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Short updates on new peptide drugs and rule changes, newest first. Each one links to the official source. "Proposed" means not final. For learning only, not medical advice.
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Proposed, not final
HHS proposes letting pharmacies custom-mix six peptides (not final)
HHS's draft enforcement discretion policy covers 503A compounding of BPC-157, Epitalon, KPV, MOTS-c, Semax and TB-500 under strict conditions. It is a draft open for comment, not FDA approval, and it is not binding. Comments are accepted for two weeks after publication, so they close about Nov 13, 2026 (check the docket for the exact time).
CagriSema (cagrilintide + semaglutide), Novo Nordisk
Novo Nordisk submitted a New Drug Application to the FDA on Dec 18, 2025 for weight management, and said the FDA was expected to review it in 2026. CagriSema is not approved in the US or EU.
Novo Nordisk said in June 2025 it would move injectable and oral amycretin, a single molecule acting on GLP-1 and amylin receptors, into phase 3 for weight management. It is investigational.
Amgen's phase 3 MARITIME program studies MariTide, an antibody-peptide conjugate, in obesity (MARITIME-1) and type 2 diabetes with obesity (MARITIME-2), with further studies in heart disease, heart failure and sleep apnea. It is investigational.
The FDA approved Foundayo (orforglipron), a once-daily oral GLP-1 receptor agonist, for chronic weight management in adults with obesity, or overweight with a weight-related condition. Note: orforglipron is a small molecule, not a peptide; we track it because it competes with peptide GLP-1 medicines.