Obesity

Oral Semaglutide 25 mg Versus Orforglipron 36 mg in Obesity: A Population‐Adjusted Indirect Treatment Comparison

Diabetes Obes MetabPublished Population-adjusted indirect treatment comparison

Authors' conclusion

In this ITC, oral semaglutide 25 mg was associated with greater body weight loss and fewer discontinuations due to any AEs and due to GI AEs compared with orforglipron 36 mg.

Study context

Population
Adults with overweight (BMI ≥ 27 kg/m² and ≥1 obesity-related complication) or obesity (BMI ≥ 30 kg/m²), without diabetes; data from OASIS 4 and ATTAIN-1
Comparison
Oral semaglutide 25 mg vs orforglipron 36 mg
Outcome
Percentage change from baseline in body weight
Methodological detailsanchored indirect treatment comparison, individual patient data from OASIS 4 and aggregate data from ATTAIN-1, adjusted for sex, body weight and normoglycaemic status
  • Anchored indirect treatment comparison
  • Individual patient data from OASIS 4 and aggregate data from ATTAIN-1
  • Adjusted for sex, body weight and normoglycaemic status

Pooled result

As reported in the abstract

Oral semaglutide 25 mg vs Orforglipron 36 mgMD, %-points (95% CI)
Treatment-regimen estimand
−3.2(−5.9 to −0.4)
Efficacy estimand
−3.0(−5.8 to −0.3)

Safety

OutcomeOR (95% CI)
Treatment discontinuation due to AEsOrforglipron 36 mgvs Oral semaglutide 25 mgDue to any AE4.1 (1.3–13.0)
Treatment discontinuation due to AEsOrforglipron 36 mgvs Oral semaglutide 25 mgDue to GI AEs13.9 (2.0–96.0)

Original publication

Oral Semaglutide 25 mg Versus Orforglipron 36 mg in Obesity: A Population‐Adjusted Indirect Treatment Comparison. Diabetes Obes Metab. Published 1 June 2026. doi:10.1111/dom.70919

Composed by AI from the published abstract and checked against it. How Briefs are made →

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