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Novo Nordisk’s next-gen obesity drug outperforms Wegovy in late-stage diabetes trial

By Thomson Reuters Feb 2, 2026 | 10:05 AM

Feb 2 (Reuters) – Novo Nordisk said on Monday its experimental next-generation weight-loss drug CagriSema showed greater reductions in blood sugar and body ‍weight than its blockbuster Wegovy in a late‑stage trial of patients with type 2 diabetes.

Novo said the highest dose of CagriSema helped trial participants lose about 14.2% of their body weight after 68 weeks, compared with ‌10.2% for those who received Wegovy, ‌assuming all of them adhered to the treatment.

CagriSema is a weekly injection combining cagrilintide, which mimics pancreatic hormone amylin, and semaglutide, the active ingredient in Wegovy that mimics ​the gut hormone GLP-1.

The Danish drugmaker had positioned CagriSema as a more potent successor to ‍Wegovy and a powerful contender ​to Eli Lilly’s rival drug Zepbound. ​However, weaker-than-expected weight loss in two prior studies disappointed ‍investors and prompted Novo to initiate a new late-stage trial in June.

Monday’s data also showed CagriSema led to higher blood sugar reduction compared to Wegovy.

HbA1c, a marker of long-term blood sugar levels, fell ‍by 1.91 percentage points in those who received a combination of 2.4 milligram each of cagrilintide and semaglutide ‍compared with 1.76 ‍percentage points with those who received ​2.4 milligrams of semaglutide alone, Novo ​said.

The ⁠trial included 2,728 people with type ‌2 diabetes who were on other standard treatments for the condition. The patients were randomly chosen to receive either CagriSema, cagrilintide, semaglutide or a placebo.

(Reporting by Essi Lehto and Mariam Sunny, editing by Terje Solsvik and Krishna ⁠Chandra Eluri)