GLP-1 Obesity Drug Boom: U.S. and Korea-Listed Companies Redefining Healthcare and Markets
📘 Part 1. U.S.-Listed Leaders — The “Obesity Drug One-Tops” Already Making Real Money
Eli Lilly (NYSE: LLY) and Novo Nordisk (NYSE ADR: NVO / Copenhagen: NOVO-B) are already generating substantial revenue and profit from GLP-1–based obesity and diabetes therapies. While many biotechs still trade on potential, these two have validated the business model.
When you talk about the obesity-treatment market of the 2020s, it ultimately boils down to two names: Eli Lilly and Novo Nordisk. Let’s go one by one.
1️⃣ Eli Lilly — Reached #1 Pharma Market Cap with Mounjaro & Zepbound
(1) What kind of company is it? — From “the Prozac company” to “the obesity-drug company”
- The antidepressant Prozac
- Multiple insulin products
- Treatments for rheumatic/autoimmune disorders and oncology
“Lilly now lives on obesity drugs.”
At the center are two brands: Mounjaro (type 2 diabetes) and Zepbound (obesity). Both use tirzepatide; they split indications and positioning to cover both markets. By 2024–2025, Lilly rose to #1 by market cap among global pharmas.
(2) Snapshot — A large pharma that keeps raising its annual guide
- Guidance raised repeatedly: 2024 revenue guide to $45.4–46.6B; 2025 around $63B.
- Quarterly breakthrough (Q3 2025): Revenue $17.6B (+53.9% YoY), Net income ~$5.5B (~6×). Zepbound ~$3.59B (+185%), Mounjaro ~$6.52B (+109%). Combined GLP-1s: $10B+ per quarter.
- ~$800B market cap: “The only pharma at the table with Apple, Microsoft, NVIDIA.”
(3) What does it make? — GLP-1 + GIP dual agonist tirzepatide
- GLP-1: ↑ insulin, ↓ gastric emptying (satiety), ↓ appetite
- GIP: post-meal insulin modulation; energy/fat metabolism
Mounjaro: type 2 diabetes (strong glycemic control + weight loss).
Zepbound: obesity (weight reduction is the primary goal).
Key data
- SURMOUNT-1 (72 wks, non-diabetic adults): up to 57% achieved ≥20% loss; average ~15–20%.
- Vs Wegovy (72 wks): Zepbound ~22.8 kg vs Wegovy ~15 kg.
Typical GI AEs (nausea, vomiting, diarrhea, constipation); mitigate with slow titration.
(4) Pipeline — From injections to pills, dual to triple
- Orforglipron (oral GLP-1): ~12.4% average loss at 72 wks (ATTAIN-2); practical for injection-averse or maintenance use.
- Retatrutide (GLP-1 + GIP + glucagon): Phase 2, 48 wks, up to ≥24% average loss; some near 30%.
2️⃣ Novo Nordisk — Moving Denmark’s Economy with Ozempic & Wegovy
(1) From “insulin kingdom” to “obesity empire”
Core platforms: insulins, GLP-1 diabetes meds (liraglutide, semaglutide). As semaglutide’s obesity efficacy proved dramatic, growth expanded from diabetes to obesity.
- Ozempic: weekly semaglutide (type 2 diabetes)
- Wegovy: higher-dose semaglutide for obesity; emphasis on weight loss + CV risk reduction
Novo became Europe’s #1 market cap in 2024; at one point, market cap even surpassed Denmark’s annual GDP.
(2) Financial snapshot & stock
- 2024 revenue ~$40B; +26% YoY. GLP-1 share rising; Wegovy fastest. Wegovy ~DKK 88.4B (~KRW 17T). Ozempic similar or larger.
- Post-FDA 2021: stock up >3× in three years; market cap >$600B.
- 2025 normalization: drug-price pressure, stronger competitors, supply bottlenecks/capex → temporary >40% drawdown.
(3) What does it make? — Semaglutide (GLP-1-only)
- ↑ insulin when glucose is high; ↓ gastric emptying; ↓ appetite via hypothalamus
- Products: Ozempic (weekly), Rybelsus (oral daily), Wegovy (high-dose obesity)
- Obesity trials: ~15% average loss; also **reduces MACE** in high-risk patients → big advantage in payer negotiations.
(4) Next cards — Amycretin & combinations
- Amycretin: co-modulates GLP-1 and other pathways; early **~20%** loss; potential successor to semaglutide.
- Combination programs: GLP-1 + GIP, GLP-1 + amylin.
3️⃣ U.S. “Followers” — Attention, but Little Obesity Revenue (Yet)
Amgen (AMGN)
AMG 133 (MariTide) explores GLP-1, GIP, and other routes. Early data show meaningful weight loss → a top candidate to follow Lilly/Novo.
Viking Therapeutics (VKTX)
VK2735 (GLP-1/GIP dual), both injectable and oral under development. Early studies ~13% weight loss. Classic R&D biotech: price moves on data and deal/M&A news.
📘 Part 2. Korea-Listed Names — Four Pillars Aiming at K-GLP-1
- Hanmi Pharmaceutical (KOSPI: 128940)
- HK inno.N (KOSDAQ: 195940)
- Ildong Pharmaceutical (KOSPI)
- D&D Pharmatech (KOSDAQ)
1️⃣ Hanmi — Closest to the first GLP-1 launch in Korea
- Lead: Efpeglenatide (weekly GLP-1 injection); add’l: HM15275, HM17321.
- Active at ADA 2025 (six obesity-related presentations).
- 2024 (consol.) rev ~KRW 1.4955T; OP ~KRW 216.2B; NI ~KRW 140.4B. 2025E rev ~KRW 1.6T, OP ~KRW 260B (broker est.).
