Novo Nordisk’s CEO Lars Fruergaard Jørgensen has maintained confidence in CagriSema, despite disappointing trial results and a 50% loss in stock value since 2024. CagriSema, a fusion of cagrilintide and semaglutide, failed to meet weight-loss expectations in the recent REDEFINE-2 trial, showing only 15.7% weight loss in 68 weeks for type 2 diabetes patients, well below targets. This follows a prior trial where a 22.7% weight loss fell short of a 25% goal. These results raise concerns about the company’s projections and the effectiveness of its clinical approach.

Investors have voiced their frustration, with calls for accountability growing louder. The company has faced criticism for its trial design, which damaged CagriSema’s perceived tolerability and hindered patient progress. While Jørgensen acknowledged the disappointing results, his reassurances have done little to alleviate investor anxiety, as the company grapples with the fallout from these underwhelming outcomes.
The pharmaceutical industry’s competitive nature, particularly in obesity treatments, further complicates Novo Nordisk’s position. Analysts are skeptical of CagriSema’s differentiation from competitors like Eli Lilly’s Zepbound. The company’s strategic approach, including the launch of Phase 3 trials, has been criticized as reactive rather than forward-thinking, raising concerns about the company’s ability to address the obesity treatment market’s challenges.

CagriSema’s future depends on a more nuanced understanding of diverse patient needs. Experts emphasize the importance of tailored treatment options to address obesity and related health issues, such as sleep apnea and liver disease. Jørgensen’s optimistic remarks about market opportunities are undermined by the disappointing trial results. The failure to meet expectations threatens to erode investor trust, a critical asset in the highly competitive pharmaceutical market.