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Dulaglutide

Phase 3

Type 2 Diabetes | Small molecule | Metabolic |Eli Lilly and Company|Last Updated: May 12, 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 Trials5
Total Enrollment1,703
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06739122A Study of Dulaglutide (LY2189265) 3.0 mg and 4.5 mg in Pediatric Participants With Type 2 Diabetes Mellitus (AWARD-PEDS PLUS)PHASE3 RECRUITING 55Jan 10, 2025Dec 1, 2027May 12, 202651 United States, Argentina +1
NCT02963766A Study of Dulaglutide (LY2189265) in Children and Adolescents With Type 2 DiabetesPHASE3 COMPLETED 154Dec 29, 2016Jan 12, 2022Jul 1, 202261 United States, Brazil +9
NCT01621178A Study Comparing Dulaglutide With Insulin Glargine on Glycemic Control in Participants With Type 2 Diabetes (T2D) and Moderate or Severe Chronic Kidney Disease (CKD)PHASE3 COMPLETED 577Jul 1, 2012Dec 1, 2016Sep 19, 201989 United States, Brazil +7
NCT01624259A Study Comparing the Effect of Dulaglutide With Liraglutide in Type 2 DiabetesPHASE3 COMPLETED 599Jun 1, 2012Nov 1, 2013Oct 9, 201457 United States, Czechia +8
NCT02973100A Study of Investigational Dulaglutide Doses in Participants With Type 2 Diabetes on Metformin MonotherapyPHASE2 COMPLETED 318Dec 1, 2016Aug 14, 2017Sep 23, 201966 United States, Czechia +4
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Study Endpoints
Primary Endpoints
Number of Participants with One or More Serious Adverse Events (SAE) Considered by the Investigator to be Related to Study Drug Administration
Baseline through Week 26

A summary of treatment emergent adverse events (TEAEs), SAEs and other non-serious adverse events (AEs), regardless of causality, will be reported in the Reported Adverse Events module

Change From Baseline in Hemoglobin A1c (HbA1c) (Pooled Doses) at Week 26
Baseline, Week 26

HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. Least square (LS) mean in HbA1c was calculated using a restricted maximum likelihood (REML) based mixed-effects model for repeated measures (MMRM) and adjusted by, baseline + insulin Use + metformin Use + treatment + time + treatment\*time (Type III sum of squares). Variance-covariance structure = unstructured (for actual value) / unstructured (for change from baseline).

Change From Baseline in Hemoglobin A1c (HbA1c)
Baseline, 26 Weeks

HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. Least square (LS) means in HbA1c were calculated using a restricted maximum likelihood (REML) based mixed-effects model for repeated measures (MMRM) with the change in HbA1c as the dependent variable and treatment, macroalbuminuria (MA) region, Baseline CKD Severity, week, treatment\*week, baseline HbA1c (%), log baseline eGFR (within CKD severity), and participant was the random effect. Covariance structure = Unstructured.

Change From Baseline to 26 Weeks Endpoint in Glycosylated Hemoglobin (HbA1c)
Baseline, 26 Weeks

Least Squares (LS) means of the glycosylated hemoglobin A1c (HbA1c) change from baseline to the primary endpoint at Week 26 was adjusted by fixed effects of treatment, country, visit, treatment-by-visit interaction, participant as random effect, and baseline HbA1c as covariates, via a mixed-effects model for repeated measures (MMRM) analysis using restricted maximum likelihood (REML).

Secondary Endpoints
Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve (AUC) of Dulaglutide
Predose through Week 30
PK: Maximum Observed Concentration (Cmax) of Dulaglutide
Predose through Week 30
Change from Baseline in Hemoglobin A1c (HbA1c)
Baseline, Week 26
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
DulaglutideEXPERIMENTALParticipants will receive dulaglutide subcutaneously (SC)
Placebo/0.75 milligram (mg) DulaglutideEXPERIMENTALParticipants received placebo administered subcutaneously (SC) for 26 weeks during the double-blind period and open-label 0.75 mg/week dulaglutide for 26 weeks during the Open Label Extension (OLE).
0.75 mg DulaglutideEXPERIMENTALParticipants received 0.75 mg/week dulaglutide administered SC for 26 weeks during the double-blind period and open-label 0.75 mg/week for 26 weeks during the OLE.
1.5 mg DulaglutideEXPERIMENTALParticipants received 1.5 mg/week dulaglutide administered SC for 26 weeks during the double-blind period and open-label 1.5 mg/week for 26 weeks during the OLE.
Insulin glargineACTIVE_COMPARATORInsulin glargine was administered subcutaneously (SC) at bedtime per a modified forced-titration treat-to-target algorithm. Participants were instructed to administer their titrated prandial insulin lispro dose SC with the three most significant meals of the day.
1.5 mg LY2189265EXPERIMENTALLY2189265 (Dulaglutide): 1.5 milligrams (mg), subcutaneous (SC), once weekly for 26 weeks Metformin: at least 1500 mg/day, oral, for 26 weeks
LiraglutideACTIVE_COMPARATORLiraglutide 0.6 mg, SC, once daily for 7 days, then titrated up to Liraglutide 1.2 mg, SC, once daily for 7 days, then titrated up to Liraglutide 1.8 mg, SC, once daily for 24 weeks Metformin: at least 1500 mg/day, oral, for 26 weeks
Dulaglutide 4.5mgEXPERIMENTAL4.5mg of Dulaglutide administered subcutaneously (SC)
Dulaglutide 3.0mgEXPERIMENTAL3.0mg of Dulaglutide administered SC
Dulaglutide 1.5mgACTIVE_COMPARATOR1.5mg of Dulaglutide administered SC
PlaceboPLACEBO_COMPARATORPlacebo administered SC
Interventions
NameTypeDescription
DulaglutideDRUGAdministered SC
PlaceboDRUGAdministered SC
Insulin glargineDRUGAdministered SC
Insulin lisproDRUGAdministered SC
LY2189265DRUGAdministered SC
LiraglutideDRUGAdministered SC
MetforminDRUG -
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Eligibility Criteria
Age Range10 Years — 17 Years
SexALL
Healthy VolunteersNo
Study Sites51

Inclusion Criteria: * Have Type 2 diabetes treated with diet and exercise and metformin and/or basal insulin. Metformin and/or basal insulin dose must be stable for at least 8 weeks prior to screening. * Have a body weight ≥50 kilograms (kg) and Body Mass Index (BMI) of \>85th percentile Exclusion...

Countries:United StatesArgentinaMexicoBrazilFranceGermanyHungaryIndiaPuerto RicoSaudi ArabiaTurkey (Türkiye)United KingdomPolandRomaniaSouth AfricaSpainUkraineCzechiaSlovakia
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT06739122primaryCompletionDate: changed
LOWMay 24, 2026NCT06739122studyFirstPostDate: changed