2 mmol/L
    dulaglutide
    Fasting plasma glucose change
    0.9 mmol/L
    placebo

    Source sentences

    Summary
    Changes in fasting plasma glucose ranged from -0·4 mmol/L to -3·4 mmol/L for LY3298176 (vs 0·9 mmol/L for placebo, -1·2 mmol/L for dulaglutide).
    1 context sentence
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
  20. 20HumanRandomized controlled trialEfficacy outcome

    In patients with diabetes, 22% receiving dulaglutide versus 0% receiving placebo achieved weight loss of at least 5% at 26 weeks.

    In plain wordsIn patients with diabetes, 22% on dulaglutide and 0% on placebo lost at least 5% of their weight.

    Outcome
    Direction not reportedWeight loss of at least 5%
    Study

    n: not reported in source

    Comparator
    Placebo
    Analysis
    Secondary
    Outcome group
    Body weight · Metabolic and weight
    Studied dose
    1.5 mg weekly · subcutaneous · 26 weeksAs given in this study (human).

    Measurements

    Proportion with weight loss of at least 5%
    22%
    dulaglutide
    Proportion with weight loss of at least 5%
    0%
    placebo

    Source sentences

    Summary
    At 26 weeks, 14-71% of those treated with LY3298176 achieved the weight loss target of at least 5% (vs 22% with dulaglutide, 0% with placebo) and 6-39% achieved the weight loss target of at least 10% (vs 9% with dulaglutide, 0% with placebo).
    1 context sentence
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
  21. 21HumanRandomized controlled trialEfficacy outcome

    In patients with diabetes, 9% receiving dulaglutide versus 0% receiving placebo achieved weight loss of at least 10% at 26 weeks.

    In plain wordsIn patients with diabetes, 9% on dulaglutide and 0% on placebo lost at least 10% of their weight.

    Outcome
    Direction not reportedWeight loss of at least 10%
    Study

    n: not reported in source

    Comparator
    Placebo
    Analysis
    Secondary
    Outcome group
    Body weight · Metabolic and weight
    Studied dose
    1.5 mg weekly · subcutaneous · 26 weeksAs given in this study (human).

    Measurements

    Proportion with weight loss of at least 10%
    9%
    dulaglutide
    Proportion with weight loss of at least 10%
    0%
    placebo

    Source sentences

    Summary
    At 26 weeks, 14-71% of those treated with LY3298176 achieved the weight loss target of at least 5% (vs 22% with dulaglutide, 0% with placebo) and 6-39% achieved the weight loss target of at least 10% (vs 9% with dulaglutide, 0% with placebo).
    1 context sentence
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
  22. 22HumanRandomized controlled trialEfficacy outcome

    In patients with diabetes, total cholesterol changed by -0.2 mmol/L with dulaglutide versus 0.3 mmol/L with placebo.

    In plain wordsIn patients with diabetes, total cholesterol fell with dulaglutide and changed in the other direction with placebo.

    Outcome
    DecreaseTotal cholesterol change
    Study

    n: not reported in source

    Comparator
    Placebo
    Analysis
    Secondary
    Outcome group
    Lipids · Metabolic and weight
    Studied dose
    1.5 mg weekly · subcutaneous · 26 weeksAs given in this study (human).

    Measurements

    Total cholesterol change
    −0.2 mmol/L
    dulaglutide
    Total cholesterol change
    0.3 mmol/L
    placebo

    Source sentences

    Summary
    Changes in total cholesterol ranged from 0·2 mmol/L to -0·3 mmol/L for LY3298176 (vs 0·3 mmol/L for placebo, -0·2 mmol/L for dulaglutide).
    1 context sentence
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
  23. 23HumanRandomized controlled trialEfficacy outcome

    In adults with type 2 diabetes, triglycerides changed by -0.3 mmol/L from baseline with dulaglutide, versus 0.3 mmol/L with placebo.

    In plain wordsIn patients with diabetes, triglycerides fell from baseline with dulaglutide, compared with a change of 0.3 mmol/L with placebo.

    Outcome
    DecreaseTriglyceride change
    Study

    n: not reported in source

    Comparator
    Placebo
    Analysis
    Secondary
    Outcome group
    Lipids · Metabolic and weight
    Studied dose
    1.5 mg weekly · subcutaneous · 26 weeksAs given in this study (human).

