Novo Nordisk Investor Update: First Six Months 2025

    Novo Nordisk Investor Update: First Six Months 2025

    F3 days ago 14

    AIAI Summary

    toggle
    Bulleted
    toggle
    Text

    Key Insights

    Loading...

    Novo Nordisk 
– a focused healthcare 
company
Investor presentation
First six months of 2025
RAFAEL VALVERDE
Rafael lives with obesity
Mexico
    1/180

    Loading...

    2 Novo Nordisk®
Investor presentation First six months of 2025
Agenda
Progress on Strategic Aspirations 2025
Financials
Innovation and therapeutic focus
Commercial execution Agenda
    2/180

    Loading...

    3 Novo Nordisk®
Investor presentation First six months of 2025
Novo Nordisk’s statutory Annual Report 2024, Form 20-F, any quarterly financial reports, investor presentations and written information released, shown, or oral statements made, to the public in the 
future by or on behalf of Novo Nordisk, may contain certain forward-looking statements relating to the operating, financial and sustainability performance and results of Novo Nordisk and/or the 
industry in which it operates. Forward-looking statements can be identified by the fact that they do not relate to historical or current facts and include guidance. Words such as ‘believe’, ‘expect’, ‘may’, 
‘will’, ‘plan’, ‘strategy’, ‘transition plan’, ‘prospect’, ‘foresee’, ‘estimate’, ‘project’, ‘anticipate’, ‘can’, ‘intend’, ‘target’ and other words and terms of similar meaning in connection with any discussion of future 
operating, financial or sustainability performance identify forward-looking statements. Examples of such forward-looking statements include, but are not limited to: 
• Statements of targets, future guidance, (transition) plans, objectives or goals for future operations, including those related to operating, financial and sustainability matters, Novo Nordisk’s products, 
product research, product development, product introductions and product approvals as well as cooperation in relation thereto;
• Statements containing projections of or targets for revenues, costs, income (or loss), earnings per share, capital expenditures, dividends, capital structure, net financials and other financial 
measures; 
• Statements regarding future economic performance, future actions and outcome of contingencies such as legal proceedings; and 
• Statements regarding the assumptions underlying or relating to such statements. 
These statements are based on current plans, estimates, opinions, views and projections. Although Novo Nordisk believes that the expectation reflected in such forward-looking statements are 
reasonable, there can be no assurance that such expectation will prove to be correct. By their very nature, forward-looking statements involve risks, uncertainties and assumptions, both general and 
specific, and actual results may differ materially from those contemplated, expressed or implied by any forward-looking statement. 
Factors that may affect future results include, but are not limited to, global as well as local political, economic and environmental conditions, such as interest rate and currency exchange rate fluctuations 
or climate change, delay or failure of projects related to research and/or development, unplanned loss of patents, interruptions of supplies and production, including as a result of interruptions or delays 
affecting supply chains on which Novo Nordisk relies, shortages of supplies, including energy supplies, product recalls, unexpected contract breaches or terminations, government-mandated or marketdriven price decreases for Novo Nordisk’s products, introduction of competing products, reliance on information technology including the risk of cybersecurity breaches, Novo Nordisk’s ability to 
successfully market current and new products, exposure to product liability and legal proceedings and investigations, changes in governmental laws and related interpretation thereof, including on 
reimbursement, intellectual property protection and regulatory controls on testing, approval, manufacturing and marketing, and taxation changes, including changes in tariffs and duties, perceived or 
actual failure to adhere to ethical marketing practices, investments in and divestitures of domestic and foreign companies, unexpected growth in costs and expenses, strikes and other labour market 
disputes, failure to recruit and retain the right employees, failure to maintain a culture of compliance, epidemics, pandemics or other public health crises, the effects of domestic or international crises, 
civil unrest, war or other conflict and factors related to the foregoing matters and other factors not specifically identified herein.
For an overview of some, but not all, of the risks that could adversely affect Novo Nordisk’s results or the accuracy of forward-looking statements in the Annual Report 2024, reference is made to the 
overview of risk factors in ‘Risks’ of the Annual Report 2024.
None of Novo Nordisk or its subsidiaries or any such person's officers, or employees accept any responsibility for the future accuracy of the opinions and forward-looking statements expressed in the 
Annual Report 2024, Form 20-F, any quarterly financial reports, investor presentations, and written information released, shown, or oral statements made, to the public in the future by or on behalf of 
Novo Nordisk or the actual occurrence of the forecasted developments.
Unless required by law, Novo Nordisk has no duty and undertakes no obligation to update or revise any forward-looking statement, whether as a result of new information, future events, or otherwise.
Important drug information
Victoza® and Ozempic® are approved for people with type 2 diabetes only
Saxenda® and Wegovy® are approved for people with overweight and obesity only
Forward-looking statements
    3/180

    Loading...

    4 Novo Nordisk®
Investor presentation First six months of 2025
Strategic Aspirations 2025|Highlights first six months of 2025
Progress towards zero environmental impact
• CO2e emissions1increased by 31% compared to first six 
months of 2024
Adding value to society
• Medical treatment provided to 42.8 million people living 
with diabetes and 2.9 million people living with obesity
Being recognised as a sustainable employer
• Share of women in senior leadership positions has 
increased to 43% from 41% end of June 2024
Purpose andsustainability(ESG)
Diabetes value market share at 32.6% (-1.4 %-p)2
Obesity care sales of DKK 38.8 billion (+58% at CER)
Rare disease sales of DKK 9.5 billion (+15% at CER)
Commercialexecution
Sales growth of 18% (CER) 
Operating profit growth of 29% (CER)
Free cash flow of DKK 33.6 billion and 36.5 billion returned 
to shareholders
Financials
Further raise innovation bar for Diabetes treatment
• Ozempic® positive opinion by the EMA for PAD
Develop superior treatment solutions for Obesity
• Advancement of sc and oral amycretin to phase 3
• CagriSema phase 3b REDEFINE 11 trial initiated
• Sema 7.2 mg EU submission
• Septerna license agreement for oral small molecules
Strengthen and progress Rare Disease pipeline
• Alhemo® US approval and CMHP positive opinion 
Establish presence in CV & Emerging Therapy areas
Innovation andtherapeutic focus
• Coramitug phase 2 trial successfully completed
Light blue indicates developments in Q2 2025
1Scope 1, 2 and 3;2MAT (Moving Annual Total) value market share 
CagriSema: cagrilintide 2.4 mg and semaglutide 2.4 mg; CER: Constant exchange rates; CO2e: CO2 equivalents; CV: Cardiovascular; EMA: European Medicines Agency; EU: European Union; JP: Japan; MASH: Metabolic dysfunction-associated steatohepatitis; PAD: 
Peripheral arterial disease; Sc: Subcutaneous; Sema: Semaglutide; US: United States 
Note: The strategic aspirations are not a projection of Novo Nordisk's financial outlook or expected growth.
    4/180

    Loading...

    5 Novo Nordisk®
Investor presentation First six months of 2025
0
20
40
60
80
100
US IO EUCAN Emerging
Markets
APAC Region
China
Insulin GLP-1 diabetes Other diabetes
Obesity care Rare disease Growth at CER
0
20
40
60
80
100
120
140
160
180
Total GLP-1
diabetes
Insulin Obesity care Rare disease
US Operations International Operations Growth at CER
International Operations
Reported geographic sales split for first six months 2025
DKK
billion
DKK 
billion
US
IO
US
IO
17%
16% 22% 35%
19%
17%
19%
18%
9%
10%
10%
17%
-1%
4%
36%
125%
58%
23%
10%
15%
Sales growth of 18% driven by both operating units
Reported therapy area sales and growth for first six months 2025
1
1
‘Other diabetes’ is included in Total
APAC: Japan, Korea, Oceania and Southeast Asia; CER: Constant exchange rates; Region China: Mainland China, Hong Kong and Taiwan; Emerging Markets: mainly Latin America, Middle East and Africa; EUCAN: Europe and Canada; IO: International 
Operations; US: United States
Note: Unless otherwise specified, sales growth rates are at CER
6%
US
IO
    5/180

    Loading...

    6 Novo Nordisk®
Investor presentation First six months of 2025
Rare disease sales increased by 15%:
• Sales in US Operations increased by 23% 
• Sales in International Operations increased by 10%
Rare endocrine disorders sales increased by 49%:
• US Operations increased by 67%, driven by Norditropin® and 
Sogroya®
• International Operations increased by 30%, driven by 
Norditropin® and Sogroya® 
Rare blood disorders sales increased by 6%:
• US Operations increased by 6% driven by increased NovoSeven®
and Alhemo® sales
• International Operations increased by 6% driven by increased 
sales of haemophilia B and Alhemo®
Rare disease sales performance
Rare disease sales increased by 15%
0
2
4
6
8
10
Rare blood disorders
Reported Rare disease sales
Total1 NovoSeven®Haem.
A
Rare 
endocrine 
disorders3
DKK 
billion
Haem.
B
Rare 
blood 
disorders2
15% -5% 9% 5% 49%
Growth at CER
6%
1Total includes “Other Rare disease”, which consists of primarily Vagifem® and Activelle® 2Comprises Sogroya® NovoSeven®, NovoEight®, Esperoct®, Refixia®, NovoThirteen® and Alhemo® 3Primarily Norditropin® and Sogroya®
CER: Constant exchange rates; Haem. A: Haemophilia A; Haem. B: Haemophilia B; IO: International operations; US: United States
Note: NovoThirteen® is not shown for Rare blood disorders breakdown, only for the total bar. Unless otherwise specified, sales growth is at constant exchange rates
    6/180

    Loading...

    7 Novo Nordisk®
Investor presentation First six months of 2025
US diabetes GLP-1 class growth slowing compared to prior years
Weekly NBRx 
scripts (‘000s)
0
30
60
90
July
2023
July
2025
TRx scripts 
(‘000s) 
Total GLP-1 SUs 
(millions)
July
2023
July 
2025
NBRx: New-to-brand prescriptions; NN: Novo Nordisk; Scripts: Prescriptions; SU: standard units; TRx: Total prescriptions; US: United States
Note: Class growth calculated based on SU volume for diabetes GLP-1 as May’25-July’25 vs May’24-July’24 (Rolling 3-month average)
Source: IQVIA Xponent Plantrak, NBRx and TRx data from week ending 18th July and 25th July, respectively. Each data point represents a rolling four-week average.
Class growth ~15%
Ozempic® Rybelsus® NN GLP-1 dulaglutide tirzepatide Total monthly GLP-1 prescriptions
686
84
184
771
690
0
2
4
6
8
0
200
400
600
800
1000
US GLP-1 diabetes weekly NBRx prescriptions US GLP-1 diabetes TRx market share
    7/180

    Loading...

    8 Novo Nordisk®
Investor presentation First six months of 2025
1 Each NBRx and TRx data point represents one week of data. IQVIA Xponent 11 Jul 2025 for NBRx and IQVIA NPA weekly, 25 Jul 2025 for TRx, including NovoCare Pharmacy TRx starting with week-ending 18 July 2025. 2Class growth based on IQVIA 25 
July 2025 volume data, MAT.
AOM: Anti-Obesity Medications (includes Wegovy®, Saxenda®, Zepbound®, Qsymia® and Contrave®); HFpEF: Heart failure with preserved ejection fraction; MAT: Moving annual total; TRx SU: A one-month prescription supply; US: United States
NBRx scripts (‘000s) TRx scripts (‘000s)
Jul 
2023
Jul 
2025
0.3
42
57
101
0
20
40
60
80
100
120
US branded anti-obesity medication market expansion 
continues, while GLP-1 compounding continues
Compounding
• Novo Nordisk is focused on actively 
preventing unlawful and unsafe 
compounding
Commercial execution
• Cash channel expanded from 4% to ~10% 
of TRx since January 2025
• CVS national template formulary 
conversion ongoing
• MASH decision still expected in Q3 2025
• Wegovy® supply available to meet 
demand in US
Branded AOM NBRx in the US1 Branded AOM TRx in the US1 Branded AOM class grew >160%2
Saxenda tirzepatide ® Wegovy® Branded AOM market
0
100
200
300
400
500
600
700
800
Jul 
2023
Jul 
2025
2
713
282
419
    8/180

    Loading...

    9 Novo Nordisk®
Investor presentation First six months of 2025
International Operations sales growth of 19% driven by GLP-1 
Diabetes and Obesity care
1No comparator for first six months 2025
APAC: Japan, Korea, Oceania and Southeast Asia; CER: Constant exchange rates; China: Mainland China, Hong Kong and Taiwan; Emerging Markets: mainly Latin America, Middle East and Africa; EUCAN: Europe and Canada; IO: International Operations
Reported Obesity care sales and growth for first six months 2025
0
4
8
12
16
20
24
28
32
IO EUCAN Emerging
Markets
APAC Region China
Ozempic Rybelsus Victoza DKK 
billion Growth at CER
10%
Reported GLP-1 Diabetes care sales and growth for first six months 2025
0
4
8
12
16
IO EUCAN Emerging
Markets
APAC Region China
DKK Wegovy Saxenda
billion
Growth at CER
125%
Regions
15% 13% 11% -11%
Regions
64% 157% 361% N/A%1
® ® ® ® ®
    9/180

    Loading...

    10 Novo Nordisk®
Investor presentation First six months of 2025
Total GLP-1 class market share of 71% in International 
Operations
41%
17%
14%
11%
71%
25%
8%
0
2
4
6
8
10
12
0%
20%
40%
60%
80%
Thousands
GLP-1 patients Ozempic Rybelsus
dulaglutide tirzepatide² Novo Nordisk³
Eli Lilly Wegovy
Volume
market share
Patients
Total class growth ~30% (millions)
May
2023
May
2025
1GLP-1 patients across Diabetes and Obesity care 2
In IO countries, tirzepatide is categorised under GLP-1 diabetes only, despite having indications for Diabetes and Obesity in most launched countries 3Includes Victoza® and Saxenda®
IO: International Operations; JP: Japan
Note: Market share and patient numbers are based on countries with IQVIA coverage. GLP-1 class growth calculated as Mar’24-May’24 vs Mar’25-May’25 (Rolling 3-month average)
Source: LHS: IQVIA MAT, May 2025 (Spot rate). Volume packs are converted into full-year patients based on WHO assumptions for average daily doses; Market values are based on the list prices. RHS: International Diabetes Federation: Diabetes Atlas 11th
edition, 2025, World Obesity Atlas 2024
Total GLP-1 patients1 and volume market share in IO
GLP-1 patients (LHS)
Diabetes GLP-1
• Rybelsus® launched in more than 40 countries
• Ozempic® launched in around 80 countries with promotional focus 
resumed, reflecting improved supply
Obesity
• Wegovy® launched in around 35 countries
• MASH indication submitted in JP in May 2025
• Semaglutide 7.2 mg submitted in EU in July 2025
• Roll-out of Wegovy® in additional countries expected in H2 2025
IO total GLP-1 performance 
® ®
®
    10/180

    Loading...

    11 Novo Nordisk®
Investor presentation First six months of 2025
The high unmet need in diabetes and obesity and low market 
penetration to-date makes unlocking the market a key priority
• >550 million people live with diabetes 
globally, with over 90% outside of the US1
• >900 million people with obesity globally, 
with around 90% outside of the US2
1Diabetes Atlas 11th edition, 2025, including Type 1 and Type 2 Diabetes. 2 NHANES (2013-2014, 2015-2016, 2017-2020, 2021-2023), UN World Population Prospects report, WHO, IDF World Diabetes Atlas, World Obesity Atlas and PADAWA Analysis. 3Based 
on IQVIA MIDAS, May 2025 data - In ex-US countries, tirzepatide is categorised under GLP-1 diabetes only in IQVIA data, despite having indications for diabetes and obesity in most launched countries in IQVIA. 
APAC: Japan, Korea, Oceania and Southeast Asia; AOM: Anti-Obesity Medications; Emerging Markets: mainly Latin America, Middle East and Africa; EUCAN: Europe and Canada; Region China: Mainland China, Hong Kong and Taiwan; US: United States. 
Note: the estimated GLP-1 share of prescriptions is based on volume packs from IQVIA. Volume packs are converted into full-year patients/prescriptions based on WHO assumptions for average daily doses or if not available, Novo Nordisk assumptions. 
It is possible for a patient to have a prescription for more than one diabetes treatment. 
Global diabetes and obesity unmet need Globally, ~7% of total estimated diabetes 
prescriptions are for a GLP-1
Less than 1% of people with obesity globally 
are treated with branded AOMs 
0
4
8
12
16
20
2022 2023 2024 2025
Estimated prescriptions (in millions)
3
US
EUCAN
Emerging Markets
APAC
Region China
19%
9%
3%
3%
Global: 7%
3%
Million people
934
0
250
500
750
1,000
Obesity 
prevalence2
Est. patients 
currently on 
branded AOMs3
~4
US Rest of world
    11/180

    Loading...

    12 Novo Nordisk®
Investor presentation First six months of 2025
Novo Nordisk’s obesity portfolio addresses the future segments 
and patient preferences of the obesity market
Examples of future patient segments
BMI
35–40
BMI
40–45
BMI
45–50
+ Age and gender differences
+ Lifestyle considerations
+ ORC clinical profiles
MASH OA CVD HF
Addressing unmet needs across patient segments via a focus on weight loss and 
differentiated clinical profiles1
Amycretin
sc and oral
Cagrilintide
Semaglutide
sc and oral
CagriSema
Tri-agonists
ILLUSTRATIVE
Weight loss
Safety and tolerability
Differentiated clinical profiles across co-morbidities
Differentiated treatment goals across patient profiles
1
Illustrative, not exhaustive of full obesity pipeline
BMI: Body mass index; CVD: Cardiovascular disease; HF: Heart failure; MASH: Metabolic Dysfunction-Associated Steatohepatitis; OA: Osteoarthritis; ORC: Obesity related comorbidities; Sc: Subcutaneous
    12/180

    Loading...

    13 Novo Nordisk®
Investor presentation First six months of 2025
1NN9490-7613. Dahl K et al., Lancet 2025, 406(10499):149-162. In total, 125 participants were randomized to sc amycretin (n=101) or placebo (n=24). Dose escalation arm examined multiple ascending doses of once-weekly sc amycretin up to 60 mg, and 
dose response arm examined multiple ascending doses up to a 12-week maintenance dose of 20 mg, 5 mg and 1.25 mg.
AUC: Area Under the Curve; BMI: Body mass index; cmax: maximum (peak) plasma concentration; HbA1c: Haemoglobin A1C ; MAD: Multiple ascending dose; Sc: Subcutaneous; tmax: time to reach maximum (peak) plasma concentration
Note: Amycretin is a unimolecular GLP-1 and amylin receptor agonist.. 
Dose response part of the amycretin sc phase 1b/2a trial
Dose 
escalation
Treatment 
maintenance
Placebo
amycretin sc 1.25 mg
amycretin sc 5 mg
amycretin sc 20 mg
7:4:4:1
R
0 8-24 20-36
3 weeks 
follow-up
Week
Amycretin to advance into phase 3 based on the successful 
completion of phase 1b/2a trial
Trial objective
• Investigate safety, tolerability, pharmacokinetics and efficacy of 
amycretin sc in participants with overweight or obesity
Endpoints
• Primary: Number of treatment emergent adverse events
• Secondary: Relative change in body weight, AUC, cmax, tmax
Estimated body weight loss in dose response arms
and 60 mg dose escalation arm1
Change in body weight (%)
Time since randomisation
20 weeks 28 weeks 36 weeks 36 weeks
2.0%
-9.7%
2.3%
-16.2%
1.9%
-22.0%
-1.1%
-24.3%
-25%
-20%
-15%
-10%
-5%
0%
5%
Placebo 1.25 mg
Amycretin 1.25 mg
Placebo 5 mg
Amycretin 5 mg
Placebo 20 mg
Amycretin 20 mg
Placebo 60 mg
Amycretin 60 mg
    13/180

    Loading...

    14 Novo Nordisk®
Investor presentation First six months of 2025
AMAZE is a comprehensive phase 3 development programme for 
sc and oral amycretin expected to start in Q1 2026
Phase 3 development programme
• Evaluate multiple maintenance doses
• Evaluate subcutaneous and oral route of administration
• Evaluate key obesity related comorbidities 
Potential to investigate the benefits of amycretin across obesity 
related comorbidities, such as:
Potential future trials
2026 2027
• 80-week vs. placebo (incl. 52-week ext. phase)
• Primary endpoint: Weight loss
AMAZE 1
WL in Obesity
• 80-week vs. placebo
• Primary endpoint: Weight loss
AMAZE 2
WL in T2D
• 80-week vs. placebo
• Co-primary endpoint: AHI/WL
AMAZE 3
OSA
• 80-week vs. tirzepatide
• Co-primary endpoint: WOMAC/WL
AMAZE 5
Knee OA
2028
• 72-week vs. Placebo
• Primary endpoint: Weight loss
AMAZE 9 
Oral amycretin
Obstructive sleep apnea
ASCVD Heart failure CKD
Knee Osteoarthritis
AHI: apnea-hypopnea index; ASCVD: Atherosclerotic cardiovascular disease; CKD: Chronic kidney disease; OA: Osteoarthritis; OSA: Obstructive sleep apnoea; Sc: Subcutaneous; T2D: Type 2 Diabetes; WOMAC: Western Ontario and McMaster Universities 
Arthritis Index; WL: Weight loss
Selected amycretin phase 3 trials in obesity programme
    14/180

    Loading...

    15 Novo Nordisk®
Investor presentation First six months of 2025
R&D milestones Clinical milestones1 Regulatory milestones1
Project Q2 2025 Q3 2025 Q4 2025
Diabetes care CagriSema Phase 3 results (REIMAGINE 3)
Oral/Sc amycretin Phase 2 results
OW GIP/GLP-1 Phase 2 results
Obesity care Oral sema 25 mg US decision
Sema 7.2 mg ✓ EU submission
CagriSema ✓ Phase 3 initiation (REDEFINE 11)
Triple (tri-agonist) Phase 1 results
Cagrilintide Phase 3 initiation
Oral/Sc amycretin ✓ Advancement to phase 3
Amylin 355 Phase 1 results
Rare Disease Sogroya® ✓ US submission2 ✓ JP submission2
Mim8 US submission EU submission
Alhemo® ✓ US approval3
✓ EMA positive opinion3
CETA EVOKE (AD, sema 14 mg) Phase 3 results
Coramitug (ATTR-CM) ✓ Phase 2 results Phase 3 initiation
Zalfermin (FGF21) ✓ Phase 2 results
ESSENCE (MASH, sema 2.4 mg) ✓ JP submission US decision
1Expected to be published in the given quarter or in the subsequent quarterly company announcement. 2Non-replacement indications. 3Without inhibitors.
AD: Alzheimer’s disease; ATTR-CM: Transthyretin amyloid cardiomyopathy; CagriSema: cagrilintide 2.4 mg and semaglutide 2.4 mg; CETA: Cardiovascular & emerging therapies; EMA: European Medicines Agency; EU: European Union; GIP: Gastric 
inhibitory polypeptide; FGF-21: Fibroblast growth factor 21; JP: Japan; MASH: Metabolic dysfunction-associated steatohepatitis; OW: once-weekly; Sema: Semaglutide; US: United States; Sc: subcutaneous
    15/180

    Loading...

    16 Novo Nordisk®
Investor presentation First six months of 2025
Financial results – in the first six months of 2025 
In DKK million
First six 
months of 2025
First six 
months of 2024
Change 
(reported)
Change 
(CER)
Sales 154,944 133,409 16% 18%
Gross profit 129,208 113,219 14% 16%
Gross margin 83.4% 84.9%
Sales and distribution costs (32,425) (28,190) 15% 15%
Percentage of sales 20.9% 21.1%
Research and development costs (21,998) (24,772) (11%) (11%)
Percentage of sales 14.2% 18.6%
Administration costs (2,536) (2,314) 10% 11%
Percentage of sales 1.6% 1.7%
Other operating income and expenses (9) (163) N/A N/A
Operating profit 72,240 57,780 25% 29%
Operating margin 46.6% 43.3%
Financial items (net) (1,402) (530) N/A N/A
Profit before income tax 70,838 57,250 24% N/A
Income taxes (15,301) (11,793) 30% N/A
Effective tax rate 21.6% 20.6%
Net profit 55,537 45,457 22% N/A
Diluted earnings per share (DKK) 12.49 10.17 23% N/A
CER: Constant exchange rates
    16/180

    Loading...

    17 Novo Nordisk®
Investor presentation First six months of 2025
Financial outlook for 2025
1Excluding impact from business development 
CER: Constant exchange rates
Note: The financial outlook assumes of a continuation of the current business environment and given the current scope of business activities and has been prepared assuming that currency exchange rates remain at the level as of 31 July 2025
Expectations
6 August 2025
Effective tax rate 21% to 23% 21% to 23%
Capital Expenditure (CAPEX) Around DKK 65 billion Around DKK 65 billion
Sales growth – at CER 8% to 14% 13% to 21%
Expectations
7 May 2025
Operating profit growth – at CER 10% to 16% 16% to 24%
Operating profit growth - reported Around 5 percentage points lower Around 5 percentage points lower
Financial items (net) Gain of around DKK 1.6 billion Gain of around DKK 0.9 billion
Sales growth - reported Around 3 percentage points lower Around 3 percentage points lower
Free cash flow DKK 35 to 45 billion 1 DKK 56 to 66 billion
    17/180

    Loading...

    18 Novo Nordisk®
Investor presentation First six months of 2025
Strategic aspirations 2025
• Progress towards zero environmental impact
• Being respected for adding value to society
• Being recognised as a sustainable employer
Purpose andsustainability(ESG)
• Strengthen Diabetes leadership - aim at global value 
market share of more than 1/3
• More than 25 billion DKK in Obesity sales by 2025
• Secure a sustained growth outlook for Rare disease
Commercialexecution
• Deliver solid sales and operating profit growth
• Drive operational efficiencies across the value chain to 
enable investments in future growth assets
• Deliver free cash flow to enable attractive capital 
allocation to shareholders
Financials
• Further raise the innovation bar for Diabetes treatment
• Develop a leading portfolio of superior treatment 
solutions for Obesity
• Strengthen and progress the Rare disease pipeline
• Establish presence in Cardiovascular & Emerging 
Therapy areas
Innovation andtherapeutic focus
Note: The strategic aspirations are not a projection of Novo Nordisk's financial outlook or expected growth.
    18/180

    Loading...

    19 Novo Nordisk®
Investor presentation First six months of 2025
Executive Management as of 7 August 2025
Maziar Mike Doustdar1
President and CEO
Thilde Hummel Bøgebjerg
Executive vice president
and head of Quality, IT and 
Environmental Affairs
Quality, IT & 
Environmental 
Affairs
Henrik Wulff
Executive vice president 
and head of CMC and 
Product Supply
CMC & Product 
Supply
Ludovic Helfgott
Executive vice president 
and head of Product and 
Portfolio Strategy
Emil Kongshøj Larsen
Executive vice president 
and head of International 
Operations
International 
Operations
Product & Portfolio 
Strategy
Karsten Munk Knudsen1
Executive vice president, 
CFO and head of Finance, 
Legal and Global Solutions
Finance, Legal &
Global Solutions
Martin Holst Lange
Executive vice president, 
CSO and head of 
Research and 
Development
Research & 
Development
Dave Moore
Executive vice president and 
head of US Operations
US Operations
Tania Sabroe
Executive vice president 
and head of People, 
Organisation and 
Corporate Affairs
People, 
Organisation & 
Corporate Affairs
1Registered as executive with the Danish Business Authority
CEO: chief executive officer; CFO: chief financial officer; CMC: Chemistry, Manufacturing and Control; CSO: chief scientific officer; US: United States
    19/180

    Loading...

    20 Novo Nordisk®
Investor presentation First six months of 2025
Investor contact information
Share information
Novo Nordisk’s B shares are listed on the stock exchange in Copenhagen 
under the symbol ‘NOVO B’. Its ADRs are listed on the New York Stock 
Exchange under the symbol ‘NVO’. 
For further company information, visit Novo Nordisk on: 
www.novonordisk.com
Investor Relations contacts
Novo Nordisk A/S 
Investor Relations 
Novo Alle 1 
DK-2880 Bagsværd
5 November 2025 Financial results for the first nine months of 2025
4 February 2026 Financial statement for 2025
Upcoming events
Jacob Martin Wiborg Rode +45 3075 5956 jrde@novonordisk.com
Sina Meyer +45 3079 6656 azey@novonordisk.com
Max Ung +45 3077 6414 mxun@novonordisk.com
Alex Bruce +45 3444 2613 axeu@novonordisk.com
Christoffer Sho Togo Tullin +45 3079 1471 cftu@novonordisk.com
Frederik Taylor Pitter (USA) +1 609 613 0568 fptr@novonordisk.com
    20/180

    Loading...

    21 Novo Nordisk®
Investor presentation First six months of 2025
Novo Nordisk corporate strategy
Diabetes care
GLP-1
Insulin
Obesity care
Rare disease
Cardiovascular & Emerging Therapy Areas
Regional information
Financials and Product Supply
Sustainability
Appendix
    21/180

    Loading...

    22 Novo Nordisk®
Investor presentation First six months of 2025
Novo Nordisk Corporate Strategy
Rare disease
Diabetes Obesity
Cardiovascular & 
emerging therapy areas
Strengthen leadership by 
offering innovative medicines 
and driving patient 
outcomes
Secure a leading position 
by leveraging full portfolio 
and expanding into adjacent 
areas
Establish position in 
cardiovascular disease and 
build a presence in emerging 
therapy areas 
Strengthen leadership through 
market development and by 
offering innovative medicines 
and driving patient outcomes
    22/180

    Loading...

    23 Novo Nordisk®
Investor presentation First six months of 2025
Diabetes and obesity remain the key priority areas in the 
corporate strategy
Broad and deep Key investment focus
Multiple targets in key segments Invest to build competitive pipelines 
Selective, based on potential and synergies Targeted investment allocation
Opportunistic and trigger-based Targeted investment allocation
1
2
3
4
AD: Alzheimer’s disease, CKD: Chronic kidney disease, CVD: Cardiovascular disease, MASH: Metabolic dysfunction-associated steatohepatitis, PD: Parkinson’s disease, RBD: Rare blood disorders, RED: Rare endocrine disorders 
Therapy area priorities Portfolio focus Investment approach
Diabetes Obesity
CVD RBD
MASH RED CKD
AD/PD
    23/180

    Loading...

    24 Novo Nordisk®
Investor presentation First six months of 2025
Innovation starts with addressing unmet needs, improving 
outcomes and reaching more patients
1
International Diabetes Federation: Diabetes Atlas 11th edition, 2025; 2Real-world studies indicate between 30-55% of patients reach HbA1c target <7% .e.g. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4388968/, taking 42.5% in good control of 
treated people; 3NHANES (2013-2014, 2015-2016, 2017-2020, 2021-2023), UN World Population Prospects report, WHO, IDF World Diabetes Atlas, World Obesity Atlas and PADAWA Analysis; 4IQVIA as of Nov’24 5WFH annual survey 2020 (120 of 147 
countries responded): Prevalence by calculating expected number of patients using 20.9 per 100.000 in haemophilia - Identified patients as proxy for receiving some sort of treatment; 6WHO. Cardiovascular Diseases 2023; 7Chris J Kapelios et al 
Cardiac Failure Review 2023;9:e14.; 8Younossi ZM et al. Hepatology. 2023;77:1335-1347; 9Kovesdy CP. Epidemiology of chronic kidney disease: an update 2022. Kidney Int Suppl (2011). 2022 Apr;12(1):7-11
BAOM: Branded Anti Obesity Medication; CKD: Chronic kidney disease; CVD: Cardiovascular disease; HFpEF: Heart failure with preserved ejection fraction; MASH: Metabolic dysfunction-associated steatohepatitis; WHO: World Health Organization
Rare disease
Haemophilia
Diabetes care Obesity care
Cardiovascular & 
emerging therapy areas
>250 
million people 
affected by 
MASH8
32%
of global deaths 
caused by CVD6
>30 
million people 
affected by 
HFpEF7
>800
million people 
affected by 
CKD9
589
of people in
good control2
~15%
million people with 
diabetes1
934
of people medically 
treated with BAOM4
~0.5%
million people with 
obesity3
0.6
of people being treated
~35%
million people with 
haemophilia5
    24/180

    Loading...

    Novo Nordisk®
25 Investor presentation First six months of 2025
Novo Nordisk has leading positions in diabetes, obesity and 
haemophilia
0%
10%
20%
30%
40%
50%
0
350
700
1050
1400
Market value
NN value market share (RHS)
0%
20%
40%
60%
80%
100%
0
50
100
150
200
250
Market value
NN value market share (RHS)
Diabetes care Obesity care
May
2020
May 
2023
May
2025
CAGR1 value: 14.6%
CAGR2 value: 128.5%
DKK 
billion
DKK 
billion
Global market position
#1 #1
May
2025
Global market position
1CAGR for 5-year period 2 CAGR for 2-year period 3 CAGR for 5-year period 
NN: Novo Nordisk; RHS: Right-hand side
Note: Annual sales figures for haemophilia A, B and bypassing agent segments, plasma derived products excluded Feiba®
Source: Company reports for haemophilia market; IQVIA MAT, May 2025; Note: Market values are based on the list prices
Haemophilia DKK 
billion
FY 
2020
FY
2024
CAGR3 value: 3.3%
#4
Global market position
0%
10%
20%
30%
40%
50%
0
20
40
60
80
100
Market value
NN value market share (RHS)
CAGR3 value: 3.3%
    25/180

    Loading...

    Novo Nordisk®
26 Investor presentation First six months of 2025
Sales growth of 18%, driven by the GLP-1 portfolio for diabetes 
and obesity treatment
Therapy Sales
(mDKK)
Growth Share of 
growth
Injectable GLP-1
2 66,592 10% 27%
Rybelsus® 11,348 5% 3%
Total GLP-1 77,940 10% 30%
Total insulin3 27,743 4% 4%
Other Diabetes care4 927 -16% -1%
Total Diabetes care 106,610 8% 33%
Obesity care5 38,796 58% 62%
Diabetes and Obesity care 145,406 18% 95%
Rare blood disorders6 6,017 6% 1%
Rare endocrine disorders7 2,732 49% 4%
Other Rare disease8 789 4% 0%
Rare disease 9,538 15% 5%
Total 154,944 18% 100%
Reported sales and growth breakdown for 
the first six months of 2025
69%
25%
4%
2%
0%
Reported sales for the first six 
months of 2025
Other
rare 
disease
Rare 
blood
disorders
Rare 
endocrine 
disorders
Obesity
care
0
10
20
30
40
50
60
70
80
90
Other rare disease
Rare endocrine disorders
Rare blood disorders
Diabetes and Obesity care
Novo Nordisk reported quarterly sales
by therapy DKK billion
Q2
2015
Q2
2025
Reported sales 
CAGR1: 11.1%
12.8%1
2.7%1
-2.6%1
-8.9%1
Sales of DKK 154.9 billion
(~18%) 
Diabetes care
1CAGR for 10-year period 2Comprises Victoza®, Ozempic® 3Comprises Awiqli®, Tresiba®, Xultophy®, Levemir®, Ryzodeg®, NovoMix®, Fiasp®, NovoRapid® and human insulin 4Primarily Novonorm®, needles and GlucaGen® HypoKit® 5Comprises Saxenda® and 
Wegovy® 6Comprises NovoSeven®, NovoEight®, NovoThirteen®
, Refixia®, Esperoct® and Alhemo® 7Comprises Norditropin® and Sogroya® 8Primarily Vagifem® and Activelle®
Note: Sales numbers are reported in Danish kroner; Growth is at constant exchange rate; Refixia® and NovoThirteen® are launched as Rebinyn® and TRETTEN®, respectively, in the US
    26/180

    Loading...

    Novo Nordisk®
27 Investor presentation First six months of 2025
Sales growth of 18%, driven by both US Operations and IO with 
17% and 19% sales growth respectively
Regions Sales
(mDKK)
Growth Share of 
growth
International Operations 67,665 19% 46%
EUCAN 31,212 16% 19%
Emerging Markets 16,334 22% 13%
APAC 10,209 35% 12%
Region China 9,910 6% 2%
US Operations 87,279 17% 54%
Total sales 154,944 18% 100%
Reported sales and growth breakdown
for first six months of 2025
Historic and reported sales by geography
140.8
DKK billion
45%
58%
23%
20%
12%
9% 10%
6% 11% 6%
US EUCAN Emerging Markets APAC Region China
2021 2024
290.4
APAC: Japan, Korea, Oceania and Southeast Asia; China: Mainland China, Hong Kong and Taiwan; Emerging Markets: mainly Latin America, Middle East and Africa; EUCAN: Europe and Canada; IO: International Operations; US: United States
Note: Numbers may not add up to 100% due to rounding; Growth at Constant exchange rates; Sales numbers are reported in Danish kroner
Source: Quarterly company announcement
    27/180

    Loading...

    28 Novo Nordisk®
Investor presentation First six months of 2025
Novo Nordisk holds solid patent protection and competitive 
advantages
Novo Nordisk’s position is protected by patents and value chain setup Novo Nordisk holds competitive advantages compared to biosimilars
2036/34
2028/29
2028/29
20304
EU/US patent protection1
2028/29
2027/28
2034/322
2031/322
2031/20322,3
Research & Development
• Need to show comparability in PK/PD trials
• Strict regulatory requirements in the EU and 
the US
• Requirement for both drug and device offering
Manufacturing
• Economies of scale
• Upfront CAPEX requirements with delayed ROI
• Decades of experience with high volume production 
of core yeast and mammalian API platforms
Commercialisation
• Large and fragmented target audience
• Cost pressure from payers
• On-going conversion to next-generation drugs and 
slow market dynamics
1List does not include all marketed products 2Current estimates. Wegovy® patent identical to Ozempic® patent 3Tablet formulation and once-daily treatment regimen are protected by additional patents expiring in 2031-2034 4Formulation patent; active 
ingredient patent has expired
API: Active pharmaceutical ingredient; CAPEX: Capital expenditure; PD: Pharmacodynamic; PK: Pharmacokinetic; ROI: Return on investment
    28/180

    Loading...

    Novo Nordisk®
29 Investor presentation First six months of 2025
Core capabilities together with additional drug modalities open 
up new opportunities across therapy areas
CKD: Chronic kidney disease; CVD: Cardiovascular disease; mAB: Monoclonal antibody; MASH: Metabolic dysfunction-associated steatohepatitis; RBD: Rare blood disorders; RED: Rare endocrine disorders; siRNA: Small interfering ribonucleic acid
Note: Currently active means Novo Nordisk is currently pursuing research projects, while exploratory indicates active early exploration activities and/or partnerships initiated
Active pipeline Exploratory
Core Novo Nordisk capabilities Modalities accelerated via partnerships & 
acquisitions
Therapy areas
Diabetes
CVD
Obesity
RED
CKD
MASH
RBD
siRNA Proteins/ 
Peptides/mAB
Cell 
Therapy
Gene 
Therapy
Small 
Molecules
    29/180

    Loading...

    30 Novo Nordisk®
Investor presentation First six months of 2025
Distribution of siRNA portfolio projects Phase 1 initiation ambition with siRNA
CVD: Cardiovascular disease; MASH: Metabolic dysfunction-associated steatohepatitis; RBD: Rare blood disorders; RED: Rare endocrine disorders; siRNA: Small interfering ribonucleic acid
Note: A project is defined when a target is identified and assigned team ask for resources to evaluate proof of concept
Diabetes and Obesity
CVD and MASH
RBD and RED
Other projects
… phase 1 initiations on 
average per year across 
disease areas with the 
siRNA platform is
on track
3
siRNA platform expected to deliver and mature across therapy 
areas in alignment with corporate strategy
Progress with the siRNA platform
12 phase 1 trial initiations with 
GalXCTM since 2017
RivflozaTM the first Novo 
Nordisk siRNA drug, approved 
in 2023
3 phase 1 trial initiations with 
GalXC-PlusTM
More than 50% of upcoming 
phase 1 trials expected to be 
with GalXC-PlusTM
    30/180

    Loading...

    31 Novo Nordisk®
Investor presentation First six months of 2025
Phase 1 aspiration of bringing more targets from research to 
development faster is on track for 2025
Key drivers increasing number of
phase 1 initiations
Number of phase 1 initiations in 2020 and aspirations towards 2025
5
2020 2024 2025
~3x numbers of assets
Phase 1 initiations achieved Achieved Aspiration
AI: Artificial intelligence
Increased investments across 
portfolio
Target discovery engine delivers 
targets that are relevant to human 
disease
Leverage AI/digital capabilities 
throughout drug discovery process
Early pipeline growth delivers more 
phase 1 opportunities
    31/180

    Loading...

    32 Novo Nordisk®
Investor presentation First six months of 2025
Partnerships and acquisitions support future research and 
development Selected acquisitions Selected licenses
Novel treatments 
for metabolic diseases
Novel treatments 
for CVD/Rare disease
Oral formulations 
of therapeutics
Novel treatments for 
CVD/Rare disease
Novel treatment for 
CVD/Rare disease
Novel treatment 
for metabolic diseases
siRNA treatments 
Novel treatment for 
CVD/Rare disease
Novel treatment for 
CVD/Rare disease
Novel treatment 
for CVD/Rare disease
TransCon
Technology for 
CVD/metabolic 
diseases
Novel treatments 
for CVD
Expansion of 
production capacity
CVD: Cardiovascular Disease; siRNA: Small interfering RNA
Note: Deal flow from 2019-2025Q1. Selection based on deal size
2019 2020 2021 2022 2023 2024 2025
Novel treatments 
for metabolic diseases
Oral small molecule 
for obesity and 
cardiometabolic diseases
GLP-1/GIP/Glucagon triple 
receptor agonist for
    32/180

    Loading...

    33 Novo Nordisk®
Investor presentation First six months of 2025
PHASE 1 PHASE 2 PHASE 3 SUBMITTED APPROVED
NN1644 – GSI NN9541 – OW GIP/GLP-1 co-agonist NN9388 – CagriSema NN1436 – Insulin Icodec2 Tresiba®
NN1471 – Pumpsulin NN9506 – FUSE10 NN9924 – Oral Semaglutide 25 and 50 mg1 NN1535 – Icosema1 Xultophy®
NN9041 – DNA Immunotherapy NN9440 – Monlunabant NN9838 – CagriSema SOUL – Oral semaglutide 14.0 mg CVOT6 Awiqli®5
NN9490 – Sc. Amycretin NN9490 – Sc. Amycretin NN9932 – Oral Semaglutide 25 and 50 mg8STRIDE – Semaglutide 1.0 mg in PAD Levemir®
NN9487 – Oral Amycretin NN9487 – Oral Amycretin NN9536 – Semaglutide 7.2 mg1 STEP HFpEF – Semaglutide 2.4 mg7 Ryzodeg®
NN9638 – Amylin 355 NN9440 – Monlunabant NN6535 – Oral Semaglutide 14.0 mg in AD NN9931 – Semaglutide 2.4 mg in MASH9 NovoMix®
NN9839 – Amylin 1213 NN9505 – FUSE10 NN6018 – Ziltivekimab in ASCVD NN7415 – Concizumab, HA/HB3Fiasp®
NN9662 – Triple NN6706 – CDR132L NN6018 – Ziltivekimab in HFpEF NovoRapid®
NN9559 – UBT251 (GGG tri-agonist) NN6019 – ATTR Cardiomyopathy NN6018 – Ziltivekimab in AMI Rybelsus®
NN6582 – LXR(a) in MASH NN7533 – NDec in SCD NN7769 – Mim8 in HA Ozempic®
NN6581 – MARC1 in MASH NN7536 – Etavopivat in Thalassemia NN7535 – Etavopivat in SCD Victoza®
NN9003 – Stem Cells in HF Other PHASE 3 trials Wegovy®
NN9001 – Stem Cells in PD FOCUS – Semaglutide 1.0 mg in diabetic retinopathy Saxenda®
NN6022 – Ventus NLRP3i in CVD NovoSeven®
NN6537 – CNP in HF NovoEight®
NN6705 – NLRP3 in MASH Esperoct®
NN7442 – Inno8 NovoThirteen®
NN7614 – TMPRSS6 RNAi Refixia®
Alhemo®11
Rivfloza®4
Norditropin®
Sogroya®
Pipeline supports significant growth opportunities across all four 
strategic focus areas
Diabetes care Obesity care Rare blood disorders Rare endocrine disorders Cardiovascular & Emerging therapy areas
1Submitted to EMA 2CRL received in the US 3Submitted to EU for HA/HB 4Approved for PH1 by FDA 5Approved in the EU, China, Canada, Australia, Switzerland and Japan 6Submitted in US and EU 7Re-submitted in US with data from FLOW and SOUL in January 
2025. STEP HFpEF label update reflected in EU label based on positive CHMP opinion received in Q3 2024 8Submitted in US for 25 mg 9Submitted in US, Japan and EU 10In collaboration with GE Healthcare 11Approved in US for HwI and HA/HB and EU for HwI
AATLD: Alpha-1 Antitrypsin Deficiency-associated Liver Disease; AD: Alzheimer’s Disease; ANGPTL3: Angiopoietin-like protein 3; AMI: Acute myocardial infarction; ASCVD: Atherosclerotic Cardiovascular Disease; ATTR: Transthyretin amyloidosis; CKD: chronic 
kidney disease; CVOT: Cardiovascular outcome trial; FGF-21: Fibroblast growth factor 21; GHD: Growth hormone disorder; GSI: Glucose Sensitive Insulin; HA: Haemophilia A; HF: Heart failure; HFpEF: heart failure with preserved ejection fraction; HwI: 
Haemophilia with inhibitors; LXR(a): Liver X receptor alpha; MARC1: Mitochondrial amidoxime reducing component 1; MASH: Metabolic dysfunction-associated steatohepatitis; MDS: myelodysplastic syndrome; OM: Once monthly; OW: Once weekly; PAD: 
Peripheral arterial disease; PD: Parkinson’s Disease; PH: Primary hyperoxaluria; SC: Subcutaneous; SCD: Sickle cell disease; Sema: Semaglutide
    33/180

    Loading...

    34 Investor presentation First six months of 2025
SIMONE LENSBØLE
Simone lives with type 2 diabetes
Denmark
Diabetes care
Insulin segment
Insulin segment
GLP-1 segment
Disease and market
    34/180

    Loading...

    35 Novo Nordisk®
Investor presentation First six months of 2025
Diabetes is a serious chronic disease with increasing prevalence 
worldwide and multiple associated comorbidities 
1ADA. Diabetes Care 2022;45:S1-S264; 2Cosentino F, et al. EJH 2020;41(2):255–323
APAC: Japan, Korea, Oceania and Southeast Asia; Emerging Markets: mainly Latin America, Middle East and Africa; EUCAN: Europe and Canada; Region China: Mainland China, Hong Kong and Taiwan; T2D: Type 2 diabetes; US: United States
Source: Diabetes Atlas 11th edition, 2025
In 2050, ~850 million adults are expected to live with diabetes High unmet medical need remains within T2D and the associated 
comorbidities1
Chronic kidney disease: 
up to ~40% of people with T2D affected2
Peripheral artery disease: 
>200 million people affected globally of which 20-
30% have T2D
Cardiovascular disease: 
>30% people with T2D affected
Mortality:
8 years shorter life expectancy
Million adults
1 in 9 have 
diabetes
1 in 8 have 
diabetes
0
200
400
600
800
1,000
2011 2024 2050
366
589
853
US
EUCAN
Emerging Markets
APAC
Region China
    35/180

    Loading...

    36 Novo Nordisk®
Investor presentation First six months of 2025
Novo Nordisk is the global leader in the growing diabetes market
1Based on IQVIA MAT, May 2025; 22025 does not add to 100% due to rounding
CAGR: Compound annual growth rate; DPP-4i: Dipeptidyl peptidase 4 inhibitor; OAD: Oral anti-diabetic; SGLT-2i: sodium-glucose co-transporter-2 inhibitor; SU: Sulfonylurea; Trad.: Traditional; TZD: Thiazolidinedione
Note: GLP-1 + basal insulin combination sales are included in insulin; Traditional OADs include metformin, SU and TZDs
Source: Company reported sales for insulin, GLP-1, SGLT-2i and DPP-4i, 2024 vs 2023; Estimated patient share, IQVIA MAT, Feb 2025
20% 17%
7%
8%
17%
14%
12%
55%
46%
3%
2021 2024
DKK
billion
CAGR:
0
200
400
2021 2022 2023 2024
+19%
3-year CAGR
Insulin DPP-4i SGLT-2i GLP-1
Novo Nordisk value market share1 32.6%
Traditional OAD
Estimated prescription share per treatment category2
Global diabetes care reported sales Volume growing ~6% with more people using GLP-1s and SGLT-2is
    36/180

    Loading...

    37 Novo Nordisk®
Investor presentation First six months of 2025
The unmet need within diabetes care remains large with too few 
patients reaching glycaemic target and treated for complications
Source: Diabetes prevalence and diagnosed are based on Diabetes Atlas 11th edition, 2025; Treated is based on 
IQVIA patient data; real-world studies indicate between 30-55% of patients reach HbA1c target <7% .e.g. 
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4388968/
1 in 2 adults go undiagnosed and more treated patients 
should reach their HbA1C target
10.9 mio treated with 
human insulins
13.9 mio treated with GLP-1
6.3 mio treated with
new-generation insulin
11.3 mio treated with 
modern insulin
10.4 mio treated with 
human insulins
Of the 589 million, 43.0 million1 people are treated with 
Novo Nordisk diabetes products
1
In addition to the above-mentioned product classes, other diabetes care constitutes the remainder of people treated with Novo 
Nordisk products; Estimated number for full-year 2024 (total available in Novo Nordisk Annual Report 2024)
Source: Novo Nordisk Annual Report 2024 (WHO designated daily dose methodology is applied to convert sales into patients reach)
589 m
43m
Prevalence Diagnosed Treated Reach target Treated for
complications
Prevalence Novo Nordisk products
    37/180

    Loading...

    38 Novo Nordisk®
Investor presentation First six months of 2025
GLP-1s have positive effects beyond glycaemic control reflected 
in the treatment guidelines 
Class Efficacy Hypo 
risk
Weight
change
Cardiovascular effects
ASCVD HF
Metformin High No Neutral Potential
Benefit Neutral
Sulfonylurea High Yes Gain Neutral Neutral
TZDs High No Gain Potential
Benefit Increased risk
DPP-IV 
inhibitors Intermediate No Neutral Neutral Potential risk
SGLT-2 
inhibitors Intermediate No Loss Benefit Benefit
GLP-1 High No Loss Benefit/
Neutral1 Neutral
Long-acting 
insulin High Yes Gain Neutral Neutral
Fast-acting 
insulin High Yes Gain Neutral Neutral
Medications for treatment of type 2 diabetes
1Benefit: dulaglutide, liraglutide, semaglutide; Neutral: exenatide once weekly, lixisenatide; 2eGFR < 60 mL/min/1.73 m2 OR albuminuria (ACR ≥ 3.0 mg/mmol (30mg/g)). Repeat measurement is required to confirm CKD; 3
If additional CV/kidney risk 
reduction/management of other metabolic comorbidities/glycemic lowering is needed
ADA: American Diabetes Association; ASCVD: Atherosclerotic cardiovascular disease; CKD: Chronic kidney disease; CVD: Cardiovascular disease; EASD: European Association for the Study of Diabetes; FDA: The US Food and Drug Administration; HbA1c: 
Haemoglobin A1C HF: Heart failure; HFrEF; Heat failure with reduced ejection fraction; HFpEF: Heart failure with preserved ejection fraction; Hypo: Hypoglycaemia; MASH: Metabolic dysfunction-associated steatohepatitis; MASLD: metabolic dysfunctionassociated steatotic liver disease; TZDs: Thiazolidinediones; T2D: Type 2 Diabetes; US: United States
Source: Adapted from: “Standards of Medical Care in Diabetes – 2022” Supplement 1, p.133; diabetes.org. American Diabetes Association. 
GLP-1 as first line treatment and part of Ozempic® label
2025 ADA guidelines for pharmacologic treatment of 
adults with type 2 diabetes
Goal: Cardiovascular and kidney 
risk reduction in high-risk T2D 
patients2
ASCVD or indicators of 
high CVD risk 
HF with documented
HFrEF or HFpEF
Chronic kidney disease
Healthy lifestyle behaviours: Diabetes self-management 
education and support 
Glycaemic 
management
Weight management
Goal: Achievement and 
maintenance of weight and 
glycemic goals
MASLD or MASH3
    38/180

    Loading...

    39 Novo Nordisk®
Investor presentation First six months of 2025
Innovation is the focus for strengthening leadership in diabetes 
Novo Nordisk’s product portfolio covers all three treatment segments
Oral anti-diabetic Injectable GLP-1 Insulins
Icodec1
Once-weekly insulin
Key products
Sc amycretin
Pipeline
2 Mature 
products
1Currently under regulatory approval; 2Pipeline references phase 2 ready and phase 3 assets 3Oral semaglutide 25 mg submitted in US
GIP: Gastric inhibitory polypeptide; HbA1c: Haemoglobin A1C; OW: Once-weekly; Sc: Subcutaneous
Expand focus beyond HbA1c to 
cardiometabolic and renal 
outcomes
Continue exploring preventative 
and curative treatments 
CagriSema
Oral amycretin OW GLP-1/GIP
Oral semaglutide
25/50 mg3
Approach to diabetes innovation
IcoSema1
    39/180

    Loading...

    40 Novo Nordisk®
Investor presentation First six months of 2025
The total branded diabetes market has a global value of DKK 
~523 billion annually
435
91
208
36
100
523
105
265
28
125
0
100
200
300
400
500
600
Total Insulin GLP-1 DPP-4i SGLT-2i
2023 2024
233
27
148
13 44
277
40
184
6
46
0
100
200
300
Total Insulin GLP-1 DPP-4i SGLT-2i
202
64 59
24
56
247
66 81
21
79
0
100
200
300
Total Insulin GLP-1 DPP-4i SGLT-2i
DKK
billion
DKK
billion
DKK
billion
+21%
+18%
+28%
-24%
+26%
Global diabetes market The USA
Outside the USA
+19%
+24%
-48%
+5%
+24%
+6% +38%
-11%
+44%
Growth at CER
+45%
Note: The segment value is based on reported figures, whilst the market growth is under constant exchange rate (CER). For Novo Nordisk the diabetes growth includes Insulin and GLP-1, excluding ‘other diabetes care’. 
Source: Company announcements as of Q4 2024; 2024 data based on Q1 2024 to Q4 2024 and 2023 data based on Q1 2023 to Q4 2023
    40/180

    Loading...

