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Mirikizumab Administered at the Same Time as Tirzepatide in Adult Participants With Moderately to Severely Active Ulcerative Colitis and Obesity or Overweight: Phase 3b Study

Launched by ELI LILLY AND COMPANY · Apr 18, 2025

Trial Information

Current as of July 26, 2025

Recruiting

Keywords

ClinConnect Summary

This clinical trial is investigating whether a combination of two medications, mirikizumab and tirzepatide, can help adults with ulcerative colitis (UC) and obesity or overweight to reduce their UC symptoms and lose at least 10% of their body weight. Participants will receive either the medications or a placebo (a harmless pill with no active ingredients) for a treatment period of 52 weeks, with the entire study lasting up to 61 weeks.

To be eligible for this trial, participants must have been diagnosed with UC for at least three months and have moderate to severe symptoms. They should also be classified as obese or overweight and have certain weight-related health issues, like high blood pressure or type 2 diabetes. It's important to note that this trial is not yet recruiting participants, but if you or someone you know fits these criteria, it could be an opportunity to help manage UC and related weight issues.

Gender

ALL

Eligibility criteria

  • Inclusion Criteria:
  • Have had an established diagnosis of UC for ≥3 months before baseline which includes endoscopic evidence of UC and a histopathology report that supports a diagnosis of UC.
  • Have moderately to severely active UC as defined by a modified Mayo score (mMS) of 5 to 9 points and endoscopic subscore (ES) of 2 to 3 (confirmed by central review) within 21 days before baseline.
  • Participants with a history of UC for greater than or equal to 8 years who have had a surveillance colonoscopy completed within 1 year prior to baseline must have documented negative results for colorectal dysplasia and cancer.
  • Have obesity, \[body mass index (BMI) 30 kilograms per meter squared (kg/m2)\]
  • * Have overweight (BMI ≥27 kg/m2 to \<30 kg/m2) and in the presence of at least 1 of these weight-related comorbid conditions:
  • hypertension
  • Type 2 Diabetes Mellitus (T2DM)
  • dyslipidemia
  • obstructive sleep apnea, or
  • cardiovascular disease.
  • Have an inadequate response to, loss of response to, or intolerance to at least 1 of the conventional medication: oral corticosteroids, oral azathioprine (AZA) or 6-mercaptopurine (6-MP), or oral 5-aminosalicylates (for example, mesalamine, sulfasalazine, olsalazine, and balsalazide) and/or who have an inadequate response to or a loss of response to, or are intolerant to advanced therapy for UC, defined as: a biologic or biosimilar medication such as anti-tumor necrosis factor (TNF) antibodies; anti-integrin antibodies, Janus kinase (JAK) inhibitors such as tofacitinib or upadacitinib, sphingosine 1-phosphate receptor 1inhibitors such as etrasimod or ozanimod, or anti-interleukin(IL)-12p40 antibodies, for example, ustekinumab.
  • Exclusion Criteria:
  • * Have a current diagnosis of:
  • Crohn's disease
  • inflammatory bowel disease (IBD) unclassified (formerly known as indeterminate colitis), or
  • primary sclerosing cholangitis.
  • Have had or will need bowel resection or intestinal or intra-abdominal surgery.
  • Have evidence of toxic megacolon, or stricture or stenosis within the colon that cannot be traversed by a sigmoidoscope or colonoscope.
  • Have a diagnosis of Type 1 Diabetes Mellitus (T1DM) or have insulin-treated T2DM.
  • Have a history of severe hypoglycemia and/or hypoglycemia unawareness within the 6 months prior to screening.
  • Have a self-reported change in body weight greater than 5% (gain or reduction) within 3 months prior to screening.
  • Have a current or recent acute, active infection.

About Eli Lilly And Company

Eli Lilly and Company is a global healthcare leader dedicated to creating innovative medicines that improve patient outcomes across a range of therapeutic areas, including diabetes, oncology, immunology, and neurodegenerative diseases. With a rich history of scientific research and a commitment to advancing healthcare, Lilly invests significantly in clinical trials to develop new treatments and enhance existing therapies. The company prioritizes patient safety and ethical standards in its clinical research, fostering collaboration with healthcare professionals and stakeholders to ensure the delivery of high-quality, evidence-based solutions that address unmet medical needs worldwide.

