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Eli Lilly has taken a major step in the fight against obesity and diabetes. The company announced that its oral GLP-1 drug, orforglipron, successfully met the “primary and all key secondary endpoints” in a large clinical trial, paving the way for global regulatory submissions.
“With these positive data in hand, we are moving with urgency toward global regulatory submissions to potentially meet the needs of patients who are waiting,” said Kenneth Custer, Eli Lilly’s executive vice president and president of cardiometabolic health.
“If approved, we are ready to offer a convenient, once-daily pill that can be scaled globally, removing barriers and redefining how obesity is treated around the world.”
Orforglipron is an investigational, non-peptide, once-daily small molecule GLP-1 receptor agonist. Unlike some oral medications that come with strict food or water restrictions, it can be taken at any time of day without such limitations.
Originally discovered by Japan’s Chugai Pharmaceutical and later licensed to Eli Lilly in 2018, orforglipron is now in Phase 3 trials. The company is testing it not just for weight management and type 2 diabetes but also for conditions linked to obesity, including obstructive sleep apnea and hypertension.
The company’s latest clinical trial, called ATTAIN-2, produced results that have drawn significant attention. At the highest dose: 36 mg daily for 72 weeks, participants saw an average weight loss of 22.9 pounds (10.5%), compared to just 5.1 pounds (2.2%) among those given a placebo.
The drug also delivered strong results for people with type 2 diabetes. Across doses, orforglipron reduced A1C levels by 1.3% to 1.8% from a baseline of 8.1%. Notably, 75% of participants who took the highest dose achieved an A1C of 6.5% or below, aligning with the American Diabetes Association’s definition of diabetes remission.
Beyond weight and blood sugar, orforglipron showed broader health benefits. The trial reported improvements in cardiovascular risk factors such as non-HDL cholesterol, systolic blood pressure, and triglyceride levels. In an exploratory analysis, the drug also cut high-sensitivity C-reactive protein, a key marker of inflammation, by about 50%.
Injectable GLP-1 receptor agonists like semaglutide and tirzepatide have already transformed obesity and diabetes care, but accessibility remains a hurdle. For many patients, injections are intimidating, inconvenient, or simply not practical in daily life.
That’s where an oral pill could be a game-changer. A once-daily tablet could remove psychological and logistical barriers, making it easier for patients to stay on treatment. And given the rising global burden of obesity, which significantly raises the risk of cardiovascular disease, stroke, and some cancers, the demand for more convenient treatment options has never been greater.
The big question now is whether oral GLP-1 drugs are as effective as their injectable counterparts.
A 2021 research review published in Springer Nature, offers some clues. After examining multiple studies, researchers concluded that oral semaglutide, a similar class of drug, provided “similar or better efficacy and similar tolerability” compared to injectable GLP-1 receptor agonists.
Also Read: How To Identify A Counterfeit Ozempic? Look For These Signs
In some cases, oral versions were found to be just as effective for weight loss and lowering A1C levels in people with type 2 diabetes. However, the review focused on patients already using insulin, which may have influenced outcomes. Experts emphasize that while results are encouraging, more research is still needed to directly compare oral and injectable versions in broader populations.
For now, injections remain the gold standard in clinical practice. Drugs like Wegovy and Mounjaro (both injectables) have shown weight reductions of 15% to 20% or more in major trials, higher than the 10.5% seen with orforglipron in ATTAIN-2. That said, the convenience of a pill could tip the balance for many patients, especially those reluctant to use injections long-term.
Eli Lilly’s oral GLP-1 drug is not yet approved, but the latest results highlight its potential to reshape treatment strategies for obesity.
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Cheaper copy of Wegovy by Hims & Hers for $49 has drawn tensions, with Novo Nordisk now approaching to take legal actions. The pill by Novo Nordisk is sold for $149. In a statement, Novo said, "The action by Hims & Hers is illegal mass compounding that poses a significant risk to patient safety. Novo Nordisk confirmed that the company will take legal and regulatory actions to protect patients.
