Lilly Orforglipron ATTAIN-MAINTAIN Phase 3b: Patients Switching Off Injectable Semaglutide or Tirzepatide to the Oral Pill Held 75-80% of Their Weight Loss Over 52 Weeks
Published May 12 in Nature Medicine and presented at ECO 2026, the first-of-its-kind ATTAIN-MAINTAIN trial (NCT06584916) tested whether adults who had already lost substantial weight on Wegovy or Zepbound could maintain it after switching to once-daily orforglipron. Over 52 weeks, the semaglutide-switch group regained an average of 1 kg and the tirzepatide-switch group an average of 5 kg, with most cardiometabolic gains preserved. Carel le Roux and Louis Aronne led the analysis.