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Pipeline › orforglipron

orforglipron

FDA-approved since 2026 and marketed in the US as Foundayo, not authorised in the European Union, with no open FDA shortage or discontinuation records. 19 active trials, the next due to complete 2026-11.

GLP-1 (oral small molecule) agonist, oral, from Eli Lilly. Every figure below is taken directly from ClinicalTrials.gov, Drugs@FDA, the FDA Drug Shortage Database, the EMA register or Europe PMC, and re-checked every four hours.

Status
phase3
Target
GLP-1 (oral small molecule)
Route
oral
Sponsor
Eli Lilly
Brand names
Foundayo
First FDA approval
2026-04-01
EU authorisation
Not authorised
Active trials
19 (17 in phase 3)
Participants enrolled
21,378
Trials with a reporting date
14
Approved FDA submissions
2

Approved indications

Quoted from the current FDA label for each application. This is what the drug is approved to treat in the US — separate from the conditions it is being studied in.

Foundayo NDA220934
label effective 2026-07-29 · full label

FOUNDAYO TM is indicated in combination with a reduced-calorie diet and increased physical activity to reduce excess body weight and maintain weight reduction long term in adults with obesity or adults with overweight in the presence of at least one weight-related comorbid condition. FOUNDAYO™ is a GLP-1 receptor agonist indicated in combination with a reduced-calorie diet and increased physical activity to reduce excess body weight and maintain weight reduction long term in adults with obesity or adults with overweight in the presence of at least one weight-related comorbid condition. ( 1 ) Limitations of Use Concomitant use with another GLP-1 receptor agonist is not recommended. ( 1 ) Limitations of Use Concomitant use with another GLP-1 receptor agonist is not recommended.

Structure

2D chemical structure of orforglipron
Structure of orforglipron. Source: PubChem, National Library of Medicine.

Recent changes

DetectedChangeTrialDetailPhase
2026-08-31New trial registeredA Study of Orforglipron in Participants With Overweight at Risk of Development of Obesity-Related Complications or Progression to Class 1 Obesity
NCT07794579 · Eli Lilly and Company
Not yet recruiting, n=2,001P3
2026-08-27New trial registeredA Study of Orforglipron (LY3502970) in Chinese Participants With Obesity or Overweight and Weight-Related Health Problems
NCT07790861 · Eli Lilly and Company
Not yet recruiting, n=192P3

When these trials report

36Q3 26: 0 trials reportingQ4 26: 1 trial reporting, 1 phase 3Q1 27: 1 trial reporting, 1 phase 3Q2 27: 1 trial reporting, 1 phase 3Q3 27: 6 trials reporting, 6 phase 3Q4 27: 1 trial reporting, 1 phase 3Q1 28: 2 trials reporting, 2 phase 3Q2 28: 2 trials reporting, 2 phase 3Q3 26Q4 26Q1 27Q2 276Q3 27Q4 27Q1 28Q2 28
When trials are due to report, by quarter — hover a bar for the count. These dates are filed by the sponsor and often move.

Next 14 of 14 active trials by estimated primary completion.

