CagriSema
Also known as: Semaglutide + Cagrilintide
Key Facts: CagriSema
- Category
- Weight Loss
- FDA Status
- Not FDA Approved
- Clinical Status
- NDA Submitted (Dec 18, 2025) - FDA decision expected Q4 2026. First once-weekly combination of GLP-1 and amylin analogues for weight management.
- Administration
- Subcutaneous injection weekly
- Typical Dose
- Limited community data available
- Frequency
- See research protocols
- Duration
- Long-term use expected
Mechanism of Action
Combines GLP-1 receptor agonism (semaglutide) with amylin receptor agonism (cagrilintide). Amylin adds satiety signaling and slows gastric emptying through different pathways than GLP-1.
Research Summary
Phase 3 REDEFINE 1 trial showed 22.7% weight loss at 68 weeks, significantly outperforming semaglutide alone (15.8%). NDA submitted to FDA in December 2025. If approved, expected to become the leading obesity treatment.
Dosing Information
Typical Dosingⓘ
Community experience
Limited community data available
See research dosing
See research protocols
Research Dosingⓘ
Scientific studies
Doses from clinical trials
Doses from Studies
Semaglutide 2.4mg + Cagrilintide 2.4mg weekly
Duration
Long-term use expected
Administration
Subcutaneous injection weekly
Timing & Administration
Best Time to Take
Before bed or morning (fasted)
Follow specific peptide protocol
Food Recommendation
Take on empty stomach
Why This Timing?
GH-related peptides work best on an empty stomach to maximize growth hormone release.
Possible Side Effects
Not everyone experiences these effects. Individual responses vary based on dosage, duration, and personal factors.
- ●Nausea
- ●Vomiting
- ●Diarrhea
- ●Constipation
- ●GI events (72-80% vs 34-40% placebo)
- ●Higher GI effects than semaglutide alone
- ●Investigational - not yet approved
References
- https://pubmed.ncbi.nlm.nih.gov/37364590/
- https://clinicaltrials.gov/ct2/show/NCT05394519
- https://pubmed.ncbi.nlm.nih.gov/40544433/
Research This Peptide Further
Frequently Asked Questions
What does CagriSema do?
A combination of semaglutide and cagrilintide (amylin analog). The most effective weight loss drug candidate, showing 22.7% body weight reduction in Phase 3 trials - superior to any single-agent GLP-1.
How does CagriSema work?
Combines GLP-1 receptor agonism (semaglutide) with amylin receptor agonism (cagrilintide). Amylin adds satiety signaling and slows gastric emptying through different pathways than GLP-1.
Is CagriSema FDA approved?
No, CagriSema is not currently FDA approved. Current status: NDA Submitted (Dec 18, 2025) - FDA decision expected Q4 2026. First once-weekly combination of GLP-1 and amylin analogues for weight management.
What are the side effects of CagriSema?
Reported side effects include: Nausea, Vomiting, Diarrhea, Constipation, GI events (72-80% vs 34-40% placebo). Individual responses vary based on dosage, duration, and personal health factors.
What is the typical dose of CagriSema?
Community-reported common dose: Limited community data available (See research protocols). Range: See research dosing. Administration: Subcutaneous injection weekly. Community-reported doses. Not medical advice. Consult healthcare provider.
Related Peptides
Peptides commonly compared with CagriSema or used in similar applications.
Semaglutide
FDAA GLP-1 receptor agonist with multiple FDA approvals including weight loss, T2D, CV risk reduction, and kidney protection. Wegovy pill approved Dec 2025 as first oral GLP-1 for weight loss.
Weight LossTirzepatide
FDAA dual GIP/GLP-1 receptor agonist representing the next generation of incretin-based therapies. Shows superior weight loss compared to semaglutide in head-to-head trials. First medication approved for obstructive sleep apnea.
Weight LossRetatrutide
Clinical TrialsA triple agonist targeting GLP-1, GIP, and glucagon receptors. Phase 3 trials show up to 28.7% weight loss (71 lbs average), the highest of any obesity drug. Expected FDA approval late 2026 to early 2027.
Weight LossOrforglipron
FDAAn oral non-peptide GLP-1 receptor agonist. FDA approved April 1, 2026 under the brand name Foundayo - the first daily oral GLP-1 pill for weight loss. Distribution began April 6, 2026. FDA subsequently requested additional post-approval safety data.
Weight LossLiraglutide
FDAAn FDA-approved GLP-1 receptor agonist for type 2 diabetes and chronic weight management. The predecessor to semaglutide with daily dosing.
Weight LossDulaglutide
FDAAn FDA-approved weekly GLP-1 receptor agonist for type 2 diabetes. Fused to an Fc antibody fragment for extended duration of action.
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