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A clearer view of the milestones shaping peptide and GLP-1 medicines in the UK, US and EU: confirmed decisions, company targets and clearly labelled estimates, each with its source. What we track · How estimates are made.

Semaglutide

Novo Nordisk · GLP-1 receptor agonist · Peptide
Region
Q2 2026Q3 2026Q4 2026Q1 2027Q2 2027Q3 2027Q4 2027Q1 2028
EUEMA / European Commission
Confirmed eventCompany targetRegulator targetEditorial estimateTiming unknown or undatedSafety update

Dashed line: today, 13 Sep 2026. Future windows are conditional. Approval, launch and funded access are separate milestones.

Confirmed · 23 Jul 2024United Kingdom

MHRA approves semaglutide (Wegovy) to reduce the risk of serious heart problems

MHRA announced approval of semaglutide to reduce the risk of major adverse cardiovascular events in adults with established cardiovascular disease and a BMI of 27 or more.

Why it matters. The UK decision came four and a half months after the US one and is a separate regulatory event with its own wording; approval is not NHS funding.

Event
Approval
Indication
Cardiovascular risk reduction (Established cardiovascular disease and overweight or obesity)
Product
Wegovy, once-weekly injection
Authority
MHRA
Event date
23 Jul 2024
Published
13 Sep 2026
Last checked
13 Sep 2026
Record version
v1
MHRA, 23 Jul 2024 ↗ Report a correction Follow Semaglutide Confirmed

All Semaglutide records (accessible list)

Semaglutide

Once-weekly injectable and daily oral GLP-1 receptor agonist, marketed for weight management, type 2 diabetes and cardiovascular risk reduction under several brands.

United Kingdom

· Approval Confirmed

MHRA approves semaglutide (Wegovy) to reduce the risk of serious heart problems

Wegovy (once-weekly injection) · Cardiovascular risk reduction

MHRA announced approval of semaglutide to reduce the risk of major adverse cardiovascular events in adults with established cardiovascular disease and a BMI of 27 or more.

Why it matters: The UK decision came four and a half months after the US one and is a separate regulatory event with its own wording; approval is not NHS funding.

Source: MHRA, 23 Jul 2024

Last checked 13 Sep 2026 · Report a correction

United States

· Approval Confirmed

FDA approves Ozempic (semaglutide) for type 2 diabetes

Ozempic (once-weekly injection) · Type 2 diabetes (glycaemic control)

Original approval of NDA 209637 on 5 December 2017 to improve glycaemic control in adults with type 2 diabetes.

Why it matters: Weight loss seen in Ozempic's diabetes trials is not a weight-management indication; that came with Wegovy in 2021.

Source: US Food and Drug Administration (Drugs@FDA)

Last checked 13 Sep 2026 · Report a correction

· Approval Confirmed

FDA approves Rybelsus (oral semaglutide) for type 2 diabetes

Rybelsus (once-daily tablet) · Type 2 diabetes (glycaemic control)

Original approval of NDA 213051 on 20 September 2019, the first oral GLP-1 receptor agonist, for glycaemic control in adults with type 2 diabetes.

Why it matters: A different formulation of the same molecule with its own application and label; oral semaglutide for weight management is a separate product.

Source: US Food and Drug Administration (Drugs@FDA)

Last checked 13 Sep 2026 · Report a correction

· Approval Confirmed

FDA approves Wegovy (semaglutide 2.4 mg) for chronic weight management

Wegovy (once-weekly injection) · Chronic weight management

Original approval of NDA 215256 on 4 June 2021 for chronic weight management in adults with obesity, or overweight with at least one weight-related condition.

Why it matters: The first once-weekly GLP-1 medicine approved for weight management in the US; the workbook's 'June 2021' is confirmed to the day by the Drugs@FDA record.

Source: US Food and Drug Administration (Drugs@FDA)

Last checked 13 Sep 2026 · Report a correction

· Approval Confirmed

FDA adds cardiovascular risk reduction to Wegovy's indications

Wegovy (once-weekly injection) · Cardiovascular risk reduction

FDA approved an additional indication for Wegovy (semaglutide) injection: reducing the risk of cardiovascular death, heart attack and stroke in adults with established cardiovascular disease and either obesity or overweight, alongside a reduced-calorie diet and increased physical activity.

Why it matters: An additional use of an existing molecule, not a new medicine. It is the first weight-management medicine with a cardiovascular outcome indication in the US.

Source: US Food and Drug Administration, 8 Mar 2024

Last checked 13 Sep 2026 · Report a correction

European Union

July 2024 · Label update Confirmed

CHMP recommends adding SELECT cardiovascular study information to Wegovy's product information

Wegovy (once-weekly injection) · Cardiovascular risk reduction

At its July 2024 meeting the CHMP recommended an update to Wegovy's product information to reflect the SELECT cardiovascular outcomes data. It did not recommend a separate cardiovascular-prevention indication.

Why it matters: The same scientific story produced different regional outcomes: a new indication in the US and UK, a product-information update in the EU. Regional labels must be read separately.

Source: European Medicines Agency, 26 Jul 2024

Last checked 13 Sep 2026 · Report a correction

This list is the complete, accessible view of the tracker; the board above draws from exactly the same records. Every entry is labelled Confirmed (official record), Company target (a dated sponsor statement), Regulator target (an official decision date, not a guarantee), GLPInfo estimate (an editorial range with assumptions) or Timing unknown. An approval is never inferred from a target date passing.