This top obesity news video summary includes Chugai’s in-licensing of Roche’s dual incretin CT-388 for Japan, Ascletis advancing its once-monthly dual GLP-1/GIP candidate ASC35 toward a 2026 FDA IND, and Sciwind preparing for a Hong Kong IPO as ecnoglutide faces NMPA review. Additional highlights include Skye’s nimacimab showing additive weight-loss benefits with Wegovy, Lotus expanding semaglutide commercialization across Asia, and new efforts by the Bill Gates Foundation and PAHO to broaden GLP-1 access in low-income countries.
Watch Our Video Summary Capturing Obesity News from the Last Two Weeks
🇨🇳 Phase 3 start for efsubaglutide alfa at Guangzhou Innogen [1] [CN • 30 Sep 2025]
https://www.hkexnews.hk/listedco/listconews/sehk/2025/0930/2025093001504.pdf
Context: Company notice says first patient dosed in a Phase 3 obesity/overweight trial, target enrollment ~800 in China.
Key point: Guangzhou Innogen advanced efsubaglutide alfa into Phase 3 and initiated dosing, with success not guaranteed per disclosure.
Implication: May influence prescriber choice and payer reviews pending full data.
🇯🇵 Chugai licenses Roche’s CT-388, dual GLP-1/GIP agonist, for Japan 🧬 [2] [JP • 10 Oct 2025]
https://www.chugai-pharm.co.jp/english/news/detail/20251010170000_1186.html
Context: Overseas Phase 1 in adults with obesity, weekly SC dosing for 24 weeks; placebo-adjusted mean weight change −18.8% (p<0.001).
Key point: Chugai obtained exclusive Japan rights; cites robust Phase 1 weight loss and tolerability, with Phase 2 ongoing overseas in obesity with T2D.
Implication: Signals pipeline investment and modality expansion.
🗓️ Ascletis picks once-monthly ASC35, GLP-1R/GIPR dual, for clinic [3]
https://www.prnewswire.com/news-releases/ascletis-selects-a-best-in-class-once-monthly-subcutaneously-administered-glp-1rgipr-dual-peptide-agonist-asc35-for-clinical-development-302581431.html
Context: Preclinical NHP and DIO mouse data; engineered for longer half-life and higher exposure vs tirzepatide (head-to-head preclinical).
Key point: Plans U.S. IND for obesity in Q2 2026; positioning as once-monthly SC candidate with potential manufacturing scalability.
Implication: Signals pipeline investment and modality expansion.
🌏 Korea–China obesity race, Ildong oral GLP-1 early signal 📈 [4]
https://www.msn.com/en-xl/news/other/korean-chinese-firms-accelerate-obesity-drug-development/ar-AA1NCPxt
Context: Roundup of regional programs; Ildong disclosed early Phase 1 data for oral GLP-1 candidate ID110521156.
Key point: Company reported up to 13.8% weight loss at 4 weeks and average 9.9% at 200 mg in Phase 1, with once-daily oral dosing (early disclosure).
Implication: Could inform practice and payer discussions; interpretation depends on study design and confounding control.
🧪 Skye’s CB1 inhibitor nimacimab misses mono, shows combo lift with Wegovy [5]
https://www.clinicaltrialsarena.com/news/skye-biosciences-nimacimab-obesity-phase-iib-trial/
Context: Phase IIa obesity study; nimacimab is a peripheral CB1 inhibitor. Mono change −1.52% vs +0.26% placebo; company flagged dose as suboptimal.
Key point: Combo with semaglutide 2.4 mg showed −13.2% at 26 weeks, ~2.95% greater than Wegovy alone, with no added GI or neuropsychiatric AEs reported.
Implication: May influence prescriber choice and payer reviews pending full data.
🇪🇺 EASO: make semaglutide and tirzepatide first-line in obesity ✅ [6] [EU • 02 Oct 2025]
https://www.reuters.com/business/healthcare-pharmaceuticals/novo-lilly-weight-loss-drugs-should-be-first-option-obesity-treatments-european-2025-10-02/
Context: Guideline published in Nature Medicine; non-binding across countries.
Key point: Recommends GLP-1 agonists as first choice when substantial weight loss is needed, with condition-specific preferences.
Implication: Could inform practice and payer discussions; interpretation depends on study design and confounding control.
🇺🇸 Pfizer announces White House pricing agreement 💵 [7]
https://www.pfizer.com/news/press-release/press-release-detail/pfizer-reaches-landmark-agreement-us-government-lower-drug
Context: Company press release describes a direct purchasing platform and parity pricing with other developed markets.
