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Apr 18, 2025 6:28 AM - Parth Sanghvi
Image credit: Raimond Klavins
Eli Lilly (NYSE: LLY) stock jumped over 14% on Thursday, powered by highly promising Phase 3 results for orforglipron, an oral GLP-1 receptor agonist that's already being dubbed the “Ozempic in a pill.” The development has major implications not only for diabetes care—but also for the competitive landscape in the booming metabolic drug space.
Orforglipron is a once-daily oral medication for type 2 diabetes and the first oral small molecule GLP-1 to complete a successful Phase 3 trial.
Primary endpoint met: Superior A1C reduction vs. placebo at 40 weeks.
A1C drop of 1.3% to 1.6% from a baseline of 8.0%.
Over 65% of high-dose patients achieved A1C ≤ 6.5%, a key diabetes control goal.
Weight loss: Average reduction of 16.0 lbs (7.9%) at highest dose.
No food or water restrictions, unlike injectables.
These results not only support efficacy but position orforglipron as a more convenient alternative to injectable therapies like Novo Nordisk's Ozempic.
With analysts pointing out comparable efficacy and safety to semaglutide, the injectable in Ozempic, Novo Nordisk (NYSE: NVO) took a 7.7% hit on the day.
Why? Because:
Orforglipron eliminates the need for injections.
Daily oral dosing could improve adherence and expand market reach.
It may pressure pricing in the increasingly crowded GLP-1 space.
To track the long-term viability and impact of orforglipron, keep your eye on:
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Eli Lilly has leapfrogged a major barrier by creating an oral GLP-1 with strong Phase 3 data. If orforglipron clears regulatory hurdles, it could reshape how type 2 diabetes is treated—offering the power of injectables with the simplicity of a pill.
With obesity and diabetes rates climbing globally, this could be one of the most important product launches of the decade.
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