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GLP-1safigliprontype 2 diabetesglp-1 receptor agonistnature medicine

Oral safiglipron cuts HbA1c 1.45% versus placebo in Phase 3 China trial

Weight loss was modest at up to 3.56% below placebo, and 6.9% of patients on the 90 mg dose discontinued for adverse events.

MH
By Maren Holt · Senior Reporter, GLP-1
Sep 28 20:00 ETSource: Nature medicine

The wire

  1. 01In OUTSTAND-1, 284 adults with early type 2 diabetes at 46 Chinese sites took once-daily oral safiglipron 30, 60 or 90 mg or placebo for 32 weeks; placebo-adjusted HbA1c differences were -1.22%, -1.20% and -1.45%.
  2. 02Between 71.4% and 77.8% of treated patients reached HbA1c under 7.0% versus 25.0% on placebo, positioning this non-peptide oral GLP-1 agonist against injectables and oral semaglutide without fasting requirements.
  3. 03Weight effects were smaller than with incretin injectables, gastrointestinal events were most common, and the trial ran only in China in diet-and-exercise-managed patients with mean baseline HbA1c 7.95%.

From the source

Oral small-molecule GLP-1 receptor agonist safiglipron in early type 2 diabetes: a randomized, double-blind, placebo-controlled trial

Nature medicine · 2026 Sep 29 · Yu M, Peng L, Jiang C et al.

Read at pubmed.ncbi.nlm.nih.gov
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