    Measurements

    Triglyceride change
    −0.3 mmol/L
    dulaglutide
    Triglyceride change
    0.3 mmol/L
    placebo

    Source sentences

    Summary
    Changes in triglyceride concentration ranged from 0 mmol/L to -0·8 mmol/L for LY3298176 (vs 0·3 mmol/L for placebo, -0·3 mmol/L for dulaglutide).
    1 context sentence
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
  24. 24HumanRandomized controlled trialSafety outcome

    In a phase 2 trial in adults with type 2 diabetes, 13 (4%) of 316 participants across the six treatment groups had 23 serious adverse events in total.

    In plain wordsIn this 26-week trial in adults with type 2 diabetes, 13 of 316 people across all six groups had serious adverse events.

    Outcome
    Not applicableSerious adverse events
    Study

    n = 316

    Outcome group
    Adverse events · Whole body
    Studied dose
    1 mg, 5 mg, 10 mg or 15 mg once weekly · subcutaneous · 26 weeksAs given in this study (human).

    Measurements

    Participants with serious adverse events
    13 participants
    all six treatment groups
    Serious adverse events
    23 events
    all six treatment groups

    Source sentences

    Summary
    13 (4%) of 316 participants across the six treatment groups had 23 serious adverse events in total.
    1 context sentence
    Summary · context
    Because two participants did not receive treatment, the modified intention-to-treat and safety populations included 316 participants.
  25. 25HumanRandomized controlled trialSafety outcome

    In adults with type 2 diabetes, the incidence of gastrointestinal events was dose-related with LY3298176 (tirzepatide): 23·1%, 32·7%, 51·0% and 66·0% at 1, 5, 10 and 15 mg, versus 42·6% with dulaglutide and 9·8% with placebo; most events were mild to moderate and transient.

    In plain wordsIn adults with type 2 diabetes, stomach and gut side effects became more common as the tirzepatide dose rose, mostly mild to moderate.

    Outcome
    IncreaseGastrointestinal events (nausea, diarrhoea, vomiting)
    Study

    n = 316

    Comparator
    Placebo and dulaglutide
    Outcome group
    Gastrointestinal adverse events · Gastrointestinal
    Studied dose
    1 mg, 5 mg, 10 mg or 15 mg once weekly · subcutaneous · 26 weeksAs given in this study (human).

    Source sentences

    Summary
    The incidence of gastrointestinal events was dose-related (23·1% for 1 mg LY3298176, 32·7% for 5 mg LY3298176, 51·0% for 10 mg LY3298176, and 66·0% for 15 mg LY3298176, 42·6% for dulaglutide, 9·8% for placebo); most events were mild to moderate in intensity and transient.
    1 context sentence
    Summary · context
    Because two participants did not receive treatment, the modified intention-to-treat and safety populations included 316 participants.
  26. 26HumanRandomized controlled trialSafety outcome

    In adults with type 2 diabetes, decreased appetite was the second most common adverse event: 3·8%, 20·0%, 25·5% and 18·9% at 1, 5, 10 and 15 mg of LY3298176 (tirzepatide), versus 5·6% with dulaglutide and 2·0% with placebo.

    In plain wordsIn adults with type 2 diabetes, reduced appetite was the second most common side effect of tirzepatide.

    Outcome
    IncreaseDecreased appetite
    Study

    n = 316

    Comparator
    Placebo and dulaglutide
    Outcome group
    Gastrointestinal adverse events · Gastrointestinal
    Studied dose
    1 mg, 5 mg, 10 mg or 15 mg once weekly · subcutaneous · 26 weeksAs given in this study (human).

    Source sentences

    Summary
    Decreased appetite was the second most common adverse event (3·8% for 1 mg LY3298176, 20·0% for 5 mg LY3298176, 25·5% for 10 mg LY3298176, 18·9% for 15 mg LY3298176, 5·6% for dulaglutide, 2·0% for placebo).
    1 context sentence
    Summary · context
    Because two participants did not receive treatment, the modified intention-to-treat and safety populations included 316 participants.
  27. 27HumanRandomized controlled trialSafety outcome

    In this 26-week phase 2 trial in adults with type 2 diabetes, there were no reports of severe hypoglycaemia.

    In plain wordsIn this 26-week trial in adults with type 2 diabetes, no severe low blood sugar events were reported.

