Everything You Need to Know About Eli Lilly’s New Oral GLP-1 Orforglipron

Orforglipron is Eli Lilly’s new oral GLP-1 medication for weight loss and blood sugar control. As a medicine company turning science into healing, Eli Lilly is committed to developing innovative solutions like Orforglipron. Unlike injectables, it’s available as a simple daily pill. Orforglipron is also being studied for its potential to address debilitating immune system disorders, highlighting Eli Lilly’s commitment to tackling major health challenges. Orforglipron was discovered by Chugai Pharmaceutical Co., Ltd. and licensed by Lilly in 2018. This article will detail everything you need to know about Eli Lilly’s new oral GLP-1 Orforglipron, from its benefits and clinical trials to its safety profile.
Key Takeaways
- Orforglipron is an oral GLP-1 receptor agonist from Eli Lilly that aids in weight loss and blood sugar control without the need for injections.
- In Phase 3 trials, participants lost an average of 16 lbs, while also achieving significant reductions in HbA1c levels, meeting the American Diabetes Association’s A1C target of less than or equal to 6.5%, indicating its efficacy for diabetes management.
- Eli Lilly plans to seek regulatory approval for Orforglipron by the end of 2025, with production strategies in place to avoid shortages and ensure market availability.
What is Orforglipron?
An overview of Orforglipron, an oral GLP-1 medication.
Eli Lilly’s Orforglipron is designed for weight management and blood sugar regulation as an oral glucagon-like peptide-1 receptor agonist. These GLP-1 medications, including Orforglipron, prompt the release of insulin from the pancreas, which aids in maintaining appropriate blood sugar levels while also contributing to substantial weight loss.
A notable characteristic of Orforglipron is its pill form administration. In contrast to other GLP-1 treatments that necessitate injection, this drug provides a straightforward pill option. This advancement not only spares patients from the discomfort associated with needle injections, but also simplifies integration into their daily regimen due to ease-of-use. Orforglipron has shown significant improvements in glucose control for individuals with type 2 diabetes.
There are no specific dietary limitations related to types of food or beverages when taking Orforglipron. Patients can continue consuming their regular meals without concerns over meal timing or nature, providing considerable convenience during treatment adherence, distinct advantages positioning Orforglipron uniquely amongst diabetes and weight control pharmaceuticals. Additionally, Orforglipron can be taken without food and water restrictions, enhancing its convenience for patients. Orforglipron is effective for individuals who previously relied on glycemic control with diet alone, indicating its potential to improve blood sugar management without dietary restrictions.
Clinical Trial Program Overview
The advancement of Orforglipron towards regulatory approval is propelled by a comprehensive clinical trial program. Presently, this promising medication is involved in several phase 3 trials within its substantial development process, illustrating Eli Lilly’s dedication to introducing this novel therapeutic option for managing weight and regulating blood sugar levels. Orforglipron is part of a global clinical development program involving over 6,000 participants across multiple trials. These clinical trials included various orforglipron treatment arms to evaluate its efficacy and safety. Orforglipron has shown considerable promise in earlier phases of clinical studies, suggesting it could be an influential breakthrough in treatment.
Orforglipron’s global reach is evidenced through the execution of five global registrational trials, ensuring that the efficacy data generated reflects a broad spectrum of patient populations worldwide. These pivotal trials not only serve as essential steps toward gaining regulatory clearance, but also provide valuable insights into how Orforglipron performs under various conditions outside controlled study environments. The trials also focused on key secondary endpoints, such as weight loss and A1C reduction, to provide a comprehensive evaluation of Orforglipron’s effectiveness. This forms part of a broader strategy encapsulating the drug’s international clinical progress and plans to launch orforglipron globally.
Subsequent sections will delve into detailed discussions about results from Phase 3 trials concerning Orforglipron and examine its safety profile along with tolerability considerations based on collected data. Such analysis aims to offer more clarity on what Orforgliptron might mean for millions around the globe seeking effective interventions for their health concerns.
