Drugs / Orlistat
last change Jul 2026 re-read 9 days ago

Orlistat

Small molecule targets LIPF, PNLIP via inhibition

Developed for
obesity disorder · metabolic syndrome X · polycystic ovary syndrome · type 2 diabetes mellitus · anovulation · atypical endometrial hyperplasia · Crigler-Najjar syndrome · diabetes mellitus
+16 more · endometrial cancer · fatty liver disease · glucose intolerance · gout · heart disorder · hepatitis · hyperlipoproteinemia, type 1D · hypertensive disorder · hypertriglyceridemia 1 · lung adenocarcinoma · NAFLD1 · poisoning · progesterone resistance · sleep apnea syndrome · female infertility · morbid obesity
Investigated by
Hoffmann-La Roche · Empros Pharma AB · CTC Clinical Trial Consultants AB · National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) · Pennington Biomedical Research Center · University of Texas Southwestern Medical Center
+46 more · Yale University · Affiliated Hospital of Nantong University · Albany College of Pharmacy and Health Sciences · Albany Medical College · Alizyme · Aristotle University Of Thessaloniki · De Najjar Stichting · Donaghue Medical Research Foundation · EMS · Emory University · Erasmus Medical Center · Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) · Gachon University Gil Medical Center · Gangnam Severance Hospital · Germed Pharma · Hangzhou Zhongmei Huadong Pharmaceutical Co., Ltd. · Healthway Compounding Pharmacy · Hubei Cancer Hospital · Jack Yanovski · Louisiana Office of Group Benefits · Mashhad University of Medical Sciences · Michigan Public Health Departments · National Institute of Environmental Health Sciences (NIEHS) · Northwell Health · Novo Nordisk A/S · Peking University People's Hospital · Ping Peng · RenJi Hospital · Roche Pharma AG · Shandong New Time Pharmaceutical Co., LTD · Shanghai 10th People's Hospital · Sheffield Teaching Hospitals NHS Foundation Trust · Shengjing Hospital · Shionogi · Shiraz University of Medical Sciences · St. Louis University · The Cleveland Clinic · The Fourth Affiliated Hospital of Zhejiang University School of Medicine · The People's Hospital of Liaoning Province · University Medical Center Groningen · University of British Columbia · University of Campinas, Brazil · University of Iowa · XueMei Guo · Yazd Medical University · Yazd Research & Clinical Center for Infertility

Regulatory milestones approvals, filings & regulatory actions · 4 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansions (2) US (FDA) XENICAL — 2003-12-12 – 2004-10-22 fda.gov ↗
Approved US (FDA) XENICAL — 1999-04-23 fda.gov ↗
Approved EU (EMA) Xenical — 1998-07-29 europa.eu ↗

