Lilly initiated the first Ph3 trial in its QD oral GLP-1RA (orforglipron; LY3502970) T2DM pivotal program, called “ACHIEVE.” The ACHIEVE-4 trial is comparing orforglipron vs. insulin glargine in patients with T2DM and obesity or overweight at increased CV risk (view CT.gov record). Below, FENIX provides insights into the orforglipron development program, including thoughts on why Lilly will forego a post-marketing T2DM CVOT in favor of an obesity CVOT.