Est. completionTrialSponsorPhaseParticipants
2026-11A Master Protocol for Orforglipron in Participants With Obstructive Sleep Apnea and Obesity or Overweight
NCT06649045 · Change from Baseline in Apnea-Hypopnea Index (AHI)
Eli Lilly and CompanyP3600
2027-02A Platform Trial for Pediatric Participants With Obesity or Overweight (LY900040)
NCT06672549 · Number of Participants Allocated to Each ISA
Eli Lilly and CompanyP3125
2027-05A Study of Orforglipron (LY3502970) in Participants With Type 2 Diabetes Who Observe Ramadan Fasting
NCT07613307 · Change from Baseline in Hemoglobin A1C (HbA1c)
Eli Lilly and CompanyP3130
2027-08A Study of Orforglipron (LY3502970) in Participants With Obesity or Overweight and Type 2 Diabetes
NCT06972472 · Change from Baseline in Hemoglobin A1c (HbA1c)
Eli Lilly and CompanyP3600
2027-08A Study of Orforglipron (LY3502970) in Participants With Obesity or Overweight and at Least One Weight-Related Comorbidity
NCT06972459 · Percent Change from Baseline in Body Weight
Eli Lilly and CompanyP3800
2027-08A Master Protocol for Orforglipron (LY3502970) in Participants With Obesity or Overweight With and Without Type 2 Diabetes
NCT06993792 · Number of Participants Allocated to Each Study
Eli Lilly and CompanyP31,400
2027-09A Master Protocol for Orforglipron (LY3502970) in Participants With Hypertension and Obesity or Overweight: (ATTAIN-Hypertension Screening)
NCT06948422 · Number of Participants Allocated to Each ISA
Eli Lilly and CompanyP3974
2027-09A Master Protocol Study of Orforglipron (LY3502970) in Participants With Hypertension and Obesity or Overweight (ATTAIN-Hypertension) GZL1
NCT06948435 · Change from Baseline in office Systolic Blood Pressure (SBP)
Eli Lilly and CompanyP3487
2027-09A Master Protocol Study of Orforglipron (LY3502970) in Participants With Hypertension and Obesity or Overweight (ATTAIN-Hypertension) GZL2
NCT06952530 · Change from Baseline in office Systolic Blood Pressure (SBP)
Eli Lilly and CompanyP3487
2027-12A Study of Orforglipron (LY3502970) in Adolescent Participants With Obesity, or Overweight With Related Comorbidities
NCT06672939 · Percent Change from Baseline in Body Mass Index (BMI)
Eli Lilly and CompanyP3150
2028-03A Study of Orforglipron in Female Participants With Stress Urinary Incontinence Who Have Obesity or Overweight
NCT07202884 · Change from Baseline in Incontinence Episode Frequency (IEF)
Eli Lilly and CompanyP31,000
2028-03A Study of Orforglipron (LY3502970) in Chinese Participants With Obesity or Overweight and Weight-Related Health Problems
NCT07790861 · Mean Percent Change From Baseline in Body Weight
Eli Lilly and CompanyP3192
2028-04A Study of Orforglipron (LY3502970) in Participants With Obesity or Overweight and Osteoarthritis (OA) of the Knee
NCT07153471 · Change from Baseline in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale Score
Eli Lilly and CompanyP3800
2028-06Efficacy and Safety of Orforglipron in Participants With Peripheral Artery Disease
NCT07223593 · Percent Change from Baseline in Maximum Walking Distance
Eli Lilly and CompanyP31,205

Regulatory history

DateActionBrandsApplication
2026-08-04LabelingFOUNDAYONDA220934 · label
2026-04-01Type 1 - New Molecular Entity originalFOUNDAYONDA220934 · label

Indications under study

Atherosclerosis Cardiovascular Disease; Behavior; Chronic Kidney Disease; Diabete Type 2; Diabetes Melletus; Diabetes Mellitus, Type 2; Endocrine System Diseases; Fasting; Feeding Behavior; Glucagon-Like Peptide Receptors; Glucagon-Like Peptide-1 Receptor; Glucose Metabolism Disorders; Hypertension; Membrane Proteins; Metabolic Disorders; Nutritional and Metabolic Diseases; OSA; Obesity; Obesity, Abdominal; Osteoarthritis; Overweight; Overweight or Obesity; Peripheral Arterial Disease; Pharmacogenomic Drug Interaction; Prediabetic State; Prehypertension; Proteins; Receptors, Cell Surface; Receptors, G-Protein-Coupled; Receptors, Peptide; Type 2 Diabetes; Urinary Incontinence,Stress.

