Mirikizumab Administered at the Same Time as Tirzepatide in Adult Participants With Moderately to Severely Active Ulcerative Colitis and Obesity or Overweight: Phase 3b Study
Phase 3 · Testing Mirikizumab and Tirzepatide · 187 sites · Eli Lilly and Company
Official record & contacts on ClinicalTrials.gov ↗
In plain English
What this trial is testing
This study is testing Mirikizumab (a drug), Mirikizumab (a drug) and Tirzepatide (a drug) as a possible treatment. Condition(s) listed: Ulcerative Colitis and Obesity or Overweight.
Participants are assigned to groups by chance (randomized).
Some participants receive a placebo or sham for comparison.
It is blinded: participants and the study team do not know who receives what.
Phase 3 studies are large studies comparing a treatment with placebo or standard care. They are often the last step before a company asks regulators for approval.
Who can join
- Ages 18 to 70
- Any sex
Some of the main requirements, copied from the record:
- Have had an established diagnosis of UC for ≥3 months before baseline which includes endoscopic evidence of UC and a histopathology report that supports a diagnosis of UC.
- Have moderately to severely active UC as defined by a modified Mayo score (mMS) of 5 to 9 points and endoscopic subscore (ES) of 2 to 3 (confirmed by central review) within 21 days before baseline.
- Participants with a history of UC for greater than or equal to 8 years who have had a surveillance colonoscopy completed within 1 year prior to baseline must have documented negative results for colorectal dysplasia and cancer.
- Have obesity, \[body mass index (BMI) 30 kilograms per meter squared (kg/m2)\]
- Have overweight (BMI ≥27 kg/m2 to <30 kg/m2) and in the presence of at least 1 of these weight-related comorbid conditions:
- hypertension
Plus 5 more requirement(s). There are also 10 reasons someone might not be able to join (exclusion criteria). Only the trial team can confirm whether you qualify.
What's involved
- About 350 participants are expected to take part.
- The study has 2 groups.
- Start date: 2025-06-26.
- Main results expected around 2028-04 (estimate from the record).
- 187 study sites listed (177 marked recruiting) in Austria, Belgium, Brazil, Bulgaria and Canada and 18 more countries.
Groups in this study
- Mirikizumab + Tirzepatide (listed as: experimental group)
- Mirikizumab + Placebo (listed as: experimental group)
Main thing being measured
- Percentage of Participants Who Simultaneously Achieve Clinical Remission and at Least 10% Weight Reduction (Week 52)
In the researchers’ words
The main purpose of this study is to show whether in these individuals, treatment with both mirikizumab and tirzepatide, compared with treatment with mirikizumab and placebo, leads to decrease or disappearance of UC symptoms, and loss of at least one-tenth of the overall body weight. Participation in this study will last up to 61 weeks, including 52 weeks of treatment.
Words you might see
- Placebo: a look-alike pill or injection with no active drug, used for comparison.
- Colonoscopy: a camera exam of the large intestine (colon).
- Endoscopy: a camera exam inside the digestive tract.
- Mayo score: a score used to measure how active ulcerative colitis is.
- Remission: a period when the disease is quiet or under control.
- JAK inhibitor: a group of oral medicines that calm parts of the immune system.
- Biologic: a medicine made from living cells, usually given by injection or infusion.
- Stricture: a narrowing (of the bowel or of a bile duct).
General definitions, not specific to this trial.
This summary was written automatically from the official record using fixed templates (no AI), so it only says what the record says, and may leave things out.
Questions to ask your doctor and the trial team
- Am I likely to qualify, given my health history?
- What would I have to do, and how often would I need to visit?
- Could I get a placebo? What happens to my current treatment?
- What are the possible risks and benefits?
- Are travel or other costs covered?
- What happens after the trial ends?