“Novo Nordisk will take legal and regulatory action to protect patients, our intellectual property and the integrity of the US gold-standard drug approval framework. This is another example of Hims & Hers’ historic behaviour of duping the American public with knock-off GLP-1 products, and the FDA has previously warned them about their deceptive advertising of GLP-1 knock-offs,” the statement said.
Read: Wegovy Pills Now Available At Your Pharmacies, Here's What To Know About Its Usage
After the cheaper copy of the pill was launched by Hims & Hers, shares of Novo Nordisk and rival Eli Lilly fell by 7%. Whereas, stock for Hims & Hers initially spiked after the announcement, but pared gains after Novo said that it would fight the rollout.
Hims & Hers was previously offering compounded semaglutide, the active ingredient in Novo Nordisk's popular weight loss drug Ozempic and Wegovy, in injectable format. The company has now extended to offer the oral version.
Hims & Hers said that the Wegovy copy pill cost $49 for the first month and $99 with a 5-month plan. While semaglutide's patent is protected in the US until 2032, however, Hims & Hers claim that the copies are 'personalized' and therefore legal.
“This compounded product uses a different formulation and delivery system than FDA-approved oral semaglutide,” Hims & Hers said. “This once-a-day pill has the same active ingredient as Wegovy and empowers providers to tailor treatment plans specifically for those who prefer to avoid needles or need smaller doses to help to balance side-effects,” it said.
Novo Nordisk however, highlighted that it manufactures Wegovy pill by using SNAC technology. This technology helps in absorption when administered orally. Therefore, it is not clear how Hims & Hers copy formula could match that level of absorption.
Last year, Novo Nordisk and Hims & Hers partnered to offer weight loss jabs at a discounted price to telehealth company's customer. However, Novo Nordisk ended the collaboration just two months later, stating that Hims & Hers used 'deceptive' marketing that put patient safety at risk
While rival Eli Lilly does not have the weight loss pill yet, it is expected to launch orforglipron in the first half of this year. The pill is currently pending Food and Drug Administration approval.
Read: Eli Lilly Sends Weight-Loss Pill For Approval: Is Oral GLP-1 As Effective As The Injections?
“With the ... current legal backdrop, there is no reason why HIMS shouldn’t evaluate these launches for every subsequent weight loss product as the market continues to evolve,” Leerink analyst Michael Cherny said in a note to clients.
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TrumpRx is live. President Donald Trump on Thursday announced the launch of TrumpRx, a direct-to-customer website that will lower prescription drug costs in the US.
As per the president, millions of Americans would save money through this platform. However, it is still unclear if all patients, especially those with insurance coverage will see more cost saving while using this website to buy their medicines.
TrumpRx is for people willing to pay cash and forgo insurance, which means people without or with limited coverage could benefit.
"You are going to save a fortune and this is also so good for overall health care," said Trump at the TrumpRx launching night on Thursday.

TrumpRx does not sell drugs directly to American patients, rather acts as a central hub that points them to drugmakers who are offering discounts. For instance, Eli Lilly and Novo Nordisk were already offering their popular weight loss drugs at hefty discounts, TrumpRx would further give them discount coupons and redirect them to their website.
This means if someone clicks on Eli Lilly's Zepbound offer, it will send them directly to the company's platform, where the person must submit prescription details.

At launch, the site only featured medications from five companies, which are:
However, as per a White House fact sheet, TrumpRx will list drugs from other companies "in coming months".
TrumpRx marks the government’s latest attempt to curb soaring prescription drug prices in the US, which are on average two to three times higher than in other developed countries and can be up to 10 times costlier than in some nations, according to public policy think tank Rand Corp.