    Outcome
    Not applicableSevere hypoglycaemia
    Study

    n = 316

    Outcome group
    Adverse events · Metabolic and weight
    Studied dose
    1 mg, 5 mg, 10 mg or 15 mg once weekly · subcutaneous · 26 weeksAs given in this study (human).

    Source sentences

    Summary
    There were no reports of severe hypoglycaemia.
    1 context sentence
    Summary · context
    Because two participants did not receive treatment, the modified intention-to-treat and safety populations included 316 participants.
  28. 28HumanRandomized controlled trialSafety outcome

    In adults with type 2 diabetes, gastrointestinal events occurred in 42.6% with dulaglutide and 9.8% with placebo.

    In plain wordsIn patients with diabetes, digestive side effects occurred in 42.6% with dulaglutide and 9.8% with placebo.

    Outcome
    Not applicableGastrointestinal events
    Study

    n: not reported in source

    Comparator
    Placebo
    Outcome group
    Gastrointestinal adverse events · Gastrointestinal
    Studied dose
    1.5 mg weekly · subcutaneous · 26 weeksAs given in this study (human).

    Measurements

    Gastrointestinal event incidence
    42.6%
    dulaglutide
    Gastrointestinal event incidence
    9.8%
    placebo

    Source sentences

    Summary
    The incidence of gastrointestinal events was dose-related (23·1% for 1 mg LY3298176, 32·7% for 5 mg LY3298176, 51·0% for 10 mg LY3298176, and 66·0% for 15 mg LY3298176, 42·6% for dulaglutide, 9·8% for placebo); most events were mild to moderate in intensity and transient.
    1 context sentence
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
  29. 29HumanRandomized controlled trialSafety outcome

    In adults with type 2 diabetes, decreased appetite occurred in 5.6% with dulaglutide and 2.0% with placebo.

    In plain wordsIn patients with diabetes, decreased appetite was reported by 5.6% with dulaglutide and 2.0% with placebo.

    Outcome
    Not applicableDecreased appetite
    Study

    n: not reported in source

    Comparator
    Placebo
    Outcome group
    Appetite and food intake · Metabolic and weight
    Studied dose
    1.5 mg weekly · subcutaneous · 26 weeksAs given in this study (human).

    Measurements

    Decreased appetite incidence
    5.6%
    dulaglutide
    Decreased appetite incidence
    2%
    placebo

    Source sentences

    Summary
    Decreased appetite was the second most common adverse event (3·8% for 1 mg LY3298176, 20·0% for 5 mg LY3298176, 25·5% for 10 mg LY3298176, 18·9% for 15 mg LY3298176, 5·6% for dulaglutide, 2·0% for placebo).
    1 context sentence
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.
  30. 30HumanRandomized controlled trialSafety outcome

    In patients with diabetes, no severe hypoglycaemia occurred in the trial, including the dulaglutide arm.

    In plain wordsNo patients had severe low blood sugar in the trial, including those who received dulaglutide.

    Outcome
    Not applicableSevere hypoglycaemia
    Study

    n: not reported in source

    Outcome group
    Adverse events · Metabolic and weight
    Studied dose
    1.5 mg weekly · subcutaneous · 26 weeksAs given in this study (human).

    Source sentences

    Summary
    There were no reports of severe hypoglycaemia.
    1 context sentence
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.

Studies that did not test the peptide alone3

In this study, Dulaglutide (Trulicity) was a lab tool or a carrier, part of a mix, or the subject of a lab method. These results are not evidence about taking Dulaglutide (Trulicity).

  1. 31HumanNot a test of Dulaglutide (Trulicity) aloneRandomized controlled trialEfficacy outcome

    In patients with diabetes, HbA1c fell by 1.21% with dulaglutide and by 0.06% with placebo.

    In plain wordsIn patients with diabetes, HbA1c decreased in both the dulaglutide and placebo groups.

    Outcome
    DecreaseHbA1c change
    Study

    n: not reported in source

    Comparator
    Placebo
    Analysis
    Primary
    Outcome group
    Glycemic control · Metabolic and weight

    Measurements

    HbA1c change
    −1.21%
    dulaglutide
    HbA1c change
    −0.06%
    placebo

    Source sentences

    Summary
    Compared with dulaglutide (-1·21%)
    Summary
    compared with -0·06% for placebo
    1 context sentence
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.

    In this study, Dulaglutide (Trulicity) was a lab tool or a carrier, part of a mix, or the subject of a lab method. This result is not evidence about taking Dulaglutide (Trulicity).

