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LY3549492

Phase 2

Obesity | Small molecule | Metabolic |Eli Lilly and Company|Trials Updated: Aug 24, 2026

LY3549492 development status

Highest phase Phase 2
Registered trials 10 across 1 sponsor since Feb 2021

LY3549492 target and mechanism

ModalitySmall molecule

Also known as [14C]-LY3549492

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials5
Total Enrollment616

FDA Designations

No designations recorded

LY3549492 clinical trials

LY3549492 · 5 trials · 6 indications

Phase 2 1Phase 1 4
NCT06683508A Study to Investigate Weight Management With LY3549492 Compared With Placebo in Adult Participants With Obesity or OverweightObesity
COMPLETED288 Analytics
PHASE2COMPLETED
A Study to Investigate Weight Management With LY3549492 Compared With Placebo in Adult Participants With Obesity or Overweight
ObesityUnlock trial analytics

Study Endpoints

Primary Endpoints

Percent Change from Baseline in Body Weight
Baseline, Week 36
Number of Participants with One or More Serious Adverse Event(s) (SAEs) Considered by the Investigator to be Related to Study Drug Administration
Baseline through end of the Follow-up Period (Week 10)

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

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 14

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.

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
Day 1 Through Day 127

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

Secondary Endpoints

Change from Baseline in Body Weight (kilograms)
Baseline, Week 36
Percentage of Participants who Achieve ≥5% Body Weight Reduction
Baseline, Week 36
Percentage of Participants who Achieve ≥10% Body Weight Reduction
Baseline, Week 36
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
LY3549492 Dose 1EXPERIMENTALParticipants will receive LY3549492 orally
LY3549492 Dose 2EXPERIMENTALParticipants will receive LY3549492 orally
LY3549492 Dose 3EXPERIMENTALParticipants will receive LY3549492 orally
LY3549492 Dose 4EXPERIMENTALParticipants will receive LY3549492 orally
LY3549492 Dose 5EXPERIMENTALParticipants will receive LY3549492 orally
PlaceboPLACEBO_COMPARATORParticipants will receive Placebo orally
LY3549492 (Treatment Group 1)EXPERIMENTALLY3549492 administered orally.
LY3549492 (Treatment Group 2)EXPERIMENTALLY3549492 administered orally.
LY3549492 (Treatment Group 3)EXPERIMENTALLY3549492 administered orally.
LY3549492 (Treatment Group 4)EXPERIMENTALLY3549492 administered orally.
LY3549492 Part AEXPERIMENTALLY3549492 administered orally
LY3549492 Part BEXPERIMENTALLY3549492 administered orally
Placebo Part APLACEBO_COMPARATORPlacebo administered orally
Placebo Part BPLACEBO_COMPARATORPlacebo administered orally
LY3549492 (Part A)EXPERIMENTALLY3549492 administered orally as multiple ascending doses.
Placebo (Part A)PLACEBO_COMPARATORPlacebo administered orally.
LY3549492 + Midazolam + Atorvastatin (Part B)EXPERIMENTALLY3549492 coadministered orally with midazolam and atorvastatin.
Placebo + Midazolam + Atorvastatin (Part B)PLACEBO_COMPARATORPlacebo coadministered orally with midazolam and atorvastatin.

Interventions

NameTypeDescription
LY3549492DRUGAdministered orally
PlaceboDRUGAdministered orally
AtorvastatinDRUGAdministered orally.
MidazolamDRUGAdministered orally.
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites49

Inclusion Criteria: W8M-MC-GN01: * Assigned male at birth * Assigned female at birth, who are of non-childbearing potential W8M-MC-CWMM: * Have a BMI of * ≥ 30 kilograms per square meter (kg/m²) or * ≥ 27 kg/m² and \< 30 kg/m² with at least one weight-related comorbidity * Have had a stable...

Countries:United StatesChinaJapanGermany
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Recent Changes (Last 90 Days)

MEDIUMSep 24, 2026NCT07232732TRIAL_REMOVED: changed
MEDIUMSep 24, 2026NCT07232732TRIAL_REMOVED: changed
MEDIUMSep 24, 2026NCT07232732TRIAL_REMOVED: changed
HIGHAug 24, 2026NCT07232732Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHAug 24, 2026NCT07232732Status: ACTIVE_NOT_RECRUITING → COMPLETED

Frequently asked questions about LY3549492

What is LY3549492?

LY3549492 is an investigational small molecule developed by Eli Lilly and Company for metabolic conditions, specifically type 2 diabetes and obesity or overweight. It is being studied in clinical trials and is not yet approved for any indication. Lilly is evaluating it in both healthy participants and people with type 2 diabetes or excess weight.

What is LY3549492 used for in type 2 diabetes and obesity?

LY3549492 is being studied for the treatment of type 2 diabetes mellitus and for weight management in adults with obesity or overweight. These are investigational uses only. Clinical trials have enrolled participants with type 2 diabetes in China and Japan, and participants with obesity or overweight in the United States.

Who makes LY3549492?

LY3549492 is developed by Eli Lilly and Company, which trades on the New York Stock Exchange under the ticker LLY. Lilly is the sponsor of the clinical program evaluating the compound in type 2 diabetes and obesity or overweight.

What phase is LY3549492 in?

LY3549492 is in clinical development. Phase 1 studies have been completed in healthy participants and in participants with type 2 diabetes, and a Phase 2 study in adults with obesity or overweight has also been completed. The drug remains investigational and has not been approved by the FDA.

What clinical trials is LY3549492 in?

Completed trials include NCT07232732 in healthy participants and participants with overweight or obesity, NCT07073170 in Chinese participants with type 2 diabetes, NCT06869018 in Japanese participants with type 2 diabetes and healthy Japanese participants, and the Phase 2 weight management study NCT06683508 in adults with obesity or overweight.

Is LY3549492 the same as [14C]-LY3549492?

Yes. [14C]-LY3549492 is an alternative name for LY3549492, referring to a carbon-14 labeled form of the same compound used in research settings. Both names refer to the Eli Lilly small molecule being studied in type 2 diabetes and obesity or overweight.