What happens next in GLP-1 — and when.

Compare › tirzepatide vs orforglipron

tirzepatide vs orforglipron

Both tirzepatide and orforglipron are approved in the US, so the useful differences between them are which conditions each is approved for and what is still under study. tirzepatide has 143 trials on file here and orforglipron 27, which is a rough measure of how far each programme has been pushed.

A side-by-side of what the public record holds on each: regulatory status in the US and EU, how much trial work is running, and which conditions each is being studied in. No efficacy comparison: head-to-head claims belong to the trials that made them, not to us.

tirzepatideorforglipron
Statusmarketedphase3
TargetGIP/GLP-1GLP-1 (oral small molecule)
RouteSCoral
SponsorEli LillyEli Lilly
US brand namesMOUNJARO, MOUNJARO (AUTOINJECTOR), MOUNJARO KWIKPEN, ZEPBOUND, ZEPBOUND (AUTOINJECTOR), ZEPBOUND KWIKPENFOUNDAYO
First FDA approval2022-05-132026-04-01
EU authorisationMounjaroNot authorised
FDA actions on file272
Active trials9918
Active phase 32316
Participants enrolled43,87820,778
Results scheduled3513
Supply records00

Where they are being studied

Both: Cardiovascular disease; Chronic kidney disease; Hypertension; Obesity & overweight; Osteoarthritis; Prediabetes; Type 2 diabetes

tirzepatide only: Alcohol use disorder; Atrial fibrillation; Cancer; Diabetes (unspecified); Heart failure; MASH / NAFLD; Metabolic syndrome; Obstructive sleep apnea; Polycystic ovary syndrome; Psychiatric conditions; Substance use; Type 1 diabetes

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