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03 February 2025

Novo Nordisk's Amycretin Outshines Rivals Amid Competition

New drug trials show weight loss success as competition heats up with Eli Lilly and newcomers.

Novo Nordisk, the Danish pharmaceutical powerhouse, is making headlines with its latest weight loss candidate, amycretin, even as it faces increased competition from rivals like Eli Lilly and new entrants like Viking Therapeutics. Recent reports indicate promising results from clinical trials for amycretin, which is touted as potentially more effective than Wegovy, its best-selling anti-obesity drug.

During the Super Bowl, U.S.-based telehealthcare company Hims & Hers took aim at pharmaceutical giants Novo Nordisk and Eli Lilly with a provocative advertisement. The ad proclaimed, "The system wasn’t built to help us. It was built to keep us sick and stuck," sparking conversations about the pharmaceutical industry’s approach to healthcare and weight management.

Drugmakers, including Novo Nordisk, Eli Lilly, and others, have invested heavily to stake their claims in the lucrative and rapidly growing weight loss drug market. Despite the competition, Novo Nordisk remains at the forefront, developing innovative solutions with its expanded pipeline. The company recently reported encouraging results from clinical trials of amycretin, indicating it may surpass the efficacy of current market leaders. Patients receiving the highest dose reported experiencing a mean weight loss of 22% over 36 weeks, significantly outpacing those on placebos, who, on average, gained 2.3% during the same period.

Novo Nordisk is not just relying on amycretin; it is exploring both oral and subcutaneous versions of the drug, which are becoming increasingly important as patients seek more flexible treatment options. While Wegovy and Eli Lilly's Zepbound have shown effectiveness, with mean weight losses of 13.7% and 20.2%, respectively, amycretin's results achieved this level of success within half the usual clinical timeframe.

Despite these advances, the overall weight loss market's growth has not met projections. Eli Lilly's management recently adjusted their full-year 2024 guidance to reflect this slower expansion, meaning the market's growth of 45% last quarter was disappointing when compared to expectations. Analysts anticipate continued competition as companies push new candidates, including Novo Nordisk’s other potential blockbuster, CagriSema.

While CagriSema fell short of initial expectations during phase three trials, Novo Nordisk's substantial weight loss portfolio and its significant investments beyond diabetes and obesity signal resilience. Their existing drugs, such as semaglutide, which serves as the active ingredient for both Wegovy and Ozempic, are exploring uses for high unmet medical needs, such as treating Alzheimer’s disease, reflecting the company's broader strategy to diversify its offerings.

Meanwhile, newcomer Viking Therapeutics is attracting interest on Wall Street for its dual GLP-1/GIP agonist, called VK2735. The company is advancing rapidly with clinical trials for this oral formulation, which could provide less invasive treatment for patients seeking obesity care compared to the injections currently used. Recent analyst reports highlight the potential of VK2735 to disrupt the existing market powered by Novo Nordisk and Eli Lilly. Currently trading around $34, Viking's shares have been projected to reach consensus targets of $110, but the company has significant hurdles to overcome before it can become commercialized.

The hype surrounding Viking, including speculation about potential acquisition value reaching upwards of $15 billion, reflects both excitement and caution among investors. There are concerns about whether VK2735 can break through the FDA approval process or if Viking can effectively market its product should it receive the green light.

While analysts acknowledge Viking's potential, they stress the speculative nature of the investment. Those who prefer stable, established options may find Novo Nordisk and Eli Lilly to be safer bets, especially considering their proven track records and solid pipelines.

Despite the competitive pressure, Novo Nordisk continues to report strong financial performance, showcasing revenue growth well above industry averages over the past few years. The company has delivered top-line growth percentages boasting high single-digit or low double-digit figures—significant for such sizable firms. With this solid foundation, Novo Nordisk’s long-term outlook remains promising, particularly as it looks to mitigate risk through diversifying its product lineup.

For consumers and investors alike, the developments surrounding Novo Nordisk and the broader weight loss drug market deliver compelling narratives about innovation, competition, and success against the backdrop of traditional healthcare systems. Hims & Hers’ pointed critique only adds to the gripping story of health, wellness, and the pharmaceutical industry's future.