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CompletedNCT06584916Updated Jun 4, 2026

A Study of Orforglipron for the Maintenance of Body Weight Reduction in Participants Who Have Obesity or Overweight With Weight-Related Comorbidities (ATTAIN-MAINTAIN)

A Phase 3 interventional study of Orforglipron and Placebo in Obesity and Overweight, sponsored by Eli Lilly and Company. Completed at 29 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-04.

Sponsored by Eli Lilly and Company · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
376
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The main purpose of this study is to evaluate the efficacy and safety of orforglipron on maintenance of body weight reduction in participants who previously completed treatment with injectable tirzepatide (Zepbound) or injectable semaglutide (Wegovy) in the SURMOUNT-5 trial (NCT05822830).

Read the detailed description

All enrolled participants will have completed SURMOUNT-5 (I8F-MC-GPHJ; NCT05822830) on treatment and meet further eligibility and randomization criteria. SURMOUNT-5 randomized participants to either injectable tirzepatide (Zepbound) or injectable semaglutide (Wegovy); therefore, all ATTAIN-MAINTAIN participants had prior exposure to one of these injectable incretin-based therapies before transitioning directly to orforglipron 12 mg capsule or placebo. All endpoints for this study will be evaluated separately per each intervention arm of SURMOUNT-5.

02

Conditions studied

  • Obesity
  • Overweight

Keywords

  • Maintenance
  • Weight maintenance
  • Body weight changes
  • Weight loss
  • Incretins
  • Hormones
  • Hormone substitutes
  • Hormone antagonists
  • Physiological effects of drugs
  • tirzepatide
  • semaglutide
  • Zepbound
  • Wegovy
  • injectable GLP-1
  • oral GLP-1
  • incretin therapy
  • GLP-1 receptor agonist
  • crossover from injectable
03

In context

Obesity

11,522 studies on the registry are indexed under Obesity; 2,033 are open to participants now.

This study's enrollment of 376 is above the median of 67 across 9,006 interventional studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

Eli Lilly and Company is the lead sponsor of 2,106 studies on the registry; 152 are open to participants now.

Of its 536 completed or terminated interventional studies of FDA-regulated products, 357 (67%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Have completed the SURMOUNT-5 study (NCT05822830; a trial of injectable tirzepatide [Zepbound] versus injectable semaglutide [Wegovy]) on study treatment

Exclusion criteria

Exclusion Criteria:

  • Have Type 1 Diabetes, Type 2 Diabetes, or any other types of diabetes, history of ketoacidosis, or hyperosmolar state/coma
  • Have a prior or planned surgical treatment for obesity
  • Have acute or chronic hepatitis
  • Have a history of acute or chronic pancreatitis
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
376 participants (actual)

Study arms

  • Experimental
    Orforglipron

    Participants will receive orforglipron orally

    Drug: Orforglipron

  • Placebo comparator
    Placebo

    Participants will receive placebo orally

    Drug: Placebo

Interventions

  • Administered orally

  • DrugPlacebo

    Administered orally

06

What researchers measure

Primary outcomes

  1. Percent Maintenance of Body Weight Reduction Achieved in SURMOUNT-5

    Time frame: Week 52

Secondary outcomes

  1. Percent Change from SURMOUNT-5 Baseline in Body Weight Prior to Start of Treatment

    Time frame: Week 52

  2. Number of Participants Maintaining ≥80% of the Body Weight Reduction Achieved in SURMOUNT-5

    Time frame: Week 52

  3. Change from Baseline in Body Weight

    Time frame: Baseline, Week 52

  4. Change from Baseline in Waist Circumference

    Time frame: Baseline, Week 52

  5. Percent Maintenance of Body Weight Reduction Achieved in SURMOUNT-5

    Time frame: Week 24

07

Study locations

29 sites
  • Cahaba Research
    Birmingham, Alabama 35242, United States
  • Cahaba Research - Pelham
    Pelham, Alabama 35124, United States
  • Southern California Dermatology, Inc.
    Santa Ana, California 92701, United States
  • Encompass Clinical Research
    Spring Valley, California 91978, United States
  • University Clinical Investigators, Inc.
    Tustin, California 92780, United States
  • New Horizon Research Center
    Miami, Florida 33165, United States
  • Rophe Adult and Pediatric Medicine/SKYCRNG
    Union City, Georgia 30291, United States
  • Rocky Mountain Clinical Research
    Idaho Falls, Idaho 83404, United States
  • Iowa Diabetes and Endocrinology Research Center
    West Des Moines, Iowa 50265, United States
  • L-MARC Research Center
    Louisville, Kentucky 40213, United States
  • Arcturus Healthcare , PLC, Troy Internal Medicine Research Division
    Troy, Michigan 48098, United States
  • Prime Health and Wellness/SKYCRNG
    Fayette, Mississippi 39069, United States
  • StudyMetrix Research
    City of Saint Peters, Missouri 63303, United States
  • Palm Research Center Tenaya
    Las Vegas, Nevada 89128, United States
  • Palm Research Center Sunset
    Las Vegas, Nevada 89148, United States
  • Weill Cornell Medical College
    New York, New York 10021, United States
  • PharmQuest Life Sciences, LLC
    Greensboro, North Carolina 27408, United States
  • Lillestol Research
    Fargo, North Dakota 58104, United States
  • Alliance for Multispecialty Research, LLC
    Norman, Oklahoma 73069, United States
  • Tribe Clinical Research, LLC
    Greenville, South Carolina 29607, United States
  • WR-Clinsearch, LLC
    Chattanooga, Tennessee 37421, United States
  • The University of Texas Health Science Center at Houston
    Bellaire, Texas 77401, United States
  • Velocity Clinical Research, Dallas
    Dallas, Texas 75230, United States
  • North Texas Endocrine Center
    Dallas, Texas 75231, United States
  • Biopharma Informatic, LLC
    Houston, Texas 77043, United States
  • PlanIt Research, PLLC
    Houston, Texas 77079, United States
  • Southern Endocrinology Associates
    Mesquite, Texas 75149, United States
  • Puerto Rico Medical Research
    Ponce, 00717, Puerto Rico
  • Wellness clinical Research Vega Baja
    Vega Baja, 00694, Puerto Rico
08

References and documents

Publications

  • Aronne LJ, Horn DB, le Roux CW, Chao AM, Ho W, Halpern B, Griffin R, Xie C, Valderas EG, Lee CJ, Ribeiro A, Hyman DM, Glass L, Xavier N. Orforglipron for maintenance of body weight reduction: the double-blind, randomized phase 3b ATTAIN-MAINTAIN trial. Nat Med. 2026 May 13. doi: 10.1038/s41591-026-04386-7. Online ahead of print. PubMed 42120723 ↗

Individual participant data

Plan to share: Yes — Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

Supporting information: Study protocol, Statistical analysis plan, Clinical study report

Time frame: Data are available 6 months after the primary publication or approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.

Access criteria: A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.

Data sharing details ↗ · vivli.org

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06584916
Responsible party
Sponsor
First posted
Sep 5, 2024
Start date
Sep 13, 2024
Primary completion
Nov 21, 2025
Completion
Nov 21, 2025
Last update
Jun 4, 2026

Study contacts

Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 8 AM - 8 PM Eastern time (UTC/GMT - 5 hours, EST)
study director · Eli Lilly and Company

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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