Negative in Ames, in vitro micronucleus (human lymphoblastoid cells) and in vivo rat bone marrow micronucleus assays
“Orforglipron was not mutagenic or clastogenic in a bacterial reverse mutation test, an in vitro micronucleus test in human lymphoblastoid cells, or in an in vivo bone marrow micronucleus study in rats.”
Lifetime rat and 6-month rasH2 mouse: not carcinogenic
“FDA concurs with the Applicant that orforglipron was not carcinogenic in a lifetime study in rats and a 6-month study in rasH2 transgenic mice.”
✓ VerifiedFDA multi-discipline review, p. 61Source ↗
Reproductive & developmental
Rabbit EFD: off-target decreased fetal and placental weights and malformations at 14x MRHD
“In a rabbit embryofetal development study, orforglipron caused off-target embryofetal effects which included decreased fetal and placental weights and malformations at exposures 14x the MRHD.”
✓ VerifiedFDA multi-discipline review, p. 44Source ↗
Safety pharmacology
No respiratory or CNS effects in monkeys; GLP-1 class increases in heart rate and PR interval prolongation
“Orforglipron did not affect respiratory or CNS functions in monkeys. In cardiovascular studies in monkeys, orforglipron produces effects consistent with GLP-1 pharmacology including increases in heart rate and PR interval prolongation.”
✓ VerifiedFDA multi-discipline review, p. 53Source ↗
Not genotoxic overall: Ames negative; in vitro chromosome aberration positive without (not with) metabolic activation; rat micronucleus and comet negative