Trials 40

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 1/21 trial
Phase 1/2 NCT04521751 May 2020 → Aug 2021 obesity disorder Empros Pharma AB Completed No outcome recorded
Phase 211 trials · 2 met primary
Phase 2 NCT07714070 Jul 2026 → Sep 2027 expected atypical endometrial hyperplasia, endometrial cancer, progesterone resistance Peking University People's Hospital Not yet recruiting No outcome recorded
Phase 2 NCT06993428 May → Jul 2025 overdue obesity disorder Empros Pharma AB Not yet recruiting No outcome recorded
Phase 2 NCT06818955 Feb → May 2025 overdue lung adenocarcinoma Ping Peng Not yet recruiting No outcome recorded
Phase 2 NCT05934110 Apr → Nov 2023 obesity disorder Empros Pharma AB Unknown No outcome recorded
Phase 2 NCT02767531 Dec 2015 → May 2018 hypertriglyceridemia 1 University of Texas Southwestern Medical Center Completed No outcome recorded
Phase 2 NCT01675154 Nov 2015 → Jun 2020 hyperlipoproteinemia, type 1D University of Texas Southwestern Medical Center Terminated No outcome recorded
Phase 2 NCT01351753 Mar 2011 → Jan 2014 metabolic syndrome X, obesity disorder University of Iowa Terminated No outcome recorded Stop: Business
Phase 2 NCT01126970 Apr 2010 → Jan 2011 obesity disorder Shionogi Completed No outcome recorded
Phase 2 NCT01003483 Dec 2008 → Aug 2009 obesity disorder Yazd Research & Clinical Center for Infertility Completed No outcome recorded
Phase 2 NCT00156897 Dec 2004 → Oct 2005 obesity disorder, type 2 diabetes mellitus Alizyme Completed Met primary
Phase 33 trials
Phase 3 NCT01755676 Sep 2016 → Dec 2017 obesity disorder EMS Completed No outcome recorded
Phase 3 NCT03336086 Mar → Nov 2012 lymphoid hemopathy, viral infectious disease Shiraz University of Medical Sciences Completed No outcome recorded
Phase 3 NCT00940628 Apr 2008 → Sep 2010 obesity disorder Hoffmann-La Roche Completed No outcome recorded
Phase 415 trials · 2 met primary · 2 missed
Phase 4 NCT07301437 May 2026 → Aug 2027 expected — The Fourth Affiliated Hospital of Zhejiang University School of Medicine Not yet recruiting No outcome recorded
Phase 4 NCT06501326 Nov 2023 → Oct 2024 NAFLD1, obesity disorder Affiliated Hospital of Nantong University Unknown No outcome recorded
Phase 4 NCT05496075 Aug 2022 → Dec 2023 — Shanghai 10th People's Hospital Completed Mixed
Phase 4 NCT04531176 Sep 2020 → Aug 2022 obesity disorder, type 2 diabetes mellitus The Cleveland Clinic Terminated Mixed
Phase 4 NCT03799198 Jan 2019 → May 2020 obesity disorder Novo Nordisk A/S Completed Met primary
Phase 4 NCT03582722 Sep 2018 → Jun 2022 poisoning Emory University Completed No outcome recorded
Phase 4 NCT03383068 Jan → Dec 2018 glucose intolerance, polycystic ovary syndrome RenJi Hospital Unknown No outcome recorded
Phase 4 NCT01035333 Nov 2009 → Apr 2011 obesity disorder Albany College of Pharmacy and Health Sciences Completed No outcome recorded
Phase 4 NCT00516919 Aug 2007 → Dec 2010 binge eating disorder, obesity disorder Yale University Completed Missed primary
Phase 4 NCT00115063 Jul 2005 → Dec 2007 obesity disorder Pennington Biomedical Research Center Terminated Met primary
Phase not applicable10 trials · 1 met primary · 1 missed
— NCT07326839 Dec 2025 → Nov 2027 expected gout, obesity disorder XueMei Guo Not yet recruiting No outcome recorded
— NCT05076474 Oct 2020 → Mar 2021 — Shandong New Time Pharmaceutical Co., LTD Completed No outcome recorded
— NCT03675191 Oct 2018 → Jul 2019 obesity disorder Gangnam Severance Hospital Completed Met primary
— NCT01719419 Mar → Sep 2012 obesity disorder Pennington Biomedical Research Center Withdrawn No outcome recorded
— NCT01184560 Feb → Jul 2010 obesity disorder Gachon University Gil Medical Center Completed No outcome recorded
— NCT01414465 Oct 2009 → Mar 2010 obesity disorder University of Campinas, Brazil Completed No outcome recorded
— NCT00829283 Nov 2008 → Nov 2013 binge eating disorder, obesity disorder Yale University Completed No outcome recorded
— NCT00794963 Nov 2008 → May 2010 metabolic syndrome X Northwell Health Terminated No outcome recorded Stop: Enrollment
— NCT00292799 Feb 2006 → Feb 2008 anovulation, obesity disorder Sheffield Teaching Hospitals NHS Foundation Trust Completed Missed primary
— NCT00461799 Sep 2003 → Jan 2004 Crigler-Najjar syndrome University Medical Center Groningen Completed No outcome recorded
Comparator or background therapy23 trials
Phase 1 NCT06013163 Comparator Sep 2023 → Dec 2024 obesity disorder Empros Pharma AB Unknown No outcome recorded
Phase 1 NCT05760677 Background Oct 2022 → Sep 2023 polycystic ovary syndrome, type 2 diabetes mellitus Affiliated Hospital of Nantong University Unknown No outcome recorded
Phase 1 NCT01550926 Comparator Feb → Mar 2009 obesity disorder GlaxoSmithKline Completed No outcome recorded
Phase 1/2 NCT02503865 Comparator Jan 2003 → Dec 2008 metabolic syndrome X Nazarbayev University Completed No outcome recorded
Phase 2 NCT05816343 Comparator Jan 2024 → Aug 2027 expected hypertriglyceridemia 1 University of Texas Southwestern Medical Center Recruiting No outcome recorded

