ClinicalTrials.gg
RecruitingNCT07782359NSCLCUpdated Oct 27, 2026

Impact of Using a GLP1 on Treatment Related Side Effects of Lung Cancer Patients Receiving Lorlatinib

A Phase 1 interventional study of Tirzepatide in Lung Cancer, sponsored by University of Chicago. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-27.

Sponsored by University of Chicago · Phase 1, Interventional, and Treatment

Updated Oct 27, 2026Now RecruitingSite recruiting status changedGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The proposed study seeks to address a critical gap in the management of lorlatinib-induced metabolic derangements, particularly rapid weight gain, which can adversely affect treatment adherence, dosing and ultimately patient outcomes. In this study patients with non-small cell lung cancer (NSCLC) receiving lorlatinib treatment will receive tirzepatide, a dual GIP/GLP-1 receptor agonist with demonstrated efficacy in weight reduction and metabolic improvement. This study seeks to evaluate its potential to mitigate side effects while preserving the therapeutic efficacy of lorlatinib.

02

Conditions studied

  • Lung Cancer

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03

In context

Lung Neoplasms

5,422 studies on the registry are indexed under Lung Neoplasms; 1,346 are open to participants now.

This study's planned enrollment of 30 is below the median of 60 across 3,656 interventional studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

University of Chicago is the lead sponsor of 924 studies on the registry; 185 are open to participants now.

Of its 103 completed or terminated interventional studies of FDA-regulated products, 72 (70%) 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

  • Age ≥ 18 years
  • Receiving lorlatinib as treatment for advanced NSCLC ALK-positive, already prescribed and administered by the patient's treating oncologist as standard of care at the time of study enrollment. This study does not initiate lorlatinib therapy or assign lorlatinib dosing; participants must already be receiving lorlatinib prior to enrollment

Exclusion criteria

Exclusion Criteria:

  • Known to GLP-1 agonists.
  • Active, unstable psychiatric illness; current suicidal ideation
  • Severe organ dysfunction or systemic illness.
  • Anorexia nervosa
  • History of pancreatitis
  • Personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2
  • Current use of Glucagon-Like Peptide-1 Receptor Agonists (GLP-1 RA) or glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) [GLP-1 RA/GIP] co-agonist use within the last 90 days prior to screening
  • Current anti-obesity medication use (other than GLP-1 RA) or dipeptidyl peptidase-4 (DPP4) inhibitor use or use within the last 30 days prior to screening
  • Pregnant, breastfeeding or planning pregnancy
Terms in these criteria, in plain language(2)

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.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

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.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    Tirzepatide Treatment

    Individuals taking with an body mass index (BMI) in obese range (BMI greater than or equal to 30) or those with a BMI greater than or equal to 27 and with cardiac risk factors will receive tirzepatide starting after study enrollment. Individuals that do not meet these BMI criteria will start tirzepatide if they experience weight gain of 5% of more during the study. Statistical analysis will include all participants that receive tirzepatide on this study.

    Drug: Tirzepatide

Interventions

  • Participants will receive tirzepatide with weekly subcutaneous injections at 2.5 mg, following a structured dose escalation protocol over 20 weeks to reach the target dose of 15 mg per week or the maximum tolerated dose.

    Also known as: Monjouro, Zepbound

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What researchers measure

Primary outcomes

  1. Body weight changes

    To assess the effect of tirzepatide, on change in body weight in patients taking lorlatinib.

    Time frame: 1 year post treatment start

  2. Lipid changes

    To assess the effect of tirzepatide on change in lipid profile High-density lipoprotein (HDL), low-density lipoprotein (LDL), total cholesterol, triglycerides) at 52 weeks compared to baseline.

    Time frame: 1 year post treatment start

  3. Change in Cmax

    Determine if the peak concentration of Lorlatinib is significantly altered when co-administered with tirzepatide.

    Time frame: 1 year post treatment start

  4. Change in Tmax

    Assess if the time to peak concentration is delayed due to tirzepatide's effect on gastric emptying.

    Time frame: 1 year post treatment start

  5. Bioavailability

    Evaluate partial AUC to estimate the extent of drug absorption.

    Time frame: 1 year post treatment start

Secondary outcomes

  1. Rate of metabolic side effects

    Number of Common Terminology Criteria for Adverse Events (CTCAE) Grade 1-3 metabolic side effects

    Time frame: 1 year from start of treatment

  2. Changes in body mass composition

    Changes in body mass will be measured using Bioelectrical Impedance Analysis (BIA).

    Time frame: 1 year from start of treatment

  3. Changes in waist circumference

    Time frame: 1 year from start of treatment

  4. Changes in cardiometabolic markers

    The number of participants that experience a change in cardiometabolic markers will be reported. This includes changes in blood tests for any of the following: Hemoglobin A1c (HbA1c), insulin, glucose, Apolipoprotein B (ApoB), homocysteine, C-reactive protein (CRP), and lipoprotein(a) (Lp(a))

    Time frame: 1 year from start of treatment

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Study locations

1 of 1 sites recruiting
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Updates

1 registry update since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Oct 27, 2026
Sites
University of Chicago Medicine Comprehensive Cancer Center is now Recruiting
Oct 27, 2026
Show all 1 update
  1. Oct 27, 2026
    Not yet recruiting→Recruiting
    University of Chicago Medicine Comprehensive Cancer Center is now Recruiting
    + 2 other changes: verification date and date precision

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07782359
Collaborators
Pfizer
Responsible party
Sponsor
First posted
Aug 24, 2026
Start date
Oct 22, 2026
Primary completion
Jun 2030 (estimated)
Completion
Jun 2030 (estimated)
Last update
Oct 27, 2026

Study contacts

Clinical Trials Intake Intake
Contact
cancerclinicaltrials@bsd.uchicago.edu
855-702-8222
Marina Garassino
principal investigator · University of Chicago

Oversight

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

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