COIOS
Healthcare today Item new peer-reviewed

Oral GLP-1 agonist safiglipron cut HbA1c by up to 1.45 points in type 2 diabetes

In the OUTSTAND-1 randomised placebo-controlled trial, the once-daily oral small-molecule GLP-1 receptor agonist safiglipron reduced HbA1c by up to 1.45 percentage points over 32 weeks in people with type 2 diabetes not taking glucose-lowering medication, with modest effects on body weight.

OUTSTAND-1 was a randomised, double-blind, placebo-controlled trial of safiglipron, a once-daily oral small-molecule GLP-1 receptor agonist, in people with type 2 diabetes who were not on glucose-lowering medication. Over 32 weeks the drug lowered HbA1c by up to 1.45 percentage points relative to placebo, while the effect on body weight was modest. The trial covers glycaemic and weight endpoints over a short horizon.

Why it is interesting: Reports glycaemic and weight effects of a once-daily oral small-molecule GLP-1 receptor agonist in type 2 diabetes.

Source
Nature Medicine, 29 September 2026
Type
Peer-reviewed article
Design
Randomised, double-blind, placebo-controlled trial (OUTSTAND-1), 32 weeks, in people with type 2 diabetes not on glucose-lowering medication; sample size not stated
Verdict
New finding
Driver
Obesity, diabetes and GLP-1