Orforglipron

drug
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Also known as LY-3502970Ly3502970

Summary

Orforglipron (CHEMBL4446782) is a phase-3 clinical-stage small molecule targeting GLP1R; indicated across 3 conditions including type 2 diabetes mellitus and obesity disorder.

At a glance

  • Status: Max clinical phase 3 (not approved)
  • Modality: Small molecule
  • Targets: 1 (GLP1R)
  • Indications: 3 conditions
  • Clinical trials: 46
  • Chemistry: 883 Da · C48H48F2N10O5

Identifiers

Drug identity and classification

FieldValue
ChEMBL IDCHEMBL4446782
NameOrforglipron
TypeSmall molecule
Max phase3
FDA approvedno
PubChem CID137319706
Molecular formulaC48H48F2N10O5
Molecular weight883
InChIKeyUSUWIEBBBWHKNI-KHIFEHGGSA-N

SMILES: C[C@H]1C[C@]1(C2=NOC(=O)N2)N3C4=C(C=C(C=C4)[C@H]5CCOC(C5)(C)C)C=C3C(=O)N6CCC7=NN(C(=C7[C@@H]6C)N8C=CN(C8=O)C9=C(C1=C(C=C9)N(N=C1)C)F)C1=CC(=C(C(=C1)C)F)C

IUPAC name: 3-[(1S,2S)-1-[5-[(4S)-2,2-dimethyloxan-4-yl]-2-[(4S)-2-(4-fluoro-3,5-dimethylphenyl)-3-[3-(4-fluoro-1-methylindazol-5-yl)-2-oxoimidazol-1-yl]-4-methyl-6,7-dihydro-4H-pyrazolo[4,3-c]pyridine-5-carbonyl]indol-1-yl]-2-methylcyclopropyl]-4H-1,2,4-oxadiazol-5-one

Also known as: LY-3502970, Ly3502970, LY3502970, Orforglipron, ORFORGLIPRON

Parent form; salt/anhydrous children: CHEMBL5314577

Patent coverage: 12 distinct patent families (59 SureChEMBL compound mentions), from 3 matched compound structure(s). Mentions count patents naming the compound (not distinct inventions), so promiscuous / reference molecules inflate the mention figure — families are the dedup metric.

Targets

Targets

Primary targets (GtoPdb curated mechanism): the Cancer dependency column is the DepMap CRISPR fitness signal (% of screened cell lines dependent on the target).

GeneTargetActionpAffinityCancer dependencyUniProt
GLP1RGLP-1 receptorPartial agonist8.490.2%P43220

Broader ChEMBL bioactivity targets: 2 (assay-derived). Sample: Glucagon-like peptide 1 receptor, Glucagon-like peptide 1 receptor.

Bioactivity

ChEMBL activities: 4 potent at pChembl ≥ 5 of 4 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):

TargetpChemblTypeValueUnitActivity ID
GLP1R8.92EC501.2nMCHEMBL_ACT_26106923
GLP1R8.92EC501.2nMCHEMBL_ACT_28194959
O356596.52EC50300nMCHEMBL_ACT_19054407
GLP1R6.22EC50600nMCHEMBL_ACT_19054382

Target pathways

Aggregated over 1 target gene(s): GLP1R.

Top Reactome pathways

3 total, by targets touching each:

PathwayTargetsGenes
Glucagon-like Peptide-1 (GLP1) regulates insulin secretion1GLP1R
G alpha (s) signalling events1GLP1R
Glucagon-type ligand receptors1GLP1R

Dominant GO biological processes

GO termTargets
cell surface receptor signaling pathway1
adenylate cyclase-activating G protein-coupled receptor signaling pathway1
activation of adenylate cyclase activity1
positive regulation of cytosolic calcium ion concentration1
learning or memory1
regulation of heart contraction1
post-translational protein targeting to membrane, translocation1
negative regulation of blood pressure1
positive regulation of blood pressure1
hormone secretion1
response to psychosocial stress1
signal transduction1
G protein-coupled receptor signaling pathway1
regulation of biological quality1
cellular response to glucagon stimulus1

Indications & clinical

Indications

3 indications (0 at ChEMBL trial phase 4). Phase below is the highest clinical-trial phase recorded for this drug against each disease — not the molecule’s overall approval status (that is in the Summary).

IndicationTrial phaseMONDOEFO
type 2 diabetes mellitus3MONDO:0005148MONDO:0005148
obesity disorder2MONDO:0011122EFO:0001073
hyperglycemia1MONDO:0002909HP:0003074

Clinical trials

Total trials: 46.

