21世纪经济报道记者季媛媛上海报道 芝加哥McCormick会展中心，第85届美国糖尿病协会科学年会(ADA)正在这里举行。诺和诺德、礼来两 大巨头的专题研讨会现场人头攒动，会议现场的技术交锋，也预示GLP-1(胰高血糖素样肽-1)类药物市 场的战争才刚刚升级。 今年ADA科学年会上，诺和诺德公布了针对不伴糖尿病的肥胖症患者的STEP UP3b期临床试验结果。 STEP UP试验表明，在第72周时，接受更高剂量的Wegovy(司美格鲁肽7.2mg)治疗的受试者相较于安慰 剂组实现平均21%的体重降幅，其中三分之一的受试者体重降幅达25%或以上。 礼来公布了3期临床研究ACHIEVE-1的详细结果。在所有剂量组中，在研药物orforglipron每日一次口服 实现2型糖尿病成人患者A1C平均降低1.3%至1.6%，且用药四周就可观察到改善。ACHIEVE-1研究的关 键次要终点显示，orforglipron最高剂量组在第40周时实现平均体重减轻7.3kg(7.9%)，且Orforglipron的安 全性与GLP-1RA类药物一致。 有券商医药行业分析师对21世纪经济报道记者指出，随着肥胖症在全球范围内的发病率不 ...

Core Insights - The 85th American Diabetes Association (ADA) conference showcased innovative metabolic drugs, particularly focusing on weight loss medications, with GLP-1 agonists being a prominent research area [1][2] - Novo Nordisk reported that a higher dose of Wegovy (semaglutide 7.2 mg) resulted in an average weight reduction of 21% for obesity patients, with one-third of participants losing 25% or more of their body weight [1][4] - The competitive landscape includes multiple companies, with Novo Nordisk leading in the number of obesity drug pipelines, followed by Eli Lilly and several domestic firms [1][6] Company Developments - Novo Nordisk's STEP UP trial demonstrated significant weight loss effects with the higher dose of semaglutide, maintaining safety profiles consistent with existing GLP-1 medications [2][4] - Eli Lilly announced positive results for its oral small molecule GLP-1 receptor agonist, Orforglipron, showing significant reductions in A1C levels and an average weight loss of 7.3 kg in the highest dose group [5] - Novo Nordisk plans to submit a label update for the higher dose of Wegovy in the EU by mid-2025, while Eli Lilly aims to submit Orforglipron for weight management approval by the end of this year [4][5] Industry Trends - The focus on innovative mechanisms for weight loss drugs includes long-acting, oral, multi-target, and muscle-preserving approaches, indicating a shift towards more effective treatment options [6][8] - The dual and triple-target GLP-1 agonists are gaining traction, with Eli Lilly's Retatrutide leading in global development, while several Chinese companies are advancing their products into clinical phases [7][8] - The market is seeing a growing number of combination therapies, with 13 dual-target and 9 multi-target combinations currently in development, totaling 88 related investigational drugs [7]