Recent Updates
Recently added Catalysts

Cagrilintide

Phase 3

Obesity | Small molecule | Metabolic |Novo Nordisk A/S|Last Updated: May 26, 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 Trials11
Total Enrollment5,770
FDA Designations
No designations recorded
Clinical Trials (11)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07220642Weight Loss in People Living With Overweight or Obesity Following Treatment With CagrilintidePHASE3 ACTIVE NOT_RECRUITING 300Nov 5, 2025Jun 29, 2027Apr 8, 202640 United States, Argentina +8
NCT06780449A Research Study to Look Into the Long-term Effect on Weight Loss of CagriSema in People With ObesityPHASE3 ACTIVE NOT_RECRUITING 400Feb 10, 2025Oct 31, 2028Jan 20, 202636 United States, Belgium +4
NCT06388187A Research Study to See How Well Different Doses of CagriSema Help People With Excess Body Weight Lose WeightPHASE3 COMPLETED 300Jun 24, 2024Apr 22, 2026May 5, 202625 United States, Canada +3
NCT06131437A Research Study to See How Well CagriSema Compared to Tirzepatide Helps People With Obesity Lose WeightPHASE3 COMPLETED 809Nov 27, 2023Jan 9, 2026Feb 6, 202646 United States
NCT05567796A Research Study to See How Well CagriSema Helps People With Excess Body Weight Lose WeightPHASE3 ACTIVE NOT_RECRUITING 3,400Nov 1, 2022Oct 19, 2026May 5, 2026254 United States, Argentina +21
NCT07607587Evaluation of the Tolerability of Cagrilintide in Participants Not Tolerating GLP-1-RA Therapies Due to Gastrointestinal Adverse EventsPHASE1 NOT YET_RECRUITING 114May 29, 2026Nov 19, 2027May 26, 202611 United States
NCT07527195Understanding the Effect of CagriSema, Cagrilintide, and Semaglutide on Muscle Health (Role of Amylin Signature in Muscle Health)PHASE1 RECRUITING 100Apr 10, 2026Jun 9, 2028May 7, 20261 Denmark
NCT07010432The Role of the Amylin Analogue Cagrilintide in Bone MetabolismPHASE1 RECRUITING 144Jun 12, 2025May 3, 2028Jul 25, 20251 Denmark
NCT06289504A Study on How CagriSema Affects Levels of Atorvastatin and Warfarin in the Blood of Participants With Excess Body WeightPHASE1 COMPLETED 34Feb 27, 2024Nov 15, 2024May 19, 20261 Canada
NCT06207877A Research Study to Look at How CagriSema Influences Food Intake, Appetite and Emptying of the Stomach in People With Excess Body WeightPHASE1 COMPLETED 62Feb 23, 2024Nov 22, 2024Jan 8, 20261 Germany
NCT05804162A Research Study Looking at How Cagrilintide Works on the Heart Rhythm in Healthy ParticipantsPHASE1 COMPLETED 107Apr 12, 2023Sep 18, 2023Nov 1, 20241 Germany
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Relative change in body weight
From baseline (week 0) to end of treatment (week 64)

Measured as percentage (%) of body weight.

Number of participants with achievement of greater than or equals (>=) 5 percent (%) body weight reduction
From baseline (week 0) to end of treatment (week 64)

Measured as count of participants.

Achievement of ≥5% weight reduction
From baseline (week 0) to end of treatment (week 68)

Measured as count of participant.

To confirm non-inferiority of CagriSema versus tirzepatide: Relative change in body weight
From baseline (week 0) to end of treatment (week 84)

Measured in percentage (%).

CagriSema versus placebo: Relative change in body weight
From baseline (week 0) to end of treatment (week 68)

Measured in percentage (%)

CagriSema versus placebo: Achievement of greater than or equal to (>=) 5% weight reduction
From baseline (week 0) to end of treatment (week 68)

Measured as count of participants

Percentage of participants on standard dose or higher dose (yes/no) of cagrilintide and placebo
At week 26

Measured as percentage of participants.

Change in insulin-stimulated fluorodeoxyglucose (FDG) uptake in skeletal muscle
Baseline to Week 51

Measured in micromoles per 100 grams per minute (μmol/100g/min).

Relative change in volumetric bone mineral density (vBMD) of the total hip assessed by quantitative computed tomography (QCT)
From baseline to end of treatment (week 68)

Measured in percentage (%).

