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retatrutide peptide vs metformin

Effect of Retatrutide Compared With Semaglutide in Adult

Phase 3 Condition Diabetes Prevention Metabolic Disorders Diabetes Mellitus, Type 2 Treatment Semaglutide Retatrutide Clinical Study ID NCT06260722 18805 J1I-MC-GZBZ Ages > 18 All Genders The purpose of this study is to investigate the efficacy and safety of retatrutide compared with semaglutide in participants with Type 2 Diabetes and inadequate glycemic co

Published 2026-09-01GlycoMetrix
Abstract study of peptide signaling across a cell membrane

Phase

3

Condition

Diabetes Prevention

Metabolic Disorders

Diabetes Mellitus, Type 2

Treatment

Semaglutide

Retatrutide

Clinical Study ID

NCT06260722

18805

J1I-MC-GZBZ

Ages > 18 All Genders

The purpose of this study is to investigate the efficacy and safety of retatrutide compared with semaglutide in participants with Type 2 Diabetes and inadequate glycemic control with metformin with or without sodium-glucose cotransporter-2 inhibitor (SGLT2i). The study will last about 26 months and may include up to 24 visits.

Inclusion Criteria:

Have Type 2 Diabetes (T2D)

Have HbA1c ≥ 7.0% (53 millimoles per mole (mmol/mol)) to ≤ 10.5% (91 mmol/mol)

Have been on a stable diabetes treatment consisting of metformin ≥ 1500 milligramsper day (mg/day) with or without SGLT2i during 90 days prior to screening

Are of stable weight for at least 90 days prior to screening

Have a Body Mass Index (BMI) ≥ 25.0 kilograms per meter squared (kg/m^2)

Exclusion Criteria:

Have Type 1 Diabetes (T1D)

Have a history of ketoacidosis or hyperosmolar state or coma within the last 6months prior to screening

Have a history of severe hypoglycemia or hypoglycemia unawareness within the last 6months prior to screening

Are currently receiving or planning to receive treatment for diabetic retinopathyand/or macular edema

Have an estimated glomerular filtration rate (eGFR) <45 milliliters/minute/1.73meter squared (mL/min/1.73 m^2) or lower than the country-specific threshold fordiscontinuing metformin therapy per local label as determined by the centrallaboratory

Have a prior or planned surgical treatment for obesity

Have New York Heart Association Functional Classification IV congestive heartfailure

Have had an acute myocardial infarction, stroke, or were hospitalized for congestiveheart failure within 90 days prior to screening

Have a known clinically significant gastric emptying abnormality

Have a history of an active or untreated malignancy or are in remission from aclinically significant malignancy for less than 5 years

Have any lifetime history of a suicide attempt

Had chronic or acute pancreatitis

Have a family or personal history of medullary thyroid carcinoma or multipleendocrine neoplasia (MEN) syndrome Type 2

Have taken prescribed or over-the-counter medication, or alternative remedies,intended to promote body weight reduction within 90 days prior to screening.

Semaglutide

3

February 21, 2024

January 31, 2027

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