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Peptides, hormones and pipeline drugs

Cagrilintide

Cagrilintide is an investigational long-acting amylin analog from Novo Nordisk, given weekly, studied alone and paired with semaglutide as CagriSema.

DefinitionCagrilintide is an investigational long-acting amylin analog from Novo Nordisk, given weekly, studied alone and paired with semaglutide as CagriSema.

What it means

Cagrilintide is built to act like amylin, a fullness hormone, but to last about a week instead of minutes. It works on amylin receptors and also on calcitonin receptors, which is why it is described as a dual amylin and calcitonin receptor agonist.

It has been studied mainly as half of CagriSema. In the REDEFINE 1 trial, a cagrilintide-only group also lost weight, though less than the group on the combination. Novo Nordisk has also studied cagrilintide by itself for weight management.

Cagrilintide is not FDA-approved. Common side effects in trials were stomach-related, such as nausea and constipation.

Interest in amylin drugs comes partly from the idea that they may reduce appetite through a different route than GLP-1, which might help preserve tolerability or add to weight loss. That is still being tested.

Why it matters

Cagrilintide is the amylin half of a combination that may become the next weekly weight-loss shot.

Related terms

Sources

  1. REDEFINE 1 trial (NEJM, 2025)

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