Novo Nordisk launches weekly insulin Awiqli in India as diabetes burden rises

July 9 (Reuters) – Danish drugmaker Novo Nordisk (NOVOb.CO), launched its weekly basal insulin injection, Awiqli, in India on Thursday, where diabetes rates are among ​the highest in the world.
Awiqli, which Novo describes as the world’s ‌first once-weekly basal, or background long-acting, insulin approved for clinical use, is prescribed for the treatment of type 1 and type 2 diabetes in adults, the company said, ​and will likely compete with daily-dose options available in the ​market.
More than 101 million people in India are living with diabetes, ⁠while another 136 million have prediabetes, Novo said in a statement.
Insulin ​initiation in India is delayed by an average of 7-9 years, partly due ​to fear of injections, anticipated pain, and cost concerns, it said.
“We believe Awiqli will reduce the psychological and physical barriers to insulin initiation,” Novo Nordisk India Managing Director ​Vikrant Shrotriya said.
Unlike daily basal insulin injections, typically taken once every 24 ​hours, Awiqli is designed to provide background insulin support throughout the week, reducing the ‌number ⁠of injections from 365 per year to 52, Novo said.
India’s insulin market is projected to grow from $660.5 million in 2025 to $916.4 million by 2034, according to IMARC, driven by rising diabetes prevalence linked to sedentary lifestyles, poor ​diets, and genetic ​predisposition.
Awiqli, known generically ⁠as insulin icodec and available in a pen device, received U.S. approval earlier this year and has also been ​approved in the European Union and several other countries.
In ​India, the ⁠drug is expected to compete with other basal insulin brands such as Sanofi’s Lantus, as well as lower-cost insulin glargine products marketed by domestic companies ⁠including ​domestic drugmakers including Biocon (BION.NS), Eris Lifesciences (ERIS.NS), and Lupin (LUPN.NS).
Separately, ​Novo is competing with Eli Lilly (LLY.N), and a growing number of Indian generic drugmakers in ​the country’s expanding obesity treatment market.

Reporting by Rishika Sadam; Editing by Rashmi Aich.

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