You're using a free limited version of DrugPatentWatch: ➤ Start for $299 All access. No Commitment.

Last Updated: December 18, 2025

CLINICAL TRIALS PROFILE FOR RYBELSUS


✉ Email this page to a colleague

« Back to Dashboard


505(b)(2) Clinical Trials for RYBELSUS

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
New Dosage NCT06083675 ↗ Research Study to Compare Semaglutide Tablets With Empagliflozin or Metformin Tablets in People With Type 2 Diabetes Withdrawn Novo Nordisk A/S Phase 3 2024-01-26 This study compares the medicines semaglutide with empagliflozin or metformin in people with newly diagnosed type 2 diabetes. This study will look mainly at how well participant's blood sugar and body weight are controlled when they are taking the study medicines. Participants will either get semaglutide tablets, empagliflozin tablets or metformin tablets. Which treatment participants will get is decided by chance. Currently, doses of 3 milligram (mg), 7 mg and 14 mg semaglutide tablets (Rybelsus) can be prescribed in some countries. 25 mg and 50 mg semaglutide tablets are new doses. 10 mg and 25 mg empagliflozin tablets (Jardiance) can be prescribed in some countries. 500 mg metformin tablets (STADA) can be prescribed in some countries. Participants will get 1 to 4 tablets per day for 104 weeks. The study will last for about 2 years and 7 weeks (111 weeks). Participants should not have been treated for weight management 90 days before screening or never been treated with any medicine for type 2 diabetes (except diabetes during pregnancy) before screening. Women cannot take part if pregnant, breast-feeding or plan to get pregnant during the study period.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for RYBELSUS

Trial ID Title Status Sponsor Phase Start Date Summary
NCT04707469 ↗ Research Study to Compare Three Doses of Semaglutide Tablets Taken Once Daily in People With Type 2 Diabetes Recruiting Novo Nordisk A/S Phase 3 2021-01-15 This study compares three doses of once daily semaglutide tablets in people with type 2 diabetes who were previously treated with other oral anti-diabetic medicines. Participants will be initiated on the lowest starting dose of 3 mg and gradually increased until they reach the final trial dose of 14 mg, 25 mg or 50 mg once daily semaglutide tablets. The final three doses will be randomized (i.e., decided by chance). Participants will be administered one tablet per day for 68 weeks. Women cannot take part if they are pregnant, breast-feeding or planning to become pregnant during the study period. Women who can get pregnant will be checked for pregnancy via urine tests. Once daily semaglutide tablets (3 mg, 7 mg and 14 mg) are approved for the treatment of type 2 diabetes in the US, in the EU and in some other countries, under the brand name Rybelsus®.
NCT05035082 ↗ A Research Study Comparing RYBELSUS® to Other Blood Sugar Lowering Tablets in People Living in America With Type 2 Diabetes (REALYSE) Recruiting Novo Nordisk A/S Phase 4 2021-09-01 This study is comparing the medicine RYBELSUS® to other medicines in people with type 2 diabetes who need extra treatment. All medicines used in this study are tablets which lower blood sugar in people with type 2 diabetes. The purpose of the study is to see how well RYBELSUS® is at lowering blood sugar compared to other tablets when used in addition to metformin. Participants doctor will give participants either RYBELSUS® or any other blood sugar lowering tablets - which treatment participants get is decided by chance. The doctor treating participants diabetes will give participants a prescription for the medicine and tell how to take it. The study will last for about 2 years. Participants will have 3 planned visits with their doctor which are part of the usual routine diabetes management: the first visit is when participants are included in the study, the second visit is a 1-year follow-up visit, and the last visit is a 2-year follow-up visit. In addition, the study personnel will contact participants up to 3 times per year during this period and to follow-up on information from participant doctors visits. Participant will be asked to respond 3 times to 4 questionnaires via their personal smartphone or tablet or paper if participant do not have access to one during the study. All clinic visits are part of the usual routine diabetes management and are covered by participants health insurance plan. The study team will collect information from these visits recorded in the medical chart. Women cannot take part if pregnant, breast-feeding or plan to become pregnant during the study period.
NCT05147896 ↗ Semaglutide Anti-Atherosclerotic Mechanisms of Action Study in Type 2 Diabetes Patients Not yet recruiting University of Palermo N/A 2021-12-01 Diabetes is a chronic disease characterized by chronic hyperglycaemia, causing microvascular and macrovascular complications. The latter lead to various disabilities: blindness, end-stage renal failure, nerve damage, formation of leg ulcers, and atherosclerosis. In people with type 2 diabetes, the probability of these atherosclerosis associated complications is twice as high as in people without diabetes. Cardiovascular diseases are also the main cause of mortality in people with diabetes. Preventive measures are therefore crucial. In people with type 2 diabetes, in addition to good glycaemic control, the choice of antidiabetic drugs is also important. Large-scale research has shown that certain glucagon-like peptide (GLP-1) receptor agonists, in addition to improving the regulation of diabetes, also have a significant effect on reducing the macrovascular complications. It is now possible to use semaglutide, a GLP-1 receptor agonist, in the tablet form. Semaglutide lowers blood sugar only when the blood sugar value rises, due to food in the digestive tract, Thus, not increasing the risk of hypoglycaemia. In addition, semaglutide has a significant effect on weight loss and very beneficial, protective effects on the cardiovascular system. Large studies have shown that in its injectable form, it significantly reduces the incidence of cardiovascular death in patients with type 2 diabetes. Therefore, the aim of the present study is to examine how semaglutide provides protective effects on the cardiovascular system and reduces the risk of diabetes type 2 associated complications. The present study will include 100 people with type 2 diabetes and last for 12 months. The subjects will receive a semaglutide oral tablet daily in addition to their current treatment (combination of metformin and a sulphonyl urea). At the beginning of the study, after 6 months and at the end of the study (after 12 months of treatment), a detailed clinical examination will be performed and blood will be taken for laboratory parameters. In addition to basic blood tests, inflammatory and oxidative stress parameters, as well as lipid fractions parameters will also be assessed. Ultrasound examination of the changes in the carotid arteries and measures of additional properties of the arteries will also be performed. The confidentiality of the data of the participants in the research will be ensured, as the data obtained during the investigation will be encrypted before processing.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for RYBELSUS

