Trulicity vs Ozempic®

Side-by-side comparison of Trulicity and Ozempic® — mechanism, indications, safety, trials, sponsor, and pricing.

At a glance

TrulicityOzempic®
Generic nameDULAGLUTIDEOzempic®
SponsorEli LillyHangzhou Zhongmei Huadong Pharmaceutical Co., Ltd.
Drug classGLP-1 Receptor Agonist [EPC]GLP-1 receptor agonist
Molecular targetGLP-1 receptorGLP-1R (glucagon-like peptide-1 receptor)
ModalityRecombinant proteinSmall molecule
PhaseFDA-approvedFDA-approved
Therapeutic areaMetabolicDiabetes
First approval2014

Mechanism of action

TrulicityDulaglutide activates GLP-1 receptors, increasing insulin release and decreasing glucagon secretion and gastric emptying.
Ozempic®Ozempic activates GLP-1 receptors to increase insulin secretion, slow gastric emptying, and reduce appetite, thereby lowering blood glucose levels in type 2 diabetes.

Approved indications

Trulicity

  • Diabetes mellitus type 2

Ozempic®

  • Type 2 diabetes mellitus
  • Cardiovascular risk reduction in patients with type 2 diabetes and established cardiovascular disease

Common side effects

Trulicity

  • Blood glucose increased
  • Injection site pain
  • Accidental underdose
  • Nausea
  • Glycosylated haemoglobin increased
  • Extra dose administered
  • Pancreatitis
  • Diabetic ketoacidosis

Ozempic®

  • Nausea
  • Vomiting
  • Diarrhea
  • Constipation
  • Abdominal pain
  • Hypoglycemia

Boxed warnings

Trulicity

  • WARNING: RISK OF THYROID C-CELL TUMORS In male and female rats, dulaglutide causes a dose-related and treatment-duration-dependent increase in the incidence of thyroid C-cell tumors (adenomas and carcinomas) after lifetime exposure. It is unknown whether TRULICITY causes thyroid C-cell tumors, including medullary thyroid carcinoma (MTC), in humans as human relevance of dulaglutide-induced rodent thyroid C-cell tumors has not been determined [see Warnings and Precautions ( 5.1 ), and Nonclinical Toxicology ( 13.1 )] . TRULICITY is contraindicated in patients with a personal or family history of MTC and in patients with Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Counsel patients regarding the potential risk of MTC with use of TRULICITY and inform them of symptoms of thyroid tumors (e.g., mass in the neck, dysphagia, dyspnea, persistent hoarseness). Routine monitoring of serum calcitonin or using thyroid ultrasound is of uncertain value for early detection of MTC in patients treated with TRULICITY [see Contraindications ( 4 ) and Warnings and Precautions ( 5.1 )] . WARNING: RISK OF THYROID C-CELL TUMORS See full prescribing information for complete boxed warning. Dulaglutide causes thyroid C-cell tumors in rats. It is unknown whether TRULICITY causes thyroid C-cell tumors, including medullary thyroid carcinoma (MTC), in humans as the human relevance of dulaglutide-induced rodent thyroid C-cell tumors has not been determined ( 5.1 , 13.1 ). TRULICITY is contraindicated in patients with a personal or family history of MTC and in patients with Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Counsel patients regarding the potential risk of MTC and symptoms of thyroid tumors ( 4 , 5.1 ).

Ozempic®

No boxed warnings.

Further reading