    41 Novo Nordisk®
Investor presentation First six months of 2025
Novo Nordisk has a leadership position within the growing 
diabetes market
Novo Nordisk remains global diabetes value 
market leader
Global diabetes market by treatment class1 Novo Nordisk market share and share of 
growth
0.00
100.00
200.00
300.00
400.00
500.00
600.00
Thousands
2020 2021 2022
DKK billion
2023 2024
GLP-1 SGLT-2i
Insulin DPP-4i
CAGR:
CAGR:
CAGR:
CAGR:
Market CAGR: 13%
33%
17%
9%
5%
0%
20%
40%
60%
NN market share
NN share of growth
Market growth (right axis)
NN growth (right axis)
May 
2025
May 
2022
28%
-2%
28%
-13%
21%
36%
31%
H2 
2021
13%
21%
35%
31%
H1 
2022
14%
23%
30%
32%
H2 
2022
14%
24%
29%
33%
H1 
2023
13%
25%
27%
34%
H2 
2023
16%
25%
26%
34%
H1 
2024
17%
25%
24%
34%
H2 
2024
H1 
2025
33%
28%
23%
14% 17%
Company A
Company B
Others
Novo Nordisk
1Data is based on company reported sales. Data does not include Galvus and generic metformin, sulphonylureas or thiazolidinedione 
NN: Novo Nordisk
Source: IQVIA May 2025 value figures Note: IQVIA data can be inflated due to use of list prices. Due to contractual obligations competitor names are not disclosed. Company A and B represent actual companies
    41/180

    Loading...

    42 Novo Nordisk®
Investor presentation First six months of 2025
GLP-1 mechanism of action and potential therapeutic 
opportunities
GLP-1 mechanism of action
Creates sense of satiety in the brain
Reduces 
glucose 
release 
from the 
liver
Slows 
gastric 
emptying
Increases insulin secretion in the 
pancreas
Brain 
Pancreas 
Liver
GLP-1
Stomach
Patient overlaps for key focus areas in type 2 diabetes
Type 2 diabetes
~35m
CKD (stage 3+)2
~17m
UNITED STATES ONLY
ASCVD1
~21m
Obesity
~115m
84m 9m
15m
1m
4m 2m
1m
5m 6m
5m
2m
2m
1m 1m
3m
1Myocardial infarction, stroke and coronary heart disease 2eGFR <60 ml/min/1.73m2 3On top of cardiovascular standard of care
ADA: American Diabetes Association; ASCVD: Atherosclerotic cardiovascular disease; CKD: Chronic kidney disease; CV: Cardiovascular; EASD: European Association for the Study of Diabetes; HbA1c: Haemoglobin A1C; HF: Heart failure; HFrEF; Heart failure 
with reduced ejection fraction; HFpEF: Heart failure with preserved ejection fraction
Note: Prevalence overlaps have been estimated on patient-level data from NHANES. Post-estimation adjustments have been undertaken to match certain key metrics as reported by publicly available sources. Numbers are rounded
Source: NHANES (waves 2003-2004, 2013-2014, 2015-2016 and 2017-2020); UN World Population Prospects 2022; International Diabetes Federation: Diabetes Atlas 10th edition, 2021; World Obesity Atlas 2023
    42/180

    Loading...

    43 Novo Nordisk®
Investor presentation First six months of 2025
0
50
100
150
200
250
Thousands
Novo Nordisk has 52% of the global GLP-1 market, while GLP-1 
penetration of diabetes volume varies across regions
GLP-1 share of total estimated diabetes prescriptions1is 7.1%
52%
34%
24%
14%
0%
20%
40%
60%
80%
NN market share NN share of growth
Market growth NN growth
May 
2022
May 
2025
GLP-1 market growth and Novo Nordisk market share
2020 2025
Global: 7.1%
1The estimated GLP-1 share of prescriptions is based on volume packs from IQVIA. Volume packs are converted into fullyear patients/prescriptions based on WHO assumptions for average daily doses or if not available, Novo Nordisk 
assumptions
Source: IQVIA MAT volume (Spot rate), May 2025; Market values are based on the list prices
GLP-1 share of estimated diabetes prescriptions
Global: 2.1%
Million prescriptions1
GLP-1 SGLT-2i DPP-4i Insulin Trad. OAD
Source: IQVIA MAT value (spot rate), May 2025; Market values are based on the list prices
    43/180

    Loading...

    44 Novo Nordisk®
Investor presentation First six months of 2025
SUSTAIN trials with subcutaneous semaglutide
Baseline
SUSTAIN 
Change in 
HbA1c (%)
Change in 
weight (kg)
Baseline
1 2 3 4 5 6 7
semaglutide 1.0 mg semaglutide 0.5 mg placebo sitagliptin 100 mg exenatide ER glargine U100 dulaglutide 1.5 mg dulaglutide 0.75 mg
-1.6 -1.6 -1.5 -1.5
-1.3
-0.9
-0.5
-1.6 -1.8 -1.4
-1.8
-1.2
-1.4
-1.1
-1.5
-0.8
-0.1
-0.4
-1.3
-1.1
-4.5
-6.1 -5.6
-3.7
-4.3
-1.9
-1
-1.9
-5.2
-6.4
-4.9
-6.5
-3.5 -3.7 -3.6
-4.6
1.2
-1.4
-0.7
-3.0
-2.3
8.1% 8.1% 8.3% 8.2% 8.4% 8.7% 8.2%
92 kg 89 kg 96 kg 93 kg 92 kg 92 kg 95 kg
*
*
*
*
*
*
*
* *
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*Statistically significant; SUSTAIN 1: QW sema vs placebo in drug-naïve people with T2D; SUSTAIN 2: QW sema vs sitagliptin 100 mg QD in people with T2D added to 1-2 OADs; SUSTAIN 3: QW sema vs QW exenatide ER 2.0 mg in people with T2D added to 
1–2 OADs; SUSTAIN 4: QW sema vs QD insulin glargine in people with T2D added to 1-2 OADs; SUSTAIN 5: QW sema vs placebo in people with T2D added to insulin; SUSTAIN 6: QW sema vs placebo, added to standard-of-care; SUSTAIN 7: QW sema vs QW 
dulaglutide 75 mg and 150 mg in people with T2D added to 1–2 OADs: ER: Extended-release; QW: once-weekly; QD: once-daily; sema: semaglutide; T2D: type 2 diabetes, OAD: oral anti-diabetics
    44/180

    Loading...

    45 Novo Nordisk®
Investor presentation First six months of 2025
Semaglutide 2.0 mg s.c. brings patients needing treatment 
intensification to target
Estimand Trial product estimand Treatment policy estimand
Once-weekly 
semaglutide 2.0 mg 1.0 mg 2.0 mg 1.0 mg
HbA1c
reduction 2.2%* 1.9% 2.1%* 1.9%
Body weight 
reduction 
(kg)
-6.9* -6.0 -6.4 -5.6
HbA1c < 
7.0%1
68% 58%
Phase 3 trial, SUSTAIN FORTE, completed and label application 
approved in the US and the EU
Semaglutide 2.0 mg showed superior HbA1c
reduction with more patients reaching target1 versus 
semaglutide 1.0 mg
Semaglutide 2.0 mg appeared to have a safe and 
well-tolerated profile
Gastrointestinal adverse events were similar for 
semaglutide 1.0 mg and 2.0 mg
Data from SUSTAIN FORTE
Label expansion application approved in the US, JP 
and the EU
1ADA recommended treatment target
*Statistically significant
S.c.: subcutaneous
    45/180

    Loading...

    46 Novo Nordisk®
Investor presentation First six months of 2025
Baseline
PIONEER 
Change in 
HbA1c (%)
Change in 
weight (kg)
Baseline
1 2 3 4 5 7 8
oral semaglutide 3 mg oral semaglutide 7 mg oral semaglutide 14 mg placebo sitagliptin 100 mg empagliflozin 25 mg Victoza® 1.8 mg
-0.8
-0.5
-1.3
-1.1
-1.5
-1.4 -1.4
-0.1
-0.9
-0.8
-0.6
-1.0
-1.3
-1.1
-1.4 -1.4
-0.1 -0.1
-0.7
-1.1 *
-1.7
-1.2
-2.5 -2.2
-4.1 -4.2
-3.3
-1.5
-3.8
-0.7
-1.3
-3.0
-4.7
-3.7
-2.9
-4.1
-0.7
-1.1 -0.8
0.6
-3.2
8.0% 8.1% 8.3% 8.0% 8.0% 8.3% 8.2%
88 kg 92kg 91 kg 94 kg 91 kg 89 kg 86 kg
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
PIONEER programme with oral semaglutide
ER: Extended-release; QW: once-weekly; QD: once-daily; oral sema: oral semaglutide; T2D: type 2 diabetes, OAD: oral anti-diabetics; CV: Cardiovascular
Note: PIONEER 9 and PIONEER 10 were Japanese studies and PIONEER 6 was a CV safety study. * Statistically significant based on the trial product estimand; PIONEER 1: QD oral sema vs placebo in people with T2D treated with diet and exercise only; 
PIONEER 2: QD oral sema vs empagliflozin 25 mg in people with T2D; PIONEER 3: QD oral sema vs sitagliptin 100 mg in people with T2D; PIONEER 4: QD oral sema vs Victoza® 1.8 mg and placebo in people with T2D; PIONEER 5: QD oral sema vs placebo 
in people with T2D and moderate renal impairment; PIONEER 7: QD oral sema using a flexible dose adjustment based on clinical evaluation vs sitagliptin 100 mg in people with T2D; PIONEER 8: Effects of QD oral sema vs placebo in people with long 
duration of T2D treated with insulin
    46/180

    Loading...

    47 Novo Nordisk®
Investor presentation First six months of 2025
PIONEER PLUS achieved its primary endpoint and demonstrated 
statistically significant HbA1C reduction vs oral sema 14 mg
Oral semaglutide 25 mg and 50 mg vs 14 mg in subjects with T2D
1:1:1
R
68 weeks 5 weeks
follow-up
Oral semaglutide 50 mg
Oral semaglutide 25 mg
Oral semaglutide 14 mg
Headline trial results
-1.5%
-1.9%*
-2.2%*
Oral semaglutide 14 mg Oral semaglutide 50mg
Oral semaglutide 25mg
Change from baseline (%)
Mean baseline HbA1c: 9.0%
Change in HbA1C Change in body weight 
Mean baseline body weight: 96.4 kg
-4.5
-7.0*
-9.2*
Change from baseline (kg)
All doses of oral semaglutide appeared to have safe and well-tolerated profile
Primary endpoint: 
• Change from baseline to week 52 in 
HbA1c
Secondary endpoint:
• Change from baseline to week 52 in 
body weight
Inclusion criteria (1,606 participants):
• Type 2 Diabetes
• HbA1c 8.0 - 10.5%
• BMI ≥25 kg/m2
• Stable dose of 1-3 OADs 
(metformin, SU, SGLT-2i or DPP-4i1) 
*Statistically significant/superior vs oral semaglutide 14 mg; 1DPP-4i terminated at randomization
T2D: Type 2 diabetes; HbA1c: Glycated haemoglobin; BMI: Body Mass Index; OADs: Oral antidiabetic drugs; SU: Sulfonylurea; SGLT-2i; Sodium-glucose cotransporter-2 inhibitors; DPP-4i: dipeptidyl peptidase-4 inhibitors
Note: Trial product estimands shown; Trial objective: To compare the safety and efficacy of 25 and 50 mg oral semaglutide with 14 mg oral semaglutide once daily in people with type 2 diabetes
    47/180

    Loading...

    48 Novo Nordisk®
Investor presentation First six months of 2025
*Trial product estimand; 1P. Frias, SUSTAIN FORTE, Lancet, 2021 (9):563-574; 2Steven P Marsoe, SUSTAIN-6, N Engl J Med 2016;375:1834-1844; 3Marc P Bonaca, STRIDE:, Lancet, 2025 ;405(10489):1580-1593; 4Vlado Perkovic et al, FLOW, N Engl J 
Med 2024;391:109-121; 5Vanita R Aroda, PIONEER PLUS, Lancet 2023 402(10403):693-704; 6Darren K. McGuire, SOUL, N Engl J Med 2025;392:2001-2012
HbA1c: Haemoglobin A1C; MACE: Major adverse cardiovascular events; MWD: Maximum walking distance; PAD: Peripheral artery disease; Sc: Subcutaneous; T2D: Type 2 Diabetes; %-p: Percentage points
Semaglutide has produced a comprehensive body of evidence 
and clinical outcome data for a GLP-1 in type 2 diabetes
26% 
Reduction in MACE2
MACE outcome
SUSTAIN-6
24% 
Reduction in Major 
Kidney Disease Events4
Kidney outcome
FLOW
20% 
Reduced risk of all-cause 
death4
All-cause mortality
FLOW
2.2%-p 
Reduction HbA1c
1
Glycaemic control*
SUSTAIN FORTE
7.2% 
Reduction in body 
weight1
Body weight*
SUSTAIN FORTE
13% 
Improvement in MWD3
distance
PAD outcome
STRIDE
7.0/9.8% 
Weight loss5
Body weight*
PIONEER PLUS
1.9/2.2%-p 
Reduction HbA1c
5
Glycaemic control*
PIONEER PLUS
14% 
Reduction in MACE6
MACE outcome
SOUL
Semaglutide sc
1.0 and 2.0 mg
Oral semaglutide 
14, 25 and 50 mg
    48/180

    Loading...

    49 Novo Nordisk®
Investor presentation First six months of 2025
Phase 2 trial for CagriSema in people with type 2 diabetes was 
successfully completed in Q3 2022
Primary endpoint: 
Change from baseline (week 0) to 
week 32 in HbA1c
Inclusion criteria (92 people):
• Type 2 diabetes
• HbA1c 7.5–10.0%
• Metformin +/- SGLT2i
• BMI ≥27 kg/m2
Exploratory phase 2a trial of CagriSema in T2D
Dose escalation
16 weeks
Treatment maintenance
16 weeks
Follow up
5 weeks
Cagrilintide 2.4 mg + semaglutide 2.4 mg
Semaglutide 2.4 mg + placebo 
R Cagrilintide 2.4 mg + placebo 
1:1:1
Headline trial results
Change in HbA1C Change in body weight 
-0.93%
-1.79%
-2.18%
In the trial, CagriSema appeared to have a safe and well-tolerated profile
Mean baseline body weight: 106 kg
Change from baseline (%)
Cagrilintide 2.4 mg OW
Semaglutide 2.4 mg OW
CagriSema (2.4 mg semaglutide and 2.4 mg cagrilintide)
-8.1%
-5.1%
-15.6%
Mean baseline HbA1c: 8.4%
T2D: Type 2 diabetes, BMI: body mass index; HbA1c: Glycosylated haemoglobin; OW: Once-weekly 
Note: Trial product estimands shown; Trial objective: To compare the effect of co-administered (separate injections) semaglutide and cagrilintide versus semaglutide in subjects with T2D inadequately controlled on metformin with or without SGLT2 
inhibitor
    49/180

    Loading...

    50 Novo Nordisk®
Investor presentation First six months of 2025
Phase 3 trial programme with CagriSema in type 2 diabetes, 
REIMAGINE, was initiated in Q3 2023
2023 2024 2025 2026
• 180 patients with T2D
• 40-week vs. placebo
• Primary endpoint: HbA1c
REIMAGINE 1
vs placebo
• 2700 patients with T2D, MET +/- SGLT-2i
• 68-week vs. semaglutide, cagrilintide and placebo
• Primary endpoint: HbA1c and bodyweight
REIMAGINE 2
FDC trial
• 7000 patients1
• Event driven
• Primary endpoint: 3-point MACE
REDEFINE 3
CVOT – shared with 
obesity programme
CagriSema is a fixed dose 
combination of injectable 
cagrilintide 2.4 mg and semaglutide 
2.4 mg
CagriSema characteristics Global phase 3 trial programme 
Phase 3a programme with 
CagriSema in T2D:
• Aims to confirm efficacy and safety 
across four global trials
• Expected completion during 
2025/2026
• 270 patients with T2D, Basal insulin +/- MET 
• 40-week vs. placebo
• Primary endpoint: HbA1c
REIMAGINE 3
Add-on to insulin
• 1000 patients with T2D, MET +/- SGLT-2i
• 68-week vs. tirzepatide
• Primary endpoint: HbA1c and bodyweight
REIMAGINE 4
H2H vs tirzepatide
165% of patients with T2D, 35% without T2D
FDC: Fixed dose combination; T2D: Type 2 Diabetes; H2H: Head-to-head; CVOT: Cardiovascular outcomes trial; 3P: Three point; MACE: Major adverse cardiovascular event; MET: Metformin; SGLT-2i: sodium-glucose co-transporter-2 inhibitor
Note: CagriSema is a fixed dose combination of injectable cagrilintide 2.4 mg and injectable semaglutide 2.4 mg
    50/180

    Loading...

    51 Novo Nordisk®
Investor presentation First six months of 2025
Amycretin phase 2 trial with oral and subcutaneous 
administration in people with type 2 diabetes has been initiated
Objective
• Demonstrate the dose-response relationship of amycretin for 
change in HbA1c from baseline in participants with type 2 diabetes
Proposed key endpoints
• Change in HbA1c (%-point) from baseline 
• Relative change in body weight (%) from baseline
Treatment period Follow-up
R
OW sc amycretin
Placebo oral 
OD oral amycretin
Placebo sc
ILLUSTRATIVE
Phase 2 amycretin trial design
HbA1c: Haemoglobin A1C; OD: Once-daily; OW: Once-weekly; sc: Subcutaneous
    51/180

    Loading...

    52 Novo Nordisk®
Investor presentation First six months of 2025
Novo Nordisk global insulin volume market leadership at 43.3% 
and the global insulin volume market increased by 1.8%
Market growth: 1.8%
Market share: 43.3%
MS gain/loss1: -1.6%-p
Sales growth: 0%
Emerging Markets
Market growth: 2.4%
Market share: 51.8%
MS gain/loss1: -0.0%-p
Sales growth: 15%
Region China
Market growth: 4.9%
Market share: 40.2%
MS gain/loss1: -0.9%-p
Sales growth: 27%
Market growth: 1.7%
Market share: 46.9%
MS gain/loss1: -0.9%-p
Sales growth: -2%
International Operations 
Global
US Operations
Market growth: 2.0%
Market share: 30.1%
MS gain/loss1: -4.8%-p
Sales growth: 9%
EUCAN
Market growth: -0.1%
Market share: 45.1%
MS gain/loss1: -0.3%-p
Sales growth: -8%
APAC
Market growth: 0.7%
Market share: 53.7%
MS gain/loss1: -2.6%-p
Sales growth: -3%
1MS gain/loss compared with May 2024 reported MS
APAC: Japan, Korea, Oceania and Southeast Asia; Emerging Markets: mainly Latin America, Middle East and Africa; EUCAN: Europe and Canada; MS: Market share; Region China: Mainland China, Hong Kong and Taiwan; US: United States
Market values are based on the list prices
Note: Sales growth for the Q2 2025 at constant exchange rates; Market shares are for Novo Nordisk, market growth for total insulin market
Source: IQVIA MAT, May 2025 volume figures
    52/180

    Loading...

    53 Novo Nordisk®
Investor presentation First six months of 2025
43%
2%
-2%
-9%
-6%
-3%
0%
3%
6%
9%
0%
10%
20%
30%
40%
50%
NN market share
Market growth (right axis)
NN growth (right axis)
42%
FastActing
Total
39% LongActing
43%
62%
Premix
31%
Human
169
97
57
15
15
Novo Nordisk Competitors
-5.3% -1.1%
-4.0% +1.0%
-9.1% -4.6%
2.2% +1.3%
-4.2% +1.4%
May
2022
Market 
growth
Δ Market 
share
Insulin market share and market size (DKK billion) Insulin volume: Market share 
Insulin market size and Novo Nordisk volume and value market 
share
May
2025
NN: Novo Nordisk 
Note: LHS graph – Value, RHS Graph - Volume, MAT, all countries; Share of growth not depicted due to too high numbers ; Market values are based on the list prices
Source: IQVIA, May 2025
    53/180

    Loading...

    54 Novo Nordisk®
Investor presentation First six months of 2025
51 49
40
47
0
20
40
60
80
bDKK
2021 2022 2023 2024
Insulin icodec reduces basal insulin inj. from 7 to 1 per week
Many patients delay insulin initiation >2 years due to dosing 
frequency
HCP and patient preference for once-weekly treatments
Dynamic segment is the main 
opportunity 70%
100%
19%
11%
Static New to basal Switches Basal insulin
1
IQVIA MAT, May 2025
HCP: Heath care professional; Inj.: Injections
Source: Company reported sales; Novo Nordisk market research 
Insulin icodec holds potential to be the insulin of choice for 
people living with type 2 diabetes starting basal insulin treatment
Today’s global basal insulin market is sizeable The opportunity for insulin icodec
Patient behaviour 
Novo Nordisk volume market share1: ~28%
    54/180

    Loading...

    55 Novo Nordisk®
Investor presentation First six months of 2025
-1.55% -1.57% -1.68%
-0.93%
-1.16%
-0.47%
-1.35% -1.36% -1.31%
-0.71%
-1.18%
-0.51%
0.30 0.31 0.19 0.73
5.64
19.93
0.16 0.15 0.14 0.27
5.62
10.37
522
(Full trial: 78 weeks)
26 52 26 26 262
(Full trial: 52 weeks)
8.5% 8.5% 8.9% 8.1% 8.3% 7.6%
✓ ✓ ✓ ✓ ✓ ✓
✓ ✓ ✓ ✓
Estimated change from 
baseline in HbA1c (%)
Hypoglycaemia event 
rates1
ONWARDS 1
BASAL INITIATION
ONWARDS 2
BASAL SWITCH
ONWARDS 3
BASAL INITIATION
ONWARDS 4
BASAL/BOLUS SWITCH
ONWARDS 5
BASAL INITIATION
ONWARDS 6
BASAL/BOLUS SWITCH
Trial duration (weeks)
Baseline HbA1c (%)
Non-inferiority confirmed
Superiority confirmed
Insulin-naïve type 2 diabetes Insulin-treated type 2 diabetes Type 1 diabetes
Once-weekly insulin icodec Once-daily insulin glargine U100 Once-daily insulin degludec Once-daily basal insulins
*
*
* *
*
In people with type 2 diabetes: No statistical difference in estimated hypoglycaemia events 
Once-weekly insulin icodec appeared to be effective and to have 
a safe profile in the phase 3 ONWARDS programme
*Statistically significant. 1 Severe or clinically significant hypoglycaemia events (blood glucose <3 mmol/L) per patient year, included for end of trial/end main phase in-trial. 2 Duration refers to trial main phase.
ONWARDS 1: QW insulin icodec vs QD insulin glargine U100 both with non-insulin anti-diabetic treatment in insulin-naïve people with T2D; ONWARDS 2: QW insulin icodec vs QD insulin degludec in people with T2D switching from a QD insulin; ONWARDS 
3: QW insulin icodec vs QD insulin degludec in insulin-naïve people with T2D; ONWARDS 4: QW insulin icodec vs QD insulin degludec both with mealtime insulin in people with T2D treated with basal and bolus insulin; ONWARDS 5: QW insulin icodec vs 
QD basal insulin with an app providing dosing recommendation in insulin-naïve people with T2D; ONWARDS 6: QW insulin icodec vs QD insulin degludec both with mealtime insulin in people with T1D
T1D: Type 1 diabetes; T2D: Type 2 diabetes. Note: Overview refers to primary end-points in main phases of trials
    55/180

    Loading...

    56 Novo Nordisk®
Investor presentation First six months of 2025
Phase 3 trial programme for IcoSema in T2D, COMBINE
IcoSema is a fixed dose combination of 
insulin icodec and semaglutide
• Simple and convenient once-weekly 
injection
IcoSema characteristics Focused phase 3 trial programme 
Phase 3a programme with IcoSema
• Aims to confirm efficacy and safety 
across three global trials
• All pivotal trials successfully completed
• Novo Nordisk submitted for regulatory 
approval in H2 2024 in the EU
COMBINE 3
Basal insulin 
intensification
COMBINE 2
Post-GLP-1
COMBINE 1
Post-basal insulin
COMBINE 4
Post OAD Trial ongoing
• Initiated in Q4 2021
• 680 patients* previously on basal insulin
• 52-week vs. insulin glargine + insulin aspart
• Prim. endpoint: HbA1c non-inferiority 
• Sec. endpoint: Weight / hypo superiority
• Initiated in Q2 2022
• 680 patients* previously on GLP-1 RA
• 52-week vs. semaglutide 1.0 mg
• Primary endpoint: HbA1c superiority
• Initiated in Q2 2022
• 1290 patients* previously on basal-insulin
• 52-week vs. insulin icodec
• Prim. endpoint: HbA1c superiority
• Sec. endpoint: Weight / hypo superiority
2021 2022 2023 2024
• Initiated in Q1 2024
• 475 patients* previously on at least 2 OADs
• 40-week vs. OD insulin glargine
• Primary endpoint: HbA1c superiority
*Patients with Type 2 Diabetes Mellitus
OD: once daily
    56/180

    Loading...

    57 Novo Nordisk®
Investor presentation First six months of 2025
Phase 3a trial (COMBINE 3) with IcoSema successfully completed
IcoSema vs Insulin glargine U100 and insulin apart in subjects w/T2D
1:1
R
52 weeks 5 weeks
follow-up
IcoSema ± OAD(s) 
IGlar + IAsp ± OAD(s)
Primary endpoint: 
• Change in HbA1c from baseline 
to week 53
Confirmatory secondary 
endpoints:
• Change in body weight from 
baseline to week 52
• Number of hypoglycaemic1
episodes from baseline to week 
57
IcoSema IGlar + IAsp
Hypoglycaemic episodes1
(rate per patient year) 0.26* 2.18
Injections per year ~52 ~1450
Safety: IcoSema appeared to have safe and well-tolerated profile
Headline trial results
-1.5% -1.4%
IcoSema IGlar + Iasp
Change from baseline (%)
Mean baseline HbA1c: 8.3%
Change in HbA1C Change in body weight 
Mean baseline body weight: 85.8 kg
3.2
-3.6*
Change from baseline (kg)
N=679
*Statistically significant/superior vs. Insulin glargine U100 and insulin apart. 1 Level 2 and 3 hypoglycaemic episodes with blood glucose below 3.0 mmol/L
T2D: Type 2 diabetes; HbA1c: Glycated haemoglobin; BMI: Body Mass Index; OADs: Oral antidiabetic drugs. 
Note: Trial objective: To confirm efficacy and compare safety of once weekly IcoSema compared with daily insulin glargine combined with insulin apart, both treatment arms with or without OADs in participants with T2D inadequately controlled with daily 
basal insulin
    57/180

    Loading...

    58 Novo Nordisk®
Investor presentation First six months of 2025
Final pivotal phase 3 trial with once-weekly IcoSema successfully 
completed
COMBINE 1 - IcoSema vs Insulin icodec in subjects with T2D
1:1
R
52 weeks 5 weeks
follow-up
IcoSema ± OAD(s) 
Insulin icodec ± OAD(s) 
Primary endpoint: 
• Change in HbA1c from baseline 
to week 52
Secondary endpoints:
• Change in body weight from 
baseline to week 52
• Number of level 2 or 3 
hypoglycaemic1 episodes from 
baseline to week 57
IcoSema Insulin icodec
Hypoglycaemic episodes1
(rate per patient year) 0.14 0.63
Safety: IcoSema appeared to have safe and well-tolerated profile
COMBINE 1 headline trial results
-0.9%
-1.6%*
IcoSema Insulin icodec
Change from baseline (%)
Mean baseline HbA1c: 8.2%
Change in HbA1C Change in body weight 
Mean baseline body weight: 84.5 kg
1.9
Change from baseline (kg)
-3.7*
N=1291
*Statistically significant/superior vs. Insulin icodec. Data shown for HbA1c and body weight is the treatment policy estimand 1 Level 2 and 3 hypoglycaemic episodes on-treatment observation period. 
HbA1c: Glycated haemoglobin; IcoSema: a combination of basal insulin icodec and semaglutide; OADs: Oral antidiabetic drugs; R: Randomisation; T2D: Type 2 diabetes; 
Trial objective: To confirm efficacy and compare safety of once weekly IcoSema compared with once weekly insulin icodec, both treatment arms with or without OADs in participants with T2D inadequately controlled with daily basal insulin
    58/180

    Loading...

    59 Novo Nordisk®
Investor presentation First six months of 2025
Development pipeline addresses unmet need in diabetes care by 
further raising the innovation bar
Further raise the innovation bar Diabetes development pipeline1
Our key focus areas
Diabetes
Project Phase 
GLP-1 diabetes2 Marketed
Long-acting insulins3 Marketed
Premix insulins4 Marketed
Fast-acting insulins5 Marketed
Awiqli®6 Marketed
Icosema Submitted
SOUL (oral semaglutide 14.0 mg CVOT) Submitted
STRIDE7(semaglutide 1.0 mg in PAD) Submitted
oral semaglutide8(25 mg and 50 mg) Phase 3 completed
CagriSema (2.4 mg/2.4 mg) Phase 3 ongoing
sc. amycretin OW and oral OD Phase 2 ongoing
monlunabant Phase 2 ongoing
OW GIP/GLP-1 Phase 2 ongoing
FUSE9 - Peripheral focused ultrasound Phase 2 to be initiated
GSI Phase 1 ongoing
DNA immunotherapy Phase 1 ongoing
Pumpsulin Phase 1 ongoing
1Human insulins and other diabetes care not included in development pipeline overview 2
Includes Rybelsus®, Ozempic®, and Victoza® 3Includes Tresiba®, Xultophy®, and Levemir® 4Includes Ryzodeg® and NovoMix® 5Includes Fiasp® and NovoRapid®
6Launched in five countries in IO 7EMA adopted a positive opinion for an updated Ozempic® label based on STRIDE data 8Submitted to EMA 9
In collaboration with GE Healthcare
CB1R: Cannabinoid receptor 1; CKD: Chronic Kidney Disease; CVOT: Cardiovascular Outcome Trial; GIP: Gastric inhibitory polypeptide; GSI: Glucose Sensitive Insulin; OD: Once-daily; OW: Once-weekly; Sc.: Subcutaneous
Address significant 
unmet need
Continued generation of 
outcomes data 
Develop next-generation 
treatments
    59/180

    Loading...

    60 Novo Nordisk®
Investor presentation First six months of 2025
Obesity care
MICHAEL PETERSEN
Michael lives with obesity
Denmark
Innovation63
Innovation 63 
Obesity market development62
Obesity market development 62 
Obesity disease background58
Obesity disease background 58
60 Investor presentation First six months of 2025
Obesity care
MICHAEL PETERSEN
Michael lives with obesity
Denmark
Innovation
Innovation
Obesity market development
Obesity market development
Obesity disease background
Obesity disease background
    60/180

    Loading...

    61 Novo Nordisk®
Investor presentation First six months of 2025
Obesity is a serious chronic disease with a large unmet medical 
need that requires innovative treatment options 
1Prospective Studies Collaboration, Whitlock G, Lewington S, et al. Body-mass index and cause-specific mortality in 900,000 adults: collaborative analyses of 57 prospective studies. Lancet. 2009
AOM: Anti-obesity medication; BMI: Body mass index; RoW: Rest of world; ACC: American College of Cardiology 
Source: NHANES (2013-2014, 2015-2016, 2017-2020, 2021-2023), UN World Population Prospects report, WHO, IDF World Diabetes Atlas, World Obesity Atlas and PADAWA Analysis
Today
• Few treatment options available: <1% of 
global obese population on a branded AOM
• 2025 ACC clinical guidance for weight 
management in patients where treatment 
may provide CV benefit
More than 1.7 billion people is living with 
overweight or obesity globally
Obesity is associated with more than 200 
different complications
Life expectancy decreases as BMI increases
792
442
205 171
63
0
250
500
750
1,000
48
27-30 30-35
30
35-40
23
40+
840
505
235 194
Million people
Cardiovascular
Metabolic
Mechanical
BMI categories
US
RoW
Likelihood of reaching age 70 per
BMI group from a baseline age of 461
Normal 
BMI 
80%
BMI
35–40
60%
BMI
40–50
50%
    61/180

    Loading...

    62 Novo Nordisk®
Investor presentation First six months of 2025
Novo Nordisk’s innovation is focused on addressing weight loss 
magnitude as well as emerging patient needs and comorbidities
Addressing unmet needs across patient segments via differentiated clinical profiles
Weight loss
ILLUSTRATIVE
Safety and tolerability
Differentiated clinical profiles across co-morbidities
Differentiated treatment goals across patient profiles
Building a leading portfolio
Body weight loss
Co-morbidity impact 
Composition of weight loss
Safety and tolerability
Dosing frequency
Our key focus areas
    62/180

    Loading...

    63 Novo Nordisk®
Investor presentation First six months of 2025
With the launch of Wegovy® in 2021 a lot changed, yet the large 
unmet need in obesity remains
934
0
200
400
600
800
1,000
Obesity prevalence Full-year 
patients on NN 
AOMs in 20241
2.2
Million people
Key market changes since the Wegovy® launch in 2021
Patients Prescribers Payers
Before
After
Few people are treated for obesity today
Needs to be activated
Low adherence eg due to 
tolerability, affordability and 
treatment expectations
Decision-maker with 
consumer like behaviour
Increasing adherence as 
barriers are addressed, 
but still not chronic care
Consider treating obesity
Sporadic local guidelines
Treat obesity
Sporadic local guidelines
US: Limited willingness to 
cover AOMs
IO: Mostly out-of-pocket 
US: Good commercial 
coverage
IO: Mostly out of pocket, 
but increased levels of 
reimbursement
1The number represents the estimated full-year patients reached with Novo Nordisk products as outlined in the 2024 Annual Report
AOM: Anti-obesity medications; IO: International Operations; NN: Novo Nordisk; US: United States
Source: NHANES (2013-2014, 2015-2016, 2017-2020, 2021-2023), UN World Population Prospects report, WHO, IDF World Diabetes Atlas, World Obesity Atlas and PADAWA Analysis, Novo Nordisk Annual Report 2024
    63/180

    Loading...

    64 Novo Nordisk®
Investor presentation First six months of 2025
≈ 86% naïve to AOM 
treatment
78% female
Age Average of 48 years
Average BMI of 37
Patients on Wegovy® with type 2 
diabetes diagnosis: 7%
Novo Nordisk is broadening focus from solely weight loss to 
improving health for patients with overweight or obesity
Characteristics for patients on Wegovy® Patient persistency on anti-obesity medications after 12 months in the US
21%
32%
0%
25%
50%
75%
100%
12 Months
Patients remaining on treatment (%)
Saxenda® Wegovy®
With comorbidities:
≥1: 75% ≥2: 51% ≥3: 31%
Average Wegovy® stay time >6 
months2
1Hichborn, et al. (2018). Improving patient adherence through data-driven insights. McKinsey & Company; 2 Average Wegovy® stay time >6 months despite supply constraints based on real world data, patient cohort included those initiating 
therapy between Oct ’21 and Mar ’22, followed for 1 year; 
AOM: Anti-obesity medications; BMI: Body mass index; HbA1c: Haemoglobin A1c; HIV: Human Immunodeficiency Virus; US: United States
Source: IQVIA LAAD, AOM Rx, 12 months ending November 2024; Real world evidence based on prescription data
Persistency for other chronic diseases1
(after 12 months)
• Asthma ~40%
• Psoriasis ~30%
• Diabetes: ~50%
• HIV ~50%
    64/180

    Loading...

    65 Novo Nordisk®
Investor presentation First six months of 2025
Novo Nordisk has broad and affordable access to 55 million 
people with obesity for Wegovy®
60.0
20.0
30.0
Prevalence
~40.0
~15.0
Access Full-year patients on 
NN AOMs in 2024
110.0
~55.0
Less than 2 million
~55 million people with obesity have Wegovy® coverage in the US Progress across all channels in early 2025
Commercial Medicaid and other Medicare Part D
People with obesity (millions)
✓ Broad formulary access and continued employer opt-in
✓ > 85% of patients pay $50 or less per prescription
✓ Federal coverage: Examples include DoD, veteran affairs, and 
Indian Health service
✓ Medicaid states: Coverage of Wegovy® for CV patients 
continues to grow; >30 states programs cover Wegovy®
• Reimbursement of AOMs for obesity still prohibited by law 
• CMS now allowing reimbursement in Part D for AOMs with a CV 
indication
Commercial
Medicaid and other
Medicare Part D
AOM: Anti-obesity medications; CMS: Center for Medicare and Medicaid Services; CV: Cardiovascular disease; DoD: Department of Defence
Source: Novo Nordisk Annual Report 2024, Internal analysis as per Q1 2025
    65/180

    Loading...

    66 Novo Nordisk®
Investor presentation First six months of 2025
Anti-obesity medications are expected to be mostly out-ofpocket, with SELECT as key lever to improve reimbursement
AOM: Anti-obesity medication; BMI: Body mass index; CH: Switzerland; COL: Columbia; IO: International Operations; OOP: Out-of-pocket; ORC: Obesity-related comorbidity; UK: United Kingdom
Note: Break-down of IO AOM sales is an estimate and cover both Saxenda® and Wegovy®
Majority of IO AOM sales are currently OOP Current AOM reimbursement examples SELECT could improve access to Wegovy®
20%
80%
Out-of-pocket sales
Restricted reimbursement sales
BMI ≥30
with two ORCs
BMI ≥28 with ≥1 ORC
or BMI ≥35
Wegovy® reimbursed
Leverage SELECT to expand or 
improve market access
Wegovy® not reimbursed
Use SELECT to open or re-open 
reimbursement negotiations
Out-of-pocket
Increase willingness to pay in 
out-of-pocket markets
BMI ≥35
or BMI ≥ 30 with ORC
15 countries have selected 
reimbursement for Saxenda®
UK
COL
CH
INDICATIVE
    66/180

    Loading...

    67 Novo Nordisk®
Investor presentation First six months of 2025
Global obesity market growth has been accelerating with Novo 
Nordisk capturing the majority of growth
Obesity market growth and Novo Nordisk value market share
57%
142%
72%
0%
40%
80%
120%
160%
200%
0%
40%
80%
120%
160%
200%
NN market share
Market growth (right axis)
NN Growth (right axis)
May 
2022
May
2025
Obesity market size and growth
DKK 
billion
81%
May
2024
54.9
NN Obesity care
78.9
Others
57%
May
2025
94.4
228.1 ~142%
~72%
Novo Nordisk Others
Note: Value MAT, all countries; Share of growth not depicted due to high growth; Market values are based on the list prices 
Source: IQVIA, May 2025
    67/180

    Loading...

    68 Novo Nordisk®
Investor presentation First six months of 2025
In clinical trials, semaglutide 2.4 mg has demonstrated an impact 
on comorbidities that overlap with obesity
Hypertens
ion
Myocardia
l 
infarction†
Stroke †
Heart 
failure
Obesity-related comorbidities
SELECT trial
20% MACE risk reduction
STEP HFpEF trial
KCCQ-CSS score ETD: 7.8
(semaglutide 2.4 mg vs placebo)
Knee osteoarthritis trial 
41.7 WOMAC pain score reduction
Hypertens
ion
Myocardia
l 
infarction†
Stroke †
Heart 
failure
Weight loss
REDEFINE 1 (CagriSema)
22.7% weight loss1
STEP 1 trial (Wegovy®)
16.9% weight loss1
SCALE 1 trial (Saxenda®)
7.4% weight loss2
Disease overlap in the United States
1Trial product estimand; 2Treatment policy estimand; 3Myocardial infarction, stroke and coronary heart disease; ASCVD: Atherosclerotic cardiovascular disease; MACE: Major adverse cardiovascular events; ETD: Estimated treatment difference; HFpEF: 
Heart failure with preserved ejection fraction; HFmrEF: Heart Failure with Mid-Range Ejection Fraction; WOMAC: The Western Ontario and McMaster University Osteoarthritis index. Note: Prevalence overlaps are estimated on patient-level data from 
NHANES. Post-estimation adjustments have been undertaken to match certain key metrics as reported by publicly available sources. Numbers are rounded
Source: NHANES (waves 2003-2004, 2013-2014, 2015-2016 and 2017-2020); UN World Population Prospects 2022; International Diabetes Federation: Diabetes Atlas 10th edition, 2021; World Obesity Atlas 2023
T2D
~35m
HFpEF/HFmrEF
~4m
ASCVD3
~21m
Obesity
~115m
88m 10m
16m
<0.5m
4m 0.5m
0.5m
7m 0.5m
5m
0.5m
3m
0.5m 0.5m
1m
UNITED STATES ONLY
    68/180

    Loading...

    69 Novo Nordisk®
Investor presentation First six months of 2025
-16.9
-2.4
-17.6
-5.0 -5.2
-8.8
6.5
-16.7
-0.6
-10.6
-3.1
-17.5
-2.4
-14.1
-10.7
-3.6
-18
-9
0
9
Change from baseline
in BW (%) 
*
Across the STEP and STEP UP trials, a weight loss of up to 20.7% 
was reported for people treated with sc semaglutide
Sema
2.4 mg
Baseline body 
weight, kg
Sema Placebo
2.4 mg
+ IBT
Placebo Sema Placebo Placebo
2.4 mg
Sema
2.4 mg
Sema
2.4 mg
* *
*
*
After 68 weeks After 20 weeks
IBT
STEP 1 
Weight 
management
STEP 3 
Weight 
management
with IBT
STEP 4 
Sustained weight management
STEP 2 
Weight 
management
with T2D
105.3 105.8 107.2 96.1 99.8
STEP 5 
Weight 
management 
over 2 years
Sema Placebo
2.4 mg
*
106.0
STEP UP 
Weight 
management
113.0
Sema Placebo
7.2 mg
Sema 
2.4 mg
110.1
Sema Placebo
7.2 mg
Sema 
2.4 mg
STEP UP T2D 
Weight management
with obesity and T2D
-20.7*
*P-value <0.0001, based on the trial product estimand (secondary statistical approach): treatment effect if all people adhered to treatment and did not initiate other anti-obesity therapies
BW: Body weight; IBT: Intensive behavioural therapy; Lira: Liraglutide; Mgmt.: Management; SC: subcutaneous; Sema: Semaglutide; T2D: Type 2 diabetes
-18.2
    69/180

    Loading...

    70 Novo Nordisk®
Investor presentation First six months of 2025
In STEP UP, semaglutide 7.2 mg achieved 20.7% weight loss and 
around one third of participants achieved ≥25% weight loss
R
semaglutide 7.2 mg
semaglutide 2.4 mg
Placebo
Dose 
escalation
Treatment 
maintenance
Week 0 20 72
STEP UP enrolled 1,407 people with obesity1
5:1:1
9 weeks 
follow-up
*Estimated means. 1BMI: ≥ 30 kg/m2
. Excludes diabetes diagnosis or HbA1c ≥ 6.5%
BMI: Body mass index; HbA1c: Haemoglobin A1C; Sema: Semaglutide; WL: Weight loss
Note: data shown is trial product estimands
Source: Novo Nordisk data on file
Trial objective
• Confirm superiority of sema 7.2 mg vs placebo
Co-primary endpoint
• Relative change in body weight (%) from baseline to 72 weeks
• Achievement of ≥ 5% weight loss
Weight loss for semaglutide 7.2 mg in STEP UP trial
Change in body weight (%)
Time since randomisation (weeks)
Mean baseline body weight: 113.0 kg
-25
-20
-15
-10
-5
0
0 8 16 24 32 40 48 56 64 72 72*
-20.7
-17.5
-2.4
semaglutide 7.2 mg semaglutide 2.4 mg Placebo
Categorical weight loss
with sema 7.2 mg
≥20% WL reduction ≥25% WL reduction
50.9% 33.2%
    70/180

    Loading...

    71 Novo Nordisk®
Investor presentation First six months of 2025
• Average age 46
• 74.1% women
• Average BMI - 37.9 kg/m2
Improvements in lipid profile as well as 
C-reactive protein
Semaglutide improved health-related 
quality of life as measured by SF-36 and 
IWQoL-lite-CT
The pivotal STEP 1 trial showed greater than 16% weight loss Data from STEP 1
Placebo: -2.4% 
Semaglutide 2.4 mg: -16.9%
0
-20
-16
-12
-8
-4
0
Time since initiation (weeks)
4 8 12 16 20 28 36 44 52 60 68
% change in 
body weight
In STEP 1, people treated with semaglutide had a superior 
weight loss of up to 16.9%
BMI: body mass index; SF-36: Short Form (36) Health Survey; IWQoL-lite-CT: Impact of Weight on Quality of Life-Lite questionnaire
Notes: Change in body weight in % depicts observed means since time of randomisation; trial product estimand.
    71/180

    Loading...

    72 Novo Nordisk®
Investor presentation First six months of 2025
In STEP 1, 34.8% of patients treated with sema reached ≥20% 
weight loss and reported improved quality of life versus placebo
92.4%
74.8%
54.8%
33.1% 34.8%
11.8%
5.0% 2.0%
0%
20%
40%
60%
80%
100%
≥5% ≥10% ≥15% ≥20%
Categorical weight loss Semaglutide 2.4 mg showed a statistically significant treatment 
difference versus placebo in the IWQoL-Lite-CT PRO
-2 0 2 4 6 8 10 12 14 16 18 20
Physical function
Favours placebo Favours semaglutide
Total
Physical
Psychological
IQWoL-Lite-CT ETD [95% CI] 
9.43 [7.50 : 11.35] *
9.14 [7.31 : 10.96] *
10.50 [8.81 : 12.19] *
10.02 [8.42 : 11.62] *
Proportion of patients
Weight loss
Semaglutide 2.4 mg Placebo
Descriptive statistic only. Based on the on-treatment data, i.e. data for people that are on-treatment at week 68
* statistically significant; p-values other than physical function were not controlled for multiplicity
PRO: patient reported outcome; CI: confidence interval, ETD: estimated treatment difference, IWQoL-Lite-CT: Impact of 
Weight on Quality of Life-lite;
    72/180

    Loading...

    73 Novo Nordisk®
Investor presentation First six months of 2025
• Average age 46
• 79% women
• Average BMI – 38.4 kg/m2
Trial highlights that obesity is a chronic 
disease requiring sustained treatment
Improvements on a panel of cardiovascular 
risk markers
STEP 4 showed significantly greater weight loss post run-in than placebo Data from STEP 4
% change in 
body weight
In STEP 4, people treated with semaglutide had a superior 
weight loss of up to 18.2%
Placebo: -5.2% 
Semaglutide 2.4 mg: -18.2%
0
-20
-16
-12
-8
-4
0
Time since initiation (weeks)
4 8 12 16 20 24 28 36 44 52 60 68
Randomisation
-10.5% 
Change in body weight in % depicts observed means since time of randomisation; trial product estimand; BMI: body mass index
    73/180

    Loading...

    74 Novo Nordisk®
Investor presentation First six months of 2025
Favours placebo Favours semaglutide
SF-36 scores ETD [95% CI] 
-1 0 1 2 3 4 5 6 7 8 9 10 11 12 13
Physical functioning
Role-physical
Bodily pain
General health
Vitality
Social functioning
Role-emotional
Mental health
Physical component summary
Mental component summary
2.46 [1.59 : 3.32] *
1.44 [0.42 : 2.47] *
2.23 [-0.06 : 4.53] 
1.86 [0.73 : 3.00] *
4.31 [1.61 : 7.02] *
2.41 [0.07 : 4.76] *
1.64 [0.52 : 2.76] *
2.93 [1.80 : 4.06] *
1.68 [0.64 : 2.72] *
3.44 [2.28 : 4.60] *
In STEP 4, 41.2% of patients treated with semaglutide reached 
≥20% weight loss and reported improved quality of life vs placebo
Categorical weight loss Semaglutide 2.4 mg showed a statistically significant treatment 
difference versus placebo in the SF-36 patient reported outcome
90.5%
80.8%
65.5%
41.2%
50.0%
20.9%
9.8% 5.1%
0%
20%
40%
60%
80%
100%
≥5% ≥10% ≥15% ≥20%
Proportion of patients
Weight loss
Semaglutide 2.4 mg Placebo
Descriptive statistics only. Based on the on-treatment data, i.e. data for people that are on-treatment at week 68
* statistically significant; p-values other than physical functioning were not controlled for multiplicity
CI: confidence interval, ETD: estimated treatment difference, Sema: semaglutide, SF-36: Short Form (36) Health Survey
    74/180

    Loading...

    75 Novo Nordisk®
Investor presentation First six months of 2025
40% of patients lost ≥ 20% of their body 
weight
Semaglutide appeared to have a safe and 
well-tolerated profile
Improvements in lipid profiles as well as Creactive protein
In STEP 5, people treated with semaglutide 2.4 mg sustained 
their weight loss over 2 years
Placebo: -0.6% 
Semaglutide 2.4 mg: -16.7%
% change in body weight
Data from STEP 5 Clinically relevant and sustained weight loss in patients 
with obesity or overweight
Change in body weight in % depicts observed means since time of randomisation; trial product estimand; mean body weight: 106.0 kg
    75/180

    Loading...

    76 Novo Nordisk®
Investor presentation First six months of 2025
In STEP 8, semaglutide 2.4 mg showed weight loss of 17.1% 
compared to 6.6% with liraglutide 3.0 mg
STEP 8 observed mean change in body weight1
-20
-15
-10
-5
0
% change in body weight
Mean baseline body weight: 104.5 kg
68
Placebo: -1.8%
Semaglutide 2.4 mg: -17.1%*
Liraglutide 3.0 mg: -6.6%
Time since Initiation (Weeks)
Data from STEP 8
38.5% of patients lost ≥20% of their body 
weight with semaglutide 2.4 mg vs 6.0% with 
liraglutide 3.0 mg
Liraglutide and semaglutide both appeared to 
have a safe and well-tolerated profile
Statistical significant improvements in systolic BP 
and CRP with semaglutide 2.4 mg vs liraglutide 
3.0 mg
1Observed data for the on-treatment period; *p-value <0.0001 vs lira 3.0 mg; % change in body weight measured as change from baseline
Data shown is the trial product estimand; Sema: Semaglutide; Lira: Liraglutide
    76/180

    Loading...

    77 Novo Nordisk®
Investor presentation First six months of 2025
Semaglutide 2.4 mg showed 20% MACE reduction in the SELECT 
trial for people with overweight or obesity and established CVD
SELECT trial with 17,604 people with BMI>27 and established CVD 
Semaglutide 2.4 mg
1:1 Placebo 
R
Event driven 5 weeks
follow-up
Objective
• Demonstrate that semaglutide s.c. 2.4 mg OW lowers the incidence 
MACE vs. placebo when both added to standard of care in subjects 
with established CV disease and overweight or obesity.
Headline results 
• Semaglutide 2.4 mg demonstrated an 20% reduction in MACE
Safety
• In the trial, once-weekly subcutaneous semaglutide 2.4 mg 
appeared to have a safe and well-tolerated profile, as seen with 
previous trials investigating semaglutide 2.4 mg
Next steps
• In March 2024, Wegovy® was approved in the US for CV risk 
reduction in people with overweight or obesity and established CVD
• In July 2024, Wegovy® was approved in the EU for CV risk reduction 
in people with overweight or obesity and established CVD
Primary endpoint
• Time from randomisation to first occurrence of 3-point MACE1
Secondary confirmatory endpoints
Time from randomisation to first occurrence of:
• CV death
• HF composite endpoint
• All-cause death
1MACE includes non-fatal myocardial infarction, non-fatal stroke, and cardiovascular death.
MACE: Major adverse cardiovascular events; HF: Heart failure; CV: Cardiovascular; CVD: Cardiovascular Disease; OW: Once-weekly; s.c.: Subcutaneous; BMI: Body mass index
    77/180

    Loading...

    78 Novo Nordisk®
Investor presentation First six months of 2025
In SELECT, semaglutide 2.4 mg reduced the risk of a broad 
composite endpoint by 37%
Safety
The safety profile of sc semaglutide 2.4 mg in SELECT was similar to 
that observed in previous clinical trials with semaglutide
1Not statistically significant; 2Not tested for superiority; 373% risk reduction of developing HbA1c >= 48 mmol/mol (6.5 %) for semaglutide 2.4 mg vs placebo; 
BMI: Body mass index; CI: Confidence interval; CV: Cardiovascular; CVD: Cardiovascular Disease; HR: Hazard ratio; MACE: Major adverse cardiovascular events; sc.: Subcutaneous; UA: Unstable angina
Note: Efficacy analyses based on treatment policy estimand; treatment effect regardless of treatment adherence and changes in background medication. Cumulative incidences of the composite MACE primary endpoint and broad composite 
endpoint were estimated using the Aalen–Johansen method accounting for non-CV death as competing risk. HRs was estimated using Cox proportional hazards model with treatment as categorical fixed factor
Numerical risk 15% reduction of CV death1Sustained weight loss 
for 4 years 9.4%
Risk reduction of heart 
failure endpoint2
18% Risk reduction of 
kidney endpoint 22%
Risk reduction 
on all cause death2
19% Risk reduction of 
developing diabetes3
73% Time Primary endpoint MACE Broad composite endpoint
1 year 115 people 20 people
4 years 45 people 9 people
20% Cardiovascular risk reduction in 3-point MACE
Number needed to treat to prevent one additional event
• Other death
• Cardiovascular death • Coronary revascularisation 
• Myocardial infarction
• Stroke
• Hospitalisation for heart failure
• Hospitalisation for UA
• 5-point Nephropathy
• Diabetes
37% Semaglutide 2.4 mg reduces the risk of a broad 
composite endpoint including:
Key results of the SELECT trial Risk reduction in broad composite endpoint
    78/180

    Loading...

    79 Novo Nordisk®
Investor presentation First six months of 2025
Phase 3 trial STEP HFpEF with semaglutide 2.4 mg was 
successfully completed in Q2 2023
Objective:
• Evaluate the effect on HF specific symptoms, physical function and 
body weight compared with placebo
Dual primary endpoints:
• Change in KCCQ from baseline to week 52
• Change in body weight from baseline to week 52
Key secondary endpoints:
• Change in 6MWD from baseline to week 52
• Composite endpoint (all cause death, HHF, KCCQ, 6MWD) from 
baseline to week 52
Inclusion criteria:
• BMI ≥30 kg/m2
• NYHA II-IV
• Ejection fraction ≥45%
Semaglutide 2.4 mg + SoC
Placebo + SoC 1:1
R
Dose escalation
16 weeks
Treatment maintenance
36 weeks
Follow up
5 weeks
STEP HFpEF trial with 529 people with obesity and HFpEF STEP HFpEF
R: Randomisation; HF: Heart Failure; HFpEF: Heart Failure with preserved ejection fraction; SoC: Standard of care; KCCQ: Kansas City Cardiomyopathy Questionnaire; 6MWD: 6-min walking distance; HHF: Heart failure hospitalization; NYHA: New York Heart 
Association classification
    79/180

    Loading...

