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Bimagrumab

Phase 3

Obesity | Monoclonal antibody | Metabolic |Eli Lilly and Company|Trials Updated: Jul 8, 2026

Bimagrumab development status

Highest phase Phase 3 run by Novartis Pharmaceuticals (NCT02573467)
Phase scored for LLYPhase 2
Registered trials 13 across 2 sponsors since Aug 2011

Bimagrumab target and mechanism

Molecular targetACVR2B
Target classAntagonist
ModalityMonoclonal antibody

Also known as LY3985863, BYM338, VER201

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials3
Total Enrollment783

FDA Designations

No designations recorded

Bimagrumab clinical trials

Bimagrumab · 3 trials · 5 indications

Phase 2 2Phase 1 1
NCT06643728A Study to Investigate Weight Management With Bimagrumab (LY3985863) and Tirzepatide (LY3298176), Alone or in Combination, in Adults With Obesity or OverweightObesity
ACTIVE NOT_RECRUITING252 Analytics
NCT05616013Safety and Efficacy of Bimagrumab and Semaglutide in Adults Who Are Overweight or ObeseObesity
COMPLETED507 Analytics
PHASE2ACTIVE NOT_RECRUITING
A Study to Investigate Weight Management With Bimagrumab (LY3985863) and Tirzepatide (LY3298176), Alone or in Combination, in Adults With Obesity or Overweight
ObesityUnlock trial analytics
PHASE2COMPLETED
Safety and Efficacy of Bimagrumab and Semaglutide in Adults Who Are Overweight or Obese
ObesityUnlock trial analytics

Study Endpoints

Primary Endpoints

Percent Change from Baseline in Body Weight
Baseline, Week 24
Change From Baseline in Body Weight at Week 48
Baseline, Week 48

Least Square mean was determined by MMRM model for post-baseline measures: Variable is modelled by Gender (Male, Female), Country (Australia, New Zealand, United States of America), Visit, Treatment, and Visit-by-Treatment interaction as fixed effects, and Baseline as a covariate. Variance-Covariance structure= Unstructured. Only participants with non-missing baseline value were included in analysis. No imputation was performed for missing values.

Number of Participants with One or More Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Event(s) (SAEs) Considered by the Investigator to be Related to Study Drug Administration
Baseline to Study Completion (Up to 19 Weeks)

A summary of TEAEs and SAEs regardless of causality, will be reported in the Reported Adverse Events module

Secondary Endpoints

Percent Change from Baseline in Total Body Fat Mass by Dual-Energy X-Ray Absorptiometry (DXA)
Baseline, Week 24, Week 48
Change from Baseline in Body Weight
Baseline, Week 24, Week 48
Percentage of Participants Achieving ≥5% Body Weight Reduction
Baseline, Week 24, Week 48
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part A: Bimagrumab Dose 2 + Tirzepatide PlaceboEXPERIMENTALParticipants will receive bimagrumab subcutaneously (SC) and tirzepatide placebo SC
Part A: Bimagrumab Placebo + Tirzepatide Dose 1ACTIVE_COMPARATORParticipants will receive bimagrumab placebo SC and tirzepatide SC
Part A: Bimagrumab Placebo + Tirzepatide Dose 2ACTIVE_COMPARATORParticipants will receive bimagrumab placebo SC and tirzepatide SC
Part A: Bimagrumab Dose 1 + Tirzepatide Dose 1EXPERIMENTALParticipants will receive bimagrumab SC and tirzepatide SC
Part A: Bimagrumab Dose 1 + Tirzepatide Dose 2EXPERIMENTALParticipants will receive bimagrumab SC and tirzepatide SC
Part A: Bimagrumab Dose 2 + Tirzepatide Dose 2EXPERIMENTALParticipants will receive bimagrumab SC and tirzepatide SC
Part A: Bimagrumab Placebo + Tirzepatide PlaceboPLACEBO_COMPARATORParticipants will receive bimagrumab placebo SC and tirzepatide placebo SC
Part B: Bimagrumab Dose 2 (no titration) + Tirzepatide Dose 1EXPERIMENTALParticipants will receive bimagrumab SC and tirzepatide SC
Part B: Bimagrumab Dose 2 (fast titration) + Tirzepatide Dose 1EXPERIMENTALParticipants will receive bimagrumab SC and tirzepatide SC
Part B: Bimagrumab Dose 2 (slow titration) + Tirzepatide Dose 1EXPERIMENTALParticipants will receive bimagrumab SC and tirzepatide SC
Part B: Bimagrumab Dose 1 + Tirzepatide PlaceboEXPERIMENTALParticipants will receive bimagrumab SC and tirzepatide placebo SC
Part B: Bimagrumab Placebo + Tirzepatide PlaceboPLACEBO_COMPARATORParticipants will receive bimagrumab placebo SC and tirzepatide placebo SC
Placebo/30 mg/kg BimagrumabPLACEBO_COMPARATORParticipants received intravenous placebo at baseline and at Weeks 4, 16, 28, and 40, followed by intravenous 30 milligrams per kilogram (mg/kg) bimagrumab at Weeks 52 and 64.
10/30 mg/kg BimagrumabEXPERIMENTALParticipants received intravenous 10 mg/kg bimagrumab at baseline and at Weeks 4, 16, 28, and 40, followed by intravenous 30 mg/kg bimagrumab at Weeks 52 and 64.
30 mg/kg BimagrumabEXPERIMENTALParticipants received intravenous 30 mg/kg bimagrumab at baseline and at Weeks 4, 16, 28, 40, 52, and 64.
Placebo + 1.0 mg SemaglutideEXPERIMENTALParticipants received intravenous placebo at baseline and at Weeks 4, 16, 28, 40 and subcutaneous 1.0 milligram (mg) semaglutide weekly as per the below dose escalation schedule: * Weeks 1 to 4: 0.25 mg * Weeks 5 to 8: 0.5 mg * Weeks 9 to 71: 1.0 mg
Placebo + 2.4 mg SemaglutideEXPERIMENTALParticipants received intravenous placebo at baseline and at Weeks 4, 16, 28, 40 and subcutaneous 2.4 mg semaglutide weekly per the below dose escalation schedule: * Weeks 1 to 4: 0.25 mg * Weeks 5 to 8: 0.5 mg * Weeks 9 to 12: 1.0 mg * Weeks 13 to 16: 1.7 mg * Weeks 17 to 71: 2.4 mg
10 mg/kg Bimagrumab + 1.0 mg SemaglutideEXPERIMENTALParticipants received intravenous 10 mg/kg bimagrumab at baseline and at Weeks 4, 16, 28, 40, 52, and 64, and subcutaneous 1.0 mg semaglutide weekly as per the below dose escalation schedule: * Weeks 1 to 4: 0.25 mg * Weeks 5 to 8: 0.5 mg * Weeks 9 to 71: 1.0 mg
10 mg/kg Bimagrumab + 2.4 mg SemaglutideEXPERIMENTALParticipants received intravenous 10 mg/kg bimagrumab at baseline and at Weeks 4, 16, 28, 40, 52, and 64, and subcutaneous 2.4 mg semaglutide weekly as per the below dose escalation schedule: * Weeks 1 to 4: 0.25 mg * Weeks 5 to 8: 0.5 mg * Weeks 9 to 12: 1.0 mg * Weeks 13 to 16: 1.7 mg * Weeks 17 to 71: 2.4 mg
30 mg/kg Bimagrumab + 1.0 mg SemaglutideEXPERIMENTALParticipants received intravenous 30 mg/kg bimagrumab at baseline and at Weeks 4, 16, 28, 40, 52, and 64, and subcutaneous 1.0 mg semaglutide weekly as per the below dose escalation schedule: * Weeks 1 to 4: 0.25 mg * Weeks 5 to 8: 0.5 mg * Weeks 9 to 71: 1.0 mg
30 mg/kg Bimagrumab + 2.4 mg SemaglutideEXPERIMENTALParticipants received intravenous 30 mg/kg bimagrumab at baseline and at Weeks 4, 16, 28, 40, 52, and 64, and subcutaneous 2.4 mg semaglutide weekly as per the below dose escalation schedule: * Weeks 1 to 4: 0.25 mg * Weeks 5 to 8: 0.5 mg * Weeks 9 to 12: 1.0 mg * Weeks 13 to 16: 1.7 mg * Weeks 17 to 71: 2.4 mg
LY3985863EXPERIMENTALAdministered subcutaneously (SC)
PlaceboPLACEBO_COMPARATORAdministered SC

