Novo Nordisk’s Alzheimer’s Hopes Face Set Back

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Novo Nordisk says data from two global Phase 3 trials, evoke and evoke+, of semaglutide (Ozempic and Wegovy) have failed to slow clinical progression in adults with early-stage symptomatic Alzheimer’s disease over two years. The trials enrolled 3,808 people aged 55 to 85 with mild cognitive impairment or mild dementia due to Alzheimer’s, all with confirmed amyloid positivity, according to the company.

While semaglutide improved several Alzheimer’s-related biomarkers — an early indicator of potential biological activity — those changes did not translate into clinical benefit, as measured by the Clinical Dementia Rating–Sum of Boxes (CDR-SB), the primary endpoint, Novo Nordisk says.

Novo Nordisk had acknowledged before launching the studies that the program carried a low likelihood of success. Interest in GLP-1 agonists as potential Alzheimer’s therapies surged in recent years, driven by real-world evidence studies suggesting reduced dementia risk among users, as well as post-hoc signals observed in diabetes and obesity trials. Several academic groups and companies have been investigating the possibility that GLP-1–based drugs may reduce neuroinflammation or improve vascular health.

“Based on the significant unmet need in Alzheimer’s disease as well as a number of indicative data points, we felt we had a responsibility to explore semaglutide’s potential,” a company release says. “While semaglutide did not demonstrate efficacy in slowing the progression of Alzheimer’s disease, the extensive body of evidence supporting semaglutide continues to provide benefits for individuals with Type 2 diabetes, obesity, and related comorbidities.”

Novo Nordisk says it will present the top-line data at the Clinical Trials on Alzheimer’s Disease meeting on 12/3, with full data expected in 3/2026.

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