GLP-1

LLY vs NVO Quarterly Brand Revenue

Lilly Mounjaro + Zepbound vs Novo Ozempic + Wegovy combined quarterly brand revenue. Lilly crossed Novo on a quarterly basis in 2025-Q3 and continued widening the lead through Q1 2026 (Mounjaro +125% YoY, Zepbound +80% YoY).

Quarterly combined brand revenue: Lilly Mounjaro + Zepbound (tirzepatide) vs Novo Ozempic + Wegovy (semaglutide). Lilly crossed Novo on a quarterly basis in 2025-Q3 and continued to widen the lead through Q1 2026 (Mounjaro +125% YoY, Zepbound +80% YoY per Lilly Q1 2026 8-K). The 2025 acceleration coincides with Lilly capacity (Concord NC, RTP NC) coming online; the 2026 trajectory is set against Novo's Catalent capacity unlock.

Regional Revenue Share by Brand

Approximate US / EU / China / ROW-developed / ROW-emerging share for the major GLP-1 brands. Zepbound is the most US-concentrated; Rybelsus has the most balanced ex-US mix; mazdutide and ecnoglutide are China-only.

Regional revenue share for the major GLP-1 brands. US dominates absolute revenue, but Lilly's ex-US share grew to overtake Novo's outside the US in early 2026. Zepbound is the most US-concentrated brand at 92%; Rybelsus (oral) has the most balanced geographic mix on Novo's side. Mazdutide and ecnoglutide are China-only (NMPA approvals, no ex-China commercial yet).

China Domestic GLP-1 Pipeline

China-based developers of GLP-1 and adjacent assets. Mazdutide (Innovent + Lilly) was the first dual GCG/GLP-1 globally to gain regulatory approval (NMPA June 2025). Semaglutide patent expires in China in early 2026, opening generic competition from Hengrui, Yifan, and others.
SponsorDrugMechanismStage
Innovent + LillyMazdutideDual GCG/GLP-1Approved (NMPA Jun 2025)
Sciwind + PfizerEcnoglutideGLP-1 (long-acting)Approved (NMPA 2025)
Hengrui MedicineHRS9531Dual GLP-1/GIPPhase 3
Hansoh PharmaceuticalHS-20094Dual GLP-1/GIPPhase 2/3
Chia Tai TianqingTQ05105GLP-1 RAPhase 2
Yifan PharmaceuticalYFH-103GLP-1 RA biosimilarPhase 3
Innovent + LillyIBI362 (mazdutide)Dual GCG/GLP-1Lifecycle expansion
Multiple (semaglutide generic)Semaglutide genericsGLP-1 RA (generic)Pre-launch (post patent)

China-based developers of GLP-1 and adjacent obesity assets. Mazdutide (Innovent + Lilly) was the first dual GCG/GLP-1 globally to gain regulatory approval (NMPA June 2025). Semaglutide patent expires in China in early 2026, opening generic competition from Hengrui, Yifan, and others. Pricing in China is materially below US list, with many domestic assets priced at ~$150 to $180/month equivalent. Pfizer's Sciwind licensing ($495M) for ecnoglutide ex-China rights illustrates the cross-border deal-flow.

Biosimilar Launch Timeline by Market

Approximate biosimilar / generic launch timeline by market. Semaglutide US patent ~2032 to 2033; China early 2026. Tirzepatide US patent ~2036 base, ~2041 with extensions. Biocon Glupryze EM filings at ~40% discount-to-Ozempic anchor the EM pricing strategy.
2026
2028
2030
2032
2034
2036
2038
2040
2042
Semaglutide
China
2026
Canada
2027
Brazil
2027
India
2027
West Asia
2027
Latin America (Mexico, Argentina)
2028
Europe (EU)
2031
United States
2032
Tirzepatide
China
2034
Latin America
2036
Europe (EU)
2038
United States
2041

Approximate biosimilar / generic launch timeline by market. Semaglutide US composition-of-matter patent is commonly cited as expiring 2032 to 2033 with secondary patents; China patent expires early 2026, opening near-term competition. Tirzepatide US patent is 2036 base with pediatric and secondary extensions toward ~2041. Biocon Glupryze filings in Canada, Brazil, and West Asia at ~40% discount-to-Ozempic anchor the EM pricing strategy. Verify exact dates via USPTO Orange Book at publish.

