新闻动态

GLP-1药物适应人群再度拓展,美国多肽配制政策更新

2026-10-29 13:50:51 4

本期导读 / CONTENTS

01 产品获批:依柯胰岛素司美格鲁肽(insulin icodec/semaglutide)注射液获批Post-OADs适应症;司美格鲁肽注射液(诺和盈®)长期体重管理在中国适用人群扩展;奥格列龙(Orforglipron)获欧洲CHMP推荐批准

02 临床进展:瑞他鲁肽(Retatrutide)、卡格列肽司美格鲁肽复方(CagriSema)

03 临床指南:肽类临时调配政策已提交白宫审查;HHS暂允503A药房配制六种未获批多肽


01

PRODUCT APPROVALS

产品获批

诺和杰®(依柯胰岛素司美格鲁肽注射液)适用人群拓展至口服降糖药控制不佳成人2型糖尿病人群

IcoSema® (insulin icodec/semaglutide injection) target populations expanded to adults with type 2 diabetes inadequately controlled with oral antidiabetic drugs

   诺和诺德宣布,诺和杰®(依柯胰岛素司美格鲁肽注射液)新增适应症的上市补充申请获国家药品监督管理局批准[1]。本次获批将该产品适用人群进一步前移至口服降糖药治疗血糖控制不佳的成人2型糖尿病患者,可在饮食与运动基础上联用口服降糖药接受本品治疗。中国是全球首个获批Post-OADs适应症的国家。

EN

Novo Nordisk announced that the supplemental application for marketing authorization for a new indication of IcoSema® (insulin icodec/semaglutide injection) was approved by the National Medical Products Administration (NMPA). This approval further extends the target populations to adults with type 2 diabetes whose blood glucose remains inadequately controlled with oral antidiabetic therapy. These patients may receive treatment with this product in combination with oral antidiabetic drugs, in addition to diet and exercise. China has become the first country in the world to have the Post-OADs indication approved.

诺和盈®长期体重管理适应症更新,覆盖更多中国超重和肥胖人群

The indications for long-term weight management of Wegovy® have been updated to cover more overweight and obese patients in China

   诺和盈®(司美格鲁肽注射液)长期体重管理适应症获国家药品监督管理局(NMPA)批准更新,适用人群进一步拓宽,用于在饮食控制和增加体力活动基础上对成人患者开展长期体重管理,适用基线BMI标准为≥28kg/m²,或24kg/m²≤BMI<28kg/m²且伴至少一种体重相关合并症[2];同步获批更新储存要求,首次开启前,可于2℃–30℃环境下最长存放48小时[3]。

EN

Wegovy® (semaglutide injection) has received an updated approval from the National Medical Products Administration (NMPA) for its long-term weight management indication, further expanding the target population. It is indicated for long-term weight management in adult patients in conjunction with diet control and increased physical activity. The applicable baseline BMI criteria are ≥28 kg/m², or 24 kg/m² ≤ BMI < 28 kg/m² with at least one weight-related comorbidity. In parallel, an updated storage requirement was also approved. Before the first opening, the product can be stored for up to 48 hours in an environment between 2 ℃ and 30 ℃.

礼来减重口服GLP-1药物orforglipron获欧洲药品管理局推荐批准

Lilly's oral weight-loss GLP-1 receptor agonist orforglipron has received a positive recommendation for approval from the European Medicines Agency

   欧洲药品管理局人用药品委员会(CHMP)对礼来的口服小分子GLP-1药物orforglipron(商品名Foundayo)给出积极意见,建议批准其用于成人体重管理与2型糖尿病治疗[4]。这是继诺和诺德口服Wegovy后第二款获CHMP推荐的口服减重药。

EN

The Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) has issued a positive opinion on Lilly's oral small-molecule GLP-1 agent orforglipron (brand name: Foundayo), recommending its approval for weight management in adults and the treatment of type 2 diabetes. This is the second oral weight-loss medicine recommended by the CHMP, following Novo Nordisk's oral Wegovy.














02

CLINICAL PROGRESS

临床进展

Retatrutide治疗阻塞性睡眠呼吸暂停(OSA)的两项3期临床试验结果发表

The results of two Phase 3 clinical trials of Retatrutide for the treatment of obstructive sleep apnea (OSA) have been published

  《新英格兰医学杂志》(NEJM)发表了礼来在研三靶点激动剂retatrutide治疗阻塞性睡眠呼吸暂停(OSA)的两项3期临床研究的结果[5]。研究显示,无论患者是否患有2型糖尿病,retatrutide均显著降低呼吸暂停低通气指数(AHI),改善睡眠期间的呼吸障碍,并减轻体重。不合并糖尿病的患者AHI最多减少34.3次,合并2型糖尿病的患者AHI最多减少25.4次,多于安慰剂组9.9次。

EN

The New England Journal of Medicine (NEJM) published the results of two Phase 3 clinical trials conducted by Eli Lilly on retatrutide, a triple‑receptor agonist currently in development, for the treatment of obstructive sleep apnea (OSA). The studies showed that retatrutide significantly reduced the apnea–hypopnea index (AHI), improved breathing disturbances during sleep, and lowered body weight in patients irrespective of type 2 diabetes status. In patients without diabetes, the AHI was reduced by up to 34.3 events per hour, and by up to 25.4 events per hour in those with type 2 diabetes; both exceeded the placebo group's reduction of 9.9 events per hour.

