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GLP-1 microneedle patches and the peptide-through-skin record

FDA has approved no GLP-1 or peptide microneedle patch among the molecules in this tracker. The registry set contains 15 human trials across 6 molecules, going back to 2007. Two trials are testing semaglutide now; both started in 2026, and neither has posted results.

Source: ClinicalTrials.gov API 2.0.5, searched 2026-08-12

What matters first

FDA-approved peptide patches
0
Human trials found
15
Molecules studied
6
Semaglutide patch results posted
0

This is the page for the harder question. Not “does the sticker sold online work” — it does not, and the main patch record covers that. The question here is whether a patch could ever work, which is a research question with a real answer. Other people tried first, with peptides almost exactly the size of semaglutide, and some of them posted their numbers.

Registered human trials of delivery through skin. 10 named molecules searched in ClinicalTrials.gov; a zero is a dated search result, not proof of universal nonexistence. Semaglutide: 2 registered studies. Tirzepatide: 0 registered studies. Teriparatide: 6 registered studies. Abaloparatide: 3 registered studies. Glucagon: 2 registered studies. Zolmitriptan: 2 registered studies. Dulaglutide: 0 registered studies. Exenatide: 0 registered studies. Insulin: 0 registered studies. Liraglutide: 0 registered studies.
ClinicalTrials.gov census retrieved 2026-08-12. These are sponsor-filed registrations, not results or evidence that a patch works.

A microneedle array is not a sticker

A microneedle array is a bed of needles too short to feel, on a backing the size of a coin. It gets a drug past the skin by making holes in it, so it is not the same thing as a sticker that relies on a molecule drifting through skin on its own.

That difference decides everything on this page. A sticker asks a molecule to drift through intact skin, and above roughly 500 g/mol almost nothing does. A microneedle array skips the argument by punching through. So the size ceiling stops applying — and the trials below show what happens next.

Every molecule that has tried, lightest first

Each row is a molecule with at least one registered human trial of delivery through skin. The weights come from PubChem. The trial counts, phases and results come from the registry, and a script re-reads them rather than a person retyping them.

MoleculeWeightTrialsFurthest phaseResults postedApproved skin product today
Zolmitriptan287.36 g/mol2Phase 3YesNone
Glucagon3,482.7 g/mol2Phase 2NoNone
Abaloparatide3,961 g/mol3Phase 3YesNone
Semaglutide4,113.58 g/mol2Phase 1NoNone
Teriparatide4,118 g/mol6Phase 2YesNone
Tirzepatide4,813.53 g/mol0NoNone

Rows shaded red are the two GLP-1 molecules. The last column is a Drugs@FDA check of every approved product for that molecule: not one lists a route through skin. 4 more molecules were searched and returned nothing at all — liraglutide, exenatide, dulaglutide, insulin.

None of these molecules has an approved product that goes through skin. That is what Drugs@FDA shows, not a verdict on why. A program can end because the numbers disappointed, because the money ran out, or because the company was sold, and the public record does not say which.

4Read the complete human trial recordThe nearest comparison, latest-stage result, live GLP-1 trials, and every study

The nearest thing to a semaglutide patch already happened

Teriparatide weighs 4,118 g/mol. Semaglutide weighs 4,113.58. The gap between them is about 4 g/mol, which is nothing — they are the same size as far as skin is concerned. Eli Lilly put teriparatide in a skin patch and ran it against the same peptide injected. Here is what the company posted.

Study arm, as registeredpercentage change in BMD
20 Mcg Subcutaneous Teriparatide7.8
30 Mcg Transdermal Teriparatide0.63
50 Mcg Transdermal Teriparatide0.32
80 Mcg Transdermal Teriparatide1.63

NCT01011556 · Eli Lilly and Company · 233 participants · Percent Change From Baseline in Lumbar Spine Bone Mineral Density (BMD) at 12 Months · Baseline, 12 Months

The injection moved the measurement by 7.8. The three patch arms moved it by 0.63, 0.32 and 1.63. The patch did something, but a small fraction of what the needle did, and raising the patch dose barely helped. Lilly did not take it further. Read the whole record at NCT01011556.

The latest-stage peptide patch in this tracker

Abaloparatide weighs 3,961 g/mol, a little under semaglutide. Radius Health built it into a microstructured patch and ran a 511-person phase 3 against the injection. That is a real, finished, late-stage trial of a peptide patch, and it posted numbers.

