Clinical and regulatory evidence comparison

Cagrilintide
vs CagriSema.

Learn the difference between cagrilintide alone and CagriSema, including ingredients, REDEFINE 1 results, Phase 3 programs, and FDA status.

Direct answer

What is the difference?

Cagrilintide and CagriSema are related but not the same investigational treatment. Cagrilintide is a long-acting amylin analogue studied on its own. CagriSema is a fixed-dose combination of cagrilintide and semaglutide, a GLP-1 receptor agonist. REDEFINE 1 included separate randomized arms for cagrilintide alone and the combination. Novo Nordisk has submitted CagriSema to the FDA, while standalone cagrilintide continues in the RENEW Phase 3 program. Neither is currently FDA approved.

Decision cockpit

See the useful differences first.

Start with identity, current US status, trial coverage, and the evidence relationship. Then carry the exact pair into a country-aware workspace without losing either record.

Program ACurrent evidence status

Cagrilintide

Investigational - not FDA approved

Route
Once-weekly subcutaneous injection
Registry
52 matched NCT records
Sponsor
Novo Nordisk
Open the full Cagrilintide record
Program BCurrent evidence status

CagriSema

Submitted to FDA - not yet approved

Route
Once-weekly subcutaneous injection
Registry
30 matched NCT records
Sponsor
Novo Nordisk
Open the full CagriSema record
Evidence relationship map

Cagrilintide vs CagriSema: how direct is the evidence?

Shared randomized protocol

Cagrilintide and CagriSema appeared in separate randomized arms of REDEFINE 1. The common protocol aligns important design fields, but the cited record does not necessarily establish that this exact pair was a prespecified and statistically powered superiority comparison.

Program A

Cagrilintide

Long-acting amylin analogue

Route
Once-weekly subcutaneous injection
Stage
Phase 3 monotherapy program
Status
Investigational - not FDA approved
Open Cagrilintide evidence
Program B

CagriSema

Amylin analogue + GLP-1 receptor agonist

Route
Once-weekly subcutaneous injection
Stage
Phase 3 / US regulatory review
Status
Submitted to FDA - not yet approved
Open CagriSema evidence
Current registry snapshotIdentity-linked trial coverage

The current exact-intervention dataset contains 268 unique NCT records across 13 tracked investigational programs. Counts describe registry coverage, not comparative evidence strength.

QuestionEvidence statusHow to use it
Identity and mechanismSupported

Compare the named molecules, active components, sponsors, and receptor strategies.

Route, schedule, and stageSupported

Compare the studied route, frequency, development phase, and exact program record.

Regulatory statusCountry-specific

Compare exact approvals, applications, and investigational status in the jurisdiction being checked.

Trial-result differenceShared protocol, descriptive context

Use the shared protocol as stronger descriptive context while checking whether the exact pairwise contrast was prespecified and powered.

Comparative safetyNo comparative conclusion

Use only adverse-event evidence reported for the cited protocol. Separate studies cannot establish which program is safer.

Better for an individualNot established

No group result, receptor count, route, approval milestone, or chart position predicts the best choice for one person.

Country status checks

Check both programs in the same market.

Approval, trial activity, product registration, pharmacy rules, and seller authority are country specific. Open both records before treating a status from one market as valid in another.

Program ANovo Nordisk

Cagrilintide

Long-acting amylin analogue

Route
Once-weekly subcutaneous injection
Stage
Phase 3 monotherapy program
Status
Investigational - not FDA approved
Featured trial anchors
NCT03856047 · NCT05567796 · NCT07220642 · NCT07220759
Open the full Cagrilintide evidence profile
Program BNovo Nordisk

CagriSema

Amylin analogue + GLP-1 receptor agonist

Route
Once-weekly subcutaneous injection
Stage
Phase 3 / US regulatory review
Status
Submitted to FDA - not yet approved
Featured trial anchors
NCT05567796 · NCT05669755 · NCT07011667
Open the full CagriSema evidence profile
Side-by-side record

Compare the field, then read the limit.

This is an identity comparison before it is an efficacy comparison. Search results and seller catalogs sometimes use cagrilintide and CagriSema as if they were synonyms, but one is a single investigational molecule and the other contains two active components. Their trial results, regulatory records, and eventual labels cannot be transferred between names.