诺和诺德CagriSema临床三期试验REDEFINE 1数据结果公布,女性患者68周平均减重25%

Novo Nordisk’s Phase 3 REDEFINE 1 trial results for CagriSema announced: female patients achieved an average 25.0% weight loss over 68 weeks

   诺和诺德在美国圣迭戈举行的北美更年期学会年会上,公布了减重药CagriSema三期REDEFINE 1的两项事后分析[6]。REDEFINE 1试验人群中约三分之二是女性,在坚持治疗的2309名女性中,接受CagriSema 2.4 mg/2.4 mg治疗68周平均减重25.0%,安慰剂组3.0%。按更年期阶段分组,绝经前、围绝经期、绝经后的女性分别减重26.7%、24.8%和23.1%。

EN

At The Menopause Society Annual Meeting held in San Diego, USA, Novo Nordisk presented two post-hoc analyses of the Phase 3 REDEFINE 1 trial of the weight-loss drug CagriSema. Approximately two-thirds of participants in REDEFINE 1 were women. Among the 2,309 women who completed the treatment, those treated with CagriSema 2.4 mg/2.4 mg for 68 weeks achieved an average weight loss of 25.0%, compared with 3.0% in the placebo group. Stratified by menopausal stage, premenopausal, perimenopausal, and postmenopausal women lost 26.7%, 24.8%, and 23.1%, respectively.









03

REGULATORY DEVELOPMENTS

监管动态

FDA向白宫提交肽类临时调配政策以供审查,HHS暂允六种未经批准多肽由配药药房销售

FDA submitted the interim peptide compounding policy to the White House for review; HHS has temporarily authorized the sale of six unapproved peptides by compounding pharmacies

      FDA将《使用某些肽类的临时调配临时准入政策草案》提交白宫管理与预算办公室进行监管审查,拟允许专业药房配制某些肽类注射剂[7]。目前该政策文本尚未公开,也尚未生效。随后,美国卫生与公众服务部(HHS)发布临时执法裁量政策,对BPC-157、Epitalon、KPV、MOTS-c、Semax与TB-500六种未获批多肽暂不行使联邦执法权[8]。州执照药房、联邦机构及持照医师配制在满足以下特定安全限制和质量控制要求的前提下,可合法为患者配制这六种多肽。

EN

The U.S. Food and Drug Administration (FDA) submitted the Interim Access Policy for Compounding Using Certain Peptides to the White House Office of Management and Budget (OMB) for regulatory review, proposing to allow specialty pharmacies to compound certain peptide injections. The text of the policy has not yet been made public, nor has it taken effect. Subsequently, the U.S. Department of Health and Human Services (HHS) issued an interim enforcement-discretion policy covering six unapproved peptides (BPC-157, Epitalon, KPV, MOTS-c, Semax, and TB-500), under which it would temporarily refrain from exercising federal enforcement authority over them. State-licensed pharmacies, federal agencies, and licensed physicians may legally compound these six peptides for patients, provided they meet specific safety restrictions and quality control requirements.






—  END  —

参考文献 / REFERENCES

[1]  诺和诺德中国. 全球首批·杰出中国!依柯胰岛素司美格鲁肽注射液Post-OADs适应症率先在中国获批[EB/OL]. (2026-10-15)[2026-10-28].

[2]  诺和诺德中国. 诺和盈®长期体重管理适应症更新,覆盖更多中国超重和肥胖人群[EB/OL]. (2026-10-21)[2026-10-28].

[3]  诺和诺德中国. 诺和盈®在中国获批48小时配送新条件,让创新治疗方案更便捷触达患者[EB/OL]. (2026-10-19)[2026-10-28].

[4] European Medicines Agency. New oral GLP-1 medicine for weight management and type 2 diabetes[EB/OL]. (2026-10-16)[2026-10-28].

[5] GRUNSTEIN R R, SOMERS V K, AZARBARZIN A, et al. Retatrutide Once Weekly for Treatment of Obstructive Sleep Apnea[J]. New England Journal of Medicine, 2026. DOI: 10.1056/NEJMoa2611477.

[6] Novo Nordisk. Novo's CagriSema was associated with 25% weight loss on average for women in a post hoc analysis of REDEFINE 1 presented at The Menopause Society Annual Meeting[EB/OL]. (2026-10-20)[2026-10-28].

[7] Reuters. US FDA takes step to change peptide compounding policy[EB/OL]. (2026-10-16)[2026-10-28].

[8] Reuters. US Health Secretary Kennedy opens access to some unapproved peptides[EB/OL]. (2026-10-28)[2026-10-29].