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CagriSema

CagriSema is the investigated combination of cagrilintide, an amylin analogue, and semaglutide, a GLP-1 receptor agonist. It is not a single peptide.

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At a glance

Evidence stage
Early human
Regulatory status
Novo Nordisk still described CagriSema as investigational in its October 20, 2026 update; semaglutide approvals do not automatically approve the combination.
Research context
CagriSema is the investigated combination of cagrilintide, an amylin analogue, and semaglutide, a GLP-1 receptor agonist. It is not a single peptide.

What this is

  • CagriSema is the investigated combination of cagrilintide, an amylin analogue, and semaglutide, a GLP-1 receptor agonist. It is not a single peptide.

What this isn't

  • A recommendation to use, prepare, combine, or administer a product
  • Evidence that a related molecule or a differently formulated product has the same effects

Key terms

CagriSema is the investigated combination of cagrilintide, an amylin analogue, and semaglutide, a GLP-1 receptor agonist. It is not a single peptide.

The combination brings together two appetite-related signaling pathways: amylin-related satiety and GLP-1 receptor activity. These complementary actions are the rationale for studying the pair. Results refer to the specified clinical products and protocol, rather than any blend marketed with both names. The REDEFINE 1 publication separately compared the combination, its individual components, and placebo.

Evidence limits

How to read the evidence

The October 2026 sponsor update still calls CagriSema investigational. In REDEFINE 4, an open-label comparison with tirzepatide, the sponsor reported failure to meet the primary noninferiority endpoint. Thus, substantial placebo-controlled weight loss does not establish equivalence to every active competitor. Subgroup and on-treatment figures also answer different questions from the overall randomized analysis; independently prepared blends are not validated by these trials.

Sources appraised 2026-10-28. Educational information; not medical advice. Study findings apply to the populations, preparations and outcomes described.

External sources and citations

  1. REDEFINE 1: cagrilintide and semaglutide in overweight or obesity. 2025
  2. Novo Nordisk October 2026 CagriSema development update. 2026
  3. Novo Nordisk: REDEFINE 4 primary noninferiority endpoint not achieved. 2026

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