    80 Novo Nordisk®
Investor presentation First six months of 2025
Semaglutide 2.4 mg demonstrated superior improvement on the 
primary endpoint of KCCQ-CSS vs placebo in the STEP HFpEF trial
16.6
8.7
0
5
10
15
20
0 20 36 52 52*
Semaglutide 2.4mg Placebo
Change in KCCQ-CSS (score)
Time since randomisation (weeks)
Superior improvement in KCCQ-CSS score in patients treated with semaglutide 2.4 mg
Primary endpoints:
• KCCQ-CSS estimated treatment difference between 
semaglutide 2.4 mg and placebo of 7.8
Key highlights
Mean baseline KCCQ-CSS score: 56.7
Clinicians’ assessments of clinical change1:
• Small: ±5 points
• Moderate-to-large: ±10 points
• Large-to-very large: ±20 points
Patients’ self-classifications of improvements1:
• Minimal clinically important difference for
‘little improvement’: 4.5 points
KCCQ in perspective
1Spertus JA, et al. JACC State-of-the-Art Review. J Am Coll Cardiol. 2020 Nov 17;76(20):2379-2390.
Note: Data shown is the treatment policy estimand. *Lines are based on observed data where the value denoted after 52 weeks is estimated mean value derived based on multiple imputation
KCCQ-CSS: Kansas City Cardiomyopathy Questionnaire Clinical summary score
    80/180

    Loading...

    81 Novo Nordisk®
Investor presentation First six months of 2025
• The SHAPE study included 6,794 patients treated with Wegovy® and 
3,122 with tirzepatide
• In a real-world setting, a 2.4%-point weight loss difference between 
Wegovy® and tirzepatide was seen 
Real world evidence confirms efficacy of Wegovy® and shows
3-point MACE risk reduction of 42%
MACE; Major adverse cardiovascular events
Note: 3-point MACE outcome consisting of: cardiovascular death, non-fatal myocardial infarction, non-fatal stroke
Source: Novo Nordisk data on file
SHAPE study showed 1-year real-world weight loss in patients with 
overweight or obesity treated with Wegovy® and tirzepatide
-15%
-10%
-5%
0%
-14.1%
-16.5%
Wegovy® Tirzepatide
Change in body weight (%)
SCORE study showed 42% lower relative risk of 3-point MACE in 
patients using Wegovy® in routine clinical care vs non-users
• The SCORE study included 9,321 patients treated with Wegovy® and 
18,642 non-users
• In the SELECT study, semaglutide 2.4 mg demonstrated an 20% risk 
reduction in 3-point MACE
Cumulative incidence (%)
Time since study start (months)
Wegovy® users Non-users
0%
2%
4%
6%
0 3 6 9 12 15 19 21 24 27 30
    81/180

    Loading...

    82 Novo Nordisk®
Investor presentation First six months of 2025
82
Oral semaglutide 25 submitted in the US with efficacy and safety 
profile broadly similar to Wegovy®
*Estimated means 1BMI: ≥ 30 kg/m2 or ≥ 27 kg/m2 and ≥1 comorbidity. Excludes diabetes diagnosis or HbA1c ≥ 6.5%
BMI: Body mass index; HbA1c: Haemoglobin A1C; Sema: Semaglutide; US: United States; WL: Weight loss
Note: Trial also included lifestyle intervention, with a 500 kcal/day deficit diet and 150 min/week physical activity. Data shown is trial product estimands
Source: Novo Nordisk data on file
R
Oral semaglutide 25 mg
Placebo 2:1
Dose 
escalation
Treatment 
maintenance
Week 0 64
7 weeks 
follow-up
OASIS 4 trial enrolled 306 people with overweight or obesity1
Trial objective
• Confirm superiority of once-daily oral semaglutide 25 mg vs placebo
Co-primary endpoint
• Relative change in body weight (%) from baseline to 64 weeks
• Achievement of ≥ 5% weight loss
Weight loss for oral semaglutide 25 mg in OASIS 4 trial
Change in body weight (%)
Time since randomisation (weeks)
Mean baseline body weight: 105.9 kg
-20
-15
-10
-5
0
0 8 16 24 32 40 48 56 64 64*
-16.6
-2.7
oral semaglutide 25 mg Placebo
Categorical weight loss
with oral sema 25 mg
≥15% WL reduction ≥20% WL reduction
56.1% 34.4%
    82/180

    Loading...

    83 Novo Nordisk®
Investor presentation First six months of 2025
Phase 3 trial programme OASIS for oral semaglutide 50 mg in 
overweight or obesity
Oral semaglutide characteristics Focused phase 3 trial programme 
Oral semaglutide 50mg: 
• Semaglutide tablets in overweight 
or obesity
• Once daily tablet
Phase 3a programme with oral 
semaglutide 50 mg
• Aims to confirm efficacy and safety
• Oral semaglutide 25 mg submitted 
to the US FDA
OASIS 1
50 mg dose
OASIS 2
EAST ASIA
OASIS 3
China
OASIS 4
25 mg dose
• 667 patients 
• 68 week 
• Primary endpoint: BW % 
• 198 patients incl. T2D
• 68 week
• Primary endpoint: BW %
• 200 patients incl. T2D
• 44 week
• Primary endpoint: BW %
• 300 patients
• 64 week
• Primary endpoint: BW %
2022 2023 2024 2025
BW: Body weight; T2D: Type 2 diabetes
    83/180

    Loading...

    84 Novo Nordisk®
Investor presentation First six months of 2025
In a 20-week phase 1 trial, CagriSema showed weight loss of 17% 
and appeared to have a safe and well tolerated profile
The GI profile appeared similar to semaglutide 2.4 monotherapy 
Cagri 0.16 mg,
Sema 2.4 mg
Placebo,
Sema 2.4 mg
Cagri 0.3 mg,
Sema 2.4 mg
Cagri 0.6 mg,
Sema 2.4 mg
Cagri 1.2 mg,
Sema 2.4 mg
Cagri 2.4 mg,
Sema 2.4 mg
Cagri 4.5 mg,
Sema 2.4 mg
n=12 n=12 n=12 n=12 n=12 n=11 n=24
N (%) N (%) N (%) N (%) N (%) N (%) N (%)
AEs 11 (92) 12 (100) 11 (92) 12 (100) 12 (100) 11 (100) 23 (96)
SAEs1 0 0 0 1 (8) 0 0 0
AEs leading to 
withdrawal 1 (8) 0 0 1 (8) 0 0 0
GI disorders 7 (58) 10 (83) 7 (58) 10 (83) 11 (92) 9 (82) 19 (79)
Follow-up
Time since first dosing (days)
-15
-10
0
-5
0 14 28 42 56 70 84 98 112 126 140
Change in 
body weight Last dosing
Weight loss for different doses of CagriSema in phase 1
1The serious adverse event was meningitis
CagriSema: Cagrilintide in combination with semaglutide; Cagri: Cagrilintide; Sema: semaglutide; SAE: Serious adverse events; GI: Gastro-intestinal; Change in body weight is analysed using a mixed model for repeated measurements, where all changes 
from baseline in body weight measurements enter as the dependent variables and treatment, visit and baseline body weight enter as fixed effects. Treatment and baseline body weight are nested within visit. 
Source: Adapted from Enebo et al. Lancet. 2021 May 8;397(10286):1736-1748.
    84/180

    Loading...

    85 Novo Nordisk®
Investor presentation First six months of 2025
REDEFINE 1 was the first pivotal phase 3 trial to explore 
CagriSema in people living with overweight or obesity
REDEFINE 1 enrolled 3,417 people with overweight or obesity1
1BMI: ≥ 30 kg/m2 or ≥ 27 kg/m2 and ≥1 comorbidity. Excludes diabetes diagnosis or HbA1c ≥ 6.5%
BMI: Body mass index; HbA1c: Haemoglobin A1C
Note: CagriSema is a fixed dose combination of injectable cagrilintide 2.4 mg and injectable semaglutide 2.4 mg
R
7 weeks 
follow-up
21:3:3:7 Placebo
semaglutide 2.4 mg
cagrilintide 2.4 mg
CagriSema 2.4 mg 
Dose 
escalation
Treatment 
maintenance
Week 0 16 68
Trial objective and design considerations
• Confirm superiority of CagriSema 2.4 mg vs placebo, cagrilintide 2.4 
mg and semaglutide 2.4 mg
• Flexible trial protocol allowing dose modifications
Co-primary endpoint
• Relative change in body weight (%) from baseline to 68 weeks
• Achievement of ≥ 5% weight loss
Baseline characteristics in REDEFINE 1
Female/Male 67.6/32.4%
Mean age 47 years
White/Black/Asian/Other 72.0/5.5/18.5/4.0%
Mean BMI 37.9 kg/m2
Mean body weight 106.9 kg
Mean waist circumference 114.7 cm
Mean HbA1c 5.5%
    85/180

    Loading...

    86 Novo Nordisk®
Investor presentation First six months of 2025
In REDEFINE 1, CagriSema achieved 22.7% mean weight loss and 
more than 40% of participants achieved ≥25% weight loss
Categorical weight loss after 68 weeks of treatment
*Estimated means
Cagri: cagrilintide; sema: semaglutide
Note: data shown is trial product estimands. CagriSema is a fixed dose combination of injectable cagrilintide 2.4 mg and injectable semaglutide 2.4 mg
Source: Novo Nordisk data on file
Higher body weight reduction with CagriSema compared
to mono components and placebo
Change in body weight (%)
Time since randomisation (weeks)
Mean baseline body weight: 106.9 kg
-25
-20
-15
-10
-5
0
0 4 8 12 16 20 28 36 44 52 60 68
-22.7
-16.1
-11.8
-2.3
68*
0
25
50
CagriSema sema cagri
40.4%
16.2%
6.0%
% of participants
CagriSema sema cagri
23.1%
9.4%
1.3%
≥25% body weight 
reduction
≥ 30% body weight 
reduction CagriSema 2.4 mg sema 2.4 mg cagri 2.4 mg Placebo
57%
71%
83%
% Patients on highest dose at end of trial
    86/180

    Loading...

    87 Novo Nordisk®
Investor presentation First six months of 2025
Patients treated with the highest dose2 at end of treatment
• Weight loss: 12.7% at week 20, 22.2% at week 68
• Tolerability: Average GI AEs per year of 1.9
o Mean BMI of 30.4 with average dose of 2.4 mg at EoT
• Investigate further weight potential e.g. by longer study duration
 
Patients treated with lower doses3 at end of treatment
• Weight loss: 15.9% at week 20, 25.2% at week 68
• Tolerability: Average GI AEs per year of 4.0
o Mean BMI of 26.5 with average dose of 1.1 mg at EoT
• Dose reductions due to: e.g. GI AEs and BMI of lower normal range
• Investigate further weight loss potential e.g. by dose re-escalation
Further weight loss potential to be investigated by exploring a 
longer trial duration and dose re-escalation Change in body weight (%)
Observed weight loss by end of treatment dose in REDEFINE 11
< 2.4 mg CagriSema EoT 2.4 mg CagriSema EoT
-30%
-25%
-20%
-15%
-10%
-5%
0%
0 10 20 30 40 50 60 70
Time since randomisation (weeks)
1Patients are included while on treatment defined until first treatment pause (no trial product for 14 days). A post-hoc analysis of REDEFINE 1. 2Highest dose: 2.4 mg/2.4 mg CagriSema. 3Lower doses: <2.4mg/2.4mg CagriSema.
AE: Adverse events; BMI: Body mass index; CagriSema 2.4mg/2.4mg: cagrilintide 2.4 mg and semaglutide 2.4 mg; GI: Gastrointestinal; EoT: End of treatment.
68
-15.9%
-12.7%
-25.2%
-22.2%
    87/180

    Loading...

    88 Novo Nordisk®
Investor presentation First six months of 2025
*Significantly more weight loss vs placebo
DXA: dual x-ray absorptiometry
Note: data shown is trial product estimands. CagriSema is a fixed dose combination of injectable cagrilintide 2.4 mg and injectable semaglutide 2.4 mg
Source: Novo Nordisk data on file, CagriSema and placebo DXA subpopulation shown
Body composition analysis in REDEFINE 1 showed more than 
two-thirds body fat mass loss with CagriSema
Total body fat mass loss from baseline to week 68 Total body lean soft-tissue mass loss from baseline to week 68
-50
-40
-30
-20
-10
0
-35.7%*
-5.7%
Change from baseline (%)
-50
-40
-30
-20
-10
0
-14.4%*
-4.2%
Change from baseline (%)
67% of total weight loss
33% of total weight loss
CagriSema 2.4 mg
n = 154
Placebo
n = 55
Mean at baseline: 47.4 kg Mean at baseline: 58.1 kg
CagriSema demonstrated an improved body composition at week 68 compared to baseline, with a relative increase of lean softtissue mass and decrease of fat mass compared to total body weight
    88/180

    Loading...

    89 Novo Nordisk®
Investor presentation First six months of 2025
Treat to target analysis of CagriSema in REDEFINE 1 
demonstrates that 41.4% of participants achieve BMI < 27
BMI: Body mass index; WHtR; Waist-to-height ratio
Note: Data shown is trial product estimands. CagriSema is a fixed dose combination of injectable cagrilintide 2.4 mg and injectable semaglutide 2.4 mg; BMI and WHtR indicators of achieving a low 10-year ORC risk, Busetto, Obes Facts 2024;17(suppl 1):7–
515 ECO, GC4.158 
Source: Novo Nordisk data on file participants in group (%)
0
10
20
30
40
50
41.4
22.5
13.4
3.8
+38%-p
CagriSema 2.4 mg semaglutide 2.4 mg cagrilintide 2.4 mg Placebo
0
10
20
30
40
50
36.0
22.1
11.5
5.0
+31%-p
0
10
20
30
40
50
29.4
16.4
8.2
1.9
+28%-p
Proportion of participants with BMI <27 
kg/m2 at week 68
Proportion of participants with a Waist-toheight ratio <0.53 at week 68Proportion of participants with BMI <27 
kg/m2 and WHtR <0.53 at week 68
Participants in group (%)Participants in group (%)
    89/180

    Loading...

    90 Novo Nordisk®
Investor presentation First six months of 2025
*Statistically significant vs semaglutide 2.4 mg, cagrilintide 2.4 mg, and placebo; 
BP: Blood pressure; hsCRP: high-sensitivity C-reactive protein; mmHg: Millimetres of mercury; SBP: Systolic blood pressure
Note: REDEFINE 1 data shown is trial product estimands. CagriSema is a fixed dose combination of injectable cagrilintide 2.4 mg and injectable semaglutide 2.4 mg
Source: Novo Nordisk data on file
CagriSema achieved superior reductions in cardiovascular risk 
factors vs both mono components and placebo in REDEFINE 1
Change in waist circumference at week 68 Change in systolic blood pressure at week 68 Change in hsCRP from baseline to week 68
-20
-15
-10
-5
0
-19.4*
-15.1
-11.0
-3.9
Waist circumference (cm) change from baseline
-12
-10
-8
-6
-4
-2
0
-10.9*
-8.8
-5.0
-2.1
Systolic BP (mmHg) change from baseline
-70
-60
-50
-40
-30
-20
-10
0
-68.9%*
-55.4%
-41.0%
-16.0%
hsCRP (%) change from baseline
CagriSema 2.4 mg semaglutide 2.4 mg cagrilintide 2.4 mg Placebo
Mean baseline waist circumference: 114.7 cm Mean baseline SBP: 127.1 mmHg Mean baseline hsCRP: 5.5 mg/L
    90/180

    Loading...

    91 Novo Nordisk®
Investor presentation First six months of 2025
In REDEFINE 2, CagriSema achieved 15.7% mean weight loss and 
more than 29% of participants achieved ≥20% weight loss
REDEFINE 2 enrolled 1,206 people with obesity or
overweight and T2D1
*Estimated means. 1BMI: ≥ 27 kg/m2 and T2D with HbA1c ≤ 10%. 0-3 OADs (no GLP-1 in the last 90 days, no insulin)
OAD: Oral anti-diabetic; T2D: Type 2 diabetes; WL: Weight loss
Note: data shown is trial product estimands. CagriSema is a fixed dose combination of injectable cagrilintide 2.4 mg and injectable semaglutide 2.4 mg
Source: Novo Nordisk data on file
R
CagriSema 2.4 mg
Placebo 3:1
Dose 
escalation
Treatment 
maintenance
Week 0 16 68
7 weeks 
follow-up
Trial objective and design considerations
• Confirm superiority of CagriSema 2.4 mg vs placebo
• Flexible trial protocol allowing dose modifications
Co-primary endpoint
• Relative change in body weight (%) from baseline to 68 weeks
• Achievement of ≥ 5% weight loss
Weight loss for CagriSema in REDEFINE 2 trial
Change in body weight (%)
Time since randomisation (weeks)
Mean baseline body weight: 102.2 kg
-20
-15
-10
-5
0
0 4 8 12 16 20 28 36 44 52 60 68 68*
-15.7
-3.1
CagriSema 2.4 mg Placebo
Categorical weight loss
CagriSema 2.4 mg arm
≥15% WL reduction ≥20% WL reduction
51.6% 29.2%
    91/180

    Loading...

    92 Novo Nordisk®
Investor presentation First six months of 2025
In REDEFINE 2, CagriSema achieved a HbA1c reduction of 2.1%-p, 
and more than 80% of participants achieved HbA1c target <6.5%
*Estimated means
HbA1c: Haemoglobin A1C
Note: data shown is trial product estimands. CagriSema is a fixed dose combination of injectable cagrilintide 2.4 mg and injectable semaglutide 2.4 mg
Source: Novo Nordisk data on file
More participants achieved the HbA1c target
with CagriSema compared to placebo
Change in HbA1c (%-points)
Time since randomisation (weeks)
Mean baseline HbA1c: 8.0%
-2.5
-2.0
-1.5
-1.0
-0.5
0.0
0 8 20 36 52 68
-2.1
0.0
68*
CagriSema 2.4 mg Placebo
Higher HbA1c reduction with CagriSema compared to placebo
Achievement of HbA1c target ≤ 6.5% after 68 weeks
0
20
40
60
80
100
CagriSema 2.4 mg Placebo
81.0%
12.1%
% of participants
    92/180

    Loading...

    93 Novo Nordisk®
Investor presentation First six months of 2025
CagriSema successfully completed pivotal trials and with 
additional trials ongoing to investigate even further potential
Pivotal trials
• CagriSema showed substantial weight loss of 22.7% 
• More than 40% of patients achieving BMI < 27
• Superior reductions in several CV risk factors
• CagriSema appeared to have a safe and well-tolerated profile 
with overall low discontinuation rates
Further development
• First regulatory submission expected in Q1 2026
• Potential to leverage semaglutide CV effect. In REDEFINE 3 
exploring potential complementary amylin effects. 
• REDEFINE 9 to explore lower maintenance doses
• REDEFINE 11 initiated to explore further weight loss potential
Portfolio
• Pending approvals, US obesity portfolio to include 
CagriSema, Wegovy® and oral semaglutide 25 mg
CV: Cardiovascular; CVOT: Cardiovascular Outcomes Trial; H2H: Head-to-Head; MACE: Major adverse cardiovascular event; T2D: Type 2 Diabetes; US: United States; WL: Weight Loss
Note: The CagriSema phase 3 development programme also includes REDEFINE 5 (weight loss trial in East Asia with 330 participants) and REDEFINE 6 (weight loss trial in China with 300 participants). CagriSema is a fixed dose combination of injectable 
cagrilintide 2.4 mg and injectable semaglutide 2.4 mg
Selected CagriSema phase 3 development trials in Obesity
REDEFINE 3
CVOT
REDEFINE 4
H2H vs tirzepatide
REDEFINE 9
Maintenance doses
1.0 and 1.7 mg
• 7,000 participants
• Primary endpoint: 3-point MACE
• 800 participants
• 84-week vs. tirzepatide
• Primary endpoint: Weight loss
• 300 participants
• 64-week vs. placebo
• Primary endpoint: Weight loss
2024 2025 2026
REDEFINE 11
WL in Obesity
• 600 participants
• 80-week vs. placebo
• Primary endpoint: Weight loss
    93/180

    Loading...

    94 Novo Nordisk®
Investor presentation First six months of 2025
Next steps:
• Phase 3 programme expected to start in Q4 2025
Potential of cagrilintide:
• Once-weekly sc treatment aims to provide effective weight 
management with a favorable tolerability compared to GLP-1s
Cagrilintide 2.4 mg achieved 11.8% weight loss in the REDEFINE 1 
trial with a 1.3% discontinuation rate due to GI adverse events
AE: Adverse events; GI: Gastrointestinal; Sc: Subcutaneous; T2D: Type 2 diabetes
Note: data shown is trial product estimands
Source: Novo Nordisk data on file
Weight loss for cagrilintide 2.4 mg in REDEFINE 1 trial
Mean baseline body weight: 106.9 kg cagrilintide 2.4 mg
(n = 302)
Placebo
(n = 705)
n % n %
Gastrointestinal AEs 165 54.6 287 40.7
Nausea
Diarrhoea
Vomiting
Constipation
72
47
21
63
23.8
15.6
7.0
20.9
93
91
31
87
13.2
12.9
4.4
12.3
• In the trial, cagrilintide 2.4 mg appeared to have a safe and welltolerated profile
• 1.3% discontinuation rate due to gastrointestinal adverse events Change in body weight (%)
Time since randomisation (weeks)
-15
-10
-5
0
0 4 8 12 16 20 28 36 44 52 60 68 68*
-11.8
-2.3
cagrilintide 2.4 mg Placebo
    94/180

    Loading...

    95 Novo Nordisk®
Investor presentation First six months of 2025
The phase 1b/2a trial with subcutaneous amycretin was 
successfully completed in people with overweight or obesity
Safety
• Profile of amycretin was consistent with incretin-based therapies
Next steps
• Novo Nordisk is now planning further clinical development of 
amycretin in adults with overweight or obesity
1BMI: ≥ 27-39.9 kg/m2. Excludes diabetes diagnosis or HbA1c ≥ 6.5% 2Based on the trial product estimand
Amycretin is a unimolecular GLP-1 and amylin receptor agonist; AUC: Area Under the Curve; cmax: maximum (peak) plasma concentration; sc.: subcutaneous; tmax: time to reach maximum (peak) plasma concentration
Dose 
escalation
Treatment 
maintenance
Weight loss2 Proof of concept part in proof of concept part 1 of the sc. amycretin phase 1b/2a trial
Objective
• Objective: Investigate safety, tolerability, pharmacokinetics and 
efficacy of amycretin in participants with overweight or obesity
Endpoints
• Primary: Number of treatment emergent adverse events
• Secondary: Relative change in body weight, AUC, cmax, tmax
-9.7%
-16.2%
-22.0%
1.9-2.3%
Mean baseline body weight: 92.7 kg
Change in body weight (%)
Placebo
amycretin 1.25 mg
amycretin 5 mg
amycretin 20 mg
7:4:4:1
R
0 8-24 20-36
Placebo
amycretin 1.25 mg (20 weeks)
amycretin 5 mg (28 weeks)
amycretin 20 mg (36 weeks)
3 weeks 
follow-up
Week
    95/180

    Loading...

    96 Novo Nordisk®
Investor presentation First six months of 2025
Oral amycretin phase 1 and subcutaneous phase 1b/2a trials 
have been completed
Phase 1:
✓ Oral amycretin phase 1 completed in 2024
✓ Subcutaneous amycretin phase 1b/2a completed in 2025
Next steps:
• Novo Nordisk is now planning further clinical development of 
amycretin in adults with overweight or obesity
Results from oral amycretin phase 1 on weight loss Amycretin development programme in obesity
Change in body weight (%)
Time since randomisation (weeks)
Mean baseline body weight: ~89 kg, n = 16
-13.1
0 4 8 12
-15
-12
-9
-6
-3
0
3
-1.1
Oral amycretin Placebo
    96/180

    Loading...

    97 Novo Nordisk®
Investor presentation First six months of 2025
Novo Nordisk is continuing the development of a portfolio of 
treatment solutions for obesity
Building a leading portfolio Obesity development pipeline
Body weight loss
Co-morbidity impact 
Composition of weight loss
Safety and tolerability
Dosing frequency
Our key focus areas
Obesity
Project Phase 
Saxenda® (liraglutide 3.0 mg) Marketed
Wegovy® (semaglutide 2.4 mg) Marketed
oral semaglutide (25 mg) Submitted in US
semaglutide 7.2 mg Submitted in EU
CagriSema (2.4 mg/2.4 mg) Pivotal phase 3 completed
cagrilinitide Phase 3 planning
monlunabant Phase 2 ongoing
sc. amycretin OW and oral OD Phase 3 to be initiated
FUSE1 - Peripheral focused ultrasound Phase 2 to be initiated
UBT2512(GGG tri-agonist) Phase 1b completed
Triple (tri-agonist) Phase 1 ongoing
amylin 355 Phase 1 ongoing
amylin 1213 Phase 1 ongoing
LX9851 (small molecule) Phase 1 to be initiated
1
In collaboration with GE Healthcare 2Pending customary closing conditions 
CB1R: Cannabinoid receptor 1; GIP: Gastric inhibitory polypeptide; OD: Once-daily; OW: Once-weekly; Sc.: Subcutaneous
    97/180

    Loading...

    98 Novo Nordisk®
Investor presentation First six months of 2025
SIERRA CLARK
Sierra lives with Glanzmann-Thrombasthenia
Canada
Investor presentation First six months of 2025
SIERRA CLARK
Sierra lives with Glanzmann-Thrombasthenia
Canada
Rare disease
Rare disease innovation
Rare disease background
    98/180

    Loading...

    99 Novo Nordisk®
Investor presentation First six months of 2025
RareD constitutes an attractive opportunity for Novo Nordisk
1Editorial, The Lancet Diabetes & Endocrinology. 2019; 7(2)75
Note: RareD is Novo Nordisk’s rare disease unit
Addressing the unmet needs The Rare disease opportunity for Novo Nordisk
A platform to 
spearhead new 
trends
A strategic portfolio 
play in specialty 
care Few patients, high 
unmet need
Specialised healthcare 
base
Specialised scientific and 
commercial teams
An integrated unit
From research to commercial, RareD is operating as an integrated unit within 
Novo Nordisk, with dedicated resources, to provide agility and flexibility
Integrated therapeutic solutions 
adding diagnostics, digital, data, 
device and drug (5D)
Innovative access 
pathways
New operating 
models
• Reduced life-expectancy
• Severe co-morbidities and 
impaired quality of life
• Long diagnostic lead-times
• Broken continuum of care and 
strong inequalities
Patient burdens1
A longstanding legacy
Since 1980s in 
haemophilia
Since 1970s in 
growth disorders
    99/180

    Loading...

    100 Novo Nordisk®
Investor presentation First six months of 2025
Executing on new strategy since 2019 with near-term focus on
next generation launches
PPx: Prophylaxis; RBD: Rare blood disorders; RED: Rare endocrine disorders; sPPH: Severe postpartum haemorrhage
Note: Alhemo® is the brand name for concizumab
The Rare disease strategy Focus on succeeding with launches from the core
2019-2022
Maximise current 
portfolio
2025+
Expand from core
REBINYN PPx
sPPH
Alhemo®
New disease areas 
via accelerated 
internal and external 
innovation 
Haemoglobinopathies
(NDec, etavopivat)
New RBD/RED
Gene therapy/Cell 
therapy
2022-2025
Succeed with launches 
from core
Mim8
Out of the 350 million+ rare disease patients globally1, RareD
focuses on a total addressable pool of 20 million (6% of total) today
Strategic focus areas
    100/180

    Loading...

    101 Novo Nordisk®
Investor presentation First six months of 2025
IO US
Rare disease sales increased 9% by end of 2024
1% 4% 1%
3%
6%
Growth at CER
12 12 13
10 10
7 7
7
7
8
0
5
10
15
20
25
2022
DKK
billion
2020 2021
-15%
2023
1Other rare blood disorders primarily consists of NovoEight®, Esperoct®, Refixia® and NovoThirteen® 2Other Rare disease products primarily consists of Vagifem® and Activelle® 3Rare endocrine disorders primarily consists of Primarily Norditropin® and Sogroya®
CER: Constant exchange rates
Note: Company reported sales
9%
2024
NovoSeven® and Norditropin®
account for ~64% of Rare disease sales
Global Rare disease franchise
0
5
10
15
20
25
2020 2021
DKK
billion
2022 2023
NovoSeven®
Other rare blood disorders1
Rare endocrine disorders3
Other Rare disease2
Growth at CER
1% 4% 1% -15%
2024
9%
    101/180

    Loading...

    102 Novo Nordisk®
Investor presentation First six months of 2025
In the Explorer 7 trial, concizumab reduced the number of bleeds 
in adults and adolescents with inhibitors 
Efficacy
• Median ABR was 0 for concizumab prophylaxis treatment, compared 
to 9.8 in the on-demand treatment group
• Estimated mean ABR was 1.7 for concizumab prophylaxis treatment, 
compared to 11.8 in the on-demand treatment group
• For patients on concizumab prophylaxis, 64% had 0 bleeds in Group 2
Safety
• Concizumab appeared to have a safe and well tolerated profile
Status
• Approved in: Canada (HAwI/HBwI), Australia (HAwI/HBwI & HA/HB), 
Switzerland (HAwI/HBwI), Japan (HAwI/HBwI & HA/HB), EU (HAwI/HBwI) 
and US (HAwI/HBwI) under brand name Alhemo®
• Alhemo® submitted in the EU for the treatment of haemophilia A and B
Explorer 7 trial results: Annualised bleeding rate per patient group Key highlights
Primary endpoint
10
20
30
40
90
100
0
OnD treatment
HwI 
(Group 1)
PPX treatment
HwI
(Group 2)
PPX treatment
HBwI
(Groups 1-4)
Annualised Bleeding Rate (ABR) 
0
9.8
0 0
Median Mean
PPX treatment
HAwI
(Groups 1-4)
HA: Haemophilia A; HB: Haemophilia B; HAwI: Haemophilia A with inhibitors, HBwI: Haemophilia B with inhibitors; HwI: Haemophilia with inhibitors; OnD: On-demand; PPX: Prophylaxis; ABR annualised bleeding rate 
Note: The box represents Q1-Q3 (25th to 75th percentile). Whiskers are 5th and 95th percentile.
    102/180

    Loading...

    103 Novo Nordisk®
Investor presentation First six months of 2025
Interim data from Mim8 phase 1/2 show that PK/PD profiles 
support weekly to monthly low volume dosing
Higher potency of Mim8 vs emicizumab
enabling a low dosing volume
Mim8 pharmacokinetic properties support 
weekly and monthly dosing
• The PD marker, peak thrombin generation, increased with Mim8 dose
• In-vitro exposure-response curves in haemophilia A-like plasma show a 
15-fold higher potency of Mim8 compared to emicizumab
Mim8 concentration (μg/mL) 
Peak thrombin (nmol/L)
Drug plasma concentration (μg/mL)
0
100
200
300
15-fold
Mim8 in-vitro Emicizumab in-vitro
0.01 0.1 1 10 100 1000
• Mim8 concentration profiles increased with dose
• Mean concentrations at steady state were comparable for Cohort 
3 (weekly dosing) and Cohort 4 (monthly dosing) 
The peak thrombin plot represents in-vitro data: human plasma samples from the healthy participants of the SAD cohort were made HA-like with anti-FVIII antibodies, and spiked with different concentrations of Mim8 or commercially available 
emicizumab.
PK: Pharmacokinetics; PD: Pharmacodynamics; QW: Once-weekly; QM: once-monthly
Reference: FRONTIER 1, 12-week main phase cohort 1-5. Chowdary P, et al. FRONTIER1: A Phase 1/2 Dose Escalation Study of a Novel Factor VIIIa Mimetic Bispecific Antibody, Mim8, for Evaluation of Safety, Pharmacokinetics, and Efficacy. Abstract 
presented at ISTH 2022; Windyga J, et al. Mim8 is associated with improved thrombin generation vs. emicizumab in patients with haemophilia A, with and without inhibitors. Abstract presented at ISTH 2022; Novo Nordisk data on file
    103/180

    Loading...

    104 Novo Nordisk®
Investor presentation First six months of 2025
Trial design 
• Novel and accelerated development programme 
Trial objective
• For people with no prior PPX, the objective was to demonstrate 
superiority of Mim8 PPX vs no PPX
• For people with prior factor PPX, the objective was to demonstrate 
non-inferiority of Mim8 PPX vs coagulation factor PPX in run-in 
period 
Key trial endpoints
• ABR for treated bleeds over 26 weeks of treatment 
• Overall safety of Mim8 PPX including occurrence of anti-Mim8 
antibodies and injection site reactions 
Main part of the FRONTIER 2 trial with Mim8 in people with 
Haemophilia A has been completed in Q2 2024
Phase 3 trial, FRONTIER 2 trial in 254 adults & adolescents with HA
Main phase
26 weeks
Extension phase
26 weeks
Run-in (PPX only)
26-52 weeks
Mim8 PPX OM Mim8 PPX OM
Mim8 PPX OW
1:1
Coagulation 
factor PPX
HA + HAwI
1:1:1
No PPX
HA + HAwI
Mim8 PPX OW Mim8 PPX OW
Mim8 PPX OM Mim8 PPX OM
No PPX Mim8 PPX OW/OM
Mim8 PPX OW
R
R
ABR: Annual bleeding rate; HA: Haemophilia A; HAwI: Haemophilia A with inhibitors; OW: Once weekly; OM: Once monthly; PPX: Prophylaxis; R: Randomisation.
    104/180

    Loading...

    105 Novo Nordisk®
Investor presentation First six months of 2025
Next steps
• First submission expected in 2025
5-12% of patients with injection 
site reactions across arms
No evidence of neutralising antiMim8 antibodies
Once-weekly and once-monthly Mim8 demonstrated superior 
reduction of treated bleeding episodes in the FRONTIER 2 trial
Annualised bleeding rate per patient group FRONTIER 2 safety and next steps
No thromboembolic events 
observed
No safety concerns were observed No PPX Coagulation factor PPX 
15.8
0.5 0.2
No PPX Mim8 OW Mim8 OM
4.8
2.5
Run-in Mim8 OW
3.1
1.8
Run-in Mim8 OM
Estimated mean ABR
Estimated mean ABR
97%
99%
48%
43%
% Relative reduction % Proportion of patients with zero treated bleeds
0% 86% 95% - 66% - 65%
ABR: annualised bleeding rate; OW: Once weekly; OM: Once monthly; PPX: Prophylaxis
Note: Rounded numbers
    105/180

    Loading...

    106 Novo Nordisk®
Investor presentation First six months of 2025
Growth Hormone sales contribute to 27% of total rare disease 
sales by end of 2024
Norditropin® and Sogroya® total hGH sales A portfolio offering across markets
Sogroya® strategy
• Once-weekly efficacious treatment on par with Norditropin®
• Simple and easy-to-use device 
• Phase 3 trials toward broad range of indications (e.g. SGA, 
Turner, Noonan, ISS) to expand the market 
• Approved for GHD in US, EU and Japan
Norditropin® strategy
• Apply a market-fit approach to support specific markets 
and patient groups 
• Broad label across eight indications 
Sales bDKK
7
1
7
3
4
2021 2022 2023 2024
5
4
0 0
7
0
7
hGH: Human growth hormone; SGA: Small for gestational age, ISS; Idiopathic short stature
Note: Company reported sales
Norditrophin Sogroya
    106/180

    Loading...

    107 Novo Nordisk®
Investor presentation First six months of 2025
Sogroya® is approved for paediatric growth hormone deficiency 
in US, EU and Japan
Efficacy 
• Non-inferiority versus Norditropin® for the primary endpoint, height 
velocity, at week 52 was confirmed
• IGF-I SDS, bone age and glucose metabolism were all similar 
between Sogroya® (somapacitan) and Norditropin®
Safety and tolerability 
• Overall, the safety profile of somapacitan appeared to be similar to 
the well-known safety profile of daily GHD treatment
• No local tolerability issues were identified
Other treatment parameters 
• Significantly reduced treatment burden1 compared to Norditropin®
Status
• Adult GHD: Approved by the US, EU and JP
• Paediatric GHD: Approved by the US, EU and JP
Phase 3a trial results in children with GHD Key highlights
Height velocity (cm/year)
ETD (95% CI) = -0.5 (-1.1 ; 0.2)
11.7 11.2
10.0
12.5
2.5
7.5
0.0
5.0
Norditropin® somapacitan
1Measured using patient reported outcome TB-CGHD-P (Treatment burden measure - child growth hormone deficiency – parent)
ETD: Estimated treatment difference; IGF-I SDS: Insulin growth factor-1 standard deviation score; GHD: Growth hormone deficiency; IGF-I SDS: Insulin growth factor-1 standard deviation score; US: United States; EU: European Union; JP: Japan
    107/180

    Loading...

    108 Novo Nordisk®
Investor presentation First six months of 2025
Rare Disease pipeline is leveraging our core expertise to serve 
more patients through internal and external innovation
Strengthen and progress pipeline Rare Disease development pipeline
Our key focus areas
Rare 
Disease
1
Includes NovoSeven®, NovoEight®, NovoThirteen® 2Includes Norditropin® and Sogroya®
Project Phase 
Rare Blood Disorders marketed products1 Marketed
Rare Endocrine Disorders marketed products2 Marketed
Refixia® in Rare Blood Disorders Marketed
Esperoct® in Rare Blood Disorders Marketed
Alhemo® (concizumab-mtci) in Rare Blood Disorders Marketed
Rivfloza® (nedosiran) in Rare Blood Disorders Marketed
Mim8 in Rare Blood Disorders Expected submission H2 2025
Etavopivat in Sickle Cell Disease Phase 3 ongoing
Etavopivat in Thalassemia Phase 2 ongoing
NDec in Sickle Cell Disease Phase 2 ongoing
Inno8 in Rare Blood Disorders Phase 1 ongoing
TMPRSS6 in Rare Blood Disorders Phase 1 ongoing
Faster global patient 
recruitment
Selective expansion from 
core:
• From haemophilia to rare 
blood disorders
• From growth disorders to 
rare endocrine disorders
Accelerate pipeline with 
internal and external 
innovation
Explore all Novo Nordisk 
technology platforms
    108/180

    Loading...

    109 Investor presentation First six months of 2025
Cardiovascular & 
Emerging Therapies
Cardiovascular disease
Cardiovascular disease 
The unmet needs
The unmet needs 
MASH
Alzheimer’s diseaseMASH
Alzheimer’s disease
    109/180

    Loading...

    110 Novo Nordisk®
Investor presentation First six months of 2025
Therapy area Unmet need
32% of global deaths caused by CVD1
>250 million people affected by MASH2
>800 million people affected by CKD3
~70 million people are living with AD worldwide4
MASH
CKD
Novo Nordisk is expanding into Cardiovascular and emerging 
therapy areas
1WHO: Cardiovascular Diseases 2023; 2Csaba P. Kovesdy et al.Kidney International Supplements. 2022; 12: 7-11; 3WHO: Dementia key facts 2021; 4Alzheimer’s Association report: 2020 Alzheimer’s disease facts and figures, 2020 (16:391-460);
5Myocardial infarction, stroke and coronary heart disease
AD: Alzheimer’s disease; ASCVD: Atherosclerotic cardiovascular disease; CKD: Chronic kidney disease; CVD: Cardiovascular disease; MASH: Metabolic dysfunction-associated steatohepatitis; PD: Parkinson’s disease; WHO: World Health Organization
Note: Prevalence overlaps have been estimated on patient-level data from NHANES. Post-estimation adjustments have been undertaken to match certain key metrics as reported by publicly available sources. Numbers are rounded
Source: NHANES (waves 2003-2004, 2013-2014, 2015-2016 and 2017-2020); UN World Population Prospects 2022; International Diabetes Federation: Diabetes Atlas 10th edition, 2021; World Obesity Atlas 2023
1
2
4
3
UNITED STATES ONLY Type 2 diabetes
~35m
Heart failure
~7m
ASCVD5
~21m
Obesity
~115m
88m 10m
16m
0.5m
3m 0.5m
1m
6m 1m
5m
1m
3m
1m 1m
1m
CVD
AD/PD
New therapeutic areas have unmet medical needs Patient overlaps between Novo Nordisk core therapy areas
    110/180

    Loading...

    111 Novo Nordisk®
Investor presentation First six months of 2025
Novo Nordisk has a focused approach in cardiovascular disease
Dyslipidaemia Systemic 
inflammation
Uncontrolled and 
resistant hypertension
Heart failure with 
preserved ejection 
fraction
Transthyretin 
amyloid cardiomyopathy 
Atherosclerotic cardiovascular disease Heart failure
Globally, one third of 
ischemic heart disease 
is attributable to high 
cholesterol1
Around half of ASCVD 
patients estimated to have 
residual inflammatory risk2
Hypertension is a leading 
risk factor for CVD, HF, CKD 
and premature death3
1WHO: Cardiovascular Diseases (Cholestorol); 2Ridker et. al, J Am Coll 2018;72:3320-3333; 3WHO: Cardiovascular Diseases (Hypertension); 4Chioncel O et al. Eur J Heart Fail 2017; 19; 1574; 5Singh A. et al. J Am Coll Cardiol 2017; 69:750-759 
ASCVD: Atherosclerotic disease; ATTR-CM: Transthyretin amyloid cardiomyopathy; CKD: Chronic kidney disease; CVD: Cardiovascular disease; HF: Heart Failure; HFpEF: Heart failure with preserved ejection fraction; WHO: World Health Organization
HFpEF is associated with 
high morbidity and 
mortality4
ATTR-CM is a 
progressive, lifethreatening disease5
Focus areas within cardiovascular disease
    111/180

    Loading...

    112 Novo Nordisk®
Investor presentation First six months of 2025
Results from the phase 2 trial RESCUE with ziltivekimab Phase 3 CVOT trial ZEUS with ziltivekimab
ZEUS trial with ziltivekimab aims to validate the link between 
hsCRP and major adverse cardiovascular events
* Statistically significant; 1Inclusion criteria: Age ≥18 years, History of ASCVD, eGFR ≥15 and <60 mL/min/1.73 m2, Serum hsCRP ≥2 mg/L
1 MACE includes CV death, non-fatal MI or non-fatal stroke, Expanded MACE includes: (CV death, non-fatal MI, non-fatal stroke or hospitalisation for unstable angina pectoris requiring urgent coronary revascularisation)
hsCRP: High-sensitivity C-reactive protein; CVOT: Cardiovascular outcome trial; CV: Cardiovascular; sc: Subcutaneous; SoC: Standard of care; HF: Heart failure; CKD: Chronic kidney disease 
Source: Ridker PM, et al., IL-6 inhibition with ziltivekimab in patients at high atherosclerotic risk (RESCUE): a double-blind, randomised, placebo-controlled, phase 2 trial, 17 May 2021
Investigate CV benefit in 6,200 patients
1:1
R
ziltivekimab 15 mg sc once-monthly + SoC
Placebo sc once-monthly + SoC
Treatment period
(event driven)
13 weeks 
follow-up
Primary 
endpoint
Secondary 
endpoints
-4%
-77%
-88% -100% -92%
-75%
-50%
-25%
0%
hsCRP median change from baseline (%)
12 weeks from randomisation
Placebo Ziltivekimab 7.5 mg
Ziltivekimab 15 mg Ziltivekimab 30 mg
• Time to the first occurrence of 3-point MACE1
• Time to first occurrence of expanded MACE1
• Number of hospitalisations for HF or urgent HF visit
• Time to occurrence of all-cause mortality
• Time to first occurrence of a composite CKD endpoint 
*
*
*
    112/180

    Loading...

    113 Novo Nordisk®
Investor presentation First six months of 2025
Ziltivekimab phase 3 development programme targets high 
unmet need populations within CVD
CVD: Cardiovascular disease; HF: Heart failure; MACE: Major adverse cardiovascular event; sc: Subcutaneous; SoC: Standard of care; HFmrEF: Heart failure with mildly reduced ejection fraction; HFpEF: Heart failure with preserved ejection fraction
Atherosclerosis and chronic kidney disease
1:1
R
Ziltivekimab 15 mg sc + SoC
Placebo sc + SoC
Event driven
∼ 4 years
HFmrEF and HFpEF
1:1
R
Ziltivekimab 15 mg sc + SoC
Placebo sc + SoC
Event driven
∼ 4 years
Acute myocardial infarction
R
Ziltivekimab 15 mg sc + SoC
Placebo sc + SoC
Event driven
∼ 2.5 years
Primary Endpoint: 
Time to the first occurrence of 
• Cardiovascular death
• Hospitalisation for heart failure 
• Urgent heart failure visit
Primary Endpoint: 
Time to the first occurrence of 3-point MACE 
• Cardiovascular death
• Non-fatal myocardial infarction 
• Non-fatal stroke 
2021 2023 2024
n = 6,400 n = 5,600 n = 10,000
1:1
~2026 ~2027 ~2027
Primary Endpoint: 
Time to the first occurrence of 3-point MACE
• Cardiovascular death
• Non-fatal myocardial infarction
• Non-fatal stroke
    113/180

    Loading...

    114 Novo Nordisk®
Investor presentation First six months of 2025
Systolic dysfunction 
(HFrEF)
• Impaired contractility
• Stretched and thin ventricle
Diastolic dysfunction 
(HFpEF)
• Impaired filling capacity
• Stiff and thick ventricle
Heart failure at a glance
For patients with heart failure, the goal is to bring disease 
modifying and curative treatments to the market 
ATTR-CM: Transthyretin Amyloid Cardiomyopathy, iPSC: Induced pluripotent stem cells; HF: Heart failure
Symptom relief Disease modifying Curative
Pipeline includes potential disease modifying and curative treatments
Today’s 
marketed 
treatments
A monoclonal antibody designed 
to deplete the amyloid placks 
associated with ATTR–CM in a 
niche population
Coramitug Heartseed
• HS-001 use iPSC-derived 
cardiomyocytes to treat HF
• The cells are treated in a 
solution to enhance survival 
and/or engrafment
    114/180

    Loading...

    115 Novo Nordisk®
Investor presentation First six months of 2025
Therapy area Unmet need
32% of global deaths caused by CVD1
>250 million people affected by MASH2
>800 million people affected by CKD3
~70 million people are living with AD worldwide4
Metabolic dysfunction-associated steatohepatitis shares a large 
patient population with Novo Nordisk’s core therapy areas
1WHO: Cardiovascular Diseases 2023; 2Csaba P. Kovesdy et al.Kidney International Supplements. 2022; 12: 7-11; 3WHO Dementia key facts 2021; 4Alzheimer’s Association report: 2020 Alzheimer’s disease facts and figures, 2020 (16:391-460)
AD: Alzheimer’s disease; CKD: Chronic Kidney disease; CVD: Cardiovascular disease; MASH: Metabolic dysfunction-associated steatohepatitis; PD: Parkinson’s disease; WHO: World Health Organization
Note: Prevalence overlaps have been estimated on patient-level data from NHANES. Post-estimation adjustments have been undertaken to match certain key metrics as reported by publicly available sources. Numbers are rounded
Source: NHANES (waves 2003-2004, 2013-2014, 2015-2016 and 2017-2020); UN World Population Prospects 2022; International Diabetes Federation: Diabetes Atlas 10th edition, 2021; World Obesity Atlas 2023
UNITED STATES ONLY
Obesity
~117m
Type 2 diabetes
~36m
MASH
~16m
13m 17m 87m
5m
8m
2m
1m
MASH
CKD
1
2
4
3
CVD
AD/PD
New therapeutic areas have high unmet medical needs Patient overlap between Novo Nordisk core therapy areas and MASH
    115/180

    Loading...

    116 Novo Nordisk®
Investor presentation First six months of 2025
F: Fibrosis stage; MASH: Metabolic dysfunction-associated steatohepatitis; QW: once-weekly; R: randomisation; SoC: standard of care (GLP-1RAs disallowed); MELD: Model for End-stage Liver Disease 
Part 1 of the ESSENCE trial investigated semaglutide 2.4 mg 
compared to placebo in people with MASH
ESSENCE trial with 1,200 patients with MASH F2–F3
Fixed 
follow-up
Semaglutide 2.4 mg sc OW + SoC
Placebo sc OW + SoC 
R
Structure Part 1
72 weeks 240 weeks
Part 2
Biopsy H2 2024 Biopsy
Primary objectives and endpoints for Part 1 and 2
Part 1 | Improvement in liver tissue (histology)
Two binary histology endpoints at week 72 in 800 patients:
• Resolution of MASH and no worsening of liver fibrosis
• Improvement in liver fibrosis and no worsening of MASH
Part 2 | Reduction of liver-related clinical events
Composite endpoint at week 240 in 1,200 patients:
• Histological progression to cirrhosis
• Death (all cause)
• Liver-induced MELD score ≥ 15
• Liver transplant 
• Hepatic decompensation events
    116/180

    Loading...

    117 Novo Nordisk®
Investor presentation First six months of 2025
Headline results
• The trial achieved its primary endpoints
• In the trial, semaglutide 2.4 mg appeared 
to have a safe and well-tolerated profile
Unmet need in MASH remains
• ~16 million live with F2-F4c MASH1 in US
• Only one approved treatment
Next steps
• Submitted for regulatory approval in the 
EU and US in Q1 2025 - FDA priority 
review granted in the US
• Part 2 of the ESSENCE trial will continue, 
completion expected in 2029
*Statistically significant
1NHANES (waves 2003-2004, 2013-2014, 2015-2016 and 2017-2020); UN World Population Prospects 2022; International Diabetes Federation: Diabetes Atlas 10th edition, 2021; World Obesity Atlas 2023
F: Fibrosis stage; Sema: Semaglutide; MASH: Metabolic dysfunction-associated steatohepatitis
Semaglutide 2.4 mg demonstrates superior improvement in 
both liver fibrosis and MASH resolution in the ESSENCE trial
Improvement in fibrosis with no worsening 
in steatohepatitis
Resolution of steatohepatitis with no 
worsening of fibrosis
22.5%
0%
20%
40%
60%
80%
100%
Placebo Sema 2.4 mg
37.0%*
Proportion of patients
34.1%
0%
20%
40%
60%
80%
100%
Placebo Sema 2.4 mg
62.9%*
Proportion of patients
Addressing unmet need in MASH
    117/180

    Loading...

    118 Novo Nordisk®
Investor presentation First six months of 2025
• Awareness
Recognise liver health as additional 
risk factor and increase patient 
screening at scale
• Referrals
Ensure high risk patient referral 
and support guideline changes
• Diagnosis
Ensure sequential NITs are used in 
diagnosis
• Treatment
Semaglutide as foundation; Liverspecific MoAs as add-on in F2-F3c;
Multi-MoA anti-fibrotics in F3-F4c
Novo Nordisk will focus on F2-F4c with commercial efforts 
related to awareness, referrals and diagnosis
0
5
10
15
20
25
Prevalence Diagnosed Access Hepatologists
+
Primary care 
physicians
>100k
GI 
HCPs
~15k
CVRM 
HCPs
~60k
1Estes C, Modelling the epidemic of non-alcoholic fatty liver disease demonstrates an exponential increase in burden of disease, Hepatology, 2018
CVRM: Cardiovascular, renal, metabolic; F: Fibrosis stage; (F0-F1: no or mild fibrosis; F2 significant fibrosis; F3-4 advanced fibrosis); GI: Gastrointestinal; HCPs: Healthcare professionals; MASH: Metabolic dysfunction-associated steatohepatitis;
MoA: Mode of action; NIT: Non-invasive tests
Note: Advanced fibrosis (F3-4) defined as per Kleiner DE. Hepatology. 2005;41:1313–21 and Brunt EM. Hepatology. 2011;53: 810–20.
Million
~22 million people are expected to live with 
MASH F2-F4c by 20301
Focus areas to establish presence in MASH MASH referrals to hepatologists in the US
    118/180

    Loading...

    119 Novo Nordisk®
Investor presentation First six months of 2025
Novo Nordisk enters partnerships to enhance diagnosis in MASH
AACE: American Association of Clinical Endocrinologists; ADA: American Diabetes Association; ELF: Enhanced liver fibrosis; FDA: The US Food and Drug Administration; FIB-4: Fibrosis-4; MASH: Metabolic dysfunction-associated steatohepatitis;
MRI-PDFF: Magnetic resonance imaging proton density fat fraction; MRE: Magnetic resonance elastography; NITs: Non-invasive tests; NIS4: Non-invasive biomarker panel; OW: Once-weekly; SWE: Shear wave elastography; TE: Transient elastography
Partnerships across relevant non-invasive tests Novo Nordisk supports NIT for MASH screening and diagnosis
Scan
SWE MRE/MRI-PDFF Liver MultiScan TE FibroScan
Blood test
Pro-C3 ELF test OW Liver
Blood test score
NIS4 FIB-4 Fibro Sure
Clinical guideline development recommending 
screening for MASH in type 2 diabetes
Engaging with larger diagnostic companies to ensure 
NIT capacity
Engaging in consortia (Litmus, Nimble, Liver Forum) 
Disease education activities to enable screening, 
diagnosis and evidence generation
    119/180

    Loading...

    120 Novo Nordisk®
Investor presentation First six months of 2025
Alzheimer’s disease patient journey is complex and underscores 
key barriers to overcome for Novo Nordisk to be successful 
AD: Alzheimer’s disease; QD: Once-daily; MCI: mild cognitive impairment; DMT: Disease-modifying treatment; PCP: primary care physicians; NITs: Non-invasive diagnostics; HCP: Healthcare professional
Note: MCI and Mild dementia in the graph are both due to AD. 
Source: Alzheimer’s Association report: 2020 Alzheimer’s disease facts and figures, 2020 (16:391-460)
AD 
prevalence
Early symptoms 
dismissed as normal 
ageing
Lack of prognostic 
markers and simple 
tests
Limited DMT 
options
Complex tests and 
limited screening/ 
diagnosing skills 
Significant and growing Hurdles
unmet need
0
20
40
60
80
Prevalence Diagnosed
patients
Eligible
patients
MCI Mild dementia
Million
Market preparation priorities
• Evidence to better understand the
• impact of delaying disease 
progression
• role of neuroinflammation 
in disease progression
Evidence generation
• Larger number of AD patients 
expected to enter the system
• May lead to significant bottlenecks and delay to patient care
Support healthcare 
system preparedness
• Support NITs development, e.g. 
blood-based/digital biomarkers
• Increase AD education and 
access to screening tools for 
PCPs and HCP insight
Increase diagnosis rate
Few patients 
receiving 
diagnosis
High expected investment level Low expected investment level
    120/180

    Loading...