Phase distribution

PhaseTrials
PHASE324
PHASE120
PHASE22

Top trials by phase / activity

NCTPhaseStatusTitle
NCT05869903PHASE3ACTIVE_NOT_RECRUITINGA Study of Orforglipron (LY3502970) in Adult Participants With Obesity or Overweight With Weight-Related Comorbidities
NCT06649045PHASE3ACTIVE_NOT_RECRUITINGA Master Protocol for Orforglipron in Participants With Obstructive Sleep Apnea and Obesity or Overweight
NCT06672549PHASE3RECRUITINGA Platform Trial for Pediatric Participants With Obesity or Overweight (LY900040)
NCT06672939PHASE3RECRUITINGA Study of Orforglipron (LY3502970) in Adolescent Participants With Obesity, or Overweight With Related Comorbidities
NCT06948422PHASE3ACTIVE_NOT_RECRUITINGA Master Protocol for Orforglipron (LY3502970) in Participants With Hypertension and Obesity or Overweight: (ATTAIN-Hypertension Screening)
NCT06948435PHASE3ACTIVE_NOT_RECRUITINGA Master Protocol Study of Orforglipron (LY3502970) in Participants With Hypertension and Obesity or Overweight (ATTAIN-Hypertension) GZL1
NCT06952530PHASE3ACTIVE_NOT_RECRUITINGA Master Protocol Study of Orforglipron (LY3502970) in Participants With Hypertension and Obesity or Overweight (ATTAIN-Hypertension) GZL2
NCT06972459PHASE3ACTIVE_NOT_RECRUITINGA Study of Orforglipron (LY3502970) in Participants With Obesity or Overweight and at Least One Weight-Related Comorbidity
NCT06972472PHASE3ACTIVE_NOT_RECRUITINGA Study of Orforglipron (LY3502970) in Participants With Obesity or Overweight and Type 2 Diabetes
NCT06993792PHASE3ACTIVE_NOT_RECRUITINGA Master Protocol for Orforglipron (LY3502970) in Participants With Obesity or Overweight With and Without Type 2 Diabetes
NCT07153471PHASE3RECRUITINGA Study of Orforglipron (LY3502970) in Participants With Obesity or Overweight and Osteoarthritis (OA) of the Knee
NCT07202884PHASE3RECRUITINGA Study of Orforglipron in Female Participants With Stress Urinary Incontinence Who Have Obesity or Overweight
NCT07223593PHASE3RECRUITINGEfficacy and Safety of Orforglipron in Participants With Peripheral Artery Disease
NCT07241390PHASE3RECRUITINGA Study of Orforglipron (LY3502970) on Cardiovascular Outcomes in Adults With Atherosclerotic Cardiovascular Disease and/or Chronic Kidney Disease (ATTAIN-Outcomes)
NCT07613307PHASE3NOT_YET_RECRUITINGA Study of Orforglipron (LY3502970) in Participants With Type 2 Diabetes Who Observe Ramadan Fasting
NCT05803421PHASE3COMPLETEDA Study of Daily Oral Orforglipron (LY3502970) Compared With Insulin Glargine in Participants With Type 2 Diabetes and Obesity or Overweight at Increased Cardiovascular Risk
NCT05872620PHASE3COMPLETEDA Study of Orforglipron in Adult Participants With Obesity or Overweight and Type 2 Diabetes
NCT05931380PHASE3COMPLETEDA Study of Once-Daily Oral Orforglipron (LY3502970) in Japanese Adult Participants With Obesity Disease
NCT05971940PHASE3COMPLETEDA Study of Orforglipron (LY3502970) in Adult Participants With Type 2 Diabetes and Inadequate Glycemic Control With Diet and Exercise Alone
NCT06010004PHASE3COMPLETEDA Long-term Safety Study of Orforglipron (LY3502970) in Participants With Type 2 Diabetes
NCT06045221PHASE3COMPLETEDA Study of Orforglipron (LY3502970) Compared With Semaglutide in Participants With Type 2 Diabetes Inadequately Controlled With Metformin
NCT06109311PHASE3COMPLETEDA Study of Orforglipron (LY3502970) in Participants With Type 2 Diabetes and Inadequate Glycemic Control With Insulin Glargine, With or Without Metformin and/or SGLT-2 Inhibitor
NCT06192108PHASE3COMPLETEDA Study of Orforglipron (LY3502970) Compared With Dapagliflozin in Adult Participants With Type 2 Diabetes and Inadequate Glycemic Control With Metformin
NCT06584916PHASE3COMPLETEDA Study of Orforglipron for the Maintenance of Body Weight Reduction in Participants Who Have Obesity or Overweight With Weight-Related Comorbidities (ATTAIN-MAINTAIN)
NCT05048719PHASE2COMPLETEDA Study of LY3502970 in Participants With Type 2 Diabetes Mellitus
NCT05051579PHASE2COMPLETEDA Study of LY3502970 in Participants With Obesity or Overweight With Weight-related Comorbidities
NCT03929744PHASE1COMPLETEDA Study of LY3502970 in Healthy Participants
NCT04426474PHASE1COMPLETEDA Study of LY3502970 in Participants With Type 2 Diabetes
NCT05051566PHASE1COMPLETEDA Multiple Dose Study of LY3502970 in Healthy Participants
NCT05086445PHASE1COMPLETEDA Study of LY3502970 in Japanese Participants With Type 2 Diabetes Mellitus
NCT05110794PHASE1COMPLETEDA Multiple-Dose Study of LY3502970 in Healthy Participants
NCT05313802PHASE1COMPLETEDA Study of LY3502970 in Healthy Overweight and Obese Participants
NCT05341089PHASE1COMPLETEDA Study of Two Different Formulations of LY3502970 in Healthy Participants
NCT05469126PHASE1COMPLETEDA Drug Interaction Study of Clarithromycin and LY3502970 in Healthy Participants
NCT05573230PHASE1COMPLETEDA Drug Interaction Study of Cyclosporine and LY3502970 in Healthy Participants
NCT05841238PHASE1COMPLETEDA Multiple Dose Study of LY3502970 in Healthy Overweight and Obese Participants
NCT05882032PHASE1COMPLETEDA Study of LY3502970 in Participants With Impaired and Normal Liver Function
NCT05936138PHASE1COMPLETEDA Study of LY3502970 in Participants With Normal and Impaired Renal Function
NCT06023095PHASE1COMPLETEDA Study of LY3502970 in Chinese Participants With Obesity or Are Overweight With Weight-related Comorbidities
NCT06085482PHASE1COMPLETEDA Phase I Study of LY3502970 in Healthy Participants

