Summary of Expert Call on GLP-1 Drugs in China Industry Overview - The discussion focused on the GLP-1 drug market in China, highlighting recent clinical developments and commercial updates [1] Key Updates on GLP-1 Drugs 1. **siRNA Therapy**: - The INLIGHT study by Wave Life Science (WVE US) reported a promising 9.4% reduction in visceral fat and a 3.2% gain in lean mass, addressing a common issue with GLP-1 drugs that typically result in muscle loss [2] - Potential for siRNA therapies to be combined with other drugs for better weight management, pending further clinical trials [2] 2. **Small-Molecule Oral GLP-1 Drugs**: - Orforglipron from Eli Lilly and aleniglipron from Structure Therapeutics were discussed, with orforglipron noted for its efficacy [3] - Aleniglipron may have higher manufacturing costs due to its dosing requirements (120mg) [3] - The expert indicated a decline in potential buyers for small molecules in China as several multinational corporations have already acquired such drugs [3] 3. **Eli Lilly's Retatrutide**: - This triple-agonist drug demonstrated a 28.7% change in body weight in the TRIUMPH-4 clinical trial [4] - Investors are advised to monitor long-term side effects, particularly dysesthesia, which affected 20.9% of the 12mg group [4] - Upcoming data from TRIUMPH-1, TRIUMPH-2, and TRIUMPH-3 trials in 2026 will be crucial for assessing long-term effects [4] Market Dynamics in China - Anticipated significant price cuts for GLP-1 drugs like tirzepatide may be offset by increased market penetration, making these drugs more affordable for patients [5] - Competing domestic drugs, such as mazdutide from Innovent, are expected to follow tirzepatide's pricing strategy [5] Competitive Landscape - The China market is expected to become increasingly crowded with more GLP-1 molecules, leading to potential price reductions [6] - 2026 is projected to be a pivotal year for companies like Innovent, Eli Lilly, and Novo Nordisk, as well as potential generic makers of semaglutide [6] - Leading Chinese companies, including Innovent and Hengrui, are expected to pose strong competition to the global leaders Eli Lilly and Novo Nordisk, while smaller players may seek collaborations [6]