Blockbuster Weight-Loss Drug Wegovy to Be Available on NHS

Mar 7, 2023

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(Bloomberg) -- Novo Nordisk A/S’s blockbuster obesity drug Wegovy will soon be offered to patients through England’s National Health Service after the country’s health-cost regulator recommended the weekly injection.

Wegovy, which can help people lose more than 10% of their total body weight, will be made available through the NHS’s specialist weight management service, the National Institute for Health and Care Excellence said in a statement.

The medication is endorsed along with a reduced-calorie diet and increased physical activity for adults who have at least one weight-related co-morbidity and a high body-mass index. 

The health professionals that prescribe Wegovy will also monitor the drug’s potential side-effects, NICE said in the statement. The main side effects reported by patients during clinical trials were gastrointestinal disorders including nausea, diarrhea, constipation and vomiting.

Demand for Wegovy has been soaring and companies including Amgen Inc., Eli Lilly & Co. and Pfizer Inc. are rapidly gearing up to enter the market for medications for obesity. It’s estimated that 28% of adults in England are obese and a further 36% are overweight, according to the 2019 Health Survey for England. 

The current costs of obesity in the UK are £6.1 billion ($7.2 billion) to the NHS and about £27 billion to wider society, government estimates show.

Still, production problems have held back Wegovy sales in the US and the Danish drugmaker has had to delay its entry of the appetite suppressant into most European markets. The final guidance by NICE wasn’t published until Wednesday because the product had not yet been scheduled to launch in England, it said. 

While there is no official initiation date, Novo is “working to make Wegovy available in the UK as soon as possible,” the company said in an emailed response to questions.

“It won’t be available to everyone,” said Helen Knight, the director of medicines evaluation at NICE. “Our committee has made specific recommendations to ensure it remains value for money for the taxpayer, and it can only be used for a maximum of two years.”

The trial used for the licensing recommendation was conducted over two years, so there’s no data on the longer term impacts of Wegovy, said Simon Cork, a lecturer in physiology at Anglia Ruskin University. Trial participants were monitored after stopping the drug and during the following year all of them regained most of the weight they had lost.

“This demonstrates the fact that obesity is a lifelong condition,” and that semaglutide, the active ingredient in Wegovy, is a treatment rather than a cure, Cork said.

(Updates with company comment in eighth paragraph)

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