Lilly's EloraTZP (Eloralintide Plus Tirzepatide) Beats Tirzepatide Alone in Phase 2b Obesity and Type 2 Diabetes Trial
Eli Lilly reported on September 30, 2026 results from a 48-week, double-blind, placebo-controlled Phase 2b trial of EloraTZP, a combination of the amylin analog eloralintide with tirzepatide, in 367 adults with obesity or overweight and type 2 diabetes in the U.S. and Argentina. Participants on the combination lost up to an average of 54.1 lbs (23.3% of body weight), compared with 34.4 lbs on tirzepatide alone, and A1C fell by up to 2.9% versus 2.4% for tirzepatide.
Gastrointestinal effects predominated and were generally mild or moderate, mostly during dose escalation. Discontinuation rates ranged from 10.8% to 27.0% across the EloraTZP arms. Lilly plans to start Phase 3 studies of a co-formulated product by the end of 2026 with an optimized escalation schedule.
Why it matters: this is among the clearest clinical signals that adding amylin-pathway agonism to an incretin can push weight loss beyond tirzepatide. Suggested PeptideWiki angle: a short explainer on eloralintide as an amylin analog, how amylin and GIP/GLP-1 signaling complement each other, and what the discontinuation rates say about tolerability. Note this is a company release, not a peer-reviewed paper, so frame it as topline data.