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Cagrilintide

Metabolicglp1Weight Loss & DiabetesWeight LossResearch use only
Educational use only. Not medical advice. Verify all information with primary sources and a licensed clinician before use.
Continuous Treatment Recommended
Half-life
22
Uses
250
Typical
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Overview

Cagrilintide is a long-acting, synthetic, acylated amylin analog developed by Novo Nordisk for obesity treatment. Native amylin (islet amyloid polypeptide/IAPP) is a 37-amino-acid peptide co-secreted with insulin from pancreatic beta cells after meals. Cagrilintide overcomes native amylin's rapid degradation and aggregation tendency through amino acid substitutions and fatty acid acylation, extending its half-life to support weekly dosing. It activates amylin receptors (AMY1, AMY2, AMY3) to promote satiety, slow gastric emptying, and suppress glucagon. The CagriSema combination (cagrilintide + semaglutide) has demonstrated up to 22.7% mean body weight loss in Phase 2 trials.

Primary Uses
Appetite suppression
Weight loss
Slowing gastric emptying
Combined with semaglutide (CagriSema) for enhanced weight loss
Obesity treatment
Weight management
Type 2 diabetes (in combination with semaglutide as CagriSema)
Satiety promotion
Glucose homeostasis
Appetite regulation
Amylin signaling
Combination obesity pharmacology
Obesity (Monotherapy)
Obesity (CagriSema Combination)
Weight Loss in Diabetic Patients
Glycemic Control
Insulin Sensitivity
Satiety Enhancement
Type 2 Diabetes Management
obesity
type 2 diabetes
studied in combination with semaglutide
Protocol Reference
Dose
250–500 mcg 3x weekly
Frequency
Injection (subcutaneous)
Half-life
Continuous Treatment Recommended
Route
some studies up to 4.5mg)
Evidence
Phase 3 / Phase 2 trials completed; Phase 3 results pending / Extensively Studied / Clinical trials ongoing / Phase 2 cleared, late-stage development (disputed)
Research References· 3
REDEFINE 1 Trial \- Phase 3 - 11.8% weight loss as monotherapy ↗
PubMedPMID 368838312.4 mg cagrilintide + 2.4 mg semaglutide weekly
Efficacy and safety of co-administered once-weekly cagrilintide 2.4 mg with subcutaneous semaglutide 2.4 mg in type 2 diabetes
PubMedPMID 37385280. The Lancet, 2023.
Once-weekly cagrilintide for weight management in people with overweight and obesity
PubMedPMID 34798060. The Lancet, 2021.
Research Models
Human
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