| CTRI Number |
CTRI/2025/11/096855 [Registered on: 03/11/2025] Trial Registered Prospectively |
| Last Modified On: |
24/10/2025 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug |
| Study Design |
Randomized, Parallel Group, Placebo Controlled Trial |
|
Public Title of Study
|
A Study of Orfoglipron in Patients with Hypertension and Obesity or Overweight |
|
Scientific Title of Study
|
A Master Protocol to Investigate the Efficacy and Safety of Orforglipron Once Daily in Participants with Hypertension and Obesity or Overweight: Randomized, Double-Blind, Placebo-Controlled Trials (ATTAIN-HYPERTENSION) |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| J2A-MC-GZPL Version No. Initial dated 24-JAN-2025 |
Protocol Number |
| NCT06948422 |
ClinicalTrials.gov |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Manish Mistry |
| Designation |
Medical Director |
| Affiliation |
Eli Lilly and Company (India) Pvt. Ltd. |
| Address |
Office of Senior Director - Medical (India), Plot No - 92, Sec - 32, Institutional Area, Gurgaon HARYANA-122001 India
Gurgaon HARYANA 122001 India |
| Phone |
09820234897 |
| Fax |
|
| Email |
manish.mistry@lilly.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Manish Mistry |
| Designation |
Medical Director |
| Affiliation |
Eli Lilly and Company (India) Pvt. Ltd. |
| Address |
Office of Senior Director - Medical (India), Plot No - 92, Sec - 32, Institutional Area, Gurgaon HARYANA-122001 India
Gurgaon HARYANA 122001 India |
| Phone |
09820234897 |
| Fax |
|
| Email |
manish.mistry@lilly.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Rajeev Sharan Shrivastava |
| Designation |
Director |
| Affiliation |
Eli Lilly and Company (India) Pvt. Ltd. |
| Address |
Office of Director - Regulatory Affairs and Pharmacovigilance, Plot No - 92, Sec - 32, Institutional Area, Gurgaon HARYANA-122001 India
Gurgaon HARYANA 122001 India |
| Phone |
09810308697 |
| Fax |
|
| Email |
shrivastava_rajeev_sharan@lilly.com |
|
|
Source of Monetary or Material Support
|
| Eli Lilly and Company (India) Pvt. Ltd., Plot No - 92, Sec - 32, Institutional Area, Gurgaon HARYANA-122001 India |
|
|
Primary Sponsor
|
| Name |
Eli Lilly and Company (India) Pvt. Ltd. |
| Address |
Plot No - 92, Sec - 32, Institutional Area, Gurgaon HARYANA-122001 India |
| Type of Sponsor |
Pharmaceutical industry-Global |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
Argentina China Czech Republic Germany Greece India Japan Poland Spain United States of America |
|
Sites of Study
|
| No of Sites = 4 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Debasis Acharya |
All India Institute of Medical Sciences, Bhubaneswar |
Room No. 259, 2nd Floor, Hospital Building, Department of Cardiology, Sijua, Patrapada, Bhubaneswar, Odisha, India, 751019 Khordha ORISSA |
91-7675992616
drdebasiscardio.trial@gmail.com |
| Dr Anuj Bhasin |
Ashirwad Hospital and Research Centre |
Maratha Section, Near Jijamata Udyan, Ulhasnagar, Thane, Maharashtra, India, 421004 Thane MAHARASHTRA |
91-9823932501
dranuj.research@gmail.com |
| Dr Vimal Mehta |
G.B. Pant Institute of Postgraduate Medical Education & Research |
Room No-133, First Floor, Academic Block, Department of Cardiology, Jawahar Lal Nehru Marg, New Delhi, Delhi, India, 110002 New Delhi DELHI |
91-9718599105
drvimalmehta@yahoo.co.in |
| Dr Kumar K |
Life Care Hospital and Research Centre |
2748/2152 M.L.N Enclave, 16th East Cross Road, 8th Main, D Block, Next to Union Bank of India, Sahakarnagar, Bangalore, Karnataka, India, 560092 Bangalore KARNATAKA |
91-8861499206
drkumarklchrc25@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 4 |
| Name of Committee |
Approval Status |
| Ashirwad Ethics Committee |
Approved |
| Institutional Ethics Committee MAMC |
Submittted/Under Review |
| Institutional Ethics Committee, AIIMS, Bhubaneswar |
Submittted/Under Review |
| Life Care Hospital Institutional Review Board |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: I10||Essential (primary) hypertension, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Orforglipron |
Orforglipron orally administered once daily. The treatment duration will be up to 60 weeks. |
| Comparator Agent |
Placebo |
Placebo orally administered once daily. The treatment duration will be up to 60 weeks. |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
99.00 Year(s) |
| Gender |
Both |
| Details |
1. Has systolic blood pressure (SBP) greater than or equal to 140 mmHg and/or diastolic blood pressure (DBP) greater than or equal to 90 mmHg (if DBP criteria alone is met, SBP must be greater than or equal to 130 mmHg) at screening (Visit 1).