Key point: Pfizer states Americans would access significant discounts across many products, with additional U.S. investments noted; specific terms confidential.
Implication: Introduces competition that may affect pricing and formulary access.
🌎 Gates and PAHO explore GLP-1 access in lower-income countries 🌱 [8] [10 Oct 2025]
https://www.reuters.com/business/healthcare-pharmaceuticals/bill-gates-paho-consider-ways-bring-weight-loss-drugs-lower-income-countries-2025-10-10/
Context: Reuters interview and report; references semaglutide patents expiring in some countries and WHO draft guidance.
Key point: Considering low-cost copies and potential Foundation-supported trials to broaden access via PAHO mechanisms.
Implication: May expand screening, initiation, and follow-up at scale.
Why it matters
- GLP-1/GIP duals are diversifying, with regional rights deals and once-monthly dosing ambitions that could shift adherence dynamics.
- Oral incretins, if validated, would alter initiation and persistence by removing injection barriers.
- Non-incretin combos, such as CB1 inhibitors with GLP-1s, may raise the weight-loss ceiling while managing GI tolerability.
- European guidance can shape payer and clinical pathways across multiple complications tied to obesity.
- Access and pricing moves, from U.S. purchasing models to PAHO pooling, will determine global reach beyond high-income markets.
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FAQ
What is efsubaglutide alfa and where is it in development?
Efsubaglutide alfa is Guangzhou Innogen’s obesity candidate now in a China Phase 3 with first patient dosed and ~800 planned participants [1]. Full endpoints were not specified.
What efficacy did CT-388 show in early studies?
In an overseas Phase 1, weekly CT-388 yielded a −18.8% placebo-adjusted mean weight change at week 24, with high responder rates and mainly mild–moderate GI AEs per Chugai [2].
When could Ascletis’ ASC35 enter the clinic?
Ascletis plans a U.S. IND in Q2 2026 for ASC35, a once-monthly GLP-1R/GIPR dual peptide supported by preclinical NHP and DIO mouse data [3].
Did Skye’s nimacimab work as monotherapy?
No, monotherapy missed. In combination with semaglutide, it showed ~3% greater weight loss vs Wegovy alone at 26 weeks, with no added GI or neuropsychiatric AEs reported [5].
How do the new European guidelines position GLP-1s?
EASO recommends semaglutide and tirzepatide as first-line medicines for most obesity cases, with condition-specific preferences, noting guidance is non-binding [6].
Are there efforts to improve global access to GLP-1s?
Yes. Pfizer announced a U.S. pricing agreement [7], and Gates with PAHO are exploring lower-income access pathways and potential trials as semaglutide faces IP expiry in some markets [8].
Entities / Keywords
Semaglutide (Wegovy/Ozempic; Novo Nordisk), Tirzepatide (Zepbound/Mounjaro; Eli Lilly), CT-388 (Roche/Chugai), Efsubaglutide alfa (Guangzhou Innogen), ASC35 (Ascletis), Nimacimab (Skye; CB1 inhibitor), Ildong ID110521156 (oral GLP-1), EASO guideline, PAHO, Bill Gates, Pfizer pricing, GLP-1/GIP dual agonists, once-monthly incretins, oral incretins, combo therapies.
References
- https://www.hkexnews.hk/listedco/listconews/sehk/2025/0930/2025093001504.pdf
- https://www.chugai-pharm.co.jp/english/news/detail/20251010170000_1186.html
- https://www.prnewswire.com/news-releases/ascletis-selects-a-best-in-class-once-monthly-subcutaneously-administered-glp-1rgipr-dual-peptide-agonist-asc35-for-clinical-development-302581431.html
- https://www.msn.com/en-xl/news/other/korean-chinese-firms-accelerate-obesity-drug-development/ar-AA1NCPxt
- https://www.clinicaltrialsarena.com/news/skye-biosciences-nimacimab-obesity-phase-iib-trial/
- https://www.reuters.com/business/healthcare-pharmaceuticals/novo-lilly-weight-loss-drugs-should-be-first-option-obesity-treatments-european-2025-10-02/
- https://www.pfizer.com/news/press-release/press-release-detail/pfizer-reaches-landmark-agreement-us-government-lower-drug
- https://www.reuters.com/business/healthcare-pharmaceuticals/bill-gates-paho-consider-ways-bring-weight-loss-drugs-lower-income-countries-2025-10-10/

