New diabetes drug aims to help when current meds fall short
NCT ID NCT06897475
First seen Jun 25, 2026 · Last updated Sep 15, 2026 · Updated 10 times
Summary
This Phase 2 trial tests an experimental drug called LY3457263 in 240 adults with type 2 diabetes who still have high blood sugar despite taking stable doses of semaglutide or tirzepatide. Participants receive weekly injections of either the new drug or a placebo for about 9 months. The main goal is to see if LY3457263 lowers HbA1c more than placebo.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- LY3457263 (an experimental injectable drug)
- What this could lead to
- If successful, this could offer a new add-on treatment option for people with type 2 diabetes who need better blood sugar control despite current medications.
- What could go wrong
- This is an early Phase 2 trial with only 240 participants, so results may not apply to everyone. The drug may not improve HbA1c significantly or could have side effects not yet known.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2025
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- 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: * Have type 2 diabetes * Have HbA1c ≥7.5% to ≤10.5% at screening * Have a body mass index (BMI) of ≥27 kilograms per square meter (kg/m2) at screening * Have had a stable body weight for the three months prior to screening * On stable treatment dose of one of the following incretins for at least three months prior to screening: * Injectable semaglutide (1 and 2 milligram (mg)) * Injectable tirzepatide (5, 7.5, 10, 12.5 and 15 mg) Exclusion Criteria: * Have type 1 diabetes, latent autoimmune diabetes, or history of ketoacidosis or hyperosmolar coma * Have a prior or planned surgical treatment for obesity * Have any of the following cardiovascular conditions within three months prior to screening: * acute myocardial infarction * cerebrovascular accident (stroke) * unstable angina, or * hospitalization due to congestive heart failure * Have used insulin to control blood glucose within the past year (short-term use allowed) * Current use of prohibited oral antihyperglycemic medication (OAM) (including but not limited to, Dipeptidyl Peptidase IV Inhibitors (DPP-4i) and meglitinides) may be randomized if the prohibited OAM treatment was discontinued at least 3 months prior to screening * If participant has been on stable doses (for at least three months) of up to three permitted OAMs (limited to metformin, sodium-glucose cotransporter-2 (SGLT2) inhibitors, alpha-glucosidase inhibitors, sulfonylurea, and/or thiazolidinediones (TZD), they are permitted to participate in the study * Have taken any medications or alternative remedies for weight loss within three months prior to screening
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
56 sites in 6 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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4 Wojskowy Szpital Kliniczny z Polikliniką SPZOZ
RECRUITINGWroclaw, 50-981, Poland
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Alliance for Multispecialty Research, LLC
RECRUITINGNorman, Oklahoma, 73069, United States
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Balanced Life Health Care Solutions/SKYCRNG
RECRUITINGLawrenceville, Georgia, 30046, United States
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Bluewater Clinical Research Group Inc.
RECRUITINGSarnia, N7T 4X3, Canada
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Centricity Research Brampton Endocrinology
RECRUITINGBrampton, L6S 0C6, Canada
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Centro de Endocrinologia Alcantara Gonzalez
RECRUITINGBayamón, 00956, Puerto Rico
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Centrum Badan Klinicznych PI-House sp. z o.o.
