Type 2 & other diabetes

Treatment with orforglipron, an oral glucagon like peptide-1 receptor agonist, is associated with improvements of cardiovascular (CV) risk biomarkers in participants with type 2 diabetes or obesity without diabetes

Cardiovasc DiabetolPublished Exploratory analysis of two phase 2 randomised trials

Authors' conclusion

Orforglipron treatment was associated with beneficial changes in CV risk markers in participants with T2D and in participants with overweight/obesity without T2D.

Study context

Population
Participants with available samples from phase 2 trials: T2D (N = 361; mean age 59 years, 40% female, mean HbA1c 8.1%, mean BMI 35.3 kg/m²) or overweight/obesity without DM (N = 234; mean age 54 years, 60% female, mean BMI 37.9 kg/m²)T2D N = 361
Comparison
Once-daily oral orforglipron vs placebo
Primary endpoint
Change from baseline in BP, lipids (cholesterol, TG, ApoB, ApoC3), NT-pro-BNP and inflammatory biomarkers (hsCRP, IL-6)
Follow-up
26 weeks (T2D study) or 36 weeks (obesity study)

Primary result

As reported in the abstract

CV risk markers · 26 weeks (T2D) / 36 weeks (obesity)
  • Significant placebo-adjusted decreases from baseline in BP, low-density lipoprotein (LDL) cholesterol, TG, Apolipoprotein B (ApoB), Apolipoprotein C3 (ApoC3) and high-sensitivity C-reactive protein (hsCRP) with orforglipron in T2D and/or overweight or obesity
  • In both studies, improvements in BP, lipids and most biomarkers of similar magnitude with orforglipron 12 mg as with 24, 36 and 45 mg
  • Exploratory analysis

Original publication

Treatment with orforglipron, an oral glucagon like peptide-1 receptor agonist, is associated with improvements of CV risk biomarkers in participants with type 2 diabetes or obesity without diabetes. Cardiovasc Diabetol. Published 6 June 2025. doi:10.1186/s12933-025-02781-x

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