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시장보고서
상품코드
2118840
비만 : 경쟁 구도 및 임상시험 분석(2026년)Obesity - Competitive Landscape and Clinical Trial Analysis, 2026 |
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DelveInsight
비만이란 과다하거나 비정상적인 체지방을 특징으로 하는, 만성적이고 재발성인 지방 축적에 기인한 질환으로, 신체 건강을 해치고 유병률 및 사망률을 증가시킬 가능성이 있습니다. 기존에는 성인의 비만을 BMI 30 kg/m² 이상으로 정의해 왔으나, 새로운 프레임워크에서는 BMI만으로는 지방 분포나 비만과 관련된 장기 기능 장애를 충분히 파악할 수 없다는 점이 강조되고 있습니다. 중앙성 비만, 과도한 체지방, 그리고 이와 관련된 합병증이 진단에 점점 더 많이 반영되고 있습니다.
일반적인 징후 및 증상으로는 과체중, 허리 둘레 증가, 호흡 곤란, 피로감, 신체 활동 감소, 관절 불편감, 수면 장애 등이 있습니다. 비만은 다인자적이며, 유전적 소인, 에너지 균형의 불균형, 식습관, 신체 활동 부족, 환경적 요인, 약물, 사회경제적 상황, 그리고 신경내분비 조절의 상호작용에 의해 유발됩니다.
병태생리학적으로, 에너지 섭취량이 에너지 소비량을 만성적으로 초과함으로써 비만이 발병하고, 그 결과 지방세포의 비대와 지방 조직의 확장이 발생합니다. 과도한 지방 축적은 만성적인 경미한 염증, 인슐린 저항성, 아디포카인 신호 전달의 이상 및 대사 기능 장애를 촉진하여 2형 당뇨병, 심혈관질환, 지방간, 수면 무호흡 증후군, 근골격계 질환의 원인이 됩니다.
비만의 진단은 체질량 지수(BMI) 평가에서 시작됩니다. 일반적으로 성인의 BMI가 30 kg/m² 이상이면 비만으로 분류되지만, BMI만으로는 체지방의 분포나 건강 위험을 정확하게 반영할 수 없습니다. 따라서 중앙형 비만 또는 내장 지방의 유무를 확인하기 위해 허리 둘레를 측정하는 경우가 많으며, 추가 평가가 필요한 경우에는 DXA나 생체전기임피던스법 등의 체성분 측정법이 사용되기도 합니다.
임상 평가에는 병력 및 가족력, 체중 변화, 식습관, 신체 활동, 약물 복용 상황, 수면, 그리고 내분비 질환 등 잠재적인 이차적 원인이 포함됩니다. 또한, 임상의는 혈압 측정과 혈당·HbA1c, 지질 프로파일, 간 기능 검사 등의 임상 검사를 통해 비만과 관련된 합병증 평가도 수행합니다. 최근 진단에 있어서는 BMI에만 의존하지 않고, 과도한 지방의 양과 분포, 그리고 이것이 장기 기능 및 전신 건강에 미치는 영향을 중시하는 경향이 강해지고 있습니다.
치료는 맞춤형으로 이루어지며, 단순히 체중을 줄이는 것뿐만 아니라 비만 관련 합병증을 개선하고 전반적인 건강 상태를 향상시키는 것을 목표로 합니다. 영양 중재, 신체 활동, 행동 지원을 포함한 생활 습관 관리는 여전히 기초가 되지만, 장기적인 생리적 적응으로 인해 지속적인 체중 감량이 어려워질 수 있습니다. 임상적으로 적절하다고 판단되는 경우 약물 요법이 추가될 수 있으며, 현재의 선택지에는 GLP-1 수용체 작용제나 세마글루타이드, 틸제파티드 등의 GLP-1/GIP 계열 치료제 외에도 기타 승인된 항비만제가 포함됩니다. 중증 또는 합병증을 동반한 비만 환자 중 특정 환자들에게는 대사·체중 감량 수술이 가장 지속가능한 체중 감량 방법이 됩니다.
DelveInsight's, "Obesity - Competitive Landscape and Clinical Trial Analysis, 2026" report provides comprehensive insights about 200+ companies and 200+ drugs in Obesity Competitive landscape. It covers the therapeutics assessment by product type, stage, route of administration, and molecule type. It further highlights the inactive pipeline products in this space.
