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Special Report



       Bio/Pharma companies ride the strength of the

       obesity drug market

             ovo Nordisk and Lilly are lead-  Victoza (liraglutide). Combined, these
             ing the charge in the high-  drug posted 2023 sales of DKK 123.13-bn   PATRICIA VAN ARNUM
       Ngrowth obesity drug market  ($17.7-bn), a 48% gain over 2022, as   Editorial Director, DCAT
       with their blockbuster drugs recording  measured in Danish kroner, and by 52%  (semaglutide and cagrilintide) (now in
       multi-billion  sales  growth  in  the  fi rst  at constant exchange rates.  Ozempic  late-stage development), and Rybelsus –
       half of 2024, a trajectory  expected  to  accounted for the lion’s share of these  which collectively are forecast to
       continue  for the full  year 2024. What  sales with 2023 sales of DKK 95.72-bn  capture  83% of the GLP-1 agonist
       are leading drug candidates from other  ($13.8-bn), and Rybelsus accounted for  market by 2029. Eli Lilly’s Mounjaro is
       bio/pharma majors?                sales of DKK 18.75-bn ($2.7-bn).  expected to lead in sales, with projected
                                                                          2029 sales of $33.4-bn, according to
       The battle of the blockbusters      Combined 2023 sales of two obesity-  estimates by GlobalData. With a large
          Glucagon-like peptide 1  (GLP-1)  care GLP-1 products by Novo Nordisk,  portfolio of products of GLP-1 drugs,
       agonists, which can be used to treat  Wegovy (semaglutide) and Saxenda  Novo Nordisk is expected  to capture
       Type 2 diabetes and obesity, are a ris-  (liraglutide), were DKK 41.63-bn  55% of the GLP-1 market in 2029.
       ing class of blockbuster drugs (defi ned  ($6.0-bn). Wegovy has the same active
       as drugs with sales of $1-bn or more).  ingredient, semaglutide, as  Ozempic   Longer-term growth projections
       GLP-1 agonists work by promoting  and  Rybelsus, and  Saxenda, the same  in seven major markets (US, France,
       insulin secretion, which helps maintain  active ingredient as Victoza.  Germany, Italy, Spain, UK, and Japan)
       blood sugar levels in patients with Type                           are even stronger. With the obesity and
       2 diabetes. This class of drugs also may   In the fi rst-half of 2024, that posi-  Type 2 diabetes markets  growing at
       promote weight loss by reducing appe-  tive sales growth trajectory  has con-  strong rates, the GLP-1 receptor ago-
       tite and delay gastric emptying, thereby  tinued. Sales  within Novo  Nordisk’s  nists market is also growing. GLP-1
       leading to reduced food intake.   diabetes and obesity care market in-  receptor agonist sales for the Type 2
                                         creased  by 26% in Danish kroner to  diabetes and obesity markets are forecast
          Leading the charge  in  the GLP-1  DKK 125.0-bn ($18.3-bn) (27% at con-  to reach over $125-bn in these seven
       market are Eli Lilly and Company  stant exchange rates), mainly driven by  major  markets in 2033, according to
       and Novo Nordisk, each with block-  GLP-1  diabetes sales growth of 32%  GlobalData (estimates as reported in
       busters in  this  drug class.  Sales  of  in Danish kroner (32% at constant ex-  May 2024).
       Lilly’s  Mounjaro (tirzepatide), for  change rates) and obesity care growing
       treating  Type 2 diabetes,  reached  by 37% in Danish kroner to DKK   “There are currently 10 GLP-1
       $5.16-bn  in  2023  and  fi rst-half  2024  24.9-bn ($3.6-bn) (37% at constant  receptor agonists approved for Type 2
       sales already have reached $4.90-bn.  exchange rates).             diabetes and three for obesity, but many
       Mounjaro was approved in the US for                                more are expected to reach the mar-
       treating Type 2 diabetes in 2022,  and  Market outlook for GLP-1 drugs,   ket in the next fi ve to 10 years,” said
       in November 2023, the same active  including obesity indications   Costanza Alciati,  Pharma Analyst  at
       ingredient, tirzepatide, was  approved   The GLP-1 agonist market is poised  GlobalData, in commenting on the May
       in the US for treating  chronic weight  for strong growth, with a compound  2024 data from the fi rm. “Indeed, there
       management  under the brand name,  annual growth rate (CAGR) of 19.2%  are 51 products in clinical  develop-
       Zepbound. Following its approval in  from 2023 to 2029, reaching a market  ment for obesity and/or Type 2 diabetes,
       November 2023, Zepbound has already  size  of $105-bn  in  2029,  according  which exploit the GLP-1 receptor
       achieved blockbuster status with fi rst-  to estimates (as of March 6, 2024) by  agonist mechanism, often coupled with
       half 2024 sales of $1.76-bn.      GlobalData, a market research and  other actions. At present, Ozempic (We-
                                         business intelligence fi rm.     govy for obesity) and Mounjaro domi-
          Novo Nordisk has several GLP-1-                                 nate the GLP-1 receptor agonist space.
       based products for treating Type 2 dia-  It  points  to  fi ve  key  drugs:  Lilly’s  But there is an opportunity for new
       betes: Ozempic (semaglutide, injection),  Mounjaro and four drugs by Novo Nor-  players to join the race as  the market
       Rybelsus (semaglutide, tablets), and  disk –  Ozempic,  Wegovy,  CagriSema  is vast. Some of the therapies in Phase

       176                                                                Chemical Weekly  September 24, 2024


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