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Human trialsMetabolic AM833, component of CagriSema

Cagrilintide

An amylin analogue built to pair with semaglutide rather than replace it.

Class
Long-acting amylin analogue
Molar mass
~3,800 g/mol
Half-life
~7 days
Human PK
Published
Regulatory
Investigational
Sport
Not prohibited

What it is claimed to help

These are the uses attached to Cagrilintide in research, clinical practice, or marketing. Listing a claim is not endorsing it — tap any of them to see every other compound carrying the same claim.

What the human evidence actually is

Grade: Human trials

Randomised controlled human trials exist. Not necessarily approved, and not necessarily positive.

Phase 2 established weight reduction as monotherapy. The REDEFINE phase 3 programme tested it combined with semaglutide as CagriSema, with REDEFINE-1 reporting roughly 23% mean weight reduction. Novo Nordisk filed its FDA application on 18 December 2025 with a decision anticipated in late 2026 — no PDUFA date has been made public. Worth knowing: REDEFINE-4, the head-to-head against tirzepatide, missed its endpoint. As of August 2026 CagriSema is not approved.

How it is supposed to work

Mimics amylin, a beta-cell hormone that signals satiety through the area postrema — a pathway separate from GLP-1, which is the rationale for combining them.

Safety

Nausea and vomiting, injection site reactions. Long-term safety not established.

Storage and handling

Lyophilised peptide is generally stored at 2–8 °C, or below −20 °C for long-term storage. Reconstituted in bacteriostatic water (0.9% benzyl alcohol) a solution is typically treated as usable for about 28 days refrigerated, versus roughly 24 hours for plain sterile water, which has no preservative. Add the water slowly down the vial wall and swirl — never shake, which shears peptide chains and foams the solution.

The arithmetic is the dangerous part

Whatever number a protocol or a prescriber gave you, converting it into syringe units is where a misplaced decimal becomes a tenfold error. Our calculators do that conversion and nothing else — they never invent a dose.

Open the calculators

Sources

  1. Lau DCW et al. Cagrilintide phase 2, Lancet 2021
  2. Novo Nordisk CagriSema NDA submission, 18 December 2025
  3. REDEFINE-1 and REDEFINE-4 programme readouts

Verified against primary sources on 27 August 2026. Regulatory status in this field changes several times a year. See How We Rate Evidence.

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