2. Has SBP greater than or equal to 140 mmHg and/or DBP greater than or equal to 90 mmHg (if DBP criteria alone is met, SBP must be greater than or equal to 130 mmHg) at week 0 (Visit 3).
3. Untreated for hypertension, or on stable antihypertensive medications greater than or equal to 30 days prior to Visit 1.
4. Have a body mass index (BMI) greater than or equal to 25 kg/m². |
|
| ExclusionCriteria |
| Details |
1. Has SBP greater than or equal to 170 mmHg and/or DBP greater than or equal to 110 mmHg at Visit 1 or at Visit 3.
2. Has known secondary causes of hypertension
3. Have heart failure with reduced ejection fraction (HFrEF) diagnosis
4. Have had any of the following conditions within 90 days prior to screening:
- hospitalization for hypertension or for congestive heart failure
- acute coronary syndrome or acute myocardial infarction, or
- cerebrovascular accident (stroke).
5. Have type 1 diabetes (T1D)
6. Have acute or chronic hepatitis, including a history of autoimmune hepatitis |
|
|
Method of Generating Random Sequence
|
Stratified randomization |
|
Method of Concealment
|
Centralized |
|
Blinding/Masking
|
Participant and Investigator Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Change from Baseline in office Systolic Blood Pressure (SBP) |
Baseline to Week 36 |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
1. Change from Baseline in 24-hour Ambulatory Blood Pressure Monitoring (ABPM) SBP
2. Percent Change from Baseline in Body Weight
3. Percent Change from Baseline in Lipids Triglycerides
4. Percent Change from Baseline in Lipids non-HDL Cholesterol
5. Percent Change from Baseline in hsCRP Concentration (mg/L)
6. Percent Change from Baseline in office SBP in Randomized Withdrawal Population
7. Pharmacokinetics (PK): Steady-State Area under the Concentration Curve (AUC) of Orforglipron |
1. Baseline to Week 36
2. Baseline to Week 36
3. Baseline to Week 36
4. Baseline to Week 36
5. Baseline to Week 48
6. Baseline to Week 60
7. Baseline to Week 36 |
|
|
Target Sample Size
|
Total Sample Size="974" Sample Size from India="90"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
Phase 3 |
|
Date of First Enrollment (India)
|
05/12/2025 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
30/04/2025 |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="2" Months="4" Days="26" |
|
Recruitment Status of Trial (Global)
|
Open to Recruitment |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - YES
- What data in particular will be shared?
Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Clinical Study Report
- Who will be able to view these files?
Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.
- For what types of analyses will this data be available?
Response - For individual participant data meta-analysis.
- By what mechanism will data be made available?
Response (Others) - www.vivli.org
- For how long will this data be available start date provided 30-04-2025 and end date provided 25-09-2027?
Response (Others) - Data are available 6 months after the primary publication and approval of the indication studied in the US and European Union (EU), whichever is later. Data will be indefinitely available for requesting.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - NIL
|
|
Brief Summary
|
Glucagon-like peptide 1 receptor agonism (GLP-1 RA) is an established therapeutic mechanism for weight management in individuals with obesity or overweight, as well as glycemic control in participants with type 2 diabetes (T2D). In addition to those beneficial effects, clinical trials have also demonstrated that the use of GLP-1 RA in patients with overweight and obesity or with diabetes have shown a significant reduction of blood pressure (BP). Unlike injectable or orally available peptide GLP-1 RAs approved by regulatory authorities to date, orforglipron is an oral, nonpeptide, small-molecule GLP-1 RA. Orforglipron is being developed as a daily oral adjunct therapy for several indications, including the treatment of T2D, and for weight management in individuals with obesity or overweight. Additionally, it has the potential to provide benefit to participants with hypertension who have obesity or overweight by achieving and maintaining BP control through adherence to effective treatments, which provides a strong rationale for assessing orforglipron to reduce BP and control hypertension in patients with overweight or obesity. Study J2A-MC-GZPL (GZPL) is a master protocol that will support 2 pivotal, independent studies, J2A-MC-GZL1 (GZL1) and J2A-MC-GZL2 (GZL2). Each study is a multicenter, randomized, parallel-arm, double-blind, placebo-controlled, Phase 3 study to evaluate the efficacy and safety of orforglipron MTD versus placebo in participants with hypertension and obesity or overweight. |