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NCT06820281RecruitingPhase 2

Acute Metabolic Effects of Tirzepatide in Type 1 Diabetes

Acute Metabolic Effects of Tirzepatide in Type 1 Diabetes: a Phase 2 Double Blinded Placebo Controlled Clinical Trial (TIRTLE2)

Source: ClinicalTrials.gov · Last updated 16 Sept 2026

Brief summary (registry, in English)

This study will examine the effects of Tirzepatide (TZP), a glucagon-like peptide 1 (GLP1) - gastric inhibitory peptide (GIP) co-agonist, on metabolism in type 1 diabetes (T1D). Research participants with T1D will undergo measures of insulin sensitivity, and hormone levels post-meal, post-hypoglycemia and during the overnight period. These measures will be performed prior to, and after 6 weeks of treatment with TZP or placebo.

Status (registry)
Recruiting
Phase (registry)
Phase 2
Study type
Interventional
Enrollment
44 (estimated)
First submitted
6 Feb 2025
Start date
7 Jul 2026
Primary completion date
31 Dec 2027
Lead sponsor
Victor Chang Cardiac Research Institute
NCT number
NCT06820281

What you commit to

  • Study type: Interventional · Phase 2
  • Planned participants: 44
  • From 7 Jul 2026 to the primary completion date, 31 Dec 2027
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Other illness

  • History of seizure disorder.
  • History of weight loss surgery.
  • Liver disease (known cirrhosis, LFTs \> 3x upper limit of normal).
  • Active malignancy.
  • Coronary event or stroke in last 6 months

Lab values

  • TZP or GLP-1 receptor agonist in last 3 months; metformin or sodium glucose co-transporter 2 (SGLT2) inhibitor in the last 6 weeks; systemic steroids, antipsychotics, in the last 6 weeks.
  • eGFR \<60 mL/min/1.73 m2.
  • Hemoglobin level \< 13.5 g/dL in men, \< 12.0 g/dL in women

Other

  • Hypoglycemic unawareness or severe hypoglycemia last 6 months.
  • Pregnant, breastfeeding, planning pregnancy within 6 months, or not using adequate contraception.
  • Active or untreated proliferative diabetic retinopathy

Who the study is looking for

  • age 18-70 years
  • BMI ≥ 25 kg/m2
  • HbA1c ≤ 9.0%
  • insulin delivery using an automated insulin delivery system
  • at least 2 years since diagnosis of type 1 diabetes

Age in the registry: 18 years to 70 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Victor Chang Cardiac Research Institute
Coordinator of this site? Confirm its status
SydneyAustraliaRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.