Novo Nordisk Seeks Approval for Higher-dose Wegovy
Novo Nordisk has filed a supplemental NDA seeking approval for a higher-dose version of its weight-loss drug Wegovy (semaglutide). If approved, the company says the 7.2 mg option could deliver even greater weight loss than the blockbuster drug’s existing 2.4 mg formulation.
The drugmaker says the submission for the weekly injection is seeking review under FDA’s new Commissioner’s National Priority Voucher (CNPV) pilot — an accelerated pathway aimed at therapies addressing major national health challenges. Once the filing is formally accepted, the review is expected to take just one to two months.
The filing includes data from STEP UP, a 72-week Phase 3 trial in 1,407 adults with obesity but without diabetes, according to the company. In the study, people taking the 7.2 mg dose lost an average of 20.7% of their body weight when adhering to treatment — compared with 17.5% for those on the currently approved 2.4 mg dose and 2.4% for placebo.
One-third of participants on the higher dose achieved at least 25% weight loss, roughly double the rate seen with the 2.4 mg version, it says. When dropouts were included in the analysis, weight loss averaged 18.7% for the 7.2 mg arm versus 15.6% for Wegovy 2.4 mg.
The company says gastrointestinal side effects were more common with the higher dose, though serious adverse events occurred less often than in the 2.4 mg arm (6.8% versus 10.9%)