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The next-generation GLP-1 pipeline

Written by

glpzoom Editorial Team

Medically reviewed

Against primary clinical sources
Last reviewed June 2026
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retatrutide max weight loss in trials
Apr 0 2026
orforglipron FDA PDUFA
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orforglipron launch price
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retatrutide expected launch

Today's GLP-1s already produce 15-21% mean weight loss. The next wave pushes higher and, just as importantly, moves beyond the weekly injection. Here's what's actually in late-stage development, with honest timelines, none of these is a reason to wait if you qualify for a treatment available today.

Orforglipron

Eli Lilly

Oral non-peptide GLP-1

Status: FDA decision April 2026; launching via LillyDirect

~14-15% mean weight loss; first true daily pill without Rybelsus's fasting rules

Full Orforglipron page →

Retatrutide

Eli Lilly

Triple agonist (GLP-1 / GIP / glucagon)

Status: Phase 3 (TRIUMPH); expected ~2027

~24% mean weight loss at the highest dose, the largest class signal reported to date

Full Retatrutide page →

CagriSema

Novo Nordisk

Semaglutide + cagrilintide (amylin analog)

Status: Phase 3; filings expected 2026-2027

Combines GLP-1 with an amylin pathway; trials targeting tirzepatide-level loss

Oral semaglutide 25mg (oral Wegovy)

Novo Nordisk

Oral GLP-1 peptide (high-dose)

Status: FDA-approved 2026; distribution ramping

Brings injectable-level semaglutide to a daily tablet, with strict dosing rules

Full Oral semaglutide 25mg (oral Wegovy) page →

A safety note: investigational drugs like retatrutide are not legally for sale. Any website offering to ship “retatrutide” today is operating outside the law and outside FDA safety oversight. The only legitimate access is a clinical trial.

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