Condition Name

Condition Name for RYBELSUS
Intervention Trials
Diabetes Mellitus, Type 2 5
Obesity 2
Mild Cognitive Impairment 1
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Condition MeSH

Condition MeSH for RYBELSUS
Intervention Trials
Diabetes Mellitus, Type 2 6
Diabetes Mellitus 6
Alzheimer Disease 2
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Locations for RYBELSUS

Trials by Country

Trials by Country for RYBELSUS
Location Trials
United States 42
India 25
Australia 8
Poland 7
Canada 4
This preview shows a limited data set
Subscribe for full access, or try a Trial

Trials by US State

Trials by US State for RYBELSUS
Location Trials
Texas 4
North Dakota 2
North Carolina 2
Massachusetts 2
Illinois 2
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Progress for RYBELSUS

Clinical Trial Phase

Clinical Trial Phase for RYBELSUS
Clinical Trial Phase Trials
PHASE4 1
PHASE2 1
PHASE1 3
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Status

Clinical Trial Status for RYBELSUS
Clinical Trial Phase Trials
RECRUITING 7
Not yet recruiting 4
NOT_YET_RECRUITING 1
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Sponsors for RYBELSUS

Sponsor Name

Sponsor Name for RYBELSUS
Sponsor Trials
Novo Nordisk A/S 4
Lexaria Bioscience Corp. 1
Pfizer 1
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Sponsor Type

Sponsor Type for RYBELSUS
Sponsor Trials
Other 12
Industry 6
NIH 2
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trials Update, Market Analysis, and Projection for Rybelsus (Semaglutide)

Last updated: October 28, 2025

Introduction

Rybelsus (semaglutide), developed by Novo Nordisk, is a GLP-1 receptor agonist approved by the FDA in 2019 for adult patients with Type 2 diabetes mellitus (T2DM). As the first oral GLP-1R agonist, Rybelsus has disrupted diabetes management and positioned itself as a leading innovator in the chronic disease therapeutics sector. This comprehensive analysis provides an update on the latest clinical trials, evaluates current market dynamics, and offers future market projections for Rybelsus, emphasizing its role in diabetes therapy.