AUC0-72hours,atorv,SD: Area under the atorvastatin plasma concentration-time curve from time 0 to 72 hours after a single dose of atorvastatin without CagriSema exposure and at CagriSema steady state
Day 1 (pre-dose to 72 hours post-dose) and day 171 (pre-dose to 72 hours post-dose)

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

AUC0-168hours,S-war,SD: Area under the S-warfarin plasma concentration-time curve from time 0 to 168 hours after a single dose of warfarin without CagriSema exposure and at CagriSema steady state
Day 8 (pre-dose to 168 hours post-dose) and day 178 (pre-dose to 168 hours post-dose)

Measured in hours\*nmol/L.

Relative change in energy intake during ad libitum lunch, evening meal and snackbox
Baseline to Day 156

Measured in percentage (%).

Change From Baseline in Fridericia Heart Rate Corrected QT Interval (QTcF) At 12, 24, 48 and 72 Hours Post-Second Dose of Cagrilintide/Cagrilintide Placebo at the 4.5 mg Dose Level
From pre-last dose on Day 52 to 12, 24, 48 and 72 hours post-last dose on Day 55

Measured in millisecond

Secondary Endpoints
Number of participants with achievement of >= 10 % body weight reduction
From baseline (week 0) to end of treatment (week 64)
Number of participants with achievement of >= 15 % body weight reduction
From baseline (week 0) to end of treatment (week 64)
Change in waist circumference
From baseline (week 0) to end of treatment (week 64)
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
CagrilintideEXPERIMENTALParticipants will receive cagrilintide subcutaneously once weekly for 64 weeks.
PlaceboPLACEBO_COMPARATORParticipants will receive placebo matched to cagrilintide subcutaneously once weekly for 64 weeks.
CagriSemaEXPERIMENTALParticipants will receive once-weekly subcutaneous (s.c) injections of CagriSema (cagrilintide and semaglutide) after a dose escalation period of 16 weeks during the maintenance period for 88 weeks in the main phase. Participants randomised to this arm will be included in the extension phase for one year.
CagriSema Dose 1EXPERIMENTALParticipants will receive once-weekly subcutaneous (s.c) injections of CagriSema (cagrilintide and semaglutide) at escalating doses every week in 8-week dose escalation period until target dose (dose 1) of CagriSema (cagrilintide and semaglutide) is achieved and maintained up to 60 weeks.
Placebo Dose 1PLACEBO_COMPARATORParticipants will receive once-weekly s.c injection of placebo matched to cagrisema dose 1 (cagrilintide and semaglutide) for 68 weeks.
CagriSema Dose 2ACTIVE_COMPARATORParticipants will receive once-weekly s.c injections of CagriSema (cagrilintide and semaglutide) at escalating doses every week in 12-week dose escalation period until target dose (dose 2) of CagriSema(cagrilintide and semaglutide) is achieved and maintained up to 56 weeks.
Placebo Dose 2PLACEBO_COMPARATORParticipants will receive once-weekly s.c injection of placebo matched to cagrisema dose 2 (cagrilintide and semaglutide) for 68 weeks.
CagriSema 2.4 mg/2.4 mgEXPERIMENTALParticipants will receive 2.4 mg cagrilintide and 2.4 mg semaglutide subcutaneously once-weekly (dose escalation period of 16 weeks) for up to 84 weeks.
Tirzepatide 15 mgACTIVE_COMPARATORParticipants will receive 15 mg tirzepatide subcutaneously once-weekly (dose escalation period of 20 weeks) for up to 84 weeks.
SemaglutideACTIVE_COMPARATORParticipants will receive semaglutide s.c.and placebo matched to cagrilintide once-weekly after a dose escalation period of 16 weeks during the maintenance period for 52 weeks.
Placebo s.c.PLACEBO_COMPARATORParticipants will receive placebo matched to cagrilintide and placebo matched to semaglutide once weekly for 68 weeks. Participants randomised to this arm will be included in the extension phase for 97 weeks.
CagriSema +Atorvastatin + WarfarinEXPERIMENTALParticipants will receive a single dose of atorvastatin and a single dose of warfarin followed by a 16-week CagriSema dose escalation period and a 7-week CagriSema maintenance period. Participants will also receive a single dose of atorvastatin and a single dose of warfarin in the maintenance period.
Cagrilintide (Arm 1)EXPERIMENTALParticipants will receive 0.6 milligrams (mg) of cagrilintide subcutaneously once weekly and the dose will be then escalated once in 2 weeks for 8 weeks until the target maintenance dose of 4.5 mg is reached followed by a 38-day post-treatment period. In addition, a single dose of moxifloxacin placebo prior to initiation of treatment and a single dose moxifloxacin placebo at the end of the treatment period will be administered orally.
Cagrilintide Placebo (Arm 2A)ACTIVE_COMPARATORParticipants will receive cagrilintide placebo subcutaenously once weekly. In addition, a single dose of moxifloxacin active prior to initiation of treatment and a single dose of moxifloxacin placebo at the end of the treatment period will be administered orally.
Cagrilintide Placebo (Arm 2B)ACTIVE_COMPARATORParticipants will receive cagrilintide placebo subcutaneously once weekly. In addition, a single dose of moxifloxacin placebo prior to initiation of treatment and a single dose of moxifloxacin active at the end of the treatment period will be administered orally.
Interventions
NameTypeDescription
CagrilintideDRUGCagrilintide will be administered subcutaneously with a pen-injector as an adjunt to lifestyle intervention counselling.
PlaceboDRUGPlacebo matched to cagrilintide will be administered subcutaneously with a pen-injector as an adjunt to lifestyle intervention counselling.
SemaglutideDRUGParticipants will receive semaglutide subcutaneously.
Placebo cagrilintideDRUGParticipants will receive placebo matched to cagrilintide subcutaneously.
Placebo semaglutideDRUGParticipants will receive placebo matched to semaglutide subcutaneously.
TirzepatideDRUGTirzepatide will be administered subcutaneously.
Placebo (matched to Cagrilintide)DRUGPlacebo matched to Cagrilintide will be administered subcutaneously.
AtorvastatinDRUGAtorvastatin will be administered as a single dose orally 2 times during the study.
WarfarinDRUGWarfarin will be administered as a single dose orally 2 times during the study.
Cagrilintide PlaceboDRUGParticipants will receive cagrilintide placebo subcutaneously once weekly.
MoxifloxacinDRUGPartcipants will receive a single dose of moxifloxacin orally.
Moxifloxacin PlaceboDRUGPartcipants will receive a single dose of moxifloxacin orally.
Unlock Study Design Details
Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites40

