Cagrisema

Also known as: Cagrilintide + Semaglutide, CagriSema Combination

A combination of cagrilintide and semaglutide for enhanced weight loss effects.

Overview

Cagrisema is a combination therapy pairing cagrilintide (a long-acting amylin analog) with semaglutide (a GLP-1 agonist). The dual mechanism targets both amylin and GLP-1 pathways for potentially superior weight loss compared to either agent alone. Currently in Phase 3 trials.

Mechanism of Action

Cagrilintide activates amylin receptors (appetite suppression, gastric emptying). Semaglutide activates GLP-1 receptors (appetite suppression, insulin secretion). The combination provides complementary and potentially synergistic effects on food intake and metabolism.

Pharmacokinetics

Both components are long-acting. Weekly subcutaneous injection. Designed for convenient combination dosing.

Dosing Protocols

Note: These are research protocols from literature. This is not medical advice.

1

Clinical Trials

Dose

2.5/2.5 to 10/10 mg

Frequency

Once weekly

Duration

68 weeks in trials

Dose escalation protocol

Research Areas

ObesityType 2 DiabetesWeight ManagementMetabolic SyndromeNAFLD

Key Research Findings

  • 1Up to 20%+ weight loss in Phase 2 trials
  • 2Potentially superior to semaglutide alone
  • 3Dual mechanism of action
  • 4Phase 3 trials ongoing

Side Effects & Contraindications

Reported Side Effects

  • Nausea
  • Vomiting
  • Diarrhea
  • Constipation
  • Decreased appetite

Contraindications

  • MTC history
  • MEN2
  • Severe GI disease
  • Pancreatitis history

Safety Considerations

Investigational combination. GI side effects similar to GLP-1 agonists. Expected to have similar contraindications to semaglutide.

Storage Requirements

Refrigerate 2-8°C

Scientific References

Quick Reference

Sequence
Combination product
Molecular Weight
Variable
Half-Life
~1 week (both components)
Bioavailability
Injectable only
Research Stage
clinical phase 3
Administration
Subcutaneous weekly