Weight Loss

Cagrilintide

Also known as: AM833, NN9838, CagriSema (combination)

Clinical Trials
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Key Facts: Cagrilintide

Category
Weight Loss
FDA Status
Not FDA Approved
Clinical Status
Phase 3 Trials - Primary path via CagriSema combo (cagrilintide + semaglutide). NDA submitted Dec 2025, FDA decision expected Q4 2026.
Administration
Subcutaneous injection once weekly
Typical Dose
2.4 mg weekly
Frequency
Once weekly
Duration
Long-term / chronic use expected
Also Known As
AM833, NN9838, CagriSema (combination)

Mechanism of Action

Cagrilintide mimics amylin, a hormone co-secreted with insulin from pancreatic beta cells. It activates amylin and calcitonin receptors in the area postrema and nucleus tractus solitarius of the brainstem, enhancing satiety signaling. Unlike GLP-1 agonists, it works through homeostatic and hedonic appetite centers, reducing hunger and promoting earlier meal termination. Also slows gastric emptying to prolong fullness.

Research Summary

REDEFINE 1 Phase 3 trial showed 11.8% weight loss with cagrilintide monotherapy vs 2.3% placebo over 68 weeks. Combined with semaglutide (CagriSema), average weight loss reached 20.4% vs 3.0% placebo. 60% of CagriSema participants achieved ≥20% weight loss, and 23% lost ≥30%. This represents some of the most significant weight loss results seen with any anti-obesity medication.

Trial Progress:Phase III
Pre
I
II
III
IV
FDA

Dosing Information

Human Trials·Phase 3 clinical trials completed, awaiting FDA approval

Typical Dosing

Community experience

Common Dose

2.4 mg weekly

Range

1.0-2.4 mg weekly (dose escalation)

Frequency

Once weekly

Most effective when combined with semaglutide (CagriSema). Works through amylin pathway which is complementary to GLP-1 mechanism. Dose escalation typically used to minimize GI side effects. Not yet commercially available - still in clinical trials.

Research Dosing

Scientific studies

Doses from clinical trials - not yet approved

Duration

Long-term / chronic use expected

Administration

Subcutaneous injection once weekly

Timing & Administration

Best Time to Take

Any consistent time weekly

Once weekly

Food Recommendation

With or without food

Why This Timing?

Once-weekly injection provides sustained amylin receptor activation. Timing is flexible but should be consistent week to week.

Possible Side Effects

Not everyone experiences these effects. Individual responses vary based on dosage, duration, and personal factors.

  • Nausea (common, usually transient)
  • Vomiting
  • Diarrhea
  • Constipation
  • Abdominal pain
  • Injection site reactions
  • Decreased appetite
  • Headache
  • Dyspepsia
  • GI events affected 79.6% in CagriSema trials (mostly mild-moderate)
  • Limited long-term safety data - still in trials

References

Research This Peptide Further

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Cagrilintide from $108/kit

3 verified vendors, ≥99% purity, COAs included.

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Frequently Asked Questions

What does Cagrilintide do?

A long-acting amylin analog developed by Novo Nordisk for obesity treatment. Works through a different mechanism than GLP-1 agonists, targeting amylin receptors in the brain to reduce appetite and slow gastric emptying. Shows enhanced weight loss when combined with semaglutide (CagriSema).

How does Cagrilintide work?

Cagrilintide mimics amylin, a hormone co-secreted with insulin from pancreatic beta cells. It activates amylin and calcitonin receptors in the area postrema and nucleus tractus solitarius of the brainstem, enhancing satiety signaling. Unlike GLP-1 agonists, it works through homeostatic and hedonic appetite centers, reducing hunger and promoting earlier meal termination. Also slows gastric emptying to prolong fullness.

Is Cagrilintide FDA approved?

No, Cagrilintide is not currently FDA approved. Current status: Phase 3 Trials - Primary path via CagriSema combo (cagrilintide + semaglutide). NDA submitted Dec 2025, FDA decision expected Q4 2026.

What are the side effects of Cagrilintide?

Reported side effects include: Nausea (common, usually transient), Vomiting, Diarrhea, Constipation, Abdominal pain. Individual responses vary based on dosage, duration, and personal health factors.

What is the typical dose of Cagrilintide?

Community-reported common dose: 2.4 mg weekly (Once weekly). Range: 1.0-2.4 mg weekly (dose escalation). Administration: Subcutaneous injection once weekly. Investigational drug - not yet approved. Clinical trial doses shown. Not medical advice.

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