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Novo Nordisk says Alzheimer's drug trial fails, hammering shares

Two phase 3 trials involving 3,808 early Alzheimer's patients showed oral semaglutide improved biomarkers but did not slow cognitive decline, prompting discontinuation of follow-up studies.

  • On Monday, Novo Nordisk announced that its oral semaglutide pill Rybelsus failed to meet the primary goal in two phase 3 trials, Evoke and Evoke+, enrolling more than 3,800 adults with early-stage Alzheimer's.
  • Driven by prior midstage and preclinical evidence, Novo Nordisk pursued the Alzheimer’s programme despite Martin Holst Lange acknowledging it carried a low likelihood of success.
  • Using the 14 mg once-daily dose , the trials measured cognition over a two-year follow-up period with CDR-SB and aimed for 20% slowing, but Novo said only secondary and exploratory endpoints and biomarkers showed signals while discontinuing one-year extensions.
  • Shares reacted immediately, with the stock tumbling about 10% on Monday, as analysts see the setback as another blow to Novo Nordisk shares under CEO Mike Doustdar amid restructuring.
  • High-Level results are slated for Dec. 3 in San Diego at the CTAD conference, with full data in March at AD/PD; analysts say the outcome reshapes competition for Biogen and matters for more than 55 million people affected globally.
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americanbankingnews.com broke the news in on Sunday, November 23, 2025.
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