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CagriSema
GLP-1 Analogs

CagriSema

Novo Nordisk

CagriSema is a single once-weekly injectable that combines two established mechanisms: cagrilintide, a long-acting amylin analog, and semaglutide, a GLP-1 receptor agonist that is already approved for weight management and diabetes as separate products. The concept is that amylin and GLP-1 suppress appetite through complementary pathways, so co-formulating them could deliver greater weight loss than either component alone while keeping to a convenient weekly injection. Novo Nordisk has studied CagriSema in the Phase 3 REDEFINE program in people with obesity and in type 2 diabetes. Reported results have shown substantial weight loss — in the low-to-mid 20% range in the obesity trial — which is meaningful but, in the eyes of many analysts, came in somewhat below the highest pre-trial expectations, partly reflecting how many participants reached the top dose. CagriSema is not approved and remains investigational pending regulatory review; the data continue to be evaluated. It is documented here as a reference on a leading late-stage obesity combination, not as a purchasable product. Because it contains semaglutide plus an amylin analog, its tolerability profile is dominated by gastrointestinal effects during dose escalation, and it should only ever be used within a trial or, if approved, under medical supervision.

Specifications

Origin / ManufacturerFixed-dose combination of two synthetic peptides
Active Components
Cagrilintide (amylin analog)Semaglutide (GLP-1 receptor agonist)
StorageRefrigerated (investigational injectable)
Shelf LifeNot established (investigational)
Form FactorSubcutaneous injection, once weekly (fixed-dose combination)

Clinical Evidence

In the Phase 3 REDEFINE program, CagriSema produced substantial weight loss in adults with obesity — reported in the low-to-mid 20% range over roughly 68 weeks — and meaningful reductions in body weight and glycemia in type 2 diabetes populations, though the diabetes-trial magnitude was smaller, as is typical for weight-loss drugs in people with diabetes. Commentators noted that results, while strong, landed below the most optimistic expectations, influenced in part by the proportion of participants who reached the maximum dose. Gastrointestinal adverse events (nausea, vomiting, diarrhea) were the most common and clustered during titration. As with all investigational agents, these findings await full regulatory evaluation and peer-reviewed reporting.

Clinical report reference

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