Phase 3 Trial Results
Orforglipron has emerged as the pioneering oral GLP-1 receptor agonist to conclude a Phase 3 trial with success, involving over 6,000 individuals who undertook orforglipron treatment across five global registrational trials. This comprehensive research demonstrated the drug’s remarkable effectiveness. Specifically, in the ACHIEVE-1 trial of Phase 3, participants taking orforglipron lost an average of 16.0 pounds, which equates to a decline of 7.9% from their initial weight over 40 weeks. Participants treated with Orforglipron showed statistically significant reductions in both A1C levels and body weight.
To promote weight loss, Orforglipron proved its capability in significantly lowering HbA1c levels by demonstrating reductions ranging between 1.3 and 1.6 among patients living with type 2 diabetes accompanied by obesity. These findings offer substantial backing for the medication’s potential receipt of regulatory approval and underscore its significance as an innovative therapeutic option. The statistically significant reductions in A1C levels ranged between 1.3% and 1.6%.
Safety and Tolerability
The safety and effectiveness of Orforglipron were extensively assessed in clinical trials, including a placebo-controlled trial focusing on the 3 mg dose. This study revealed that only about 6% of participants discontinued treatment due to adverse events, which is comparatively low and indicates statistically significant efficacy results. The range for treatment discontinuation rates due to adverse effects was between 4% and 8%, while it stood at just 1% for those given a placebo. Overall treatment discontinuation rates due to adverse events were higher in the placebo group, highlighting the tolerability of Orforglipron in these clinical trials. Orforglipron’s safety profile is consistent with other GLP-1 therapies, with similar rates of gastrointestinal adverse events.
Adverse events frequently reported by patients were gastrointestinal in nature, including nausea, vomiting, and diarrhea, which are common reactions to GLP-1-based therapies. These side effects have not prevented Orforglipron from being recognized as potentially safe and effective since its safety profile aligns well with other medications that act on GLP-1 receptors. There were no significant concerns regarding liver injury in the clinical trials, further supporting its safety profile.
Efficacy in Weight Management
Orforglipron’s role in weight management is notably effective. During a Phase 3 trial, subjects who were administered the highest dose of Orforglipron observed an average body weight reduction of approximately 16.0 pounds, equating to a substantial 7.9 percent decrease in their initial body weight. Participants achieved a significant percent weight reduction, highlighting the drug’s effectiveness in weight management. This remarkable achievement highlights its potency for individuals struggling to lose weight through conventional methods such as diet and exercise alone.
The weight secondary endpoints achieved in the clinical trials emphasize the significant weight loss results, underscoring the efficacy of Orforglipron in helping individuals manage their weight alongside glycemic control. Participants had not yet reached a weight plateau by the end of the study, indicating the potential for further weight loss with continued use.
Results from the trial indicate that participants may not have fully realized their potential for weight loss by the study’s conclusion. Such data suggests that with prolonged use of Orforglipron, users could expect ongoing benefits in terms of losing additional body mass, offering new perspectives on managing obesity-related conditions effectively.
To these findings, current Phase 3 research is focusing on assessing how well Orforglipron works among those living with overweight or obesity complications along with at least one related health issue. These investigations are geared towards establishing conclusive evidence regarding the long-term success rate and overall health improvement capabilities associated with this pharmaceutical intervention for full-weight reduction purposes.
Learn more about common treatments
Blood Sugar Control Benefits
Orforglipron has demonstrated considerable efficacy in enhancing glucose management and blood sugar regulation. Following a 40-week course of treatment, individuals with type 2 diabetes experienced an impressive decrease in hemoglobin A1c levels that ranged from 1.3% to 1.6%. This marked advancement underscores the potential of Orforglipron as an influential medication for diabetic treatment when combined with dietary glycemic control. The participants in the trial were naive to insulin therapy, highlighting the focus on evaluating new therapeutic options for type 2 diabetes management.
Orforglipron is also effective for individuals with inadequate glycemic control who have not achieved desired results with diet and exercise alone. The efficacy of Orforglipron was demonstrated in a placebo-controlled trial comparing its effects to a placebo, showcasing its superior A1C reduction and weight loss metrics.