Clinical evidence (CIViC)

No CIViC predictive evidence (expected for non-precision-medicine drugs).

Pharmacology

Pharmacogenomics

No CPIC/DPWG dosing guideline or drug-level clinical/variant annotations in PharmGKB for this molecule.

Molecules sharing ≥1 of this drug’s curated primary targets, merged from two biobtree sources and ranked by shared-target count, then clinical phase: ChEMBL clinical-stage candidates (development phase ≥2) and PubChem drug-class bioactivity (approved / known drugs acting on the target). Deduplicated by drug name; the drug’s own salt forms are excluded. Note: for a drug with few primary targets a shared-target match can reflect off-target / promiscuous binding rather than the same therapeutic mechanism — the phase ordering surfaces bona-fide therapeutics first.

17 molecules share ≥1 primary target. Top 17 by shared-target count:

MoleculeSourceStatusShared targets
LIRAGLUTIDEChEMBL + PubChemPhase 4 (approved)GLP1R
DIHYDROERGOTAMINEChEMBLPhase 4 (approved)GLP1R
ELAGOLIXChEMBLPhase 4 (approved)GLP1R
EXENATIDEChEMBLPhase 4 (approved)GLP1R
GLUCAGONChEMBLPhase 4 (approved)GLP1R
LOPERAMIDEChEMBLPhase 4 (approved)GLP1R
PERPHENAZINEChEMBLPhase 4 (approved)GLP1R
SECRETINChEMBLPhase 4 (approved)GLP1R
SEMAGLUTIDEChEMBLPhase 4 (approved)GLP1R
TIRZEPATIDEChEMBLPhase 4 (approved)GLP1R
TOLVAPTANChEMBLPhase 4 (approved)GLP1R
COTADUTIDEChEMBLPhase 2GLP1R
DANUGLIPRONChEMBLPhase 2GLP1R
DEVAZEPIDEChEMBLPhase 2GLP1R
GLP-1ChEMBLPhase 2GLP1R
LOTIGLIPRONChEMBLPhase 2GLP1R
PF-06291874ChEMBLPhase 2GLP1R