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Lilly Files Orforglipron Obesity Pill With FDA After Trial Shows Weight-Loss Maintenance

The once-daily pill offers a needle-free alternative to injectables, with a U.S. decision anticipated in early 2026.

Overview

  • Eli Lilly submitted a new drug application on December 18 seeking U.S. approval of orforglipron for obesity.
  • In the 52-week ATTAIN-MAINTAIN phase 3 study, participants switching from Wegovy gained about 0.9 kg (≈2 lb) and from Zepbound about 5 kg (≈11 lb), preserving roughly 80–95% of prior weight loss and outperforming placebo.
  • Safety findings mirrored the GLP-1 class, with mostly mild-to-moderate gastrointestinal events and fewer than 8% discontinuing due to side effects.
  • Orforglipron is a once-daily oral GLP-1 that can be taken without the fasting or timing restrictions associated with oral semaglutide.
  • Industry reports indicate an FDA ruling could come in early 2026 as Novo Nordisk’s oral Wegovy is also under review and both companies hold priority vouchers.