    121 Novo Nordisk®
Investor presentation First six months of 2025
Entering phase 3 development of semaglutide in Alzheimer’s 
disease was based on a number of data points
Real world evidence trials Randomised controlled trials Pre-clinical studies 
Four RWE studies show reduced risk of 
dementia or AD with GLP-1
Danish registry1
• 11% lower risk of dementia per year of 
GLP-1 exposure 
TRUVEN claims database1 
• 31% lower risk of dementia after >2 years of 
GLP-1 exposure
Danish registry2
• 42% lower odds of dementia after 
GLP-1 exposure 
FAERS (FDA database)3
• 64% lower odds of Alzherimer’s disease after 
liraglutide exposure 
53% lower risk of dementia diagnosis with 
liraglutide/semaglutide in NN’s CVOTs in T2D4
Less decline in cerebral glucose metabolism 
(FDG-PET) with liraglutide in AD5
Reduced incidence of major adverse CV 
events in T2D with semaglutide incl. stroke6
Systemic anti-inflammatory effects with 
semaglutide7,8
Short-term memory improvement with 
liraglutide in people with obesity9
Reduced cognitive decline with dulaglutide in 
patients with T2D10
Improved memory function with GLP-1
11
incl. semaglutide12
Reduced phospho-tau accumulation13
Reduced neuroinflammation with GLP-1
14,15
incl. semaglutide16
Reduced atherosclerosis with liraglutide and 
semaglutide17
Systemic anti-inflammatory effects with 
semaglutide17
1NN data on file, Danish register: Dementia cases based on diagnosis (ICD10) or treatment (anticholinesterases, memantine) codes; TRUVEN: Dementia cases based on SNOMED ids for all diagnoses (ICD-10) or treatment (anticholinesterases, 
memantine); 2Wium-Andersen IK et al. Eur J Endocrinol. 2019;181(5):499-507; 3Akimoto H et al. Am J Alzheimers Dis Other Demen. 2020;35:1-11; 4Ballard et al. Presented online at the Alzheimer’s Association International Conference (AAIC), 27–31 July 
2020; 5Gejl M et al. Front Aging Neurosci 2016;8:108; 6Husain M et al. Diabetes Obes Metab 2020;22:442–451; 7Aroda VR et al. Diabetes Care 2019;42:1724–1732; 8Rodbard HW et al. Diabetes Care 2019;42:2272–2281; 9Vadini F et al. Int J Obes (Lond) 
2020;44:1254–1263; 10Cukierman-Yaffe T et al. Lancet Neurol 2020;19:582–590 11Hansen HH et al. J Alzheimers Dis 2015;46:877–888; 12Preliminary data in NN ongoing pre-clinical studies; 13Hansen HH et al. Brain Res 2016;1634:158–170;
14Brundin L et al. 
Nature Med 2018;24:900–902; 15Yun SP et al. Nature Med 2018;24:931–938; 16Secher A et al. Oral presentation at Virtual Alzheimer’s Disease/Parkinson’s Disease International Conference, 9–14 March 2021; 17Rakipovski G et al. JACC Basic Transl Sci 
2018;3:844–857 
AD: Alzheimer’s disease; CI: confidence interval; RWE: Real world evidence
    121/180

    Loading...

    122 Novo Nordisk®
Investor presentation First six months of 2025
evoke and evoke+ trials are ongoing with expected completion in 
2025 
Objective
To confirm superiority of oral semaglutide vs 
placebo on the change in cognition and function 
in people with early Alzheimer’s disease
Primary endpoint
Change in the Clinical Dementia 
Rating – Sum of Boxes (CDR-SB) 
score from baseline to end of 104 
weeks of treatment
Inclusion criteria
• Early Alzheimer’s disease (mild cognitive impairment 
or mild dementia)
• Mini-Mental State Examination (MMSE) ≥ 22/30
• Age between 55-85 years
• evoke+ has at least 20% with small vessel pathology
evoke and evoke+ trials have been initiated with 1,840 patients in each trial with a total of 3,680 patients 
Confirmatory 
endpoints
N=1840
0 4 8 104
Treatment period Follow-up
Week
3 mg 7 mg 14 mg oral semaglutide QD 14 mg oral semaglutide QD
3 mg 7 mg 14 mg placebo QD 14 mg placebo QD
156 161
1:1
R
AD: Alzheimer’s disease; QD: Once-daily; MCI: mild cognitive impairment; QD: once-daily.
Note: CDR-SB ratings are utilising in six domains are summed to provide a clinical measure = Sum of Boxes. These are: memory, orientation, judgment and problem solving, community affairs, home and hobbies, personal care. 
CDR-SB Scores range from 0 to 18 with higher scores representing greater impairment
    122/180

    Loading...

    123 Novo Nordisk®
Investor presentation First six months of 2025
CETA clinical pipeline has expanded, leveraging internal and 
external innovation and synergies 
Addressing significant unmet needs Cardiovascular and emerging therapy areas development pipeline
CETA
Therapy area Project Phase 
Cardiovascular 
disease
Ziltivekimab, ASCVD and CKD Phase 3 ongoing 
Ziltivekimab, HFpEF Phase 3 ongoing
Ziltivekimab, AMI Phase 3 ongoing
Coramitug, ATTR-Cardiomyopathy Phase 2 completed
CDR132L, Heart failure Phase 2 ongoing
NLRP3i, Atherosclerosis Phase 1 ongoing
CNP, Heart failure Phase 1 ongoing
Stem Cells, Heart failure Phase 1 ongoing
MASH
ESSENCE (semaglutide 2.4 mg), F2-F3c Submitted in EU/US
LXR(a), F2-F3c Phase 1 ongoing
MARC1, F3-F4c Phase 1 ongoing
NLRP3, MASH Phase 1 ongoing
AD/PD
EVOKE (semaglutide 14 mg), AD Phase 3 ongoing
Stem Cells, Parkinson’s disease Phase 1 ongoing
AD: Alzheimer's Disease; AMI: Acute Myocardial infarction; ASCVD; Atherosclerotic Cardiovascular Disease; CETA: Cardiovascular & Emerging Therapy Areas; CKD: chronic Kidney disease; F: Fibrosis stage; F4c: Compensated cirrhosis; HFpEF: Heart failure 
with preserved ejection fraction; LXR(a): Liver X receptor alpha; MARC1: Mitochondrial amidoxime reducing component 1; MoA: Mode of action; MASH: Metabolic dysfunction-associated steatohepatitis; PD: Parkinson Disease, sema: semaglutide
Cardiovascular disease
Pursue innovative 
mechanisms of action
Combine internal and 
external innovation
MASH
Aim for effect on resolution 
of MASH and improvement 
or no worsening of fibrosis
Prioritise multi-MoA antifibrotics in F3-F4c to secure 
a best-in-class profile
Alzheimer’s disease
Opportunistic trial to slow 
clinical progression in 
people with early AD
    123/180

    Loading...

    Novo Nordisk®
Investor presentation First six months of 2025
US Operations
NAO at a glance131
NAO at a glance 131 
USA health care system129
USA health care system 129 
NAO growth drivers128
NAO growth drivers 128
124 Investor presentation First six months of 2025
US health care system
US health care system
US at a glance
US at a glance
    124/180

    Loading...

    Novo Nordisk®
Investor presentation First six months of 2025
NAO
125
52% 50%
15% 16%
21% 24%
4% 4%
8% 6%
2019 2023
27%
5%
23%
3%
7%
30%
5%
2024
DKK
billion
Private Health Insurance1
Medicare
Medicaid
Other Public2
Uninsured
MedImpact Healthcare
Systems
CVS Health
UHG/OptumRx
Humana Pharmacy 
Solutions
Cigna
All Other PBMs
+ Cash Pay
59%
64%
69% 71% 74% 75% 75% 74%69%
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0
100
200
300
400
2016 2018 2020 2022 2024
Net sales Rebates, % of gross sales
Rebates
US health insurance enrollment and 
uninsured
US PBMs market shares Development of Novo Nordisk rebates
and net sales in the US
US healthcare is a mix of private and public health insurance, 
dominated by a few large PBMs
1Private insurance includes employer sponsored insurance, health 
exchanges, and direct purchase insurance by individuals
2Other Public includes health insurance coverage provided by the 
Department of Veterans Affairs and the Department of Defense
Source: Centers for Medicare & Medicaid Services, National Health 
Expenditure, Historical Data. Historical | CMS (table 22)
PBM: Pharmacy Benefit Manager; UHG: UnitedHealth Group
Source: Drug Channels Institute research and estimates. Calculated based on 
total equivalent prescription claims. 2024 data from The 2025 Economic 
Report on U.S. Pharmacies and Pharmacy Benefit Managers Source: Novo Nordisk Annual Report 2024
Prime Therapeutics
    125/180

    Loading...

    Novo Nordisk®
Investor presentation First six months of 2025
NAO
126
0%
20%
40%
60%
80%
0
300
600
900
GLP-1 MS Insulin MS
US Operations at a glance
24
39 43
0
5
10
15
20
25
30
35
40
45
50
2011 2024 2050
Population with diabetes
Diabetes growth rate
62%
12%
Million
OAD
May
2020
May
2025
DKK 
billion
38.8%1
-13.1%1
15.9%1
GLP-1
Insulin
Diabetes trend in population Diabetes market by value and Novo Nordisk 
market share
Novo Nordisk H1 2025 reported sales
H1 2025
Sales
(mDKK)
Growth2
Injectable GLP-1
3 45,273 12%
Rybelsus® 4,671 -10%
Total GLP-1 49,944 9%
Total insulin4 8,081 17%
Other Diabetes care5 81 -23%
Diabetes care 58,106 10%
Obesity care6 24,899 36%
Diabetes & Obesity 
care 83,005 17%
Rare disease7 4,274 23%
Total 87,279 17%
Source: International Diabetes Federation: Diabetes Atlas 11th edition, 2025
1CAGR calculated for 5-year period
Competitor insulin value market shares, as of May 2025: Novo Nordisk 37%, 
Others 63%; Competitor GLP-1 value market shares, as of May 2025: Novo Nordisk 
50%, Others 50%. OAD: Oral anti-diabetic; MS: Market Share; Note: Market values 
are based on list prices; Source: IQVIA MAT, May 2025 value figures
2At constant exchange rates 3Comprises Victoza® 
, Ozempic®
4Comprises Tresiba®, Xultophy®, Levemir®, NovoMix®, Fiasp®, Ryzodeg® and 
NovoRapid® 5Comprises NovoNorm® and needles 6Comprises Saxenda® and 
Wegovy® 7Comprises primarily NovoSeven®, NovoEight®
, Esperoct®, 
NovoThirteen®, Refixia®, Norditropin®, Vagifem® and Activelle®
    126/180

    Loading...

    Novo Nordisk®
Investor presentation First six months of 2025
NAO
127
33.8%
18.3%
7.6%
4.0%
0%
10%
20%
30%
40%
50%
0%
10%
20%
30%
40%
50%
NN market share NN share of growth
Market growth(right axis) NN growth(right axis)
Diabetes market share and market growth in
US Operations
Diabetes market growth and Novo Nordisk market share Diabetes market size and growth
32%
May 
2022
May 
2025
May
2024
32%
Novo Nordisk Company A Others May
2025 Novo Nordisk Competitors
DKK 
billion
35% 34%
882 12
50 5 949
~4%
~8%
NN: Novo Nordisk
Note: Due to contractual obligations competitor names are not disclosed. Company A represents an actual company; Market values are based on the list prices
Source: IQVIA, May 2025, value, MAT
    127/180

    Loading...

    Novo Nordisk®
Investor presentation First six months of 2025
NAO
128
GLP-1 market share and market growth in US Operations
50%
37%
23%
16%
0%
20%
40%
60%
80%
20%
30%
40%
50%
60%
70%
NN market share
NN share of growth
Market growth(right axis)
NN growth(right axis)
GLP-1 market growth and Novo Nordisk market share GLP-1 market size and growth
May
2022
May
2025
May
2024
May
2025
Novo Nordisk Company A Others
Novo Nordisk Competitors
DKK 
billion
53% 50%
457
38
65 1 560
~16%
~23%
NN: Novo Nordisk 
Note: Due to contractual obligations competitor names are not disclosed. Company A represents an actual company; Market values are based on the list prices
Source: IQVIA, May 2025, value, MAT
    128/180

    Loading...

    Novo Nordisk®
Investor presentation First six months of 2025
NAO
129
30%
-15%
-20%
-15%
-10%
-5%
0%
5%
10%
15%
20%
0%
20%
40%
60%
80%
NN market share
Market growth (right axis)
NN growth (right axis)
-2%
Market 
growth1
Δ Market 
share
-3.4%
-
-10.9%
-8.1% +0.8%
-14.4% -8.5%
-17.6% -8.7%
-10.7% -0.6%
Insulin volume: Market share 
May
2022
May
2025
Total
Longacting
38%
Premix
Fastacting 38
37%
38%
36%
18%
Human
103
62
4
9
Novo Nordisk Competitors
Insulin market share and market size (DKK billion) 
1Market growth is YTD current vs YTD previous year
NN: Novo Nordisk; Note: Insulin market numbers do not reflect rebates. Share of growth not depicted due to too high numbers. Market values are based on the list prices
Source: IQVIA, May 2025, LHS graph – Value, RHS Graph - Volume, MAT, all countries
Insulin market size and volume market share in US 
Operations
    129/180

    Loading...

    Novo Nordisk®
Investor presentation First six months of 2025
NAO
130
54%
67%
149%
-20%
20%
60%
100%
140%
180%
220%
260%
0%
20%
40%
60%
80%
100%
120%
NN market share
Market growth (right axis)
NN growth (right axis)
Obesity market growth and Novo Nordisk market share Obesity market size and growth
82%
92%
May 
2022
May
2025
93%
May
2024
91%
May
2025
10.8
95%
NN Obesity care Others
DKK 
billion
81%
44.8
78.9
54%
83.1
206.9
~67%
~149%
NN: Novo Nordisk
Note: Share of growth not depicted due to too high numbers; Market values are based on the list prices
Source: IQVIA, May 2025, value, MAT, all countries
Obesity market share and market growth in US Operations
    130/180

    Loading...

    131 Novo Nordisk®
Investor presentation First six months of 2025
131
International 
Operations
EMEA112
EMEA 112 
IO at a glance107
IO at a glance 107 
Rest of World122
Rest of World 122 
Region China117
Region China 117 
131 Investor presentation First six months of 2025
International 
Operations
Emerging Markets
Emerging Markets
APAC
APAC
EUCAN
EUCAN
International Operations
International Operations 
Region China
Region China
    131/180

    Loading...

    132 Novo Nordisk®
Investor presentation First six months of 2025
0%
20%
40%
60%
80%
100%
0
50
100
150
200
250
300
GLP-1 MS Insulin MS
International Operations at a glance
343
551
810
0
200
400
600
2011 2024 2050
Population with diabetes
Diabetes trend
May
2020
May
2025
Diabetes market by value and Novo 
Nordisk market share
Diabetes growth rate
61%
47%
Novo Nordisk H1 2025 reported 
sales
Insulin
Million DKK 
billion
GLP-1
40%1
1%1
8%1 OAD
MS
H1 2025 Sales
(mDKK)
Growth2
Injectable GLP-1
3 21,319 8%
Rybelsus® 6,677 20%
Total GLP-1 27,996 10%
Total insulin4 19,662 -1%
Other Diabetes care5 846 -15%
Diabetes care 48,504 5%
Obesity care6 13,897 125%
Diabetes & Obesity 
care
62,401 19%
Rare disease7 5,264 10%
Total 67,665 19%
Source: International Diabetes Federation: Diabetes Atlas 11th edition, 2025
1 CAGR calculated for 5-year period; Competitor insulin value market shares, as of 
May 2025: Novo Nordisk 51%, Others 49%; Competitor GLP-1value market shares, as 
of May 2025: Novo Nordisk 63%, Other 37%; OAD: Oral anti-diabetic; MS: Market 
share; Note: Market values are based on the list prices; Source: IQVIA MAT, May
2025 value figures
2 At Constant exchange rates; 3 Comprises Victoza® 
, Ozempic®;
4 Comprises Tresiba®, Xultophy®, Levemir®, Ryzodeg®, NovoMix®, Fiasp®, Awiqli®, 
Ryzodeg® and NovoRapid®; 5 Comprises NovoNorm® and needles; 6 Obesity care 
comprises Saxenda® and Wegovy®; 7 Comprises primarily NovoSeven®, NovoEight®
,
NovoThirteen®, Refixia®, Esperoct®, Norditropin®, Vagifem® and Activelle®
    132/180

    Loading...

    133 Novo Nordisk®
Investor presentation First six months of 2025
29.1%
15.2%
13.5%
6.6%
0%
10%
20%
30%
40%
0%
40%
80%
NN market share NN share of growth
Market growth (right axis) NN growth (right axis)
Diabetes market growth and Novo Nordisk market share
24% 25%
Diabetes market share and market growth in International 
Operations
Diabetes market size and growth
DKK 
billion
24%
Others May
2024 Novo Nordisk Company A May2025
Novo Nordisk Competitors
25%
May
2022
May 
2025
~13%
31% 29%
270 6
6
25 306
~7%
NN: Novo Nordisk 
Note: Due to contractual obligations competitor names are not disclosed. Company A represents an actual company. Market values are based on the list prices
Source: IQVIA, May 2025, Value MAT
    133/180

    Loading...

    134 Novo Nordisk®
Investor presentation First six months of 2025
GLP-1 market share and market growth
62%
22%
30%
9%
0%
20%
40%
60%
80%
0%
20%
40%
60%
80%
100%
NN market share NN share of growth
Market growth (Right Axis) NN growth (Right Axis)
55%
60%
GLP-1 market growth and Novo Nordisk market share GLP-1 market size and growth
56%
61%
Novo Nordisk Competitors
Novo Nordisk
60%
Company A Others
65%
May
2024
May 
2025
May 
2022
May 
2025
DKK 
billion
~30%
74% 62%
69
5
15 1 90
~9%
NN: Novo Nordisk
Note: Due to contractual obligations competitor names are not disclosed. Company A represents an actual company. Market values are based on the list prices
Source: IQVIA, May 2025, Value MAT, all countries
    134/180

    Loading...

    135 Novo Nordisk®
Investor presentation First six months of 2025
Insulin market size and volume share of growth and market 
share in International Operations
47%
3%
1%
-8%
-5%
-2%
1%
4%
7%
10%
0%
20%
40%
60%
80%
NN market share
Market growth (Right Axis)
NN growth (Right Axis)
4.8% -0.3%
3.0% +0.2%
3.8% -0.7%
11.6% -1.0%
9.4% -1.2%
May
2022
May
2025 Human
51%
LongActing
Total
Premix
56%
42%
Fastacting
70%
50%
66
35
19
11
6
Novo Nordisk Competitors
Market 
growth1
Δ Market 
share
Insulin market share and market size (DKK billion) Insulin volume: Market share 
1Market growth is YTD current vs YTD previous year
NN: Novo Nordisk
Note: Share of growth not depicted due to too high numbers; Market values are based on the list prices
Source: IQVIA, May 2025, LHS graph – Value, RHS Graph - Volume, MAT, all countries
    135/180

    Loading...

    136 Novo Nordisk®
Investor presentation First six months of 2025
Obesity market share and market growth in International 
Operations
89%
89%
115%
0%
30%
60%
90%
120%
150%
0%
30%
60%
90%
120%
NN market share
Market growth (right axis)
NN growth (right axis)
Obesity market growth and Novo Nordisk market share
46%
Obesity market size and growth
May 
2022
May 
2025
48%
54%
May
2024
May
2025
Novo Nordisk Others
DKK 
billion
48% 46% 54% 78%
10.1
89%
11.2
-0.1
21.2
~115%
~89%
Note: Market values are based on the list prices 
Source: IQVIA, May 2025, Value MAT, all countries
    136/180

    Loading...

    137 Novo Nordisk®
Investor presentation First six months of 2025
EMEA
0%
20%
40%
60%
80%
100%
0
50
100
150
GLP-1 MS Insulin MS
EUCAN at a glance
38
50 51
0
20
40
60
80
2011 2024 2050
Population with diabetes
Diabetes trend
May
2020
May
2025
Diabetes market by value and Novo 
Nordisk market share
Diabetes growth rate
33%
3%
Novo Nordisk H1 2025 reported 
sales
Million DKK 
billion
38%1
2%1
GLP-1
Insulin
14%1 OAD
MS H1 2025 Sales
(mDKK)
Growth2
Injectable GLP-1
3 11,261 13%
Rybelsus® 3,734 23%
Total GLP-1 14,995 15%
Total insulin4 6,361 -5%
Other Diabetes care5 263 -5%
Diabetes care 21,619 8%
Obesity care6 7,060 64%
Diabetes & Obesity 
care 28,679 18%
Rare disease7 2,533 1%
Total 31,212 16%
EUCAN: Europe and Canada
Source: International Diabetes Federation: Diabetes Atlas 11th edition, 2025
1 CAGR calculated for 5-year period; Competitor insulin value market shares, as of May
2025: Novo Nordisk 49%, Others 51%; Competitor GLP-1 value market shares, as of May
2025: Novo Nordisk 63%, Others 37%. OAD: Oral anti-diabetic; MS: Market share; Note: 
Market values are based on the list prices; Source: IQVIA May 2025 value figures
2 At Constant exchange rates; 3 Comprises Victoza® 
, Ozempic®;
4 Comprises Tresiba®, Xultophy®,Levemir®,Ryzodeg®,Awiqli®,NovoMix®,Fiasp® and 
NovoRapid®; 5 Comprises NovoNorm® and needles; 6 Obesity care comprises 
Saxenda® and Wegovy®; 7 Comprises primarily NovoSeven®, NovoEight®
,
NovoThirteen®, Esperoct®, Refixia®, Norditropin®, Vagifem® and Activelle®
    137/180

    Loading...

    138 Novo Nordisk®
Investor presentation First six months of 2025
EMEA
Diabetes market share and market growth in EUCAN
33.3%
17.0%
16.3%
7.7%
0%
5%
10%
15%
20%
25%
30%
35%
0%
25%
50%
75%
NN market share NN share of growth
Market growth (right axis) NN growth (right axis)
Diabetes market growth and Novo Nordisk market share Diabetes market size and growth
Novo Nordisk Competitors
May
2024
May
2025
May NN Company A Others
2022
May 
2025
DKK 
billion
36% 33%
135 4
4
14 157
~8%
~16%
EUCAN: Europe and Canada; IO: International Operations; NN: Novo Nordisk
Note: Due to contractual obligations competitor names are not disclosed. Company A represents an actual company; Market values are based on the list prices
Source: IQVIA, May 2025, Value, MAT
    138/180

    Loading...

    139 Novo Nordisk®
Investor presentation First six months of 2025
EMEA
GLP-1 market share and market growth in EUCAN
63%
28%
32%
12%
0%
20%
40%
60%
0%
30%
60%
90%
120%
NN market share NN share of growth
Market growth (right axis) NN growth (right axis)
GLP-1 market growth and Novo Nordisk market share GLP-1 market size and growth
59%
56%
Company A
57%
Novo Nordisk Others May
2025
59%
Novo Nordisk Competitors
61%
59%
May 
2022
May 
2025
May
2024
DKK 
billion
74% 63%
43
4
10
0
57
~12%
~32%
EUCAN: Europe and Canada; NN: Novo Nordisk
Note: Due to contractual obligations competitor names are not disclosed. Company A represents an actual company; Market values are based on the list prices
Source: IQVIA, May 2025, Value, MAT
    139/180

    Loading...

    140 Novo Nordisk®
Investor presentation First six months of 2025
EMEA
Insulin market size and volume market share in EUCAN
45%
0%
0%
-10%
-5%
0%
5%
10%
0%
20%
40%
60%
NN market share
Market growth (right axis)
NN growth (right axis)
40%
48% -0.6% +0.0%
-0.7% +0.3%
-0.5% -0.2%
-0.3% +0.1%
1.5% -1.9%
May
2022
May 
2025
40%
Total 49%
Longacting
Fastacting
Premix
Human
44%
49%
46%
53%
2
33
58%
19
12
2
Novo Nordisk Competitors
Market 
growth1
Δ Market 
share
Insulin market share and market size (DKK billion) Insulin volume: Market share 
1Market growth is YTD current vs YTD previous year
EUCAN: Europe and Canada; NN: Novo Nordisk
Note: Share of growth not depicted due to too high numbers; Market values are based on the list prices
Source: IQVIA, May 2025 LHS graph – Value, RHS Graph - Volume, MAT
    140/180

    Loading...

    141 Novo Nordisk®
Investor presentation First six months of 2025
EMEA
Obesity market share and market growth in EUCAN
94%
93%
84%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
0%
20%
40%
60%
80%
100%
120%
140%
NN market share
NN Growth
Market growth (right axis)
Obesity market growth and Novo Nordisk market share Obesity market size and growth
May 
2022
May 
2025
Novo Nordisk Others
May
2024
May
2025
DKK 
billion
90%
5.6
0.0
94%
6.7
12.3
~93%
~84%
EUCAN: Europe and Canada; NN: Novo Nordisk
Note: Market values are based on the list prices
Source: IQVIA, May 2025, Value, MAT
    141/180

    Loading...

    142 Novo Nordisk®
Investor presentation First six months of 2025
Rest of World
Emerging Markets at a glance
102
178
321
0
100
200
300
400
2011 2024 2050
Population with diabetes
Diabetes growth rate
75%
80%
0%
20%
40%
60%
80%
100%
0
10
20
30
40
50
60
70
GLP-1 MS Insulin MS
51%1
4%1
12%1
May
2020
May
2025
DKK 
billion
Million
1 CAGR calculated for last 5-year period
Competitor insulin value market shares, as of May 2025: Novo Nordisk 52%, 
Others 48%; Competitor GLP-1 value market shares, as of May 2025: Novo Nordisk 
56%, Others 44%. OAD: Oral anti-diabetic; MS: Market Share; Note: Market values 
are based on list prices; Source: IQVIA MAT, May 2025 value figures
2 At constant exchange rates; 3 Comprises Victoza®, Ozempic®;
4 Comprises Tresiba®, Xultophy®,Levemir®,Awiqli®,NovoMix®,Ryzodeg®, 
NovoRapid® and Fiasp®;
5 Comprises NovoNorm® and needles; 6 Comprises 
Saxenda® and Wegovy®;
7Comprises primarily Esperoct® 
, Refixia ® 
,NovoSeven®, NovoEight® and Norditropin®
GLP-1
Insulin
OAD
MS
Diabetes trend in population Diabetes market by value and Novo Nordisk 
market share
Novo Nordisk H1 2025 reported sales
H1 2025 Sales
(mDKK)
Growth2
Injectable GLP-1
3 5,138 14%
Rybelsus® 1,066 8%
Total GLP-1 6,204 13%
Total insulin4 5,357 2%
Other Diabetes care5 144 -1%
Diabetes care 11,705 7%
Obesity care6 3,260 157%
Diabetes & Obesity 
care 14,965 24%
Rare disease7 1,369 6%
Total 16,334 22%
Emerging Markets: mainly Latin America, Middle East and Africa
Source: International Diabetes Federation: Diabetes Atlas 11th edition, 2025
    142/180

    Loading...

    143 Novo Nordisk®
Investor presentation First six months of 2025
Rest of World
Diabetes market share and market growth in 
Emerging Markets
27.3%
13.4%
12.5%
5.8%
0%
10%
20%
30%
40%
50%
0%
10%
20%
30%
40%
50%
NN market share
NN Share of Growth
Market growth (right axis)
NN growth (right axis)
Diabetes market growth and Novo Nordisk market share Diabetes market size and growth
May
2022
May
2025
May Company A Others
2024
Novo Nordisk May
2025
Novo Nordisk Competitors
DKK 
billion
29% 27%
55 1 0
5 62
~6%
~13%
Emerging Markets: mainly Latin America, Middle East and Africa; NN: Novo Nordisk
Note: Due to contractual obligations competitor names are not disclosed. Company A represents an actual company. Rest of world Market values are based on the list prices
Source: IQVIA, May 2025, value, MAT
    143/180

    Loading...

    144 Novo Nordisk®
Investor presentation First six months of 2025
Rest of World
GLP-1 market share and market growth in
Emerging Markets
56%
11%
28%
5%
0%
20%
40%
60%
80%
100%
120%
140%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
NN market share
NN share of growth
Market growth (right axis)
NN growth (right axis)
GLP-1 market growth and Novo Nordisk market share GLP-1 market size and growth
45%
62%
May
2022
May
2025
48%
May
2024
May
2025
66%
Novo Nordisk Competitors
62%
Novo Nordisk Others
76%
Company A
DKK 
billion
68% 56%
13 0
2
1 17
~5%
~28%
Emerging Markets: mainly Latin America, Middle East and Africa; NN: Novo Nordisk
Note: Due to contractual obligations competitor names are not disclosed. Company A represents an actual company.; Market values are based on the list prices
Source: IQVIA, May 2025, value, MAT
    144/180

    Loading...

    145 Novo Nordisk®
Investor presentation First six months of 2025
Rest of World
Insulin market size and volume market share in
Emerging Markets
52%
3%
-15%
-10%
-5%
0%
5%
10%
15%
20%
0%
20%
40%
60%
80%
NN market share
Market growth (right axis)
NN growth (right axis)
3%
7.4% +1.3%
3.6% +0.2%
12.4% +2.5%
12.2% +1.0%
12.8% +1.7%
67%
52%
4
Total
Long–
acting 37%
Premix
Fastacting
76%
Human 75%
14
8
2
1
Novo Nordisk Competitors
Market 
growth1
Δ Market 
share
Insulin market share and market size (DKK billion) Insulin volume: Market share 
May 
2022
May
2025
1Market growth is YTD current vs YTD previous year
Emerging Markets: mainly Latin America, Middle East and Africa; NN: Novo Nordisk 
Note: Share of growth not depicted due to too high numbers;; Market values are based on the list prices
Source: IQVIA, May 2025; LHS graph – Value, RHS Graph - Volume, MAT
    145/180

    Loading...

    146 Novo Nordisk®
Investor presentation First six months of 2025
Rest of World
Obesity market share and market growth in 
Emerging Markets
77%
122%
72%
-10%
0%
10%
20%
30%
40%
50%
60%
70%
80%
-20%
0%
20%
40%
60%
80%
100%
120%
140%
NN market share
NN Growth
Market growth (Right Axis)
Obesity market growth and Novo Nordisk market share Obesity market size and growth
37%
43%
May 
2022
May
2025
38%
44%
43%
May
2024
54%
May
2025
Novo Nordisk Others
DKK 
billion
59%
2.6
0.0
77%
3.6
6.2
122%
72%
Emerging Markets: mainly Latin America, Middle East and Africa; NN: Novo Nordisk 
Note: Market values are based on the list prices
Source: IQVIA, May 2025, value, MAT
    146/180

    Loading...

    147 Novo Nordisk®
Investor presentation First six months of 2025
EMEA
0%
20%
40%
60%
80%
100%
0
20
40
60
GLP-1 MS Insulin MS
APAC at a glance
112
172
267
0
100
200
300
2011 2024 2050
Population with diabetes
Diabetes trend
May
2020
May
2025
Diabetes market by value and Novo 
Nordisk market share
Diabetes growth rate
54%
55%
Novo Nordisk H1 2025 reported sales
Million DKK 
billion
26%1
-2%1 GLP-1
Insulin
0%1
OAD
MS H1 2025 Sales
(mDKK)
Growth2
Injectable GLP-1
3 1,814 2%
Rybelsus® 1,761 22%
Total GLP-1 3,575 11%
Total insulin4 2,754 -3%
Other Diabetes care5 138 0%
Diabetes care 6,467 4%
Obesity care6 2,715 361%
Diabetes & Obesity 
care 9,182 37%
Rare disease7 1,027 22%
Total 10,209 35%
APAC: Japan, Korea, Oceania and Southeast Asia
Source: International Diabetes Federation: Diabetes Atlas 11th edition, 2025
1 CAGR calculated for 5-year period; Competitor insulin value market shares, as of May
2025: Novo Nordisk 58%, Others 42%; Competitor GLP-1 value market shares, as of 
May 2025: Novo Nordisk 54%, Others 46%. OAD: Oral anti-diabetic; MS: Market share; 
Note: Market values are based on the list prices; Source: IQVIA May 2025 value figures
2 At Constant exchange rates; 3 Comprises Victoza® 
, Ozempic®;
4 Comprises Tresiba®, Xultophy®,Levemir®,Ryzodeg®,Awiqli®,NovoMix®,Fiasp® and 
NovoRapid®; 5 Comprises NovoNorm® and needles; 6 Obesity care comprises 
Saxenda® and Wegovy®; 7 Comprises primarily NovoSeven®, NovoEight®
,
NovoThirteen®, Esperoct®, Refixia®, Norditropin®, Vagifem® and Activelle®
    147/180

    Loading...

    148 Novo Nordisk®
Investor presentation First six months of 2025
EMEA
17.9%
7.1%
1.1%
-10%
0%
10%
20%
30%
0%
10%
20%
30%
NN market share Market growth (right axis)
NN growth (right axis)
Diabetes market growth and Novo Nordisk market share Diabetes market size and growth
Novo Nordisk Competitors
May
2024
May
2025
May NN Company A Others
2022
May 
2025
DKK 
billion
19% 18%
52 0
1
3 55
~1%
~7%
Diabetes market share and market growth in APAC
APAC: Japan, Korea, Oceania and Southeast Asia; NN: Novo Nordisk
Note: Due to contractual obligations competitor names are not disclosed. Company A represents an actual company; Market values are based on the list prices
Source: IQVIA, May 2025, Value, MAT
    148/180

    Loading...

    149 Novo Nordisk®
Investor presentation First six months of 2025
EMEA
54%
8%
47%
5%
0%
30%
60%
90%
120%
0%
30%
60%
90%
120%
150%
180%
NN market share NN share of growth
Market growth (right axis) NN growth (right axis)
GLP-1 market growth and Novo Nordisk market share GLP-1 market size and growth
59%
56%
Company A
57%
Novo Nordisk Others May
2025
59%
Novo Nordisk Competitors
61%
59%
May
2022
May 
2025
May
2024
DKK 
billion
76% 54%
7
0
3 0 10
~5%
~47%
GLP-1 market share and market growth in APAC
APAC: Japan, Korea, Oceania and Southeast Asia; NN: Novo Nordisk
Note: Due to contractual obligations competitor names are not disclosed. Company A represents an actual company; Market values are based on the list prices
Source: IQVIA, May 2025, Value, MAT
    149/180

    Loading...

    150 Novo Nordisk®
Investor presentation First six months of 2025
EMEA
Insulin market size and volume market share in APAC
54%
0%
-5%
-10%
-5%
0%
5%
10%
0%
20%
40%
60%
NN market share
Market growth (right axis)
NN growth (right axis)
40%
48% 7.3% -1.6%
5.6% -0.5%
9.3% -3.3%
7.7% -2.0%
5.7% -4.3%
May
2022
May 
2025
40%
Total 49%
Longacting
Fastacting
Premix
Human
61%
58%
41%
55%
1
7
78%
3
2
3
Novo Nordisk Competitors
Market 
growth1
Δ Market 
share
Insulin market share and market size (DKK billion) Insulin volume: Market share 
1Market growth is YTD current vs YTD previous year
APAC: Japan, Korea, Oceania and Southeast Asia; NN: Novo Nordisk
Note: Share of growth not depicted due to too high numbers; Market values are based on the list prices
Source: IQVIA, May 2025 LHS graph – Value, RHS Graph - Volume, MAT
    150/180

    Loading...

    151 Novo Nordisk®
Investor presentation First six months of 2025
EMEA
89%
315%
199%
-50%
0%
50%
100%
150%
200%
250%
-50%
0%
50%
100%
150%
200%
250%
300%
350%
NN market share
NN Growth
Market growth (right axis)
Obesity market growth and Novo Nordisk market share Obesity market size and growth
May
2022
May 
2025
Novo Nordisk Others
May
2024
May
2025
DKK 
billion
64%
1.9
0.0
89%
0.9
2.8
~315%
~198%
Obesity market share and market growth in APAC
APAC: Japan, Korea, Oceania and Southeast Asia; NN: Novo Nordisk
Note: Market values are based on the list prices
Source: IQVIA, May 2025, Value, MAT
    151/180

    Loading...

    152 Novo Nordisk®
Investor presentation First six months of 2025
Region China
0%
20%
40%
60%
80%
100%
0
10
20
30
40
GLP-1 MS Insulin MS
Region China at a glance
Note: Region China covers mainland China, Hong Kong, and Taiwan 
Source: International Diabetes Federation: Diabetes Atlas 11th edition, 2025
92
151
171
0
40
80
120
160
200
2011 2024 2050
Population with diabetes
Diabetes trend
May
2020
May
2025
Diabetes market by value and Novo 
Nordisk market share
Diabetes growth rate
64%
Novo Nordisk H1 2025 reported sales
Million
1CAGR calculated for last 5-year period 
Competitor insulin value market shares, as of May 2025: Novo Nordisk 50%, 
Others 50%; Competitor GLP-1 value market shares, as of May 2025: Novo 
Nordisk 81% and Others 19% OAD: Oral anti-diabetic; MS: Market Share;
Note: Market values are based on list prices; Source: IQVIA MAT, May 2025 value 
figures
2 At constant exchange rates; 3 Comprises Victoza® and Ozempic®; 4 Comprises 
Tresiba®, Xultophy®, Levemir®, NovoMix®, Awiqli®, Ryzodeg®, NovoRapid®; 
5Comprises NovoNorm® and needles; 6Comprises Wegovy® & Saxenda® ; 
7Comprises primarily NovoSeven®, NovoEight® and Norditropin®
14%
58%1
0%1
6%1
GLP-1
Insulin
OAD
DKK 
billion MS H1 2025 Sales
(mDKK)
Growth2
Injectable GLP-1
3 3,106 -12%
Rybelsus® 116 7%
Total GLP-1 3,222 -11%
Total insulin4 5,190 3%
Other Diabetes care5 301 -31%
Diabetes care 8,713 -4%
Obesity care6 862 0%
Diabetes & Obesity care 9,575 4%
Rare disease7 335 93%
Total 9,910 6%
    152/180

    Loading...

    153 Novo Nordisk®
Investor presentation First six months of 2025
0
5
10
15
20
DKK billion
2019 2020 2021 2022 2023 2024
GLP-1
Insulin
Other diabetes care
Obesity care
Rare disease
12% 11% 11% -6%
52.6% 
Insulin market share1
79.6% 
GLP-1 market share1
84%
16%
2024 IO sales
Region China
Rest of IO
11%
Region China is the largest market within IO Novo Nordisk Region China sales
Growth at CER
1Only mainland China
CER: Constant exchange rates; IO: International Operations; VBP: Volume-based procurement 
Note: Region China covers mainland China, Hong Kong, and Taiwan
Sources: NN reported sales; IQVIA MAT CHPA data, Nov 2024
VBP implementation 
initiated
13%
Region China remains a key market for Novo Nordisk and the 
established presence offers growth opportunities
    153/180

    Loading...

    154 Novo Nordisk®
Investor presentation First six months of 2025
Wegovy® launch strategy
• Volume-capped launch
• Out-of-pocket market is initial focus of launch
Access strategy
• Achieve hospital listing for Wegovy® at selected hospitals
• Explore commercial health insurance for selected sub-populations
184
55
1
0
50
100
150
200
Million 
people
PwO in China Seek help on AOM treatment
High unmet need for anti-obesity medications in mainland China Wegovy® launch out-of-pocket initially
Nov 2024
Launched in 
mainland China
AOM: Anti-obesity medication; PwO: People with obesity
Note: Obesity in China defined as BMI ≥ 28; Region China covers mainland China, Hong Kong, and Taiwan
Source: Lancet Diabetes Endocrinol 2021, Goldman Sachs Global investment research, Data from 2019
CFTU: OK no changes
Wegovy® was launched in Nov 24 and is expected to address the 
high unmet need for anti-obesity medications in Region China
    154/180

    Loading...

    155 Novo Nordisk®
Investor presentation First six months of 2025
Region China
Diabetes market share and market growth in 
Region China
31.7%
13.5%
8.1%
-20%
0%
20%
40%
0%
10%
20%
30%
40%
NN market share
Market growth (right axis)
NN growth (right axis)
Diabetes market growth and Novo Nordisk market share Diabetes market size and growth
Novo Nordisk Competitors
May
2024
May
2025
May NN Company A Others
2022
May
2025
DKK 
billion
33% 32%
28 1
1
2 32
~8%
~13%
NN: Novo Nordisk
Note: Due to contractual obligations competitor names are not disclosed. Company A represents an actual company. Region China covers Mainland China, Taiwan, and Hong Kong; Market values are based on the list prices
Source: IQVIA, May 2025, Value, MAT
    155/180

    Loading...

    156 Novo Nordisk®
Investor presentation First six months of 2025
Region China
GLP-1 market share and market growth in Region China
81%
35%
-2%
1%
-20%
0%
20%
40%
60%
80%
100%
120%
140%
0%
25%
50%
75%
100%
125%
150%
175%
200%
225%
250%
275%
NN market share NN share of growth
Market growth (right axis) NN growth (right axis)
GLP-1 market growth and Novo Nordisk market share GLP-1 market size and growth
89%
67%
Others
85%
Novo Nordisk Company A
63%
66.7%
May
2025
May
2024
66.9%
May 
2022
May 
2025
Novo Nordisk Competitors
DKK 
billion
~79% ~82%
6 0
0
0 5
~1%
~-2%
NN: Novo Nordisk 
Note: Due to contractual obligations competitor names are not disclosed. Company A represents an actual company.; Region China covers Mainland China, Taiwan, and Hong Kong; Market values are based on the list prices
Source: IQVIA, May 2025, Value, MAT
    156/180

    Loading...

    157 Novo Nordisk®
Investor presentation First six months of 2025
Region China
Insulin market size and volume share of growth and 
market share in Region China
40%
12%
10%
-40%
-20%
0%
20%
40%
60%
-40%
0%
40%
80%
NN market share
Market growth (right axis)
NN growth (right axis)
May
2022
May 
2025
Insulin volume: market share 
17.3% -2.4%
15.3% +2.8%
8.9% -10.8%
20.5% -2.4%
19.3% -1.5%
Premix
Total 50%
35%
48%
67%
Fastacting
Long–
acting
24%
Human
11
5
2
5
1
Novo Nordisk Competitors
Market 
growth1
Δ Market 
share
Insulin market share and market size (DKK billion) 
1Market growth is YTD current vs YTD previous year
NN: Novo Nordisk; Note: Region China covers Mainland China, Taiwan, and Hong Kong; Market values are based on the list prices
Source: IQVIA, May 2025, LHS graph – Value, RHS Graph - Volume, MAT
    157/180

    Loading...

    158 Novo Nordisk®
Investor presentation First six months of 2025
Financials and
Product Supply
158
Product supply 14
Product supply 147
Profit and loss, resource allocation 14
Profit and loss, resource allocation 144
Margin development & capital allocation 153
Currencies 156
Investor presentation First six months of 2025
Profit and loss, resource allocation
Product supply
Margin development & capital allocation
Currencies
    158/180

    Loading...

    Novo Nordisk®
159 Investor presentation First six months of 2025
Solid sales growth driven by Diabetes and Obesity care
16%
84%
2019
15%
85%
2020
14%
86%
2021
12%
88%
2022
7%
93%
2023
6%
94%
2024
122 127
141
177
232
290
Reported annual sales 2019-2024
Diabetes and Obesity care Rare disease Group sales growth at CER
6% 7% 14% 16% 36%
DKK billion, % of total sales
CER: Constant exchange rates
26%
    159/180

    Loading...

    Novo Nordisk®
160 Investor presentation First six months of 2025
Operating profit
Solid operating profit growth
0%
20%
40%
60%
80%
0
20
40
60
80
100
120
140
2019 2020 2021
DKK
billion
2023
%
of sales
2022
Operating profit as % of sales
Operating profit Reported operating profit growth
Operating profit growth at CER
11%
6%
3%
7%
8%
13%
28%
15%
37%
44%
2024
25%
26%
CER: Constant exchange rates
    160/180

    Loading...

    Novo Nordisk®
161 Investor presentation First six months of 2025
Corporate strategy guides resource allocation Expected primary sales growth drivers towards 2032
Resource allocation in Novo Nordisk is guided by investing in 
future growth while delivering attractive shareholder returns
CETA: Cardiovascular and emerging therapy areas; RBD: Rare blood disorders
Rare disease
Diabetes Obesity
Cardiovascular & 
emerging therapy 
areas
Strengthen leadership
Secure a leading 
position Establish position in 
cardiovascular 
disease
Strengthen leadership
Focus on driving sustained sales growth
• Build obesity care market
• Expand manufacturing capacity
• Expand R&D pipeline 
ILLUSTRATIVE
2022 2027 2032
Waves of growth
Diabetes
GLP-1
Obesity
RBD
CETA
Early pipeline
    161/180

    Loading...

    162 Novo Nordisk®
Investor presentation First six months of 2025
Novo Nordisk competitive advantages in manufacturing
Manufacturing scale and expertise within biologics is a 
competitive advantage for Novo Nordisk
1
In addition to the above-mentioned product classes, other diabetes care constitutes the remainder of people treated with Novo Nordisk products
API: Active pharmaceutical ingredient; NN: Novo Nordisk
Sources: Volume market share and position based on IQVIA Moving Annual Total (MAT), Nov 2024 (Spot rate); Novo Nordisk Annual Report 2024
High volume installed capacity for biologics 
Decades of experience with high volume production of 
core yeast and mammalian API platforms
The world’s largest manufacturer of insulin and GLP-1
1
API scalability and yield optimisation driven by 
continuous production technology
In-house expertise in the development and 
manufacturing of devices
28
14
2
0
10
20
30
40
50
Million patients on NN products in 2024
Insulin GLP-1 Diabetes GLP-1 Obesity
#1 ~44% #1 ~64%
Global market position Global volume market share
#1 ~70%
    162/180

    Loading...

    163 Novo Nordisk®
Investor presentation First six months of 2025
Active pharmaceutical ingredient | The strategically important 
sites in Novo Nordisk are based in Denmark and the US
3 sites
API production
2 sites
API production
Product 
supply 
value 
chain
Assembly and 
packaging
Research and 
Development
Manufacturing 
development
API
production
Filling /
tableting
Distribution
(cold chain)
Patients
    163/180

    Loading...

    164 Novo Nordisk®
Investor presentation First six months of 2025
5 sites
Fill, tablet and finish
6 sites
Fill-finish | The global footprint has expanded from 11 to 14 sites 
with the closing of the Catalent acquisition in December 2024
1The Alkermes transaction (Dec 2023): Expected to close in mid-2024
API: Active pharmaceutical ingredient
Note: There are local production facilities in Algeria, Iran, Japan, and Russia
New sites following closing of the Catalent transaction in December 2024
Fill-finish
Fill, tablet and finish Fill-finish
Fill-finish
Catalent (Anagni)
Catalent (Bloomington) Fill-finish
Fill-finish
Catalent (Brussels)
Fill-finish
Product 
supply 
value 
chain
Assembly and 
packaging
Research and 
Development
Manufacturing 
development
API
production
Filling /
tableting
Distribution
(cold chain)
Patients
Tablet1
    164/180

    Loading...

    Novo Nordisk®
165 Investor presentation First six months of 2025
Significant step-up in CAPEX investments across the full value 
chain to enable growth for current and future products
CAPEX investments Several large investments announced since 2021
API: Active pharmaceutical ingredient; CAPEX: Capital expenditures; CETA: Cardiovascular and emerging therapy areas
Note: Investment figures have been rounded
6
12
26
47
~65
16%
0
20
40
60
80
DKK billion
2021 22
11%
23 24 25E 2027E
4%
8%
CAPEX Expected CAPEX CAPEX to sales ratio
Announced Site Scope Investment
2021
December
Kalundborg
Denmark
Full value chain
(mostly API) 17 bDKK
2022
November
Bagsværd
Denmark Clinical API 5 bDKK
2023
June
Hillerød
Denmark API for OSCD 16 bDKK
2023
November
Kalundborg
Denmark
Full value chain
(mostly API) 42 bDKK
2023
November
Chartres
France Fill/finish 16 bDKK
2023
December
Athlone
Ireland Oral portfolio 1 bDKK
2024
June
Clayton
US Fill/finish 27 bDKK
2024
December
Odense
Denmark 9 bDKK
Typical construction timelines: API: 5+ years | Fill-finish: 3+ year
Clinical API
Mainly API
Mainly API
Oral portfolio
API for CETA
Fill-Finish
Low double-digit 
CAPEX to sales 
ratio expected
Fill-Finish
Not specified
    165/180

    Loading...

    Novo Nordisk®
166 Investor presentation First six months of 2025
Catalent fill-finish sites are expected to start adding additional 
capacity from 2026
• Will help reach more patients with current and future treatments
• Enables faster expansion of manufacturing capacity at scale, while 
providing future optionality and flexibility
• The three sites are fully operational and employ >3,000 people
• The acquisition is expected to gradually increase Novo Nordisk's 
fill-finish capacity from 2026 and onwards
Successfully closed the acquisition of three fill-finish sites The acquisition will help expand capacity faster
Bloomington site (Indiana, US)
Brussels site (Belgium)
Anagni site (Italy)
Novo Nordisk will honour all customer obligations at these sites
US: United States
The acquisition of the three sites was completed on the 18th Dec
    166/180

    Loading...

    167 Novo Nordisk®
Investor presentation First six months of 2025
Investments across the full manufacturing value chain to 
significantly increase patient reach towards 2030
ILLUSTRATIVE
2023 2030
~40m
patients
Assembly and 
packaging
API
production
Filling /
tabletting
Capacity developments in the coming years
1923
API: Active Pharmaceutical Ingredient
    167/180

    Loading...

    Novo Nordisk®
168 Investor presentation First six months of 2025
Expected margin developments in the coming years compared 
to 2023 are reflecting strategic resource allocation 
R&D: Research and development; S&D: Sales and distribution
Note: The outlined expected developments are aspirations and not long-term financial targets
Gradually decline 
driven by topline growth
Gradually increase to 
expand and diversify 
pipeline
Decline driven by 
efficiency gains Increase
Broadly stable but 
decline incl. Catalent 
transaction
Expected development Expected development with Catalent transaction
S&D
cost ratio 
R&D
cost ratio
Administration
cost ratio
Operating
margin
Gross
margin
    168/180

    Loading...

    Novo Nordisk®
169 Investor presentation First six months of 2025
Internal growth opportunities: R&D and PS investments
Attractive annual dividend 
BD investments to enhance R&D pipeline
Flexible share buybacks to distribute excess cash 
Novo Nordisk’s capital allocation allows for investing in the 
business while maintaining attractive shareholder returns 
BD: Business development; CAPEX: Capital expenditure; E: Estimated; PS: Product supply; R&D: Research and development
Note: All numbers except for pay-out ratio are based on cash flow statement. Pay-out ratio calculated as total dividends for the year as a percentage of net profit for the same year
Strategic capital allocation priorities
1
2
3
4
Stable dividend pay-out ratio despite increased CAPEX and BD
DKK billion
0
40
80
120
160
200
2021 2022 2023 2024
Pay-out ratio
Share buyback
BD
Dividend
Acquisition of Catalent sites
CAPEX
~50%
    169/180

    Loading...

    170 Novo Nordisk®
Investor presentation First six months of 2025
• For 2024, the total dividend per share increased 21.3% to 11.40 DKK, 
comprised of an interim dividend of 3.50 DKK paid in August 2024 and 
a final dividend of 7.90 DKK paid in April 2025
• For 2025, the interim dividend of 3.75 DKK per share will be paid in 
August 2025
• Following Novo Nordisk’s capital allocation principles, no share 
buyback programme has been initiated for 2025.
Annual cash return to shareholders Capital allocation
Attractive capital allocation to shareholders
DKK billion
2022 2023 2024 2025E
Interim Dividend Dividend Share Repurchase
24
30
20
16
18
29
35
10
13 16
17
0
10
20
30
40
50
60
70
Note: An authorization to the Board of Directors to buy back shares of up to a total nominal amount of 44,650,000 DKK was granted at the Annual General Meeting in March 2025. The authorization is valid until the Annual General Meeting in 2026.
    170/180

    Loading...

    Novo Nordisk®
171 Investor presentation First six months of 2025
Two decades of consistent cash distribution to shareholders
0.8 1.0 1.4 1.8 2.3 2.5
3.2 3.8 3.9 4.1 4.2 4.6 5.2
9.4
0
20
40
60
80
0
10
20
0.2
2003
0.2 0.3 0.4 0.5 0.6
2024
3 3 5 5 7 8
10
13
2011
20
24
27
30
39
36
16
35 37
41
49
62 64
35
Total pay-out1 Total dividend per share2
~570 billion DKK returned to shareholders since 2003
1Dividends and share buybacks in the year of pay-out; 2Reflects year of earnings
Source: Novo Nordisk annual Reports
Share buybacks and dividends (bDKK) Total dividends per share (DKK)
6.2
11.4
    171/180

    Loading...

    Novo Nordisk®
172 Investor presentation First six months of 2025
Net financials expected to be positively impacted by currencies in 
2025 – offset by currency impact on operating profit
-8%
-4%
0%
USD/DKK CNY/DKK JPY/DKK
Avg. FY 2024 vs. avg. FY 2023 Exp. avg FY 2025 vs. FY 2024
-12%
-6%
0%
CAD/DKK AUD/DKK BRL/DKK MXN/DKK KRW/DKK
Hedged
Nonhedged
1
FY 2024
• Negative FX impact on operating profit of 1.1 
bDKK
• Negative FX impact on net financials of 1.0 bDKK
• Net foreign exchange loss of 2.1 bDKK
FY 2025 outlook
• Currency impact on operating profit is expected to 
be around -5%-points
• Net financial items is expected to be a gain of 
around 1.6 bDKK mainly driven by: 
• FX - Gains on USD hedging contracts
• Partially offset by net interest expenses
relating to funding of the three fill and 
finish sites acquired from Catalent
1 Year-to-date realised data and remainder expected flat currency development based on the spot rate as of 31 July 2025
USD: United States Dollar; DKK: Danish Kroner; CNY: Chinese Yuan Renminbi; JPY: Japanese Yen; CAD: Canadian Dollar; AUD: Australian Dollar; BRL: Brazilian Real; MXN: Mexican Peso; KRW: Korean Won
    172/180

    Loading...

    Novo Nordisk®
173 Investor presentation First six months of 2025
RANJITH S.
Ranjith lives with type 1 diabetes
India
Purpose & 
Sustainability
Environmental responsibility 150 
Sustainable business 148
Governance 158 
Social responsibility 153 
173 Investor presentation First six months of 2025
RANJITH S.
Ranjith lives with type 1 diabetes
India
Purpose & 
Sustainability
Environmental responsibility
Sustainable business
Ethics and compliance
Social responsibility
Social responsibility
    173/180

    Loading...

    Novo Nordisk®
174 Investor presentation First six months of 2025
Being a responsible business drives long-term value
77.3% Votes
28.1% Capital
Institutional and
private investors 
– B3 shares
Novo Holdings – A2 and B3 shares
22.7% Votes
71.9% Capital
Novo Nordisk A/S
Novo Nordisk Foundation
• Key objective: To provide a stable basis for Novo Nordisk and Novonesis
• Aims to improve public health and promote societal sustainability
• Awarded grants for more than 10 bDKK in 2024
Ownership structure creates long-term value Commitment to lead a sustainable business1
1Environmental, Social and Governance responsibility has been anchored in Articles of Association since 2004; 2Consists of 1,075 million shares; 3Consists of 3,390 million shares
Note: Ownership structure as of 30 June 2025
    174/180

    Loading...

