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Data updated: Mar 10, 2026

OZEMPIC

SEMAGLUTIDE Glucagon-like Peptide-1 (GLP-1) Agonists
Cardiovascular Approved 2017-12-05

Ozempic (semaglutide) is a GLP-1 receptor agonist indicated for adults with type 2 diabetes mellitus to improve glycemic control as an adjunct to diet and exercise. It is also approved to reduce the risk of major adverse cardiovascular events, including cardiovascular death, non-fatal myocardial infarction, or non-fatal stroke, in adults with type 2 diabetes and established cardiovascular disease. The medication is not indicated for the treatment of type 1 diabetes or for patients with a history of pancreatitis.

Source: FDA Label • Novo Nordisk • GLP-1 Receptor Agonist

How OZEMPIC Works

Semaglutide acts as a GLP-1 receptor agonist that selectively binds to and activates the GLP-1 receptor, mimicking the physiological hormone that regulates glucose. It lowers blood glucose by stimulating insulin secretion and inhibiting glucagon secretion in a glucose-dependent manner. The mechanism also involves a minor delay in gastric emptying in the early postprandial phase. The drug is stabilized against metabolic degradation and binds to albumin, which results in a long half-life and decreased renal clearance.

Source: FDA Label
4
Indications
--
Phase 3 Trials
8
Years on Market

Details

Status
Prescription
First Approved
2017-12-05
Routes
SUBCUTANEOUS
Dosage Forms
SOLUTION

Companies

Active Ingredient: SEMAGLUTIDE

OZEMPIC Approval History

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What OZEMPIC Treats

2 indications

OZEMPIC is approved for 2 conditions since its original approval in 2017. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Type 2 Diabetes
  • Cardiovascular Disease
Source: FDA Label

OZEMPIC Boxed Warning

RISK OF THYROID C-CELL TUMORS • In rodents, semaglutide causes dose-dependent and treatment-duration-dependent thyroid C-cell tumors at clinically relevant exposures. It is unknown whether OZEMPIC causes thyroid C-cell tumors, including medullary thyroid carcinoma (MTC), in humans as human relevance of semaglutide-induced rodent thyroid C-cell tumors has not been determined [see Warnings and Precautions ( 5.1 ) and Nonclinical Toxicology ( 13.1 )] . • OZEMPIC is contraindicated in patients with ...

OZEMPIC Target & Pathway

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Target

GLP-1 (Glucagon-Like Peptide-1) Incretin Receptor

A hormone released after eating that stimulates insulin secretion, suppresses glucagon, slows gastric emptying, and promotes satiety. GLP-1 receptor agonists mimic these effects, improving blood sugar control and promoting weight loss in diabetes and obesity.

OZEMPIC Competitors

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6 other drugs also target GLP-1. Compare mechanisms, indications, and trial activity.

Drug = Competitor name Company = Manufacturer N indic. = FDA-approved indications → Date = Patent/exclusivity expiry

Competitors share the same molecular target (GLP-1). Earlier expiry dates signal biosimilar/generic opportunities.

Drugs Similar to OZEMPIC

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

INVOKAMET
CANAGLIFLOZIN
2 shared
Johnson & Johnson
Shared indications:
Type 2 DiabetesCardiovascular Disease
ACARBOSE
ACARBOSE
1 shared
WATSON LABS
Shared indications:
Type 2 Diabetes
ACTOS
PIOGLITAZONE HYDROCHLORIDE
1 shared
Takeda
Shared indications:
Type 2 Diabetes
ADLYXIN
LIXISENATIDE
1 shared
SANOFI-AVENTIS US
Shared indications:
Type 2 Diabetes
AMLODIPINE BESYLATE AND ATORVASTATIN CALCIUM
AMLODIPINE BESYLATE
1 shared
Viatris
Shared indications:
Cardiovascular Disease
ATORVALIQ
ATORVASTATIN CALCIUM
1 shared
CMP DEV LLC
Shared indications:
Type 2 Diabetes
BASAGLAR
INSULIN GLARGINE
1 shared
Eli Lilly
Shared indications:
Type 2 Diabetes
BRENZAVVY
BEXAGLIFLOZIN
1 shared
THERACOSBIO
Shared indications:
Type 2 Diabetes
BRYNOVIN
SITAGLIPTIN HYDROCHLORIDE
1 shared
AZURITY
Shared indications:
Type 2 Diabetes
CADUET
AMLODIPINE BESYLATE
1 shared
PHARMACIA
Shared indications:
Type 2 Diabetes
COZAAR
LOSARTAN POTASSIUM
1 shared
Merck
Shared indications:
Type 2 Diabetes
CYCLOSET
BROMOCRIPTINE MESYLATE
1 shared
VEROSCIENCE
Shared indications:
Type 2 Diabetes
DIABETA
GLYBURIDE
1 shared
Sanofi
Shared indications:
Type 2 Diabetes
DUETACT
GLIMEPIRIDE
1 shared
Takeda
Shared indications:
Type 2 Diabetes
FARXIGA
DAPAGLIFLOZIN
1 shared
AstraZeneca
Shared indications:
Type 2 Diabetes
GLYBURIDE
GLYBURIDE
1 shared
IMPAX LABS INC
Shared indications:
Type 2 Diabetes
GLYXAMBI
EMPAGLIFLOZIN
1 shared
Boehringer Ingelheim
Shared indications:
Type 2 Diabetes
INPEFA
SOTAGLIFLOZIN
1 shared
LEXICON PHARMS INC
Shared indications:
Type 2 Diabetes
INVOKAMET XR
CANAGLIFLOZIN
1 shared
Johnson & Johnson
Shared indications:
Type 2 Diabetes
JANUMET
METFORMIN HYDROCHLORIDE
1 shared
Merck
Shared indications:
Type 2 Diabetes
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

OZEMPIC FDA Label Details

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Indications & Usage

FDA Label (PDF)

OZEMPIC is indicated: • as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. • to reduce the risk of major adverse cardiovascular events (cardiovascular death, non-fatal myocardial infarction or non-fatal stroke) in adults with type 2 diabetes mellitus and established cardiovascular disease. Limitations of Use • OZEMPIC has not been studied in patients with a history of pancreatitis. Consider other antidiabetic therapies in patients with a history of pancreatitis [see Warnings and Precautions ] . • OZEMPIC is not indicated for use in patients ...

⚠️ BOXED WARNING

WARNING: RISK OF THYROID C-CELL TUMORS • In rodents, semaglutide causes dose-dependent and treatment-duration-dependent thyroid C-cell tumors at clinically relevant exposures. It is unknown whether OZEMPIC causes thyroid C-cell tumors, including medullary thyroid carcinoma (MTC), in humans as human ...

OZEMPIC Patents & Exclusivity

Latest Patent: Oct 2038
Exclusivity: Jan 2028

Patents (48 active)

US12295988 Expires Oct 10, 2038
US10335462 Expires Jun 21, 2033
US8129343 Expires Dec 5, 2031
US8536122 Expires Mar 20, 2026
+ 38 more patents

Exclusivity

I-961 Until Jan 2028
I-961 Until Jan 2028
I-961 Until Jan 2028
I-961 Until Jan 2028
I-961 Until Jan 2028
Source: FDA Orange Book

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.