Interventions

NameTypeDescription
BimagrumabDRUGAdministered SC
TirzepatideDRUGAdministered SC
Bimagrumab PlaceboDRUGAdministered SC
Tirzepatide PlaceboDRUGAdministered SC
SemaglutideDRUGGlucagon-like peptide-1 (GLP-1) receptor agonist
PlaceboOTHERPlacebo
LY3985863DRUGAdministered SC
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites12

Inclusion Criteria: * Have a BMI of * ≥30 kilograms per square meter (kg/m2) or * ≥27 kg/m2 and \<30 kg/m2, with at least one of the following weight-related comorbidities: * Hypertension * Dyslipidemia * Cardiovascular disease * Obstructive sleep apnea * Have had a stable bod...

Countries:United StatesAustraliaNew ZealandChina
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Recent Changes (Last 90 Days)

MEDIUMAug 8, 2026NCT05616013TRIAL_REMOVED: changed
MEDIUMAug 8, 2026NCT05616013TRIAL_REMOVED: changed
MEDIUMAug 8, 2026NCT05616013TRIAL_REMOVED: changed
MEDIUMAug 8, 2026NCT05616013TRIAL_REMOVED: changed

Frequently asked questions about Bimagrumab

What is Bimagrumab used for?

Bimagrumab is an investigational monoclonal antibody being studied for weight management in adults with obesity or overweight. It is in Phase 2 clinical development and is not approved for any indication. The clinical program evaluates it both alone and in combination with other agents for obesity and overweight.

What does Bimagrumab target?

Bimagrumab targets ACVR2B, also known as activin receptor type IIB. It acts as an antagonist at this receptor. By blocking ACVR2B signaling, the antibody is designed to affect pathways involved in muscle and fat regulation, which is the basis for its study in obesity and overweight.

Who is developing Bimagrumab?

Bimagrumab is being developed by Eli Lilly and Company, which trades on the New York Stock Exchange under the ticker LLY. The company is running the Phase 2 clinical program for the asset in obesity and overweight, including a combination study with tirzepatide.

What phase is Bimagrumab in?

Bimagrumab is in Phase 2 clinical development. It is investigational and has not been approved by the FDA for any indication. Two Phase 2 trials have been conducted in obesity and overweight, one of which is completed and one of which is active but not recruiting.

What clinical trials is Bimagrumab in?

Bimagrumab has been studied in two Phase 2 trials. NCT06643728 is an active, not recruiting study of weight management with bimagrumab (LY3985863) and tirzepatide (LY3298176), alone or in combination, in adults with obesity or overweight. NCT05616013 is a completed Phase 2 trial of bimagrumab and semaglutide in adults who are overweight or obese.

Is Bimagrumab the same as LY3985863?

Yes. Bimagrumab is also known as LY3985863, which is the Eli Lilly development code used for the asset. The name LY3985863 appears in the title of the Phase 2 trial NCT06643728, which studies bimagrumab and tirzepatide in adults with obesity or overweight.