A next-gen Ozempic falls short in a drug trial — and Novo Nordisk stock plunges 20%

CagriSema, Novo Nordisk's planned Ozempic successor, missed a key weight loss projection

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The logo of Danish pharmaceutical company Novo Nordisk is pictured at their headquarters in Bagsvaerd outside of Copenhagen, Denmark on February 1, 2017.
The logo of Danish pharmaceutical company Novo Nordisk is pictured at their headquarters in Bagsvaerd outside of Copenhagen, Denmark on February 1, 2017.
Image: Liselotte Sabroe (Getty Images)
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Novo Nordisk (NVO+2.68%) released mixed clinical-trial results for its potential Ozempic successor on Friday, leaving Wall Street disappointed.

The pharma giant, known for its blockbuster diabetes drug Ozempic, said its experimental diabetes and weight-loss drug CagriSema fell short of expectations. The drug did not achieve the projected 25% average weight loss anticipated by the company and analysts. Instead, patients in the phase 3 clinical trial lost an average of 22.7% of their body weight after 68 weeks on the medication.

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For comparison, the highest dose of Wegovy, Novo Nordisk’s current weight-loss drug on the market, resulted in an average weight loss of 15% after 68 weeks in clinical trials. Meanwhile, patients taking the highest dose of Eli Lilly’s (LLY+1.90%) rival drug, Zepbound, achieved over 20% weight loss after 72 weeks.

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Novo Nordisk stock fell over 20% on Friday morning following the news.

CagriSema belongs to the class of drugs known as GLP-1 or incretin medications, which was made popular by Ozempic. These drugs mimic gut hormones that regulate blood sugar and reduce appetite.

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Morgan Stanley (MS-0.68%) analysts anticipate the global market for these drugs will reach $105 billion by 2030. That’s why several pharma companies are racing to develop more powerful weight-loss meds.

Novo Nordisk was betting that by mimicking multiple hormones, it could deliver greater weight loss. CagriSema combines semaglutide — the active ingredient in Ozempic and Wegovy — with cagrilintide, a dual amylin and calcitonin receptor agonist, hence the name CagriSema.

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Still, the trial did deliver some promising results. Novo Nordisk reported that 40.4% of patients taking CagriSema achieved a weight loss of 25% or more over the 68-week trial period.

The company is expected to reveal results of a second phase 3 trial of the drug in the first half of 2025.

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Eli Lilly and Viking Therapeutics (VKTX0.00%), which are also developing next-gen weight-loss drugs, saw their stocks rise 5% and 3%, respectively, on Friday.