Official details
| Status | Recruiting |
|---|---|
| Phase | Phase 3 |
| Study type | Interventional |
| Conditions | Ulcerative Colitis; Obesity or Overweight |
| Lead sponsor | Eli Lilly and Company |
| Enrollment | 350 (estimated) |
| Start date | 2025-06-26 |
| Primary completion (est.) | 2028-04 |
| First posted | 2025-04-22 |
| Last updated | 2026-10-07 |
| Official title | A Phase 3b, Randomized, Multicenter, Controlled Study of Mirikizumab and Placebo or Mirikizumab Concomitantly Administered With Tirzepatide in Adult Participants With Moderately to Severely Active Ulcerative Colitis and Obesity or Overweight |
| ClinicalTrials.gov ID | NCT06937086 |
Interventions
- Mirikizumab (Drug)
Administered IV - Mirikizumab (Drug)
Administered SC - Tirzepatide (Drug)
Administered SC - Placebo (Drug)
Administered SC
Full eligibility criteria (from the record)
Inclusion Criteria: * Have had an established diagnosis of UC for ≥3 months before baseline which includes endoscopic evidence of UC and a histopathology report that supports a diagnosis of UC. * Have moderately to severely active UC as defined by a modified Mayo score (mMS) of 5 to 9 points and endoscopic subscore (ES) of 2 to 3 (confirmed by central review) within 21 days before baseline. * Participants with a history of UC for greater than or equal to 8 years who have had a surveillance colonoscopy completed within 1 year prior to baseline must have documented negative results for colorectal dysplasia and cancer. * Have obesity, \[body mass index (BMI) 30 kilograms per meter squared (kg/m2)\] * Have overweight (BMI ≥27 kg/m2 to <30 kg/m2) and in the presence of at least 1 of these weight-related comorbid conditions: * hypertension * Type 2 Diabetes Mellitus (T2DM) * dyslipidemia * obstructive sleep apnea, or * cardiovascular disease. * Have an inadequate response to, loss of response to, or intolerance to at least 1 of the conventional medication: oral corticosteroids, oral azathioprine (AZA) or 6-mercaptopurine (6-MP), or oral 5-aminosalicylates (for example, mesalamine, sulfasalazine, olsalazine, and balsalazide) and/or who have an inadequate response to or a loss of response to, or are intolerant to advanced therapy for UC, defined as: a biologic or biosimilar medication such as anti-tumor necrosis factor (TNF) antibodies; anti-integrin antibodies, Janus kinase (JAK) inhibitors such as tofacitinib or upadacitinib, sphingosine 1-phosphate receptor 1inhibitors such as etrasimod or ozanimod, or anti-interleukin(IL)-12p40 antibodies, for example, ustekinumab. Exclusion Criteria: * Have a current diagnosis of: * Crohn's disease * inflammatory bowel disease (IBD) unclassified (formerly known as indeterminate colitis), or * primary sclerosing cholangitis. * Have had or will need bowel resection or intestinal or intra-abdominal surgery. * Have evidence of toxic megacolon, or stricture or stenosis within the colon that cannot be traversed by a sigmoidoscope or colonoscope. * Have a diagnosis of Type 1 Diabetes Mellitus (T1DM) or have insulin-treated T2DM. * Have a history of severe hypoglycemia and/or hypoglycemia unawareness within the 6 months prior to screening. * Have a self-reported change in body weight greater than 5% (gain or reduction) within 3 months prior to screening. * Have a current or recent acute, active infection.