More than two-thirds of subjects receiving the maximum dose of Orforglipron were able to lower their A1c values below the American Diabetes Association’s diagnostic threshold of 6.5%, signifying successful diabetes management. Such outcomes underline Orforglipron’s capability to assist patients in achieving and upholding ideal blood sugar concentrations, which consequently diminishes the possibility of enduring complications related to diabetes.
Convenience of a Once Daily Pill
Orforglipron is distinguished by its convenient once daily pill regimen, which may enhance adherence among patients when compared to treatments that necessitate multiple injections. The simplicity of taking a single pill each day avoids the need for painful needles and could be more attractive to those seeking treatment. Participants in the orforglipron treatment arms started at a low dose and adjusted upward over the trial, demonstrating significant improvements in A1C reduction and weight loss.
The ease with which Orforglipron can be taken orally means it doesn’t require the special handling or storage necessary for some injectable medications. Such convenience might motivate a larger number of individuals to initiate and maintain their diabetes management, thereby improving overall health outcomes.
By potentially offering an easier user experience, Orforglipron may capture the interest of a wider patient population, particularly those reluctant about starting treatments due to the complexities associated with injection-based therapies. As such, Orforglipron promises to introduce significant advancements in how diabetes care is delivered.
Potential to Reduce Drug Shortages
Eli Lilly is taking steps to guarantee the efficient mass production of Orforglipron, with an eye on ensuring its accessibility worldwide. The drug’s oral form could contribute to reduced healthcare expenditures owing to its simpler mode of delivery and has the potential to be readily manufactured and released into the market. Orforglipron could be readily manufactured and launched at scale, ensuring global distribution without supply constraints. Ensuring the availability of Orforglipron as a safe and effective treatment is crucial for addressing prevalent health issues such as diabetes and obesity.
In response to prior experiences with drug shortages, Eli Lilly has proactively stockpiled a considerable amount of Orforglipron worth $548.1 million ahead of its anticipated approval. By amassing early inventory, they aim to fulfill expected demand immediately upon release without being hampered by supply constraints, diverging from standard industry practices.
This preventive measure by Eli Lilly underscores their anticipation for strong performance in sales once the drug hits the market. Analysts have projected that this stocked inventory may generate about $10 billion in revenue. Such actions highlight Eli Lilly’s determination not only to ensure readiness at launch, but also underscore both financial expectations surrounding Orforglipron and its perceived value within the marketplace.
Regulatory Approval Timeline
By the close of 2025, Eli Lilly is poised to pursue regulatory consent for their weight management drug Orforglipron. Achieving this approval stands as a crucial step toward its eventual release into the market. Lilly plans to apply for regulatory approval for Orforglipron for weight management by the end of 2023.
Eli Lilly plans to submit data to global regulatory agencies for evaluation of Orforglipron’s efficacy and safety.
Following that, in 2026, Eli Lilly anticipates submitting an application for Orforglipron’s indication in treating type 2 diabetes. These planned submissions underscore Eli Lilly’s tactical efforts to gain regulatory endorsements and ensure swift accessibility of Orforglipron for individuals who need it.
Comparison with Other GLP-1 Medications
Orforglipron distinguishes itself within the realm of GLP-1 treatments for a number of reasons. In contrast to other peptide-based GLP-1 therapies such as Ozempic and Rybelsus, Orforglipron is created through chemical synthesis, which could streamline production and reduce manufacturing costs. These advantages have the potential to increase accessibility while cutting down on healthcare expenditures.
Orforglipron is being studied for its efficacy in treating obesity, emphasizing its potential to address related health concerns, including type 2 diabetes.
Offering an alternative route of administration, Orforglipron provides patients with an oral version compared to mainly injectable counterparts like Ozempic. With Rybelsus currently being the only FDA-sanctioned oral GLP-1 receptor agonist available, Orforglipron seeks to bolster the range of oral treatment possibilities in this sector.
