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Bad news for Novo Nordisk (NYSE: NVO) Friday was good news for Eli Lilly (NYSE: LLY) and Viking Therapeutics (NASDAQ: VKTX), its two main rivals in the field of weight loss drugs. This morning, Novo reported headline results from its phase 3 trial of a new weight loss drug, CagriSema, and while objectively not bad, the results were less great than Novo was shooting for.
As of 11:05 a.m. ET, Novo Nordisk stock is down a disheartening 20.8%, while both Lilly and Viking stocks are up 4.4% apiece.
Novo Nordisk's no good, very bad day
Originally designed to treat patients with diabetes, GLP-1 drugs like Novo's Ozempic and Lilly's Zepbound have taken on a new role in society as the go-to treatment for obesity, and for easy weight loss, generally. Novo was hoping to expand its lead in this market with its new offering, CagriSema, which fortifies the semaglutide ingredient in Ozempic with an amylin-focused drug that also aims to decrease food cravings.
The goal: to beat Ozempic's record for 16.1% weight loss among patients taking the drug over 68 weeks, by hitting a new target of 25% weight loss over the same period.
I won't keep you in suspense. Novo missed that target. The company's Redefine 1 phase 3 trial of CagriSema, containing both cagrilintide and semaglutide "achieved its primary endpoint by demonstrating a statistically significant and superior weight loss" relative to a placebo. However, average weight loss over the course of the 68-week trial was only 22.7% -- not the targeted 25%.
So that's the bad news. The good news is that CagriSema does appear to have resulted in greater weight loss than Novo's original recipe Ozempic and better weight loss than Lilly's Zepbound. (Viking's own weight loss drug, VK2735, is still in trials.)
How bad is this news for Novo Nordisk stock?
Investors in Novo Nordisk seem very unhappy with these results while investors in Lilly and Viking seem much happier, but should they be?
While you'd expect Novo to try to put a happy face on these results, management honestly doesn't seem too upset.
"We are encouraged by the weight loss profile of CagriSema demonstrating superiority over both semaglutide and cagrilintide in monotherapy in the REDEFINE 1 trial," said Novo's Executive Vice President for Development Martin Lange, noting that the company plans to "further explore the additional weight loss potential of CagriSema." And when you consider that 40.4% of the patients participating in the REDEFINE 1 study actually did achieve 25% or greater weight loss after 68 weeks (it's only the average that fell short of the mark), it would seem at least possible that further tweaking of the drug combination might eventually yield the results Novo is looking for.