Recent Updates
Recently added Catalysts

CagriSema

Phase 3

Obesity | Small molecule | Metabolic |Novo Nordisk A/S|Last Updated: May 29, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials4
Total Enrollment3,207
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07564414A Research Study to Look at How Two Different Doses of CagriSema and One Dose of Semaglutide Help People Living With Obesity With or Without Type 2 Diabetes Lose WeightPHASE3 RECRUITING 2,500May 21, 2026Apr 19, 2028May 29, 2026303 United States, Argentina +17
NCT07011667A Research Study to Look at How Well CagriSema Helps People Living With Obesity Lose Weight and Maintain Weight Loss in the Long-termPHASE3 ACTIVE NOT_RECRUITING 609Jun 3, 2025Oct 17, 2028Dec 12, 202546 United States
NCT07184086A Study to See How Metabolism is Influenced by Weight Loss Due to Intervention With Cagrilintide and Semaglutide Compared to DietPHASE1 RECRUITING 80Sep 26, 2025Oct 12, 2027Oct 8, 20252 United States
NCT06716307A Research Study to Compare Blood Levels of Cagrilintide and Semaglutide After Single Doses of Different Versions of Injectable CagriSema in Adults With Overweight or ObesityPHASE1 COMPLETED 18Dec 2, 2024May 22, 2025Aug 27, 20251 United States
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Relative change in body weight
From randomisation (week 0) to end of treatment (week 72)

Measured as percentage (%).

Change in sleeping metabolic rate (SMR)
Baseline (Week 0) to Week 20

Measured as kilojoules (kJ) per day.

AUC0-∞,cagri,0.25 milligram (mg)/0.25mg,SD: Area under the cagrilintide concentration-time curve after a single dose 0.25 mg/0.25 mg CagriSema A in PDS290 pen-injector or CagriSema in DV3384 pen-injector
From 0 hours (pre-dose) to 1176 hours (post-dose)

Measured in hours\*nanomoles per liter (h\*nmol/L).

Cmax,cagri,0.25mg/0.25mg,SD: Maximum concentration of cagrilintide after a single dose 0.25 mg/0.25 mg CagriSema A in PDS290 pen-injector or CagriSema in DV3384 pen-injector
From 0 hours (pre-dose) to 1176 hours (post-dose)

Measured in nanomoles per liter (nmol/L).

AUC0-∞,sema,0.25mg/0.25mg,SD: Area under the semaglutide concentration-time curve after a single dose 0.25 mg/0.25 mg CagriSema A in PDS290 pen-injector or CagriSema in DV3384 pen-injector
From 0 hours (pre-dose) to 1176 hours (post-dose)

Measured in h\*nmol/L.

Cmax,sema,0.25mg/0.25mg,SD: Maximum concentration of semaglutide after a single dose 0.25 mg/0.25 mg CagriSema A in PDS290 pen-injector or CagriSema in DV3384 pen-injector
From 0 hours (pre-dose) to 1176 hours (post-dose)

Measured in nmol/L.