Additionally, Orforglipron offers advantages over injectable drugs, including ease of use and improved patient adherence due to the elimination of injection-related complexities and side effects.
Orforglipron’s safety profile appears consistent with that observed in well-established injectable forms of GLP-1 medications, implying comparable levels of tolerability. Such parallels offer reassurance regarding its dependability and therapeutic efficacy both for individuals seeking treatment and their healthcare providers.
Addressing Common Adverse Events
Orforglipron, like all medications, can lead to several common side effects. Gastrointestinal issues such as diarrhea, nausea, and constipation are among the most commonly encountered adverse events. These symptoms are similar to those observed with other GLP-1 based treatments. Orforglipron is tailored for adults suffering from obesity or overweight conditions, particularly those facing at least one weight-related medical problem, pointing out its efficacy in reducing weight alongside managing type 2 diabetes.
In the Phase 3 clinical trial, the most common adverse events reported included gastrointestinal-related issues such as diarrhea, nausea, dyspepsia, constipation, and vomiting. These adverse events were more prevalent among participants taking Orforglipron compared to the placebo group.
Nausea in particular stands out as a frequently reported gastrointestinal issue related to this medication. It affects roughly 15% to 50% of patients. Although these gastrointestinal reactions tend to occur during the beginning phase when doses are incrementally increased, they’re usually mild or moderate in intensity and subside upon reaching the final randomized maintenance dose.
Treatment discontinuation due specifically to gastrointestinal problems is an infrequent consequence affecting about 12% of individuals using GLP-1 receptor agonists (RAs). While these adverse events may prompt some patients’ treatment suspension temporarily, they can typically be managed effectively, meaning that stopping therapy altogether remains relatively uncommon because the overall advantages of Orforglipron prevail over short-lived discomforts.
Impact on Chronic Diseases
Orforglipron has the potential to significantly mitigate risks associated with chronic conditions such as obstructive sleep apnea by facilitating considerable weight loss. The use of this medication might lead to a reduction in the incidence of chronic diseases that are often made worse when dealing with obesity and related health issues. Additionally, Orforglipron has the potential to reduce chronic diseases, specifically highlighting its role in addressing type 2 diabetes.
Orforglipron addresses significant health challenges such as type 2 diabetes and obesity. It also has the potential to significantly mitigate risks associated with chronic conditions such as obstructive sleep apnea by facilitating considerable weight loss.
Current research into Orforglipron is just one aspect of a comprehensive plan aimed at transforming diabetes care, while also potentially broadening its use for treating additional conditions linked to obesity. This expanded scope underscores the far-reaching implications of Orforglipron beyond merely managing diabetes.
Future of Anti-Diabetic Medications
Industry experts anticipate that Orforglipron, upon approval, could generate sales nearing $11.8 billion by the year 2030. This estimate highlights the drug’s potential to considerably influence its market segment.
Orforglipron, the latest incretin medicine, meets safety and efficacy expectations in clinical trials. Orforglipron has demonstrated efficacy in lowering A1C levels by an average of 1.3% to 1.6% across various doses during Phase 3 trials.
With a focus on chronic diseases such as type 2 diabetes, a condition expected to impact an estimated 760 million adults globally by mid-century, Eli Lilly is advancing Orforglipron through comprehensive clinical trials designed to test its effectiveness in diverse groups of patients, showcasing their dedication to catering for varied healthcare needs.
In concentrating efforts on conducting innovative clinical trials, Eli Lilly aims for Orforglipron to become a foundational element in the realm of anti-diabetic medications and embodies the latest advancements in incretin therapies. This progressive strategy mirrors how this pharmaceutical enterprise seeks to transform scientific discovery into tangible medical solutions.
Summary
Orforglipron represents a significant advancement in the treatment of diabetes and obesity. Its oral formulation, combined with its proven efficacy in weight management and blood sugar control, makes it a promising option for millions of patients worldwide. The comprehensive clinical trial data supports its safety and tolerability, while Eli Lilly’s proactive approach to production and inventory management ensures its availability upon approval.