Locations (187)
Show all 187 sites
| Site | City | Country | Site status |
|---|---|---|---|
| Digestive Health Specialists | Dothan, Alabama | United States | Recruiting |
| Smart Cures Clinical Research | Anaheim, California | United States | Recruiting |
| Cedars-Sinai Medical Center | Beverly Hills, California | United States | Recruiting |
| United Medical Doctors - Los Alamitos | Los Alamitos, California | United States | Recruiting |
| California Medical Research Associates | Northridge, California | United States | Recruiting |
| Research Associates of South Florida - Miami - Southwest 8th Street | Miami, Florida | United States | Recruiting |
| Gastro Health Research - Miami | Miami, Florida | United States | Recruiting |
| Orlando Health | Orlando, Florida | United States | Recruiting |
| Digestive and Liver Center of Florida | Orlando, Florida | United States | Recruiting |
| Gastro Health Research - Pensacola | Pensacola, Florida | United States | Recruiting |
| Precision Clinical Research | Sunrise, Florida | United States | Recruiting |
| Grand Teton Research Group | Idaho Falls, Idaho | United States | Recruiting |
| Rush University Medical Center | Chicago, Illinois | United States | Recruiting |
| Indiana University Health University Hospital | Indianapolis, Indiana | United States | Recruiting |
| Gastroenterology Health Partners | New Albany, Indiana | United States | Recruiting |
| Gastroenterology Health Partners | Louisville, Kentucky | United States | Recruiting |
| Care Access - New Iberia | New Iberia, Louisiana | United States | Recruiting |
| Louisiana Research Center | Shreveport, Louisiana | United States | Recruiting |
| Capital Digestive Care - Chevy Chase | Chevy Chase, Maryland | United States | Recruiting |
| Lucida Clinical Trials | New Bedford, Massachusetts | United States | Recruiting |
| Washington University School of Medicine | St Louis, Missouri | United States | Recruiting |
| Dartmouth-Hitchcock Medical Center | Lebanon, New Hampshire | United States | Recruiting |
| Icahn School of Medicine at Mount Sinai | New York, New York | United States | Recruiting |
| New York Gastroenterology Associates | New York, New York | United States | Recruiting |
| Care Access - Yonkers | Yonkers, New York | United States | Recruiting |
| Coastal Research Institute - Fayetteville | Fayetteville, North Carolina | United States | Recruiting |
| Gastro Intestinal Research Institute of Northern Ohio, LLC | Westlake, Ohio | United States | Recruiting |
| Thomas Jefferson University - Medicine/GI and Hepatology | Philadelphia, Pennsylvania | United States | Recruiting |
| University Gastroenterology | Providence, Rhode Island | United States | Recruiting |
| Gastroenterology Associates - Patewood | Greenville, South Carolina | United States | Recruiting |
| Gastroenterology Center Of The Midsouth | Cordova, Tennessee | United States | Recruiting |
| Gastroenterology Research of San Antonio | San Antonio, Texas | United States | Recruiting |
| Southern Star Research Institute | San Antonio, Texas | United States | Recruiting |
| Tyler Research Institute | Tyler, Texas | United States | Recruiting |
| Gastroenterology Consultants of Southwest Virginia | Roanoke, Virginia | United States | Recruiting |
| Washington Gastroenterology - Tacoma | Tacoma, Washington | United States | Recruiting |
| Wisconsin Center for Advanced Research | Milwaukee, Wisconsin | United States | Recruiting |
| Medizinische Universität Graz | Graz | Austria | Recruiting |
| Medizinische Universitaet Innsbruck | Innsbruck | Austria | Recruiting |
| Medizinische Universität Wien | Vienna | Austria | Recruiting |