Obesity: Understanding
Obesity: Overview
Obesity is a chronic, relapsing, adiposity-based disease characterized by excessive or abnormal body fat that can impair physical health and increase morbidity and mortality. Traditionally, obesity in adults is defined using BMI >=30 kg/m2, although newer frameworks emphasize that BMI alone does not capture fat distribution or obesity-related organ dysfunction. Central adiposity, excess body fat and associated complications are increasingly incorporated into diagnosis.
Common signs and symptoms include excess body weight, increased waist circumference, breathlessness, fatigue, reduced physical mobility, joint discomfort and sleep disturbances. Obesity is multifactorial and results from interactions among genetic susceptibility, energy imbalance, dietary patterns, physical inactivity, environmental factors, medications, socioeconomic conditions and neuroendocrine regulation.
Pathophysiologically, obesity develops when energy intake chronically exceeds energy expenditure, resulting in adipocyte enlargement and expansion of adipose tissue. Excess adiposity can promote chronic low-grade inflammation, insulin resistance, altered adipokine signaling and metabolic dysfunction, contributing to type 2 diabetes, cardiovascular disease, fatty liver disease, sleep apnoea and musculoskeletal disorders.
Diagnosis of obesity begins with assessment of body mass index (BMI), with a BMI >=30 kg/m2 generally classified as obesity in adults; however, BMI alone does not accurately reflect body-fat distribution or health risk. Waist circumference is therefore often measured to identify central or visceral adiposity, while body-composition techniques such as DXA or bioelectrical impedance may be used when additional assessment is required.
Clinical evaluation includes medical and family history, weight trajectory, diet, physical activity, medications, sleep, and potential secondary causes such as endocrine disorders. Clinicians also assess obesity-related complications through blood pressure measurement and laboratory tests such as glucose/HbA1c, lipid profile and liver-function tests. Increasingly, diagnosis emphasizes the amount and distribution of excess adiposity together with its impact on organ function and overall health, rather than relying on BMI alone.
Treatment is individualized and aims not only to reduce weight but also to improve obesity-related complications and overall health. Lifestyle management, including nutritional intervention, physical activity and behavioral support, remains foundational; however, long-term physiological adaptations can make sustained weight loss difficult. Pharmacotherapy may be added when clinically appropriate, with current options including GLP-1 receptor agonists and GLP-1/GIP-based therapies such as semaglutide and tirzepatide, alongside other approved anti-obesity medicines. For selected patients with severe or complicated obesity, metabolic/bariatric surgery provides the most durable weight-loss option.
Obesity: Company and Product Profiles (Marketed Therapies)
Eli Lilly and Company is a global pharmaceutical company headquartered in Indianapolis, Indiana, founded in 1876 and focused on discovering, developing, manufacturing, and commercializing innovative medicines. The company has a strong presence across diabetes, obesity, oncology, immunology, neuroscience, and other major therapeutic areas. Lilly has a global commercial and R&D footprint, with products marketed across approximately 90 countries and clinical research conducted in more than 55 countries. Its portfolio includes several leading medicines and a broad pipeline of innovative therapies addressing significant unmet medical needs.
Product Description: Orforglipron
Orforglipron is an oral, once-daily small-molecule GLP-1 receptor agonist developed by Eli Lilly for the treatment of Obesity. It activates GLP-1 receptors to enhance glucose-dependent insulin secretion, suppress glucagon secretion, and slow gastric emptying, thereby improving glycemic control. Unlike injectable GLP-1 therapies, orforglipron is designed for oral administration without the need for injection or fasting requirements. In August 2026, the UK MHRA authorised orforglipron for adults with insufficiently controlled Obesity, making the UK the first country in Europe to approve it for this indication.
Novo Nordisk A/S is a global healthcare company founded in 1923 and headquartered in Denmark, with a long-standing focus on developing innovative medicines for serious chronic diseases. Its core therapeutic areas include diabetes, obesity, rare diseases, and cardiovascular and emerging therapy areas. The company has a broad international presence, with products marketed in around 170 countries and operations in approximately 80 countries. Novo Nordisk combines scientific innovation with large-scale manufacturing and R&D capabilities to develop and expand access to advanced treatments worldwide.
Product Description: Wegovy
Wegovy(R) (semaglutide) is a GLP-1 receptor agonist developed by Novo Nordisk for chronic weight management in adults with obesity or overweight with at least one weight-related comorbidity. The therapy works by activating GLP-1 receptors to reduce appetite and food intake, supporting sustained weight loss when combined with a reduced-calorie diet and increased physical activity. In the U.S., Wegovy is available as a once-weekly subcutaneous injection, while the FDA approved a once-daily 25 mg oral tablet in December 2025. The oral formulation demonstrated approximately 17% mean weight loss at 64 weeks in the Phase III OASIS 4 trial.
