Eli Lilly: Strong Orforglipron Data in Second Obesity Trial Support On-Schedule Regulatory Filings

Lilly shares rose nearly 5% and Novo shares fell a similar amount in intraday trading.

Eli Lilly and Company, Pharmaceutical company headquarters.
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Securities in This Article
Eli Lilly and Co
(LLY)
Novo Nordisk AS ADR
(NVO)

Key Morningstar Metrics for Eli Lilly

Eli Lilly LLY reported on Aug. 26 that oral GLP-1 drug candidate orforglipron generated 8.3% placebo-adjusted weight loss at 72 weeks at the highest 36 mg dose among compliant patients with obesity or overweight and Type 2 diabetes in the Attain-2 study.

Why it matters: On the heels of data from orforglipron’s first obesity study, Attain-1, earlier in August, Attain-2 gives Lilly the data necessary to file for approval of orforglipron this year. Lilly shares rose nearly 5% and Novo Nordisk NVO shares fell a similar amount in intraday trading.

  • Weight loss in Attain-2 was slightly below the 11.5% placebo-adjusted weight loss at the same time point and dosage in the Attain-1 study, but this was expected, as Attain-1 patients were not diabetic, and diabetic patients typically have more difficulty losing weight.
  • While Attain-1 data looked slightly worse than Novo’s 25 mg dose of oral semaglutide in the Oasis 4 clinical trial, we think Attain-2 data look promising, given weaker 68-week placebo-adjusted weight loss for Wegovy in Step 2 (7.5%) and total weight loss for 25 mg oral sema in Pioneer Plus (7%).

The bottom line: We’re maintaining our $650 fair value estimate for wide-moat Lilly, including our assumptions for more than $60 billion in peak tirzepatide sales and $20 billion orforglipron sales. Shares look relatively fairly valued at recent prices.

  • We still think that Novo’s oral semaglutide will be a significant competitor in the oral obesity market in the US, with approval expected ahead of Lilly (later this year) and slightly stronger data in its main obesity/overweight trial.
  • That said, we assume peak sales for oral semaglutide (including the new 25 mg dose and Rybelsus in diabetes) of roughly $10 billion, as we think easier manufacturing for Lilly’s small molecule than Novo’s oral peptide could allow it to see a more rapid global launch.

Editor’s Note: This analysis was originally published as a stock note by Morningstar Equity Research.

The author or authors do not own shares in any securities mentioned in this article. Find out about Morningstar’s editorial policies.

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