Basic Criteria
- Must have been diagnosed with Type 2 diabetes at least 6 months ago.
- A1C must be between 7.0% and 10.5%.
- Must be on a stable dose of at least 1000 mg of metformin with or without an SGLT2 inhibitor (such as Jardiance, Farxiga, Invokana, Steglatro, or generic versions) for at least 3 months.
- Weight should not have changed by more than 5% in the last 3 months
Answers Must be NO
- Have you ever had Type 1 diabetes or diabetic ketoacidosis (DKA)?
- Have you taken a GLP‑1 medication in the past 6 months (e.g., Ozempic, Mounjaro, Trulicity, Victoza, Byetta/Bydureon, Rybelsus, Saxenda, Wegovy)?
- In the past 3 months, have you taken any diabetes medications besides metformin, SGLT2 inhibitors or weight loss medications?
- Have you used insulin for diabetes in the past 12 months? (Short-term use less than 14 days for hospital/surgery/pregnancy is allowed.)
- Have you had more than one severe low blood sugar episode in the past 6 months?
- Are you pregnant, breastfeeding, or planning pregnancy during the study?
- In the past 6 months, have you had a heart attack, stroke, TIA, heart surgery, angioplasty/stenting, or unstable angina?
- Do you have severe heart failure (NYHA Class III or IV) or any heart rhythm issues?
- Do you have stage 3–5 chronic kidney disease?
- Have you ever had pancreatitis, symptomatic gallbladder disease or thyroid disease?
- Have you had any cancer within the past 5 years? (Except basal cell skin cancer, low‑risk prostate cancer, or cervical carcinoma in situ.)
- Do you have gastroparesis, Crohn’s disease, ulcerative colitis, inflammatory bowel disease, or prior GI surgery (other than appendectomy or polyp removal)?
- Are you taking long‑term GI motility medications such as mosapride or cisapride?
- Do you have known or active liver disease (hepatitis B, hepatitis C, or cirrhosis)?
- Are you currently taking any of these medications: strong CYP3A4 inhibitors/inducers, or CYP2D6 inhibitors/inducers?
- Do you have uncontrolled diabetic retinopathy or maculopathy?
- Do you plan to start or change medications during the study that could affect weight or blood sugar (e.g., orlistat, thyroid hormones, oral steroids longer than 14 days)?
- In the past 60 days, have you taken an investigational drug, or in the past 30 days used an investigational device?
Answers Must be YES
- If you are a woman who could become pregnant: Are you willing to use two approved methods of birth control throughout the study and for 30 days after?
- For women of nonchildbearing potential: Are you either postmenopausal or permanently sterilized?
- If you are a man who could father a child: Are you willing to use a condom if your partner could become pregnant, throughout the study and for 90 days after?
- Are you willing to maintain your current physical activity level during the study and avoid starting a structured weight loss diet or exercise program?
- Are you willing not to donate blood or blood products during the study and for 8 weeks following the study?
- Are you willing to come to the clinic for regular visits over the 6-month study period?
- Are you willing to monitor your blood sugar at home and report any symptoms?
PLEASE NOTE: Please confirm your eligibility before your appointment by calling 210-714-0067
- If you do not see an available appointment, please call 210-714-0067 for availability.
- Compensation up to $2,520 may be available for time and travel.
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