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Semaglutide Gets FDA Greenlight for MASH

Wegovy improved liver fibrosis in 37% of patients and resolved steatohepatitis in 63%, becoming the first FDA-approved GLP-1 receptor agonist for MASH treatment.

  • This year, the U.S. Food and Drug Administration approved Wegovy for MASH, making it the first GLP-1RA approved for this indication.
  • At the moment, the only FDA-approved therapy for steatohepatitis is Rezdiffra, which had around $350 million in sales last year, but this is not mentioned in the source context.
  • In Part 1 of the ESSENCE trial involving approximately 800 patients, Wegovy showed 62.9% steatohepatitis resolution and 37% fibrosis improvement versus 22% on placebo.
  • The approval could unlock a market potentially worth tens of billions for Wegovy and keeps Novo Nordisk's lead over Eli Lilly in the GLP-1 market race for MASH indications.
  • While full approval depends on ongoing ESSENCE study results, GlobalData pharma analyst Jay Patel notes that Lilly’s Phase III trial for Zepbound, concluding in October 2026, will shape future competition.
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The New York Ledger broke the news in on Sunday, August 17, 2025.
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