Clinical Trials Update

Recent and Ongoing Clinical Trials

Since its launch, Rybelsus has been the subject of extensive clinical research to expand its indications and optimize its efficacy and safety profile.

  1. SOUL Trial (Semaglutide Unimedicated Oral trial for cardiovascular Outcomes in Type 2 Diabetes (CVOT))

    • Status: Ongoing
    • Objective: To assess the cardiovascular safety and potential benefits of Rybelsus in a high-risk T2DM population.
    • Significance: The trial aims to address the pivotal question of whether Rybelsus confers cardiovascular risk reduction, aligning with the outcomes observed with injectable semaglutide.
  2. SUSTAIN 10 and 11:

    • Objective: While primarily focusing on injectable semaglutide, these trials inform the overall understanding of the drug class’s impact.
    • Relevance: Results reinforce the cardiovascular benefits and weight reduction potential, which are now promising for Rybelsus.
  3. Additional Trials on Weight Management and Non-Alcoholic Fatty Liver Disease (NAFLD):

    • Status: Preliminary data emerging from post-market surveillance and smaller studies.
    • Potential: These trials could pave the way for Rybelsus being utilized beyond glucose control, expanding its market.

Regulatory and Labeling Updates

In 2022, the FDA expanded Rybelsus’s label to include specific guidance on cardiovascular risk management, reflecting its safety and efficacy data. Novo Nordisk continues submitting additional trial data to reinforce Rybelsus’s cardiovascular profile, which is central to its market positioning.


Market Analysis

Current Market Landscape

The global diabetes therapeutics market, valued at approximately USD 85 billion in 2022, is characterized by rapid innovation, driven by the rising prevalence of T2DM and obesity. Injectable GLP-1 receptor agonists like semaglutide have gained significant market share due to their superior efficacy in glycemic control and weight reduction [1].

Rybelsus’s competitive features include:

  • First oral GLP-1 RA: Offering an alternative to injections, improving patient compliance.
  • Efficacy: Demonstrates comparable glycemic control and weight loss as injectable counterparts [2].
  • Safety profile: Well-tolerated with manageable gastrointestinal side effects.

Market Penetration and Sales Performance

As of 2022, Rybelsus has contributed significantly to Novo Nordisk's diabetes portfolio, with global sales reaching approximately USD 2.3 billion [3]. The drug's market share is increasing, especially in North America and Europe, driven by patient preference for oral administration and physicians' confidence in its efficacy.

Market Drivers

  • Rising T2DM Prevalence: Estimated to affect 537 million adults worldwide in 2021, projected to reach 700 million by 2045 [4].
  • Patient Preference: Growing demand for oral and minimally invasive diabetes medications.
  • Healthcare Policies: Emphasis on cardiovascular risk reduction in diabetes management guidelines.
  • Innovative Features: Rybelsus's profile aligns with the shift toward personalized, patient-centric therapies.

Market Challenges

  • Pricing and Reimbursement: Cost remains high; reimbursement policies influence patient access.
  • Competition: Similar oral medications like oral dulaglutide (not yet approved) and SGLT-2 inhibitors; market dominance by injectable semaglutide (Wegovy, Ozempic).
  • Adherence: Gastrointestinal side effects may affect long-term adherence.

Future Market Projection

Growth Trajectory (2023–2030)

The forecast anticipates a compound annual growth rate (CAGR) of approximately 12-15% for Rybelsus sales from 2023 to 2030, driven by expanded indications and evolving clinical data. By 2030, Rybelsus could generate USD 15-20 billion globally, becoming a mainstay in oral diabetes management.

Key Factors Supporting Growth

  • Expanded Indications: Trials investigating Rybelsus’s role in NAFLD, obesity, and cardiovascular risk reduction will open new revenue streams.
  • Emerging Competitors: While promising candidates are entering the pipeline, Rybelsus’s first-mover advantage and established safety profile give it a competitive edge.
  • Evolving Guidelines: Incorporation into treatment algorithms for T2DM with cardiovascular risk factors enhances prescribing patterns.