GLP-1 and Obesity M&A 2023 to 2026

Bubble chart of major announced acquisition and licensing deals. Bubble size = deal value. Total announced consideration exceeds $50B across 8 deals. Novo Holdings + Catalent ($16.5B) and Pfizer + Metsera (~$10B headline) anchor the largest acquisitions.
AcquisitionLicensing

Major obesity-biotech M&A and licensing 2023 to 2026, bubble size = deal value. Total announced consideration exceeds $50B across 8 deals. Novo Holdings + Catalent ($16.5B) and Pfizer + Metsera (~$10B headline) anchor the largest acquisitions. Lilly's gene-editing entry (Verve, $1.3B mid-2025) signals platform expansion beyond GLP-1. Roche's licensing-heavy strategy (Carmot + Zealand + Structure) totals more than $4.5B combined.

Private Obesity Biotech Funding Rounds

Major announced equity rounds in private obesity-biotech 2023 to early 2026. Cumulative capital exceeded $2B before Pfizer's $10B Metsera acquisition crystallized the largest exit. Verdiva ($410M Series A 2024) and Kallyope (sustained Series E and F) anchor the largest pre-public platforms.
DateCompanyRoundAmount
2023-Q4MetseraSeries A$290M
2024-Q1KallyopeSeries E$200M
2024-Q2Verdiva BioSeries A$410M
2024-Q3MetseraSeries B$215M
2024-Q4Aardvark TherapeuticsSeries C$85M
2025-Q1Aardvark TherapeuticsIPO$94M
2025-Q2Skye BioscienceFollow-on$145M
2025-Q3KallyopeSeries F$175M

Major announced equity rounds in private obesity-biotech, late 2023 through early 2026. Cumulative private capital into the cohort exceeded $2B before Pfizer's $10B Metsera acquisition crystallized the largest exit. Verdiva ($410M Series A 2024) and Kallyope (sustained Series E and F rounds) anchor the largest pre-public platforms. Aardvark IPO'd 2025 (AARD). The 2024 to 2025 round cadence reflects big-pharma scouting and obesity-thesis capital deployment ahead of late-stage readouts.

Public-Equity GLP-1-Attributable Enterprise Value

Approximate GLP-1-attributable enterprise value across the 16 tracked public roster names, May 2026. Lilly (~$650B) and Novo Nordisk (~$420B) capture the vast majority of total ~$1.2T tracked. Tile area scales with EV; values are directional.
Eli Lilly
LLY$650B
Novo Nordisk
NVO$420B
Pfizer
PFE$30B
Roche
RHHBY$25B
Amgen
AMGN$20B
AstraZeneca
AZN$15B
Madrigal Pharmaceuticals
MDGL$15B
Innovent Biologics
1801.HK$10B
Hims & Hers Health
HIMS$8B
Bachem
BANB.SW$8B
Viking Therapeutics
VKTX$5B
Zealand Pharma
ZEAL.CO$5B
Akero Therapeutics
AKRO$5B
Ypsomed
YPSN.SW$4B
Structure Therapeutics
GPCR$1.5B
Altimmune
ALT$1B
IncumbentChallengerMASH-adjacentInternationalDistributionPeptide CDMOMid-cap pure-playDevice makerSmall-cap pure-play

Approximate GLP-1-attributable enterprise value across the 16 tracked public roster names, May 2026. Lilly (~$650B) and Novo Nordisk (~$420B) capture the vast majority of the total ~$1.2T tracked. Mid-cap challengers (PFE, AMGN, RHHBY, AZN) contribute $15 to $30B each on a GLP-1-segment-attribution basis. Pure-plays (VKTX, GPCR, ALT, ZEAL.CO) are smaller in absolute terms but most concentrated in their GLP-1 exposure. Values are directional; precise segment attribution differs by analyst methodology.

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GLP-1 - Competition | Sterling