Research Summary
Analyzed using Evidence Intelligence™

CT-868 Improves Glycaemic Control in Type 2 Diabetes

Last updated July 18, 2026

Key finding

Clinically meaningful and statistically significant improvements in HbA1c were observed with CT-868 at W26 (−1.61 to −2.24% points vs. placebo; all p < 0.001).

The study evaluated CT-868, a dual GLP-1/GIP receptor agonist, and found it significantly improved glycaemic control in adults with type 2 diabetes.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

The study evaluated CT-868, a dual GLP-1/GIP receptor agonist, and found it significantly improved glycaemic control in adults with type 2 diabetes.

Clinical relevance

Improving glycaemic control is crucial for managing type 2 diabetes and preventing complications. The findings suggest that CT-868 could be an effective treatment option, potentially offering additional benefits like weight loss, which is often a challenge for diabetic patients.

Keep in mind

The study's population may not be representative of all adults with type 2 diabetes. Long-term effects of CT-868 were not assessed in this trial. The sample size and duration may limit the generalizability of the findings.

Published in

Journal Reference

Publication details and source links for this paper.

Manu VC, Michael AE, Luis A, et al. CT-868, a Dual GLP-1/GIP Receptor Agonist, Improves Glycaemic Control in Adults with Type 2 Diabetes. Diabetes, Obesity & Metabolism. 2025;28(3):1673-1682. doi:10.1111/dom.70006

Main Effects

CT-868 showed a significant reduction in HbA1c by -1.92% (p < 0.001).

Fasting plasma glucose decreased by -35.1 mg/dL with CT-868 (p < 0.001).

Body weight was reduced by -2.9% with CT-868 4.0 mg (p < 0.001).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to CT-868 1.75 mg, Canagliflozin and Adverse events incidence, Body weight, Change from baseline in 7-point self-monitored blood glucose, and 2 more.

Primary intervention

CT-868 1.75 mg

Primary outcomes

  • Adverse events incidence
  • Body weight
  • Change from baseline in 7-point self-monitored blood glucose

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

10
Evidence pairs
10
Relationships
4
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 72

4

Related topics

10

Evidence pairs

729

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 10 evidence relationships
  • Includes primary outcome data
  • Linked to 4 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence relationship

SGLT2 Inhibitors and Body Weight

Related evidence

Evidence relationship

SGLT2 Inhibitors and HbA1c

Save evidence

Evidence relationship

SGLT2 Inhibitors and Fasting Glucose

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Adverse events incidence

Canagliflozin → Adverse events incidence

Canagliflozin → Adverse events incidence

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Body weight

Canagliflozin → Body weight

Canagliflozin → Body weight

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Change from baseline in 7-point self-monitored blood glucose

Canagliflozin → Change from baseline in 7-point self-monitored blood glucose

Canagliflozin → Change from baseline in 7-point self-monitored blood glucose

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Fasting Plasma Glucose (FPG)

Canagliflozin → Fasting Plasma Glucose (FPG)

Canagliflozin → Fasting Plasma Glucose (FPG)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Canagliflozin → HbA1c

Canagliflozin → HbA1c

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
78
Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Adverse events incidence

CT-868 1.75 mg → Adverse events incidence

CT-868 1.75 mg → Adverse events incidence

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Body weight

CT-868 1.75 mg → Body weight

CT-868 1.75 mg → Body weight

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Change from baseline in 7-point self-monitored blood glucose

CT-868 1.75 mg → Change from baseline in 7-point self-monitored blood glucose

CT-868 1.75 mg → Change from baseline in 7-point self-monitored blood glucose

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Fasting Plasma Glucose (FPG)

CT-868 1.75 mg → Fasting Plasma Glucose (FPG)

CT-868 1.75 mg → Fasting Plasma Glucose (FPG)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

CT-868 1.75 mg → HbA1c

CT-868 1.75 mg → HbA1c

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

Build your evidence library

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evidence suggest

Evidence Suggest

  • CT-868 significantly improved HbA1c levels by -1.92% (p < 0.001).
  • Fasting plasma glucose was reduced by -35.1 mg/dL (p < 0.001).
  • Body weight decreased by -2.9% with CT-868 4.0 mg (p < 0.001).
who this applies

Who this applies to

  • Adults diagnosed with type 2 diabetes.
  • Individuals seeking improved glycaemic control.
keep in mind

Keep in Mind

  • Results are based on a specific population and may not apply to all demographics.
  • The study did not evaluate long-term safety and efficacy.
  • Mild adverse events were reported, but the absence of severe hypoglycaemia is notable.
between the lines

Between the Lines

  • The study's population may not be representative of all adults with type 2 diabetes.
  • Long-term effects of CT-868 were not assessed in this trial.
  • The sample size and duration may limit the generalizability of the findings.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on SGLT2 Inhibitors and HbA1c, SGLT2 Inhibitors and Change from baseline in 7-point self-monitored blood glucose.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does SGLT2 Inhibitors affect body weight?

Strong Evidence

SGLT2 Inhibitors may improve Body Weight.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Body weight

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 8 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
8 supporting studiesUpdated: Jul 2026

Does SGLT2 Inhibitors improve HbA1c?

Strong Evidence

SGLT2 Inhibitors may improve HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is based on 17 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
17 supporting studiesUpdated: Jul 2026

Does SGLT2 Inhibitors improve fasting glucose?

Strong Evidence

SGLT2 Inhibitors may improve Fasting Glucose.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Fasting Plasma Glucose (FPG)

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 11 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
11 supporting studiesUpdated: Jul 2026

Does CT-868 1.75 mg affect body weight?

Emerging Evidence

CT-868 1.75 mg appears to improve Body weight.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Body weight

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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