News releases announcing trial results or a regulatory action · 8

DateIssuerRelease
2025-11-03 Empros Pharma AB Results Topline POEM Study Results Position EMP16 as a Promising Oral Weight-Loss Maintenance Therapy emprospharma.com ↗
Empros Pharma AB, a Stockholm-based biopharmaceutical company developing EMP16, an investigational oral fixed dose combination of orlistat and acarbose for obesity and long-term weight-loss maintenance, is pleased to announce positive topline results from its Phase 2 POEM study.
2017-09-11 Empros Pharma AB Results Pressrelease phase 2A trial emprospharma.com ↗
The trials show best-in class safety and indicates stronger appetite suppressing effect and improved glycaemic control compared to existing alternatives like Xenical ® .
2017-08-13 Empros Pharma AB Results Phase 2A trial concluded emprospharma.com ↗
The results clearly indicate that EMP16-01 has a stronger appetite suppressing effect as compared to Xenical®, see figure, which is expected reduce the BMI more than Xenical®.
2009-04-19 GlaxoSmithKline Regulatory GlaxoSmithKline launches alli® (orlistat 60 mg) gsk.com ↗
GSK has received a non-prescription licence for alli (orlistat 60mg); the first time the European Commission has approved a non-prescription product for weight loss.
2009-01-20 GlaxoSmithKline Regulatory GlaxoSmithKline receives European Commission approval to market alli® (orlistat 60mg) gsk.com ↗
GlaxoSmithKline (GSK) has received a non-prescription licence for alli (orlistat 60mg); the first time the European Commission has approved a non-prescription product for weight loss.
2008-06-16 Novo Nordisk A/S Results Signifikant vægttab fastholdes hos svært overvægtige efter behandling med liraglutide i et år novonordisk.com ↗
Deltagere, der blev behandlet med open-label orlistat, tabte sig 3,5-4,0 kg i forhold til udgangspunktet, og omkring 45% og omkring 15% opnåede et vægttab på henholdsvis over 5% og 10% efter 52 ugers behandling.
2008-06-16 Novo Nordisk A/S Results Significant weight loss sustained in obese people treated with liraglutide for one year novonordisk.com ↗
The people treated with open-label orlistat lost 3.5-4.0 kg from baseline and around 45% and around 15% achieved a weight loss larger than 5% and 10% after 52 weeks of treatment, respectively.
2007-11-20 Novo Nordisk A/S Results Nyt fase 2-studie viser, at liraglutide medfører signifikant vægttab hos svært overvægtige novonordisk.com ↗
Novo Nordisk har i dag offentliggjort kliniske resultater fra et dobbeltblindt, placebokontrolleret fase 2-studie, der har sammenlignet liraglutide, den humane GLP-1-analog til dosering én gang dagligt, med lipasehæmmeren orlistat ved behandling af fedme hos personer uden diabetes.

Evidence & citations 17 cited values

Every value below carries the sentence it was read from. 66 sources stand behind the page.

FieldValueCited text
Known as Orlistat “Orlistat : A lipase inhibitor used for weight loss. Lipase is an enzyme found in the bowel that assists in lipid absorption by the body. Orlistat blocks this enzyme, reducing...” NCT01184560 ↗
59

“Xenical (Orlistat) - 120 mg/day in integration of Pionorm (Pioglitazone hydrochlorid) - 30 mg/day, Diroton (Lizinopril) - 20 mg/day, Diltiazem - 90 mg/day, Atorvastatin...” NCT02503865 ↗

“All women in both groups will adhere to the same medication (orlistat) as prescribed by the gynecologist for 12 weeks.” NCT07437001 ↗

“MR orlistat 120 mg is the same as EMP16-120/40 but without the acarbose component in matching oral capsules.” NCT05934110 ↗

