Compounds / Metabolic / CagriSema

CagriSema

CagriSema (Cagrilintide 2.4 mg + Semaglutide 2.4 mg combination)
MetabolicFDA: Not approved; FDA decision due Q4 2026

Overview

REDEFINE 1 trial: ~22.7% mean body weight loss at 68 weeks, exceeding semaglutide alone (~16.2%). ~50% of participants achieved ≥25% weight reduction. NDA filed Dec 2025; FDA decision expected Q4 2026.

Mechanism of Action

Dual-agonist combination: Cagrilintide activates amylin receptors for satiety/gastric slowing. Semaglutide activates GLP-1R for insulin secretion and appetite suppression. Complementary satiety pathways for synergistic weight loss.

Molecular Profile

Molecular weight
Cagrilintide ~3949 Da + Semaglutide ~4113.6 Da

Key Research Findings

~22.7% weight loss (REDEFINE 1); superior to semaglutide alone; NDA filed Dec 2025; dual amylin+GLP-1 mechanism.

Published Research

NEJM
Cagrilintide plus semaglutide: REDEFINE 1 trial
View source
The Lancet
Cagrilintide+semaglutide Phase 2
View source

Related Metabolic Compounds

SemaglutideTirzepatideRetatrutideCagrilintideMazdutideBioglutide
Clinical Guidance

Research data is not a treatment plan. If you are considering CagriSema, the questions that matter are whether it suits your history, your labs and your goals. That is a conversation with a licensed physician, not a lookup.

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