Obesity: Company and Product Profiles (Pipeline Therapies)
Eli Lilly and Company is a global pharmaceutical company established in 1876 and headquartered in Indianapolis, Indiana, dedicated to the discovery, development, manufacturing, and commercialization of innovative medicines. Its key therapeutic focus areas include diabetes, obesity, oncology, immunology, and neuroscience, among others. Lilly maintains a broad international commercial and R&D presence, with its medicines available in around 90 countries and clinical research conducted across more than 55 countries. The company has a diversified portfolio of established therapies alongside a robust pipeline targeting significant unmet medical needs.
Product Description: Retatrutide
Retatrutide is an investigational once-weekly injectable triple agonist developed by Eli Lilly that simultaneously activates the GIP, GLP-1, and glucagon receptors for the treatment of obesity. It is designed to promote weight loss through complementary effects on appetite, glucose metabolism, and energy expenditure. In Phase III obesity trials, retatrutide demonstrated significant reductions in body weight and HbA1c, with results supporting its continued development as a potential treatment for obesity and related metabolic conditions. Retatrutide remains investigational and is not yet approved for obesity.
Roche is a global healthcare company founded in 1896 and headquartered in Basel, Switzerland, with operations spanning pharmaceuticals and diagnostics. The company develops innovative medicines across areas including oncology, immunology, neuroscience, ophthalmology, infectious diseases, and cardiovascular and metabolic disorders. Roche combines pharmaceutical research with diagnostic technologies to advance personalised healthcare and improve patient outcomes. With a presence in more than 100 countries and over 100,000 employees worldwide, Roche is one of the world's leading biotechnology and in-vitro diagnostics companies.
Product Description: Enicepatide
Enicepatide (CT-388) is an investigational once-weekly subcutaneous dual GLP-1/GIP receptor agonist being developed by Roche for chronic weight management in people with obesity or overweight. It is designed to activate both GLP-1 and GIP receptors while minimising B-arrestin recruitment, potentially enabling sustained receptor activity. Enicepatide has demonstrated significant weight-loss effects in Phase II studies, including up to 22.7% mean body-weight reduction at 48 weeks at the highest dose. It is currently being evaluated in Phase III in adults with obesity or overweight, with or without type 2 diabetes.
NeuroBiogen Co., Ltd. is a South Korea-based pharmaceutical biotechnology company focused on developing innovative therapies for diseases with significant unmet medical needs. The company specializes in neurodegenerative and metabolic diseases, with an emphasis on first- and best-in-class drug development. Its lead candidate is being investigated for obesity and several neurological disorders, including Alzheimer's disease. NeuroBiogen combines internal R&D capabilities with partnerships to advance its drug candidates toward global development and commercialization.
Product Description: KDS2010
KDS2010 is an investigational reversible monoamine oxidase-B (MAO-B) inhibitor being developed by NeuroBiogen for the treatment of obesity. It is designed as an oral, once-daily therapy, with the potential to address obesity through a mechanism distinct from incretin-based treatments. KDS2010 is being evaluated for its effects on body weight, body composition, metabolic parameters, and MAO-B activity. The ongoing Phase IIa study is assessing 120 mg, 180 mg, and 240 mg doses in adults with overweight or obesity.
Wave Life Sciences Ltd. is a clinical-stage biotechnology company founded in 2012 and headquartered in Cambridge, Massachusetts, with its parent company incorporated in Singapore. The company specializes in RNA medicines, leveraging its proprietary PRISM(R) platform and multiple RNA-targeting modalities, including RNA editing, RNA interference, splicing, and antisense silencing. Its pipeline spans obesity, alpha-1 antitrypsin deficiency, Duchenne muscular dystrophy, and Huntington's disease, among other disorders. Wave is focused on developing first- or best-in-class RNA therapeutics for both rare and common diseases with significant unmet medical needs.
Product Description: WVE-007
WVE-007 is an investigational INHBE-targeting GalNAc-siRNA therapy developed by Wave Life Sciences for the treatment of obesity and cardiometabolic diseases. It is designed to silence INHBE mRNA, thereby reducing Activin E signaling and promoting fat loss while preserving lean muscle mass. WVE-007 is administered by subcutaneous injection and has demonstrated reductions in visceral and total body fat in early clinical studies. The ongoing Phase I/IIa INLIGHT trial is evaluating its safety, pharmacokinetics, pharmacodynamics, and effects on body composition and weight in adults with overweight or obesity.
