Efsitora alfa

Once-weekly basal insulin Fc analog · insulin class · sc weekly · Eli Lilly

Top dose
titrated
HbA1c reduction
-1.34%
at week 52 · treatment policy
AE discontinuation
2.0%
Status
phase 3

Pivotal trial

Trial
QWINT-2
Indication
type 2 diabetes (insulin-naive)
Duration
52 weeks
ClinicalTrials.gov
NCT05362058
Sponsor
Eli Lilly

Notes

QWINT-2 (2024): once-weekly insulin efsitora alfa HbA1c -1.34% vs daily degludec -1.26% in insulin-naive T2D at week 52, non-inferiority met. Lilly's once-weekly basal challenger to icodec. Hypoglycemia, not AE-led discontinuation, is the key safety read.

Publication

NEJM 2024 (QWINT-2)