Q1 2026 earnings landed alongside several major launches and policy moves in the peptide space, producing larger-than-usual share-price reactions across the cohort.
Key reads: Lilly stock jumped 6.11% on the back of the Q1 print and the Ozempic-pill / Foundayo launch news; Novo Nordisk's commentary covered CagriSema progress, oral Wegovy launch tracking, and the channel expansion through GoodRx and WW Med+; Roche's Q1 2026 results came with a strategy reset projecting $9 billion in peak sales from petrelintide and the broader obesity portfolio; small-cap biotechs (Bicycle Therapeutics, Circle Pharma, BriaCell) moved on AACR readouts.
Stories here cover the earnings calls, analyst reactions, and the share-price moves. See #stock-market, #analyst-upgrades, and #q1-earnings.
Novo Nordisk reported Q1 2026 results May 6: net sales of DKK 96.82B (+24% YoY) and operating profit of DKK 59.62B (+54%). The Wegovy pill drove the print with DKK 2.26B (~$354M) in Q1 sales — almost double the DKK 1.16B analyst consensus — on roughly 1.3 million Q1 prescriptions and more than 2 million cumulative US prescriptions since the January 5 launch. Injectable Wegovy sales rose 12% YoY to DKK 18.2B. Ozempic sales fell 8% YoY but came in above expectations. The company tightened full-year guidance to a 4–12% sales-and-operating-profit decline at constant exchange rates, narrower than the prior 5–13% range. NVO US-listed shares rose roughly 6% on the print.
Pfizer reported April 29 Q1 2026 revenue of $14.45 billion (vs. $13.92B consensus) and adjusted diluted EPS of $0.75 (vs. $0.72), with non-COVID operational revenue up 7%. The company reaffirmed 2026 guidance of $59.5–62.5B in revenue and $2.80–3.00 in adjusted EPS. On the obesity portfolio, Pfizer confirmed 20+ planned and ongoing studies across the diverse obesity pipeline acquired with Metsera, including 10 Phase 3 trials of PF'3944 (MET-097i) — the recently initiated Phase 3 VESPER-4 once-weekly study, the planned VESPER-5 in T2D, the planned VESPER-6 once-monthly maintenance study, and at least seven more. MET-233i, a monthly amylin analog, is in Phase 1 monotherapy and combination-with-PF'3944 development.
Eli Lilly reported Q1 2026 worldwide revenue of $19.8 billion, up 56% year over year on 65% volume growth partially offset by a 13% price decline. Mounjaro hit $8.66 billion globally (+125%), Zepbound delivered $4.16 billion in U.S. sales (+80%), and reported Q1 EPS jumped 170% to $8.26. Lilly raised 2026 revenue guidance by $2 billion at each end to $82–85 billion and lifted non-GAAP EPS guidance to $35.50–$37.00. The release also recapped five positive Phase 3 readouts, six new Phase 3 starts, and the closings of the Orna, Centessa, Colonia, and Ajax acquisitions in the quarter.
Morningstar issued a pre-earnings note ahead of Eli Lilly's April 30 Q1 2026 report raising fair value to $870 from $770 following 2025 results and management guidance. Analysts project 27% top-line growth in 2026 and 20% in 2027, with double-digit growth through end of decade. Mounjaro/Zepbound represented 56% of total sales in 2025, projected to exceed 60% in 2026 with patent protection through 2036. The Q1 print will be the first read on Foundayo launch trajectory after the disappointing 1,390 / 3,707 prescription weeks 1-2.
Two of the largest obesity drug makers report this week: Eli Lilly (April 30) with Foundayo (orforglipron) launch trajectory and Mounjaro/Zepbound dynamics under scrutiny — Lilly previously guided 2026 sales of $80-83 billion (25% growth); and Novo Nordisk (May 6) facing 5-13% guided sales decline as semaglutide loses exclusivity in China, Brazil, Canada, and as the Wegovy pill ramps. Goldman analysts model Lilly's oral GLP-1 capturing 60% of the daily-oral segment by 2030; Novo's projected at 21%. The Foundayo Week 1-2 prescription tracker has shown a slow start.