CagriSema (Cagrilintide + Semaglutide) — Phase 3 REDEFINE Pivotal Results

Type: drug

Status: Active — Pivotal Trials, FDA Submission Expected Late 2026

Developer: Novo Nordisk

Breakthrough Summary

CagriSema combines a long-acting amylin analogue (cagrilintide) with semaglutide in a once-weekly injection. Phase 3 REDEFINE trials demonstrate superior HbA1c reduction (-2.2%) and weight loss (-15.6% at 68 weeks) vs semaglutide monotherapy. FDA submission expected late 2026.

Mechanism of Action

Dual mechanism: Cagrilintide mimics amylin (co-secreted with insulin), slowing gastric emptying, reducing glucagon, and enhancing satiety. Semaglutide activates GLP-1 receptors for glucose-dependent insulin release. Combined effect exceeds either agent alone.

Year: 2025-2026