Novo Nordisk
Over the past decade, Novo Nordisk has steadily sown the seeds of innovation, which began to fully bear fruit in 2023, leading the company to take the top spot on this year's Innovation Index — a notable milestone as it celebrates its centenary.
Surging up the index by an impressive 18 places, Novo Nordisk displaced Pfizer from its two-year top position.
The company had a robust revenue increase of more than 30% along with a substantial rise in net income. In particular, 90% of total sales came from the company's obesity and diabetes care division, anchored by its flagship glucagon-like peptide 1 (GLP-1) semaglutide (branded as Ozempic and Wegovy). Novo Nordisk's strong performance in 2023 reflects the growing adoption of this innovative treatment, which is benefiting over 40 million people globally. With over one billion people worldwide affected by obesity, addressing this unmet need has been a win for patients and Novo Nordisk alike.
Even as Novo Nordisk capitalized on demand for semaglutide, which required an expansion of production capacity, other innovations were still firmly underway. Specifically, the company’s first-ever RNA interference-derived therapy, Rivfloza (nedosiran), was approved for lowering urinary oxalate levels in patients with primary hyperoxaluria type 1 and relatively preserved kidney function. The company also strengthened its late-stage pipeline in rare blood disorders with Phase 3 trials for a next-generation bispecific antibody for hemophilia (mim8) and a pyruvate kinase activator for sickle cell disease (etavopivat). Pending regulatory approval is Awiqli (insulin icodec), which would be the world's first once-weekly basal insulin.
Novo Nordisk demonstrated commitment to pursuing a return on invention, with novel therapies like CagriSema (a combination of cagrilintide and semaglutide) entering Phase 3 development for Type 2 diabetes and obesity. The company also expanded its presence in cardiovascular disease with the acquisition of ocedurenone, a small molecule, non-steroidal mineralocorticoid receptor antagonist (nsMRA), for uncontrolled hypertension.
Novo Nordisk's journey to the summit of the Innovation Index symbolizes a century-long commitment to transformative healthcare. It reflects exceptional performance on multiple fronts, including pipeline development and financial strength
This years top 10
Although the headline this year is the new number 1, seven of the top 10 were in the top 10 for innovation in 2023, and only two new companies have entered the Invention top 10. We see continued outstanding performance from companies like Pfizer and AstraZeneca.
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- Novo Nordisk 18 2023 19th 2022 23rd 1
- GSK 6 2023 8th 2022 15th 2
- Pfizer 2 2023 1st 2022 1st 3
- Eli Lilly 2 2023 6th 2022 4
- Bristol-Myers Squibb 0 2023 5th 2022 11th 5
- Johnson & Johnson 4 2023 2nd 2022 4th 6
- AstraZeneca 4 2023 3rd 2022 2nd 7
- Roche 4 2023 4th 2022 9th 8
- Daiichi Sankyo 8 2023 17th 2022 22nd 9
- Merck & Co 6 2023 16th 2022 4th 10
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- Johnson & Johnson 1 2023 2nd 2022 4th 1
- Merck & Co 4 2023 6th 2022 10th 2
- AstraZeneca 2 2023 1st 2022 1st 3
- Bristol-Myers Squibb 3 2023 7th 2022 3rd 4
- Moderna 15 2023 20th 2022 12th 5
- Pfizer 2 2023 4th 2022 5th 6
- Eli Lilly 3 2023 4th 2022 2nd 7
- Vertex Pharmaceuticals 2 2023 10th 2022 15th 8
- Regeneron 5 2023 3rd 2022 13th 8
- Jiangsu Hengrui Medicine 10
Download the report
IDEA Pharma’s Pharmaceutical Innovation and Invention Index, and their accompanying White Papers, explore the performance of individual companies in much greater detail. By accessing our White Papers, you are given an inside look into our research and findings.
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1Methodology and analysis
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2Extended profiles of the Top 10 overall companies
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3The full top 30 ranking
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4The 2024 report in full