Actively Recruiting

Phase 4
Age: 18Years +
All Genders
NCT06191848

Subcutaneous Tirzepatide Once-weekly in Patients With Obesity and Knee Osteoarthritis (STOP KNEE-OA)

Led by University of Melbourne · Updated on 2025-04-30

352

Participants Needed

4

Research Sites

649 weeks

Total Duration

On this page

Sponsors

U

University of Melbourne

Lead Sponsor

E

Eli Lilly and Company

Collaborating Sponsor

AI-Summary

What this Trial Is About

This is a trial of tirzepatide in people with obesity and knee osteoarthritis. The main purpose of this study is to see if tirzepatide can reduce number of these participants who require a knee replacement. Participants will be randomized to take a weekly injection of tirzepatide or a placebo for a total of 72 weeks.

CONDITIONS

Official Title

Subcutaneous Tirzepatide Once-weekly in Patients With Obesity and Knee Osteoarthritis (STOP KNEE-OA)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Have a body mass index of 30 kg/m2 or higher.
  • Have tried and failed to lose weight through lifestyle changes.
  • Be eligible to join the waiting list for primary knee replacement for osteoarthritis in the target joint as determined by an orthopedic surgeon.
  • Have moderate-to-severe knee osteoarthritis in the target joint, with Kellgren-Lawrence grade two or higher.
  • Be willing and able to learn self-injection and follow study procedures for the trial duration.
  • Provide informed consent according to the study site's human research ethics requirements.
  • Female participants must not be pregnant or breastfeeding.
  • Female participants must not have reproductive potential, defined as surgical sterilization, congenital anomaly causing infertility, or post-menopausal status as specified (including hormone replacement therapy after menopause).
Not Eligible

You will not qualify if you...

  • Eligible to join the waiting list for knee replacement in the opposite knee.
  • Used prescription weight loss medications like tirzepatide, liraglutide, or semaglutide in the past 3 months.
  • Had any surgical or endoscopic weight loss procedures.
  • Diagnosed with type 1 or type 2 diabetes.
  • Laboratory evidence of diabetes during screening.
  • Personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2.
  • Have an active cancer (except basal or squamous cell skin cancer).
  • Had an organ transplant or awaiting one.
  • Received chronic systemic glucocorticoid therapy (>14 days) in the prior 3 months or have autoimmune conditions likely needing glucocorticoid therapy in next 18 months.
  • Have significant gastric emptying problems, history of pancreatitis, obesity caused by other endocrine disorders, unstable psychiatric disorders, or high depression scores (PHQ-9 >15).
  • Active suicidal thoughts or behaviors recently as per screening scales.
  • Uncontrolled high blood pressure (systolic ≥160 mmHg or diastolic ≥100 mmHg).
  • Recent serious heart or brain events in the past 6 months.
  • Severe kidney problems (eGFR <30 mL/min/1.73 m2).
  • Abnormal thyroid-stimulating hormone levels outside 0.4 to 6.0 mIU/L.
  • Liver diseases or abnormal liver function tests.
  • Any contraindications to glucagon-like peptide-1 receptor agonists.
  • Are study site staff or immediate family.
  • Enrolled in another investigational product study within the past 90 days or currently enrolled.

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 4 locations

1

St Vincents Hospital Melbourne

Fitzroy, Victoria, Australia, 3065

Actively Recruiting

2

Western Health

Melbourne, Victoria, Australia, 3011

Actively Recruiting

3

Austin Health-Repatriation Hospital

Melbourne, Victoria, Australia, 3084

Actively Recruiting

4

Eastern Health

Melbourne, Victoria, Australia, 3128

Actively Recruiting

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Research Team

A

Angela Cochrane

CONTACT

M

Michelle M Dowsey

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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