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Eli
has announced promising results from the first Phase 3 trial of its new oral medication, orforglipron, targeting obesity. The trial involved 3,127 adults with obesity or overweight conditions combined with a weight-related medical issue, excluding diabetes. Over a period of 72 weeks, participants taking the highest dose of the pill — 36 mg — achieved an average weight reduction of 27.3 pounds, equating to 12% body mass, a figure that underscores the efficacy of this experimental treatment. The pill demonstrated consistent results across various doses, contributing to its appeal as an alternative to existing injectable GLP-1 drugs.The trial's detailed outcomes indicate that orforglipron met all primary and key secondary endpoints. Those on the highest dosage achieved notable weight loss, with 59.6% shedding at least 10% of their body weight and 39.6% losing 15% or more. Additionally, orforglipron positively impacted cardiovascular risk markers, lowering non-HDL cholesterol and triglyceride levels while also decreasing systolic blood pressure.
Adverse effects were predominantly mild to moderate gastrointestinal symptoms, such as nausea, constipation, diarrhea, and vomiting, which were in line with other GLP-1 therapies. The most common side effect, nausea, was observed in a greater percentage of participants compared to those in trials for injectable Zepbound. Despite these outcomes, the superior weight loss achieved with orforglipron reinforces its potential as a transformative option in obesity care.
Kenneth Custer, Eli Lilly’s executive responsible for Cardiometabolic Health, expressed optimism regarding the pill’s capabilities to alter obesity treatments. With these findings, Lilly is on the cusp of filing for regulatory review, and a global launch could be imminent within the year. This advancement in oral GLP-1 medication exemplifies the company’s commitment to tackling one of the most pressing global health issues—obesity.
Further investigations are underway to explore orforglipron's benefits for people with type 2 diabetes, aiming to manage weight post-injectable therapies. Analysts foresee that this pill could offer a convenient option for transitioning from injections to oral medication, simplifying long-term treatment sustainability.
The ATTAIN-1 trial is part of Lilly’s broader clinical initiative, which spans multiple countries, including the United States, Brazil, China, India, and others. Upcoming results from this extensive program are anticipated soon, which will shed additional light on its capabilities.
The pharmaceutical industry is keenly observing Lilly's developments, particularly how the new pill compares and competes with Novo Nordisk's oral therapies. As both companies strive for innovation in weight management, future insights will be crucial in determining the commercial viability and patient adoption of these treatments.
Eli Lilly’s new drug exemplifies its ongoing quest to alleviate global health burdens through groundbreaking scientific endeavors. As the company progresses toward regulatory submission, orforglipron holds promise for redefining how obesity is addressed and managed across the healthcare landscape.

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