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The Patent Clock Ticks: Biosimilars Set to Shake Up the Obesity Drug Market

Albert FoxTuesday, May 13, 2025 1:41 pm ET
39min read

The obesity drug market, currently dominated by Novo Nordisk’s Ozempic and Eli Lilly’s Wegovy, is on the cusp of a seismic shift. By 2026, key patents for semaglutide—the molecule behind these blockbusters—will expire, unlocking a multi-billion-dollar opportunity for biosimilar manufacturers. Indian and Chinese firms, armed with razor-thin production costs and regulatory momentum, are primed to undercut list prices by 50–90%, forcing branded giants into a defensive battle. For investors, this is a “buy the dip” moment for generics players while hedging against the volatility of established pharma stocks.

The Catalyst: Patent Expiries Create a Gold Rush

The cornerstone of Novo Nordisk’s $20 billion semaglutide franchise—a patent expiring in China in 2026—is the first domino to fall. By 2031, U.S. and European patents will follow. This timeline creates a clear path for biosimilar manufacturers to enter markets with cost-of-production estimates as low as $40/month, versus branded list prices exceeding $1,300/month.

The Generics Playbook: Scale, Speed, and Pricing Power

Companies like Biocon (BOCON) (India), Innovent (INVT) (China), and Huadong Medicine (China) are already in the race. Their advantages?
- Cost Efficiency: Biosimilar production requires no R&D investment, leveraging existing manufacturing infrastructure.
- Regulatory Momentum: Over a dozen Chinese firms have advanced semaglutide biosimilars to Phase 3 trials, targeting approvals by 2026. India’s Dr. Reddy’s Laboratories and Biocon are also pursuing FDA approvals for U.S. entry.
- Price Aggression: Analysts project biosimilars could reduce prices to $100–$200/month, capturing 40–60% of global demand within three years.

The math is irrefutable: at these price points, biosimilars will attract cost-sensitive markets, Medicaid programs, and even private insurers seeking to bend the cost curve.

Risks to the Branded Model: Litigation and Innovation

Branded players won’t cede ground easily. Novo Nordisk is fighting patent challenges in China’s courts, with a Supreme Court ruling expected in 2025 that could delay generics by a year or more. Meanwhile, both Novo and Lilly are racing to develop “next-gen” drugs—dual-target GLP-1/GIP agonists—to extend monopolies.

Yet, these strategies carry risks:
- Patent Litigation Costs: Prolonged legal battles could divert resources and delay biosimilar entry.
- Regulatory Hurdles: Biosimilars must prove “interchangeability” with branded drugs—a process that could delay U.S. approvals until 2028.
- Erosion of Pricing Power: Even incremental innovation won’t offset the inevitability of biosimilar competition, forcing branded firms to lower prices or lose share.

Investment Strategy: Allocate to Generics, Hedge Branded Volatility

1. Front-Run the Biosimilar Play:
- Biocon (BOCON): A pioneer in generic insulin, now expanding into semaglutide. Its $1.5 billion market cap offers upside as it secures FDA approvals.
- Innovent (INVT): Leverages China’s fast-track regulatory environment; its semaglutide biosimilar could capture 20% of the domestic market by 2027.

2. Short Branded Equity Volatility:
- Novo Nordisk’s stock (NVO) has underperformed the S&P 500 by 15% over the past year amid patent concerns. Consider shorting or using put options to capitalize on downside risk.

3. Monitor the Litigation Timeline:
- A positive ruling for Novo in China’s Supreme Court could delay generics by 12–18 months, creating a “sweet spot” for branded firms to negotiate price cuts while maintaining margins.

Conclusion: The Tide is Turning

The obesity drug market is transitioning from a “branded-only” premium to a price-competitive landscape. Biosimilar manufacturers are the clear winners in this shift, offering asymmetric upside. Branded firms, meanwhile, face a stark choice: adapt to a world of generics or risk obsolescence. For investors, the playbook is clear: allocate 10–15% of a healthcare portfolio to biosimilar leaders while hedging against NVO/LLY volatility. The patent clock is ticking—act before the disruptors hit the market.

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