Phase 3Active, not recruiting
Effect of Retatrutide Compared With Semaglutide in Adult Participants With Type 2 Diabetes and Inadequate Glycemic Control With Metformin With or Without SGLT2 Inhibitor (TRANSCEND-T2D-2)
A Phase 3, Randomized, Multicenter, Open-label Study to Investigate the Efficacy and Safety of Retatrutide Once Weekly Compared With Semaglutide Once Weekly in Adult Participants With Type 2 Diabetes and Inadequate Glycemic Control With Metformin With or Without SGLT2 Inhibitor (TRANSCEND-T2D-2)
- Sponsor
- Eli Lilly and Company (Industry)
- Enrollment
- 1,250 planned
- Conditions
- Diabetes Mellitus, Type 2
- Interventions
- Retatrutide; Semaglutide
- Ages
- adults, older adults
- Registry
- NCT06260722
Full record on ClinicalTrials.gov
From the registry
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.
Primary outcomes
- Change from Baseline in Hemoglobin A1c (HbA1c) (%)
History
Study completion expected
Last registry update
Primary completion
Started
Registered
In the news
TrialsSTAT+ (opens STAT in a new tab, subscription)
Eli Lilly says retatrutide lowers blood sugar and weight more than Ozempic in diabetes
The large head-to-head study tested Lilly’s investigational incretin injection against Novo Nordisk’s drug.
Also in Endpoints News (opens Endpoints News in a new tab), BioPharma Dive (opens BioPharma Dive in a new tab), ByDrug (opens ByDrug in a new tab), Diario Médico (opens Diario Médico in a new tab), asiae.co.kr (opens asiae.co.kr in a new tab), oe24 (opens oe24 in a new tab)
CompanyEndpoints News (opens Endpoints News in a new tab)
Lilly’s triple agonist retatrutide moves toward market entry for sleep apnea
An obesity launch is expected in 2027, while Lilly is assembling data for additional indications.
TrialsMedical Xpress (opens Medical Xpress in a new tab)
Lilly’s retatrutide achieves 18.8% weight loss in obesity and type 2 diabetes
Researchers randomized 1,152 adults in the 80-week phase 3 TRIUMPH-2 trial; the highest dose was 12 mg weekly, while placebo recipients lost 5.1%.
Also in Korea Biomedical Review (opens Korea Biomedical Review in a new tab), ScienceDaily (opens ScienceDaily in a new tab), Hit News (opens Hit News in a new tab)
TrialsNature Medicine (opens Nature Medicine in a new tab)
Randomized trial investigates kidney protective mechanisms of semaglutide in type 2 diabetes
Researchers examined semaglutide in type 2 diabetes patients using histology, multiparametric MRI, and transcriptomics to understand renal protection.


