Lilly Hopeful Obesity Pill Accepted in Voucher Program
Eli Lilly says its investigational weight-loss pill met most criteria for FDA’s new national priority voucher program, suggesting it is a strong candidate for a significantly accelerated approval review. The company says it will submit before the end of the year an NDA for orforglipron, and the agency will decide on the approval process, according to a Reuters report.
Earlier this month, FDA announced the first nine voucher recipients under the recently launched voucher program. Each recipient has a product with significant potential to address a major national priority, such as meeting a large unmet medical need, reducing downstream health care utilization, addressing a public health crisis, boosting domestic manufacturing, or increasing medication affordability with “Most Favored Nation” pricing, according to an agency release.
Under the program (see earlier story), drug developers may redeem the vouchers to participate in the agency pilot that shortens review times from about 10-12 months to 1-2 months following submission of a final drug application. An earlier FDA notice said the agency will convene experts for a team-based review rather than using the standard review system of a drug application being sent to numerous offices. Recently, FDA commissioner Marty Makary said the agency is looking to add additional products to the voucher program, and an announcement could be imminent.
In August, Lilly announced Phase 3 data showing the drug demonstrated significant weight loss. The ATTAIN-1 study enrolled 3,127 adults with obesity or who were overweight and at least one weight-related medical condition (except diabetes), according to the company. Over 72 weeks, all three orforglipron tested doses met the primary and all key secondary endpoints, delivering meaningful weight loss compared to placebo, it said.
Participants receiving the highest dose of orforglipron (36 mg) lost an average of 12.4% of their body weight (27.3 lbs), compared to 0.9% (2.2 lbs) in the placebo group, Lilly said. The highest also yielded improvements in cardiovascular risk markers, including reductions in triglycerides, non-HDL cholesterol, systolic blood pressure, and high-sensitivity C-reactive protein, which dropped by nearly 48%.