  2. 32HumanNot a test of Dulaglutide (Trulicity) aloneRandomized controlled trialEfficacy outcome

    In patients with diabetes, mean bodyweight fell by 2.7 kg with dulaglutide and by 0.4 kg with placebo.

    In plain wordsIn patients with diabetes, mean bodyweight decreased in both the dulaglutide and placebo groups.

    Outcome
    DecreaseBodyweight change
    Study

    n: not reported in source

    Comparator
    Placebo
    Analysis
    Secondary
    Outcome group
    Body weight · Metabolic and weight

    Measurements

    Bodyweight change
    −2.7 kg
    dulaglutide
    Bodyweight change
    −0.4 kg
    placebo

    Source sentences

    Summary
    Changes in mean bodyweight ranged from -0·9 kg to -11·3 kg for LY3298176 (vs -0·4 kg for placebo, -2·7 kg for dulaglutide).
    1 context sentence
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.

    In this study, Dulaglutide (Trulicity) was a lab tool or a carrier, part of a mix, or the subject of a lab method. This result is not evidence about taking Dulaglutide (Trulicity).

  3. 33HumanNot a test of Dulaglutide (Trulicity) aloneRandomized controlled trialEfficacy outcome

    In patients with diabetes, waist circumference fell by 2.5 cm with dulaglutide and by 1.3 cm with placebo.

    In plain wordsIn patients with diabetes, waist circumference decreased in both the dulaglutide and placebo groups.

    Outcome
    DecreaseWaist circumference change
    Study

    n: not reported in source

    Comparator
    Placebo
    Analysis
    Secondary
    Outcome group
    Body composition · Metabolic and weight

    Measurements

    Waist circumference change
    −2.5 cm
    dulaglutide
    Waist circumference change
    −1.3 cm
    placebo

    Source sentences

    Summary
    Changes in waist circumference ranged from -2·1 cm to -10·2 cm for LY3298176 (vs -1·3 cm for placebo, -2·5 cm for dulaglutide).
    1 context sentence
    Summary · context
    In this double-blind, randomised, phase 2 study, patients with type 2 diabetes were randomly assigned (1:1:1:1:1:1) to receive either once-weekly subcutaneous LY3298176 (1 mg, 5 mg, 10 mg, or 15 mg), dulaglutide (1·5 mg), or placebo for 26 weeks.

    In this study, Dulaglutide (Trulicity) was a lab tool or a carrier, part of a mix, or the subject of a lab method. This result is not evidence about taking Dulaglutide (Trulicity).

AI wrote and checked these results. AI can make mistakes, so check important results against the source.

Registered trials2

Trials this study reports on, or that list this study as a reference. Registry data from ClinicalTrials.gov.

2 trials · 1 ongoing · 1 completed · 1 with posted results · source ClinicalTrials.gov (opens in a new tab)

RecruitingPhase 4NCT06606821

The Effects of Tirzepatide in People With Overweight/Obesity and Coronary Artery Disease

Tina Vilsbølln = 1241 Oct 2024 to est. 1 Aug 2028

Coronary Artery Disease · Coronary Microvascular Dysfunction · Overweight or Obesity · Stable Angina Pectoris · Chronic Coronary Artery Disease · Atherosclerosis Cardiovascular Disease

Trial pageClinicalTrials.govUpdated 22 May 2025
CompletedPhase 2Results postedNCT03131687

A Study of Tirzepatide (LY3298176) in Participants With Type 2 Diabetes Mellitus

Eli Lilly and Companyn = 31824 May 2017 to 1 Aug 2018

Type 2 Diabetes Mellitus

Trial pageClinicalTrials.govUpdated 20 Aug 2019

Version history

PepBank keeps every version of the data on this study. Status changes from Retraction Watch, Europe PMC and Crossref are listed with their source.

  1. Versions 4 to 8Current

    28 Oct 2026, 02:03 UTC

    The same notice was added 5 times, first on 22 Oct 2026, 02:26 UTC. The status did not change between them.

    Study results updated

  2. Version 3

    21 Oct 2026, 18:59 UTC

    Study data updated · source update from Europe PMC

  3. Version 2

    9 Oct 2026, 12:39 UTC

    Study results updated

  4. Version 1

    9 Oct 2026, 03:07 UTC

    First added · source update from Europe PMC

Subjects

Terms as the source lists them.

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