HRS-7535 for Type 2 Diabetes Inadequately Controlled With Metformin: A Randomized Clinical Trial - Report - MDSpire

HRS-7535 for Type 2 Diabetes Inadequately Controlled With Metformin: A Randomized Clinical Trial

  • By

  • Lixin Guo

  • Zilin Sun

  • Lihui Zhang

  • Guijun Qin

  • Yulan Li

  • Xiaopan Chen

  • Na Xu

  • Xiuhai Su

  • Li Mao

  • Jiao Sun

  • Zhifeng Cheng

  • Xiaoguang Shi

  • Fang Wang

  • Qi Wang

  • Ruirong Pan

  • Shan Ding

  • Zi Ye

  • Yimei Xu

  • Pan Liu

  • June 3, 2026

  • 0 min

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Clinical Report: Efficacy of HRS-7535 in Patients with Type 2 Diabetes

Overview

This phase 2 trial evaluated the efficacy and safety of HRS-7535, an oral GLP-1 RA, as an add-on therapy to metformin in adults with type 2 diabetes inadequately controlled by metformin. Results indicated significant reductions in HbA1c levels at various doses compared to placebo over 16 weeks.

Background

Type 2 diabetes is a prevalent condition that often requires multiple therapeutic approaches for effective management. GLP-1 receptor agonists have demonstrated benefits in glycemic control and weight reduction, but the availability of oral formulations may enhance patient adherence. HRS-7535 represents a novel option in this therapeutic landscape, potentially addressing limitations of existing treatments.

Data Highlights

In this trial, participants were randomized to receive HRS-7535 at doses of 15, 30, 60, or 90 mg or placebo. The primary endpoint was the change in HbA1c from baseline at week 16.

Key Findings

  • HRS-7535 demonstrated significant reductions in HbA1c levels compared to placebo.
  • The trial included a diverse cohort of adults aged 18 to 75 with type 2 diabetes inadequately controlled on metformin.
  • Multiple dosing regimens were evaluated, with 60 mg and 90 mg groups following specific titration schedules.
  • The safety profile of HRS-7535 was consistent with other GLP-1 RAs.
  • Participants maintained stable body weight during the study period.

Clinical Implications

The findings suggest that HRS-7535 may be a viable oral option for patients with type 2 diabetes who are not adequately managed on metformin alone. Clinicians may consider this therapy to improve glycemic control in this population.

Conclusion

HRS-7535 shows promise as an effective oral GLP-1 RA for managing type 2 diabetes, warranting further investigation in larger trials.

Related Resources & Content

  1. Frontiers in Cardiovascular Medicine, 2026 -- Evaluation of the therapeutic effect of new hypoglycemic drugs on patients with heart failure with reduced ejection fraction and type 2 diabetes: a systematic review and network meta-analysis
  2. Drugs - Real World Outcomes, 2023 -- Effects of Second-Line Combination Therapies on Glycemic Control in Type 2 Diabetes Mellitus: Findings from a Population-Based Cohort Analysis
  3. Drugs - Real World Outcomes, 2024 -- Efficacy and Safety of Sustained Release Vildagliptin in Treating Type 2 Diabetes Mellitus: Insights from the NOVELTY Study in Indian Patients
  4. American Diabetes Association, 2026 -- Pharmacologic Approaches to Glycemic Treatment: Standards of Care in Diabetes
  5. Drugs - Real World Outcomes — Association of Sodium-Glucose Cotransporter-2 Inhibitors with Decreased Heart Failure Hospitalization Risk in Patients with Preserved Ejection Fraction and Type 2 Diabetes Mellitus: Insights from a Diverse Urban Cohort Study
  6. ADA 2025_SOUL Trial Press Release
  7. PIONEER 2 Trial - Oral Semaglutide Versus Empagliflozin in Patients With Type 2 Diabetes Uncontrolled on Metformin
  8. 9. Pharmacologic Approaches to Glycemic Treatment: Standards of Care in Diabetes—2026 | Diabetes Care | American Diabetes Association

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