    175 Novo Nordisk®
Investor presentation First six months of 2025
Novo Nordisk’s ambition is zero environmental impact
1Since 2020 2As TNFD early adopter, Novo Nordisk has committed to report according to TNFD by 2025
CAPEX: Capital expenditure; NN: Novo Nordisk; TNFD: Taskforce on Nature-related Financial Disclosures
CO2 emissions Plastic Biodiversity
2020 ReMedTM, Novo Nordisk’s 
plastic take-back programme 
initiated 
2023 2+ million used NN pens 
returned1
2023 Lilly, Sanofi and Merck joined 
the initiative in Denmark
• Committed to start making 
nature-related disclosures
• Nature and biodiversity strategy 
being developed
• Novo Nordisk early adopter of 
TNFD2
2024 Emissions increased due to 
growth and CAPEX 
investments
2030 Target: Zero emissions from 
own operations and 
transportation
2045 Target: Net zero emissions 
across full value chain
    175/180

    Loading...

    176 Novo Nordisk®
Investor presentation First six months of 2025
Prevention
• Cities Changing Diabetes to build 
healthier environments in cities 
• Partnership with UNICEF to 
reduce childhood obesity
• Obesity transformational 
prevention unit created in 2023
• ~8 million people reached 
through our initiatives in 2024
• Aspen partnership to produce 
human insulin for Africa
• Changing Diabetes® in Children 
to provide care in low-and 
middle-income countries 
Access
• Transformative treatments to 
raise the innovation bar
Innovation
Social responsibility is core to Novo Nordisk and initiatives focus
on prevention, access and innovation
    176/180

    Loading...

    177 Novo Nordisk®
Investor presentation First six months of 2025
Integrating ethics and compliance into every aspect of our 
business
HCP: Health care professional, KOL: Key opinion leader 
Ethics and compliance are at the core of Novo Nordisk Steps taken to strengthen ethics and compliance setup
Training: Enhanced training and processes around 
KOL engagements, HCPs, partners, patients etc 
Communication: Letters shared with HCPs 
reinforcing approved indication included in product 
label
Resources: Dedicated obesity ethics, legal and 
compliance teams established to further increase 
compliance when launching Wegovy®
Core elements of our compliance set-up
We never 
compromise on 
quality and ethics
Trends, 
monitoring 
and risk 
management
Audits Global Code 
of Conduct
Mandatory 
ethics 
training
    177/180

    Loading...

    Novo Nordisk®
Investor presentation First six months of 2025
Units 2024 2023 2022
Essential sustainability topics
Patient protection 
and quality of life
Patients reached with Diabetes and Obesity care products Number in millions 45.2 41.6 36.9
Vulnerable patients reached with Diabetes care products1 Number in millions 8.4 8.8 -
Children reached through Changing Diabetes® in Children programme (cumulative) Number 64,743 52,249 41,033
Product recalls Number 3 2 3
Failed inspections Number 0 0 0
Climate change
Scope 1 GHG emissions 1,000 tonnes CO2e 85 78 76
Scope 2 GHG emissions (market-based) 1,000 tonnes CO2e 16 15 16
Scope 3 GHG emissions2 1,000 tonnes CO2e 2,160 1,743 -
Resource use and 
circular economy
Plastic footprint (absolute) Tonnes 15,654 - -
Plastic footprint per patient Kg/patient 0.35 - -
Own workforce
Employees (headcount) – excluding Catalent3 Number 74,156 64,319 55,185
Gender in senior leadership positions % men: women 58:42 59:41 61:39
Rate of recordable work-related accidents for own workforce4
Accidents per million 
hours worked 1.2 1.3 1.3
Employees reporting symptoms of stress % 13.8 13.8 13.8
Employees reporting symptoms of work-related physical pain % 6.8 7.1 7.8
Important sustainability topics
Business conduct
Substantiated cases reported within accounting issues, fraud and business ethics matters via the Compliance Hotline5 Number 242 221 227
Animals purchased for research Number 49,284 56,508 79,750
Water Total Water consumption 1000 m3 630 - -
Pollution
Total amount of substances of very high concern that leave facilities Tonnes 1 - -
Total amount of substances of concern that leave facilities Tonnes 10 - -
178
2024 statement of ESG performance
12023 figure has been restated 22023 figure has been restated 3Total headcount of 77,349 in the Consolidated Financial Statement. The variance of 3,913 employees is due to Catalent Employees not included 42023 and 2022 figures have been restated
52023 and 2022 figures have been restated
    178/180

    Loading...

    Novo Nordisk®
Investor presentation First six months of 2025
In 2024, more than 8.4 million people with diabetes were reached 
with access and affordability initiatives
8.4 out of 45.2 million people were reached
with access and affordability initiatives A number of focused programmes (as of full year 2024)
Patients reached in 2024
45.2
Million patients Patients 
reached with 
NN diabetes 
and obesity 
care products
US 
affordability 
offerings
• Patients treated with our Diabetes products increased 6% from 40.5 
million in 2023 to 43 million in 2024 primarily driven by the increase in 
Diabetes GLP-1-based products 
• Patients reached with Obesity treatments increased from 1.1 million in 
2023 to 2.2 million in 2024 primarily driven by the launch of Wegovy® in 
+10 additional countries in International Operations
• In 2024, 80% of US patients with insurance coverage for Ozempic® or 
Wegovy® paid USD 25 or less for each prescription, and almost 90% of US 
patients paid USD 50 or less.
• Continued commitment of long-standing patient assistance program to 
support eligible patients.
Vulnerable 
patients 
reached
Changing 
Diabetes® in 
Children1
• 64,743 children reached at the end of 2024 across 30 countries
• More than half of the 12,494 newly enrolled children reached through 
expansion in Asian countries mainly India, Pakistan, Indonesia and 
Malaysia
• Vulnerable patients treated with our Diabetes care products decreased 
5% from 8.8 million in 2023 to 8.4 million in 2024 due to fewer 
vulnerable patients reached through human insulin tender sales and 
access and affordability initiatives. 
Vulnerable patients reached
8.4
179
1Changing Diabetes® in Children is a public-private partnership between the International Society for Paediatric and Adolescent Diabetes, the World Diabetes Foundation, Roche, and Novo Nordisk
    179/180

    Loading...

    180 Novo Nordisk®
Investor presentation First six months of 2025
Investor contact information
Share information
Novo Nordisk’s B shares are listed on the stock exchange in 
Copenhagen under the symbol ‘NOVO B’. Its ADRs are listed on the 
New York Stock Exchange under the symbol ‘NVO’. 
For further company information, visit Novo Nordisk on: 
www.novonordisk.com
Access the full investor presentation here:
Investor Relations contacts
Novo Nordisk A/S 
Investor Relations 
Novo Allé 1 
DK-2880 Bagsværd
Jacob Martin Wiborg Rode +45 3075 5956 jrde@novonordisk.com
Sina Meyer +45 3079 6656 azey@novonordisk.com
Max Ung +45 3077 6414 mxun@novonordisk.com
Alex Bruce +45 3444 2613 axeu@novonordisk.com
Christoffer Sho Togo Tullin +45 3079 1471 cftu@novonordisk.com
Frederik Taylor Pitter (USA) +1 609 613 0568 fptr@novonordisk.com
    180/180

