CagriSema vs NA-931
Comprehensive side-by-side comparison of mechanisms, dosing, side effects, and research
Also: Semaglutide + Cagrilintide
CagriSema is a once-weekly injectable that pairs two drugs in one shot: semaglutide (a GLP-1 receptor agonist, the molecule behind Ozempic and Wegovy) and cagrilintide (a long-acting amylin analog). It is being developed by Novo Nordisk for obesity and type 2 diabetes, and in 2025 it cleared its phase 3 REDEFINE trials. It is not yet approved by the FDA, though regulatory filings are underway.
Also: Bioglutide, cyclic glycine-proline
NA-931 (Bioglutide) is cyclic glycine-proline, a two-amino-acid ring that occurs naturally as a breakdown product of IGF-1. Its developer, Biomed Industries, describes it as an oral once-daily agonist at four receptors at once - IGF-1, GLP-1, GIP and glucagon - and has reported 13 to 15 percent weight loss in a 126-person Phase 2 trial. Those numbers have only ever appeared in conference abstracts, never in a peer-reviewed paper, and no trial results have been filed to ClinicalTrials.gov. The same molecule is already sold as a consumer brain-health supplement and as a Sigma-Aldrich catalogue chemical, which makes it unusually cheap to source and unusually hard to verify.
Key Comparison Insights
- Both peptides belong to the Weight Loss category, suggesting similar primary applications.
Detailed Comparison
| Attribute | CagriSema | NA-931 |
|---|---|---|
| Category | Weight Loss | Weight Loss |
| FDA Status | Not FDA Approved | Not FDA Approved |
| Clinical Status | Pre I II III IV FDA | Pre I II III IV FDA |
| Mechanism of Action | The combination works on two different appetite systems at once. Semaglutide mimics GLP-1, a gut hormone that boosts insulin after meals, slows stomach emptying, and signals fullness to the brain. Cagrilintide is a synthetic version of amylin, a hormone co-secreted with insulin from the pancreas, which reduces food intake and reinforces satiety through separate brain circuits in the hindbrain and hypothalamus. The idea, still being characterized, is that hitting GLP-1 and amylin pathways together produces more appetite suppression than either alone. Both components are engineered for slow release so a single weekly dose maintains steady drug levels. | Cyclic glycine-proline is a diketopiperazine: glycine and proline joined into a small ring, 154 daltons, roughly a thirtieth the size of tirzepatide or retatrutide. The independent literature, mostly from Jian Guan's group in Auckland, describes a single mechanism: cGP competes with IGF-1 for binding to IGFBP-3, which frees up IGF-1 that was otherwise bound and inactive. That is a bioavailability effect, studied for stroke recovery, Parkinson's and blood pressure rather than for weight. Biomed's own patent filing (WO2025160184A1) goes much further, claiming the same molecule is a 'quadruple receptor agonist' at IGF-1, GLP-1, GIP and glucagon receptors. That claim is worth understanding properly, because it is the entire basis of the weight-loss story. GLP-1, GIP and glucagon receptors are class B GPCRs, the kind that normally need a thirty-plus residue peptide wrapping into the receptor's binding groove to switch on. A 154-dalton ring activating all three would be a genuinely significant pharmacological finding. No independent group has reported it. Searching PubMed for cyclic glycine-proline alongside GLP-1 returns nothing at all. |
| Common Dosing | Limited community data available See research protocols | 120 mg daily, oral Once daily |
| Administration | Subcutaneous injection weekly | Oral capsule or tablet, once daily |
| Typical Duration | Long-term use expected | 28 days in Phase 1, 13 weeks in Phase 2 |
| Best Time to Take | Before bed or morning (fasted) | Consistent daily timing |
Possible Side Effects May vary by individual |
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| Research Summary | This is one of the better-tested experimental obesity drugs because it went straight into large human phase 3 trials rather than living only in animal data. In REDEFINE 1, about 3,400 adults with overweight or obesity but without diabetes were randomized over 68 weeks; CagriSema produced roughly 20.4% average body weight loss versus 14.9% for semaglutide alone, 11.5% for cagrilintide alone, and 3.0% for placebo, with results published in the New England Journal of Medicine in 2025. REDEFINE 2 tested it in adults with type 2 diabetes and also met its endpoints, showing meaningful weight loss and HbA1c improvement compared with placebo. Notably, the headline 20% figure landed below Novo Nordisk's own 25% target, which disappointed investors even though the drug clearly worked. The most common side effects were gastrointestinal: nausea, vomiting, diarrhea, and constipation, consistent with the GLP-1 plus amylin class. CagriSema is not FDA-approved as of mid-2026, so anything sold under that name outside a clinical setting is unregulated. | There are no peer-reviewed publications on NA-931. Not one. Everything in circulation is a conference abstract, and the abstracts carrying the efficacy numbers list Biomed's CEO as sole author with conflicts declared as 'None'. Two trials have completed, both run entirely in Australia: a 74-person Phase 1 (NCT06615700, completed September 2024) and a 126-person Phase 2 (NCT06564753, completed April 2025). Neither has results posted. A third trial (NCT06732245) would run in the US, Australia and New Zealand, but has not started recruiting. The reported weight loss is where this gets difficult. The same 126-person Phase 2 has been presented three times with three different numbers: 14.8 percent at ADA in June 2025, 13.8 percent at ENDO in July, and 13.8 percent with a different placebo-adjusted figure in a September press release. Enrolment is given as 125 in the abstracts against 126 on the registry. A result that moves between presentations is not yet a result. The company's website states NA-931 is in Phase 3. No Phase 3 trial for NA-931 is registered on ClinicalTrials.gov. The announcement traces to a single paid newswire release in January 2026, syndicated into around twenty local newspaper press-release sections, which reads like broad coverage but is one purchased placement. |
Frequently Asked Questions: CagriSema vs NA-931
What is the difference between CagriSema and NA-931?
CagriSema is a weight loss peptide that cagrisema is a once-weekly injectable that pairs two drugs in one shot: semaglutide (a glp-1 receptor agonist, the molecule behind ozempic and wegovy) and cagrilintide (a long-acting amylin analog). it is being developed by novo nordisk for obesity and type 2 diabetes, and in 2025 it cleared its phase 3 redefine trials. it is not yet approved by the fda, though regulatory filings are underway. NA-931 is a weight loss peptide that na-931 (bioglutide) is cyclic glycine-proline, a two-amino-acid ring that occurs naturally as a breakdown product of igf-1. its developer, biomed industries, describes it as an oral once-daily agonist at four receptors at once - igf-1, glp-1, gip and glucagon - and has reported 13 to 15 percent weight loss in a 126-person phase 2 trial. those numbers have only ever appeared in conference abstracts, never in a peer-reviewed paper, and no trial results have been filed to clinicaltrials.gov. the same molecule is already sold as a consumer brain-health supplement and as a sigma-aldrich catalogue chemical, which makes it unusually cheap to source and unusually hard to verify. The main differences lie in their mechanisms of action and clinical applications.
Which is better, CagriSema or NA-931?
Neither is universally "better" - the choice depends on your specific goals. CagriSema is typically used for weight loss purposes, while NA-931 is used for weight loss. Always consult with a healthcare provider to determine which may be appropriate for your situation.
Can CagriSema and NA-931 be used together?
Some peptide protocols combine multiple compounds for synergistic effects. However, using CagriSema and NA-931 together should only be considered under medical supervision, as both compounds have their own side effect profiles and potential interactions. Research on their combined use may be limited.