The comprehensive clinical trial data supports Orforglipron’s statistically significant reductions in A1C levels and body weight, highlighting its effectiveness.
Orforglipron is a potential treatment for type 2 diabetes and obesity, based on positive clinical trial results.
As we look to the future, Orforglipron’s potential to redefine diabetes care and address chronic diseases offers hope and inspiration. Eli Lilly’s commitment to innovation and patient care shines through, promising a brighter future for those struggling with diabetes and obesity.
Frequently Asked Questions
What is Orforglipron, and how does it work?
Orforglipron is an oral medication developed by Eli Lilly that helps manage weight and control blood sugar. Orforglipron is the latest incretin medicine developed by Eli Lilly. It activates GLP-1 receptors, leading to increased insulin release from the pancreas, which helps regulate blood sugar and encourages weight loss.
Orforglipron has shown significant improvements in glucose control for individuals with type 2 diabetes.
What were the key results from the Phase 3 clinical trials?
The Phase 3 ACHIEVE-1 trial showed that participants on the highest dose of Orforglipron lost an average of 16.0 lbs and achieved a 1.3% to 1.6% reduction in HbA1c levels, highlighting its effectiveness for type 2 diabetes and obesity.
Participants treated with Orforglipron showed significant improvements in both A1C levels and body weight.
The primary endpoint of the Phase 3 trial was to demonstrate superior A1C reduction.
It’s an exciting step forward in treating these conditions!
What are the common side effects of Orforglipron?
Common side effects of Orforglipron include gastrointestinal issues like diarrhea, nausea, and constipation. Thankfully, these are usually manageable and similar to other GLP-1 medications.
In clinical trials, the overall safety profile of Orforglipron aligns with established GLP-1 therapies, with the most commonly reported adverse events being gastrointestinal-related and typically of mild to moderate severity. The occurrence rates of adverse events such as diarrhea, nausea, dyspepsia, constipation, and vomiting were compared to those of a placebo group.
How does Orforglipron compare to other GLP-1 medications?
Orforglipron stands out from other GLP-1 medications like Ozempic and Rybelsus because it’s chemically synthesized, which could make it easier and cheaper to produce.
Plus, it provides an oral option, while many others are injections, giving you more flexibility.
When is Orforglipron expected to be available?
Orforglipron is expected to be available for weight management by the end of 2025 and for type 2 diabetes management sometime in 2026.
Eli Lilly plans to launch Orforglipron worldwide following its approval.
So keep an eye out for it!
Medical Disclaimer
NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information on this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.
The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.
Related Articles
Can I Trust NowPatient
Our product and services are certified to international healthcare, medical device and data security standards
Medicines Experts
Meet our medical team
We are a broad skilled and passionate group of clinicians with experience of operating in health systems in the United Kingdom & United States. Providing excellent care and advice is at the heart of everything we do. You can read more about our medical team by visiting the medical team page or learn more about how we curate content by visiting our editorial process
WHY WE BUILT NOWPATIENT
We are committed to helping everyone, everywhere live healthier lives
The NowPatient virtual care platform provides you with access to trusted health information, affordable treatments, management of chronic health conditions and continuous monitoring for health risks. NowPatient can be accessed by downloading the App or using your web browser.
Download our app today

Your Questions Answered
For your peace of mind, we can answer your questions quickly
What does NowPatient do?
NowPatient is an online pharmacy & telehealth service that is available in the US and UK. Our service is FREE and packed with useful features that can help you save money on the cost of your medications, access virtual treatments, and provide tools that can help improve your overall health.
Get started today and benefit from medication reminders, Get Treated Privately, NHS online pharmacy, GP appointment booking, Rx savings card, Drug Coupons, US drug savings programs, health conditions information, genetic testing, home test kits, BMI Risks, Type 2 Diabetes Risks, pollen meter, air quality monitor, and lots more!
Our service is operated by experienced medical professionals in the United States and the United Kingdom. You can view the online services that we provide by clicking Features.