TrumpRx “doesn’t appear to be a one-stop solution” to high drug costs for most Americans, said Juliette Cubanski, deputy director of the Program on Medicare Policy at KFF, a health policy research organization. While cash-pay options may offer better value for people without insurance, it remains unclear how many individuals would actually benefit from TrumpRx, she noted.
“If someone can already access a medication through their insurance with a relatively affordable copay, there isn’t much added advantage to using the TrumpRx website,” Cubanski said.
She also pointed out that insured consumers who purchase medicines through direct-to-consumer platforms may find those purchases do not count toward their insurance benefits, meaning they do not help meet deductibles or out-of-pocket maximums.
At the same time, Cubanski said TrumpRx could play a role in improving access to certain drugs at lower prices, especially medications that are not widely covered by insurance in the US, such as obesity treatments. Medicare is set to cover weight-loss drugs for the first time later this year under agreements struck by Eli Lilly and Novo Nordisk with Trump, though many employers remain reluctant to include these medicines in their coverage.
However, she added that many other drugs expected to be offered on TrumpRx are already commonly covered by insurance, and several are also available as lower-cost generics from rival manufacturers.
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The Nipah virus outbreak began in West Bengal, India with two hospital nurses at AIIMS, Kolkata, testing positive for the infection and being quarantined, prompting widespread testing. Soon after, five cases, including a doctor and a staff member, were confirmed and over 100 people were quarantined.
However, one of the nurses, a 25-year-old unidentified man has now made a recovery and revealed his experience with the virus, claiming that despite irritation in the throat and uncertainty about what lay ahead, he had faith in his doctors and fellow nurses.
In an interview with the Metro, he said: “After I was taken off ventilation and regained consciousness, I came to know that I have Nipah. I still had the tube in my mouth, and there was irritation. Despite the irritation and my fear, I had faith in the doctors and nurses.
“I have suffered and I know the symptoms. I will tell people when they should get checked for the Nipah virus. I want to raise awareness about the virus and its symptoms.
“I am not sure how I came in contact with the deadly virus. Maybe it was while treating a patient. But I will continue to work as a nurse. I am waiting to rejoin the hospital,” he added.
The unidentified healthcare professional remains very weak physically and is undergoing physiotherapy to regain his strength. “I was bedridden for over a month. I am still very weak and have an unstable gait. So, I am undergoing physiotherapy,” he said.
The other nurse, a woman, remains in a coma but has been taken off ventilation support, a hospital official confirmed this week. .
According to WHO, Nipah virus is a zoonotic illness which means it is mostly transmitted from animals to humans through bats. However, it can also spread through fruits that have been contaminated by the saliva, urine or droppings of infected bats. Human-to-human transmission can also occur through close contact with an infected person or their bodily fluids.
The illness has a 75 percent fatality rate and there are no vaccines to protect the public.
The virus was first identified in 1998 during an outbreak among pig farmers in Malaysia and soon made its way to India and Bangladesh in 2001 with cases often involving family members or caregivers tending to infected patient.
READ MORE: Nipah Virus Outbreak In India: Myanmar Airport Tightens Health Screenings
Although Nipah virus has caused only a few known outbreaks in Asia, it infects a wide range of animals and causes severe disease and death in people. Some of its common symptoms include:
Samples collected from the patient’s home and workplaces, including pets and partially eaten fruits dropped by bats, all tested negative for the virus, and the exact source of the infection could not be identified.
The World Health Organization has declared it is unlikely India's deadly Nipah Virus outbreak will cross borders and reach other nations, noting that countries do not need to set any travel restrictions in place.
In an email to Reuters, officials said: "The WHO considers the risk of further spread of infection from these two cases is low". adding that India has the capacity to contain such outbreaks.
"There is no evidence yet of increased human to human transmission," it said, adding that it has coordinated with Indian health authorities.
While health officials state it is nearly impossible for the virus to transmit across countries and unlikely to cause an international outbreak, countries including Australia, Vietnam, Thailand, Malaysia and Singapore continue to remain on high alert and have begun airport screenings.
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