    Novo Nordisk Investor Update: First Six Months 2025

    • 1. Novo Nordisk – a focused healthcare company Investor presentation First six months of 2025 RAFAEL VALVERDE Rafael lives with obesity Mexico
    • 2. 2 Novo Nordisk® Investor presentation First six months of 2025 Agenda Progress on Strategic Aspirations 2025 Financials Innovation and therapeutic focus Commercial execution Agenda
    • 3. 3 Novo Nordisk® Investor presentation First six months of 2025 Novo Nordisk’s statutory Annual Report 2024, Form 20-F, any quarterly financial reports, investor presentations and written information released, shown, or oral statements made, to the public in the future by or on behalf of Novo Nordisk, may contain certain forward-looking statements relating to the operating, financial and sustainability performance and results of Novo Nordisk and/or the industry in which it operates. Forward-looking statements can be identified by the fact that they do not relate to historical or current facts and include guidance. Words such as ‘believe’, ‘expect’, ‘may’, ‘will’, ‘plan’, ‘strategy’, ‘transition plan’, ‘prospect’, ‘foresee’, ‘estimate’, ‘project’, ‘anticipate’, ‘can’, ‘intend’, ‘target’ and other words and terms of similar meaning in connection with any discussion of future operating, financial or sustainability performance identify forward-looking statements. Examples of such forward-looking statements include, but are not limited to: • Statements of targets, future guidance, (transition) plans, objectives or goals for future operations, including those related to operating, financial and sustainability matters, Novo Nordisk’s products, product research, product development, product introductions and product approvals as well as cooperation in relation thereto; • Statements containing projections of or targets for revenues, costs, income (or loss), earnings per share, capital expenditures, dividends, capital structure, net financials and other financial measures; • Statements regarding future economic performance, future actions and outcome of contingencies such as legal proceedings; and • Statements regarding the assumptions underlying or relating to such statements. These statements are based on current plans, estimates, opinions, views and projections. Although Novo Nordisk believes that the expectation reflected in such forward-looking statements are reasonable, there can be no assurance that such expectation will prove to be correct. By their very nature, forward-looking statements involve risks, uncertainties and assumptions, both general and specific, and actual results may differ materially from those contemplated, expressed or implied by any forward-looking statement. Factors that may affect future results include, but are not limited to, global as well as local political, economic and environmental conditions, such as interest rate and currency exchange rate fluctuations or climate change, delay or failure of projects related to research and/or development, unplanned loss of patents, interruptions of supplies and production, including as a result of interruptions or delays affecting supply chains on which Novo Nordisk relies, shortages of supplies, including energy supplies, product recalls, unexpected contract breaches or terminations, government-mandated or marketdriven price decreases for Novo Nordisk’s products, introduction of competing products, reliance on information technology including the risk of cybersecurity breaches, Novo Nordisk’s ability to successfully market current and new products, exposure to product liability and legal proceedings and investigations, changes in governmental laws and related interpretation thereof, including on reimbursement, intellectual property protection and regulatory controls on testing, approval, manufacturing and marketing, and taxation changes, including changes in tariffs and duties, perceived or actual failure to adhere to ethical marketing practices, investments in and divestitures of domestic and foreign companies, unexpected growth in costs and expenses, strikes and other labour market disputes, failure to recruit and retain the right employees, failure to maintain a culture of compliance, epidemics, pandemics or other public health crises, the effects of domestic or international crises, civil unrest, war or other conflict and factors related to the foregoing matters and other factors not specifically identified herein. For an overview of some, but not all, of the risks that could adversely affect Novo Nordisk’s results or the accuracy of forward-looking statements in the Annual Report 2024, reference is made to the overview of risk factors in ‘Risks’ of the Annual Report 2024. None of Novo Nordisk or its subsidiaries or any such person's officers, or employees accept any responsibility for the future accuracy of the opinions and forward-looking statements expressed in the Annual Report 2024, Form 20-F, any quarterly financial reports, investor presentations, and written information released, shown, or oral statements made, to the public in the future by or on behalf of Novo Nordisk or the actual occurrence of the forecasted developments. Unless required by law, Novo Nordisk has no duty and undertakes no obligation to update or revise any forward-looking statement, whether as a result of new information, future events, or otherwise. Important drug information Victoza® and Ozempic® are approved for people with type 2 diabetes only Saxenda® and Wegovy® are approved for people with overweight and obesity only Forward-looking statements
    • 4. 4 Novo Nordisk® Investor presentation First six months of 2025 Strategic Aspirations 2025|Highlights first six months of 2025 Progress towards zero environmental impact • CO2e emissions1increased by 31% compared to first six months of 2024 Adding value to society • Medical treatment provided to 42.8 million people living with diabetes and 2.9 million people living with obesity Being recognised as a sustainable employer • Share of women in senior leadership positions has increased to 43% from 41% end of June 2024 Purpose andsustainability(ESG) Diabetes value market share at 32.6% (-1.4 %-p)2 Obesity care sales of DKK 38.8 billion (+58% at CER) Rare disease sales of DKK 9.5 billion (+15% at CER) Commercialexecution Sales growth of 18% (CER) Operating profit growth of 29% (CER) Free cash flow of DKK 33.6 billion and 36.5 billion returned to shareholders Financials Further raise innovation bar for Diabetes treatment • Ozempic® positive opinion by the EMA for PAD Develop superior treatment solutions for Obesity • Advancement of sc and oral amycretin to phase 3 • CagriSema phase 3b REDEFINE 11 trial initiated • Sema 7.2 mg EU submission • Septerna license agreement for oral small molecules Strengthen and progress Rare Disease pipeline • Alhemo® US approval and CMHP positive opinion Establish presence in CV & Emerging Therapy areas Innovation andtherapeutic focus • Coramitug phase 2 trial successfully completed Light blue indicates developments in Q2 2025 1Scope 1, 2 and 3;2MAT (Moving Annual Total) value market share CagriSema: cagrilintide 2.4 mg and semaglutide 2.4 mg; CER: Constant exchange rates; CO2e: CO2 equivalents; CV: Cardiovascular; EMA: European Medicines Agency; EU: European Union; JP: Japan; MASH: Metabolic dysfunction-associated steatohepatitis; PAD: Peripheral arterial disease; Sc: Subcutaneous; Sema: Semaglutide; US: United States Note: The strategic aspirations are not a projection of Novo Nordisk's financial outlook or expected growth.
    • 5. 5 Novo Nordisk® Investor presentation First six months of 2025 0 20 40 60 80 100 US IO EUCAN Emerging Markets APAC Region China Insulin GLP-1 diabetes Other diabetes Obesity care Rare disease Growth at CER 0 20 40 60 80 100 120 140 160 180 Total GLP-1 diabetes Insulin Obesity care Rare disease US Operations International Operations Growth at CER International Operations Reported geographic sales split for first six months 2025 DKK billion DKK billion US IO US IO 17% 16% 22% 35% 19% 17% 19% 18% 9% 10% 10% 17% -1% 4% 36% 125% 58% 23% 10% 15% Sales growth of 18% driven by both operating units Reported therapy area sales and growth for first six months 2025 1 1 ‘Other diabetes’ is included in Total APAC: Japan, Korea, Oceania and Southeast Asia; CER: Constant exchange rates; Region China: Mainland China, Hong Kong and Taiwan; Emerging Markets: mainly Latin America, Middle East and Africa; EUCAN: Europe and Canada; IO: International Operations; US: United States Note: Unless otherwise specified, sales growth rates are at CER 6% US IO
    • 6. 6 Novo Nordisk® Investor presentation First six months of 2025 Rare disease sales increased by 15%: • Sales in US Operations increased by 23% • Sales in International Operations increased by 10% Rare endocrine disorders sales increased by 49%: • US Operations increased by 67%, driven by Norditropin® and Sogroya® • International Operations increased by 30%, driven by Norditropin® and Sogroya® Rare blood disorders sales increased by 6%: • US Operations increased by 6% driven by increased NovoSeven® and Alhemo® sales • International Operations increased by 6% driven by increased sales of haemophilia B and Alhemo® Rare disease sales performance Rare disease sales increased by 15% 0 2 4 6 8 10 Rare blood disorders Reported Rare disease sales Total1 NovoSeven®Haem. A Rare endocrine disorders3 DKK billion Haem. B Rare blood disorders2 15% -5% 9% 5% 49% Growth at CER 6% 1Total includes “Other Rare disease”, which consists of primarily Vagifem® and Activelle® 2Comprises Sogroya® NovoSeven®, NovoEight®, Esperoct®, Refixia®, NovoThirteen® and Alhemo® 3Primarily Norditropin® and Sogroya® CER: Constant exchange rates; Haem. A: Haemophilia A; Haem. B: Haemophilia B; IO: International operations; US: United States Note: NovoThirteen® is not shown for Rare blood disorders breakdown, only for the total bar. Unless otherwise specified, sales growth is at constant exchange rates
    • 7. 7 Novo Nordisk® Investor presentation First six months of 2025 US diabetes GLP-1 class growth slowing compared to prior years Weekly NBRx scripts (‘000s) 0 30 60 90 July 2023 July 2025 TRx scripts (‘000s) Total GLP-1 SUs (millions) July 2023 July 2025 NBRx: New-to-brand prescriptions; NN: Novo Nordisk; Scripts: Prescriptions; SU: standard units; TRx: Total prescriptions; US: United States Note: Class growth calculated based on SU volume for diabetes GLP-1 as May’25-July’25 vs May’24-July’24 (Rolling 3-month average) Source: IQVIA Xponent Plantrak, NBRx and TRx data from week ending 18th July and 25th July, respectively. Each data point represents a rolling four-week average. Class growth ~15% Ozempic® Rybelsus® NN GLP-1 dulaglutide tirzepatide Total monthly GLP-1 prescriptions 686 84 184 771 690 0 2 4 6 8 0 200 400 600 800 1000 US GLP-1 diabetes weekly NBRx prescriptions US GLP-1 diabetes TRx market share
    • 8. 8 Novo Nordisk® Investor presentation First six months of 2025 1 Each NBRx and TRx data point represents one week of data. IQVIA Xponent 11 Jul 2025 for NBRx and IQVIA NPA weekly, 25 Jul 2025 for TRx, including NovoCare Pharmacy TRx starting with week-ending 18 July 2025. 2Class growth based on IQVIA 25 July 2025 volume data, MAT. AOM: Anti-Obesity Medications (includes Wegovy®, Saxenda®, Zepbound®, Qsymia® and Contrave®); HFpEF: Heart failure with preserved ejection fraction; MAT: Moving annual total; TRx SU: A one-month prescription supply; US: United States NBRx scripts (‘000s) TRx scripts (‘000s) Jul 2023 Jul 2025 0.3 42 57 101 0 20 40 60 80 100 120 US branded anti-obesity medication market expansion continues, while GLP-1 compounding continues Compounding • Novo Nordisk is focused on actively preventing unlawful and unsafe compounding Commercial execution • Cash channel expanded from 4% to ~10% of TRx since January 2025 • CVS national template formulary conversion ongoing • MASH decision still expected in Q3 2025 • Wegovy® supply available to meet demand in US Branded AOM NBRx in the US1 Branded AOM TRx in the US1 Branded AOM class grew >160%2 Saxenda tirzepatide ® Wegovy® Branded AOM market 0 100 200 300 400 500 600 700 800 Jul 2023 Jul 2025 2 713 282 419
    • 9. 9 Novo Nordisk® Investor presentation First six months of 2025 International Operations sales growth of 19% driven by GLP-1 Diabetes and Obesity care 1No comparator for first six months 2025 APAC: Japan, Korea, Oceania and Southeast Asia; CER: Constant exchange rates; China: Mainland China, Hong Kong and Taiwan; Emerging Markets: mainly Latin America, Middle East and Africa; EUCAN: Europe and Canada; IO: International Operations Reported Obesity care sales and growth for first six months 2025 0 4 8 12 16 20 24 28 32 IO EUCAN Emerging Markets APAC Region China Ozempic Rybelsus Victoza DKK billion Growth at CER 10% Reported GLP-1 Diabetes care sales and growth for first six months 2025 0 4 8 12 16 IO EUCAN Emerging Markets APAC Region China DKK Wegovy Saxenda billion Growth at CER 125% Regions 15% 13% 11% -11% Regions 64% 157% 361% N/A%1 ® ® ® ® ®
    • 10. 10 Novo Nordisk® Investor presentation First six months of 2025 Total GLP-1 class market share of 71% in International Operations 41% 17% 14% 11% 71% 25% 8% 0 2 4 6 8 10 12 0% 20% 40% 60% 80% Thousands GLP-1 patients Ozempic Rybelsus dulaglutide tirzepatide² Novo Nordisk³ Eli Lilly Wegovy Volume market share Patients Total class growth ~30% (millions) May 2023 May 2025 1GLP-1 patients across Diabetes and Obesity care 2 In IO countries, tirzepatide is categorised under GLP-1 diabetes only, despite having indications for Diabetes and Obesity in most launched countries 3Includes Victoza® and Saxenda® IO: International Operations; JP: Japan Note: Market share and patient numbers are based on countries with IQVIA coverage. GLP-1 class growth calculated as Mar’24-May’24 vs Mar’25-May’25 (Rolling 3-month average) Source: LHS: IQVIA MAT, May 2025 (Spot rate). Volume packs are converted into full-year patients based on WHO assumptions for average daily doses; Market values are based on the list prices. RHS: International Diabetes Federation: Diabetes Atlas 11th edition, 2025, World Obesity Atlas 2024 Total GLP-1 patients1 and volume market share in IO GLP-1 patients (LHS) Diabetes GLP-1 • Rybelsus® launched in more than 40 countries • Ozempic® launched in around 80 countries with promotional focus resumed, reflecting improved supply Obesity • Wegovy® launched in around 35 countries • MASH indication submitted in JP in May 2025 • Semaglutide 7.2 mg submitted in EU in July 2025 • Roll-out of Wegovy® in additional countries expected in H2 2025 IO total GLP-1 performance ® ® ®
    • 11. 11 Novo Nordisk® Investor presentation First six months of 2025 The high unmet need in diabetes and obesity and low market penetration to-date makes unlocking the market a key priority • >550 million people live with diabetes globally, with over 90% outside of the US1 • >900 million people with obesity globally, with around 90% outside of the US2 1Diabetes Atlas 11th edition, 2025, including Type 1 and Type 2 Diabetes. 2 NHANES (2013-2014, 2015-2016, 2017-2020, 2021-2023), UN World Population Prospects report, WHO, IDF World Diabetes Atlas, World Obesity Atlas and PADAWA Analysis. 3Based on IQVIA MIDAS, May 2025 data - In ex-US countries, tirzepatide is categorised under GLP-1 diabetes only in IQVIA data, despite having indications for diabetes and obesity in most launched countries in IQVIA. APAC: Japan, Korea, Oceania and Southeast Asia; AOM: Anti-Obesity Medications; Emerging Markets: mainly Latin America, Middle East and Africa; EUCAN: Europe and Canada; Region China: Mainland China, Hong Kong and Taiwan; US: United States. Note: the estimated GLP-1 share of prescriptions is based on volume packs from IQVIA. Volume packs are converted into full-year patients/prescriptions based on WHO assumptions for average daily doses or if not available, Novo Nordisk assumptions. It is possible for a patient to have a prescription for more than one diabetes treatment. Global diabetes and obesity unmet need Globally, ~7% of total estimated diabetes prescriptions are for a GLP-1 Less than 1% of people with obesity globally are treated with branded AOMs 0 4 8 12 16 20 2022 2023 2024 2025 Estimated prescriptions (in millions) 3 US EUCAN Emerging Markets APAC Region China 19% 9% 3% 3% Global: 7% 3% Million people 934 0 250 500 750 1,000 Obesity prevalence2 Est. patients currently on branded AOMs3 ~4 US Rest of world
    • 12. 12 Novo Nordisk® Investor presentation First six months of 2025 Novo Nordisk’s obesity portfolio addresses the future segments and patient preferences of the obesity market Examples of future patient segments BMI 35–40 BMI 40–45 BMI 45–50 + Age and gender differences + Lifestyle considerations + ORC clinical profiles MASH OA CVD HF Addressing unmet needs across patient segments via a focus on weight loss and differentiated clinical profiles1 Amycretin sc and oral Cagrilintide Semaglutide sc and oral CagriSema Tri-agonists ILLUSTRATIVE Weight loss Safety and tolerability Differentiated clinical profiles across co-morbidities Differentiated treatment goals across patient profiles 1 Illustrative, not exhaustive of full obesity pipeline BMI: Body mass index; CVD: Cardiovascular disease; HF: Heart failure; MASH: Metabolic Dysfunction-Associated Steatohepatitis; OA: Osteoarthritis; ORC: Obesity related comorbidities; Sc: Subcutaneous
    • 13. 13 Novo Nordisk® Investor presentation First six months of 2025 1NN9490-7613. Dahl K et al., Lancet 2025, 406(10499):149-162. In total, 125 participants were randomized to sc amycretin (n=101) or placebo (n=24). Dose escalation arm examined multiple ascending doses of once-weekly sc amycretin up to 60 mg, and dose response arm examined multiple ascending doses up to a 12-week maintenance dose of 20 mg, 5 mg and 1.25 mg. AUC: Area Under the Curve; BMI: Body mass index; cmax: maximum (peak) plasma concentration; HbA1c: Haemoglobin A1C ; MAD: Multiple ascending dose; Sc: Subcutaneous; tmax: time to reach maximum (peak) plasma concentration Note: Amycretin is a unimolecular GLP-1 and amylin receptor agonist.. Dose response part of the amycretin sc phase 1b/2a trial Dose escalation Treatment maintenance Placebo amycretin sc 1.25 mg amycretin sc 5 mg amycretin sc 20 mg 7:4:4:1 R 0 8-24 20-36 3 weeks follow-up Week Amycretin to advance into phase 3 based on the successful completion of phase 1b/2a trial Trial objective • Investigate safety, tolerability, pharmacokinetics and efficacy of amycretin sc in participants with overweight or obesity Endpoints • Primary: Number of treatment emergent adverse events • Secondary: Relative change in body weight, AUC, cmax, tmax Estimated body weight loss in dose response arms and 60 mg dose escalation arm1 Change in body weight (%) Time since randomisation 20 weeks 28 weeks 36 weeks 36 weeks 2.0% -9.7% 2.3% -16.2% 1.9% -22.0% -1.1% -24.3% -25% -20% -15% -10% -5% 0% 5% Placebo 1.25 mg Amycretin 1.25 mg Placebo 5 mg Amycretin 5 mg Placebo 20 mg Amycretin 20 mg Placebo 60 mg Amycretin 60 mg
    • 14. 14 Novo Nordisk® Investor presentation First six months of 2025 AMAZE is a comprehensive phase 3 development programme for sc and oral amycretin expected to start in Q1 2026 Phase 3 development programme • Evaluate multiple maintenance doses • Evaluate subcutaneous and oral route of administration • Evaluate key obesity related comorbidities Potential to investigate the benefits of amycretin across obesity related comorbidities, such as: Potential future trials 2026 2027 • 80-week vs. placebo (incl. 52-week ext. phase) • Primary endpoint: Weight loss AMAZE 1 WL in Obesity • 80-week vs. placebo • Primary endpoint: Weight loss AMAZE 2 WL in T2D • 80-week vs. placebo • Co-primary endpoint: AHI/WL AMAZE 3 OSA • 80-week vs. tirzepatide • Co-primary endpoint: WOMAC/WL AMAZE 5 Knee OA 2028 • 72-week vs. Placebo • Primary endpoint: Weight loss AMAZE 9 Oral amycretin Obstructive sleep apnea ASCVD Heart failure CKD Knee Osteoarthritis AHI: apnea-hypopnea index; ASCVD: Atherosclerotic cardiovascular disease; CKD: Chronic kidney disease; OA: Osteoarthritis; OSA: Obstructive sleep apnoea; Sc: Subcutaneous; T2D: Type 2 Diabetes; WOMAC: Western Ontario and McMaster Universities Arthritis Index; WL: Weight loss Selected amycretin phase 3 trials in obesity programme
    • 15. 15 Novo Nordisk® Investor presentation First six months of 2025 R&D milestones Clinical milestones1 Regulatory milestones1 Project Q2 2025 Q3 2025 Q4 2025 Diabetes care CagriSema Phase 3 results (REIMAGINE 3) Oral/Sc amycretin Phase 2 results OW GIP/GLP-1 Phase 2 results Obesity care Oral sema 25 mg US decision Sema 7.2 mg ✓ EU submission CagriSema ✓ Phase 3 initiation (REDEFINE 11) Triple (tri-agonist) Phase 1 results Cagrilintide Phase 3 initiation Oral/Sc amycretin ✓ Advancement to phase 3 Amylin 355 Phase 1 results Rare Disease Sogroya® ✓ US submission2 ✓ JP submission2 Mim8 US submission EU submission Alhemo® ✓ US approval3 ✓ EMA positive opinion3 CETA EVOKE (AD, sema 14 mg) Phase 3 results Coramitug (ATTR-CM) ✓ Phase 2 results Phase 3 initiation Zalfermin (FGF21) ✓ Phase 2 results ESSENCE (MASH, sema 2.4 mg) ✓ JP submission US decision 1Expected to be published in the given quarter or in the subsequent quarterly company announcement. 2Non-replacement indications. 3Without inhibitors. AD: Alzheimer’s disease; ATTR-CM: Transthyretin amyloid cardiomyopathy; CagriSema: cagrilintide 2.4 mg and semaglutide 2.4 mg; CETA: Cardiovascular & emerging therapies; EMA: European Medicines Agency; EU: European Union; GIP: Gastric inhibitory polypeptide; FGF-21: Fibroblast growth factor 21; JP: Japan; MASH: Metabolic dysfunction-associated steatohepatitis; OW: once-weekly; Sema: Semaglutide; US: United States; Sc: subcutaneous
    • 16. 16 Novo Nordisk® Investor presentation First six months of 2025 Financial results – in the first six months of 2025 In DKK million First six months of 2025 First six months of 2024 Change (reported) Change (CER) Sales 154,944 133,409 16% 18% Gross profit 129,208 113,219 14% 16% Gross margin 83.4% 84.9% Sales and distribution costs (32,425) (28,190) 15% 15% Percentage of sales 20.9% 21.1% Research and development costs (21,998) (24,772) (11%) (11%) Percentage of sales 14.2% 18.6% Administration costs (2,536) (2,314) 10% 11% Percentage of sales 1.6% 1.7% Other operating income and expenses (9) (163) N/A N/A Operating profit 72,240 57,780 25% 29% Operating margin 46.6% 43.3% Financial items (net) (1,402) (530) N/A N/A Profit before income tax 70,838 57,250 24% N/A Income taxes (15,301) (11,793) 30% N/A Effective tax rate 21.6% 20.6% Net profit 55,537 45,457 22% N/A Diluted earnings per share (DKK) 12.49 10.17 23% N/A CER: Constant exchange rates
    • 17. 17 Novo Nordisk® Investor presentation First six months of 2025 Financial outlook for 2025 1Excluding impact from business development CER: Constant exchange rates Note: The financial outlook assumes of a continuation of the current business environment and given the current scope of business activities and has been prepared assuming that currency exchange rates remain at the level as of 31 July 2025 Expectations 6 August 2025 Effective tax rate 21% to 23% 21% to 23% Capital Expenditure (CAPEX) Around DKK 65 billion Around DKK 65 billion Sales growth – at CER 8% to 14% 13% to 21% Expectations 7 May 2025 Operating profit growth – at CER 10% to 16% 16% to 24% Operating profit growth - reported Around 5 percentage points lower Around 5 percentage points lower Financial items (net) Gain of around DKK 1.6 billion Gain of around DKK 0.9 billion Sales growth - reported Around 3 percentage points lower Around 3 percentage points lower Free cash flow DKK 35 to 45 billion 1 DKK 56 to 66 billion
    • 18. 18 Novo Nordisk® Investor presentation First six months of 2025 Strategic aspirations 2025 • Progress towards zero environmental impact • Being respected for adding value to society • Being recognised as a sustainable employer Purpose andsustainability(ESG) • Strengthen Diabetes leadership - aim at global value market share of more than 1/3 • More than 25 billion DKK in Obesity sales by 2025 • Secure a sustained growth outlook for Rare disease Commercialexecution • Deliver solid sales and operating profit growth • Drive operational efficiencies across the value chain to enable investments in future growth assets • Deliver free cash flow to enable attractive capital allocation to shareholders Financials • Further raise the innovation bar for Diabetes treatment • Develop a leading portfolio of superior treatment solutions for Obesity • Strengthen and progress the Rare disease pipeline • Establish presence in Cardiovascular & Emerging Therapy areas Innovation andtherapeutic focus Note: The strategic aspirations are not a projection of Novo Nordisk's financial outlook or expected growth.
    • 19. 19 Novo Nordisk® Investor presentation First six months of 2025 Executive Management as of 7 August 2025 Maziar Mike Doustdar1 President and CEO Thilde Hummel Bøgebjerg Executive vice president and head of Quality, IT and Environmental Affairs Quality, IT & Environmental Affairs Henrik Wulff Executive vice president and head of CMC and Product Supply CMC & Product Supply Ludovic Helfgott Executive vice president and head of Product and Portfolio Strategy Emil Kongshøj Larsen Executive vice president and head of International Operations International Operations Product & Portfolio Strategy Karsten Munk Knudsen1 Executive vice president, CFO and head of Finance, Legal and Global Solutions Finance, Legal & Global Solutions Martin Holst Lange Executive vice president, CSO and head of Research and Development Research & Development Dave Moore Executive vice president and head of US Operations US Operations Tania Sabroe Executive vice president and head of People, Organisation and Corporate Affairs People, Organisation & Corporate Affairs 1Registered as executive with the Danish Business Authority CEO: chief executive officer; CFO: chief financial officer; CMC: Chemistry, Manufacturing and Control; CSO: chief scientific officer; US: United States
    • 20. 20 Novo Nordisk® Investor presentation First six months of 2025 Investor contact information Share information Novo Nordisk’s B shares are listed on the stock exchange in Copenhagen under the symbol ‘NOVO B’. Its ADRs are listed on the New York Stock Exchange under the symbol ‘NVO’. For further company information, visit Novo Nordisk on: www.novonordisk.com Investor Relations contacts Novo Nordisk A/S Investor Relations Novo Alle 1 DK-2880 Bagsværd 5 November 2025 Financial results for the first nine months of 2025 4 February 2026 Financial statement for 2025 Upcoming events Jacob Martin Wiborg Rode +45 3075 5956 jrde@novonordisk.com Sina Meyer +45 3079 6656 azey@novonordisk.com Max Ung +45 3077 6414 mxun@novonordisk.com Alex Bruce +45 3444 2613 axeu@novonordisk.com Christoffer Sho Togo Tullin +45 3079 1471 cftu@novonordisk.com Frederik Taylor Pitter (USA) +1 609 613 0568 fptr@novonordisk.com
    • 21. 21 Novo Nordisk® Investor presentation First six months of 2025 Novo Nordisk corporate strategy Diabetes care GLP-1 Insulin Obesity care Rare disease Cardiovascular & Emerging Therapy Areas Regional information Financials and Product Supply Sustainability Appendix
    • 22. 22 Novo Nordisk® Investor presentation First six months of 2025 Novo Nordisk Corporate Strategy Rare disease Diabetes Obesity Cardiovascular & emerging therapy areas Strengthen leadership by offering innovative medicines and driving patient outcomes Secure a leading position by leveraging full portfolio and expanding into adjacent areas Establish position in cardiovascular disease and build a presence in emerging therapy areas Strengthen leadership through market development and by offering innovative medicines and driving patient outcomes
    • 23. 23 Novo Nordisk® Investor presentation First six months of 2025 Diabetes and obesity remain the key priority areas in the corporate strategy Broad and deep Key investment focus Multiple targets in key segments Invest to build competitive pipelines Selective, based on potential and synergies Targeted investment allocation Opportunistic and trigger-based Targeted investment allocation 1 2 3 4 AD: Alzheimer’s disease, CKD: Chronic kidney disease, CVD: Cardiovascular disease, MASH: Metabolic dysfunction-associated steatohepatitis, PD: Parkinson’s disease, RBD: Rare blood disorders, RED: Rare endocrine disorders Therapy area priorities Portfolio focus Investment approach Diabetes Obesity CVD RBD MASH RED CKD AD/PD
    • 24. 24 Novo Nordisk® Investor presentation First six months of 2025 Innovation starts with addressing unmet needs, improving outcomes and reaching more patients 1 International Diabetes Federation: Diabetes Atlas 11th edition, 2025; 2Real-world studies indicate between 30-55% of patients reach HbA1c target <7% .e.g. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4388968/, taking 42.5% in good control of treated people; 3NHANES (2013-2014, 2015-2016, 2017-2020, 2021-2023), UN World Population Prospects report, WHO, IDF World Diabetes Atlas, World Obesity Atlas and PADAWA Analysis; 4IQVIA as of Nov’24 5WFH annual survey 2020 (120 of 147 countries responded): Prevalence by calculating expected number of patients using 20.9 per 100.000 in haemophilia - Identified patients as proxy for receiving some sort of treatment; 6WHO. Cardiovascular Diseases 2023; 7Chris J Kapelios et al Cardiac Failure Review 2023;9:e14.; 8Younossi ZM et al. Hepatology. 2023;77:1335-1347; 9Kovesdy CP. Epidemiology of chronic kidney disease: an update 2022. Kidney Int Suppl (2011). 2022 Apr;12(1):7-11 BAOM: Branded Anti Obesity Medication; CKD: Chronic kidney disease; CVD: Cardiovascular disease; HFpEF: Heart failure with preserved ejection fraction; MASH: Metabolic dysfunction-associated steatohepatitis; WHO: World Health Organization Rare disease Haemophilia Diabetes care Obesity care Cardiovascular & emerging therapy areas >250 million people affected by MASH8 32% of global deaths caused by CVD6 >30 million people affected by HFpEF7 >800 million people affected by CKD9 589 of people in good control2 ~15% million people with diabetes1 934 of people medically treated with BAOM4 ~0.5% million people with obesity3 0.6 of people being treated ~35% million people with haemophilia5
    • 25. Novo Nordisk® 25 Investor presentation First six months of 2025 Novo Nordisk has leading positions in diabetes, obesity and haemophilia 0% 10% 20% 30% 40% 50% 0 350 700 1050 1400 Market value NN value market share (RHS) 0% 20% 40% 60% 80% 100% 0 50 100 150 200 250 Market value NN value market share (RHS) Diabetes care Obesity care May 2020 May 2023 May 2025 CAGR1 value: 14.6% CAGR2 value: 128.5% DKK billion DKK billion Global market position #1 #1 May 2025 Global market position 1CAGR for 5-year period 2 CAGR for 2-year period 3 CAGR for 5-year period NN: Novo Nordisk; RHS: Right-hand side Note: Annual sales figures for haemophilia A, B and bypassing agent segments, plasma derived products excluded Feiba® Source: Company reports for haemophilia market; IQVIA MAT, May 2025; Note: Market values are based on the list prices Haemophilia DKK billion FY 2020 FY 2024 CAGR3 value: 3.3% #4 Global market position 0% 10% 20% 30% 40% 50% 0 20 40 60 80 100 Market value NN value market share (RHS) CAGR3 value: 3.3%
    • 26. Novo Nordisk® 26 Investor presentation First six months of 2025 Sales growth of 18%, driven by the GLP-1 portfolio for diabetes and obesity treatment Therapy Sales (mDKK) Growth Share of growth Injectable GLP-1 2 66,592 10% 27% Rybelsus® 11,348 5% 3% Total GLP-1 77,940 10% 30% Total insulin3 27,743 4% 4% Other Diabetes care4 927 -16% -1% Total Diabetes care 106,610 8% 33% Obesity care5 38,796 58% 62% Diabetes and Obesity care 145,406 18% 95% Rare blood disorders6 6,017 6% 1% Rare endocrine disorders7 2,732 49% 4% Other Rare disease8 789 4% 0% Rare disease 9,538 15% 5% Total 154,944 18% 100% Reported sales and growth breakdown for the first six months of 2025 69% 25% 4% 2% 0% Reported sales for the first six months of 2025 Other rare disease Rare blood disorders Rare endocrine disorders Obesity care 0 10 20 30 40 50 60 70 80 90 Other rare disease Rare endocrine disorders Rare blood disorders Diabetes and Obesity care Novo Nordisk reported quarterly sales by therapy DKK billion Q2 2015 Q2 2025 Reported sales CAGR1: 11.1% 12.8%1 2.7%1 -2.6%1 -8.9%1 Sales of DKK 154.9 billion (~18%) Diabetes care 1CAGR for 10-year period 2Comprises Victoza®, Ozempic® 3Comprises Awiqli®, Tresiba®, Xultophy®, Levemir®, Ryzodeg®, NovoMix®, Fiasp®, NovoRapid® and human insulin 4Primarily Novonorm®, needles and GlucaGen® HypoKit® 5Comprises Saxenda® and Wegovy® 6Comprises NovoSeven®, NovoEight®, NovoThirteen® , Refixia®, Esperoct® and Alhemo® 7Comprises Norditropin® and Sogroya® 8Primarily Vagifem® and Activelle® Note: Sales numbers are reported in Danish kroner; Growth is at constant exchange rate; Refixia® and NovoThirteen® are launched as Rebinyn® and TRETTEN®, respectively, in the US
    • 27. Novo Nordisk® 27 Investor presentation First six months of 2025 Sales growth of 18%, driven by both US Operations and IO with 17% and 19% sales growth respectively Regions Sales (mDKK) Growth Share of growth International Operations 67,665 19% 46% EUCAN 31,212 16% 19% Emerging Markets 16,334 22% 13% APAC 10,209 35% 12% Region China 9,910 6% 2% US Operations 87,279 17% 54% Total sales 154,944 18% 100% Reported sales and growth breakdown for first six months of 2025 Historic and reported sales by geography 140.8 DKK billion 45% 58% 23% 20% 12% 9% 10% 6% 11% 6% US EUCAN Emerging Markets APAC Region China 2021 2024 290.4 APAC: Japan, Korea, Oceania and Southeast Asia; China: Mainland China, Hong Kong and Taiwan; Emerging Markets: mainly Latin America, Middle East and Africa; EUCAN: Europe and Canada; IO: International Operations; US: United States Note: Numbers may not add up to 100% due to rounding; Growth at Constant exchange rates; Sales numbers are reported in Danish kroner Source: Quarterly company announcement
    • 28. 28 Novo Nordisk® Investor presentation First six months of 2025 Novo Nordisk holds solid patent protection and competitive advantages Novo Nordisk’s position is protected by patents and value chain setup Novo Nordisk holds competitive advantages compared to biosimilars 2036/34 2028/29 2028/29 20304 EU/US patent protection1 2028/29 2027/28 2034/322 2031/322 2031/20322,3 Research & Development • Need to show comparability in PK/PD trials • Strict regulatory requirements in the EU and the US • Requirement for both drug and device offering Manufacturing • Economies of scale • Upfront CAPEX requirements with delayed ROI • Decades of experience with high volume production of core yeast and mammalian API platforms Commercialisation • Large and fragmented target audience • Cost pressure from payers • On-going conversion to next-generation drugs and slow market dynamics 1List does not include all marketed products 2Current estimates. Wegovy® patent identical to Ozempic® patent 3Tablet formulation and once-daily treatment regimen are protected by additional patents expiring in 2031-2034 4Formulation patent; active ingredient patent has expired API: Active pharmaceutical ingredient; CAPEX: Capital expenditure; PD: Pharmacodynamic; PK: Pharmacokinetic; ROI: Return on investment
    • 29. Novo Nordisk® 29 Investor presentation First six months of 2025 Core capabilities together with additional drug modalities open up new opportunities across therapy areas CKD: Chronic kidney disease; CVD: Cardiovascular disease; mAB: Monoclonal antibody; MASH: Metabolic dysfunction-associated steatohepatitis; RBD: Rare blood disorders; RED: Rare endocrine disorders; siRNA: Small interfering ribonucleic acid Note: Currently active means Novo Nordisk is currently pursuing research projects, while exploratory indicates active early exploration activities and/or partnerships initiated Active pipeline Exploratory Core Novo Nordisk capabilities Modalities accelerated via partnerships & acquisitions Therapy areas Diabetes CVD Obesity RED CKD MASH RBD siRNA Proteins/ Peptides/mAB Cell Therapy Gene Therapy Small Molecules
    • 30. 30 Novo Nordisk® Investor presentation First six months of 2025 Distribution of siRNA portfolio projects Phase 1 initiation ambition with siRNA CVD: Cardiovascular disease; MASH: Metabolic dysfunction-associated steatohepatitis; RBD: Rare blood disorders; RED: Rare endocrine disorders; siRNA: Small interfering ribonucleic acid Note: A project is defined when a target is identified and assigned team ask for resources to evaluate proof of concept Diabetes and Obesity CVD and MASH RBD and RED Other projects … phase 1 initiations on average per year across disease areas with the siRNA platform is on track 3 siRNA platform expected to deliver and mature across therapy areas in alignment with corporate strategy Progress with the siRNA platform 12 phase 1 trial initiations with GalXCTM since 2017 RivflozaTM the first Novo Nordisk siRNA drug, approved in 2023 3 phase 1 trial initiations with GalXC-PlusTM More than 50% of upcoming phase 1 trials expected to be with GalXC-PlusTM
    • 31. 31 Novo Nordisk® Investor presentation First six months of 2025 Phase 1 aspiration of bringing more targets from research to development faster is on track for 2025 Key drivers increasing number of phase 1 initiations Number of phase 1 initiations in 2020 and aspirations towards 2025 5 2020 2024 2025 ~3x numbers of assets Phase 1 initiations achieved Achieved Aspiration AI: Artificial intelligence Increased investments across portfolio Target discovery engine delivers targets that are relevant to human disease Leverage AI/digital capabilities throughout drug discovery process Early pipeline growth delivers more phase 1 opportunities
    • 32. 32 Novo Nordisk® Investor presentation First six months of 2025 Partnerships and acquisitions support future research and development Selected acquisitions Selected licenses Novel treatments for metabolic diseases Novel treatments for CVD/Rare disease Oral formulations of therapeutics Novel treatments for CVD/Rare disease Novel treatment for CVD/Rare disease Novel treatment for metabolic diseases siRNA treatments Novel treatment for CVD/Rare disease Novel treatment for CVD/Rare disease Novel treatment for CVD/Rare disease TransCon Technology for CVD/metabolic diseases Novel treatments for CVD Expansion of production capacity CVD: Cardiovascular Disease; siRNA: Small interfering RNA Note: Deal flow from 2019-2025Q1. Selection based on deal size 2019 2020 2021 2022 2023 2024 2025 Novel treatments for metabolic diseases Oral small molecule for obesity and cardiometabolic diseases GLP-1/GIP/Glucagon triple receptor agonist for
    • 33. 33 Novo Nordisk® Investor presentation First six months of 2025 PHASE 1 PHASE 2 PHASE 3 SUBMITTED APPROVED NN1644 – GSI NN9541 – OW GIP/GLP-1 co-agonist NN9388 – CagriSema NN1436 – Insulin Icodec2 Tresiba® NN1471 – Pumpsulin NN9506 – FUSE10 NN9924 – Oral Semaglutide 25 and 50 mg1 NN1535 – Icosema1 Xultophy® NN9041 – DNA Immunotherapy NN9440 – Monlunabant NN9838 – CagriSema SOUL – Oral semaglutide 14.0 mg CVOT6 Awiqli®5 NN9490 – Sc. Amycretin NN9490 – Sc. Amycretin NN9932 – Oral Semaglutide 25 and 50 mg8STRIDE – Semaglutide 1.0 mg in PAD Levemir® NN9487 – Oral Amycretin NN9487 – Oral Amycretin NN9536 – Semaglutide 7.2 mg1 STEP HFpEF – Semaglutide 2.4 mg7 Ryzodeg® NN9638 – Amylin 355 NN9440 – Monlunabant NN6535 – Oral Semaglutide 14.0 mg in AD NN9931 – Semaglutide 2.4 mg in MASH9 NovoMix® NN9839 – Amylin 1213 NN9505 – FUSE10 NN6018 – Ziltivekimab in ASCVD NN7415 – Concizumab, HA/HB3Fiasp® NN9662 – Triple NN6706 – CDR132L NN6018 – Ziltivekimab in HFpEF NovoRapid® NN9559 – UBT251 (GGG tri-agonist) NN6019 – ATTR Cardiomyopathy NN6018 – Ziltivekimab in AMI Rybelsus® NN6582 – LXR(a) in MASH NN7533 – NDec in SCD NN7769 – Mim8 in HA Ozempic® NN6581 – MARC1 in MASH NN7536 – Etavopivat in Thalassemia NN7535 – Etavopivat in SCD Victoza® NN9003 – Stem Cells in HF Other PHASE 3 trials Wegovy® NN9001 – Stem Cells in PD FOCUS – Semaglutide 1.0 mg in diabetic retinopathy Saxenda® NN6022 – Ventus NLRP3i in CVD NovoSeven® NN6537 – CNP in HF NovoEight® NN6705 – NLRP3 in MASH Esperoct® NN7442 – Inno8 NovoThirteen® NN7614 – TMPRSS6 RNAi Refixia® Alhemo®11 Rivfloza®4 Norditropin® Sogroya® Pipeline supports significant growth opportunities across all four strategic focus areas Diabetes care Obesity care Rare blood disorders Rare endocrine disorders Cardiovascular & Emerging therapy areas 1Submitted to EMA 2CRL received in the US 3Submitted to EU for HA/HB 4Approved for PH1 by FDA 5Approved in the EU, China, Canada, Australia, Switzerland and Japan 6Submitted in US and EU 7Re-submitted in US with data from FLOW and SOUL in January 2025. STEP HFpEF label update reflected in EU label based on positive CHMP opinion received in Q3 2024 8Submitted in US for 25 mg 9Submitted in US, Japan and EU 10In collaboration with GE Healthcare 11Approved in US for HwI and HA/HB and EU for HwI AATLD: Alpha-1 Antitrypsin Deficiency-associated Liver Disease; AD: Alzheimer’s Disease; ANGPTL3: Angiopoietin-like protein 3; AMI: Acute myocardial infarction; ASCVD: Atherosclerotic Cardiovascular Disease; ATTR: Transthyretin amyloidosis; CKD: chronic kidney disease; CVOT: Cardiovascular outcome trial; FGF-21: Fibroblast growth factor 21; GHD: Growth hormone disorder; GSI: Glucose Sensitive Insulin; HA: Haemophilia A; HF: Heart failure; HFpEF: heart failure with preserved ejection fraction; HwI: Haemophilia with inhibitors; LXR(a): Liver X receptor alpha; MARC1: Mitochondrial amidoxime reducing component 1; MASH: Metabolic dysfunction-associated steatohepatitis; MDS: myelodysplastic syndrome; OM: Once monthly; OW: Once weekly; PAD: Peripheral arterial disease; PD: Parkinson’s Disease; PH: Primary hyperoxaluria; SC: Subcutaneous; SCD: Sickle cell disease; Sema: Semaglutide
    • 34. 34 Investor presentation First six months of 2025 SIMONE LENSBØLE Simone lives with type 2 diabetes Denmark Diabetes care Insulin segment Insulin segment GLP-1 segment Disease and market
    • 35. 35 Novo Nordisk® Investor presentation First six months of 2025 Diabetes is a serious chronic disease with increasing prevalence worldwide and multiple associated comorbidities 1ADA. Diabetes Care 2022;45:S1-S264; 2Cosentino F, et al. EJH 2020;41(2):255–323 APAC: Japan, Korea, Oceania and Southeast Asia; Emerging Markets: mainly Latin America, Middle East and Africa; EUCAN: Europe and Canada; Region China: Mainland China, Hong Kong and Taiwan; T2D: Type 2 diabetes; US: United States Source: Diabetes Atlas 11th edition, 2025 In 2050, ~850 million adults are expected to live with diabetes High unmet medical need remains within T2D and the associated comorbidities1 Chronic kidney disease: up to ~40% of people with T2D affected2 Peripheral artery disease: >200 million people affected globally of which 20- 30% have T2D Cardiovascular disease: >30% people with T2D affected Mortality: 8 years shorter life expectancy Million adults 1 in 9 have diabetes 1 in 8 have diabetes 0 200 400 600 800 1,000 2011 2024 2050 366 589 853 US EUCAN Emerging Markets APAC Region China
    • 36. 36 Novo Nordisk® Investor presentation First six months of 2025 Novo Nordisk is the global leader in the growing diabetes market 1Based on IQVIA MAT, May 2025; 22025 does not add to 100% due to rounding CAGR: Compound annual growth rate; DPP-4i: Dipeptidyl peptidase 4 inhibitor; OAD: Oral anti-diabetic; SGLT-2i: sodium-glucose co-transporter-2 inhibitor; SU: Sulfonylurea; Trad.: Traditional; TZD: Thiazolidinedione Note: GLP-1 + basal insulin combination sales are included in insulin; Traditional OADs include metformin, SU and TZDs Source: Company reported sales for insulin, GLP-1, SGLT-2i and DPP-4i, 2024 vs 2023; Estimated patient share, IQVIA MAT, Feb 2025 20% 17% 7% 8% 17% 14% 12% 55% 46% 3% 2021 2024 DKK billion CAGR: 0 200 400 2021 2022 2023 2024 +19% 3-year CAGR Insulin DPP-4i SGLT-2i GLP-1 Novo Nordisk value market share1 32.6% Traditional OAD Estimated prescription share per treatment category2 Global diabetes care reported sales Volume growing ~6% with more people using GLP-1s and SGLT-2is
    • 37. 37 Novo Nordisk® Investor presentation First six months of 2025 The unmet need within diabetes care remains large with too few patients reaching glycaemic target and treated for complications Source: Diabetes prevalence and diagnosed are based on Diabetes Atlas 11th edition, 2025; Treated is based on IQVIA patient data; real-world studies indicate between 30-55% of patients reach HbA1c target <7% .e.g. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4388968/ 1 in 2 adults go undiagnosed and more treated patients should reach their HbA1C target 10.9 mio treated with human insulins 13.9 mio treated with GLP-1 6.3 mio treated with new-generation insulin 11.3 mio treated with modern insulin 10.4 mio treated with human insulins Of the 589 million, 43.0 million1 people are treated with Novo Nordisk diabetes products 1 In addition to the above-mentioned product classes, other diabetes care constitutes the remainder of people treated with Novo Nordisk products; Estimated number for full-year 2024 (total available in Novo Nordisk Annual Report 2024) Source: Novo Nordisk Annual Report 2024 (WHO designated daily dose methodology is applied to convert sales into patients reach) 589 m 43m Prevalence Diagnosed Treated Reach target Treated for complications Prevalence Novo Nordisk products
    • 38. 38 Novo Nordisk® Investor presentation First six months of 2025 GLP-1s have positive effects beyond glycaemic control reflected in the treatment guidelines Class Efficacy Hypo risk Weight change Cardiovascular effects ASCVD HF Metformin High No Neutral Potential Benefit Neutral Sulfonylurea High Yes Gain Neutral Neutral TZDs High No Gain Potential Benefit Increased risk DPP-IV inhibitors Intermediate No Neutral Neutral Potential risk SGLT-2 inhibitors Intermediate No Loss Benefit Benefit GLP-1 High No Loss Benefit/ Neutral1 Neutral Long-acting insulin High Yes Gain Neutral Neutral Fast-acting insulin High Yes Gain Neutral Neutral Medications for treatment of type 2 diabetes 1Benefit: dulaglutide, liraglutide, semaglutide; Neutral: exenatide once weekly, lixisenatide; 2eGFR < 60 mL/min/1.73 m2 OR albuminuria (ACR ≥ 3.0 mg/mmol (30mg/g)). Repeat measurement is required to confirm CKD; 3 If additional CV/kidney risk reduction/management of other metabolic comorbidities/glycemic lowering is needed ADA: American Diabetes Association; ASCVD: Atherosclerotic cardiovascular disease; CKD: Chronic kidney disease; CVD: Cardiovascular disease; EASD: European Association for the Study of Diabetes; FDA: The US Food and Drug Administration; HbA1c: Haemoglobin A1C HF: Heart failure; HFrEF; Heat failure with reduced ejection fraction; HFpEF: Heart failure with preserved ejection fraction; Hypo: Hypoglycaemia; MASH: Metabolic dysfunction-associated steatohepatitis; MASLD: metabolic dysfunctionassociated steatotic liver disease; TZDs: Thiazolidinediones; T2D: Type 2 Diabetes; US: United States Source: Adapted from: “Standards of Medical Care in Diabetes – 2022” Supplement 1, p.133; diabetes.org. American Diabetes Association. GLP-1 as first line treatment and part of Ozempic® label 2025 ADA guidelines for pharmacologic treatment of adults with type 2 diabetes Goal: Cardiovascular and kidney risk reduction in high-risk T2D patients2 ASCVD or indicators of high CVD risk HF with documented HFrEF or HFpEF Chronic kidney disease Healthy lifestyle behaviours: Diabetes self-management education and support Glycaemic management Weight management Goal: Achievement and maintenance of weight and glycemic goals MASLD or MASH3
    • 39. 39 Novo Nordisk® Investor presentation First six months of 2025 Innovation is the focus for strengthening leadership in diabetes Novo Nordisk’s product portfolio covers all three treatment segments Oral anti-diabetic Injectable GLP-1 Insulins Icodec1 Once-weekly insulin Key products Sc amycretin Pipeline 2 Mature products 1Currently under regulatory approval; 2Pipeline references phase 2 ready and phase 3 assets 3Oral semaglutide 25 mg submitted in US GIP: Gastric inhibitory polypeptide; HbA1c: Haemoglobin A1C; OW: Once-weekly; Sc: Subcutaneous Expand focus beyond HbA1c to cardiometabolic and renal outcomes Continue exploring preventative and curative treatments CagriSema Oral amycretin OW GLP-1/GIP Oral semaglutide 25/50 mg3 Approach to diabetes innovation IcoSema1
    • 40. 40 Novo Nordisk® Investor presentation First six months of 2025 The total branded diabetes market has a global value of DKK ~523 billion annually 435 91 208 36 100 523 105 265 28 125 0 100 200 300 400 500 600 Total Insulin GLP-1 DPP-4i SGLT-2i 2023 2024 233 27 148 13 44 277 40 184 6 46 0 100 200 300 Total Insulin GLP-1 DPP-4i SGLT-2i 202 64 59 24 56 247 66 81 21 79 0 100 200 300 Total Insulin GLP-1 DPP-4i SGLT-2i DKK billion DKK billion DKK billion +21% +18% +28% -24% +26% Global diabetes market The USA Outside the USA +19% +24% -48% +5% +24% +6% +38% -11% +44% Growth at CER +45% Note: The segment value is based on reported figures, whilst the market growth is under constant exchange rate (CER). For Novo Nordisk the diabetes growth includes Insulin and GLP-1, excluding ‘other diabetes care’. Source: Company announcements as of Q4 2024; 2024 data based on Q1 2024 to Q4 2024 and 2023 data based on Q1 2023 to Q4 2023
    • 41. 41 Novo Nordisk® Investor presentation First six months of 2025 Novo Nordisk has a leadership position within the growing diabetes market Novo Nordisk remains global diabetes value market leader Global diabetes market by treatment class1 Novo Nordisk market share and share of growth 0.00 100.00 200.00 300.00 400.00 500.00 600.00 Thousands 2020 2021 2022 DKK billion 2023 2024 GLP-1 SGLT-2i Insulin DPP-4i CAGR: CAGR: CAGR: CAGR: Market CAGR: 13% 33% 17% 9% 5% 0% 20% 40% 60% NN market share NN share of growth Market growth (right axis) NN growth (right axis) May 2025 May 2022 28% -2% 28% -13% 21% 36% 31% H2 2021 13% 21% 35% 31% H1 2022 14% 23% 30% 32% H2 2022 14% 24% 29% 33% H1 2023 13% 25% 27% 34% H2 2023 16% 25% 26% 34% H1 2024 17% 25% 24% 34% H2 2024 H1 2025 33% 28% 23% 14% 17% Company A Company B Others Novo Nordisk 1Data is based on company reported sales. Data does not include Galvus and generic metformin, sulphonylureas or thiazolidinedione NN: Novo Nordisk Source: IQVIA May 2025 value figures Note: IQVIA data can be inflated due to use of list prices. Due to contractual obligations competitor names are not disclosed. Company A and B represent actual companies
    • 42. 42 Novo Nordisk® Investor presentation First six months of 2025 GLP-1 mechanism of action and potential therapeutic opportunities GLP-1 mechanism of action Creates sense of satiety in the brain Reduces glucose release from the liver Slows gastric emptying Increases insulin secretion in the pancreas Brain Pancreas Liver GLP-1 Stomach Patient overlaps for key focus areas in type 2 diabetes Type 2 diabetes ~35m CKD (stage 3+)2 ~17m UNITED STATES ONLY ASCVD1 ~21m Obesity ~115m 84m 9m 15m 1m 4m 2m 1m 5m 6m 5m 2m 2m 1m 1m 3m 1Myocardial infarction, stroke and coronary heart disease 2eGFR <60 ml/min/1.73m2 3On top of cardiovascular standard of care ADA: American Diabetes Association; ASCVD: Atherosclerotic cardiovascular disease; CKD: Chronic kidney disease; CV: Cardiovascular; EASD: European Association for the Study of Diabetes; HbA1c: Haemoglobin A1C; HF: Heart failure; HFrEF; Heart failure with reduced ejection fraction; HFpEF: Heart failure with preserved ejection fraction Note: Prevalence overlaps have been estimated on patient-level data from NHANES. Post-estimation adjustments have been undertaken to match certain key metrics as reported by publicly available sources. Numbers are rounded Source: NHANES (waves 2003-2004, 2013-2014, 2015-2016 and 2017-2020); UN World Population Prospects 2022; International Diabetes Federation: Diabetes Atlas 10th edition, 2021; World Obesity Atlas 2023
    • 43. 43 Novo Nordisk® Investor presentation First six months of 2025 0 50 100 150 200 250 Thousands Novo Nordisk has 52% of the global GLP-1 market, while GLP-1 penetration of diabetes volume varies across regions GLP-1 share of total estimated diabetes prescriptions1is 7.1% 52% 34% 24% 14% 0% 20% 40% 60% 80% NN market share NN share of growth Market growth NN growth May 2022 May 2025 GLP-1 market growth and Novo Nordisk market share 2020 2025 Global: 7.1% 1The estimated GLP-1 share of prescriptions is based on volume packs from IQVIA. Volume packs are converted into fullyear patients/prescriptions based on WHO assumptions for average daily doses or if not available, Novo Nordisk assumptions Source: IQVIA MAT volume (Spot rate), May 2025; Market values are based on the list prices GLP-1 share of estimated diabetes prescriptions Global: 2.1% Million prescriptions1 GLP-1 SGLT-2i DPP-4i Insulin Trad. OAD Source: IQVIA MAT value (spot rate), May 2025; Market values are based on the list prices
    • 44. 44 Novo Nordisk® Investor presentation First six months of 2025 SUSTAIN trials with subcutaneous semaglutide Baseline SUSTAIN Change in HbA1c (%) Change in weight (kg) Baseline 1 2 3 4 5 6 7 semaglutide 1.0 mg semaglutide 0.5 mg placebo sitagliptin 100 mg exenatide ER glargine U100 dulaglutide 1.5 mg dulaglutide 0.75 mg -1.6 -1.6 -1.5 -1.5 -1.3 -0.9 -0.5 -1.6 -1.8 -1.4 -1.8 -1.2 -1.4 -1.1 -1.5 -0.8 -0.1 -0.4 -1.3 -1.1 -4.5 -6.1 -5.6 -3.7 -4.3 -1.9 -1 -1.9 -5.2 -6.4 -4.9 -6.5 -3.5 -3.7 -3.6 -4.6 1.2 -1.4 -0.7 -3.0 -2.3 8.1% 8.1% 8.3% 8.2% 8.4% 8.7% 8.2% 92 kg 89 kg 96 kg 93 kg 92 kg 92 kg 95 kg * * * * * * * * * * * * * * * * * * * * * * * * * * * *Statistically significant; SUSTAIN 1: QW sema vs placebo in drug-naïve people with T2D; SUSTAIN 2: QW sema vs sitagliptin 100 mg QD in people with T2D added to 1-2 OADs; SUSTAIN 3: QW sema vs QW exenatide ER 2.0 mg in people with T2D added to 1–2 OADs; SUSTAIN 4: QW sema vs QD insulin glargine in people with T2D added to 1-2 OADs; SUSTAIN 5: QW sema vs placebo in people with T2D added to insulin; SUSTAIN 6: QW sema vs placebo, added to standard-of-care; SUSTAIN 7: QW sema vs QW dulaglutide 75 mg and 150 mg in people with T2D added to 1–2 OADs: ER: Extended-release; QW: once-weekly; QD: once-daily; sema: semaglutide; T2D: type 2 diabetes, OAD: oral anti-diabetics
    • 45. 45 Novo Nordisk® Investor presentation First six months of 2025 Semaglutide 2.0 mg s.c. brings patients needing treatment intensification to target Estimand Trial product estimand Treatment policy estimand Once-weekly semaglutide 2.0 mg 1.0 mg 2.0 mg 1.0 mg HbA1c reduction 2.2%* 1.9% 2.1%* 1.9% Body weight reduction (kg) -6.9* -6.0 -6.4 -5.6 HbA1c < 7.0%1 68% 58% Phase 3 trial, SUSTAIN FORTE, completed and label application approved in the US and the EU Semaglutide 2.0 mg showed superior HbA1c reduction with more patients reaching target1 versus semaglutide 1.0 mg Semaglutide 2.0 mg appeared to have a safe and well-tolerated profile Gastrointestinal adverse events were similar for semaglutide 1.0 mg and 2.0 mg Data from SUSTAIN FORTE Label expansion application approved in the US, JP and the EU 1ADA recommended treatment target *Statistically significant S.c.: subcutaneous
    • 46. 46 Novo Nordisk® Investor presentation First six months of 2025 Baseline PIONEER Change in HbA1c (%) Change in weight (kg) Baseline 1 2 3 4 5 7 8 oral semaglutide 3 mg oral semaglutide 7 mg oral semaglutide 14 mg placebo sitagliptin 100 mg empagliflozin 25 mg Victoza® 1.8 mg -0.8 -0.5 -1.3 -1.1 -1.5 -1.4 -1.4 -0.1 -0.9 -0.8 -0.6 -1.0 -1.3 -1.1 -1.4 -1.4 -0.1 -0.1 -0.7 -1.1 * -1.7 -1.2 -2.5 -2.2 -4.1 -4.2 -3.3 -1.5 -3.8 -0.7 -1.3 -3.0 -4.7 -3.7 -2.9 -4.1 -0.7 -1.1 -0.8 0.6 -3.2 8.0% 8.1% 8.3% 8.0% 8.0% 8.3% 8.2% 88 kg 92kg 91 kg 94 kg 91 kg 89 kg 86 kg * * * * * * * * * * * * * * * * * * * * PIONEER programme with oral semaglutide ER: Extended-release; QW: once-weekly; QD: once-daily; oral sema: oral semaglutide; T2D: type 2 diabetes, OAD: oral anti-diabetics; CV: Cardiovascular Note: PIONEER 9 and PIONEER 10 were Japanese studies and PIONEER 6 was a CV safety study. * Statistically significant based on the trial product estimand; PIONEER 1: QD oral sema vs placebo in people with T2D treated with diet and exercise only; PIONEER 2: QD oral sema vs empagliflozin 25 mg in people with T2D; PIONEER 3: QD oral sema vs sitagliptin 100 mg in people with T2D; PIONEER 4: QD oral sema vs Victoza® 1.8 mg and placebo in people with T2D; PIONEER 5: QD oral sema vs placebo in people with T2D and moderate renal impairment; PIONEER 7: QD oral sema using a flexible dose adjustment based on clinical evaluation vs sitagliptin 100 mg in people with T2D; PIONEER 8: Effects of QD oral sema vs placebo in people with long duration of T2D treated with insulin
    • 47. 47 Novo Nordisk® Investor presentation First six months of 2025 PIONEER PLUS achieved its primary endpoint and demonstrated statistically significant HbA1C reduction vs oral sema 14 mg Oral semaglutide 25 mg and 50 mg vs 14 mg in subjects with T2D 1:1:1 R 68 weeks 5 weeks follow-up Oral semaglutide 50 mg Oral semaglutide 25 mg Oral semaglutide 14 mg Headline trial results -1.5% -1.9%* -2.2%* Oral semaglutide 14 mg Oral semaglutide 50mg Oral semaglutide 25mg Change from baseline (%) Mean baseline HbA1c: 9.0% Change in HbA1C Change in body weight Mean baseline body weight: 96.4 kg -4.5 -7.0* -9.2* Change from baseline (kg) All doses of oral semaglutide appeared to have safe and well-tolerated profile Primary endpoint: • Change from baseline to week 52 in HbA1c Secondary endpoint: • Change from baseline to week 52 in body weight Inclusion criteria (1,606 participants): • Type 2 Diabetes • HbA1c 8.0 - 10.5% • BMI ≥25 kg/m2 • Stable dose of 1-3 OADs (metformin, SU, SGLT-2i or DPP-4i1) *Statistically significant/superior vs oral semaglutide 14 mg; 1DPP-4i terminated at randomization T2D: Type 2 diabetes; HbA1c: Glycated haemoglobin; BMI: Body Mass Index; OADs: Oral antidiabetic drugs; SU: Sulfonylurea; SGLT-2i; Sodium-glucose cotransporter-2 inhibitors; DPP-4i: dipeptidyl peptidase-4 inhibitors Note: Trial product estimands shown; Trial objective: To compare the safety and efficacy of 25 and 50 mg oral semaglutide with 14 mg oral semaglutide once daily in people with type 2 diabetes
    • 48. 48 Novo Nordisk® Investor presentation First six months of 2025 *Trial product estimand; 1P. Frias, SUSTAIN FORTE, Lancet, 2021 (9):563-574; 2Steven P Marsoe, SUSTAIN-6, N Engl J Med 2016;375:1834-1844; 3Marc P Bonaca, STRIDE:, Lancet, 2025 ;405(10489):1580-1593; 4Vlado Perkovic et al, FLOW, N Engl J Med 2024;391:109-121; 5Vanita R Aroda, PIONEER PLUS, Lancet 2023 402(10403):693-704; 6Darren K. McGuire, SOUL, N Engl J Med 2025;392:2001-2012 HbA1c: Haemoglobin A1C; MACE: Major adverse cardiovascular events; MWD: Maximum walking distance; PAD: Peripheral artery disease; Sc: Subcutaneous; T2D: Type 2 Diabetes; %-p: Percentage points Semaglutide has produced a comprehensive body of evidence and clinical outcome data for a GLP-1 in type 2 diabetes 26% Reduction in MACE2 MACE outcome SUSTAIN-6 24% Reduction in Major Kidney Disease Events4 Kidney outcome FLOW 20% Reduced risk of all-cause death4 All-cause mortality FLOW 2.2%-p Reduction HbA1c 1 Glycaemic control* SUSTAIN FORTE 7.2% Reduction in body weight1 Body weight* SUSTAIN FORTE 13% Improvement in MWD3 distance PAD outcome STRIDE 7.0/9.8% Weight loss5 Body weight* PIONEER PLUS 1.9/2.2%-p Reduction HbA1c 5 Glycaemic control* PIONEER PLUS 14% Reduction in MACE6 MACE outcome SOUL Semaglutide sc 1.0 and 2.0 mg Oral semaglutide 14, 25 and 50 mg
    • 49. 49 Novo Nordisk® Investor presentation First six months of 2025 Phase 2 trial for CagriSema in people with type 2 diabetes was successfully completed in Q3 2022 Primary endpoint: Change from baseline (week 0) to week 32 in HbA1c Inclusion criteria (92 people): • Type 2 diabetes • HbA1c 7.5–10.0% • Metformin +/- SGLT2i • BMI ≥27 kg/m2 Exploratory phase 2a trial of CagriSema in T2D Dose escalation 16 weeks Treatment maintenance 16 weeks Follow up 5 weeks Cagrilintide 2.4 mg + semaglutide 2.4 mg Semaglutide 2.4 mg + placebo R Cagrilintide 2.4 mg + placebo 1:1:1 Headline trial results Change in HbA1C Change in body weight -0.93% -1.79% -2.18% In the trial, CagriSema appeared to have a safe and well-tolerated profile Mean baseline body weight: 106 kg Change from baseline (%) Cagrilintide 2.4 mg OW Semaglutide 2.4 mg OW CagriSema (2.4 mg semaglutide and 2.4 mg cagrilintide) -8.1% -5.1% -15.6% Mean baseline HbA1c: 8.4% T2D: Type 2 diabetes, BMI: body mass index; HbA1c: Glycosylated haemoglobin; OW: Once-weekly Note: Trial product estimands shown; Trial objective: To compare the effect of co-administered (separate injections) semaglutide and cagrilintide versus semaglutide in subjects with T2D inadequately controlled on metformin with or without SGLT2 inhibitor
    • 50. 50 Novo Nordisk® Investor presentation First six months of 2025 Phase 3 trial programme with CagriSema in type 2 diabetes, REIMAGINE, was initiated in Q3 2023 2023 2024 2025 2026 • 180 patients with T2D • 40-week vs. placebo • Primary endpoint: HbA1c REIMAGINE 1 vs placebo • 2700 patients with T2D, MET +/- SGLT-2i • 68-week vs. semaglutide, cagrilintide and placebo • Primary endpoint: HbA1c and bodyweight REIMAGINE 2 FDC trial • 7000 patients1 • Event driven • Primary endpoint: 3-point MACE REDEFINE 3 CVOT – shared with obesity programme CagriSema is a fixed dose combination of injectable cagrilintide 2.4 mg and semaglutide 2.4 mg CagriSema characteristics Global phase 3 trial programme Phase 3a programme with CagriSema in T2D: • Aims to confirm efficacy and safety across four global trials • Expected completion during 2025/2026 • 270 patients with T2D, Basal insulin +/- MET • 40-week vs. placebo • Primary endpoint: HbA1c REIMAGINE 3 Add-on to insulin • 1000 patients with T2D, MET +/- SGLT-2i • 68-week vs. tirzepatide • Primary endpoint: HbA1c and bodyweight REIMAGINE 4 H2H vs tirzepatide 165% of patients with T2D, 35% without T2D FDC: Fixed dose combination; T2D: Type 2 Diabetes; H2H: Head-to-head; CVOT: Cardiovascular outcomes trial; 3P: Three point; MACE: Major adverse cardiovascular event; MET: Metformin; SGLT-2i: sodium-glucose co-transporter-2 inhibitor Note: CagriSema is a fixed dose combination of injectable cagrilintide 2.4 mg and injectable semaglutide 2.4 mg
    • 51. 51 Novo Nordisk® Investor presentation First six months of 2025 Amycretin phase 2 trial with oral and subcutaneous administration in people with type 2 diabetes has been initiated Objective • Demonstrate the dose-response relationship of amycretin for change in HbA1c from baseline in participants with type 2 diabetes Proposed key endpoints • Change in HbA1c (%-point) from baseline • Relative change in body weight (%) from baseline Treatment period Follow-up R OW sc amycretin Placebo oral OD oral amycretin Placebo sc ILLUSTRATIVE Phase 2 amycretin trial design HbA1c: Haemoglobin A1C; OD: Once-daily; OW: Once-weekly; sc: Subcutaneous
    • 52. 52 Novo Nordisk® Investor presentation First six months of 2025 Novo Nordisk global insulin volume market leadership at 43.3% and the global insulin volume market increased by 1.8% Market growth: 1.8% Market share: 43.3% MS gain/loss1: -1.6%-p Sales growth: 0% Emerging Markets Market growth: 2.4% Market share: 51.8% MS gain/loss1: -0.0%-p Sales growth: 15% Region China Market growth: 4.9% Market share: 40.2% MS gain/loss1: -0.9%-p Sales growth: 27% Market growth: 1.7% Market share: 46.9% MS gain/loss1: -0.9%-p Sales growth: -2% International Operations Global US Operations Market growth: 2.0% Market share: 30.1% MS gain/loss1: -4.8%-p Sales growth: 9% EUCAN Market growth: -0.1% Market share: 45.1% MS gain/loss1: -0.3%-p Sales growth: -8% APAC Market growth: 0.7% Market share: 53.7% MS gain/loss1: -2.6%-p Sales growth: -3% 1MS gain/loss compared with May 2024 reported MS APAC: Japan, Korea, Oceania and Southeast Asia; Emerging Markets: mainly Latin America, Middle East and Africa; EUCAN: Europe and Canada; MS: Market share; Region China: Mainland China, Hong Kong and Taiwan; US: United States Market values are based on the list prices Note: Sales growth for the Q2 2025 at constant exchange rates; Market shares are for Novo Nordisk, market growth for total insulin market Source: IQVIA MAT, May 2025 volume figures
    • 53. 53 Novo Nordisk® Investor presentation First six months of 2025 43% 2% -2% -9% -6% -3% 0% 3% 6% 9% 0% 10% 20% 30% 40% 50% NN market share Market growth (right axis) NN growth (right axis) 42% FastActing Total 39% LongActing 43% 62% Premix 31% Human 169 97 57 15 15 Novo Nordisk Competitors -5.3% -1.1% -4.0% +1.0% -9.1% -4.6% 2.2% +1.3% -4.2% +1.4% May 2022 Market growth Δ Market share Insulin market share and market size (DKK billion) Insulin volume: Market share Insulin market size and Novo Nordisk volume and value market share May 2025 NN: Novo Nordisk Note: LHS graph – Value, RHS Graph - Volume, MAT, all countries; Share of growth not depicted due to too high numbers ; Market values are based on the list prices Source: IQVIA, May 2025
    • 54. 54 Novo Nordisk® Investor presentation First six months of 2025 51 49 40 47 0 20 40 60 80 bDKK 2021 2022 2023 2024 Insulin icodec reduces basal insulin inj. from 7 to 1 per week Many patients delay insulin initiation >2 years due to dosing frequency HCP and patient preference for once-weekly treatments Dynamic segment is the main opportunity 70% 100% 19% 11% Static New to basal Switches Basal insulin 1 IQVIA MAT, May 2025 HCP: Heath care professional; Inj.: Injections Source: Company reported sales; Novo Nordisk market research Insulin icodec holds potential to be the insulin of choice for people living with type 2 diabetes starting basal insulin treatment Today’s global basal insulin market is sizeable The opportunity for insulin icodec Patient behaviour Novo Nordisk volume market share1: ~28%
