Metabolic effects of switching from injectable semaglutide to tirzepatide: a retrospective study of the LMC diabetes registry
NCT ID NCT07889453
First seen Oct 22, 2026 · Last updated Oct 22, 2026
Summary
The goal of this retrospective observational study is to evaluate the effectiveness of switching from injectable semaglutide to tirzepatide in adults living with type 2 diabetes (T2D) and, descriptively, in a smaller cohort of adults living with obesity without diabetes, using clinical data from the LMC Diabetes Registry. The study has two co-primary objectives: 1) to assess change in body weight from baseline to follow-up (6-12 months) among adults living with T2D who switched from injectable semaglutide to tirzepatide, and 2) to assess change in body weight over the same period among adults living with obesity without diabetes who switched. Secondary objectives will compare changes in body mass index (BMI), estimated glomerular filtration rate (eGFR), urine albumin-to-creatinine ratio (uACR), waist circumference, blood pressure, alanine transaminase (ALT), lipids, and insulin use from baseline to follow-up between adults living with T2D who switched to tirzepatide and a propensity score-matched group of adults living with T2D who continued semaglutide.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 650 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2026
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The study populations will include adults living with T2D and adults living with obesity without diabetes, who switched from injectable semaglutide to tirzepatide, or adults living with T2D who were prescribed injectable semaglutide and did not switch to tirzepatide.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria for T2D Cohort: * Age 18 years old or older * A clinical diagnosis of T2D ≥ 1 year * Baseline HbA1c ≥ 7.5% * ≥ one HbA1c value up to 6 months (+ 90 days) prior to index date * ≥ one body weight value up to 6 months (+ 90 days) prior to index date * Initiated injectable semaglutide or switched from injectable semaglutide to tirzepatide between January 1, 2022, and December 31, 2025 * Use of injectable semaglutide for ≥ 3 months for both the control and switch cohort * If using real-time continuous glucose monitoring (rtCGM) or intermittently scanned continuous glucose monitoring (isCGM), CGM use for ≥ 3 months * Seen by an LMC endocrinologist in the last 18 months as of the query date * Informed data consent for their medical record data to be used for research purposes Inclusion Criteria for Obesity (non-diabetes) Cohort: * Age 18 years old or older * BMI ≥ 30 kg/m2 * Baseline HbA1c \< 6.5% * ≥ one HbA1c value up to 6 months (+ 90 days) prior to index date * ≥ one body weight value up to 6 months (+ 90 days) prior to index date * Initiated injectable semaglutide and switched from injectable semaglutide to tirzepatide between January 1, 2022, and December 31, 2025 * Use of injectable semaglutide for ≥ 3 months * Seen by an LMC endocrinologist in the last 18 months as of the query date * Informed data consent for their medical record data to be used for research purposes Exclusion Criteria: * Clinical diagnosis of type 1 diabetes or latent autoimmune diabetes in adults * Prior use of tirzepatide * Were pregnant at the time of semaglutide initiation or semaglutide-to-tirzepatide switch or became pregnant during follow-up period * Bariatric surgery
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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LMC Diabetes & Endocrinology Ltd.
Toronto, Ontario, M4G 3E8, Canada
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Other studies related to the condition(s) this trial covers.
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