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On 5 December 2017 the US FDA approved Ozempic (semaglutide 0.5 mg and 1 mg, once weekly) for adults with type 2 diabetes, the first brand in the semaglutide line that later produced Wegovy and the Wegovy pill.

On 4 June 2021 the US FDA approved Wegovy (semaglutide 2.4 mg once weekly) for chronic weight management, the first new weight drug since 2014, with 12.4% average weight loss over placebo in adults without diabetes.

On 29 July 2025 Novo Nordisk appointed Maziar Mike Doustdar, head of International Operations, as president and CEO from 7 August 2025, succeeding Lars Fruergaard Jørgensen after 34 years with the company.

On 10 September 2025 Novo Nordisk announced it intends to cut about 9,000 of its 78,400 jobs worldwide, around 5,000 of them in Denmark, to save about DKK 8 billion a year by the end of 2026.

On 22 December 2025 the US FDA approved the once-daily Wegovy pill (oral semaglutide 25 mg), the first oral GLP-1 for weight management, which showed 16.6% mean weight loss in the OASIS 4 trial.

On 3 February 2026 Novo Nordisk reported 2025 sales up 10% at constant exchange rates to DKK 309.1 billion but guided 2026 adjusted sales and operating profit down 5-13%, citing lower US prices and competition.

On 19 March 2026 the US FDA approved Wegovy HD (semaglutide 7.2 mg, once weekly) for weight loss after the STEP UP trial showed 20.7% mean weight loss, the first GLP-1 approval under the FDA's priority voucher pilot.

On 4 August 2026 Novo Nordisk reported Q2 adjusted sales up 7% and adjusted operating profit up 11% at constant exchange rates and raised its 2026 outlook to 0% to -6%, helped by stronger GLP-1 sales.

On 2 October 2026 Novo Nordisk said the FDA is extending its review of the denecimig BLA because of facility remediation, with no new decision date and a US launch aimed at the first half of 2027.

Novo Nordisk's phase 3 trial of Cagrisema in obesity reaches primary completion, the point at which the last participant's primary outcome is measured. The trial enrolled 2,500 participants. This clinical study is testing how the study medicine CagriSema helps people living with obesity, with or without type 2 diabetes (T2D), lose weight. The purpose of the study is to find out how safe and effective CagriSema is for body weight loss in these participants. Participants will receive either CagriSema or semaglutide, and which treatment participants receive is decided by chance. CagriSema is a new study medicine being tested, while semaglutide is a medicine that doctors can already prescribe.