| AZORG Campus Aalst-Moorselbaan | Aalst | Belgium | Recruiting |
| Université Libre de Bruxelles - Hôpital Erasme | Brussels | Belgium | Recruiting |
| AZ Groeninge Campus Kennedylaan | Kortrijk | Belgium | Recruiting |
| UZ Leuven | Leuven | Belgium | Recruiting |
| Centre Hospitalier Universitaire de Liège - Domaine Universitaire du Sart Tilman | Liège | Belgium | Recruiting |
| Clinical Chc Montlégia | Liège | Belgium | Recruiting |
| NewData Clinical Research - Aracaju | Aracaju | Brazil | Recruiting |
| L2IP - Instituto de Pesquisas Clínicas | Brasília | Brazil | Recruiting |
| Loema Instituto de Pesquisa Clinica | Campinas | Brazil | Recruiting |
| Fundação Universidade de Caxias do Sul (FUCS) | Caxias do Sul | Brazil | Recruiting |
| Centro Digestivo de Curitiba | Curitiba | Brazil | Recruiting |
| Galileo Medical Research | Juiz de Fora | Brazil | Recruiting |
| Hospital de Clinicas de Porto Alegre | Porto Alegre | Brazil | Recruiting |
| Hospital de Clínicas de Ribeirão Preto | Ribeirão Preto | Brazil | Recruiting |
| CLIAGEN Clínica de Atenção em Gastroenterologia, Especialidades e Nutrição | Salvador | Brazil | Recruiting |
| Pesquisare Saude | Santo André | Brazil | Recruiting |
| CPQuali Pesquisa Clínica | São Paulo | Brazil | Recruiting |
| CEPIC - Centro Paulista de Investigação Clínica | São Paulo | Brazil | Recruiting |
| Clínica Hepatogastro JK | São Paulo | Brazil | Recruiting |
| CEDOES | Vitória | Brazil | Recruiting |
| Integral Pesquisa e Ensino | Votuporanga | Brazil | Recruiting |
| University Hospital "St. Ivan Rilski" | Gorna Oryahovitsa | Bulgaria | Recruiting |
| London Health Sciences Centre | London | Canada | Recruiting |
| London Digestive Disease Institute | London | Canada | Recruiting |
| Clinique IMD | Montreal | Canada | Recruiting |
| The Ottawa Hospital - General Campus | Ottawa | Canada | Not yet recruiting |
| Vancouver General Hospital | Vancouver | Canada | Recruiting |
| (G.I.R.I.) GI Research Institute Foundation | Vancouver | Canada | Recruiting |
| SurGal Clinic | Brno | Czechia | Recruiting |
| Gastroenterologie | Hradec Králové | Czechia | Recruiting |
| EndoArt | Ostrava | Czechia | Recruiting |
| ResTrial GastroEndo s.r.o | Prague | Czechia | Recruiting |
| ISCARE klinické centrum | Prague | Czechia | Recruiting |
| Masarykova Nemocnice V Usti Nad Labem | Ústí nad Labem | Czechia | Recruiting |
| Aarhus Universitetshospital, Skejby | Aarhus | Denmark | Recruiting |
| Rigshospitalet | Copenhagen | Denmark | Recruiting |
| Herlev and Gentofte Hospital | Copenhagen | Denmark | Recruiting |
| Aalborg Universitetshospital, Syd | Gistrup | Denmark | Recruiting |
| Odense Universitetshospital | Odense | Denmark | Recruiting |
| Vejle Sygehus | Vejle | Denmark | Recruiting |
| CHD Vendee | La Roche-sur-Yon | France | Recruiting |
| Hôpitaux Universitaires Paris Sud - Hôpital Bicêtre | Le Kremlin-Bicêtre | France | Recruiting |
| Chu Saint Eloi | Montpellier | France | Recruiting |
| Centres Médico Chirurgicaux - Clinique Ambroise Paré | Neuilly-sur-Seine | France | Recruiting |
| Centre Hospitalier Universitaire de Nice - Hôpital l'Archet | Nice | France | Recruiting |
| Hôpital Saint Antoine | Paris | France | Recruiting |
| Centre Hospitalier Universitaire de Saint Étienne - Hôpital Nord | Saint-Priest-en-Jarez | France | Recruiting |
| CHU Rangueil | Toulouse | France | Recruiting |
| Clinique des Cèdres | Échirolles | France | Recruiting |
| Universitätsklinikum Frankfurt Goethe-Universität | Frankfurt | Germany | Recruiting |
| Praxiszentrum für Gastroenterologie | Grevenbroich | Germany | Recruiting |
