Weight loss drugs, Alzheimer’s treatments and gene editing: Enormous firsts defined 2023 in pharma

Biotech
Wednesday, December 20th, 2023 4:28 pm EDT

Key Points

  • Pivotal Achievements in Pharmaceuticals in 2023: The pharmaceutical industry concludes the year with significant milestones that are poised to influence the broader landscape of drug development in 2024 and beyond. Drugmakers have notched historic firsts, paving the way for transformative shifts and advancements within the industry.
  • Decline in Covid Products Amidst Waning Demand: The year saw a substantial downturn for Covid vaccines and treatments, representing the major setbacks of 2023. Demand for these products reached unprecedented lows as global cases dwindled, and public apprehension about the virus diminished. This shift marked a notable departure from the earlier prominence of Covid-related pharmaceuticals.
  • Shift in Wall Street Focus to Innovative Treatments: Wall Street redirected its attention from traditional pharmaceutical sectors, such as Covid-related products, towards a select group of newer treatments across diverse disease areas. This strategic pivot included a heightened interest in innovative medications addressing weight loss and the introduction of a groundbreaking Alzheimer’s drug. The market’s focus shifted to embrace novel solutions and advancements in various therapeutic domains.


In the pharmaceutical landscape, 2023 witnessed transformative developments, setting the stage for significant shifts in the industry in 2024 and beyond. Several historic firsts emerged, reshaping the dynamics of drug markets, with notable breakthroughs and challenges across various therapeutic areas.

1. Weight Loss Drugs Surge: The weight loss drug market emerged as the pharmaceutical industry’s latest gold rush, experiencing a notable transformation. Novo Nordisk and Eli Lilly witnessed a surge in demand for their effective yet costly weight loss treatments, namely Wegovy and Ozempic. These drugs not only proved lucrative for the companies but also showcased potential benefits beyond their original weight loss purposes. Analysts speculate that the weight loss and diabetes drug market could grow into a $100 billion industry by 2030. However, challenges such as supply shortages and limited insurance coverage for these expensive treatments are expected to persist into 2024.

2. Alzheimer’s Drug Breakthrough: The approval and launch of Leqembi marked a historic moment in the Alzheimer’s disease space. Developed by Eisai and Biogen, Leqembi is the first drug proven to slow the progression of Alzheimer’s disease, offering hope to the millions affected by this memory-robbing condition. Despite a slow start in its rollout, Leqembi demonstrated a 27% reduction in cognitive decline over 18 months in clinical trials. The drug, priced at $26,500 per year, is not a cure, but its approval represents a significant advancement in Alzheimer’s treatment.

3. Covid Products Decline, RSV Vaccines Gain Momentum: The once-booming market for Covid products experienced a sharp decline as the world transitioned away from pandemic peaks. Sales and shares of Covid vaccine makers, including Pfizer and Moderna, plummeted, with both companies facing financial challenges. In contrast, the market saw the launch of the world’s first respiratory syncytial virus (RSV) vaccines by Pfizer and GlaxoSmithKline. These vaccines, gaining FDA approval for older adults, demonstrated rapid uptake and provided a potential avenue for these companies to recover from the decline in Covid product demand.

4. Medicare Drug Price Negotiations: A significant policy shift shook the pharmaceutical industry with the introduction of Medicare drug price negotiations. Part of President Joe Biden’s Inflation Reduction Act, this controversial process aims to make prescription drugs more affordable for older Americans. The negotiation process, set to begin officially in 2024, involves discussions between Medicare and drug manufacturers. While companies that make the listed drugs have signed agreements to join negotiations, more than a third of them have sued the federal government to halt these negotiations, viewing them as a threat to revenue growth, profits, and drug innovation.

In summary, the pharmaceutical industry in 2023 witnessed a dynamic interplay of breakthroughs and challenges across various therapeutic areas. From the surge in weight loss drugs to the historic Alzheimer’s drug breakthrough and the decline in Covid product demand, these developments will continue to shape the industry’s trajectory in 2024. Additionally, the implementation of Medicare drug price negotiations introduces a new regulatory landscape that could have profound implications for drug pricing and market dynamics in the years to come.

For the full original article on CNBC, please click here: https://www.cnbc.com/2023/12/20/weight-loss-drugs-covid-downturn-pharma-had-a-year-full-of-firsts.html