Stock Markets February 23, 2026

Novo Nordisk Shares Drop After CagriSema Fails to Meet Primary Trial Goal

Copenhagen-listed stock tumbles after head-to-head open-label study shows the experimental obesity drug did not achieve its primary endpoint versus Eli Lilly's rival

By Caleb Monroe
Novo Nordisk Shares Drop After CagriSema Fails to Meet Primary Trial Goal

Novo Nordisk shares fell by more than 10% in mid-morning trading on Monday after the company disclosed that its investigational obesity treatment CagriSema did not meet the primary endpoint in an open-label head-to-head trial designed to compare its weight-loss performance with Eli Lilly's Tirzepatide. The result adds pressure on Novo as it faces intensified competition from Lilly and lower-cost copycat treatments offered by telehealth providers. The company recently announced board changes, including the nomination of two drug industry veterans and the appointment of Lars Rebien Sorensen as board chairman.

Key Points

  • Novo Nordisk shares fell by more than 10% in mid-morning trading on Monday after its experimental obesity drug CagriSema failed to meet the primary endpoint in an open-label head-to-head trial.
  • The study was designed to compare CagriSema's weight-loss efficacy directly against Eli Lilly's Tirzepatide; Novo reported the primary endpoint was not met.
  • Novo faces intensified competition from Eli Lilly and telehealth providers offering less expensive copycat versions of obesity treatments; the company also recently announced board nominations and appointed Lars Rebien Sorensen as board chairman.

Shares of Copenhagen-listed Novo Nordisk slid by more than 10% in mid-morning trading on Monday following the company's announcement that its experimental obesity drug CagriSema did not reach the primary endpoint in an open-label, head-to-head clinical trial.

The trial had been structured to determine whether CagriSema could match or avoid lagging behind Eli Lilly's Tirzepatide in reducing body weight. Novo Nordisk said the primary endpoint was not met in that comparison.

Investors have already been watching Novo closely after the company established a strong position in obesity treatment with products such as Wegovy and Ozempic. The firm now confronts heightened rivalry from Eli Lilly and from telehealth companies marketing lower-cost copycat versions of obesity drugs. Market volatility for the company has been significant; in 2025, shares of Novo experienced a 49% decline.


In parallel with the trial news, Novo said last week it will nominate two veterans from the drug industry to its board of directors. The company also installed Lars Rebien Sorensen as board chairman. Sorensen is a prominent voice who had criticized management for not responding more quickly to competitive challenges in the U.S. market.

The combination of the clinical trial setback and ongoing competitive pressures has produced a swift market reaction, as reflected in the more than 10% drop in the company's Copenhagen-listed shares during mid-morning trading on Monday. The company did not provide additional new data beyond the outcome that the primary endpoint was not achieved in the head-to-head study.

This report reflects the information released by the company concerning the trial outcome, recent board nominations, and the market response. Further developments or additional company disclosures may provide more context on CagriSema's clinical profile and strategic implications for Novo Nordisk's market position.

Risks

  • Clinical trial failure risk: CagriSema did not meet the primary endpoint in the head-to-head study, creating uncertainty for the drug's competitive positioning and commercial prospects - impacts pharmaceutical and biotech sectors.
  • Competitive pressure risk: Ongoing rivalry from Eli Lilly and lower-cost treatments from telehealth firms could pressure market share and pricing for obesity therapies - impacts pharmaceuticals and telehealth sectors.
  • Corporate governance and strategic risk: Board changes and the appointment of a chairman who has publicly criticized management create potential near-term strategic shifts or investor uncertainty - impacts corporate governance considerations and investor sentiment in equity markets.

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