Locations

Saint Louis, Missouri, United States

Copenhagen, , Denmark

Lebanon, New Hampshire, United States

Chicago, Illinois, United States

Madrid, , Spain

Vancouver, British Columbia, Canada

Bristol, , United Kingdom

New York, New York, United States

Hannover, , Germany

Milwaukee, Wisconsin, United States

Gijón, Asturias, Spain

Brussels, , Belgium

Milano, , Italy

Sevilla, , Spain

Porto Alegre, Rio Grande Do Sul, Brazil

Barcelona, , Spain

Usti Nad Labem, , Czechia

Bucuresti, , Romania

Barcelona, , Spain

Paris, , France

Orlando, Florida, United States

Utrecht, , Netherlands

Graz, Steiermark, Austria

Potsdam, Brandenburg, Germany

Budapest, , Hungary

Beverly Hills, California, United States

Leuven, Vlaams Brabant, Belgium

Eskisehir, , Turkey

Galdakao, Bizkaia, Spain

San Antonio, Texas, United States

Madrid, , Spain

Heraklion, , Greece

Indianapolis, Indiana, United States

Oviedo, Asturias, Spain

Szeged, Csongrád, Hungary

Tel Aviv, , Israel

Durango, , Mexico

Rotterdam, Zuid Holland, Netherlands

Nijmegen, Gelderland, Netherlands

Idaho Falls, Idaho, United States

Thessaloniki, , Greece

Leipzig, Sachsen, Germany

Timisoara, , Romania

Ioannina, , Greece

Athens, , Greece

Shreveport, Louisiana, United States

Roma, Lazio, Italy

české Budějovice, , Czechia

Exeter, Devon, United Kingdom

Szeged, , Hungary

Jerusalem, Yerushalayim, Israel

Veracruz, , Mexico

Milano, Lombardia, Italy

Santo André, , Brazil

València, , Spain

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Kortrijk, West Vlaanderen, Belgium

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Tyler, Texas, United States

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Aarhus, Midtjylland, Denmark

Le Kremlin Bicêtre, Paris, France

Rotterdam, Zuid Holland, Netherlands

Ramat Gan, Hamerkaz, Israel

Dothan, Alabama, United States

Orlando, Florida, United States

Edmonton, Alberta, Canada

București, , Romania

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Rho, Milano, Italy

Lubbock, Texas, United States

Odense, Syddanmark, Denmark

Toulouse, Haute Garonne, France

Marseille, Bouches Du Rhône, France

Chevy Chase, Maryland, United States

Usti Nad Labem, ústí Nad Labem, Czechia

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Merida, Yucatán, Mexico

Morelia, , Mexico

San Antonio, Texas, United States

Vienna, Wien, Austria

Brussels, Bruxelles Capitale, Région De, Belgium

Liège, , Belgium

Aalborg, Nordjylland, Denmark

Vejle, Syddanmark, Denmark

Frankfurt, Hessen, Germany

Vitória, Espírito Santo, Brazil

Szczecin, Zachodniopomorskie, Poland

Santo André, São Paulo, Brazil

Haifa, Hatsafon, Israel

Rozzano, Lombardia, Italy

Barcelona, Barcelona [Barcelona], Spain

Athens, Attikí, Greece

Pamplona, Navarra, Spain

Copenhagen, Hovedstaden, Denmark

La Roche Sur Yon, Vendée, France

Petah Tikva, Hamerkaz, Israel

Tel Aviv, Tell Abīb, Israel

Constanta, Constanța, Romania

Votuporanga, São Paulo, Brazil

Holon, Hamerkaz, Israel

Liege, Liège, Belgium

Ioannina, Ioánnina, Greece

Antalya, , Turkey

Ribeirão Preto, São Paulo, Brazil

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Nice, Alpes Maritimes, France

Craiova, Dolj, Romania

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Neuilly Sur Seine, Hauts De Seine, France

