不过，第一财经记者查询小红书等社交媒体平台发现，讨论如何服用口服司美格鲁肽减重的帖子非常受 欢迎。一些网友纷纷评论口服司美格鲁肽减重的效果以及购买的价格和渠道。 25mg口服片剂为首发 口服司美格鲁肽用于减重设计的药物是需要大剂量使用的，这是由于口服肽类生物利用率很低。这也就 意味着，要达到司美格鲁肽注射液同等减重效果，需要更高剂量的口服片剂。 日前，诺和诺德的重磅GLP-1类药物司美格鲁肽口服片剂减重适应症正式获得美国FDA批准，成为全球 首个获批的GLP-1类口服减重药。目前该口服药物尚未在国内获批上市。 在网上，已有"聪明"的网友发问：能不能一下子吞服两片药来达到更大的剂量效果？对此，专家表 示，"这是严格禁忌的"。 暨南大学附属第一医院运动医学科主任李劼若告诉第一财经记者："口服司美格鲁肽用于减重设计的药 物是需要大剂量使用的，这是由于口服肽类生物利用率很低（小于1%）。"这也就意味着，要达到司美 格鲁肽注射液2.4mg减重效果，需要高达50mg剂量的口服片剂。 为什么不能一下子吃两片甚至是三片？据福建省立医院减重专家隋建在网上的视频分享，任何药物都是 有毒副作用的，因为药物的成分很复杂。目前使用说明 ...

Investment Rating - The report rates the pharmaceutical industry as "stronger than the market" [8]. Core Insights - The pharmaceutical sector has shown a mixed performance recently, with the SW pharmaceutical index declining by 1.04%, underperforming the CSI 300 index, which decreased by 0.08% during the week of December 8 to December 14 [3]. - Key developments include positive results from Eli Lilly's GLP-1/GIP/GCG triagonist Retatrutide in its Phase III trial, achieving significant weight loss results of 26.4% and 28.7% in treatment groups compared to 2.1% in the placebo group [3]. - Wave Life Science's siRNA candidate WVE-007 demonstrated promising results in its Phase I trial, showing a 9.4% reduction in visceral fat and a 4.5% decrease in total body fat after 12 weeks, indicating a competitive edge in obesity treatment [3]. Summary by Sections Industry Performance - The pharmaceutical sector's performance has been volatile, with various sub-sectors showing differing results. CXO and innovative drugs have seen gains, while offline pharmacies and drug distribution have struggled [3]. Key Developments - Eli Lilly's Retatrutide trial results indicate a strong potential for weight loss treatment, with safety profiles consistent with other GLP-1 receptor agonists [3]. - WVE-007's mechanism of action offers a unique advantage in fat reduction while preserving muscle mass, with a potential for infrequent dosing [3]. Investment Opportunities - The report highlights the trend of Chinese innovative drug companies expanding globally, with a focus on ADCs, bispecific antibodies, small nucleic acids, and weight loss drugs as key investment areas for 2026 [3]. - Companies such as InnoCare Pharma, WuXi AppTec, and others are noted as potential investment targets due to their promising developments [3].

