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EMA Approves Cardiovascular Indication for Novo Nordisk’s Rybelsus

The decision follows SOUL trial findings of a 14% reduction in major cardiovascular events in high‑risk adults with type 2 diabetes.

Overview

  • Rybelsus becomes the first and only oral GLP‑1 receptor agonist in the European Union with a proven cardiovascular benefit on its label.
  • The CHMP update is based on SOUL, a phase 3b outcomes trial in about 9,650 participants that measured a composite of cardiovascular death, non‑fatal heart attack, and stroke.
  • Additional SOUL analyses will be presented at the EASD 2025 meeting, including reduced hospitalisations related to serious adverse events and benefits consistent across body mass index categories.
  • A U.S. FDA decision on adding a similar cardiovascular indication to Rybelsus is expected later this year, with a separate application for a once‑daily 25 mg oral semaglutide for weight management awaiting a decision around year‑end.
  • Novo Nordisk shares traded higher after the EU label expansion was announced.