Piotrkow Trybunalski, łódzkie, Poland

Rzeszów, Podkarpackie, Poland

Votuporanga, , Brazil

San Juan, , Puerto Rico

Szekszárd, Tolna, Hungary

Prague, Praha 9, Czechia

Marseille, , France

Ciudad Madero, Tamaulipas, Mexico

Barcelona, Barcelona [Barcelona], Spain

Campinas, São Paulo, Brazil

Bologna, Emilia Romagna, Italy

Chihuahua, , Mexico

New Albany, Indiana, United States

Padova, Veneto, Italy

Tacoma, Washington, United States

Montpellier, Languedoc Roussillon, France

Banska Bystrica, Banskobystrický Kraj, Slovakia

Cordova, Tennessee, United States

São Paulo, , Brazil

Timisoara, Timiș, Romania

Salvador, Bahia, Brazil

Juriquilla, Querétaro, Mexico

New Bedford, Massachusetts, United States

Frankfurt Am Main, Hessen, Germany

İzmir, , Turkey

Guadalajara, Jalisco, Mexico

Zagreb, Grad Zagreb, Croatia

Ashdod, Hadarom, Israel

Istanbul, , Turkey

Constanta, , Romania

Thessaloniki, Kentrikí Makedonía, Greece

Puebla, , Mexico

Bucuresti, București, Romania

Guadalajara, Jalisco, Mexico

Guadajalara, Jalisco, Mexico

Athens, Attikí, Greece

Amsterdam, Noord Holland, Netherlands

Caxias Do Sul, Rio Grande Do Sul, Brazil

Brasília, Distrito Federal, Brazil

Westlake, Ohio, United States

Belgrade, Beograd, Serbia

Bialystok, Podlaskie, Poland

Liege, , Belgium

Warszawa, Mazowieckie, Poland

Louisville, Kentucky, United States

Palermo, Sicilia, Italy

Aguascalientes, , Mexico

Morelia, Michoacán, Mexico

Aalst, Oost Vlaanderen, Belgium

Miami, Florida, United States

Wroclaw, Dolnośląskie, Poland

Bratislava, , Slovakia

Providence, Rhode Island, United States

Aracaju, Sergipe, Brazil

Vancouver, British Columbia, Canada

Brno, Brno Město, Czechia

české Budějovice, Jihočeský Kraj, Czechia

Turnov, Liberecký Kraj, Czechia

Ostrava, Moravskoslezský Kraj, Czechia

Prague, Praha 4, Czechia

Hradec Králové, , Czechia

échirolles, Isère, France

Montfermeil, Paris, France

Saint Priest En Jarez, Rhône Alpes, France

Grevenbroich, Nordrhein Westfalen, Germany

Zerifin, Hamerkaz, Israel

Castellana Grotte, Puglia, Italy

Monterrey, Nuevo León, Mexico

Mexico City, , Mexico

Zamość, Lubelskie, Poland

Warsaw, Mazowieckie, Poland

Warszawa, Mazowieckie, Poland

Poznan, Wielkopolskie, Poland

Poznań, Wielkopolskie, Poland

Katowice, śląskie, Poland

Bacau, Bacău, Romania

Kosice, Košický Kraj, Slovakia

Presov, , Slovakia

Hatay, , Turkey

London, England, United Kingdom

Wroclaw, , Poland

New Iberia, Louisiana, United States

Miami, Florida, United States

Yonkers, New York, United States

Juiz De Fora, Minas Gerais, Brazil

Curitiba, Paraná, Brazil

London, Ontario, Canada

Sombor, , Serbia

Zemun, , Serbia

Banska Bystrica, , Slovakia

Ribeirão Preto, , Brazil

Prague, , Czechia

Vitória, , Brazil

Campinas, , Brazil

Merida, , Mexico

Juriquilla, , Mexico

Athens, , Greece

Curitiba, , Brazil

Brno, , Czechia

Turnov, , Czechia

Ostrava, , Czechia

Prague, , Czechia

échirolles, , France

Saint Priest En Jarez, , France

Monterrey, , Mexico

Katowice, , Poland

Bacau, , Romania

Kosice, , Slovakia

Los Alamitos, California, United States

Pensacola, Florida, United States

Fayetteville, North Carolina, United States

Philadelphia, Pennsylvania, United States

Greenville, South Carolina, United States

Gorna Oryahovitsa, Veliko Tarnovo, Bulgaria

Sofia, , Bulgaria

Montreal, Quebec, Canada

Tlalnepantla De Baz, , Mexico

Patients applied

0 patients applied

Trial Officials

Contact Lilly at 1-800-LillyRx (1-800-545-5979)

Study Director

Eli Lilly and Company

Timeline

First submit

Trial launched

Trial updated

Estimated completion

Not reported