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Viking Therapeutics Stock Sinks as Oral Obesity Pill Delivers Weight Loss but Sparks Tolerability Concerns

Gastrointestinal side effects drove high dropout rates that undermined confidence in Viking’s oral obesity ambitions.

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Viking Therapeutics' obesity pill VK2735 met its primary endpoints in a Phase II trial, but failed to beat the efficacy of Novo Nordisk's Rybelsus or Eli LIlly's orforglipron. Image credit: SDI Productions, E+ via Getty Images.
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Overview

  • Phase 2 topline data showed VK2735 produced up to 12.2% mean weight loss at 13 weeks versus 1.3% with placebo.
  • Discontinuations reached about 28% overall and approximately 38% at the highest dose, with gastrointestinal issues the most common reason.
  • Reported side effects included nausea in roughly 58% of participants and vomiting in about 25%–26%, exceeding placebo rates.
  • Shares fell roughly 30%–45%, cutting market value to about $2.8 billion, as analysts questioned competitiveness against Eli Lilly and Novo Nordisk.
  • Viking plans studies of lower starting doses, slower titration, and maintenance dosing, and it continues an injectable VK2735 program with results expected in 2027.