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LY3549492

Phase 2

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

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment288

FDA Designations

No designations recorded

Clinical trial landscape

LY3549492 · 7 trials · 7 indications

Phase 2 1Phase 1 6
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

Urinary Excretion of Total Radioactivity Over Time Expressed as a Percentage of the Total Radioactive Dose in Part A
Predose up to Day 24 postdose in Part A

Urinary Excretion of Total Radioactivity Over Time Expressed as a Percentage of the Total Radioactive Dose

Fecal Excretion of Total Radioactivity Over Time Expressed as a Percentage of the Total Radioactive Dose in Part A
Predose up to Day 24 postdose in Part A

Fecal Excretion of Total Radioactivity Over Time Expressed as a Percentage of the Total

Pharmacokinetic (PK): Area Under the Curve (AUC) for Oral Determination of Absolute Bioavailability (F) of LY3549492 in Part B
Predose up to Day 7 postdose in Part B

PK: AUC for oral determination of absolute bioavailability (F) of LY3549492

PK: AUC for Intravenous (IV) Determination of Absolute Bioavailability (F) of LY3549492 in Part B
Predose up to Day 7 postdose in Part B

PK: AUC for IV determination of absolute bioavailability (F) of LY3549492

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
Carbon-14-Labeled [14C]-LY3549492 - Part AEXPERIMENTALCarbon-14-Labeled \[14C\]-LY3549492 administered as oral solution.
LY3549492 + [14C]-LY3549492 - Part BEXPERIMENTALLY3549492 administered as oral solution followed 3 hours later by \[14C\] LY3549492 will be administered as intravenous (IV) infusion.
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.
LY3549492 (Part B)EXPERIMENTALLY3549492 administered orally as multiple ascending doses.

Interventions

NameTypeDescription
LY3549492DRUGAdministered orally
PlaceboDRUGAdministered orally
[14C]-LY3549492DRUGAdministered as oral solution.
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 StatesChinaJapanUnited KingdomGermany
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Recent Changes (Last 90 Days)

HIGHAug 24, 2026NCT07232732Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHAug 24, 2026NCT07232732Status: ACTIVE_NOT_RECRUITING → COMPLETED
MEDIUMJun 13, 2026NCT06683508TRIAL_REMOVED: changed
MEDIUMJun 13, 2026NCT06683508TRIAL_REMOVED: changed
MEDIUMJun 13, 2026NCT06683508TRIAL_REMOVED: changed
MEDIUMJun 13, 2026NCT06683508TRIAL_REMOVED: changed

Frequently asked questions about LY3549492

What is LY3549492 used for?

LY3549492 is an investigational small molecule being studied for weight management in adults with obesity or overweight, and for the treatment of type 2 diabetes mellitus. It is also being evaluated in healthy participants as part of early clinical studies.

Who makes LY3549492?

LY3549492 is being developed by Eli Lilly and Company, a biopharmaceutical company listed on the stock exchange under the ticker LLY.

What phase is LY3549492 in?

LY3549492 is in clinical development. It has completed Phase 1 studies in Japanese participants with type 2 diabetes and healthy Japanese participants, and in Chinese participants with type 2 diabetes. A Phase 2 study in adults with obesity or overweight has also been completed.

What clinical trials is LY3549492 in?

LY3549492 has been studied in several completed trials. NCT06683508 is a Phase 2 study in adults with obesity or overweight. NCT06869018 is a Phase 1 study in Japanese participants with type 2 diabetes and healthy participants. NCT07073170 is a Phase 1 study in Chinese participants with type 2 diabetes. NCT07232732 is a Phase 1 study in healthy participants and those with overweight or obesity.

Is LY3549492 FDA approved?

LY3549492 is not FDA approved. It is an investigational drug that has completed clinical trials, including Phase 1 and Phase 2 studies, but it remains in clinical development and has not been approved for any use.

Is LY3549492 being studied in obesity?

Yes, LY3549492 is being studied for weight management in adults with obesity or overweight. A completed Phase 2 trial, NCT06683508, enrolled 288 participants in the United States to compare LY3549492 with placebo in this population.