ClinicalTrials.gg
Not yet recruitingNCT07492563Updated Mar 25, 2026

Safety and Effectiveness of Tirzepatide in Patients With Obesity at Hospital de Clínicas, Paraguay

An observational study in Obesity, Type 2 Diabetes Mellitus and Overweight With Comorbidities, sponsored by LABORATORIOS INDUFAR. Not yet recruiting at 1 site in Paraguay. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-25.

Sponsored by LABORATORIOS INDUFAR · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
300
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase 4 observational study evaluating the safety and effectiveness of tirzepatide (T.G.) manufactured by INDUFAR S.A. in 300 patients with obesity treated at the Obesity Unit of Hospital de Clínicas in Paraguay over 12 months. The primary objective is to assess the safety profile through monitoring adverse events. Secondary objectives include evaluating weight loss, metabolic parameters improvement, and treatment satisfaction in real-world clinical practice.

Read the detailed description

This prospective, single-center, open-label, observational Phase 4 study will enroll 300 patients with obesity (BMI ≥27 kg/m² with comorbidities or BMI ≥35 kg/m²) with or without type 2 diabetes at the Obesity Unit of Hospital de Clínicas, Asunción, Paraguay.

Patients will receive tirzepatide subcutaneously once weekly following a dose-escalation schedule: 2.5 mg (weeks 1-4), 5 mg (weeks 5-8), with optional escalation to 7.5 mg, 10 mg, 12.5 mg, or 15 mg based on tolerability and response. The medication will be provided free of cost by the sponsor INDUFAR S.A.

The study includes 4 in-person visits (baseline, months 3, 6, 12) and 2 telephone contacts (months 1, 9). Assessments include physical examination, laboratory tests (HbA1c in diabetics, fasting glucose, lipid profile, renal and hepatic function), adverse event monitoring, and quality of life questionnaires.

Primary endpoint: Incidence, type, severity, and outcome of adverse events during 12 months, with special attention to serious adverse events and events of special interest (pancreatitis, severe hypersensitivity, severe hypoglycemia, biliary disease, acute kidney injury).

Secondary endpoints: Change in body weight and BMI, proportion achieving ≥5%, ≥10%, ≥15% weight loss, change in HbA1c (in diabetics), cardiometabolic parameters, treatment adherence, and patient satisfaction.

This study will generate the first evidence on tirzepatide in the Paraguayan population and support clinical decision-making regarding use of this dual GIP/GLP-1 receptor agonist in real-world obesity management.

02

Conditions studied

  • Obesity
  • Type 2 Diabetes Mellitus
  • Overweight With Comorbidities
03

In context

Obesity

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

This study's planned enrollment of 300 is above the median of 114 across 2,154 observational studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

This is the only study on the registry with LABORATORIOS INDUFAR as lead sponsor.

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
Sampling method
Non-probability sample

Study population

Patients who attend the Endocrinology Unit of Hospital de Clínicas, Universidad Nacional de Asunción, Paraguay

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

  • Age ≥18 years
  • ≥27 kg/m² with weight-related comorbidities OR BMI ≥35 kg/m²
  • Clinical indication for tirzepatide per treating physician
  • Paraguayan citizenship or permanent residence
  • Residence in Asunción or Metropolitan Area or possibility to assist to regular visits
  • Ability to attend visits for 12 months
  • Ability to provide written

Exclusion criteria

Exclusion Criteria:

  • Type 1 diabetes or secondary diabetes
  • Known to tirzepatide
  • Personal or family history of medullary thyroid carcinoma or MEN 2 syndrome
  • Acute pancreatitis in last 12 months or chronic pancreatitis
  • Severe gastrointestinal disease
  • Bariatric surgery in last 12 months
  • Pregnancy or breastfeeding
  • Severe renal impairment ( \<30 mL/min/1.73m²)
  • Severe hepatic impairment ( B or C)
  • Unstable cardiovascular disease
  • Active cancer (except non-melanoma skin cancer completely resected)
  • Current use of other GLP-1 receptor agonists
  • Participation in another interventional trial within 30 days
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
300 participants (estimated)
Patient registry
No

Groups and cohorts

  • Tirzepatide Treatment Group

    All enrolled patients receiving tirzepatide according to clinical indication

    Drug: Tirzepatide (T.G.)

Interventions

  • Subcutaneous injection once weekly Dose escalation: 2.5 mg → 5 mg → 7.5 mg → 10 mg → 12.5 mg → 15 mg Duration: 12 months

06

What researchers measure

Primary outcomes

  1. Incidence of Adverse Events

    Frequency, type, severity, causality, and outcome of adverse events Special focus on serious adverse events and events of special interest.

    Time frame: 12 months

Secondary outcomes

  1. Change in Body Weight

    Description: Mean change in body weight from baseline Unit of measure: Kilograms (kg)

    Time frame: 12 months

  2. Change in body mass index (BMI)

    Description: Mean change in BMI calculated as weight(kg)/height(m)² Unit of measure: kg/m²

    Time frame: 12 months

  3. Change in systolic and diastolic blood pressure

    Description: Mean change in systolic and diastolic blood pressure measured with calibrated digital sphygmomanometer Unit of measure: mmHg

    Time frame: 12 months

  4. Change in total cholesterol, HDL cholesterol, tryglicerides

    Description: Mean change in serum total cholesterol levels using enzymatic method Unit of measure: mg/dL

    Time frame: 12 months

  5. Reasons for treatment discontinuation

    Description: Classification of reasons for treatment discontinuation (adverse events, lack of efficacy, patient decision, others) Unit of measure: Number and percentage by category

    Time frame: 12 months

07

Study locations

1 site
  • Endocrinology Unit, UNA, Py
    Asunción, Paraguay
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Mar 2026; primary completion for Oct 2026, 7 months later.

Of 45 industry-sponsored observational studies under Obesity, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 45. This study's planned 7 months is below that.

Counting every sponsor, half of 836 studies reached it within 39 months; a quarter within 17 and three quarters within 96.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 12, 2025
First posted
Mar 25, 2026
StartEst.
Mar 2026
Primary completionEst.
Oct 2026
CompletionEst.
Oct 2027
Last update
Mar 25, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 25, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07492563
Lead sponsor
LABORATORIOS INDUFAR
Responsible party
Ana Iris Ramirez (Msc, Universidad Nacional de Asunción) — Principal investigator
First posted
Mar 25, 2026
Start date
Mar 2026 (estimated)
Primary completion
Oct 2026 (estimated)
Completion
Oct 2027 (estimated)
Last update
Mar 25, 2026

Study contacts

Ana Iris Ramirez, Msc
Contact
anairisrabe@gmail.com
+595 981 873290

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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