- Phase 3 obesity in Korea; media cite some patients with up to **~30%** loss at 40 wks. Watch **reimbursement** & **out-licensing**.
2️⃣ HK inno.N — Licensed-in GLP-1, IN-B00009
- Licensed **ecnoglutide** (IN-B00009) from **Sciwind**.
- Completed Phase 2 (obesity); cleared for Phase 3 in Korea.
- 9M 2025 rev ~KRW 770B; approaching **KRW 1T** FY. Narrative: “stable core → GLP-1 second engine.”
3️⃣ Ildong Pharmaceutical — Oral GLP-1 pipeline
- Oral GLP-1 candidate (name undisclosed); Phase 1 topline planned for **Sep 2025**.
- Profit turn around 2024 (~$11M OP); **1Q25** OP up **>4,000% YoY**.
4️⃣ D&D Pharmatech — Oral GLP-1 out-licensing surge
- Candidates: DD02S (oral GLP-1 analog), DD03 (oral triple GLP-1/GIP/GCG).
- $803.5M multi-asset deal with Metsera (U.S.). 2025 M&A rumors (Pfizer/Novo) boosted the story.
- Claims **>10×** absorption vs current orals; monthly dosing concept for DD02S.
📘 Part 3. By the Numbers — U.S. vs Korea Investment Map
1️⃣ Obesity in Korea — “>30% increase over 10 years”
- Adults (2015): 26.3% → (2024): 34.4% (+30.8%).
- Men ~41%, Women ~23%. Men in 30s: 53.1%; 40s: 50.3%.
- Body-fat-based analyses show **>40%** metabolically obese.
2️⃣ Market size — High-teens growth
- Non-surgical obesity (Korea): 2024 $136.8M → 2030 $357.9M (CAGR ~17.1%).
- GLP-1 obesity (Korea): 2024 $122.8M → 2030 $386.1M (CAGR ~16.7%).
- GLP-1 for weight loss: 2024 $0.2B → 2033 $0.7B (~3×).
3️⃣ Quick comparison tables (Nov 2025, rough)
Valuation & Stock
| Hanmi | HK inno.N | Ildong | D&D Pharmatech | |
|---|---|---|---|---|
| Exchange | KOSPI | KOSDAQ | KOSPI | KOSDAQ |
| Mkt cap | ~KRW 3.6T | ~KRW 1.4T | ~KRW 0.8–0.9T | ~KRW 3T |
| 1-yr perf | Sideways → gentle up; mid-teens | Boxed thru 1H25 → re-accelerated | ~+100% (pipeline + profit turn) | +600%+ (Metsera deal + GLP-1 theme) |
| Profitability | >KRW 200B OP in 2024 | Profitable on K-CAB | Profit turn; still small/volatile | R&D-stage; deal income helped |
| Valuation | 2024F PER low-10s | 2025F PER mid/high-teens | P/E less meaningful post-turn | No P/E; P/B ~30× cited |
Pipeline View
| Company | Candidate / Target | Form | Stage / Indication | Notes |
|---|---|---|---|---|
| Hanmi | Efpeglenatide | Weekly injection | K-obesity Phase 3 | GLP-1 RA; closest to Korean launch |
| HM15275, HM17321 | Injection | Early–mid | Some aim to preserve lean mass | |
| HK inno.N | IN-B00009 (ecnoglutide) | Weekly injection | K-obesity Phase 3; Phase 2 > liraglutide | Licensed from Sciwind; ≤15%-range loss vs Wegovy in some reports |
| Ildong | (undisclosed oral GLP-1) | Oral | Phase 1 complete; topline pending | Differentiation via oral; few public details yet |
| D&D | DD02S | Oral | Pre/early; out-licensed to Metsera | >10× absorption vs current orals; monthly dosing concept |
| DD03 (triple GLP-1/GIP/GCG) | Oral | Pre/early | Targets weight loss + ↑ energy expenditure |
📘 Part 4. Final Framing — What to Use & What to Buy
1️⃣ “Already making money” vs “just starting development”
Lilly/Novo: validated, cash-generating GLP-1 businesses now.
Hanmi / HK inno.N / Ildong / D&D: equities with premium on future potential; event-driven.
2️⃣ What to read in financials
- Revenue share from obesity/diabetes, profit structure, R&D intensity/capacity
- Lilly/Novo: GLP-1 core, ~40% OPM, 15–20% R&D
- K cohort: higher R&D/ sales; some rely on raises and deal income
3️⃣ Beyond efficacy — structure matters
- Tirzepatide ~20% vs Semaglutide ~15% average loss (H2H)
- Form factor: injection vs oral; weekly vs daily adherence
- Payers & pricing, IP cliffs (early–mid 2030s) → margin/price compression later
4️⃣ Choice set
- A. Validated global large-cap exposure for stability (LLY, NVO)
- B. Event-driven beta via Korean biotechs (Hanmi, HK inno.N, Ildong, D&D)
Important note (disclaimer)
Sources
- World Obesity Federation, World Obesity Atlas 2024
- NEJM (2023), “Tirzepatide Once Weekly for the Treatment of Obesity”
- NEJM (2021), “Once-Weekly Semaglutide in Adults with Overweight or Obesity”
- Grand View Research (2024), Obesity Treatment Market — South Korea
- Eli Lilly Q3 2025 Earnings (Company IR)
- Novo Nordisk Annual Report 2024 & press materials
- Hanmi Pharmaceutical IR — Efpeglenatide development reports
- HK inno.N IR / press — IN-B00009 licensing
- D&D Pharmatech press — DD02S/DD03 out-licensing to Metsera
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