Recent papers

PublishedTitleJournal
2026-08-17Safety and tolerability of orforglipron in Japanese people with type 2 diabetes
Nauck MA, Horowitz M.
Lancet Diabetes Endocrinol
2026-08-17Long-term safety of oral orforglipron in Japanese participants with type 2 diabetes (ACHIEVE-J): a multicentre, randomised, open-label, parallel-group phase 3 trial
Yabe D, Shiraiwa T, Ugai H, Takeuchi M, Suzuki R.
Lancet Diabetes Endocrinol
2026-08-04Orforglipron Added to Titrated Insulin Glargine in Type 2 Diabetes: Research Summary
JAMA
2026-08-01Orforglipron Added to Titrated Insulin Glargine in Type 2 Diabetes: The ACHIEVE-5 Randomized Clinical Trial
Giorgino F, D'Souza S, Ludwig L, Kiyosue A, Ibriga H, Rha H, Denning M, Wu WS, Fernández Landó L, Tobian J.
JAMA
2026-08-01Mazdutide and Orforglipron-New Evidence in Obesity and Diabetes
Gadde KM, Talebloo J, Heymsfield SB.
JAMA
2026-07-27Orforglipron alleviates aortic aneurysm and dissection via inhibiting WNT5A noncanonical signaling
Deng Y, Guo Z, Yu L, Zhang J, Qian J, Wang J, Chen X, Xu Z, Wang D, Kong C.
Biochem Pharmacol
2026-07-21Orforglipron, a Small-Molecule Glucagon-like Peptide-1 Receptor Agonist (GLP-1RA), Has Neuroprotective and Anti-Inflammatory Effects
Li Y, Glotfelty EJ, Parekh P, Batsaikhan B, Luo W, Jackson SN, Harvey BK, Greig NH.
Cells
2026-07-21Orforglipron: First Approval
Shirley M.
Drugs
2026-07-15Exploratory Cardiovascular Risk Modeling of Orforglipron Using the PREVENT Equations Compared with the Pooled Cohort Equations: A Post-Hoc Analysis from a Systematic Review and Meta-analysis
Alper A, Fagin A, Karthikeyan A, Karp A, Terashima R, Murli H, Gershon A, Faillace R.
High Blood Press Cardiovasc Prev
2026-07-14Orforglipron for obesity treatment in older patients ≥65 years with or without type 2 diabetes: A post hoc subgroup analysis of the ATTAIN-1 and ATTAIN-2 trials
Horn DB, Shukla AP, Huang H, Twum E, Allen SE, Kis SG.
Obes Pillars
2026-07-13Variant-specific pharmacophoric shifts in glucagon-like peptide-1 receptor-orforglipron complexes revealed by Boltz-2 co-folding and membrane molecular dynamics
Mohammad A, Dashti M, Malik MDZ, Rajan R, Al-Mulla F.
Int J Biol Macromol
2026-07-08Orforglipron (Foundayo) for adults with obesity
Zhou Q, Li G, Wang MW.
Trends Pharmacol Sci
2026-07-03Clinical Characterization of Enzyme and Transporter Precipitants to Evaluate Drug-Drug Interactions for Orforglipron, a Small Molecule Glucagon-Like Peptide-1 Receptor Agonist
Morse BL, Coutant DE, Ma X, Raha S, Aithal K, Nicoll C, Rougée LRA, Bhattachar S.
Clin Pharmacol Ther
2026-07-01Metabolic and Glycemic Effects of Orforglipron, a GLP-1 Receptor Agonist, in Adults With or Without Diabetes: A Network Meta-Analysis of Randomised Clinical Trials
Hageen AW, Gadelmawla AF, Saleh AO, Mohamed MR, Abdallfatah A, Elsekhary A, El-Nemr AF, Eladawi S, Maihoub O, Abdulhay H, Turkmani M, Abdelazeem B, Fonarow GC.
Endocrinol Diabetes Metab
2026-07-01Orforglipron Calcium
Am J Health Syst Pharm

Headlines

2026-08-28
The Oral GLP-1 Tracker: Lilly's Foundayo scripts cross 40K
Fierce Pharma
2026-08-11
Eli Lilly takes weight-loss pill battle global with first Foundayo approval in Europe
CNBC Health

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