Study arm, as registeredpercent change
Abaloparatide-SC10.86
Abaloparatide-sMTS7.14

NCT04064411 · Radius Health, Inc. · 511 participants · Percent Change From Baseline in Lumbar Spine BMD at Month 12

This is the strongest posted result in the tracked set. The patch reached about two-thirds of what the injection reached. Six years later Drugs@FDA still lists abaloparatide as a subcutaneous product only. A trial finishing well is not the same as a product arriving.

The two GLP-1 trials running now

Both started in 2026. Both are phase 1, which means a small group of healthy volunteers and questions about safety rather than weight. Neither has posted a result. This table re-reads itself from the registry, so a status change here does not wait for anyone to notice it.

Registry IDSponsorPhase and statusStartedParticipantsMain measurement due
NCT07673900Terrestrial Bio, Inc.Phase 1Recruiting2026-06-15622027-02-10
NCT07539415Daewoong Pharmaceutical Co. LTD.Phase 1Recruiting2026-05-06722026-10-27

The last column is when the sponsor expects to finish collecting the main measurement. It is not a results date, and not a date anything goes on sale.

One detail is worth knowing, because it shows how easily this page gets missed. Daewoong filed its trial under the code names DWRX5003 and DWC202502. The word semaglutide appears nowhere in the title.

It shows up in one place only: a short description of the product, reading “Microneedle patch containing Semaglutide”. So a search that reads titles alone finds one GLP-1 patch trial in the world. There are two.

There are still no results posted to ClinicalTrials.gov for either record. In a company announcement, Daewoong said a separate 70-person human pilot measured how much drug reached the blood. The announcement says semaglutide reached the bloodstream; it is not a posted result for either registry record and does not show weight-loss efficacy. Read the sponsor announcement.

The full list

All 15 trials, so nothing above rests on a selection you cannot check.

Registry IDTitleSponsorPhaseStatusStarted
NCT00489918Dose Ranging Study - Macroflux Parathyroid Hormone (PTH) in Postmenopausal Women With OsteoporosisZosano Pharma CorporationPhase 2Completed2007-06
NCT00535860Efficacy & Safety of ViaDerm-hPTH(1-34) Compared to Forteo SC in Postmenopausal Women With OsteoporosisTransPharma MedicalPhase 2Completed2008-04
NCT01011556A Study for the Transdermal Application of TeriparatideEli Lilly and CompanyPhase 2Completed2009-11
NCT01250145A Multiple-Dose Study to Evaluate Skin Irritation and Sensitization of Teriparatide Administered Transdermally in Healthy Postmenopausal WomenEli Lilly and CompanyPhase 1Completed2010-11
NCT01551602Clinical Study of AK159 in Healthy Postmenopausal WomenAsahi Kasei Therapeutics CorporationPhase 1Completed2012-03
NCT01674621Phase 2 Study of BA058 (Abaloparatide) Transdermal Delivery in Postmenopausal Women With OsteoporosisRadius Health, Inc.Phase 2Completed2012-09-25
NCT01684956Pharmacokinetic Comparison of Intradermal Versus Sub-cutaneous Insulin and Glucagon Delivery in Type 1 DiabetesMassachusetts General HospitalPhase 2Status not confirmed recently2012-08
NCT01935479A Phase I Study of AK159 in Healthy Postmenopausal WomenAsahi Kasei Therapeutics CorporationPhase 1Completed2013-08
NCT02459938Safety and Efficacy of ZP-Glucagon to Injectable Glucagon for HypoglycemiaZosano Pharma CorporationPhase 1Completed2015-01
NCT02745392Safety and Efficacy of ZP-Zolmitriptan Intracutaneous Microneedle Systems for the Acute Treatment of MigraineZosano Pharma CorporationPhase 2, Phase 3Completed2016-06
NCT04064411Efficacy & Safety of Abaloparatide-Solid Microstructured Transdermal System in Postmenopausal Women With OsteoporosisRadius Health, Inc.Phase 3Completed2019-08-05
NCT04066023Double-Blind Comparison of the Efficacy and Safety of C213 to Placebo for the Acute Treatment of Cluster HeadachesZosano Pharma CorporationPhase 2, Phase 3Completed2019-10-03
NCT04366726Study to Evaluate the Pharmacokinetics (PK), Pharmacodynamics (PD), and Usability of Abaloparatide-solid Microstructured Transdermal System (sMTS) in Postmenopausal Women With Low Bone Mineral Density (BMD)Radius Health, Inc.Phase 1Completed2019-04-09
NCT07539415A Phase 1 Clinical Trial to Assess the Safety of DWRX5003 and Relative Bioavailability to DWC202502 and DWC202503 in Healthy Adult VolunteersDaewoong Pharmaceutical Co. LTD.Phase 1Recruiting2026-05-06
NCT07673900Semaglutide Delivered Epi-Intradermally by Microarray Patch (VX-201) Versus Subcutaneous Administration in Healthy Overweight and Obese ParticipantsTerrestrial Bio, Inc.Phase 1Recruiting2026-06-15

Take the page

One row per molecule, including tirzepatide, which has no registered trial of delivery through skin at all. That zero is a row because it is the answer, and a file listing only the trials that exist could not carry it.

