← Archive
Clinical Trials Watch2026-W43October 20, 2026

Clinical Trials Watch — Oct 20, 2026: Lilly Advances Phase III Obesity Combo, Two New Device Pivotals Launch

// Summary

This week's NIH ClinicalTrials.gov pull surfaces 10 active or newly registered studies spanning oncology, metabolic disease, autoimmune, and device/cardiology verticals. Two Phase III programs are in motion — including a new Eli Lilly combination study in obesity/T2D — alongside a first-in-human Phase I safety trial and a large NIH-sponsored Phase II autoimmune trial. No terminations or Phase III readouts (completions) were reported this cycle.

Total10
Phase III2
Phase II1
Phase I1
NA (device/behavioral)4
Observational (no phase)2
Terminations flagged0
// Phase III
EloraTZP Combination in Obesity/Type 2 Diabetes
IDNCT07881458
StatusNot yet recruiting
SponsorEli Lilly and Company
ConditionObesity, Overweight, Type 2 Diabetes
InterventionEloralintide + tirzepatide (LY900043) vs. tirzepatide
Primary EndpointPercent change from baseline in body weight (Week 100)
Enrollment1,000 (estimated)

Lilly's amylin-agonist/tirzepatide combo heads into a large, long-duration Phase III (through 2029). Watch for enrollment initiation in November; this is a key incremental-efficacy test against tirzepatide monotherapy ahead of label expansion.

Metformin for Insulin Resistance Post-Chemotherapy
IDNCT06763328
StatusRecruiting
SponsorCity of Hope Medical Center
ConditionStage I-III Breast Cancer (post-chemo insulin resistance)
InterventionExtended-release metformin
Primary EndpointHbA1c normalization (up to 12 months)
Enrollment80 (estimated)

Investigator-sponsored Phase III testing repurposed metformin for metabolic sequelae of breast cancer treatment — a niche supportive-care indication, not a registrational oncology trial.

// Phase II
Omega-3 Supplementation in Dermatomyositis
IDNCT07111065
StatusRecruiting
SponsorNational Institute of Environmental Health Sciences (NIEHS/NIH)
ConditionAdult and Juvenile Dermatomyositis
InterventionFish oil (O3FA) vs. placebo
Primary EndpointACR-EULAR Myositis Response Criteria Total Improvement Score (Week 0–24)
Enrollment3,000 (estimated)

Notably large N for a Phase II in a rare autoimmune indication — NIH-backed, double-blind design lends credibility to a nutraceutical hypothesis rarely tested at this scale.

// Phase I
OPF-110 First-in-Human Safety Study
IDNCT07848334
StatusActive, not recruiting
SponsorOtsuka Pharmaceutical Factory, Inc.
ConditionHealthy Volunteers
InterventionOPF-110 vs. active comparator (SMOFLIPID)
Primary EndpointNumber of adverse events (Day 1–10)
Enrollment24 (estimated)

Single ascending-dose SAD study nearing completion (Oct 2026); an early safety gate for Otsuka's undisclosed pipeline candidate.

// NA Phase (Device, Behavioral & Procedural Studies)
Supira System Pivotal in High-Risk PCI
IDNCT07296744
StatusRecruiting
SponsorSupira Medical (Industry)
ConditionCoronary Artery Disease / High-Risk PCI
InterventionSupira System vs. Impella
Primary EndpointComposite safety and efficacy outcome (30 days)
Enrollment358 (estimated)

A direct head-to-head pivotal against Abiomed's Impella — the mechanical circulatory support space's most closely watched device competition this cycle.

Phasix Mesh for Incisional Hernia Prevention
IDNCT03911700
StatusActive, not recruiting
SponsorC. R. Bard (Industry)
ConditionOpen Midline Laparotomy
InterventionPhasix Mesh (bioabsorbable)
Primary EndpointRate of incisional hernia (24 months)
Enrollment477 (actual)

Long-running Bard device trial now tracking toward a 2031 completion; durability data at 24 months will be the key commercial catalyst.

GAIN-S: Telemedicine for Geriatric Oncology Care
IDNCT06022965
StatusRecruiting
SponsorCity of Hope Medical Center
ConditionHematologic and Solid Malignancies (older adults)
InterventionTelemedicine-delivered geriatric assessment + supportive care
Primary EndpointAdvance directive completion rate (baseline, 3 months)
Enrollment216 (estimated)
Avocado Consumption for Sleep/Skin Health
IDNCT07880444
StatusNot yet recruiting
SponsorSan Diego State University
ConditionPoor Sleep Quality (postmenopausal women)
InterventionHass avocado vs. safflower oil
Primary EndpointChange in actigraphy-derived sleep efficiency (Weeks 0/4/8)
Enrollment74 (estimated)
// Observational Studies (No Phase)
Difficult Tracheal Intubation Risk Factors
IDNCT07881107
StatusCompleted
SponsorBursa City Hospital (Turkey)
ConditionDifficult Tracheal Intubation/Laryngoscopy/Mask Ventilation
Primary EndpointDifficult tracheal intubation incidence (day of surgery)
Enrollment812 (actual)
Post-Intensive Care Syndrome in COVID Survivors
IDNCT03738774
StatusActive, not recruiting
SponsorVanderbilt University Medical Center
ConditionPost-Intensive Care Syndrome
Primary EndpointDeaths or hospital readmissions within 3 months of discharge
Enrollment200 (estimated)