Cagrilintide

NN9838 · CagriSema component

Rank#999
Weight LossNot ApprovedPhase IIIResearchSubQ

Popular for:Weight loss, amylin analog, combined with semaglutide

69

Total Studies

42

Human Studies

Phase III

Evidence Level

Not Approved

FDA Status

Overview

Cagrilintide is a long-acting amylin analog developed by Novo Nordisk for weight management. Amylin is a hormone co-secreted with insulin from pancreatic beta cells that promotes satiety, slows gastric emptying, and suppresses glucagon secretion.

Cagrilintide is being developed both as a standalone therapy and in combination with semaglutide under the name CagriSema. Phase 2 trials showed 11.8% body weight loss as monotherapy and up to 17.1% when combined with semaglutide, suggesting the combination may exceed the efficacy of either agent alone.

Mechanism of Action

Cagrilintide is an acylated analog of human amylin that binds to amylin receptors (AMY1 and AMY3) in the area postrema and other brain regions involved in appetite regulation. It enhances satiety signaling, slows gastric emptying, and suppresses post-prandial glucagon release. The combination with semaglutide (CagriSema) provides dual pathway weight loss through both amylin and GLP-1 receptor activation.

Key Research Benefits

Novel amylin-based mechanism distinct from GLP-1 alone
11.8% weight loss as monotherapy in Phase 2
Up to 17.1% combined with semaglutide (CagriSema)
Weekly dosing convenience
Additive effects with GLP-1 agonists on different pathways

Clinical Evidence Summary

Research Pipeline

Preclinical
Animal
Phase I
Phase II
Phase III
Approved

69

Total Studies

42

Human Studies

Not yet FDA-approved. In Phase 3 clinical trials. CagriSema (cagrilintide + semaglutide) is Novo Nordisk's next-generation weight loss combination. Expected regulatory submission timeline TBD.

Key Studies / PubMed References

69 studies found on PubMed · showing top 25 by relevance

View all on PubMed

Novel GLP-1-based Medications for Type 2 Diabetes and Obesity.

Review

Son JW, le Roux CW, Blüher M, et al. · Endocrine reviews · 2026

PMID: 41054801

Structural and dynamic features of cagrilintide binding to calcitonin and amylin receptors.

Human Study

Cao J, Belousoff MJ, Johnson RM, et al. · Nature communications · 2025

PMID: 40204768

Coadministered Cagrilintide and Semaglutide in Adults with Overweight or Obesity.

Human Study

Garvey WT, Blüher M, Osorto Contreras CK, et al. · The New England journal of medicine · 2025

PMID: 40544433

Cagrilintide-Semaglutide in Adults with Overweight or Obesity and Type 2 Diabetes.

Human Study

Davies MJ, Bajaj HS, Broholm C, et al. · The New England journal of medicine · 2025

PMID: 40544432

Multifunctional incretin peptides in therapies for type 2 diabetes, obesity and associated co-morbidities.

Review

Bailey CJ, Flatt PR, Conlon JM · Peptides · 2025

PMID: 40081498

Side Effects & Safety

Nausea (dose-dependent)
Injection site reactions
GI side effects (diarrhea, constipation)
Still in clinical trials — full safety profile not established

Known Interactions

No curated interaction entry is live for Cagrilintide yet.

Until the interaction table is fully populated, use the interaction checker and related peptides below to explore adjacent compounds and likely research pairings.

Frequently Asked Questions

Research Disclaimer

This page is for research and educational purposes only. The information presented is based on published scientific literature and does not constitute medical advice, diagnosis, or treatment recommendations. Cagrilintide is not approved by the FDA for human therapeutic use. Always consult a qualified healthcare professional before making any health-related decisions. The studies referenced are linked to their original PubMed sources for verification.