Novo Nordisk heads to South African court over semaglutide copies

Danish drugmaker Novo Nordisk is taking a local compounding pharmacy to court in Pretoria to stop the sale of unregistered semaglutide products. The High Court application targets iDexis over patient safety concerns.

Novo Nordisk South Africa filed the application to prevent iDexis from manufacturing, advertising, distributing or selling weight-loss products containing semaglutide base. The company cited risks to patient safety, product quality and regulatory oversight. Compounding pharmacies in South Africa are restricted from large-scale production of unregistered medicines. A joint inspection by regulators found iDexis had produced GLP-1 medicines including tirzepatide beyond permitted limits, leading to product seizures and a recall. iDexis rejected the claims as scandalous and unsubstantiated. It asked the court to require Novo Nordisk to provide supporting evidence. Vincent Tlala, CEO of the South African Pharmacy Council, described the manufacturing as a serious violation of the law and a threat to public safety.

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Illustration of high-risk patients benefiting from GLP-1 drugs like Ozempic with reduced heart risks
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Review finds GLP-1 drugs linked to lower risk of heart attack, stroke and death in high-risk patients

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A large review of cardiovascular outcome trials found that people taking GLP-1 receptor agonists—drugs that include semaglutide (sold as Ozempic)—had a lower risk of major heart-related events than those given placebo. The analysis pooled results from 11 trials involving more than 90,000 participants, with an average follow-up of nearly three years, and reported benefits across patient subgroups including those with and without diabetes.

A real-world study of nearly 8,000 patients by Cleveland Clinic researchers shows that stopping injectable semaglutide or tirzepatide often does not lead to major weight regain. Many participants maintained or continued losing weight by restarting treatment, switching medications, or using lifestyle support. This differs from clinical trials where rapid regain was observed.

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A new analysis of clinical trials indicates that semaglutide, the active ingredient in Ozempic and Wegovy, helps older adults with obesity lose substantial weight and improve heart health markers. The findings come from data on participants aged 65 and above who received the once-weekly medication alongside lifestyle changes.

Brazil's Fiocruz, through its Farmanguinhos unit, has begun fully domestic production of tacrolimus, an immunosuppressant to prevent organ transplant rejection. The milestone stems from a Product Development Partnership (PDP) with Brazilian firm Libbs, which acquired manufacturing technology from India's Biocon. Farmanguinhos now becomes the sole supplier to the SUS public health system.

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UNAIDS has welcomed South Africa’s rollout of Lenacapavir as a landmark step in HIV prevention. The injectable is now available at 360 public health facilities across six provinces. The drug has also been added to the national essential medicines list.

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