RECRUITINGGdansk, 80-546, Poland
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Centrum Terapii Wspolczesnej J. M. Jasnorzewska Spolka Komandytowo-Akcyjna
RECRUITINGLodz, 90-338, Poland
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Clifton Medical Centre
RECRUITINGRotherham, S65 1DA, United Kingdom
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Clinical Research of Philadelphia
RECRUITINGPennington, New Jersey, 08534, United States
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Consano Clinical Research, LLC
RECRUITINGShavano Park, Texas, 78231, United States
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Diabetes Heart Research Centre
RECRUITINGToronto, M6G 1M2, Canada
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Eastside Research Associates
RECRUITINGRedmond, Washington, 98052, United States
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Ecogene-21
RECRUITINGChicoutimi, G7H 7K9, Canada
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Ekamed
RECRUITINGLublin, 20-718, Poland
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Elite Clinical Trials
RECRUITINGRexburg, Idaho, 83440, United States
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Fadia El Boreky Medicine
RECRUITINGWaterloo, N2J 1C4, Canada
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Frontier Clinical Research, LLC
RECRUITINGScottdale, Pennsylvania, 15683, United States
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FutureMeds - Birmingham
RECRUITINGBirmingham, B21 9RY, United Kingdom
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FutureMeds - Liverpool
RECRUITINGBromborough, CH62 6EE, United Kingdom
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Futuremeds-Newcastle
RECRUITINGNewcastle, NE6 1SG, United Kingdom
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G A Research Associates
RECRUITINGMoncton, E1G 1A7, Canada
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Gemeinschaftspraxis Dr. Taeschner/Dr. Bonigut
COMPLETEDLeipzig, 04249, Germany
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George Eliot Hospital
RECRUITINGNuneaton, CV10 7DJ, United Kingdom
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Helios Clinical Research - Phoenix
RECRUITINGPhoenix, Arizona, 85028, United States
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InnoDiab Forschung Gmbh
COMPLETEDEssen, 45136, Germany
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Institut für Diabetesforschung GmbH Münster
ACTIVE_NOT_RECRUITINGMünster, 48145, Germany
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Investigators Research Group
RECRUITINGBrownsburg, Indiana, 46112, United States
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Juno Research
RECRUITINGHouston, Texas, 77040, United States
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Layton Medical Centre
RECRUITINGBlackpool, FY3 7EN, United Kingdom
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Legeartis - Poradnie Specjalistyczne
RECRUITINGBialystok, 15-404, Poland
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Lucas Research, Inc.
RECRUITINGMorehead City, North Carolina, 28557, United States
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Maple Leaf Research
RECRUITINGToronto, M5G 1K2, Canada
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Medyczne Centrum Diabetologiczno Endokrynologiczno Metaboliczne DIAB-ENDO-MET
RECRUITINGKrakow, 31-261, Poland
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Mgcendo Llc
RECRUITINGSan Juan, 00921, Puerto Rico
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NBR Polska
RECRUITINGWarsaw, 00-710, Poland
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NYC Research INC
RECRUITINGLong Island City, New York, 11106, United States
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Newquay Health Centre
RECRUITINGNewquay, TR7 1RU, United Kingdom
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North Georgia Clinical Research
RECRUITINGWoodstock, Georgia, 30189, United States
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Oviedo Medical Research
RECRUITINGOviedo, Florida, 32765, United States
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Physicians Research Associates
RECRUITINGLawrenceville, Georgia, 30046, United States
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Private Practice - Dr. Robert Witek
RECRUITINGTarnów, 33-100, Poland
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Providence Health Partners-Center for Clinical Research
RECRUITINGDayton, Ohio, 45439, United States
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RED-Institut GmbH
ACTIVE_NOT_RECRUITINGOldenburg, 23758, Germany
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Rame Group Practice
RECRUITINGTorpoint, PL11 2TB, United Kingdom
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Renstar Medical Research
RECRUITINGOcala, Florida, 34471, United States
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Richmond University Medical Center
RECRUITINGStaten Island, New York, 10310, United States
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Rophe Adult and Pediatric Medicine/SKYCRNG
RECRUITINGUnion City, Georgia, 30291, United States
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Shelby Clinical Research
RECRUITINGShelby, North Carolina, 28150, United States
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Southern Endocrinology Associates
RECRUITINGMesquite, Texas, 75149, United States
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Southgate Medical Group
RECRUITINGWest Seneca, New York, 14224, United States
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Southmead Hospital
RECRUITINGBristol, BS10 5NB, United Kingdom
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Szpital Czerniakowski
RECRUITINGWarsaw, 00-737, Poland
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Texas Diabetes & Endocrinology, P.A.
RECRUITINGRound Rock, Texas, 78681, United States
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Texas Valley Clinical Research
RECRUITINGWeslaco, Texas, 78596, United States
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The Adam Practice
RECRUITINGPoole, BH16 5PW, United Kingdom
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Velocity Clinical Research, Leipzig
RECRUITINGLeipzig, 04177, Germany
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Viacar Recherche Clinique
RECRUITINGLongueuil, J4H 4B9, Canada
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Winterberry Research Inc.
RECRUITINGHamilton, L8J 0B6, Canada
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Wolverine Clinical Trials
RECRUITINGSanta Ana, California, 92706, United States
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Other studies related to the condition(s) this trial covers.
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