| Studiengesellschaft Mitteldeutschland GmbH | Halle | Germany | Recruiting |
| Medizinische Hochschule Hannover | Hanover | Germany | Recruiting |
| Eugastro GmbH | Leipzig | Germany | Recruiting |
| Klinikum Ernst von Bergmann | Potsdam | Germany | Recruiting |
| Evangelismos General Hospital of Athens | Athens | Greece | Recruiting |
| Thoracic General Hospital of Athens "I Sotiria" | Athens | Greece | Recruiting |
| University General Hospital of Heraklion | Heraklion | Greece | Recruiting |
| Ippokrateio General Hospital of Thessaloniki | Thessaloniki | Greece | Recruiting |
| Semmelweis Egyetem | Budapest | Hungary | Recruiting |
| Semmelweis Egyetem | Budapest | Hungary | Recruiting |
| Szegedi Tudományegyetem Szent-Györgyi Albert Klinikai Központ | Szeged | Hungary | Recruiting |
| CLINFAN Szolgáltató Kft | Szekszárd | Hungary | Recruiting |
| Assuta Ashdod Medical Center | Ashdod | Israel | Recruiting |
| Rambam Health Care Campus | Haifa | Israel | Recruiting |
| Edith Wolfson Medical Center | Holon | Israel | Recruiting |
| Shaare Zedek Medical Center | Jerusalem | Israel | Recruiting |
| Rabin Medical Center | Petah Tikva | Israel | Recruiting |
| Sheba Medical Center | Ramat Gan | Israel | Recruiting |
| Sourasky Medical Center | Tel Aviv | Israel | Recruiting |
| Yitzhak Shamir Medical Center | Ẕerifin | Israel | Recruiting |
| IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico di Sant'Orsola | Bologna | Italy | Recruiting |
| Ospedale Specializzato in Gastroenterologia "Saverio de Bellis" | Castellana Grotte | Italy | Recruiting |
| Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico | Milan | Italy | Recruiting |
| Ospedale San Raffaele | Milan | Italy | Not yet recruiting |
| Azienda Ospedale - Università Padova | Padova | Italy | Recruiting |
| Azienda Ospedaliero Universitaria Pisana | Pisa | Italy | Recruiting |
| Ospedale Di Circolo | Rho | Italy | Recruiting |
| Fondazione Policlinico Universitario Agostino Gemelli | Roma | Italy | Recruiting |
| Humanitas | Rozzano | Italy | Recruiting |
| San Peregrino Unidad de Investigación | Aguascalientes | Mexico | Not yet recruiting |
| Scientia Investigacion Clinica S.C. | Chihuahua City | Mexico | Recruiting |
| Centro de Estudios de Investigacion Metabolicos y Cardiovasculares, S.C. | Ciudad Madero | Mexico | Recruiting |
| Instituto de Investigaciones Aplicadas a la Neurociencia A.C. | Durango | Mexico | Not yet recruiting |
| Boca Clinical Trials Mexico S.C. | Guadajalara | Mexico | Recruiting |
| Centro de Investigación Clínica y Medicina Traslacional (CIMeT) | Guadalajara | Mexico | Recruiting |
| Hospital General de Occidente | Guadalajara | Mexico | Not yet recruiting |
| Health Pharma Querétaro | Juriquilla | Mexico | Not yet recruiting |
| Centro de Investigación Clinica Chapultepec | Mexico City | Mexico | Recruiting |
| Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran | Mexico City | Mexico | Not yet recruiting |
| Servicios de Oncología Médica Integral - Monterrey | Monterrey | Mexico | Recruiting |
| Centro de Investigacion Clinica Chapultepec | Morelia | Mexico | Recruiting |
| Medical Care and Research SA de CV | Mérida | Mexico | Recruiting |
| Boca Clinical Trials Mexico SC | Puebla City | Mexico | Recruiting |
| Clinical Research Institute S.C. | Tlalnepantla | Mexico | Recruiting |
| FAICIC S. de R.L. de C.V. | Veracruz | Mexico | Recruiting |
| Amsterdam UMC, locatie VUmc | Amsterdam | Netherlands | Recruiting |
| Radboudumc | Nijmegen | Netherlands | Not yet recruiting |
| Erasmus Medisch Centrum | Rotterdam | Netherlands | Not yet recruiting |
| Ikazia Ziekenhuis | Rotterdam | Netherlands | Recruiting |