Cagrilintide and CagriSema clinical program comparison
FieldCagrilintideCagriSemaHow to interpret it
Active componentsCagrilintide aloneCagrilintide plus semaglutideThe addition of semaglutide makes CagriSema a different intervention, not a brand name for cagrilintide.
REDEFINE 1 anchor11.8% at 68 weeks under the trial-product estimand22.7% at 68 weeks under the trial-product estimandThese figures came from separate randomized arms in the same trial and must stay attached to the correct intervention.
Development pathStandalone RENEW Phase 3 programREDEFINE Phase 3 program and FDA applicationThe two programs have distinct trial records and regulatory paths.
Current statusInvestigational and not FDA approvedSubmitted to the FDA and not yet approvedNeither status creates a legitimate retail product or approved dosing instruction.
Evidence boundary

Why the headline numbers do not name a winner.

REDEFINE 1 is unusually useful because it randomized participants to CagriSema, cagrilintide, semaglutide, or placebo in one 68-week trial. The reported trial-product estimates were 11.8% for cagrilintide and 22.7% for CagriSema, each compared within the study design. Those group results still do not predict an individual's response, and the combination result must never be attached to cagrilintide monotherapy.

Three reading rules

Keep the comparison honest.

  1. 01

    Check whether a result belongs to cagrilintide monotherapy or to the cagrilintide plus semaglutide combination.

  2. 02

    Use CagriSema for the fixed-dose combination and cagrilintide for the standalone amylin analogue program.

  3. 03

    Do not transfer CagriSema's FDA application, trial percentage, or eventual label to cagrilintide alone.

Important boundaryNo comparison creates worldwide approval or verified supply.

A country-specific approval, clinical trial, or matching name does not authenticate an online product or establish access elsewhere. This page contains no treatment recommendation, buying route, personal-use protocol, or affiliate link.

Open the safety and status guide →
Primary referencesInnovation and therapeutic focus - Annual Report 2025Mechanism, REDEFINE 1 and 2 results, and filing statusNovo Nordisk · February 2026Once-weekly cagrilintide Phase 2 randomized trialRandomization, 26-week weight results, gastrointestinal events, nausea, and trial interpretationNational Library of Medicine, PubMed · November 17, 2021REDEFINE 1 Phase 3 study - NCT05567796Sponsor, design, phase, publications, and current record statusClinicalTrials.gov · Record checked July 17, 2026RENEW 1 monotherapy study - NCT07220642Phase 3 cagrilintide monotherapy design, obesity population, study dates, and no posted resultsClinicalTrials.gov · Record checked July 20, 2026RENEW 2 monotherapy study - NCT07220759Phase 3 design in a population with type 2 diabetes, study dates, and no posted resultsClinicalTrials.gov · Record checked July 20, 2026FDA concerns with unapproved GLP-1 drugs used for weight lossUnapproved status, federal compounding boundary, and consumer warning for cagrilintide productsU.S. Food and Drug Administration · Updated June 15, 2026Cagrilintide substance identity recordPreferred substance name, UNII AO43BIF1U8, peptide class, and amylin analogue subtypeU.S. Food and Drug Administration GSRS · Record checked July 20, 2026Novo Nordisk files for FDA approval of CagriSemaNDA submission, submitted regimen, Phase 3 result, and adverse-event summaryNovo Nordisk · December 18, 2025CagriSema REDEFINE 4 and FDA review updateInvestigational status, REDEFINE 4 results, and the sponsor's anticipated late-2026 FDA decision windowNovo Nordisk · February 23, 2026CagriSema REIMAGINE 1-3 Phase 3 resultsType 2 diabetes Phase 3 populations, efficacy estimands, weight results, adverse-event context, and projected Q4 2026 FDA decision windowNovo Nordisk · June 7, 2026REDEFINE 1 direct randomized resultsCagriSema, semaglutide, cagrilintide, and placebo results under the trial-product and treatment-policy estimandsNovo Nordisk · December 20, 2024REDEFINE 1 peer-reviewed publicationPeer-reviewed randomized trial design, population, interventions, results, and safety recordNational Library of Medicine, PubMed · June 22, 2025Long-term weight maintenance study - NCT07011667Ongoing Phase 3 long-term maintenance programClinicalTrials.gov · Record checked July 17, 2026