Geographical Market Trends

  • North America: Dominant market due to high diabetes prevalence and advanced healthcare infrastructure.
  • Europe: Increasing acceptance owing to growing awareness and reimbursement schemes.
  • Asia-Pacific: Rapid adoption anticipated due to rising diabetes burden and shifting healthcare policies favoring oral medications.

Risks and Opportunities

  • Risks: Patent expiration, pricing pressures, and disruptive innovations.
  • Opportunities: Development of fixed-dose combinations, personalized medicine approaches, and expanding into related metabolic disorders.

Conclusion

Rybelsus remains at the forefront of oral diabetes therapeutics, with ongoing clinical trials promising broader utility and efficacy data that could solidify its position further. The evolving market landscape, characterized by increasing diabetes prevalence and patient preference for oral medications, positions Rybelsus for sustained growth. Strategic advances—such as expanded indications, favorable regulatory developments, and tailored marketing—will be critical in maximizing its commercial potential over the next decade.


Key Takeaways

  • Rybelsus’s clinical trials continue to reinforce its safety, efficacy, and cardiovascular benefits, underpinning robust market confidence.
  • The drug accounted for over USD 2 billion in sales in 2022 and is poised to experience significant growth through 2030, driven by expanding indications and market penetration.
  • Its innovative oral administration offers a competitive advantage, especially among patients hesitant to use injectables.
  • Market expansion into metabolic and cardiovascular indications will significantly augment revenue streams.
  • Navigating reimbursement policies and competitive pressures remains vital for sustained growth.

FAQs

1. What are the primary differences between Rybelsus and injectable semaglutide?
Rybelsus is the first oral GLP-1 receptor agonist, offering a non-invasive alternative to injectables like Ozempic and Wegovy. It demonstrates comparable efficacy in glycemic control and weight reduction but may have different absorption and side effect profiles due to its oral formulation.

2. How does Rybelsus compare with other oral antidiabetic agents?
While SGLT-2 inhibitors and DPP-4 inhibitors are common oral agents, Rybelsus’s unique mechanism targeting GLP-1 pathways provides superior weight loss benefits and cardiovascular risk reduction, aligning with updated treatment guidelines emphasizing these benefits.

3. What are the ongoing clinical trials that could impact Rybelsus’s market?
The pivotal SOUL trial aims to confirm cardiovascular safety and benefits beyond glycemic control. Positive results could expand Rybelsus’s label to include cardiovascular protection, boosting its market appeal.

4. What are the main challenges facing Rybelsus’s market growth?
Pricing and reimbursement constraints, gastrointestinal side effects affecting adherence, and intense competition from both existing and pipeline drugs pose ongoing challenges.

5. What is the long-term outlook for Rybelsus?
With ongoing trials, expanded indications, and favorable market trends, Rybelsus’s outlook remains optimistic. Strategic positioning and continued innovation are essential for maintaining its leadership role in oral diabetes therapy.


Sources:

  1. IDF Diabetes Atlas, 2022
  2. Davies, M. et al., "Efficacy and Safety of Oral Semaglutide," Lancet Diabetes Endocrinol, 2021.
  3. Novo Nordisk Annual Report, 2022.
  4. International Diabetes Federation, "Worldwide Diabetes Prevalence," 2021.

More… ↓

⤷  Get Started Free

Make Better Decisions: Try a trial or see plans & pricing

Drugs may be covered by multiple patents or regulatory protections. All trademarks and applicant names are the property of their respective owners or licensors. Although great care is taken in the proper and correct provision of this service, thinkBiotech LLC does not accept any responsibility for possible consequences of errors or omissions in the provided data. The data presented herein is for information purposes only. There is no warranty that the data contained herein is error free. We do not provide individual investment advice. This service is not registered with any financial regulatory agency. The information we publish is educational only and based on our opinions plus our models. By using DrugPatentWatch you acknowledge that we do not provide personalized recommendations or advice. thinkBiotech performs no independent verification of facts as provided by public sources nor are attempts made to provide legal or investing advice. Any reliance on data provided herein is done solely at the discretion of the user. Users of this service are advised to seek professional advice and independent confirmation before considering acting on any of the provided information. thinkBiotech LLC reserves the right to amend, extend or withdraw any part or all of the offered service without notice.