    • 55. 55 Novo Nordisk® Investor presentation First six months of 2025 -1.55% -1.57% -1.68% -0.93% -1.16% -0.47% -1.35% -1.36% -1.31% -0.71% -1.18% -0.51% 0.30 0.31 0.19 0.73 5.64 19.93 0.16 0.15 0.14 0.27 5.62 10.37 522 (Full trial: 78 weeks) 26 52 26 26 262 (Full trial: 52 weeks) 8.5% 8.5% 8.9% 8.1% 8.3% 7.6% ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ Estimated change from baseline in HbA1c (%) Hypoglycaemia event rates1 ONWARDS 1 BASAL INITIATION ONWARDS 2 BASAL SWITCH ONWARDS 3 BASAL INITIATION ONWARDS 4 BASAL/BOLUS SWITCH ONWARDS 5 BASAL INITIATION ONWARDS 6 BASAL/BOLUS SWITCH Trial duration (weeks) Baseline HbA1c (%) Non-inferiority confirmed Superiority confirmed Insulin-naïve type 2 diabetes Insulin-treated type 2 diabetes Type 1 diabetes Once-weekly insulin icodec Once-daily insulin glargine U100 Once-daily insulin degludec Once-daily basal insulins * * * * * In people with type 2 diabetes: No statistical difference in estimated hypoglycaemia events Once-weekly insulin icodec appeared to be effective and to have a safe profile in the phase 3 ONWARDS programme *Statistically significant. 1 Severe or clinically significant hypoglycaemia events (blood glucose <3 mmol/L) per patient year, included for end of trial/end main phase in-trial. 2 Duration refers to trial main phase. ONWARDS 1: QW insulin icodec vs QD insulin glargine U100 both with non-insulin anti-diabetic treatment in insulin-naïve people with T2D; ONWARDS 2: QW insulin icodec vs QD insulin degludec in people with T2D switching from a QD insulin; ONWARDS 3: QW insulin icodec vs QD insulin degludec in insulin-naïve people with T2D; ONWARDS 4: QW insulin icodec vs QD insulin degludec both with mealtime insulin in people with T2D treated with basal and bolus insulin; ONWARDS 5: QW insulin icodec vs QD basal insulin with an app providing dosing recommendation in insulin-naïve people with T2D; ONWARDS 6: QW insulin icodec vs QD insulin degludec both with mealtime insulin in people with T1D T1D: Type 1 diabetes; T2D: Type 2 diabetes. Note: Overview refers to primary end-points in main phases of trials
    • 56. 56 Novo Nordisk® Investor presentation First six months of 2025 Phase 3 trial programme for IcoSema in T2D, COMBINE IcoSema is a fixed dose combination of insulin icodec and semaglutide • Simple and convenient once-weekly injection IcoSema characteristics Focused phase 3 trial programme Phase 3a programme with IcoSema • Aims to confirm efficacy and safety across three global trials • All pivotal trials successfully completed • Novo Nordisk submitted for regulatory approval in H2 2024 in the EU COMBINE 3 Basal insulin intensification COMBINE 2 Post-GLP-1 COMBINE 1 Post-basal insulin COMBINE 4 Post OAD Trial ongoing • Initiated in Q4 2021 • 680 patients* previously on basal insulin • 52-week vs. insulin glargine + insulin aspart • Prim. endpoint: HbA1c non-inferiority • Sec. endpoint: Weight / hypo superiority • Initiated in Q2 2022 • 680 patients* previously on GLP-1 RA • 52-week vs. semaglutide 1.0 mg • Primary endpoint: HbA1c superiority • Initiated in Q2 2022 • 1290 patients* previously on basal-insulin • 52-week vs. insulin icodec • Prim. endpoint: HbA1c superiority • Sec. endpoint: Weight / hypo superiority 2021 2022 2023 2024 • Initiated in Q1 2024 • 475 patients* previously on at least 2 OADs • 40-week vs. OD insulin glargine • Primary endpoint: HbA1c superiority *Patients with Type 2 Diabetes Mellitus OD: once daily
    • 57. 57 Novo Nordisk® Investor presentation First six months of 2025 Phase 3a trial (COMBINE 3) with IcoSema successfully completed IcoSema vs Insulin glargine U100 and insulin apart in subjects w/T2D 1:1 R 52 weeks 5 weeks follow-up IcoSema ± OAD(s) IGlar + IAsp ± OAD(s) Primary endpoint: • Change in HbA1c from baseline to week 53 Confirmatory secondary endpoints: • Change in body weight from baseline to week 52 • Number of hypoglycaemic1 episodes from baseline to week 57 IcoSema IGlar + IAsp Hypoglycaemic episodes1 (rate per patient year) 0.26* 2.18 Injections per year ~52 ~1450 Safety: IcoSema appeared to have safe and well-tolerated profile Headline trial results -1.5% -1.4% IcoSema IGlar + Iasp Change from baseline (%) Mean baseline HbA1c: 8.3% Change in HbA1C Change in body weight Mean baseline body weight: 85.8 kg 3.2 -3.6* Change from baseline (kg) N=679 *Statistically significant/superior vs. Insulin glargine U100 and insulin apart. 1 Level 2 and 3 hypoglycaemic episodes with blood glucose below 3.0 mmol/L T2D: Type 2 diabetes; HbA1c: Glycated haemoglobin; BMI: Body Mass Index; OADs: Oral antidiabetic drugs. Note: Trial objective: To confirm efficacy and compare safety of once weekly IcoSema compared with daily insulin glargine combined with insulin apart, both treatment arms with or without OADs in participants with T2D inadequately controlled with daily basal insulin
    • 58. 58 Novo Nordisk® Investor presentation First six months of 2025 Final pivotal phase 3 trial with once-weekly IcoSema successfully completed COMBINE 1 - IcoSema vs Insulin icodec in subjects with T2D 1:1 R 52 weeks 5 weeks follow-up IcoSema ± OAD(s) Insulin icodec ± OAD(s) Primary endpoint: • Change in HbA1c from baseline to week 52 Secondary endpoints: • Change in body weight from baseline to week 52 • Number of level 2 or 3 hypoglycaemic1 episodes from baseline to week 57 IcoSema Insulin icodec Hypoglycaemic episodes1 (rate per patient year) 0.14 0.63 Safety: IcoSema appeared to have safe and well-tolerated profile COMBINE 1 headline trial results -0.9% -1.6%* IcoSema Insulin icodec Change from baseline (%) Mean baseline HbA1c: 8.2% Change in HbA1C Change in body weight Mean baseline body weight: 84.5 kg 1.9 Change from baseline (kg) -3.7* N=1291 *Statistically significant/superior vs. Insulin icodec. Data shown for HbA1c and body weight is the treatment policy estimand 1 Level 2 and 3 hypoglycaemic episodes on-treatment observation period. HbA1c: Glycated haemoglobin; IcoSema: a combination of basal insulin icodec and semaglutide; OADs: Oral antidiabetic drugs; R: Randomisation; T2D: Type 2 diabetes; Trial objective: To confirm efficacy and compare safety of once weekly IcoSema compared with once weekly insulin icodec, both treatment arms with or without OADs in participants with T2D inadequately controlled with daily basal insulin
    • 59. 59 Novo Nordisk® Investor presentation First six months of 2025 Development pipeline addresses unmet need in diabetes care by further raising the innovation bar Further raise the innovation bar Diabetes development pipeline1 Our key focus areas Diabetes Project Phase GLP-1 diabetes2 Marketed Long-acting insulins3 Marketed Premix insulins4 Marketed Fast-acting insulins5 Marketed Awiqli®6 Marketed Icosema Submitted SOUL (oral semaglutide 14.0 mg CVOT) Submitted STRIDE7(semaglutide 1.0 mg in PAD) Submitted oral semaglutide8(25 mg and 50 mg) Phase 3 completed CagriSema (2.4 mg/2.4 mg) Phase 3 ongoing sc. amycretin OW and oral OD Phase 2 ongoing monlunabant Phase 2 ongoing OW GIP/GLP-1 Phase 2 ongoing FUSE9 - Peripheral focused ultrasound Phase 2 to be initiated GSI Phase 1 ongoing DNA immunotherapy Phase 1 ongoing Pumpsulin Phase 1 ongoing 1Human insulins and other diabetes care not included in development pipeline overview 2 Includes Rybelsus®, Ozempic®, and Victoza® 3Includes Tresiba®, Xultophy®, and Levemir® 4Includes Ryzodeg® and NovoMix® 5Includes Fiasp® and NovoRapid® 6Launched in five countries in IO 7EMA adopted a positive opinion for an updated Ozempic® label based on STRIDE data 8Submitted to EMA 9 In collaboration with GE Healthcare CB1R: Cannabinoid receptor 1; CKD: Chronic Kidney Disease; CVOT: Cardiovascular Outcome Trial; GIP: Gastric inhibitory polypeptide; GSI: Glucose Sensitive Insulin; OD: Once-daily; OW: Once-weekly; Sc.: Subcutaneous Address significant unmet need Continued generation of outcomes data Develop next-generation treatments
    • 60. 60 Novo Nordisk® Investor presentation First six months of 2025 Obesity care MICHAEL PETERSEN Michael lives with obesity Denmark Innovation63 Innovation 63 Obesity market development62 Obesity market development 62 Obesity disease background58 Obesity disease background 58 60 Investor presentation First six months of 2025 Obesity care MICHAEL PETERSEN Michael lives with obesity Denmark Innovation Innovation Obesity market development Obesity market development Obesity disease background Obesity disease background
    • 61. 61 Novo Nordisk® Investor presentation First six months of 2025 Obesity is a serious chronic disease with a large unmet medical need that requires innovative treatment options 1Prospective Studies Collaboration, Whitlock G, Lewington S, et al. Body-mass index and cause-specific mortality in 900,000 adults: collaborative analyses of 57 prospective studies. Lancet. 2009 AOM: Anti-obesity medication; BMI: Body mass index; RoW: Rest of world; ACC: American College of Cardiology Source: NHANES (2013-2014, 2015-2016, 2017-2020, 2021-2023), UN World Population Prospects report, WHO, IDF World Diabetes Atlas, World Obesity Atlas and PADAWA Analysis Today • Few treatment options available: <1% of global obese population on a branded AOM • 2025 ACC clinical guidance for weight management in patients where treatment may provide CV benefit More than 1.7 billion people is living with overweight or obesity globally Obesity is associated with more than 200 different complications Life expectancy decreases as BMI increases 792 442 205 171 63 0 250 500 750 1,000 48 27-30 30-35 30 35-40 23 40+ 840 505 235 194 Million people Cardiovascular Metabolic Mechanical BMI categories US RoW Likelihood of reaching age 70 per BMI group from a baseline age of 461 Normal BMI 80% BMI 35–40 60% BMI 40–50 50%
    • 62. 62 Novo Nordisk® Investor presentation First six months of 2025 Novo Nordisk’s innovation is focused on addressing weight loss magnitude as well as emerging patient needs and comorbidities Addressing unmet needs across patient segments via differentiated clinical profiles Weight loss ILLUSTRATIVE Safety and tolerability Differentiated clinical profiles across co-morbidities Differentiated treatment goals across patient profiles Building a leading portfolio Body weight loss Co-morbidity impact Composition of weight loss Safety and tolerability Dosing frequency Our key focus areas
    • 63. 63 Novo Nordisk® Investor presentation First six months of 2025 With the launch of Wegovy® in 2021 a lot changed, yet the large unmet need in obesity remains 934 0 200 400 600 800 1,000 Obesity prevalence Full-year patients on NN AOMs in 20241 2.2 Million people Key market changes since the Wegovy® launch in 2021 Patients Prescribers Payers Before After Few people are treated for obesity today Needs to be activated Low adherence eg due to tolerability, affordability and treatment expectations Decision-maker with consumer like behaviour Increasing adherence as barriers are addressed, but still not chronic care Consider treating obesity Sporadic local guidelines Treat obesity Sporadic local guidelines US: Limited willingness to cover AOMs IO: Mostly out-of-pocket US: Good commercial coverage IO: Mostly out of pocket, but increased levels of reimbursement 1The number represents the estimated full-year patients reached with Novo Nordisk products as outlined in the 2024 Annual Report AOM: Anti-obesity medications; IO: International Operations; NN: Novo Nordisk; US: United States Source: NHANES (2013-2014, 2015-2016, 2017-2020, 2021-2023), UN World Population Prospects report, WHO, IDF World Diabetes Atlas, World Obesity Atlas and PADAWA Analysis, Novo Nordisk Annual Report 2024
    • 64. 64 Novo Nordisk® Investor presentation First six months of 2025 ≈ 86% naïve to AOM treatment 78% female Age Average of 48 years Average BMI of 37 Patients on Wegovy® with type 2 diabetes diagnosis: 7% Novo Nordisk is broadening focus from solely weight loss to improving health for patients with overweight or obesity Characteristics for patients on Wegovy® Patient persistency on anti-obesity medications after 12 months in the US 21% 32% 0% 25% 50% 75% 100% 12 Months Patients remaining on treatment (%) Saxenda® Wegovy® With comorbidities: ≥1: 75% ≥2: 51% ≥3: 31% Average Wegovy® stay time >6 months2 1Hichborn, et al. (2018). Improving patient adherence through data-driven insights. McKinsey & Company; 2 Average Wegovy® stay time >6 months despite supply constraints based on real world data, patient cohort included those initiating therapy between Oct ’21 and Mar ’22, followed for 1 year; AOM: Anti-obesity medications; BMI: Body mass index; HbA1c: Haemoglobin A1c; HIV: Human Immunodeficiency Virus; US: United States Source: IQVIA LAAD, AOM Rx, 12 months ending November 2024; Real world evidence based on prescription data Persistency for other chronic diseases1 (after 12 months) • Asthma ~40% • Psoriasis ~30% • Diabetes: ~50% • HIV ~50%
    • 65. 65 Novo Nordisk® Investor presentation First six months of 2025 Novo Nordisk has broad and affordable access to 55 million people with obesity for Wegovy® 60.0 20.0 30.0 Prevalence ~40.0 ~15.0 Access Full-year patients on NN AOMs in 2024 110.0 ~55.0 Less than 2 million ~55 million people with obesity have Wegovy® coverage in the US Progress across all channels in early 2025 Commercial Medicaid and other Medicare Part D People with obesity (millions) ✓ Broad formulary access and continued employer opt-in ✓ > 85% of patients pay $50 or less per prescription ✓ Federal coverage: Examples include DoD, veteran affairs, and Indian Health service ✓ Medicaid states: Coverage of Wegovy® for CV patients continues to grow; >30 states programs cover Wegovy® • Reimbursement of AOMs for obesity still prohibited by law • CMS now allowing reimbursement in Part D for AOMs with a CV indication Commercial Medicaid and other Medicare Part D AOM: Anti-obesity medications; CMS: Center for Medicare and Medicaid Services; CV: Cardiovascular disease; DoD: Department of Defence Source: Novo Nordisk Annual Report 2024, Internal analysis as per Q1 2025
    • 66. 66 Novo Nordisk® Investor presentation First six months of 2025 Anti-obesity medications are expected to be mostly out-ofpocket, with SELECT as key lever to improve reimbursement AOM: Anti-obesity medication; BMI: Body mass index; CH: Switzerland; COL: Columbia; IO: International Operations; OOP: Out-of-pocket; ORC: Obesity-related comorbidity; UK: United Kingdom Note: Break-down of IO AOM sales is an estimate and cover both Saxenda® and Wegovy® Majority of IO AOM sales are currently OOP Current AOM reimbursement examples SELECT could improve access to Wegovy® 20% 80% Out-of-pocket sales Restricted reimbursement sales BMI ≥30 with two ORCs BMI ≥28 with ≥1 ORC or BMI ≥35 Wegovy® reimbursed Leverage SELECT to expand or improve market access Wegovy® not reimbursed Use SELECT to open or re-open reimbursement negotiations Out-of-pocket Increase willingness to pay in out-of-pocket markets BMI ≥35 or BMI ≥ 30 with ORC 15 countries have selected reimbursement for Saxenda® UK COL CH INDICATIVE
    • 67. 67 Novo Nordisk® Investor presentation First six months of 2025 Global obesity market growth has been accelerating with Novo Nordisk capturing the majority of growth Obesity market growth and Novo Nordisk value market share 57% 142% 72% 0% 40% 80% 120% 160% 200% 0% 40% 80% 120% 160% 200% NN market share Market growth (right axis) NN Growth (right axis) May 2022 May 2025 Obesity market size and growth DKK billion 81% May 2024 54.9 NN Obesity care 78.9 Others 57% May 2025 94.4 228.1 ~142% ~72% Novo Nordisk Others Note: Value MAT, all countries; Share of growth not depicted due to high growth; Market values are based on the list prices Source: IQVIA, May 2025
    • 68. 68 Novo Nordisk® Investor presentation First six months of 2025 In clinical trials, semaglutide 2.4 mg has demonstrated an impact on comorbidities that overlap with obesity Hypertens ion Myocardia l infarction† Stroke † Heart failure Obesity-related comorbidities SELECT trial 20% MACE risk reduction STEP HFpEF trial KCCQ-CSS score ETD: 7.8 (semaglutide 2.4 mg vs placebo) Knee osteoarthritis trial 41.7 WOMAC pain score reduction Hypertens ion Myocardia l infarction† Stroke † Heart failure Weight loss REDEFINE 1 (CagriSema) 22.7% weight loss1 STEP 1 trial (Wegovy®) 16.9% weight loss1 SCALE 1 trial (Saxenda®) 7.4% weight loss2 Disease overlap in the United States 1Trial product estimand; 2Treatment policy estimand; 3Myocardial infarction, stroke and coronary heart disease; ASCVD: Atherosclerotic cardiovascular disease; MACE: Major adverse cardiovascular events; ETD: Estimated treatment difference; HFpEF: Heart failure with preserved ejection fraction; HFmrEF: Heart Failure with Mid-Range Ejection Fraction; WOMAC: The Western Ontario and McMaster University Osteoarthritis index. Note: Prevalence overlaps are estimated on patient-level data from NHANES. Post-estimation adjustments have been undertaken to match certain key metrics as reported by publicly available sources. Numbers are rounded Source: NHANES (waves 2003-2004, 2013-2014, 2015-2016 and 2017-2020); UN World Population Prospects 2022; International Diabetes Federation: Diabetes Atlas 10th edition, 2021; World Obesity Atlas 2023 T2D ~35m HFpEF/HFmrEF ~4m ASCVD3 ~21m Obesity ~115m 88m 10m 16m <0.5m 4m 0.5m 0.5m 7m 0.5m 5m 0.5m 3m 0.5m 0.5m 1m UNITED STATES ONLY
    • 69. 69 Novo Nordisk® Investor presentation First six months of 2025 -16.9 -2.4 -17.6 -5.0 -5.2 -8.8 6.5 -16.7 -0.6 -10.6 -3.1 -17.5 -2.4 -14.1 -10.7 -3.6 -18 -9 0 9 Change from baseline in BW (%) * Across the STEP and STEP UP trials, a weight loss of up to 20.7% was reported for people treated with sc semaglutide Sema 2.4 mg Baseline body weight, kg Sema Placebo 2.4 mg + IBT Placebo Sema Placebo Placebo 2.4 mg Sema 2.4 mg Sema 2.4 mg * * * * After 68 weeks After 20 weeks IBT STEP 1 Weight management STEP 3 Weight management with IBT STEP 4 Sustained weight management STEP 2 Weight management with T2D 105.3 105.8 107.2 96.1 99.8 STEP 5 Weight management over 2 years Sema Placebo 2.4 mg * 106.0 STEP UP Weight management 113.0 Sema Placebo 7.2 mg Sema 2.4 mg 110.1 Sema Placebo 7.2 mg Sema 2.4 mg STEP UP T2D Weight management with obesity and T2D -20.7* *P-value <0.0001, based on the trial product estimand (secondary statistical approach): treatment effect if all people adhered to treatment and did not initiate other anti-obesity therapies BW: Body weight; IBT: Intensive behavioural therapy; Lira: Liraglutide; Mgmt.: Management; SC: subcutaneous; Sema: Semaglutide; T2D: Type 2 diabetes -18.2
    • 70. 70 Novo Nordisk® Investor presentation First six months of 2025 In STEP UP, semaglutide 7.2 mg achieved 20.7% weight loss and around one third of participants achieved ≥25% weight loss R semaglutide 7.2 mg semaglutide 2.4 mg Placebo Dose escalation Treatment maintenance Week 0 20 72 STEP UP enrolled 1,407 people with obesity1 5:1:1 9 weeks follow-up *Estimated means. 1BMI: ≥ 30 kg/m2 . Excludes diabetes diagnosis or HbA1c ≥ 6.5% BMI: Body mass index; HbA1c: Haemoglobin A1C; Sema: Semaglutide; WL: Weight loss Note: data shown is trial product estimands Source: Novo Nordisk data on file Trial objective • Confirm superiority of sema 7.2 mg vs placebo Co-primary endpoint • Relative change in body weight (%) from baseline to 72 weeks • Achievement of ≥ 5% weight loss Weight loss for semaglutide 7.2 mg in STEP UP trial Change in body weight (%) Time since randomisation (weeks) Mean baseline body weight: 113.0 kg -25 -20 -15 -10 -5 0 0 8 16 24 32 40 48 56 64 72 72* -20.7 -17.5 -2.4 semaglutide 7.2 mg semaglutide 2.4 mg Placebo Categorical weight loss with sema 7.2 mg ≥20% WL reduction ≥25% WL reduction 50.9% 33.2%
    • 71. 71 Novo Nordisk® Investor presentation First six months of 2025 • Average age 46 • 74.1% women • Average BMI - 37.9 kg/m2 Improvements in lipid profile as well as C-reactive protein Semaglutide improved health-related quality of life as measured by SF-36 and IWQoL-lite-CT The pivotal STEP 1 trial showed greater than 16% weight loss Data from STEP 1 Placebo: -2.4% Semaglutide 2.4 mg: -16.9% 0 -20 -16 -12 -8 -4 0 Time since initiation (weeks) 4 8 12 16 20 28 36 44 52 60 68 % change in body weight In STEP 1, people treated with semaglutide had a superior weight loss of up to 16.9% BMI: body mass index; SF-36: Short Form (36) Health Survey; IWQoL-lite-CT: Impact of Weight on Quality of Life-Lite questionnaire Notes: Change in body weight in % depicts observed means since time of randomisation; trial product estimand.
    • 72. 72 Novo Nordisk® Investor presentation First six months of 2025 In STEP 1, 34.8% of patients treated with sema reached ≥20% weight loss and reported improved quality of life versus placebo 92.4% 74.8% 54.8% 33.1% 34.8% 11.8% 5.0% 2.0% 0% 20% 40% 60% 80% 100% ≥5% ≥10% ≥15% ≥20% Categorical weight loss Semaglutide 2.4 mg showed a statistically significant treatment difference versus placebo in the IWQoL-Lite-CT PRO -2 0 2 4 6 8 10 12 14 16 18 20 Physical function Favours placebo Favours semaglutide Total Physical Psychological IQWoL-Lite-CT ETD [95% CI] 9.43 [7.50 : 11.35] * 9.14 [7.31 : 10.96] * 10.50 [8.81 : 12.19] * 10.02 [8.42 : 11.62] * Proportion of patients Weight loss Semaglutide 2.4 mg Placebo Descriptive statistic only. Based on the on-treatment data, i.e. data for people that are on-treatment at week 68 * statistically significant; p-values other than physical function were not controlled for multiplicity PRO: patient reported outcome; CI: confidence interval, ETD: estimated treatment difference, IWQoL-Lite-CT: Impact of Weight on Quality of Life-lite;
    • 73. 73 Novo Nordisk® Investor presentation First six months of 2025 • Average age 46 • 79% women • Average BMI – 38.4 kg/m2 Trial highlights that obesity is a chronic disease requiring sustained treatment Improvements on a panel of cardiovascular risk markers STEP 4 showed significantly greater weight loss post run-in than placebo Data from STEP 4 % change in body weight In STEP 4, people treated with semaglutide had a superior weight loss of up to 18.2% Placebo: -5.2% Semaglutide 2.4 mg: -18.2% 0 -20 -16 -12 -8 -4 0 Time since initiation (weeks) 4 8 12 16 20 24 28 36 44 52 60 68 Randomisation -10.5% Change in body weight in % depicts observed means since time of randomisation; trial product estimand; BMI: body mass index
    • 74. 74 Novo Nordisk® Investor presentation First six months of 2025 Favours placebo Favours semaglutide SF-36 scores ETD [95% CI] -1 0 1 2 3 4 5 6 7 8 9 10 11 12 13 Physical functioning Role-physical Bodily pain General health Vitality Social functioning Role-emotional Mental health Physical component summary Mental component summary 2.46 [1.59 : 3.32] * 1.44 [0.42 : 2.47] * 2.23 [-0.06 : 4.53] 1.86 [0.73 : 3.00] * 4.31 [1.61 : 7.02] * 2.41 [0.07 : 4.76] * 1.64 [0.52 : 2.76] * 2.93 [1.80 : 4.06] * 1.68 [0.64 : 2.72] * 3.44 [2.28 : 4.60] * In STEP 4, 41.2% of patients treated with semaglutide reached ≥20% weight loss and reported improved quality of life vs placebo Categorical weight loss Semaglutide 2.4 mg showed a statistically significant treatment difference versus placebo in the SF-36 patient reported outcome 90.5% 80.8% 65.5% 41.2% 50.0% 20.9% 9.8% 5.1% 0% 20% 40% 60% 80% 100% ≥5% ≥10% ≥15% ≥20% Proportion of patients Weight loss Semaglutide 2.4 mg Placebo Descriptive statistics only. Based on the on-treatment data, i.e. data for people that are on-treatment at week 68 * statistically significant; p-values other than physical functioning were not controlled for multiplicity CI: confidence interval, ETD: estimated treatment difference, Sema: semaglutide, SF-36: Short Form (36) Health Survey
    • 75. 75 Novo Nordisk® Investor presentation First six months of 2025 40% of patients lost ≥ 20% of their body weight Semaglutide appeared to have a safe and well-tolerated profile Improvements in lipid profiles as well as Creactive protein In STEP 5, people treated with semaglutide 2.4 mg sustained their weight loss over 2 years Placebo: -0.6% Semaglutide 2.4 mg: -16.7% % change in body weight Data from STEP 5 Clinically relevant and sustained weight loss in patients with obesity or overweight Change in body weight in % depicts observed means since time of randomisation; trial product estimand; mean body weight: 106.0 kg
    • 76. 76 Novo Nordisk® Investor presentation First six months of 2025 In STEP 8, semaglutide 2.4 mg showed weight loss of 17.1% compared to 6.6% with liraglutide 3.0 mg STEP 8 observed mean change in body weight1 -20 -15 -10 -5 0 % change in body weight Mean baseline body weight: 104.5 kg 68 Placebo: -1.8% Semaglutide 2.4 mg: -17.1%* Liraglutide 3.0 mg: -6.6% Time since Initiation (Weeks) Data from STEP 8 38.5% of patients lost ≥20% of their body weight with semaglutide 2.4 mg vs 6.0% with liraglutide 3.0 mg Liraglutide and semaglutide both appeared to have a safe and well-tolerated profile Statistical significant improvements in systolic BP and CRP with semaglutide 2.4 mg vs liraglutide 3.0 mg 1Observed data for the on-treatment period; *p-value <0.0001 vs lira 3.0 mg; % change in body weight measured as change from baseline Data shown is the trial product estimand; Sema: Semaglutide; Lira: Liraglutide
    • 77. 77 Novo Nordisk® Investor presentation First six months of 2025 Semaglutide 2.4 mg showed 20% MACE reduction in the SELECT trial for people with overweight or obesity and established CVD SELECT trial with 17,604 people with BMI>27 and established CVD Semaglutide 2.4 mg 1:1 Placebo R Event driven 5 weeks follow-up Objective • Demonstrate that semaglutide s.c. 2.4 mg OW lowers the incidence MACE vs. placebo when both added to standard of care in subjects with established CV disease and overweight or obesity. Headline results • Semaglutide 2.4 mg demonstrated an 20% reduction in MACE Safety • In the trial, once-weekly subcutaneous semaglutide 2.4 mg appeared to have a safe and well-tolerated profile, as seen with previous trials investigating semaglutide 2.4 mg Next steps • In March 2024, Wegovy® was approved in the US for CV risk reduction in people with overweight or obesity and established CVD • In July 2024, Wegovy® was approved in the EU for CV risk reduction in people with overweight or obesity and established CVD Primary endpoint • Time from randomisation to first occurrence of 3-point MACE1 Secondary confirmatory endpoints Time from randomisation to first occurrence of: • CV death • HF composite endpoint • All-cause death 1MACE includes non-fatal myocardial infarction, non-fatal stroke, and cardiovascular death. MACE: Major adverse cardiovascular events; HF: Heart failure; CV: Cardiovascular; CVD: Cardiovascular Disease; OW: Once-weekly; s.c.: Subcutaneous; BMI: Body mass index
    • 78. 78 Novo Nordisk® Investor presentation First six months of 2025 In SELECT, semaglutide 2.4 mg reduced the risk of a broad composite endpoint by 37% Safety The safety profile of sc semaglutide 2.4 mg in SELECT was similar to that observed in previous clinical trials with semaglutide 1Not statistically significant; 2Not tested for superiority; 373% risk reduction of developing HbA1c >= 48 mmol/mol (6.5 %) for semaglutide 2.4 mg vs placebo; BMI: Body mass index; CI: Confidence interval; CV: Cardiovascular; CVD: Cardiovascular Disease; HR: Hazard ratio; MACE: Major adverse cardiovascular events; sc.: Subcutaneous; UA: Unstable angina Note: Efficacy analyses based on treatment policy estimand; treatment effect regardless of treatment adherence and changes in background medication. Cumulative incidences of the composite MACE primary endpoint and broad composite endpoint were estimated using the Aalen–Johansen method accounting for non-CV death as competing risk. HRs was estimated using Cox proportional hazards model with treatment as categorical fixed factor Numerical risk 15% reduction of CV death1Sustained weight loss for 4 years 9.4% Risk reduction of heart failure endpoint2 18% Risk reduction of kidney endpoint 22% Risk reduction on all cause death2 19% Risk reduction of developing diabetes3 73% Time Primary endpoint MACE Broad composite endpoint 1 year 115 people 20 people 4 years 45 people 9 people 20% Cardiovascular risk reduction in 3-point MACE Number needed to treat to prevent one additional event • Other death • Cardiovascular death • Coronary revascularisation • Myocardial infarction • Stroke • Hospitalisation for heart failure • Hospitalisation for UA • 5-point Nephropathy • Diabetes 37% Semaglutide 2.4 mg reduces the risk of a broad composite endpoint including: Key results of the SELECT trial Risk reduction in broad composite endpoint
    • 79. 79 Novo Nordisk® Investor presentation First six months of 2025 Phase 3 trial STEP HFpEF with semaglutide 2.4 mg was successfully completed in Q2 2023 Objective: • Evaluate the effect on HF specific symptoms, physical function and body weight compared with placebo Dual primary endpoints: • Change in KCCQ from baseline to week 52 • Change in body weight from baseline to week 52 Key secondary endpoints: • Change in 6MWD from baseline to week 52 • Composite endpoint (all cause death, HHF, KCCQ, 6MWD) from baseline to week 52 Inclusion criteria: • BMI ≥30 kg/m2 • NYHA II-IV • Ejection fraction ≥45% Semaglutide 2.4 mg + SoC Placebo + SoC 1:1 R Dose escalation 16 weeks Treatment maintenance 36 weeks Follow up 5 weeks STEP HFpEF trial with 529 people with obesity and HFpEF STEP HFpEF R: Randomisation; HF: Heart Failure; HFpEF: Heart Failure with preserved ejection fraction; SoC: Standard of care; KCCQ: Kansas City Cardiomyopathy Questionnaire; 6MWD: 6-min walking distance; HHF: Heart failure hospitalization; NYHA: New York Heart Association classification
    • 80. 80 Novo Nordisk® Investor presentation First six months of 2025 Semaglutide 2.4 mg demonstrated superior improvement on the primary endpoint of KCCQ-CSS vs placebo in the STEP HFpEF trial 16.6 8.7 0 5 10 15 20 0 20 36 52 52* Semaglutide 2.4mg Placebo Change in KCCQ-CSS (score) Time since randomisation (weeks) Superior improvement in KCCQ-CSS score in patients treated with semaglutide 2.4 mg Primary endpoints: • KCCQ-CSS estimated treatment difference between semaglutide 2.4 mg and placebo of 7.8 Key highlights Mean baseline KCCQ-CSS score: 56.7 Clinicians’ assessments of clinical change1: • Small: ±5 points • Moderate-to-large: ±10 points • Large-to-very large: ±20 points Patients’ self-classifications of improvements1: • Minimal clinically important difference for ‘little improvement’: 4.5 points KCCQ in perspective 1Spertus JA, et al. JACC State-of-the-Art Review. J Am Coll Cardiol. 2020 Nov 17;76(20):2379-2390. Note: Data shown is the treatment policy estimand. *Lines are based on observed data where the value denoted after 52 weeks is estimated mean value derived based on multiple imputation KCCQ-CSS: Kansas City Cardiomyopathy Questionnaire Clinical summary score
    • 81. 81 Novo Nordisk® Investor presentation First six months of 2025 • The SHAPE study included 6,794 patients treated with Wegovy® and 3,122 with tirzepatide • In a real-world setting, a 2.4%-point weight loss difference between Wegovy® and tirzepatide was seen Real world evidence confirms efficacy of Wegovy® and shows 3-point MACE risk reduction of 42% MACE; Major adverse cardiovascular events Note: 3-point MACE outcome consisting of: cardiovascular death, non-fatal myocardial infarction, non-fatal stroke Source: Novo Nordisk data on file SHAPE study showed 1-year real-world weight loss in patients with overweight or obesity treated with Wegovy® and tirzepatide -15% -10% -5% 0% -14.1% -16.5% Wegovy® Tirzepatide Change in body weight (%) SCORE study showed 42% lower relative risk of 3-point MACE in patients using Wegovy® in routine clinical care vs non-users • The SCORE study included 9,321 patients treated with Wegovy® and 18,642 non-users • In the SELECT study, semaglutide 2.4 mg demonstrated an 20% risk reduction in 3-point MACE Cumulative incidence (%) Time since study start (months) Wegovy® users Non-users 0% 2% 4% 6% 0 3 6 9 12 15 19 21 24 27 30
    • 82. 82 Novo Nordisk® Investor presentation First six months of 2025 82 Oral semaglutide 25 submitted in the US with efficacy and safety profile broadly similar to Wegovy® *Estimated means 1BMI: ≥ 30 kg/m2 or ≥ 27 kg/m2 and ≥1 comorbidity. Excludes diabetes diagnosis or HbA1c ≥ 6.5% BMI: Body mass index; HbA1c: Haemoglobin A1C; Sema: Semaglutide; US: United States; WL: Weight loss Note: Trial also included lifestyle intervention, with a 500 kcal/day deficit diet and 150 min/week physical activity. Data shown is trial product estimands Source: Novo Nordisk data on file R Oral semaglutide 25 mg Placebo 2:1 Dose escalation Treatment maintenance Week 0 64 7 weeks follow-up OASIS 4 trial enrolled 306 people with overweight or obesity1 Trial objective • Confirm superiority of once-daily oral semaglutide 25 mg vs placebo Co-primary endpoint • Relative change in body weight (%) from baseline to 64 weeks • Achievement of ≥ 5% weight loss Weight loss for oral semaglutide 25 mg in OASIS 4 trial Change in body weight (%) Time since randomisation (weeks) Mean baseline body weight: 105.9 kg -20 -15 -10 -5 0 0 8 16 24 32 40 48 56 64 64* -16.6 -2.7 oral semaglutide 25 mg Placebo Categorical weight loss with oral sema 25 mg ≥15% WL reduction ≥20% WL reduction 56.1% 34.4%
    • 83. 83 Novo Nordisk® Investor presentation First six months of 2025 Phase 3 trial programme OASIS for oral semaglutide 50 mg in overweight or obesity Oral semaglutide characteristics Focused phase 3 trial programme Oral semaglutide 50mg: • Semaglutide tablets in overweight or obesity • Once daily tablet Phase 3a programme with oral semaglutide 50 mg • Aims to confirm efficacy and safety • Oral semaglutide 25 mg submitted to the US FDA OASIS 1 50 mg dose OASIS 2 EAST ASIA OASIS 3 China OASIS 4 25 mg dose • 667 patients • 68 week • Primary endpoint: BW % • 198 patients incl. T2D • 68 week • Primary endpoint: BW % • 200 patients incl. T2D • 44 week • Primary endpoint: BW % • 300 patients • 64 week • Primary endpoint: BW % 2022 2023 2024 2025 BW: Body weight; T2D: Type 2 diabetes
    • 84. 84 Novo Nordisk® Investor presentation First six months of 2025 In a 20-week phase 1 trial, CagriSema showed weight loss of 17% and appeared to have a safe and well tolerated profile The GI profile appeared similar to semaglutide 2.4 monotherapy Cagri 0.16 mg, Sema 2.4 mg Placebo, Sema 2.4 mg Cagri 0.3 mg, Sema 2.4 mg Cagri 0.6 mg, Sema 2.4 mg Cagri 1.2 mg, Sema 2.4 mg Cagri 2.4 mg, Sema 2.4 mg Cagri 4.5 mg, Sema 2.4 mg n=12 n=12 n=12 n=12 n=12 n=11 n=24 N (%) N (%) N (%) N (%) N (%) N (%) N (%) AEs 11 (92) 12 (100) 11 (92) 12 (100) 12 (100) 11 (100) 23 (96) SAEs1 0 0 0 1 (8) 0 0 0 AEs leading to withdrawal 1 (8) 0 0 1 (8) 0 0 0 GI disorders 7 (58) 10 (83) 7 (58) 10 (83) 11 (92) 9 (82) 19 (79) Follow-up Time since first dosing (days) -15 -10 0 -5 0 14 28 42 56 70 84 98 112 126 140 Change in body weight Last dosing Weight loss for different doses of CagriSema in phase 1 1The serious adverse event was meningitis CagriSema: Cagrilintide in combination with semaglutide; Cagri: Cagrilintide; Sema: semaglutide; SAE: Serious adverse events; GI: Gastro-intestinal; Change in body weight is analysed using a mixed model for repeated measurements, where all changes from baseline in body weight measurements enter as the dependent variables and treatment, visit and baseline body weight enter as fixed effects. Treatment and baseline body weight are nested within visit. Source: Adapted from Enebo et al. Lancet. 2021 May 8;397(10286):1736-1748.
    • 85. 85 Novo Nordisk® Investor presentation First six months of 2025 REDEFINE 1 was the first pivotal phase 3 trial to explore CagriSema in people living with overweight or obesity REDEFINE 1 enrolled 3,417 people with overweight or obesity1 1BMI: ≥ 30 kg/m2 or ≥ 27 kg/m2 and ≥1 comorbidity. Excludes diabetes diagnosis or HbA1c ≥ 6.5% BMI: Body mass index; HbA1c: Haemoglobin A1C Note: CagriSema is a fixed dose combination of injectable cagrilintide 2.4 mg and injectable semaglutide 2.4 mg R 7 weeks follow-up 21:3:3:7 Placebo semaglutide 2.4 mg cagrilintide 2.4 mg CagriSema 2.4 mg Dose escalation Treatment maintenance Week 0 16 68 Trial objective and design considerations • Confirm superiority of CagriSema 2.4 mg vs placebo, cagrilintide 2.4 mg and semaglutide 2.4 mg • Flexible trial protocol allowing dose modifications Co-primary endpoint • Relative change in body weight (%) from baseline to 68 weeks • Achievement of ≥ 5% weight loss Baseline characteristics in REDEFINE 1 Female/Male 67.6/32.4% Mean age 47 years White/Black/Asian/Other 72.0/5.5/18.5/4.0% Mean BMI 37.9 kg/m2 Mean body weight 106.9 kg Mean waist circumference 114.7 cm Mean HbA1c 5.5%
    • 86. 86 Novo Nordisk® Investor presentation First six months of 2025 In REDEFINE 1, CagriSema achieved 22.7% mean weight loss and more than 40% of participants achieved ≥25% weight loss Categorical weight loss after 68 weeks of treatment *Estimated means Cagri: cagrilintide; sema: semaglutide Note: data shown is trial product estimands. CagriSema is a fixed dose combination of injectable cagrilintide 2.4 mg and injectable semaglutide 2.4 mg Source: Novo Nordisk data on file Higher body weight reduction with CagriSema compared to mono components and placebo Change in body weight (%) Time since randomisation (weeks) Mean baseline body weight: 106.9 kg -25 -20 -15 -10 -5 0 0 4 8 12 16 20 28 36 44 52 60 68 -22.7 -16.1 -11.8 -2.3 68* 0 25 50 CagriSema sema cagri 40.4% 16.2% 6.0% % of participants CagriSema sema cagri 23.1% 9.4% 1.3% ≥25% body weight reduction ≥ 30% body weight reduction CagriSema 2.4 mg sema 2.4 mg cagri 2.4 mg Placebo 57% 71% 83% % Patients on highest dose at end of trial
    • 87. 87 Novo Nordisk® Investor presentation First six months of 2025 Patients treated with the highest dose2 at end of treatment • Weight loss: 12.7% at week 20, 22.2% at week 68 • Tolerability: Average GI AEs per year of 1.9 o Mean BMI of 30.4 with average dose of 2.4 mg at EoT • Investigate further weight potential e.g. by longer study duration Patients treated with lower doses3 at end of treatment • Weight loss: 15.9% at week 20, 25.2% at week 68 • Tolerability: Average GI AEs per year of 4.0 o Mean BMI of 26.5 with average dose of 1.1 mg at EoT • Dose reductions due to: e.g. GI AEs and BMI of lower normal range • Investigate further weight loss potential e.g. by dose re-escalation Further weight loss potential to be investigated by exploring a longer trial duration and dose re-escalation Change in body weight (%) Observed weight loss by end of treatment dose in REDEFINE 11 < 2.4 mg CagriSema EoT 2.4 mg CagriSema EoT -30% -25% -20% -15% -10% -5% 0% 0 10 20 30 40 50 60 70 Time since randomisation (weeks) 1Patients are included while on treatment defined until first treatment pause (no trial product for 14 days). A post-hoc analysis of REDEFINE 1. 2Highest dose: 2.4 mg/2.4 mg CagriSema. 3Lower doses: <2.4mg/2.4mg CagriSema. AE: Adverse events; BMI: Body mass index; CagriSema 2.4mg/2.4mg: cagrilintide 2.4 mg and semaglutide 2.4 mg; GI: Gastrointestinal; EoT: End of treatment. 68 -15.9% -12.7% -25.2% -22.2%
    • 88. 88 Novo Nordisk® Investor presentation First six months of 2025 *Significantly more weight loss vs placebo DXA: dual x-ray absorptiometry Note: data shown is trial product estimands. CagriSema is a fixed dose combination of injectable cagrilintide 2.4 mg and injectable semaglutide 2.4 mg Source: Novo Nordisk data on file, CagriSema and placebo DXA subpopulation shown Body composition analysis in REDEFINE 1 showed more than two-thirds body fat mass loss with CagriSema Total body fat mass loss from baseline to week 68 Total body lean soft-tissue mass loss from baseline to week 68 -50 -40 -30 -20 -10 0 -35.7%* -5.7% Change from baseline (%) -50 -40 -30 -20 -10 0 -14.4%* -4.2% Change from baseline (%) 67% of total weight loss 33% of total weight loss CagriSema 2.4 mg n = 154 Placebo n = 55 Mean at baseline: 47.4 kg Mean at baseline: 58.1 kg CagriSema demonstrated an improved body composition at week 68 compared to baseline, with a relative increase of lean softtissue mass and decrease of fat mass compared to total body weight
    • 89. 89 Novo Nordisk® Investor presentation First six months of 2025 Treat to target analysis of CagriSema in REDEFINE 1 demonstrates that 41.4% of participants achieve BMI < 27 BMI: Body mass index; WHtR; Waist-to-height ratio Note: Data shown is trial product estimands. CagriSema is a fixed dose combination of injectable cagrilintide 2.4 mg and injectable semaglutide 2.4 mg; BMI and WHtR indicators of achieving a low 10-year ORC risk, Busetto, Obes Facts 2024;17(suppl 1):7– 515 ECO, GC4.158 Source: Novo Nordisk data on file participants in group (%) 0 10 20 30 40 50 41.4 22.5 13.4 3.8 +38%-p CagriSema 2.4 mg semaglutide 2.4 mg cagrilintide 2.4 mg Placebo 0 10 20 30 40 50 36.0 22.1 11.5 5.0 +31%-p 0 10 20 30 40 50 29.4 16.4 8.2 1.9 +28%-p Proportion of participants with BMI <27 kg/m2 at week 68 Proportion of participants with a Waist-toheight ratio <0.53 at week 68Proportion of participants with BMI <27 kg/m2 and WHtR <0.53 at week 68 Participants in group (%)Participants in group (%)
    • 90. 90 Novo Nordisk® Investor presentation First six months of 2025 *Statistically significant vs semaglutide 2.4 mg, cagrilintide 2.4 mg, and placebo; BP: Blood pressure; hsCRP: high-sensitivity C-reactive protein; mmHg: Millimetres of mercury; SBP: Systolic blood pressure Note: REDEFINE 1 data shown is trial product estimands. CagriSema is a fixed dose combination of injectable cagrilintide 2.4 mg and injectable semaglutide 2.4 mg Source: Novo Nordisk data on file CagriSema achieved superior reductions in cardiovascular risk factors vs both mono components and placebo in REDEFINE 1 Change in waist circumference at week 68 Change in systolic blood pressure at week 68 Change in hsCRP from baseline to week 68 -20 -15 -10 -5 0 -19.4* -15.1 -11.0 -3.9 Waist circumference (cm) change from baseline -12 -10 -8 -6 -4 -2 0 -10.9* -8.8 -5.0 -2.1 Systolic BP (mmHg) change from baseline -70 -60 -50 -40 -30 -20 -10 0 -68.9%* -55.4% -41.0% -16.0% hsCRP (%) change from baseline CagriSema 2.4 mg semaglutide 2.4 mg cagrilintide 2.4 mg Placebo Mean baseline waist circumference: 114.7 cm Mean baseline SBP: 127.1 mmHg Mean baseline hsCRP: 5.5 mg/L
    • 91. 91 Novo Nordisk® Investor presentation First six months of 2025 In REDEFINE 2, CagriSema achieved 15.7% mean weight loss and more than 29% of participants achieved ≥20% weight loss REDEFINE 2 enrolled 1,206 people with obesity or overweight and T2D1 *Estimated means. 1BMI: ≥ 27 kg/m2 and T2D with HbA1c ≤ 10%. 0-3 OADs (no GLP-1 in the last 90 days, no insulin) OAD: Oral anti-diabetic; T2D: Type 2 diabetes; WL: Weight loss Note: data shown is trial product estimands. CagriSema is a fixed dose combination of injectable cagrilintide 2.4 mg and injectable semaglutide 2.4 mg Source: Novo Nordisk data on file R CagriSema 2.4 mg Placebo 3:1 Dose escalation Treatment maintenance Week 0 16 68 7 weeks follow-up Trial objective and design considerations • Confirm superiority of CagriSema 2.4 mg vs placebo • Flexible trial protocol allowing dose modifications Co-primary endpoint • Relative change in body weight (%) from baseline to 68 weeks • Achievement of ≥ 5% weight loss Weight loss for CagriSema in REDEFINE 2 trial Change in body weight (%) Time since randomisation (weeks) Mean baseline body weight: 102.2 kg -20 -15 -10 -5 0 0 4 8 12 16 20 28 36 44 52 60 68 68* -15.7 -3.1 CagriSema 2.4 mg Placebo Categorical weight loss CagriSema 2.4 mg arm ≥15% WL reduction ≥20% WL reduction 51.6% 29.2%
    • 92. 92 Novo Nordisk® Investor presentation First six months of 2025 In REDEFINE 2, CagriSema achieved a HbA1c reduction of 2.1%-p, and more than 80% of participants achieved HbA1c target <6.5% *Estimated means HbA1c: Haemoglobin A1C Note: data shown is trial product estimands. CagriSema is a fixed dose combination of injectable cagrilintide 2.4 mg and injectable semaglutide 2.4 mg Source: Novo Nordisk data on file More participants achieved the HbA1c target with CagriSema compared to placebo Change in HbA1c (%-points) Time since randomisation (weeks) Mean baseline HbA1c: 8.0% -2.5 -2.0 -1.5 -1.0 -0.5 0.0 0 8 20 36 52 68 -2.1 0.0 68* CagriSema 2.4 mg Placebo Higher HbA1c reduction with CagriSema compared to placebo Achievement of HbA1c target ≤ 6.5% after 68 weeks 0 20 40 60 80 100 CagriSema 2.4 mg Placebo 81.0% 12.1% % of participants
    • 93. 93 Novo Nordisk® Investor presentation First six months of 2025 CagriSema successfully completed pivotal trials and with additional trials ongoing to investigate even further potential Pivotal trials • CagriSema showed substantial weight loss of 22.7% • More than 40% of patients achieving BMI < 27 • Superior reductions in several CV risk factors • CagriSema appeared to have a safe and well-tolerated profile with overall low discontinuation rates Further development • First regulatory submission expected in Q1 2026 • Potential to leverage semaglutide CV effect. In REDEFINE 3 exploring potential complementary amylin effects. • REDEFINE 9 to explore lower maintenance doses • REDEFINE 11 initiated to explore further weight loss potential Portfolio • Pending approvals, US obesity portfolio to include CagriSema, Wegovy® and oral semaglutide 25 mg CV: Cardiovascular; CVOT: Cardiovascular Outcomes Trial; H2H: Head-to-Head; MACE: Major adverse cardiovascular event; T2D: Type 2 Diabetes; US: United States; WL: Weight Loss Note: The CagriSema phase 3 development programme also includes REDEFINE 5 (weight loss trial in East Asia with 330 participants) and REDEFINE 6 (weight loss trial in China with 300 participants). CagriSema is a fixed dose combination of injectable cagrilintide 2.4 mg and injectable semaglutide 2.4 mg Selected CagriSema phase 3 development trials in Obesity REDEFINE 3 CVOT REDEFINE 4 H2H vs tirzepatide REDEFINE 9 Maintenance doses 1.0 and 1.7 mg • 7,000 participants • Primary endpoint: 3-point MACE • 800 participants • 84-week vs. tirzepatide • Primary endpoint: Weight loss • 300 participants • 64-week vs. placebo • Primary endpoint: Weight loss 2024 2025 2026 REDEFINE 11 WL in Obesity • 600 participants • 80-week vs. placebo • Primary endpoint: Weight loss
    • 94. 94 Novo Nordisk® Investor presentation First six months of 2025 Next steps: • Phase 3 programme expected to start in Q4 2025 Potential of cagrilintide: • Once-weekly sc treatment aims to provide effective weight management with a favorable tolerability compared to GLP-1s Cagrilintide 2.4 mg achieved 11.8% weight loss in the REDEFINE 1 trial with a 1.3% discontinuation rate due to GI adverse events AE: Adverse events; GI: Gastrointestinal; Sc: Subcutaneous; T2D: Type 2 diabetes Note: data shown is trial product estimands Source: Novo Nordisk data on file Weight loss for cagrilintide 2.4 mg in REDEFINE 1 trial Mean baseline body weight: 106.9 kg cagrilintide 2.4 mg (n = 302) Placebo (n = 705) n % n % Gastrointestinal AEs 165 54.6 287 40.7 Nausea Diarrhoea Vomiting Constipation 72 47 21 63 23.8 15.6 7.0 20.9 93 91 31 87 13.2 12.9 4.4 12.3 • In the trial, cagrilintide 2.4 mg appeared to have a safe and welltolerated profile • 1.3% discontinuation rate due to gastrointestinal adverse events Change in body weight (%) Time since randomisation (weeks) -15 -10 -5 0 0 4 8 12 16 20 28 36 44 52 60 68 68* -11.8 -2.3 cagrilintide 2.4 mg Placebo
    • 95. 95 Novo Nordisk® Investor presentation First six months of 2025 The phase 1b/2a trial with subcutaneous amycretin was successfully completed in people with overweight or obesity Safety • Profile of amycretin was consistent with incretin-based therapies Next steps • Novo Nordisk is now planning further clinical development of amycretin in adults with overweight or obesity 1BMI: ≥ 27-39.9 kg/m2. Excludes diabetes diagnosis or HbA1c ≥ 6.5% 2Based on the trial product estimand Amycretin is a unimolecular GLP-1 and amylin receptor agonist; AUC: Area Under the Curve; cmax: maximum (peak) plasma concentration; sc.: subcutaneous; tmax: time to reach maximum (peak) plasma concentration Dose escalation Treatment maintenance Weight loss2 Proof of concept part in proof of concept part 1 of the sc. amycretin phase 1b/2a trial Objective • Objective: Investigate safety, tolerability, pharmacokinetics and efficacy of amycretin in participants with overweight or obesity Endpoints • Primary: Number of treatment emergent adverse events • Secondary: Relative change in body weight, AUC, cmax, tmax -9.7% -16.2% -22.0% 1.9-2.3% Mean baseline body weight: 92.7 kg Change in body weight (%) Placebo amycretin 1.25 mg amycretin 5 mg amycretin 20 mg 7:4:4:1 R 0 8-24 20-36 Placebo amycretin 1.25 mg (20 weeks) amycretin 5 mg (28 weeks) amycretin 20 mg (36 weeks) 3 weeks follow-up Week
    • 96. 96 Novo Nordisk® Investor presentation First six months of 2025 Oral amycretin phase 1 and subcutaneous phase 1b/2a trials have been completed Phase 1: ✓ Oral amycretin phase 1 completed in 2024 ✓ Subcutaneous amycretin phase 1b/2a completed in 2025 Next steps: • Novo Nordisk is now planning further clinical development of amycretin in adults with overweight or obesity Results from oral amycretin phase 1 on weight loss Amycretin development programme in obesity Change in body weight (%) Time since randomisation (weeks) Mean baseline body weight: ~89 kg, n = 16 -13.1 0 4 8 12 -15 -12 -9 -6 -3 0 3 -1.1 Oral amycretin Placebo
    • 97. 97 Novo Nordisk® Investor presentation First six months of 2025 Novo Nordisk is continuing the development of a portfolio of treatment solutions for obesity Building a leading portfolio Obesity development pipeline Body weight loss Co-morbidity impact Composition of weight loss Safety and tolerability Dosing frequency Our key focus areas Obesity Project Phase Saxenda® (liraglutide 3.0 mg) Marketed Wegovy® (semaglutide 2.4 mg) Marketed oral semaglutide (25 mg) Submitted in US semaglutide 7.2 mg Submitted in EU CagriSema (2.4 mg/2.4 mg) Pivotal phase 3 completed cagrilinitide Phase 3 planning monlunabant Phase 2 ongoing sc. amycretin OW and oral OD Phase 3 to be initiated FUSE1 - Peripheral focused ultrasound Phase 2 to be initiated UBT2512(GGG tri-agonist) Phase 1b completed Triple (tri-agonist) Phase 1 ongoing amylin 355 Phase 1 ongoing amylin 1213 Phase 1 ongoing LX9851 (small molecule) Phase 1 to be initiated 1 In collaboration with GE Healthcare 2Pending customary closing conditions CB1R: Cannabinoid receptor 1; GIP: Gastric inhibitory polypeptide; OD: Once-daily; OW: Once-weekly; Sc.: Subcutaneous
    • 98. 98 Novo Nordisk® Investor presentation First six months of 2025 SIERRA CLARK Sierra lives with Glanzmann-Thrombasthenia Canada Investor presentation First six months of 2025 SIERRA CLARK Sierra lives with Glanzmann-Thrombasthenia Canada Rare disease Rare disease innovation Rare disease background
    • 99. 99 Novo Nordisk® Investor presentation First six months of 2025 RareD constitutes an attractive opportunity for Novo Nordisk 1Editorial, The Lancet Diabetes & Endocrinology. 2019; 7(2)75 Note: RareD is Novo Nordisk’s rare disease unit Addressing the unmet needs The Rare disease opportunity for Novo Nordisk A platform to spearhead new trends A strategic portfolio play in specialty care Few patients, high unmet need Specialised healthcare base Specialised scientific and commercial teams An integrated unit From research to commercial, RareD is operating as an integrated unit within Novo Nordisk, with dedicated resources, to provide agility and flexibility Integrated therapeutic solutions adding diagnostics, digital, data, device and drug (5D) Innovative access pathways New operating models • Reduced life-expectancy • Severe co-morbidities and impaired quality of life • Long diagnostic lead-times • Broken continuum of care and strong inequalities Patient burdens1 A longstanding legacy Since 1980s in haemophilia Since 1970s in growth disorders
    • 100. 100 Novo Nordisk® Investor presentation First six months of 2025 Executing on new strategy since 2019 with near-term focus on next generation launches PPx: Prophylaxis; RBD: Rare blood disorders; RED: Rare endocrine disorders; sPPH: Severe postpartum haemorrhage Note: Alhemo® is the brand name for concizumab The Rare disease strategy Focus on succeeding with launches from the core 2019-2022 Maximise current portfolio 2025+ Expand from core REBINYN PPx sPPH Alhemo® New disease areas via accelerated internal and external innovation Haemoglobinopathies (NDec, etavopivat) New RBD/RED Gene therapy/Cell therapy 2022-2025 Succeed with launches from core Mim8 Out of the 350 million+ rare disease patients globally1, RareD focuses on a total addressable pool of 20 million (6% of total) today Strategic focus areas
    • 101. 101 Novo Nordisk® Investor presentation First six months of 2025 IO US Rare disease sales increased 9% by end of 2024 1% 4% 1% 3% 6% Growth at CER 12 12 13 10 10 7 7 7 7 8 0 5 10 15 20 25 2022 DKK billion 2020 2021 -15% 2023 1Other rare blood disorders primarily consists of NovoEight®, Esperoct®, Refixia® and NovoThirteen® 2Other Rare disease products primarily consists of Vagifem® and Activelle® 3Rare endocrine disorders primarily consists of Primarily Norditropin® and Sogroya® CER: Constant exchange rates Note: Company reported sales 9% 2024 NovoSeven® and Norditropin® account for ~64% of Rare disease sales Global Rare disease franchise 0 5 10 15 20 25 2020 2021 DKK billion 2022 2023 NovoSeven® Other rare blood disorders1 Rare endocrine disorders3 Other Rare disease2 Growth at CER 1% 4% 1% -15% 2024 9%
    • 102. 102 Novo Nordisk® Investor presentation First six months of 2025 In the Explorer 7 trial, concizumab reduced the number of bleeds in adults and adolescents with inhibitors Efficacy • Median ABR was 0 for concizumab prophylaxis treatment, compared to 9.8 in the on-demand treatment group • Estimated mean ABR was 1.7 for concizumab prophylaxis treatment, compared to 11.8 in the on-demand treatment group • For patients on concizumab prophylaxis, 64% had 0 bleeds in Group 2 Safety • Concizumab appeared to have a safe and well tolerated profile Status • Approved in: Canada (HAwI/HBwI), Australia (HAwI/HBwI & HA/HB), Switzerland (HAwI/HBwI), Japan (HAwI/HBwI & HA/HB), EU (HAwI/HBwI) and US (HAwI/HBwI) under brand name Alhemo® • Alhemo® submitted in the EU for the treatment of haemophilia A and B Explorer 7 trial results: Annualised bleeding rate per patient group Key highlights Primary endpoint 10 20 30 40 90 100 0 OnD treatment HwI (Group 1) PPX treatment HwI (Group 2) PPX treatment HBwI (Groups 1-4) Annualised Bleeding Rate (ABR) 0 9.8 0 0 Median Mean PPX treatment HAwI (Groups 1-4) HA: Haemophilia A; HB: Haemophilia B; HAwI: Haemophilia A with inhibitors, HBwI: Haemophilia B with inhibitors; HwI: Haemophilia with inhibitors; OnD: On-demand; PPX: Prophylaxis; ABR annualised bleeding rate Note: The box represents Q1-Q3 (25th to 75th percentile). Whiskers are 5th and 95th percentile.
    • 103. 103 Novo Nordisk® Investor presentation First six months of 2025 Interim data from Mim8 phase 1/2 show that PK/PD profiles support weekly to monthly low volume dosing Higher potency of Mim8 vs emicizumab enabling a low dosing volume Mim8 pharmacokinetic properties support weekly and monthly dosing • The PD marker, peak thrombin generation, increased with Mim8 dose • In-vitro exposure-response curves in haemophilia A-like plasma show a 15-fold higher potency of Mim8 compared to emicizumab Mim8 concentration (μg/mL) Peak thrombin (nmol/L) Drug plasma concentration (μg/mL) 0 100 200 300 15-fold Mim8 in-vitro Emicizumab in-vitro 0.01 0.1 1 10 100 1000 • Mim8 concentration profiles increased with dose • Mean concentrations at steady state were comparable for Cohort 3 (weekly dosing) and Cohort 4 (monthly dosing) The peak thrombin plot represents in-vitro data: human plasma samples from the healthy participants of the SAD cohort were made HA-like with anti-FVIII antibodies, and spiked with different concentrations of Mim8 or commercially available emicizumab. PK: Pharmacokinetics; PD: Pharmacodynamics; QW: Once-weekly; QM: once-monthly Reference: FRONTIER 1, 12-week main phase cohort 1-5. Chowdary P, et al. FRONTIER1: A Phase 1/2 Dose Escalation Study of a Novel Factor VIIIa Mimetic Bispecific Antibody, Mim8, for Evaluation of Safety, Pharmacokinetics, and Efficacy. Abstract presented at ISTH 2022; Windyga J, et al. Mim8 is associated with improved thrombin generation vs. emicizumab in patients with haemophilia A, with and without inhibitors. Abstract presented at ISTH 2022; Novo Nordisk data on file
    • 104. 104 Novo Nordisk® Investor presentation First six months of 2025 Trial design • Novel and accelerated development programme Trial objective • For people with no prior PPX, the objective was to demonstrate superiority of Mim8 PPX vs no PPX • For people with prior factor PPX, the objective was to demonstrate non-inferiority of Mim8 PPX vs coagulation factor PPX in run-in period Key trial endpoints • ABR for treated bleeds over 26 weeks of treatment • Overall safety of Mim8 PPX including occurrence of anti-Mim8 antibodies and injection site reactions Main part of the FRONTIER 2 trial with Mim8 in people with Haemophilia A has been completed in Q2 2024 Phase 3 trial, FRONTIER 2 trial in 254 adults & adolescents with HA Main phase 26 weeks Extension phase 26 weeks Run-in (PPX only) 26-52 weeks Mim8 PPX OM Mim8 PPX OM Mim8 PPX OW 1:1 Coagulation factor PPX HA + HAwI 1:1:1 No PPX HA + HAwI Mim8 PPX OW Mim8 PPX OW Mim8 PPX OM Mim8 PPX OM No PPX Mim8 PPX OW/OM Mim8 PPX OW R R ABR: Annual bleeding rate; HA: Haemophilia A; HAwI: Haemophilia A with inhibitors; OW: Once weekly; OM: Once monthly; PPX: Prophylaxis; R: Randomisation.
    • 105. 105 Novo Nordisk® Investor presentation First six months of 2025 Next steps • First submission expected in 2025 5-12% of patients with injection site reactions across arms No evidence of neutralising antiMim8 antibodies Once-weekly and once-monthly Mim8 demonstrated superior reduction of treated bleeding episodes in the FRONTIER 2 trial Annualised bleeding rate per patient group FRONTIER 2 safety and next steps No thromboembolic events observed No safety concerns were observed No PPX Coagulation factor PPX 15.8 0.5 0.2 No PPX Mim8 OW Mim8 OM 4.8 2.5 Run-in Mim8 OW 3.1 1.8 Run-in Mim8 OM Estimated mean ABR Estimated mean ABR 97% 99% 48% 43% % Relative reduction % Proportion of patients with zero treated bleeds 0% 86% 95% - 66% - 65% ABR: annualised bleeding rate; OW: Once weekly; OM: Once monthly; PPX: Prophylaxis Note: Rounded numbers
    • 106. 106 Novo Nordisk® Investor presentation First six months of 2025 Growth Hormone sales contribute to 27% of total rare disease sales by end of 2024 Norditropin® and Sogroya® total hGH sales A portfolio offering across markets Sogroya® strategy • Once-weekly efficacious treatment on par with Norditropin® • Simple and easy-to-use device • Phase 3 trials toward broad range of indications (e.g. SGA, Turner, Noonan, ISS) to expand the market • Approved for GHD in US, EU and Japan Norditropin® strategy • Apply a market-fit approach to support specific markets and patient groups • Broad label across eight indications Sales bDKK 7 1 7 3 4 2021 2022 2023 2024 5 4 0 0 7 0 7 hGH: Human growth hormone; SGA: Small for gestational age, ISS; Idiopathic short stature Note: Company reported sales Norditrophin Sogroya
    • 107. 107 Novo Nordisk® Investor presentation First six months of 2025 Sogroya® is approved for paediatric growth hormone deficiency in US, EU and Japan Efficacy • Non-inferiority versus Norditropin® for the primary endpoint, height velocity, at week 52 was confirmed • IGF-I SDS, bone age and glucose metabolism were all similar between Sogroya® (somapacitan) and Norditropin® Safety and tolerability • Overall, the safety profile of somapacitan appeared to be similar to the well-known safety profile of daily GHD treatment • No local tolerability issues were identified Other treatment parameters • Significantly reduced treatment burden1 compared to Norditropin® Status • Adult GHD: Approved by the US, EU and JP • Paediatric GHD: Approved by the US, EU and JP Phase 3a trial results in children with GHD Key highlights Height velocity (cm/year) ETD (95% CI) = -0.5 (-1.1 ; 0.2) 11.7 11.2 10.0 12.5 2.5 7.5 0.0 5.0 Norditropin® somapacitan 1Measured using patient reported outcome TB-CGHD-P (Treatment burden measure - child growth hormone deficiency – parent) ETD: Estimated treatment difference; IGF-I SDS: Insulin growth factor-1 standard deviation score; GHD: Growth hormone deficiency; IGF-I SDS: Insulin growth factor-1 standard deviation score; US: United States; EU: European Union; JP: Japan
    • 108. 108 Novo Nordisk® Investor presentation First six months of 2025 Rare Disease pipeline is leveraging our core expertise to serve more patients through internal and external innovation Strengthen and progress pipeline Rare Disease development pipeline Our key focus areas Rare Disease 1 Includes NovoSeven®, NovoEight®, NovoThirteen® 2Includes Norditropin® and Sogroya® Project Phase Rare Blood Disorders marketed products1 Marketed Rare Endocrine Disorders marketed products2 Marketed Refixia® in Rare Blood Disorders Marketed Esperoct® in Rare Blood Disorders Marketed Alhemo® (concizumab-mtci) in Rare Blood Disorders Marketed Rivfloza® (nedosiran) in Rare Blood Disorders Marketed Mim8 in Rare Blood Disorders Expected submission H2 2025 Etavopivat in Sickle Cell Disease Phase 3 ongoing Etavopivat in Thalassemia Phase 2 ongoing NDec in Sickle Cell Disease Phase 2 ongoing Inno8 in Rare Blood Disorders Phase 1 ongoing TMPRSS6 in Rare Blood Disorders Phase 1 ongoing Faster global patient recruitment Selective expansion from core: • From haemophilia to rare blood disorders • From growth disorders to rare endocrine disorders Accelerate pipeline with internal and external innovation Explore all Novo Nordisk technology platforms
    • 109. 109 Investor presentation First six months of 2025 Cardiovascular & Emerging Therapies Cardiovascular disease Cardiovascular disease The unmet needs The unmet needs MASH Alzheimer’s diseaseMASH Alzheimer’s disease
    • 110. 110 Novo Nordisk® Investor presentation First six months of 2025 Therapy area Unmet need 32% of global deaths caused by CVD1 >250 million people affected by MASH2 >800 million people affected by CKD3 ~70 million people are living with AD worldwide4 MASH CKD Novo Nordisk is expanding into Cardiovascular and emerging therapy areas 1WHO: Cardiovascular Diseases 2023; 2Csaba P. Kovesdy et al.Kidney International Supplements. 2022; 12: 7-11; 3WHO: Dementia key facts 2021; 4Alzheimer’s Association report: 2020 Alzheimer’s disease facts and figures, 2020 (16:391-460); 5Myocardial infarction, stroke and coronary heart disease AD: Alzheimer’s disease; ASCVD: Atherosclerotic cardiovascular disease; CKD: Chronic kidney disease; CVD: Cardiovascular disease; MASH: Metabolic dysfunction-associated steatohepatitis; PD: Parkinson’s disease; WHO: World Health Organization Note: Prevalence overlaps have been estimated on patient-level data from NHANES. Post-estimation adjustments have been undertaken to match certain key metrics as reported by publicly available sources. Numbers are rounded Source: NHANES (waves 2003-2004, 2013-2014, 2015-2016 and 2017-2020); UN World Population Prospects 2022; International Diabetes Federation: Diabetes Atlas 10th edition, 2021; World Obesity Atlas 2023 1 2 4 3 UNITED STATES ONLY Type 2 diabetes ~35m Heart failure ~7m ASCVD5 ~21m Obesity ~115m 88m 10m 16m 0.5m 3m 0.5m 1m 6m 1m 5m 1m 3m 1m 1m 1m CVD AD/PD New therapeutic areas have unmet medical needs Patient overlaps between Novo Nordisk core therapy areas
    • 111. 111 Novo Nordisk® Investor presentation First six months of 2025 Novo Nordisk has a focused approach in cardiovascular disease Dyslipidaemia Systemic inflammation Uncontrolled and resistant hypertension Heart failure with preserved ejection fraction Transthyretin amyloid cardiomyopathy Atherosclerotic cardiovascular disease Heart failure Globally, one third of ischemic heart disease is attributable to high cholesterol1 Around half of ASCVD patients estimated to have residual inflammatory risk2 Hypertension is a leading risk factor for CVD, HF, CKD and premature death3 1WHO: Cardiovascular Diseases (Cholestorol); 2Ridker et. al, J Am Coll 2018;72:3320-3333; 3WHO: Cardiovascular Diseases (Hypertension); 4Chioncel O et al. Eur J Heart Fail 2017; 19; 1574; 5Singh A. et al. J Am Coll Cardiol 2017; 69:750-759 ASCVD: Atherosclerotic disease; ATTR-CM: Transthyretin amyloid cardiomyopathy; CKD: Chronic kidney disease; CVD: Cardiovascular disease; HF: Heart Failure; HFpEF: Heart failure with preserved ejection fraction; WHO: World Health Organization HFpEF is associated with high morbidity and mortality4 ATTR-CM is a progressive, lifethreatening disease5 Focus areas within cardiovascular disease
