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Orforglipron

Aliases: LY3502970

Last verified: 2026-09-23

Approved drugStrong evidenceSmall moleculesMedium interest

The short version

The first oral non-peptide GLP-1 receptor agonist — FDA-approved April 2026 as Foundayo for obesity: an Ozempic-in-a-pill without peptide, refrigeration or food/water restrictions. Phase III: up to −12.4% body weight (highest dose, 72 weeks).

Identity & type

Molecular type
mali molekul
Origin
The first oral non-peptide GLP-1 receptor agonist — FDA-approved April 2026 as Foundayo for obesity: an Ozempic-in-a-pill without peptide, refrigeration or food/water restrictions.

Mechanism of action

Small-molecule GLP-1R agonist (biased toward cAMP).

Dosing & routes

Official / clinical context

Approved drug — indications, dosing and warnings are defined by the official label. Trials: 3–36 mg/day.

Regulator-approved labeling and published study designs — never a recommendation.

Community-reported practice

Trials: 3–36 mg/day. Just approved (Foundayo, 2026): expected effects per ATTAIN trials — up to −12.4% weight, pill convenience without food rules; real-world experiences are only now accumulating.

Unverified self-reports. Not medical advice. Not endorsement.

Expected effects (community)

Just approved (Foundayo, 2026): expected effects per ATTAIN trials — up to −12.4% weight, pill convenience without food rules; real-world experiences are only now accumulating.

Protocol — official vs community

Official / label

Investigational oral small-molecule GLP-1 agonist. Phase 3 dosing: once daily oral, fasted, titrated over ~18–24 weeks.

  1. 01Start 3 mg daily, escalate in 3 mg steps every ≥4 weeks
  2. 02Maintenance studied at 12–36 mg daily

Duration: Trial-defined.

No injections and no food-timing window beyond the fasted requirement — the main argument for the molecule.

Community (anecdotal)

None — not approved, no legitimate supply.

Cycle:
Break:

Anything sold as orforglipron is counterfeit or mislabeled by definition until approval.

Human evidence

Successful ATTAIN Phase III program; FDA approved April 1, 2026 under the accelerated CNPV program — the fastest new-molecule approval since 2002.

Preclinical evidence

The preclinical phase was completed and submitted to regulators as part of registration; pharmacology and toxicology details are part of the official label.

Known risks

  • Class-typical GLP-1 GI effects.characterized

Teal: characterized in clinical/labeling contexts. Amber: theoretical or reported outside controlled settings.

Unknowns & evidence gaps

  • Real-world data outside controlled trials

Frequently asked questions

References