| Universitair Medisch Centrum Utrecht | Utrecht | Netherlands | Recruiting |
| Gyncentrum sp. z o.o. NZOZ Holsamed - oddział Libero | Katowice | Poland | Recruiting |
| Twoja Przychodnia Opolskie Centrum Medyczne | Opole | Poland | Recruiting |
| IRMED | Piotrkow Trybunalski | Poland | Recruiting |
| Twoja Przychodnia PCM | Poznan | Poland | Recruiting |
| Uniwersyteckie Centrum Stomatologii i Medycyny Specjalistycznej | Poznan | Poland | Recruiting |
| Korczowski Bartosz, Gabinet Lekarski | Rzeszów | Poland | Recruiting |
| Twoja Przychodnia SCM | Szczecin | Poland | Recruiting |
| NZOZ GynCentrum - Oddział Warszawa | Warsaw | Poland | Recruiting |
| Vivamed Sp. z o.o. | Warsaw | Poland | Recruiting |
| Medical Network Spółka z o.o. WIP Warsaw IBD Point Profesor Kierkuś | Warsaw | Poland | Recruiting |
| Melita Medical | Wroclaw | Poland | Recruiting |
| ETG Zamość | Zamość | Poland | Recruiting |
| CMRC Headlands, LLC | San Juan | Puerto Rico | Recruiting |
| Spitalul Județean de Urgență Bacău | Bacau | Romania | Recruiting |
| Spitalul Clinic Colentina | Bucharest | Romania | Recruiting |
| Spitalul Universitar de Urgență București | Bucharest | Romania | Recruiting |
| Constanta County Emergency Clinical Hospital Sf.Ap.Andrei | Constanța | Romania | Recruiting |
| Spitalul Clinic Județean de Urgență | Craiova | Romania | Recruiting |
| S.C Centrul de Gastroenterologie Dr. Goldis S.R.L | Timișoara | Romania | Recruiting |
| Fakultna nemocnica s poliklinikou F.D.Roosevelta Banska Bystrica | Banská Bystrica | Slovakia | Recruiting |
| Cliniq s.r.o. | Bratislava | Slovakia | Recruiting |
| ENDOMED | Košice | Slovakia | Recruiting |
| Gastro LM | Prešov | Slovakia | Recruiting |
| Centro Médico Teknon | Barcelona | Spain | Recruiting |
| Hospital Universitari Vall d'Hebron | Barcelona | Spain | Recruiting |
| Complejo Hospitalario Universitario de Ferrol (CHUF)- Hospital Arquitecto Marcide | Ferrol | Spain | Recruiting |
| Hospital de Cabueñes | Gijón | Spain | Recruiting |
| Hospital General Universitario Gregorio Marañon | Madrid | Spain | Recruiting |
| Hospital Universitario La Paz | Madrid | Spain | Recruiting |
| Hospital Universitario Central de Asturias | Oviedo | Spain | Recruiting |
| Complejo Hospitalario de Navarra | Pamplona | Spain | Recruiting |
| Hospital Universitario Virgen Macarena | Seville | Spain | Recruiting |
| Hospital Universitari i Politecnic La Fe | Valencia | Spain | Recruiting |
| Gazi University Health Research and Application Center Gazi Hospital | Ankara | Turkey (Türkiye) | Recruiting |
| Antalya Egitim ve Arastırma Hastanesi | Antalya | Turkey (Türkiye) | Recruiting |
| Uludag Universitesi | Bursa | Turkey (Türkiye) | Recruiting |
| Eskisehir Osmangazi University | Eskişehir | Turkey (Türkiye) | Recruiting |
| Mustafa Kemal Universitesi | Hatay | Turkey (Türkiye) | Recruiting |
| Bezmialem Vakf Üniversitesi | Istanbul | Turkey (Türkiye) | Recruiting |
| Ege Universitesi Hastanesi | Izmir | Turkey (Türkiye) | Not yet recruiting |
| Mersin University | Mersin | Turkey (Türkiye) | Recruiting |
| Kocaeli University Medical Faculty Hospital | İzmit | Turkey (Türkiye) | Recruiting |
| Southmead Hospital | Bristol | United Kingdom | Recruiting |
| Ninewells Hospital and Medical School | Dundee | United Kingdom | Recruiting |
| Royal Devon & Exeter Hospital | Exeter | United Kingdom | Recruiting |
| Royal London Hospital | London | United Kingdom | Recruiting |
For contacts at each site, use the official record.
Information only, not medical advice. Talk to your doctor and the trial team before making any decision about a clinical trial.