    • 112. 112 Novo Nordisk® Investor presentation First six months of 2025 Results from the phase 2 trial RESCUE with ziltivekimab Phase 3 CVOT trial ZEUS with ziltivekimab ZEUS trial with ziltivekimab aims to validate the link between hsCRP and major adverse cardiovascular events * Statistically significant; 1Inclusion criteria: Age ≥18 years, History of ASCVD, eGFR ≥15 and <60 mL/min/1.73 m2, Serum hsCRP ≥2 mg/L 1 MACE includes CV death, non-fatal MI or non-fatal stroke, Expanded MACE includes: (CV death, non-fatal MI, non-fatal stroke or hospitalisation for unstable angina pectoris requiring urgent coronary revascularisation) hsCRP: High-sensitivity C-reactive protein; CVOT: Cardiovascular outcome trial; CV: Cardiovascular; sc: Subcutaneous; SoC: Standard of care; HF: Heart failure; CKD: Chronic kidney disease Source: Ridker PM, et al., IL-6 inhibition with ziltivekimab in patients at high atherosclerotic risk (RESCUE): a double-blind, randomised, placebo-controlled, phase 2 trial, 17 May 2021 Investigate CV benefit in 6,200 patients 1:1 R ziltivekimab 15 mg sc once-monthly + SoC Placebo sc once-monthly + SoC Treatment period (event driven) 13 weeks follow-up Primary endpoint Secondary endpoints -4% -77% -88% -100% -92% -75% -50% -25% 0% hsCRP median change from baseline (%) 12 weeks from randomisation Placebo Ziltivekimab 7.5 mg Ziltivekimab 15 mg Ziltivekimab 30 mg • Time to the first occurrence of 3-point MACE1 • Time to first occurrence of expanded MACE1 • Number of hospitalisations for HF or urgent HF visit • Time to occurrence of all-cause mortality • Time to first occurrence of a composite CKD endpoint * * *
    • 113. 113 Novo Nordisk® Investor presentation First six months of 2025 Ziltivekimab phase 3 development programme targets high unmet need populations within CVD CVD: Cardiovascular disease; HF: Heart failure; MACE: Major adverse cardiovascular event; sc: Subcutaneous; SoC: Standard of care; HFmrEF: Heart failure with mildly reduced ejection fraction; HFpEF: Heart failure with preserved ejection fraction Atherosclerosis and chronic kidney disease 1:1 R Ziltivekimab 15 mg sc + SoC Placebo sc + SoC Event driven ∼ 4 years HFmrEF and HFpEF 1:1 R Ziltivekimab 15 mg sc + SoC Placebo sc + SoC Event driven ∼ 4 years Acute myocardial infarction R Ziltivekimab 15 mg sc + SoC Placebo sc + SoC Event driven ∼ 2.5 years Primary Endpoint: Time to the first occurrence of • Cardiovascular death • Hospitalisation for heart failure • Urgent heart failure visit Primary Endpoint: Time to the first occurrence of 3-point MACE • Cardiovascular death • Non-fatal myocardial infarction • Non-fatal stroke 2021 2023 2024 n = 6,400 n = 5,600 n = 10,000 1:1 ~2026 ~2027 ~2027 Primary Endpoint: Time to the first occurrence of 3-point MACE • Cardiovascular death • Non-fatal myocardial infarction • Non-fatal stroke
    • 114. 114 Novo Nordisk® Investor presentation First six months of 2025 Systolic dysfunction (HFrEF) • Impaired contractility • Stretched and thin ventricle Diastolic dysfunction (HFpEF) • Impaired filling capacity • Stiff and thick ventricle Heart failure at a glance For patients with heart failure, the goal is to bring disease modifying and curative treatments to the market ATTR-CM: Transthyretin Amyloid Cardiomyopathy, iPSC: Induced pluripotent stem cells; HF: Heart failure Symptom relief Disease modifying Curative Pipeline includes potential disease modifying and curative treatments Today’s marketed treatments A monoclonal antibody designed to deplete the amyloid placks associated with ATTR–CM in a niche population Coramitug Heartseed • HS-001 use iPSC-derived cardiomyocytes to treat HF • The cells are treated in a solution to enhance survival and/or engrafment
    • 115. 115 Novo Nordisk® Investor presentation First six months of 2025 Therapy area Unmet need 32% of global deaths caused by CVD1 >250 million people affected by MASH2 >800 million people affected by CKD3 ~70 million people are living with AD worldwide4 Metabolic dysfunction-associated steatohepatitis shares a large patient population with Novo Nordisk’s core therapy areas 1WHO: Cardiovascular Diseases 2023; 2Csaba P. Kovesdy et al.Kidney International Supplements. 2022; 12: 7-11; 3WHO Dementia key facts 2021; 4Alzheimer’s Association report: 2020 Alzheimer’s disease facts and figures, 2020 (16:391-460) AD: Alzheimer’s disease; CKD: Chronic Kidney disease; CVD: Cardiovascular disease; MASH: Metabolic dysfunction-associated steatohepatitis; PD: Parkinson’s disease; WHO: World Health Organization Note: Prevalence overlaps have been estimated on patient-level data from NHANES. Post-estimation adjustments have been undertaken to match certain key metrics as reported by publicly available sources. Numbers are rounded Source: NHANES (waves 2003-2004, 2013-2014, 2015-2016 and 2017-2020); UN World Population Prospects 2022; International Diabetes Federation: Diabetes Atlas 10th edition, 2021; World Obesity Atlas 2023 UNITED STATES ONLY Obesity ~117m Type 2 diabetes ~36m MASH ~16m 13m 17m 87m 5m 8m 2m 1m MASH CKD 1 2 4 3 CVD AD/PD New therapeutic areas have high unmet medical needs Patient overlap between Novo Nordisk core therapy areas and MASH
    • 116. 116 Novo Nordisk® Investor presentation First six months of 2025 F: Fibrosis stage; MASH: Metabolic dysfunction-associated steatohepatitis; QW: once-weekly; R: randomisation; SoC: standard of care (GLP-1RAs disallowed); MELD: Model for End-stage Liver Disease Part 1 of the ESSENCE trial investigated semaglutide 2.4 mg compared to placebo in people with MASH ESSENCE trial with 1,200 patients with MASH F2–F3 Fixed follow-up Semaglutide 2.4 mg sc OW + SoC Placebo sc OW + SoC R Structure Part 1 72 weeks 240 weeks Part 2 Biopsy H2 2024 Biopsy Primary objectives and endpoints for Part 1 and 2 Part 1 | Improvement in liver tissue (histology) Two binary histology endpoints at week 72 in 800 patients: • Resolution of MASH and no worsening of liver fibrosis • Improvement in liver fibrosis and no worsening of MASH Part 2 | Reduction of liver-related clinical events Composite endpoint at week 240 in 1,200 patients: • Histological progression to cirrhosis • Death (all cause) • Liver-induced MELD score ≥ 15 • Liver transplant • Hepatic decompensation events
    • 117. 117 Novo Nordisk® Investor presentation First six months of 2025 Headline results • The trial achieved its primary endpoints • In the trial, semaglutide 2.4 mg appeared to have a safe and well-tolerated profile Unmet need in MASH remains • ~16 million live with F2-F4c MASH1 in US • Only one approved treatment Next steps • Submitted for regulatory approval in the EU and US in Q1 2025 - FDA priority review granted in the US • Part 2 of the ESSENCE trial will continue, completion expected in 2029 *Statistically significant 1NHANES (waves 2003-2004, 2013-2014, 2015-2016 and 2017-2020); UN World Population Prospects 2022; International Diabetes Federation: Diabetes Atlas 10th edition, 2021; World Obesity Atlas 2023 F: Fibrosis stage; Sema: Semaglutide; MASH: Metabolic dysfunction-associated steatohepatitis Semaglutide 2.4 mg demonstrates superior improvement in both liver fibrosis and MASH resolution in the ESSENCE trial Improvement in fibrosis with no worsening in steatohepatitis Resolution of steatohepatitis with no worsening of fibrosis 22.5% 0% 20% 40% 60% 80% 100% Placebo Sema 2.4 mg 37.0%* Proportion of patients 34.1% 0% 20% 40% 60% 80% 100% Placebo Sema 2.4 mg 62.9%* Proportion of patients Addressing unmet need in MASH
    • 118. 118 Novo Nordisk® Investor presentation First six months of 2025 • Awareness Recognise liver health as additional risk factor and increase patient screening at scale • Referrals Ensure high risk patient referral and support guideline changes • Diagnosis Ensure sequential NITs are used in diagnosis • Treatment Semaglutide as foundation; Liverspecific MoAs as add-on in F2-F3c; Multi-MoA anti-fibrotics in F3-F4c Novo Nordisk will focus on F2-F4c with commercial efforts related to awareness, referrals and diagnosis 0 5 10 15 20 25 Prevalence Diagnosed Access Hepatologists + Primary care physicians >100k GI HCPs ~15k CVRM HCPs ~60k 1Estes C, Modelling the epidemic of non-alcoholic fatty liver disease demonstrates an exponential increase in burden of disease, Hepatology, 2018 CVRM: Cardiovascular, renal, metabolic; F: Fibrosis stage; (F0-F1: no or mild fibrosis; F2 significant fibrosis; F3-4 advanced fibrosis); GI: Gastrointestinal; HCPs: Healthcare professionals; MASH: Metabolic dysfunction-associated steatohepatitis; MoA: Mode of action; NIT: Non-invasive tests Note: Advanced fibrosis (F3-4) defined as per Kleiner DE. Hepatology. 2005;41:1313–21 and Brunt EM. Hepatology. 2011;53: 810–20. Million ~22 million people are expected to live with MASH F2-F4c by 20301 Focus areas to establish presence in MASH MASH referrals to hepatologists in the US
    • 119. 119 Novo Nordisk® Investor presentation First six months of 2025 Novo Nordisk enters partnerships to enhance diagnosis in MASH AACE: American Association of Clinical Endocrinologists; ADA: American Diabetes Association; ELF: Enhanced liver fibrosis; FDA: The US Food and Drug Administration; FIB-4: Fibrosis-4; MASH: Metabolic dysfunction-associated steatohepatitis; MRI-PDFF: Magnetic resonance imaging proton density fat fraction; MRE: Magnetic resonance elastography; NITs: Non-invasive tests; NIS4: Non-invasive biomarker panel; OW: Once-weekly; SWE: Shear wave elastography; TE: Transient elastography Partnerships across relevant non-invasive tests Novo Nordisk supports NIT for MASH screening and diagnosis Scan SWE MRE/MRI-PDFF Liver MultiScan TE FibroScan Blood test Pro-C3 ELF test OW Liver Blood test score NIS4 FIB-4 Fibro Sure Clinical guideline development recommending screening for MASH in type 2 diabetes Engaging with larger diagnostic companies to ensure NIT capacity Engaging in consortia (Litmus, Nimble, Liver Forum) Disease education activities to enable screening, diagnosis and evidence generation
    • 120. 120 Novo Nordisk® Investor presentation First six months of 2025 Alzheimer’s disease patient journey is complex and underscores key barriers to overcome for Novo Nordisk to be successful AD: Alzheimer’s disease; QD: Once-daily; MCI: mild cognitive impairment; DMT: Disease-modifying treatment; PCP: primary care physicians; NITs: Non-invasive diagnostics; HCP: Healthcare professional Note: MCI and Mild dementia in the graph are both due to AD. Source: Alzheimer’s Association report: 2020 Alzheimer’s disease facts and figures, 2020 (16:391-460) AD prevalence Early symptoms dismissed as normal ageing Lack of prognostic markers and simple tests Limited DMT options Complex tests and limited screening/ diagnosing skills Significant and growing Hurdles unmet need 0 20 40 60 80 Prevalence Diagnosed patients Eligible patients MCI Mild dementia Million Market preparation priorities • Evidence to better understand the • impact of delaying disease progression • role of neuroinflammation in disease progression Evidence generation • Larger number of AD patients expected to enter the system • May lead to significant bottlenecks and delay to patient care Support healthcare system preparedness • Support NITs development, e.g. blood-based/digital biomarkers • Increase AD education and access to screening tools for PCPs and HCP insight Increase diagnosis rate Few patients receiving diagnosis High expected investment level Low expected investment level
    • 121. 121 Novo Nordisk® Investor presentation First six months of 2025 Entering phase 3 development of semaglutide in Alzheimer’s disease was based on a number of data points Real world evidence trials Randomised controlled trials Pre-clinical studies Four RWE studies show reduced risk of dementia or AD with GLP-1 Danish registry1 • 11% lower risk of dementia per year of GLP-1 exposure TRUVEN claims database1 • 31% lower risk of dementia after >2 years of GLP-1 exposure Danish registry2 • 42% lower odds of dementia after GLP-1 exposure FAERS (FDA database)3 • 64% lower odds of Alzherimer’s disease after liraglutide exposure 53% lower risk of dementia diagnosis with liraglutide/semaglutide in NN’s CVOTs in T2D4 Less decline in cerebral glucose metabolism (FDG-PET) with liraglutide in AD5 Reduced incidence of major adverse CV events in T2D with semaglutide incl. stroke6 Systemic anti-inflammatory effects with semaglutide7,8 Short-term memory improvement with liraglutide in people with obesity9 Reduced cognitive decline with dulaglutide in patients with T2D10 Improved memory function with GLP-1 11 incl. semaglutide12 Reduced phospho-tau accumulation13 Reduced neuroinflammation with GLP-1 14,15 incl. semaglutide16 Reduced atherosclerosis with liraglutide and semaglutide17 Systemic anti-inflammatory effects with semaglutide17 1NN data on file, Danish register: Dementia cases based on diagnosis (ICD10) or treatment (anticholinesterases, memantine) codes; TRUVEN: Dementia cases based on SNOMED ids for all diagnoses (ICD-10) or treatment (anticholinesterases, memantine); 2Wium-Andersen IK et al. Eur J Endocrinol. 2019;181(5):499-507; 3Akimoto H et al. Am J Alzheimers Dis Other Demen. 2020;35:1-11; 4Ballard et al. Presented online at the Alzheimer’s Association International Conference (AAIC), 27–31 July 2020; 5Gejl M et al. Front Aging Neurosci 2016;8:108; 6Husain M et al. Diabetes Obes Metab 2020;22:442–451; 7Aroda VR et al. Diabetes Care 2019;42:1724–1732; 8Rodbard HW et al. Diabetes Care 2019;42:2272–2281; 9Vadini F et al. Int J Obes (Lond) 2020;44:1254–1263; 10Cukierman-Yaffe T et al. Lancet Neurol 2020;19:582–590 11Hansen HH et al. J Alzheimers Dis 2015;46:877–888; 12Preliminary data in NN ongoing pre-clinical studies; 13Hansen HH et al. Brain Res 2016;1634:158–170; 14Brundin L et al. Nature Med 2018;24:900–902; 15Yun SP et al. Nature Med 2018;24:931–938; 16Secher A et al. Oral presentation at Virtual Alzheimer’s Disease/Parkinson’s Disease International Conference, 9–14 March 2021; 17Rakipovski G et al. JACC Basic Transl Sci 2018;3:844–857 AD: Alzheimer’s disease; CI: confidence interval; RWE: Real world evidence
    • 122. 122 Novo Nordisk® Investor presentation First six months of 2025 evoke and evoke+ trials are ongoing with expected completion in 2025 Objective To confirm superiority of oral semaglutide vs placebo on the change in cognition and function in people with early Alzheimer’s disease Primary endpoint Change in the Clinical Dementia Rating – Sum of Boxes (CDR-SB) score from baseline to end of 104 weeks of treatment Inclusion criteria • Early Alzheimer’s disease (mild cognitive impairment or mild dementia) • Mini-Mental State Examination (MMSE) ≥ 22/30 • Age between 55-85 years • evoke+ has at least 20% with small vessel pathology evoke and evoke+ trials have been initiated with 1,840 patients in each trial with a total of 3,680 patients Confirmatory endpoints N=1840 0 4 8 104 Treatment period Follow-up Week 3 mg 7 mg 14 mg oral semaglutide QD 14 mg oral semaglutide QD 3 mg 7 mg 14 mg placebo QD 14 mg placebo QD 156 161 1:1 R AD: Alzheimer’s disease; QD: Once-daily; MCI: mild cognitive impairment; QD: once-daily. Note: CDR-SB ratings are utilising in six domains are summed to provide a clinical measure = Sum of Boxes. These are: memory, orientation, judgment and problem solving, community affairs, home and hobbies, personal care. CDR-SB Scores range from 0 to 18 with higher scores representing greater impairment
    • 123. 123 Novo Nordisk® Investor presentation First six months of 2025 CETA clinical pipeline has expanded, leveraging internal and external innovation and synergies Addressing significant unmet needs Cardiovascular and emerging therapy areas development pipeline CETA Therapy area Project Phase Cardiovascular disease Ziltivekimab, ASCVD and CKD Phase 3 ongoing Ziltivekimab, HFpEF Phase 3 ongoing Ziltivekimab, AMI Phase 3 ongoing Coramitug, ATTR-Cardiomyopathy Phase 2 completed CDR132L, Heart failure Phase 2 ongoing NLRP3i, Atherosclerosis Phase 1 ongoing CNP, Heart failure Phase 1 ongoing Stem Cells, Heart failure Phase 1 ongoing MASH ESSENCE (semaglutide 2.4 mg), F2-F3c Submitted in EU/US LXR(a), F2-F3c Phase 1 ongoing MARC1, F3-F4c Phase 1 ongoing NLRP3, MASH Phase 1 ongoing AD/PD EVOKE (semaglutide 14 mg), AD Phase 3 ongoing Stem Cells, Parkinson’s disease Phase 1 ongoing AD: Alzheimer's Disease; AMI: Acute Myocardial infarction; ASCVD; Atherosclerotic Cardiovascular Disease; CETA: Cardiovascular & Emerging Therapy Areas; CKD: chronic Kidney disease; F: Fibrosis stage; F4c: Compensated cirrhosis; HFpEF: Heart failure with preserved ejection fraction; LXR(a): Liver X receptor alpha; MARC1: Mitochondrial amidoxime reducing component 1; MoA: Mode of action; MASH: Metabolic dysfunction-associated steatohepatitis; PD: Parkinson Disease, sema: semaglutide Cardiovascular disease Pursue innovative mechanisms of action Combine internal and external innovation MASH Aim for effect on resolution of MASH and improvement or no worsening of fibrosis Prioritise multi-MoA antifibrotics in F3-F4c to secure a best-in-class profile Alzheimer’s disease Opportunistic trial to slow clinical progression in people with early AD
    • 124. Novo Nordisk® Investor presentation First six months of 2025 US Operations NAO at a glance131 NAO at a glance 131 USA health care system129 USA health care system 129 NAO growth drivers128 NAO growth drivers 128 124 Investor presentation First six months of 2025 US health care system US health care system US at a glance US at a glance
    • 125. Novo Nordisk® Investor presentation First six months of 2025 NAO 125 52% 50% 15% 16% 21% 24% 4% 4% 8% 6% 2019 2023 27% 5% 23% 3% 7% 30% 5% 2024 DKK billion Private Health Insurance1 Medicare Medicaid Other Public2 Uninsured MedImpact Healthcare Systems CVS Health UHG/OptumRx Humana Pharmacy Solutions Cigna All Other PBMs + Cash Pay 59% 64% 69% 71% 74% 75% 75% 74%69% 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0 100 200 300 400 2016 2018 2020 2022 2024 Net sales Rebates, % of gross sales Rebates US health insurance enrollment and uninsured US PBMs market shares Development of Novo Nordisk rebates and net sales in the US US healthcare is a mix of private and public health insurance, dominated by a few large PBMs 1Private insurance includes employer sponsored insurance, health exchanges, and direct purchase insurance by individuals 2Other Public includes health insurance coverage provided by the Department of Veterans Affairs and the Department of Defense Source: Centers for Medicare & Medicaid Services, National Health Expenditure, Historical Data. Historical | CMS (table 22) PBM: Pharmacy Benefit Manager; UHG: UnitedHealth Group Source: Drug Channels Institute research and estimates. Calculated based on total equivalent prescription claims. 2024 data from The 2025 Economic Report on U.S. Pharmacies and Pharmacy Benefit Managers Source: Novo Nordisk Annual Report 2024 Prime Therapeutics
    • 126. Novo Nordisk® Investor presentation First six months of 2025 NAO 126 0% 20% 40% 60% 80% 0 300 600 900 GLP-1 MS Insulin MS US Operations at a glance 24 39 43 0 5 10 15 20 25 30 35 40 45 50 2011 2024 2050 Population with diabetes Diabetes growth rate 62% 12% Million OAD May 2020 May 2025 DKK billion 38.8%1 -13.1%1 15.9%1 GLP-1 Insulin Diabetes trend in population Diabetes market by value and Novo Nordisk market share Novo Nordisk H1 2025 reported sales H1 2025 Sales (mDKK) Growth2 Injectable GLP-1 3 45,273 12% Rybelsus® 4,671 -10% Total GLP-1 49,944 9% Total insulin4 8,081 17% Other Diabetes care5 81 -23% Diabetes care 58,106 10% Obesity care6 24,899 36% Diabetes & Obesity care 83,005 17% Rare disease7 4,274 23% Total 87,279 17% Source: International Diabetes Federation: Diabetes Atlas 11th edition, 2025 1CAGR calculated for 5-year period Competitor insulin value market shares, as of May 2025: Novo Nordisk 37%, Others 63%; Competitor GLP-1 value market shares, as of May 2025: Novo Nordisk 50%, Others 50%. OAD: Oral anti-diabetic; MS: Market Share; Note: Market values are based on list prices; Source: IQVIA MAT, May 2025 value figures 2At constant exchange rates 3Comprises Victoza® , Ozempic® 4Comprises Tresiba®, Xultophy®, Levemir®, NovoMix®, Fiasp®, Ryzodeg® and NovoRapid® 5Comprises NovoNorm® and needles 6Comprises Saxenda® and Wegovy® 7Comprises primarily NovoSeven®, NovoEight® , Esperoct®, NovoThirteen®, Refixia®, Norditropin®, Vagifem® and Activelle®
    • 127. Novo Nordisk® Investor presentation First six months of 2025 NAO 127 33.8% 18.3% 7.6% 4.0% 0% 10% 20% 30% 40% 50% 0% 10% 20% 30% 40% 50% NN market share NN share of growth Market growth(right axis) NN growth(right axis) Diabetes market share and market growth in US Operations Diabetes market growth and Novo Nordisk market share Diabetes market size and growth 32% May 2022 May 2025 May 2024 32% Novo Nordisk Company A Others May 2025 Novo Nordisk Competitors DKK billion 35% 34% 882 12 50 5 949 ~4% ~8% NN: Novo Nordisk Note: Due to contractual obligations competitor names are not disclosed. Company A represents an actual company; Market values are based on the list prices Source: IQVIA, May 2025, value, MAT
    • 128. Novo Nordisk® Investor presentation First six months of 2025 NAO 128 GLP-1 market share and market growth in US Operations 50% 37% 23% 16% 0% 20% 40% 60% 80% 20% 30% 40% 50% 60% 70% NN market share NN share of growth Market growth(right axis) NN growth(right axis) GLP-1 market growth and Novo Nordisk market share GLP-1 market size and growth May 2022 May 2025 May 2024 May 2025 Novo Nordisk Company A Others Novo Nordisk Competitors DKK billion 53% 50% 457 38 65 1 560 ~16% ~23% NN: Novo Nordisk Note: Due to contractual obligations competitor names are not disclosed. Company A represents an actual company; Market values are based on the list prices Source: IQVIA, May 2025, value, MAT
    • 129. Novo Nordisk® Investor presentation First six months of 2025 NAO 129 30% -15% -20% -15% -10% -5% 0% 5% 10% 15% 20% 0% 20% 40% 60% 80% NN market share Market growth (right axis) NN growth (right axis) -2% Market growth1 Δ Market share -3.4% - -10.9% -8.1% +0.8% -14.4% -8.5% -17.6% -8.7% -10.7% -0.6% Insulin volume: Market share May 2022 May 2025 Total Longacting 38% Premix Fastacting 38 37% 38% 36% 18% Human 103 62 4 9 Novo Nordisk Competitors Insulin market share and market size (DKK billion) 1Market growth is YTD current vs YTD previous year NN: Novo Nordisk; Note: Insulin market numbers do not reflect rebates. Share of growth not depicted due to too high numbers. Market values are based on the list prices Source: IQVIA, May 2025, LHS graph – Value, RHS Graph - Volume, MAT, all countries Insulin market size and volume market share in US Operations
    • 130. Novo Nordisk® Investor presentation First six months of 2025 NAO 130 54% 67% 149% -20% 20% 60% 100% 140% 180% 220% 260% 0% 20% 40% 60% 80% 100% 120% NN market share Market growth (right axis) NN growth (right axis) Obesity market growth and Novo Nordisk market share Obesity market size and growth 82% 92% May 2022 May 2025 93% May 2024 91% May 2025 10.8 95% NN Obesity care Others DKK billion 81% 44.8 78.9 54% 83.1 206.9 ~67% ~149% NN: Novo Nordisk Note: Share of growth not depicted due to too high numbers; Market values are based on the list prices Source: IQVIA, May 2025, value, MAT, all countries Obesity market share and market growth in US Operations
    • 131. 131 Novo Nordisk® Investor presentation First six months of 2025 131 International Operations EMEA112 EMEA 112 IO at a glance107 IO at a glance 107 Rest of World122 Rest of World 122 Region China117 Region China 117 131 Investor presentation First six months of 2025 International Operations Emerging Markets Emerging Markets APAC APAC EUCAN EUCAN International Operations International Operations Region China Region China
    • 132. 132 Novo Nordisk® Investor presentation First six months of 2025 0% 20% 40% 60% 80% 100% 0 50 100 150 200 250 300 GLP-1 MS Insulin MS International Operations at a glance 343 551 810 0 200 400 600 2011 2024 2050 Population with diabetes Diabetes trend May 2020 May 2025 Diabetes market by value and Novo Nordisk market share Diabetes growth rate 61% 47% Novo Nordisk H1 2025 reported sales Insulin Million DKK billion GLP-1 40%1 1%1 8%1 OAD MS H1 2025 Sales (mDKK) Growth2 Injectable GLP-1 3 21,319 8% Rybelsus® 6,677 20% Total GLP-1 27,996 10% Total insulin4 19,662 -1% Other Diabetes care5 846 -15% Diabetes care 48,504 5% Obesity care6 13,897 125% Diabetes & Obesity care 62,401 19% Rare disease7 5,264 10% Total 67,665 19% Source: International Diabetes Federation: Diabetes Atlas 11th edition, 2025 1 CAGR calculated for 5-year period; Competitor insulin value market shares, as of May 2025: Novo Nordisk 51%, Others 49%; Competitor GLP-1value market shares, as of May 2025: Novo Nordisk 63%, Other 37%; OAD: Oral anti-diabetic; MS: Market share; Note: Market values are based on the list prices; Source: IQVIA MAT, May 2025 value figures 2 At Constant exchange rates; 3 Comprises Victoza® , Ozempic®; 4 Comprises Tresiba®, Xultophy®, Levemir®, Ryzodeg®, NovoMix®, Fiasp®, Awiqli®, Ryzodeg® and NovoRapid®; 5 Comprises NovoNorm® and needles; 6 Obesity care comprises Saxenda® and Wegovy®; 7 Comprises primarily NovoSeven®, NovoEight® , NovoThirteen®, Refixia®, Esperoct®, Norditropin®, Vagifem® and Activelle®
    • 133. 133 Novo Nordisk® Investor presentation First six months of 2025 29.1% 15.2% 13.5% 6.6% 0% 10% 20% 30% 40% 0% 40% 80% NN market share NN share of growth Market growth (right axis) NN growth (right axis) Diabetes market growth and Novo Nordisk market share 24% 25% Diabetes market share and market growth in International Operations Diabetes market size and growth DKK billion 24% Others May 2024 Novo Nordisk Company A May2025 Novo Nordisk Competitors 25% May 2022 May 2025 ~13% 31% 29% 270 6 6 25 306 ~7% NN: Novo Nordisk Note: Due to contractual obligations competitor names are not disclosed. Company A represents an actual company. Market values are based on the list prices Source: IQVIA, May 2025, Value MAT
    • 134. 134 Novo Nordisk® Investor presentation First six months of 2025 GLP-1 market share and market growth 62% 22% 30% 9% 0% 20% 40% 60% 80% 0% 20% 40% 60% 80% 100% NN market share NN share of growth Market growth (Right Axis) NN growth (Right Axis) 55% 60% GLP-1 market growth and Novo Nordisk market share GLP-1 market size and growth 56% 61% Novo Nordisk Competitors Novo Nordisk 60% Company A Others 65% May 2024 May 2025 May 2022 May 2025 DKK billion ~30% 74% 62% 69 5 15 1 90 ~9% NN: Novo Nordisk Note: Due to contractual obligations competitor names are not disclosed. Company A represents an actual company. Market values are based on the list prices Source: IQVIA, May 2025, Value MAT, all countries
    • 135. 135 Novo Nordisk® Investor presentation First six months of 2025 Insulin market size and volume share of growth and market share in International Operations 47% 3% 1% -8% -5% -2% 1% 4% 7% 10% 0% 20% 40% 60% 80% NN market share Market growth (Right Axis) NN growth (Right Axis) 4.8% -0.3% 3.0% +0.2% 3.8% -0.7% 11.6% -1.0% 9.4% -1.2% May 2022 May 2025 Human 51% LongActing Total Premix 56% 42% Fastacting 70% 50% 66 35 19 11 6 Novo Nordisk Competitors Market growth1 Δ Market share Insulin market share and market size (DKK billion) Insulin volume: Market share 1Market growth is YTD current vs YTD previous year NN: Novo Nordisk Note: Share of growth not depicted due to too high numbers; Market values are based on the list prices Source: IQVIA, May 2025, LHS graph – Value, RHS Graph - Volume, MAT, all countries
    • 136. 136 Novo Nordisk® Investor presentation First six months of 2025 Obesity market share and market growth in International Operations 89% 89% 115% 0% 30% 60% 90% 120% 150% 0% 30% 60% 90% 120% NN market share Market growth (right axis) NN growth (right axis) Obesity market growth and Novo Nordisk market share 46% Obesity market size and growth May 2022 May 2025 48% 54% May 2024 May 2025 Novo Nordisk Others DKK billion 48% 46% 54% 78% 10.1 89% 11.2 -0.1 21.2 ~115% ~89% Note: Market values are based on the list prices Source: IQVIA, May 2025, Value MAT, all countries
    • 137. 137 Novo Nordisk® Investor presentation First six months of 2025 EMEA 0% 20% 40% 60% 80% 100% 0 50 100 150 GLP-1 MS Insulin MS EUCAN at a glance 38 50 51 0 20 40 60 80 2011 2024 2050 Population with diabetes Diabetes trend May 2020 May 2025 Diabetes market by value and Novo Nordisk market share Diabetes growth rate 33% 3% Novo Nordisk H1 2025 reported sales Million DKK billion 38%1 2%1 GLP-1 Insulin 14%1 OAD MS H1 2025 Sales (mDKK) Growth2 Injectable GLP-1 3 11,261 13% Rybelsus® 3,734 23% Total GLP-1 14,995 15% Total insulin4 6,361 -5% Other Diabetes care5 263 -5% Diabetes care 21,619 8% Obesity care6 7,060 64% Diabetes & Obesity care 28,679 18% Rare disease7 2,533 1% Total 31,212 16% EUCAN: Europe and Canada Source: International Diabetes Federation: Diabetes Atlas 11th edition, 2025 1 CAGR calculated for 5-year period; Competitor insulin value market shares, as of May 2025: Novo Nordisk 49%, Others 51%; Competitor GLP-1 value market shares, as of May 2025: Novo Nordisk 63%, Others 37%. OAD: Oral anti-diabetic; MS: Market share; Note: Market values are based on the list prices; Source: IQVIA May 2025 value figures 2 At Constant exchange rates; 3 Comprises Victoza® , Ozempic®; 4 Comprises Tresiba®, Xultophy®,Levemir®,Ryzodeg®,Awiqli®,NovoMix®,Fiasp® and NovoRapid®; 5 Comprises NovoNorm® and needles; 6 Obesity care comprises Saxenda® and Wegovy®; 7 Comprises primarily NovoSeven®, NovoEight® , NovoThirteen®, Esperoct®, Refixia®, Norditropin®, Vagifem® and Activelle®
    • 138. 138 Novo Nordisk® Investor presentation First six months of 2025 EMEA Diabetes market share and market growth in EUCAN 33.3% 17.0% 16.3% 7.7% 0% 5% 10% 15% 20% 25% 30% 35% 0% 25% 50% 75% NN market share NN share of growth Market growth (right axis) NN growth (right axis) Diabetes market growth and Novo Nordisk market share Diabetes market size and growth Novo Nordisk Competitors May 2024 May 2025 May NN Company A Others 2022 May 2025 DKK billion 36% 33% 135 4 4 14 157 ~8% ~16% EUCAN: Europe and Canada; IO: International Operations; NN: Novo Nordisk Note: Due to contractual obligations competitor names are not disclosed. Company A represents an actual company; Market values are based on the list prices Source: IQVIA, May 2025, Value, MAT
    • 139. 139 Novo Nordisk® Investor presentation First six months of 2025 EMEA GLP-1 market share and market growth in EUCAN 63% 28% 32% 12% 0% 20% 40% 60% 0% 30% 60% 90% 120% NN market share NN share of growth Market growth (right axis) NN growth (right axis) GLP-1 market growth and Novo Nordisk market share GLP-1 market size and growth 59% 56% Company A 57% Novo Nordisk Others May 2025 59% Novo Nordisk Competitors 61% 59% May 2022 May 2025 May 2024 DKK billion 74% 63% 43 4 10 0 57 ~12% ~32% EUCAN: Europe and Canada; NN: Novo Nordisk Note: Due to contractual obligations competitor names are not disclosed. Company A represents an actual company; Market values are based on the list prices Source: IQVIA, May 2025, Value, MAT
    • 140. 140 Novo Nordisk® Investor presentation First six months of 2025 EMEA Insulin market size and volume market share in EUCAN 45% 0% 0% -10% -5% 0% 5% 10% 0% 20% 40% 60% NN market share Market growth (right axis) NN growth (right axis) 40% 48% -0.6% +0.0% -0.7% +0.3% -0.5% -0.2% -0.3% +0.1% 1.5% -1.9% May 2022 May 2025 40% Total 49% Longacting Fastacting Premix Human 44% 49% 46% 53% 2 33 58% 19 12 2 Novo Nordisk Competitors Market growth1 Δ Market share Insulin market share and market size (DKK billion) Insulin volume: Market share 1Market growth is YTD current vs YTD previous year EUCAN: Europe and Canada; NN: Novo Nordisk Note: Share of growth not depicted due to too high numbers; Market values are based on the list prices Source: IQVIA, May 2025 LHS graph – Value, RHS Graph - Volume, MAT
    • 141. 141 Novo Nordisk® Investor presentation First six months of 2025 EMEA Obesity market share and market growth in EUCAN 94% 93% 84% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 0% 20% 40% 60% 80% 100% 120% 140% NN market share NN Growth Market growth (right axis) Obesity market growth and Novo Nordisk market share Obesity market size and growth May 2022 May 2025 Novo Nordisk Others May 2024 May 2025 DKK billion 90% 5.6 0.0 94% 6.7 12.3 ~93% ~84% EUCAN: Europe and Canada; NN: Novo Nordisk Note: Market values are based on the list prices Source: IQVIA, May 2025, Value, MAT
    • 142. 142 Novo Nordisk® Investor presentation First six months of 2025 Rest of World Emerging Markets at a glance 102 178 321 0 100 200 300 400 2011 2024 2050 Population with diabetes Diabetes growth rate 75% 80% 0% 20% 40% 60% 80% 100% 0 10 20 30 40 50 60 70 GLP-1 MS Insulin MS 51%1 4%1 12%1 May 2020 May 2025 DKK billion Million 1 CAGR calculated for last 5-year period Competitor insulin value market shares, as of May 2025: Novo Nordisk 52%, Others 48%; Competitor GLP-1 value market shares, as of May 2025: Novo Nordisk 56%, Others 44%. OAD: Oral anti-diabetic; MS: Market Share; Note: Market values are based on list prices; Source: IQVIA MAT, May 2025 value figures 2 At constant exchange rates; 3 Comprises Victoza®, Ozempic®; 4 Comprises Tresiba®, Xultophy®,Levemir®,Awiqli®,NovoMix®,Ryzodeg®, NovoRapid® and Fiasp®; 5 Comprises NovoNorm® and needles; 6 Comprises Saxenda® and Wegovy®; 7Comprises primarily Esperoct® , Refixia ® ,NovoSeven®, NovoEight® and Norditropin® GLP-1 Insulin OAD MS Diabetes trend in population Diabetes market by value and Novo Nordisk market share Novo Nordisk H1 2025 reported sales H1 2025 Sales (mDKK) Growth2 Injectable GLP-1 3 5,138 14% Rybelsus® 1,066 8% Total GLP-1 6,204 13% Total insulin4 5,357 2% Other Diabetes care5 144 -1% Diabetes care 11,705 7% Obesity care6 3,260 157% Diabetes & Obesity care 14,965 24% Rare disease7 1,369 6% Total 16,334 22% Emerging Markets: mainly Latin America, Middle East and Africa Source: International Diabetes Federation: Diabetes Atlas 11th edition, 2025
    • 143. 143 Novo Nordisk® Investor presentation First six months of 2025 Rest of World Diabetes market share and market growth in Emerging Markets 27.3% 13.4% 12.5% 5.8% 0% 10% 20% 30% 40% 50% 0% 10% 20% 30% 40% 50% NN market share NN Share of Growth Market growth (right axis) NN growth (right axis) Diabetes market growth and Novo Nordisk market share Diabetes market size and growth May 2022 May 2025 May Company A Others 2024 Novo Nordisk May 2025 Novo Nordisk Competitors DKK billion 29% 27% 55 1 0 5 62 ~6% ~13% Emerging Markets: mainly Latin America, Middle East and Africa; NN: Novo Nordisk Note: Due to contractual obligations competitor names are not disclosed. Company A represents an actual company. Rest of world Market values are based on the list prices Source: IQVIA, May 2025, value, MAT
    • 144. 144 Novo Nordisk® Investor presentation First six months of 2025 Rest of World GLP-1 market share and market growth in Emerging Markets 56% 11% 28% 5% 0% 20% 40% 60% 80% 100% 120% 140% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% NN market share NN share of growth Market growth (right axis) NN growth (right axis) GLP-1 market growth and Novo Nordisk market share GLP-1 market size and growth 45% 62% May 2022 May 2025 48% May 2024 May 2025 66% Novo Nordisk Competitors 62% Novo Nordisk Others 76% Company A DKK billion 68% 56% 13 0 2 1 17 ~5% ~28% Emerging Markets: mainly Latin America, Middle East and Africa; NN: Novo Nordisk Note: Due to contractual obligations competitor names are not disclosed. Company A represents an actual company.; Market values are based on the list prices Source: IQVIA, May 2025, value, MAT
    • 145. 145 Novo Nordisk® Investor presentation First six months of 2025 Rest of World Insulin market size and volume market share in Emerging Markets 52% 3% -15% -10% -5% 0% 5% 10% 15% 20% 0% 20% 40% 60% 80% NN market share Market growth (right axis) NN growth (right axis) 3% 7.4% +1.3% 3.6% +0.2% 12.4% +2.5% 12.2% +1.0% 12.8% +1.7% 67% 52% 4 Total Long– acting 37% Premix Fastacting 76% Human 75% 14 8 2 1 Novo Nordisk Competitors Market growth1 Δ Market share Insulin market share and market size (DKK billion) Insulin volume: Market share May 2022 May 2025 1Market growth is YTD current vs YTD previous year Emerging Markets: mainly Latin America, Middle East and Africa; NN: Novo Nordisk Note: Share of growth not depicted due to too high numbers;; Market values are based on the list prices Source: IQVIA, May 2025; LHS graph – Value, RHS Graph - Volume, MAT
    • 146. 146 Novo Nordisk® Investor presentation First six months of 2025 Rest of World Obesity market share and market growth in Emerging Markets 77% 122% 72% -10% 0% 10% 20% 30% 40% 50% 60% 70% 80% -20% 0% 20% 40% 60% 80% 100% 120% 140% NN market share NN Growth Market growth (Right Axis) Obesity market growth and Novo Nordisk market share Obesity market size and growth 37% 43% May 2022 May 2025 38% 44% 43% May 2024 54% May 2025 Novo Nordisk Others DKK billion 59% 2.6 0.0 77% 3.6 6.2 122% 72% Emerging Markets: mainly Latin America, Middle East and Africa; NN: Novo Nordisk Note: Market values are based on the list prices Source: IQVIA, May 2025, value, MAT
    • 147. 147 Novo Nordisk® Investor presentation First six months of 2025 EMEA 0% 20% 40% 60% 80% 100% 0 20 40 60 GLP-1 MS Insulin MS APAC at a glance 112 172 267 0 100 200 300 2011 2024 2050 Population with diabetes Diabetes trend May 2020 May 2025 Diabetes market by value and Novo Nordisk market share Diabetes growth rate 54% 55% Novo Nordisk H1 2025 reported sales Million DKK billion 26%1 -2%1 GLP-1 Insulin 0%1 OAD MS H1 2025 Sales (mDKK) Growth2 Injectable GLP-1 3 1,814 2% Rybelsus® 1,761 22% Total GLP-1 3,575 11% Total insulin4 2,754 -3% Other Diabetes care5 138 0% Diabetes care 6,467 4% Obesity care6 2,715 361% Diabetes & Obesity care 9,182 37% Rare disease7 1,027 22% Total 10,209 35% APAC: Japan, Korea, Oceania and Southeast Asia Source: International Diabetes Federation: Diabetes Atlas 11th edition, 2025 1 CAGR calculated for 5-year period; Competitor insulin value market shares, as of May 2025: Novo Nordisk 58%, Others 42%; Competitor GLP-1 value market shares, as of May 2025: Novo Nordisk 54%, Others 46%. OAD: Oral anti-diabetic; MS: Market share; Note: Market values are based on the list prices; Source: IQVIA May 2025 value figures 2 At Constant exchange rates; 3 Comprises Victoza® , Ozempic®; 4 Comprises Tresiba®, Xultophy®,Levemir®,Ryzodeg®,Awiqli®,NovoMix®,Fiasp® and NovoRapid®; 5 Comprises NovoNorm® and needles; 6 Obesity care comprises Saxenda® and Wegovy®; 7 Comprises primarily NovoSeven®, NovoEight® , NovoThirteen®, Esperoct®, Refixia®, Norditropin®, Vagifem® and Activelle®
    • 148. 148 Novo Nordisk® Investor presentation First six months of 2025 EMEA 17.9% 7.1% 1.1% -10% 0% 10% 20% 30% 0% 10% 20% 30% NN market share Market growth (right axis) NN growth (right axis) Diabetes market growth and Novo Nordisk market share Diabetes market size and growth Novo Nordisk Competitors May 2024 May 2025 May NN Company A Others 2022 May 2025 DKK billion 19% 18% 52 0 1 3 55 ~1% ~7% Diabetes market share and market growth in APAC APAC: Japan, Korea, Oceania and Southeast Asia; NN: Novo Nordisk Note: Due to contractual obligations competitor names are not disclosed. Company A represents an actual company; Market values are based on the list prices Source: IQVIA, May 2025, Value, MAT
    • 149. 149 Novo Nordisk® Investor presentation First six months of 2025 EMEA 54% 8% 47% 5% 0% 30% 60% 90% 120% 0% 30% 60% 90% 120% 150% 180% NN market share NN share of growth Market growth (right axis) NN growth (right axis) GLP-1 market growth and Novo Nordisk market share GLP-1 market size and growth 59% 56% Company A 57% Novo Nordisk Others May 2025 59% Novo Nordisk Competitors 61% 59% May 2022 May 2025 May 2024 DKK billion 76% 54% 7 0 3 0 10 ~5% ~47% GLP-1 market share and market growth in APAC APAC: Japan, Korea, Oceania and Southeast Asia; NN: Novo Nordisk Note: Due to contractual obligations competitor names are not disclosed. Company A represents an actual company; Market values are based on the list prices Source: IQVIA, May 2025, Value, MAT
    • 150. 150 Novo Nordisk® Investor presentation First six months of 2025 EMEA Insulin market size and volume market share in APAC 54% 0% -5% -10% -5% 0% 5% 10% 0% 20% 40% 60% NN market share Market growth (right axis) NN growth (right axis) 40% 48% 7.3% -1.6% 5.6% -0.5% 9.3% -3.3% 7.7% -2.0% 5.7% -4.3% May 2022 May 2025 40% Total 49% Longacting Fastacting Premix Human 61% 58% 41% 55% 1 7 78% 3 2 3 Novo Nordisk Competitors Market growth1 Δ Market share Insulin market share and market size (DKK billion) Insulin volume: Market share 1Market growth is YTD current vs YTD previous year APAC: Japan, Korea, Oceania and Southeast Asia; NN: Novo Nordisk Note: Share of growth not depicted due to too high numbers; Market values are based on the list prices Source: IQVIA, May 2025 LHS graph – Value, RHS Graph - Volume, MAT
    • 151. 151 Novo Nordisk® Investor presentation First six months of 2025 EMEA 89% 315% 199% -50% 0% 50% 100% 150% 200% 250% -50% 0% 50% 100% 150% 200% 250% 300% 350% NN market share NN Growth Market growth (right axis) Obesity market growth and Novo Nordisk market share Obesity market size and growth May 2022 May 2025 Novo Nordisk Others May 2024 May 2025 DKK billion 64% 1.9 0.0 89% 0.9 2.8 ~315% ~198% Obesity market share and market growth in APAC APAC: Japan, Korea, Oceania and Southeast Asia; NN: Novo Nordisk Note: Market values are based on the list prices Source: IQVIA, May 2025, Value, MAT
    • 152. 152 Novo Nordisk® Investor presentation First six months of 2025 Region China 0% 20% 40% 60% 80% 100% 0 10 20 30 40 GLP-1 MS Insulin MS Region China at a glance Note: Region China covers mainland China, Hong Kong, and Taiwan Source: International Diabetes Federation: Diabetes Atlas 11th edition, 2025 92 151 171 0 40 80 120 160 200 2011 2024 2050 Population with diabetes Diabetes trend May 2020 May 2025 Diabetes market by value and Novo Nordisk market share Diabetes growth rate 64% Novo Nordisk H1 2025 reported sales Million 1CAGR calculated for last 5-year period Competitor insulin value market shares, as of May 2025: Novo Nordisk 50%, Others 50%; Competitor GLP-1 value market shares, as of May 2025: Novo Nordisk 81% and Others 19% OAD: Oral anti-diabetic; MS: Market Share; Note: Market values are based on list prices; Source: IQVIA MAT, May 2025 value figures 2 At constant exchange rates; 3 Comprises Victoza® and Ozempic®; 4 Comprises Tresiba®, Xultophy®, Levemir®, NovoMix®, Awiqli®, Ryzodeg®, NovoRapid®; 5Comprises NovoNorm® and needles; 6Comprises Wegovy® & Saxenda® ; 7Comprises primarily NovoSeven®, NovoEight® and Norditropin® 14% 58%1 0%1 6%1 GLP-1 Insulin OAD DKK billion MS H1 2025 Sales (mDKK) Growth2 Injectable GLP-1 3 3,106 -12% Rybelsus® 116 7% Total GLP-1 3,222 -11% Total insulin4 5,190 3% Other Diabetes care5 301 -31% Diabetes care 8,713 -4% Obesity care6 862 0% Diabetes & Obesity care 9,575 4% Rare disease7 335 93% Total 9,910 6%
    • 153. 153 Novo Nordisk® Investor presentation First six months of 2025 0 5 10 15 20 DKK billion 2019 2020 2021 2022 2023 2024 GLP-1 Insulin Other diabetes care Obesity care Rare disease 12% 11% 11% -6% 52.6% Insulin market share1 79.6% GLP-1 market share1 84% 16% 2024 IO sales Region China Rest of IO 11% Region China is the largest market within IO Novo Nordisk Region China sales Growth at CER 1Only mainland China CER: Constant exchange rates; IO: International Operations; VBP: Volume-based procurement Note: Region China covers mainland China, Hong Kong, and Taiwan Sources: NN reported sales; IQVIA MAT CHPA data, Nov 2024 VBP implementation initiated 13% Region China remains a key market for Novo Nordisk and the established presence offers growth opportunities
    • 154. 154 Novo Nordisk® Investor presentation First six months of 2025 Wegovy® launch strategy • Volume-capped launch • Out-of-pocket market is initial focus of launch Access strategy • Achieve hospital listing for Wegovy® at selected hospitals • Explore commercial health insurance for selected sub-populations 184 55 1 0 50 100 150 200 Million people PwO in China Seek help on AOM treatment High unmet need for anti-obesity medications in mainland China Wegovy® launch out-of-pocket initially Nov 2024 Launched in mainland China AOM: Anti-obesity medication; PwO: People with obesity Note: Obesity in China defined as BMI ≥ 28; Region China covers mainland China, Hong Kong, and Taiwan Source: Lancet Diabetes Endocrinol 2021, Goldman Sachs Global investment research, Data from 2019 CFTU: OK no changes Wegovy® was launched in Nov 24 and is expected to address the high unmet need for anti-obesity medications in Region China
    • 155. 155 Novo Nordisk® Investor presentation First six months of 2025 Region China Diabetes market share and market growth in Region China 31.7% 13.5% 8.1% -20% 0% 20% 40% 0% 10% 20% 30% 40% NN market share Market growth (right axis) NN growth (right axis) Diabetes market growth and Novo Nordisk market share Diabetes market size and growth Novo Nordisk Competitors May 2024 May 2025 May NN Company A Others 2022 May 2025 DKK billion 33% 32% 28 1 1 2 32 ~8% ~13% NN: Novo Nordisk Note: Due to contractual obligations competitor names are not disclosed. Company A represents an actual company. Region China covers Mainland China, Taiwan, and Hong Kong; Market values are based on the list prices Source: IQVIA, May 2025, Value, MAT
    • 156. 156 Novo Nordisk® Investor presentation First six months of 2025 Region China GLP-1 market share and market growth in Region China 81% 35% -2% 1% -20% 0% 20% 40% 60% 80% 100% 120% 140% 0% 25% 50% 75% 100% 125% 150% 175% 200% 225% 250% 275% NN market share NN share of growth Market growth (right axis) NN growth (right axis) GLP-1 market growth and Novo Nordisk market share GLP-1 market size and growth 89% 67% Others 85% Novo Nordisk Company A 63% 66.7% May 2025 May 2024 66.9% May 2022 May 2025 Novo Nordisk Competitors DKK billion ~79% ~82% 6 0 0 0 5 ~1% ~-2% NN: Novo Nordisk Note: Due to contractual obligations competitor names are not disclosed. Company A represents an actual company.; Region China covers Mainland China, Taiwan, and Hong Kong; Market values are based on the list prices Source: IQVIA, May 2025, Value, MAT
    • 157. 157 Novo Nordisk® Investor presentation First six months of 2025 Region China Insulin market size and volume share of growth and market share in Region China 40% 12% 10% -40% -20% 0% 20% 40% 60% -40% 0% 40% 80% NN market share Market growth (right axis) NN growth (right axis) May 2022 May 2025 Insulin volume: market share 17.3% -2.4% 15.3% +2.8% 8.9% -10.8% 20.5% -2.4% 19.3% -1.5% Premix Total 50% 35% 48% 67% Fastacting Long– acting 24% Human 11 5 2 5 1 Novo Nordisk Competitors Market growth1 Δ Market share Insulin market share and market size (DKK billion) 1Market growth is YTD current vs YTD previous year NN: Novo Nordisk; Note: Region China covers Mainland China, Taiwan, and Hong Kong; Market values are based on the list prices Source: IQVIA, May 2025, LHS graph – Value, RHS Graph - Volume, MAT
    • 158. 158 Novo Nordisk® Investor presentation First six months of 2025 Financials and Product Supply 158 Product supply 14 Product supply 147 Profit and loss, resource allocation 14 Profit and loss, resource allocation 144 Margin development & capital allocation 153 Currencies 156 Investor presentation First six months of 2025 Profit and loss, resource allocation Product supply Margin development & capital allocation Currencies
    • 159. Novo Nordisk® 159 Investor presentation First six months of 2025 Solid sales growth driven by Diabetes and Obesity care 16% 84% 2019 15% 85% 2020 14% 86% 2021 12% 88% 2022 7% 93% 2023 6% 94% 2024 122 127 141 177 232 290 Reported annual sales 2019-2024 Diabetes and Obesity care Rare disease Group sales growth at CER 6% 7% 14% 16% 36% DKK billion, % of total sales CER: Constant exchange rates 26%
    • 160. Novo Nordisk® 160 Investor presentation First six months of 2025 Operating profit Solid operating profit growth 0% 20% 40% 60% 80% 0 20 40 60 80 100 120 140 2019 2020 2021 DKK billion 2023 % of sales 2022 Operating profit as % of sales Operating profit Reported operating profit growth Operating profit growth at CER 11% 6% 3% 7% 8% 13% 28% 15% 37% 44% 2024 25% 26% CER: Constant exchange rates
    • 161. Novo Nordisk® 161 Investor presentation First six months of 2025 Corporate strategy guides resource allocation Expected primary sales growth drivers towards 2032 Resource allocation in Novo Nordisk is guided by investing in future growth while delivering attractive shareholder returns CETA: Cardiovascular and emerging therapy areas; RBD: Rare blood disorders Rare disease Diabetes Obesity Cardiovascular & emerging therapy areas Strengthen leadership Secure a leading position Establish position in cardiovascular disease Strengthen leadership Focus on driving sustained sales growth • Build obesity care market • Expand manufacturing capacity • Expand R&D pipeline ILLUSTRATIVE 2022 2027 2032 Waves of growth Diabetes GLP-1 Obesity RBD CETA Early pipeline
    • 162. 162 Novo Nordisk® Investor presentation First six months of 2025 Novo Nordisk competitive advantages in manufacturing Manufacturing scale and expertise within biologics is a competitive advantage for Novo Nordisk 1 In addition to the above-mentioned product classes, other diabetes care constitutes the remainder of people treated with Novo Nordisk products API: Active pharmaceutical ingredient; NN: Novo Nordisk Sources: Volume market share and position based on IQVIA Moving Annual Total (MAT), Nov 2024 (Spot rate); Novo Nordisk Annual Report 2024 High volume installed capacity for biologics Decades of experience with high volume production of core yeast and mammalian API platforms The world’s largest manufacturer of insulin and GLP-1 1 API scalability and yield optimisation driven by continuous production technology In-house expertise in the development and manufacturing of devices 28 14 2 0 10 20 30 40 50 Million patients on NN products in 2024 Insulin GLP-1 Diabetes GLP-1 Obesity #1 ~44% #1 ~64% Global market position Global volume market share #1 ~70%
    • 163. 163 Novo Nordisk® Investor presentation First six months of 2025 Active pharmaceutical ingredient | The strategically important sites in Novo Nordisk are based in Denmark and the US 3 sites API production 2 sites API production Product supply value chain Assembly and packaging Research and Development Manufacturing development API production Filling / tableting Distribution (cold chain) Patients
    • 164. 164 Novo Nordisk® Investor presentation First six months of 2025 5 sites Fill, tablet and finish 6 sites Fill-finish | The global footprint has expanded from 11 to 14 sites with the closing of the Catalent acquisition in December 2024 1The Alkermes transaction (Dec 2023): Expected to close in mid-2024 API: Active pharmaceutical ingredient Note: There are local production facilities in Algeria, Iran, Japan, and Russia New sites following closing of the Catalent transaction in December 2024 Fill-finish Fill, tablet and finish Fill-finish Fill-finish Catalent (Anagni) Catalent (Bloomington) Fill-finish Fill-finish Catalent (Brussels) Fill-finish Product supply value chain Assembly and packaging Research and Development Manufacturing development API production Filling / tableting Distribution (cold chain) Patients Tablet1
    • 165. Novo Nordisk® 165 Investor presentation First six months of 2025 Significant step-up in CAPEX investments across the full value chain to enable growth for current and future products CAPEX investments Several large investments announced since 2021 API: Active pharmaceutical ingredient; CAPEX: Capital expenditures; CETA: Cardiovascular and emerging therapy areas Note: Investment figures have been rounded 6 12 26 47 ~65 16% 0 20 40 60 80 DKK billion 2021 22 11% 23 24 25E 2027E 4% 8% CAPEX Expected CAPEX CAPEX to sales ratio Announced Site Scope Investment 2021 December Kalundborg Denmark Full value chain (mostly API) 17 bDKK 2022 November Bagsværd Denmark Clinical API 5 bDKK 2023 June Hillerød Denmark API for OSCD 16 bDKK 2023 November Kalundborg Denmark Full value chain (mostly API) 42 bDKK 2023 November Chartres France Fill/finish 16 bDKK 2023 December Athlone Ireland Oral portfolio 1 bDKK 2024 June Clayton US Fill/finish 27 bDKK 2024 December Odense Denmark 9 bDKK Typical construction timelines: API: 5+ years | Fill-finish: 3+ year Clinical API Mainly API Mainly API Oral portfolio API for CETA Fill-Finish Low double-digit CAPEX to sales ratio expected Fill-Finish Not specified
    • 166. Novo Nordisk® 166 Investor presentation First six months of 2025 Catalent fill-finish sites are expected to start adding additional capacity from 2026 • Will help reach more patients with current and future treatments • Enables faster expansion of manufacturing capacity at scale, while providing future optionality and flexibility • The three sites are fully operational and employ >3,000 people • The acquisition is expected to gradually increase Novo Nordisk's fill-finish capacity from 2026 and onwards Successfully closed the acquisition of three fill-finish sites The acquisition will help expand capacity faster Bloomington site (Indiana, US) Brussels site (Belgium) Anagni site (Italy) Novo Nordisk will honour all customer obligations at these sites US: United States The acquisition of the three sites was completed on the 18th Dec
    • 167. 167 Novo Nordisk® Investor presentation First six months of 2025 Investments across the full manufacturing value chain to significantly increase patient reach towards 2030 ILLUSTRATIVE 2023 2030 ~40m patients Assembly and packaging API production Filling / tabletting Capacity developments in the coming years 1923 API: Active Pharmaceutical Ingredient
    • 168. Novo Nordisk® 168 Investor presentation First six months of 2025 Expected margin developments in the coming years compared to 2023 are reflecting strategic resource allocation R&D: Research and development; S&D: Sales and distribution Note: The outlined expected developments are aspirations and not long-term financial targets Gradually decline driven by topline growth Gradually increase to expand and diversify pipeline Decline driven by efficiency gains Increase Broadly stable but decline incl. Catalent transaction Expected development Expected development with Catalent transaction S&D cost ratio R&D cost ratio Administration cost ratio Operating margin Gross margin
    • 169. Novo Nordisk® 169 Investor presentation First six months of 2025 Internal growth opportunities: R&D and PS investments Attractive annual dividend BD investments to enhance R&D pipeline Flexible share buybacks to distribute excess cash Novo Nordisk’s capital allocation allows for investing in the business while maintaining attractive shareholder returns BD: Business development; CAPEX: Capital expenditure; E: Estimated; PS: Product supply; R&D: Research and development Note: All numbers except for pay-out ratio are based on cash flow statement. Pay-out ratio calculated as total dividends for the year as a percentage of net profit for the same year Strategic capital allocation priorities 1 2 3 4 Stable dividend pay-out ratio despite increased CAPEX and BD DKK billion 0 40 80 120 160 200 2021 2022 2023 2024 Pay-out ratio Share buyback BD Dividend Acquisition of Catalent sites CAPEX ~50%
    • 170. 170 Novo Nordisk® Investor presentation First six months of 2025 • For 2024, the total dividend per share increased 21.3% to 11.40 DKK, comprised of an interim dividend of 3.50 DKK paid in August 2024 and a final dividend of 7.90 DKK paid in April 2025 • For 2025, the interim dividend of 3.75 DKK per share will be paid in August 2025 • Following Novo Nordisk’s capital allocation principles, no share buyback programme has been initiated for 2025. Annual cash return to shareholders Capital allocation Attractive capital allocation to shareholders DKK billion 2022 2023 2024 2025E Interim Dividend Dividend Share Repurchase 24 30 20 16 18 29 35 10 13 16 17 0 10 20 30 40 50 60 70 Note: An authorization to the Board of Directors to buy back shares of up to a total nominal amount of 44,650,000 DKK was granted at the Annual General Meeting in March 2025. The authorization is valid until the Annual General Meeting in 2026.
    • 171. Novo Nordisk® 171 Investor presentation First six months of 2025 Two decades of consistent cash distribution to shareholders 0.8 1.0 1.4 1.8 2.3 2.5 3.2 3.8 3.9 4.1 4.2 4.6 5.2 9.4 0 20 40 60 80 0 10 20 0.2 2003 0.2 0.3 0.4 0.5 0.6 2024 3 3 5 5 7 8 10 13 2011 20 24 27 30 39 36 16 35 37 41 49 62 64 35 Total pay-out1 Total dividend per share2 ~570 billion DKK returned to shareholders since 2003 1Dividends and share buybacks in the year of pay-out; 2Reflects year of earnings Source: Novo Nordisk annual Reports Share buybacks and dividends (bDKK) Total dividends per share (DKK) 6.2 11.4
    • 172. Novo Nordisk® 172 Investor presentation First six months of 2025 Net financials expected to be positively impacted by currencies in 2025 – offset by currency impact on operating profit -8% -4% 0% USD/DKK CNY/DKK JPY/DKK Avg. FY 2024 vs. avg. FY 2023 Exp. avg FY 2025 vs. FY 2024 -12% -6% 0% CAD/DKK AUD/DKK BRL/DKK MXN/DKK KRW/DKK Hedged Nonhedged 1 FY 2024 • Negative FX impact on operating profit of 1.1 bDKK • Negative FX impact on net financials of 1.0 bDKK • Net foreign exchange loss of 2.1 bDKK FY 2025 outlook • Currency impact on operating profit is expected to be around -5%-points • Net financial items is expected to be a gain of around 1.6 bDKK mainly driven by: • FX - Gains on USD hedging contracts • Partially offset by net interest expenses relating to funding of the three fill and finish sites acquired from Catalent 1 Year-to-date realised data and remainder expected flat currency development based on the spot rate as of 31 July 2025 USD: United States Dollar; DKK: Danish Kroner; CNY: Chinese Yuan Renminbi; JPY: Japanese Yen; CAD: Canadian Dollar; AUD: Australian Dollar; BRL: Brazilian Real; MXN: Mexican Peso; KRW: Korean Won
    • 173. Novo Nordisk® 173 Investor presentation First six months of 2025 RANJITH S. Ranjith lives with type 1 diabetes India Purpose & Sustainability Environmental responsibility 150 Sustainable business 148 Governance 158 Social responsibility 153 173 Investor presentation First six months of 2025 RANJITH S. Ranjith lives with type 1 diabetes India Purpose & Sustainability Environmental responsibility Sustainable business Ethics and compliance Social responsibility Social responsibility
    • 174. Novo Nordisk® 174 Investor presentation First six months of 2025 Being a responsible business drives long-term value 77.3% Votes 28.1% Capital Institutional and private investors – B3 shares Novo Holdings – A2 and B3 shares 22.7% Votes 71.9% Capital Novo Nordisk A/S Novo Nordisk Foundation • Key objective: To provide a stable basis for Novo Nordisk and Novonesis • Aims to improve public health and promote societal sustainability • Awarded grants for more than 10 bDKK in 2024 Ownership structure creates long-term value Commitment to lead a sustainable business1 1Environmental, Social and Governance responsibility has been anchored in Articles of Association since 2004; 2Consists of 1,075 million shares; 3Consists of 3,390 million shares Note: Ownership structure as of 30 June 2025
    • 175. 175 Novo Nordisk® Investor presentation First six months of 2025 Novo Nordisk’s ambition is zero environmental impact 1Since 2020 2As TNFD early adopter, Novo Nordisk has committed to report according to TNFD by 2025 CAPEX: Capital expenditure; NN: Novo Nordisk; TNFD: Taskforce on Nature-related Financial Disclosures CO2 emissions Plastic Biodiversity 2020 ReMedTM, Novo Nordisk’s plastic take-back programme initiated 2023 2+ million used NN pens returned1 2023 Lilly, Sanofi and Merck joined the initiative in Denmark • Committed to start making nature-related disclosures • Nature and biodiversity strategy being developed • Novo Nordisk early adopter of TNFD2 2024 Emissions increased due to growth and CAPEX investments 2030 Target: Zero emissions from own operations and transportation 2045 Target: Net zero emissions across full value chain
    • 176. 176 Novo Nordisk® Investor presentation First six months of 2025 Prevention • Cities Changing Diabetes to build healthier environments in cities • Partnership with UNICEF to reduce childhood obesity • Obesity transformational prevention unit created in 2023 • ~8 million people reached through our initiatives in 2024 • Aspen partnership to produce human insulin for Africa • Changing Diabetes® in Children to provide care in low-and middle-income countries Access • Transformative treatments to raise the innovation bar Innovation Social responsibility is core to Novo Nordisk and initiatives focus on prevention, access and innovation
    • 177. 177 Novo Nordisk® Investor presentation First six months of 2025 Integrating ethics and compliance into every aspect of our business HCP: Health care professional, KOL: Key opinion leader Ethics and compliance are at the core of Novo Nordisk Steps taken to strengthen ethics and compliance setup Training: Enhanced training and processes around KOL engagements, HCPs, partners, patients etc Communication: Letters shared with HCPs reinforcing approved indication included in product label Resources: Dedicated obesity ethics, legal and compliance teams established to further increase compliance when launching Wegovy® Core elements of our compliance set-up We never compromise on quality and ethics Trends, monitoring and risk management Audits Global Code of Conduct Mandatory ethics training
    • 178. Novo Nordisk® Investor presentation First six months of 2025 Units 2024 2023 2022 Essential sustainability topics Patient protection and quality of life Patients reached with Diabetes and Obesity care products Number in millions 45.2 41.6 36.9 Vulnerable patients reached with Diabetes care products1 Number in millions 8.4 8.8 - Children reached through Changing Diabetes® in Children programme (cumulative) Number 64,743 52,249 41,033 Product recalls Number 3 2 3 Failed inspections Number 0 0 0 Climate change Scope 1 GHG emissions 1,000 tonnes CO2e 85 78 76 Scope 2 GHG emissions (market-based) 1,000 tonnes CO2e 16 15 16 Scope 3 GHG emissions2 1,000 tonnes CO2e 2,160 1,743 - Resource use and circular economy Plastic footprint (absolute) Tonnes 15,654 - - Plastic footprint per patient Kg/patient 0.35 - - Own workforce Employees (headcount) – excluding Catalent3 Number 74,156 64,319 55,185 Gender in senior leadership positions % men: women 58:42 59:41 61:39 Rate of recordable work-related accidents for own workforce4 Accidents per million hours worked 1.2 1.3 1.3 Employees reporting symptoms of stress % 13.8 13.8 13.8 Employees reporting symptoms of work-related physical pain % 6.8 7.1 7.8 Important sustainability topics Business conduct Substantiated cases reported within accounting issues, fraud and business ethics matters via the Compliance Hotline5 Number 242 221 227 Animals purchased for research Number 49,284 56,508 79,750 Water Total Water consumption 1000 m3 630 - - Pollution Total amount of substances of very high concern that leave facilities Tonnes 1 - - Total amount of substances of concern that leave facilities Tonnes 10 - - 178 2024 statement of ESG performance 12023 figure has been restated 22023 figure has been restated 3Total headcount of 77,349 in the Consolidated Financial Statement. The variance of 3,913 employees is due to Catalent Employees not included 42023 and 2022 figures have been restated 52023 and 2022 figures have been restated
    • 179. Novo Nordisk® Investor presentation First six months of 2025 In 2024, more than 8.4 million people with diabetes were reached with access and affordability initiatives 8.4 out of 45.2 million people were reached with access and affordability initiatives A number of focused programmes (as of full year 2024) Patients reached in 2024 45.2 Million patients Patients reached with NN diabetes and obesity care products US affordability offerings • Patients treated with our Diabetes products increased 6% from 40.5 million in 2023 to 43 million in 2024 primarily driven by the increase in Diabetes GLP-1-based products • Patients reached with Obesity treatments increased from 1.1 million in 2023 to 2.2 million in 2024 primarily driven by the launch of Wegovy® in +10 additional countries in International Operations • In 2024, 80% of US patients with insurance coverage for Ozempic® or Wegovy® paid USD 25 or less for each prescription, and almost 90% of US patients paid USD 50 or less. • Continued commitment of long-standing patient assistance program to support eligible patients. Vulnerable patients reached Changing Diabetes® in Children1 • 64,743 children reached at the end of 2024 across 30 countries • More than half of the 12,494 newly enrolled children reached through expansion in Asian countries mainly India, Pakistan, Indonesia and Malaysia • Vulnerable patients treated with our Diabetes care products decreased 5% from 8.8 million in 2023 to 8.4 million in 2024 due to fewer vulnerable patients reached through human insulin tender sales and access and affordability initiatives. Vulnerable patients reached 8.4 179 1Changing Diabetes® in Children is a public-private partnership between the International Society for Paediatric and Adolescent Diabetes, the World Diabetes Foundation, Roche, and Novo Nordisk
    • 180. 180 Novo Nordisk® Investor presentation First six months of 2025 Investor contact information Share information Novo Nordisk’s B shares are listed on the stock exchange in Copenhagen under the symbol ‘NOVO B’. Its ADRs are listed on the New York Stock Exchange under the symbol ‘NVO’. For further company information, visit Novo Nordisk on: www.novonordisk.com Access the full investor presentation here: Investor Relations contacts Novo Nordisk A/S Investor Relations Novo Allé 1 DK-2880 Bagsværd Jacob Martin Wiborg Rode +45 3075 5956 jrde@novonordisk.com Sina Meyer +45 3079 6656 azey@novonordisk.com Max Ung +45 3077 6414 mxun@novonordisk.com Alex Bruce +45 3444 2613 axeu@novonordisk.com Christoffer Sho Togo Tullin +45 3079 1471 cftu@novonordisk.com Frederik Taylor Pitter (USA) +1 609 613 0568 fptr@novonordisk.com


    • Previous
    • Next
    • f Fullscreen
    • esc Exit Fullscreen