Both files hold the weights, the trial counts, the furthest phase, whether results were posted, and the registry IDs behind every count.

How to cite this table

HealthspanLedger. Registered human trials of a peptide delivered through skin. Edition 2026.08 (version bcb8762b13b6). Derived from ClinicalTrials.gov API v2.0.5, US National Library of Medicine, retrieved 2026-08-12. Licensed CC BY 4.0. https://healthspanledger.com/guides/glp-1-microneedle-patches

Analysis by HealthspanLedger · edition 2026.08 · version bcb8762b13b6 · retrieved 2026-08-12

The underlying records are us government work, public domain and carry no copyright: the publisher’s own license. This table — how we select, join, label and bound the facts — is ours, and it is published under Creative Commons Attribution 4.0 International (CC BY 4.0). Reuse it, including commercially, and credit HealthspanLedger with a link to this page.

What remains unknown

  • The two registered semaglutide trials are open and have posted no results to ClinicalTrials.gov. In a company announcement, Daewoong said a separate 70-person human pilot measured how much drug reached the blood. That does not establish weight-loss efficacy or supply registry-posted results.
  • A trial counts here only when the registry names the molecule and says the route goes through skin. A study filed under a code name with no product description would be missed, so these counts are a floor rather than a total.
  • Results posted to the registry are the sponsor’s own. Nobody at the National Library of Medicine checks them, and a trial can post numbers without ever publishing a paper.
  • A finished trial with no product behind it does not tell you why the program stopped. Money, a takeover and a disappointing result all look identical from outside.
  • Molecular weight is one obstacle among several. A peptide also gets broken apart by enzymes in skin, and none of these weights captures that.

Questions people actually ask

Is a GLP-1 microneedle patch approved?

No. On 2026-08-12 the registry held 2 human trials of a GLP-1 delivered through skin, both at phase 1 and both still enrolling. Approval comes after phase 3, and neither trial has finished phase 1.

When could a GLP-1 patch be available?

Nobody can answer that yet. Both trials are at the earliest stage of human testing. Most drugs that enter trials never reach a pharmacy, and the peptide patches that went further than these two still have no product behind them.

If abaloparatide got to phase 3, why is there no patch?

The public record does not say. The trial finished, posted its numbers, and the patch arm came in below the injection arm. Drugs@FDA still lists that molecule as an injection only. A program can stop for commercial reasons as easily as scientific ones, and guessing which applies here would be inventing a fact.

Do microneedles hurt?

The needles are too short to reach the nerves that carry sharp pain, which is the whole design idea. The trials on this page measure skin reactions at the site as a safety question. What people felt is in each registry record rather than summarized here.

Is a microneedle patch what I would buy online?

No, and that is the most common mix-up on this subject. Every product sold today as a GLP-1 patch is an adhesive sticker carrying plant extracts. The microneedle arrays on this page exist only inside trials. The main patch record covers what is actually on sale.

