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CagriSema

Phase 3

Diabetes Mellitus, Type 2 | Small molecule | Neurology |Novo Nordisk A/S|Last Updated: Aug 31, 2026

Target and mechanism

ModalitySmall molecule

Also known as CagriSema (Cagrilintide B and Semaglutide I)

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment222

FDA Designations

No designations recorded

Clinical trial landscape

CagriSema · 6 trials · 4 indications

Phase 3 3Phase 2 1Phase 1 2
NCT07282613A Research Study to See How Much CagriSema Lowers Blood Sugar and Body Weight Compared to Placebo in Children and Adolescents With Type 2 DiabetesDiabetes Mellitus, Type 2
NOT YET_RECRUITING80 Analytics
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 WeightObesity
RECRUITING2,500 Analytics
NCT07011667A Research Study to Look at How Well CagriSema Helps People Living With Obesity Lose Weight and Maintain Weight Loss in the Long-termObesity
ACTIVE NOT_RECRUITING609 Analytics
PHASE3NOT YET_RECRUITING
A Research Study to See How Much CagriSema Lowers Blood Sugar and Body Weight Compared to Placebo in Children and Adolescents With Type 2 Diabetes
Diabetes Mellitus, Type 2Unlock trial analytics
PHASE3RECRUITING
A 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 Weight
ObesityUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Research Study to Look at How Well CagriSema Helps People Living With Obesity Lose Weight and Maintain Weight Loss in the Long-term
ObesityUnlock trial analytics

Study Endpoints

Primary Endpoints

Change in glycated haemoglobin (HbA1c)
From baseline (week 0) to end of double-blinded treatment (week 26)

Measured as percentage (%) of HbA1c.

Relative change in body weight
From randomisation (week 0) to end of treatment (week 72)

Measured as percentage (%).

Change in weekly average Pain Intensity-Numerical Rating Scale (PI-NRS)
From baseline (week 0) to end of treatment (week 32)

Measured as score on a scale.

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 mass index (BMI)
From baseline (week 0) to end of double-blinded treatment (week 26)
Number of participants with achievement of HbA1c target values of less than (<) 7.0% (< 53 millimole per mole [mmol/mol])
At end of double-blinded treatment (week 26)
Number of participants with achievement of HbA1c target values of less than or equal to (≤) 6.5% (≤48 mmol/mol)
At end of double-blinded treatment (week 26)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part 1: CagriSemaEXPERIMENTALParticipants will receive CagriSema (Cagrilintide B + Semaglutide I) subcutaneously once weekly for 26 weeks in Part 1.
Part 1: PlaceboPLACEBO_COMPARATORParticipants will receive placebo matched to CagriSema (Cagrilintide B + Semaglutide I) subcutaneously once weekly for 26 weeks in Part 1.
Part 2: CagriSemaEXPERIMENTALParticipants who received placebo in Part 1 will receive CagriSema (Cagrilintide B + Semaglutide I) subcutaneously once weekly for 26 weeks in Part 2.
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
CagriSema (Cagrilintide B and Semaglutide I)DRUGCagrilintide 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.
CagrisemaDRUGCagrisema (Cagrilintide and Semaglutide) will be administered subcutaneously.
SemaglutideDRUGSemaglutide will be administered subcutaneously.
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.
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Eligibility Criteria

Age Range10 Years to 18 Years
SexALL
Healthy VolunteersNo
Study Sites56

Key Inclusion Criteria: * Informed consent of parent(s) or legally acceptable representative (LAR) of participant and child assent, as age-appropriate, obtained before any study-related activities. Study-related activities are any procedures that are carried out as part of the study, including acti...

Countries:United StatesArgentinaBrazilColombiaIndiaIsraelMalaysiaMexicoTaiwanThailandAustraliaAustriaBelgiumBulgariaCanadaCzechiaFranceGreeceHungaryItalyNetherlandsPolandPortugalRomaniaSlovakiaSouth AfricaSpainDenmarkNorwayUnited Kingdom
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Recent Changes (Last 90 Days)

LOWAug 31, 2026NCT07564414lastUpdatePostDate: changed
LOWAug 31, 2026NCT07564414lastUpdatePostDate: changed
LOWJul 30, 2026NCT07564414lastUpdatePostDate: changed
LOWJul 30, 2026NCT07564414lastUpdatePostDate: changed
LOWJul 24, 2026NCT07011667lastUpdatePostDate: changed
LOWJul 24, 2026NCT07011667lastUpdatePostDate: changed
LOWJul 8, 2026NCT07564414lastUpdatePostDate: changed
LOWJul 8, 2026NCT07564414lastUpdatePostDate: changed

Frequently asked questions about CagriSema

What is CagriSema used for?

CagriSema is an investigational drug being studied for obesity and type 2 diabetes. In clinical trials, it is evaluated for weight loss and maintenance in people with obesity, and for lowering blood sugar and body weight in children and adolescents with type 2 diabetes. It is also being studied in adults with type 2 diabetes and painful diabetic peripheral neuropathy.

What does CagriSema target?

CagriSema is a combination of cagrilintide B and semaglutide I. Cagrilintide is a long-acting amylin analog, and semaglutide is a GLP-1 receptor agonist. Together, they target pathways involved in appetite regulation and glucose control, which supports their study in obesity and type 2 diabetes.

Who makes CagriSema?

CagriSema is being developed by Novo Nordisk A/S, a pharmaceutical company listed on the stock exchange under the ticker NVO. Novo Nordisk is conducting clinical trials to evaluate the safety and efficacy of CagriSema for obesity and type 2 diabetes.

What phase is CagriSema in?

CagriSema is in Phase 3 clinical development. It is being studied in Phase 3 trials for obesity and type 2 diabetes, including a long-term weight loss study in adults with obesity and a study in children and adolescents with type 2 diabetes. It is investigational and not yet approved.

What clinical trials is CagriSema in?

CagriSema has four clinical trials. NCT06716307 is a completed Phase 1 study in adults with overweight or obesity. NCT06797869 is an active Phase 2 study in type 2 diabetes and painful diabetic peripheral neuropathy. NCT07011667 is an active Phase 3 obesity study. NCT07282613 is a Phase 3 study in children and adolescents with type 2 diabetes.

Is CagriSema the same as Cagrilintide B and Semaglutide I?

Yes, CagriSema is also known as CagriSema (Cagrilintide B and Semaglutide I) and CagriSema (Cagrilintide B + semaglutide I). These names refer to the same combination product being developed by Novo Nordisk for obesity and type 2 diabetes.