Randomized Trialhigh evidence

Orforglipron compared with dapagliflozin in adults with type 2 diabetes and inadequate glycaemic control with metformin (ACHIEVE-2): a multicentre, randomised, non-inferiority, open-label, phase 3 trial.

Lancet (London, England)·June 8, 2026·PMID 42259339

Why it matters

Orforglipron is an oral, non-peptide GLP-1 receptor agonist, offering a potential alternative to injectable GLP-1 therapies and oral SGLT2 inhibitors. Its superior glycemic efficacy over dapagliflozin, despite higher GI tolerability issues, may expand oral combination options for type 2 diabetes.

Infographic summary of Orforglipron compared with dapagliflozin in adults with type 2 diabetes and inadequate glycaemic control with metformin (ACHIEVE-2): a multicentre, randomised, non-inferiority, open-label, phase 3 trial.
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