Sources

  1. Drugs@FDA: FDA-Approved Drugs — queried through the openFDA drug/drugsfda endpoint · U.S. Food and Drug Administration · retrieved 2026-08-12
  2. Drugs@FDA: FDA-Approved Drugs (search interface) · U.S. Food and Drug Administration · retrieved 2026-08-12
  3. WEGOVY (semaglutide) injection and tablet — prescribing information · DailyMed, U.S. National Library of Medicine · retrieved 2026-08-12
  4. MOUNJARO (tirzepatide) injection — prescribing information · DailyMed, U.S. National Library of Medicine · retrieved 2026-08-12
  5. NCT07673900 — A Randomized, Phase 1 Study Evaluating the Safety, Tolerability, and Pharmacokinetics of Epi/Intra-dermally Administered Semaglutide (VX-201) Compared to Subcutaneous Administration · ClinicalTrials.gov, U.S. National Library of Medicine · retrieved 2026-08-12
  6. NCT07539415 — A Phase 1 Clinical Trial to Assess the Safety of DWRX5003 and Relative Bioavailability to DWC202502 and DWC202503 in Healthy Adult Volunteers · ClinicalTrials.gov, U.S. National Library of Medicine · retrieved 2026-08-12
  7. The 500 Dalton rule for the skin penetration of chemical compounds and drugs (Exp Dermatol. 2000;9(3):165-9) · Bos JD, Meinardi MM — via PubMed · retrieved 2026-08-12
  8. Transdermal drug delivery (Nat Biotechnol. 2008;26(11):1261-8) · Prausnitz MR, Langer R — via PubMed · retrieved 2026-08-12
  9. Transdermal “Natural GLP-1” Dietary Supplements Violate Law and Place Patients at Risk (Ann Pharmacother. 2026 Aug) · Annals of Pharmacotherapy — via PubMed · retrieved 2026-08-12
  10. Enhanced Stability and Transdermal Delivery of Semaglutide Using an L-Arginine Based Dissolving Microneedle System (AAPS PharmSciTech. 2026 Jul 2) · AAPS PharmSciTech — via PubMed · retrieved 2026-08-12
  11. 21 U.S.C. § 321 — Definitions (subsection (ff), “dietary supplement”) · United States Code, 2023 Edition — via GovInfo · retrieved 2026-08-12
  12. PubChem Compound Summary — molecular weights of approved transdermal active ingredients · PubChem, U.S. National Library of Medicine · retrieved 2026-08-12
  13. PubChem Compound Summary for CID 76943386 — abaloparatide · PubChem, U.S. National Library of Medicine · retrieved 2026-08-13
  14. PubChem Compound Summary for CID 16133850 — teriparatide · PubChem, U.S. National Library of Medicine · retrieved 2026-08-13
  15. PubChem Compound Summary for CID 16132283 — glucagon · PubChem, U.S. National Library of Medicine · retrieved 2026-08-13
  16. PubChem Compound Summary for CID 56843331 — semaglutide · PubChem, U.S. National Library of Medicine · retrieved 2026-08-13
  17. PubChem Compound Summary for CID 166567236 — tirzepatide · PubChem, U.S. National Library of Medicine · retrieved 2026-08-13
  18. PubChem Compound Summary for CID 60857 — zolmitriptan · PubChem, U.S. National Library of Medicine · retrieved 2026-08-13
  19. NCT04064411 — Efficacy & Safety of Abaloparatide-Solid Microstructured Transdermal System in Postmenopausal Women With Osteoporosis (phase 3, results posted) · ClinicalTrials.gov, U.S. National Library of Medicine · retrieved 2026-08-13
  20. NCT01011556 — A Study for the Transdermal Application of Teriparatide (phase 2, results posted) · ClinicalTrials.gov, U.S. National Library of Medicine · retrieved 2026-08-13
  21. NCT00489918 — Dose Ranging Study, Macroflux Parathyroid Hormone (PTH) in Postmenopausal Women With Osteoporosis (phase 2, results posted) · ClinicalTrials.gov, U.S. National Library of Medicine · retrieved 2026-08-13
  22. NCT02745392 — Safety and Efficacy of ZP-Zolmitriptan Intracutaneous Microneedle Systems for the Acute Treatment of Migraine (phase 2/3, results posted) · ClinicalTrials.gov, U.S. National Library of Medicine · retrieved 2026-08-13
  23. openFDA drug adverse event endpoint — the FDA Adverse Event Reporting System (FAERS) · U.S. Food and Drug Administration · retrieved 2026-08-13
  24. CFSAN Adverse Event Reporting System (CAERS) — where reports about foods, cosmetics and dietary supplements are collected · U.S. Food and Drug Administration · retrieved 2026-08-13
  25. Warning Letter to FormPour, MARCS-CMS 722215 (2026-03-31) — “SMGT-GLT-1 Nano Microneedle Patch” offered as an unapproved new drug · U.S. Food and Drug Administration, Center for Drug Evaluation and Research · retrieved 2026-08-13
  26. Daewoong Therapeutics Microneedle Patch Achieves Best-in-Class Bioavailability, Proving the Strength of Its Drug-Delivery Platform · Daewoong Pharmaceutical and Daewoong Therapeutics · retrieved 2026-08-21

How we checked these details

Medically reviewed by Jennifer Montecillo, MD · non-practicing medical reviewer

Reviewed 2026-08-12

Every trial on this page came from a script that queries ClinicalTrials.gov and writes the answer to a file in this repository. Nobody types a phase or a date by hand. Re-running it picks up new trials, status changes and newly posted results. The wider rules are in the sourcing methodology. If a trial here has reported since we last looked, tell us at contact@healthspanledger.com.

Where these figures come from