“Xenical® (120 mg orlistat) will be taken together with breakfast during one PK study day.” NCT06013163 ↗

“A low calorie diet+ Orlistat+ Soluble Fiber+ Physical activity” NCT03336086 ↗

“Orlistat (Xenical® pills, per os \[p.o.; by mouth\])” NCT03799198 ↗

“Orlistat (Xenical, Alli)” NCT05812183 ↗

“Alli® (orlistat 60 mg)” NCT02141230 ↗

“Orlistat” NCT02041234 ↗

NCT06818955 ↗

Show 49 more sources

Known as Alli “Orlistat in its conventional form will be Alli® 60 mg during week 1 to 4 and Xenical® 120 mg from week 5 and onwards in matching oral capsules.” NCT05934110 ↗
4

“the drug orlistat (Alli, Xenical) decreases the taste for fat in humans.” NCT01719419 ↗

“Orlistat in its conventional form will be Alli® 60 mg.” NCT06993428 ↗

“Orlistat (Xenical, Alli)” NCT05812183 ↗

NCT02141230 ↗

Known as Alli (previously orlistat gsk) ChEMBL registry synonym — accepted as the source's own label CHEMBL175247 ↗
Known as Beacita ChEMBL registry synonym — accepted as the source's own label CHEMBL175247 ↗
Known as EMP22 “EMP22 (also referred to as MR orlistat) has the same MR properties as EMP16 but lacks the acarbose component.” NCT06013163 ↗
Known as NSC-758881 ChEMBL registry synonym — accepted as the source's own label CHEMBL175247 ↗
Known as Orlipastat ChEMBL registry synonym — accepted as the source's own label CHEMBL175247 ↗
Known as RO 18-0647/002 ChEMBL registry synonym — accepted as the source's own label CHEMBL175247 ↗
Known as tetrahydrolipstatin “Orlistat (tetrahydrolipstatin or THL) inhibits gastrointestinal lipase and reduces the absorption of dietary fat.” NCT00752726 ↗
Known as THL “Orlistat (tetrahydrolipstatin or THL) inhibits gastrointestinal lipase and reduces the absorption of dietary fat.” NCT00752726 ↗
Known as Xenical “Xenical (Orlistat) - 120 mg/day in integration of Pionorm (Pioglitazone hydrochlorid) - 30 mg/day, Diroton (Lizinopril) - 20 mg/day, Diltiazem - 90 mg/day, Atorvastatin...” NCT02503865 ↗
14

“In addition, orlistat (Xenical, Roche S.A., Greece; 120 mg, 3 times per day) was administered before each meal, for 24 weeks.” NCT01475019 ↗

“One medication that may have a favorable risk-benefit ratio in pediatric populations is Orlistat (Xenical, Hoffmann LaRoche).” NCT00001723 ↗

“Orlistat (Xenical) in the Treatment of Overweight Patients With Nonalcoholic Steatohepatitis (NASH)” NCT00160407 ↗

“Xenical® (120 mg orlistat) will be taken together with breakfast during one PK study day.” NCT06013163 ↗

“the drug orlistat (Alli, Xenical) decreases the taste for fat in humans.” NCT01719419 ↗

“weight loss medication Xenical (generic name - orlistat)” NCT00152360 ↗

“Orlistat (Xenical® pills, per os \[p.o.; by mouth\])” NCT03799198 ↗

“comparison with orlistat (Xenical).” PMID 19461584 ↗ May 2009

“Orlistat (Xenical, Alli)” NCT05812183 ↗

“orlistat [Xenical]” NCT00940628 ↗

Show 4 more sources

Known as Xenical (orlistat) “Xenical (orlistat)” NCT00207311 ↗
Action Inhibit “Orlistat acts by inhibiting gastrointestinal lipases” NCT00001723 ↗
2

“Pancreatic lipase inhibitor” CHEMBL175247 ↗

“Gastric lipase inhibitor” CHEMBL175247 ↗

Modality Small molecule — CHEMBL175247 ↗
Route Oral “120 mg orally 3 times daily” PMID 20101008 ↗ Jan 2010
Target LIPF “Gastric lipase inhibitor” CHEMBL175247 ↗
Target PNLIP “Pancreatic lipase inhibitor” CHEMBL175247 ↗