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Bimagrumab

Phase 2

Obesity | Small molecule | Metabolic |Eli Lilly and Company|Last Updated: May 26, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment759
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06643728A Study to Investigate Weight Management With Bimagrumab (LY3985863) and Tirzepatide (LY3298176), Alone or in Combination, in Adults With Obesity or OverweightPHASE2 ACTIVE NOT_RECRUITING 252Oct 21, 2024Jan 1, 2027May 26, 202612 United States
NCT05616013Safety and Efficacy of Bimagrumab and Semaglutide in Adults Who Are Overweight or ObesePHASE2 COMPLETED 507Nov 16, 2022Jun 14, 2025Jul 18, 202526 United States, Australia +1
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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 (LS) Mean was determined by analysis of covariance (ANCOVA) model using Baseline + Gender (Male, Female) + Country (Australia, New Zealand, United States of America) + Treatment (Type III sum of squares) as variables. Only participants with non-missing baseline value were included in analysis. Missing values at Week 48 were imputed 100 times based on observed data in the Placebo arm

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
PlaceboPLACEBO_COMPARATORParticipants received a placebo administered intravenously (IV) at baseline and at weeks 4, 16, 28, and 40 during the core treatment period.
Bimagrumab 10 mg/kgEXPERIMENTALParticipants received bimagrumab 10 milligrams/kilogram (mg/kg) administered IV at baseline and at weeks 4, 16, 28, and 40 during the core treatment period.
Bimagrumab 30 mg/kgEXPERIMENTALParticipants received bimagrumab 30 mg/kg administered IV at baseline and at weeks 4, 16, 28, and 40.
Placebo + Semaglutide 1.0 mgEXPERIMENTALParticipants received a placebo administered IV at baseline and at Weeks 4, 16, 28, and 40, and 1 milligram (mg) of semaglutide administered subcutaneously (SC) weekly for 48 weeks as per the below dose escalation schedule: Weeks 1 to 4: 0.25 mg Weeks 5 to 8: 0.5 mg Weeks 9 to 48: 1.0 mg
Placebo + Semaglutide 2.4 mgEXPERIMENTALParticipants received a placebo administered IV at baseline and at weeks 4, 16, 28, and 40, and 2.4 mg semaglutide administered SC weekly for 48 weeks 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 48: 2.4 mg.
Bimagrumab 10 mg/kg + Semaglutide 1.0 mgEXPERIMENTALParticipants received bimagrumab 10 mg/kg administered IV at baseline and at weeks 4, 16, 28, and 40, and 1 mg semaglutide administered SC weekly for 48 weeks as per the below dose escalation schedule: Weeks 1 to 4: 0.25 mg Weeks 5 to 8: 0.5 mg Weeks 9 to 48: 1.0 mg.
Bimagrumab 10 mg/kg + Semaglutide 2.4 mgEXPERIMENTALParticipants received bimagrumab 10 mg/kg administered IV at baseline and at weeks 4, 16, 28, and 40, and 2.4 mg semaglutide administered SC weekly for 48 weeks 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 48: 2.4 mg.
Bimagrumab 30 mg/kg + Semaglutide 1.0 mgEXPERIMENTALParticipants received bimagrumab 30 mg/kg administered IV at baseline and at weeks 4, 16, 28, and 40, and 1 mg semaglutide administered SC weekly for 48 weeks as per the below dose escalation schedule: Weeks 1 to 4: 0.25 mg Weeks 5 to 8: 0.5 mg Weeks 9 to 48: 1.0 mg
Bimagrumab 30 mg/kg + semaglutide 2.4 mgEXPERIMENTALParticipants received bimagrumab 30 mg/kg administered IV at baseline and at weeks 4, 16, 28 and 40, and 2.4 mg semaglutide administered SC weekly for 48 weeks 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 48: 2.4 mg.
Interventions
NameTypeDescription
BimagrumabDRUGAdministered SC
TirzepatideDRUGAdministered SC
Bimagrumab PlaceboDRUGAdministered SC
Tirzepatide PlaceboDRUGAdministered SC
SemaglutideDRUGGlucagon-like peptide-1 (GLP-1) receptor agonist
PlaceboOTHERPlacebo
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Eligibility Criteria
Age Range18 Years — 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 Zealand
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Recent Changes (Last 90 Days)
LOWMay 27, 2026NCT06643728Enrollment: 240 → 252
LOWMay 27, 2026NCT06643728Enrollment: 240 → 252
LOWMay 26, 2026NCT06643728primaryCompletionDate: changed
LOWMay 24, 2026NCT06643728studyFirstPostDate: changed