UK users can safely and securely buy medicines online that treat a wide range of medical conditions. UK customers can also order NHS prescriptions online with the benefit of free tracked delivery.
US customers, regardless of insurance coverage, can enjoy huge savings on prescription medications using our various drug savings programs including drug coupons, savings card and manufacturer-sponsored patient assistance programs.
Where is NowPatient located?
NowPatient has offices in the United Kingdom and United States.
In the UK, we are located at:
NowPatient
28 Chipstead Valley Road
Coulsdon
Surrey
CR52RA
In the US, we are located at:
NowPatient
8911 North Capital of Texas Highway
Suite 4200 #1263
78759
Austin, TX
How can I contact NowPatient?
To contact NowPatient, please use the contact form available on the Contact Us page.
Alternatively, if you need to speak to us, you can reach us on the following numbers:
UK telephone number – 020 388 51 500
US telephone number – 1-866-967-1977
Who owns NowPatient?
NowPatient is owned and operated by Infohealth Ltd, a licensed online pharmacy with services spanning the UK, US and Rest of the World. Infohealth Ltd is registered in England and Wales under company number 04004930 and our registered office is at Lynwood House, 373 – 375 Station Road, Harrow, England, HA1 2AW.
Our website is www.nowpatient.com. Our App is called “NowPatient” and can be downloaded from the App Store (for Apple devices) or Google Play (for Android devices).
Can you tell me more about your NHS online pharmacy?
NowPatient’s Pharmaceutical services in the UK are provided by Infohealth Limited trading as ‘Infohealth Pharmacy’.
Our dispensing pharmacy is regulated and authorized for internet sales by the General Pharmaceutical Council (GPhC), registration number 1036487. You can view our license credentials on the General Pharmaceutical Council website. Our superintendent pharmacist who is responsible for the safe and effective oversight of medicines supplies is Mr Amish Patel (Registration Number 2042705).
Medicines are not ordinary items of commerce. All medicines or healthcare product sales are made under the supervision of a registered pharmacist who is licensed by the GPhC. At all times, we endeavour to provide a professional and transparent service whose primary goal is to ensure that the best interests of the patient are served.
How do I make a complaint?
From time to time, we accept that our service levels may not be up to your expectations. NowPatient welcomes concerns, compliments and complaints as valuable feedback that will help us learn from your experiences and make improvements. Feedback can be provided via our clear and transparent Complaints Procedures.
Can you tell me more about NowPatient’s prescribing services for treatments offered?
Our prescribing services are regulated by the General Pharmaceutical Council (GPhC). We provide the following regulated activity:
• treatment of disease, disorder, or injury
• transport services, triage, and medical advice are provided remotely
• caring for adults over 65 years old
• caring for adults under 65 years old
NowPatient prescribing services are run by Infohealth Limited. The Clinical Safety Officer and nominated individual is Mr Navin Khosla.
Can you tell me more about NowPatient’s US services?
Our head of US services is Dr. Jamie Winn.
You can lower the cost of your prescription medications using our various savings programs which include drug coupons, savings card and manufacturer-sponsored patient assistance programs.
We do not provide any prescribing services or dispensing services in the United States.
Is NowPatient legit and can I trust information from NowPatient?
Yes. NowPatient provides trustworthy and accessible clinical, health education and prescription services. We are also trusted by the NHS to deliver clinical and NHS repeat prescription dispensing across the whole of England. In the United States, we work with over 65,000 pharmacies to deliver considerable costs savings for our users.
NowPatient is operated by experienced licensed medical professionals in the United Kingdom and United States. Our Medical Team can be found here.
Our service is trusted by thousands of patients worldwide. You can read their reviews on our Trustpilot:
What are NowPatient’s opening hours?
Our office hours are:
UK – Monday-Friday 9am-6pm GMT
US – Monday-Friday 8am-5pm EST
Please note that we are closed at weekends.
In the event of a medical life-threatening emergency please call:
UK – 999
US – 911
In the event of a medical emergency which is not life-threatening please call:
UK – 111