Inclusion criteria: * Informed consent obtained before any study-related activities. Study-related activities are any procedures that are carried out as part of the study, including activities to determine suitability for the study * Female or male (sex at birth) * Age 18 years or above at the time...

Countries:United StatesArgentinaAustraliaCanadaFranceGermanyItalyNorwayPolandUnited KingdomBelgiumDenmarkPortugalBulgariaFinlandIndiaJapanMexicoNetherlandsSerbiaSouth AfricaSouth KoreaSpainTaiwanTurkey (Türkiye)
Unlock Eligibility Criteria
Recent Changes (Last 90 Days)
MEDIUMJun 5, 2026NCT06388187TRIAL_REMOVED: changed
MEDIUMJun 5, 2026NCT06388187TRIAL_REMOVED: changed
MEDIUMJun 5, 2026NCT06388187TRIAL_REMOVED: changed
MEDIUMJun 5, 2026NCT06388187TRIAL_REMOVED: changed
MEDIUMJun 5, 2026NCT06388187TRIAL_REMOVED: changed
MEDIUMJun 5, 2026NCT06388187TRIAL_REMOVED: changed
LOWMay 27, 2026NCT07607587NEW_TRIAL: changed
LOWMay 27, 2026NCT07607587NEW_TRIAL: changed
LOWMay 26, 2026NCT07527195primaryCompletionDate: changed
LOWMay 26, 2026NCT07010432primaryCompletionDate: changed
LOWMay 26, 2026NCT05567796primaryCompletionDate: changed
LOWMay 26, 2026NCT07220642primaryCompletionDate: changed
LOWMay 26, 2026NCT06780449primaryCompletionDate: changed
HIGHMay 26, 2026NCT06388187Status: ACTIVE_NOT_RECRUITING → COMPLETED
LOWMay 24, 2026NCT07527195studyFirstPostDate: changed
LOWMay 24, 2026NCT07010432studyFirstPostDate: changed
LOWMay 24, 2026NCT06388187studyFirstPostDate: changed
LOWMay 24, 2026NCT05567796studyFirstPostDate: changed
LOWMay 24, 2026NCT07220642studyFirstPostDate: changed