Eli Lilly’s experimental once-daily oral drug, orforglipron, demonstrated superior efficacy over Novo Nordisk’s oral semaglutide in a Phase 3 head-to-head trial.

The ACHIEVE-3 study results, published in The Lancet, evaluated adults with type 2 diabetes over a 52-week period.

Orforglipron reduced blood sugar levels (A1C) by 2.2%, compared to a 1.4% reduction for semaglutide.

Lilly’s drug also achieved a 9.2% reduction in body weight, while the Novo Nordisk treatment showed a 5.3% loss.

Lilly has submitted the drug for regulatory approval in more than 40 countries.

The company expects to file for U.S. approval for type 2 diabetes in late 2026.