Secondary Endpoints
Relative change in body weight
From randomisation (week 0) to end of treatment (week 72)
Change in Body Mass Index (BMI)
From randomisation (week 0) to end of treatment (week 72)
Number of participants who achieve greater than or equal to (≥) 30% weight reduction
From randomisation (week 0) to end of treatment (week 72)
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Cagrisema - dose level 1EXPERIMENTALParticipants will receive CagriSema at dose level 1 once weekly subcutaneously during the treatment period for 72 weeks.
Cagrisema - dose level 2ACTIVE_COMPARATORParticipants will receive CagriSema at dose level 2 once weekly subcutaneously during the treatment period for 72 weeks.
SemaglutideACTIVE_COMPARATORParticipants will receive Semaglutide once weekly subcutaneously during the treatment period for 72 weeks.
CagriSemaEXPERIMENTALParticipants will receive CagriSema subcutaneously once weekly in a dose escalation manner (dose increases every 4 weeks) for up to 16 weeks followed by CagriSema maintenance dose subcutaneously once weekly for 64 weeks in the main phase of the study. Participants randomised to this arm will be included in the extension phase to receive 1 of the 3 dose levels of CagriSema for 80 weeks.
PlaceboPLACEBO_COMPARATORParticipants will receive placebo matched to CagriSema subcutaneously once weekly for 80 weeks in the main phase of the study. Participants randomised to this arm will be included in the extension phase to receive CagriSema with flexible dose escalation for 80 weeks.
CagriSema (Cagrilintide + Semaglutide) / CagriSemaEXPERIMENTALParticipants will receive subcutaneous (s.c.) dose of CagriSema (cagrilintide B and semaglutide I) in a dose escalation regimen in Period A for up to 20 weeks and continue to receive the same dose escalation regimen until maximum dose is reached in Period B for up to 52 weeks.
Low Energy Diet (LED) / CagriSemaEXPERIMENTALParticipants will receive a dietary intervention in period A for up to 20 weeks followed by a s.c. dose of CagriSema (cagrilintide B and semaglutide I) in a dose escalation regimen until maximum dose is reached in Period B for up to 52 weeks.
Treatment sequence 1EXPERIMENTALParticipants will receive a single subcutaneous (s.c.) dose of CagriSema (cagrilintide B and semaglutide I) in DV3384 pen-injector in period 1 followed by a single s.c. dose of CagriSema A in PDS290 pen-injector in period 2 separated by a wash out period of minimum 7 weeks.
Treatment sequence 2EXPERIMENTALParticipants will receive a single s.c. dose of CagriSema A in PDS290 pen-injector in period 1 followed by a single s.c. dose of CagriSema (cagrilintide B and semaglutide I) in DV3384 pen-injector in period 2 separated by a wash out period of minimum 7 weeks.
Interventions
NameTypeDescription
CagrisemaDRUGCagrisema (Cagrilintide and Semaglutide) will be administered subcutaneously.
SemaglutideDRUGSemaglutide will be administered subcutaneously.
CagriSema (Cagrilintide B and Semaglutide I)DRUGCagriSema (Cagrilintide B and Semaglutide I) will be administered subcutaneously using DV3384 pen-injector.
Placebo matched to CagriSema (Cagrilintide B and Semaglutide I)DRUGPlacebo matched to Cagrilintide B and placebo matched to Semaglutide I will be administered subcutaneously using DV3384 pen-injector.
CagriSema (Cagrilintide B + semaglutide I)DRUGCagrilintide and semaglutide will be administered subcutaneously.
Low Energy DietBEHAVIORALParticipants will receive dietary intervention as per diet intervention manual.
CagriSema ADRUGCagrilintide and semaglutide will be administered subcutaneously using PDS290 pen-injector.
Unlock Study Design Details
Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites303

Inclusion Criteria : * Male or female (sex assigned at birth, inclusive of all gender identities). * Age 18 years or above at the time of signing the informed consent. * BMI≥ 35.0 kg/m\^2. * Participants without T2D: No history of T2D and HbA1c \< 6.5% (48 millimoles per mole (mmol/mol)) Participan...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBulgariaCanadaCzechiaFranceGreeceHungaryItalyNetherlandsPolandPortugalRomaniaSlovakiaSouth AfricaSpain
Unlock Eligibility Criteria
Recent Changes (Last 90 Days)
LOWMay 29, 2026NCT07564414Status: NOT_YET_RECRUITING → RECRUITING
LOWMay 29, 2026NCT07564414Status: NOT_YET_RECRUITING → RECRUITING
LOWMay 29, 2026NCT07564414Status: NOT_YET_RECRUITING → RECRUITING
LOWMay 26, 2026NCT07184086primaryCompletionDate: changed
LOWMay 26, 2026NCT07011667primaryCompletionDate: changed
LOWMay 24, 2026NCT07184086studyFirstPostDate: changed
LOWMay 24, 2026NCT07564414studyFirstPostDate: changed
LOWMay 24, 2026NCT07011667studyFirstPostDate: changed
LOWMay 21, 2026NCT07564414NEW_TRIAL: changed
LOWMay 21, 2026NCT07564414NEW_TRIAL: changed