Ascletis Pharma Inc. is a China-based, R&D-driven biotechnology company focused on the discovery, development, manufacturing, and commercialization of innovative therapeutics. The company has evolved into a fully integrated biopharmaceutical platform covering the entire value chain from drug discovery through commercialization. Its current focus is primarily on metabolic diseases, supported by proprietary technologies including AI-assisted drug discovery and ultra-long-acting drug platforms. Ascletis is listed on the Hong Kong Stock Exchange and is developing a broad pipeline of small molecules and peptide-based therapies.
Product Description: ASC36
ASC36 is an investigational next-generation amylin receptor peptide agonist being developed by Ascletis Pharma for the treatment of obesity. It is designed as a long-acting injectable therapy, with potential dosing once monthly to once quarterly. By activating amylin receptors, ASC36 is intended to regulate appetite and promote weight loss through effects on satiety and energy balance. In August 2026, Ascletis initiated a Phase I study in the US following FDA clearance of its IND application.
Neurocrine Biosciences, Inc. is a US-based biopharmaceutical company founded in 1992 and headquartered in San Diego, California, focused on discovering, developing, and commercializing innovative medicines. The company primarily targets neurological, neuroendocrine, neuropsychiatric, and immunological disorders, with an emphasis on underserved patient populations. Its portfolio includes FDA-approved therapies for conditions such as tardive dyskinesia, Huntington's disease-associated chorea, congenital adrenal hyperplasia, and endometriosis. Neurocrine also maintains a diversified pipeline of small molecules, peptides, proteins, antibodies, and gene therapies across multiple stages of development.
Product Description: NBIP-'1968
NBIP-'1968 is an investigational long-acting GLP-1/GIP/glucagon receptor triple agonist being developed by Neurocrine Biosciences for the treatment of obesity. It is designed for once-weekly subcutaneous administration, simultaneously targeting three complementary metabolic pathways involved in appetite regulation, energy balance, and glycemic control. The candidate incorporates balanced glucagon receptor activity with the aim of maximizing metabolic benefits while supporting tolerability. In August 2026, Neurocrine initiated a Phase I first-in-human study to evaluate its safety and tolerability in adults with varying BMI categories.
Alveus Therapeutics, Inc. is a clinical-stage biotechnology company founded in 2023 and focused on developing next-generation therapies for obesity and metabolic diseases. The company aims to address limitations of existing treatments, including weight regain, tolerability, and treatment burden, through differentiated long-acting therapies. Its lead program, ALV-100, is a bifunctional GIP receptor antagonist/GLP-1 receptor agonist fusion protein, supported by a broader amylin-focused pipeline. Alveus is headquartered in Philadelphia, with R&D operations in Copenhagen, and is backed by leading life-sciences investors.
Product Description: ALV-100
ALV-100 is an investigational bifunctional GIP receptor antagonist/GLP-1 receptor agonist fusion protein being developed by Alveus Therapeutics for the treatment of obesity. It is designed to combine GLP-1 receptor agonism with GIP receptor antagonism to promote weight loss and potentially improve metabolic health. ALV-100 is administered by subcutaneous injection and is being evaluated for its effects on body weight, pharmacokinetics, and pharmacodynamics. The ongoing Phase Ib study is assessing its safety and tolerability in adults with overweight or obesity, with or without type 2 diabetes.
Obesity Analytical Perspective by DelveInsight
The Report provides in-depth commercial assessment of drugs that have been included, which comprises collaboration, agreement, licensing and acquisition - deals values trends. The sub-segmentation is described in the report which provide company-company collaboration (licensing/partnering), company academic collaboration and acquisition analysis in tabulated form.
The report comprises of comparative assessment of Companies (by therapy and, development stage).
Obesity Clinical Trial Assessment
The report provides a comparative assessment of clinical trial analysis (by status, development stage, therapy area, enrolled participants by age, study completion year, end point status).
The report provides a structured comparative assessment of clinical trial design analysis (by allocation, interventional model, enrolled participants by status, masking).
The report provides a comparative assessment of sponsor and geographical analysis (by top sponsors, developmental stage, clinical trials sponsored by countries, therapies by countries).
Current Treatment Scenario and Emerging Therapies:
Key Players
Key Products