Eli Lilly's first weight loss pill could expand access to GLP-1s around the globe, executive says

Early trials show that Eli Lilly's experimental pill, orforglipron, could result in about the same amount of weight loss as Wegovy

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A sign with the company logo sits on the headquarters campus of Eli Lilly and Company on March 17, 2024 in Indianapolis, Indiana
A sign with the company logo sits on the headquarters campus of Eli Lilly and Company on March 17, 2024 in Indianapolis, Indiana
Image: Scott Olson / Staff (Getty Images)
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Eli Lilly (LLY-4.32%) believes its experimental weight-loss pill could make GLP-1 treatments more accessible worldwide.

“We feel that a product like an oral, orforglipron, could serve a significant amount of patients globally,” Eli Lilly CFO Lucas Montarce said Monday at the Leerink (SIVB) 2025 Global Healthcare Conference.

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Montarce laid out several reasons why a pill could broaden access to the GLP-1 class of drugs, which was made famous by Novo Nordisk’s (NVO-9.55%) Ozempic. GLP-1s, or incretin medications, mimic gut hormones that regulate blood sugar and curb appetite. Morgan Stanley (MS-6.57%) analysts anticipate the global market for these drugs will reach $105 billion by 2030.

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Montarce said their are many markets where patients prefer an oral option over an injection — like the current GLP-1s on the market. Pills are also cheaper and more simple to produce and distribute than injections, making them easier to scale globally.

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Additionally, government and insurance providers may be more likely to cover an oral medication over an injectable, potentially expanding access through public health systems.

Orforglipron is currently in a phase 3 trial. Earlier trials found that it helped users lose an average of nearly 15% of weight after 36 weeks. For comparison, the highest dose of Novo Nordisk’s Wegovy resulted in an average weight loss of 15% after 68 weeks in clinical trials. Meanwhile, patients taking the highest dose of Eli Lilly’s Zepbound achieved over 20% weight loss after 72 weeks.

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Eli Lilly CEO Dave Ricks told Bloomberg News in January that phase 3 trial results are expected before the middle of 2025. That could lead to regulatory approval for the drug in 2026.

At the time, Ricks said that a pill would be easier to manufacture en masse — and more simple for patients to consume — than rival medications. Most major weight-loss drugs are delivered by weekly injections, including Zepbound, Wegovy, and Ozempic.

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Novo Nordisk is also working on a GLP-1 weight-loss pill. Last, year the company said that patients that took a once-daily 50mg dose of its pill, amycretin, lost an average of 10.4% of their weight in just three months, according to an abstract of the study. Trial participants that took two pills lost even more weight, 13.1% at three months.