Core Viewpoint - Pfizer has filed a lawsuit against Metsera and Novo Nordisk regarding a bidding war for Metsera, highlighting the significant increase in valuations for weight loss therapies over the past year [3][5]. Group 1: Acquisition Dynamics - Pfizer initiated discussions to acquire Metsera in 2024, with Novo Nordisk making its first formal offer of $2 billion on January 23, which was rejected by Metsera's board due to regulatory risks and low valuation [3][4]. - The bidding process escalated, with Pfizer's offer increasing from $30 per share in June to a peak of $70 per share [4]. - Novo Nordisk's final offer on September 20 included a complex equity structure that Metsera's board deemed too risky [5]. Group 2: Market Implications - Analysts estimate that Metsera's potential weight loss therapies could generate approximately $5 billion in annual sales [5]. - Barclays forecasts that the global weight loss therapy market could reach $150 billion by 2030, indicating significant opportunities for new entrants alongside established players like Eli Lilly and Novo Nordisk [5]. - The competition between Pfizer and Novo Nordisk for Metsera not only affects their strategic positioning but also has the potential to reshape the competitive landscape of the global weight loss drug market [5]. Group 3: Product Development - Metsera's key assets include a GLP-1 receptor agonist in phase 2 development and a long-acting insulin analog in phase 1, which could offer differentiated advantages if combined successfully [6]. - Pfizer's own development of weight loss drugs has faced challenges, leading to a strategic pivot towards acquisitions to enter the weight loss market [6]. - Novo Nordisk's GLP-1 therapy, semaglutide, saw a 58% year-over-year sales increase in the first half of 2025, with its weight loss version growing by 78%, indicating strong market performance [6]. Group 4: Future Market Trends - The entry of Pfizer and other new players is expected to shift the weight loss drug market from a "duopoly" to a "multi-player" competition [7]. - Goldman Sachs predicts that oral GLP-1 drugs will capture about 24% of the weight loss therapy market by 2030, suggesting substantial growth potential [7].

Core Viewpoint - The ongoing bidding war between Pfizer and Novo Nordisk for the acquisition of Metsera highlights the escalating valuation of weight loss therapy assets, with Pfizer's offer increasing from $30 to a peak of $70 per share, while Novo Nordisk's latest bid reaches $8.5 billion, significantly higher than Pfizer's previous offers [1][2]. Group 1: Acquisition Details - Pfizer filed a lawsuit against Metsera for allegedly breaching the merger agreement, seeking a temporary restraining order to prevent Metsera from terminating the deal [1]. - Novo Nordisk's acquisition proposal includes a complex equity structure that Metsera's board deemed too risky, despite Pfizer receiving early antitrust approval for its $7.3 billion acquisition [2]. - The competitive bidding process reflects a broader trend in the weight loss therapy market, with analysts projecting Metsera's potential therapies could generate approximately $5 billion in annual sales [2]. Group 2: Market Dynamics - The competition between Pfizer and Novo Nordisk is expected to significantly impact the global weight loss drug market, which is projected to reach $150 billion by 2030, indicating opportunities for new entrants beyond current leaders [2][4]. - Metsera's key assets include a GLP-1 receptor agonist in phase 2 development and a long-acting insulin analog in phase 1, which could offer differentiated advantages if successful [3]. - The entry of Pfizer and other new players is likely to shift the market from a "duopoly" dominated by Novo Nordisk and Eli Lilly to a more competitive landscape with multiple participants [4].

Group 1 - Novo Nordisk's market value has decreased by over 50% from its peak a year ago, primarily due to competitive pressures from Eli Lilly's GLP-1 drug, tirzepatide, which has shown superior weight loss efficacy compared to semaglutide [1][3] - Novo Nordisk has made significant investments in weight loss therapies, including a recent collaboration with Septerna to develop oral small molecule drugs for obesity and type 2 diabetes, with a potential deal value of up to $2.2 billion, including a $200 million upfront payment [1][3] - In March, Novo Nordisk entered into a $1 billion licensing agreement with Lexicon Pharmaceuticals for a drug targeting obesity and related metabolic disorders, and also acquired global rights for a three-target agonist weight loss drug from China National Pharmaceutical for up to $2 billion [3] Group 2 - Both Novo Nordisk and Eli Lilly are focusing on next-generation weight loss drugs, including oral formulations, with Novo Nordisk emphasizing its historical innovation in obesity and diabetes treatment [3][4] - The U.S. regulatory agency has accepted Novo Nordisk's application for the oral version of semaglutide, which, if approved, will be the first oral GLP-1 weight loss therapy [4] - Novo Nordisk is also exploring digital health solutions for obesity management, recently partnering with Ping An Health Technology to create a comprehensive service model for obesity management and public health education [4]