Compound profile

Cagrilintide

Amylin analog

A long-acting amylin receptor agonist studied for weight management, both on its own and combined with semaglutide (a pairing known as CagriSema).

Reviewed for accuracy · Last reviewed July 8, 2026
ClassLong-acting amylin receptor agonist
RouteSubcutaneous injection
Studied range0.3 – 4.5 mg, weekly (monotherapy)
StorageRefrigerated, ~3–4 weeks once mixed

Overview

Cagrilintide mimics amylin, a hormone released alongside insulin that helps signal fullness and slow how quickly the stomach empties. It's engineered to be long-acting, which is why it has been studied as a once-weekly subcutaneous injection rather than something taken with each meal, and why researchers have paired it with the GLP-1 drug semaglutide to target appetite through two separate pathways.

It remains investigational: there is no FDA-approved cagrilintide product. The human evidence comes from a Phase 2 dose-finding obesity trial and from Phase 3 trials of the semaglutide combination (CagriSema), so every dose figure here describes what was studied rather than a prescribing guideline.

Dosing

The Phase 2 obesity trial tested once-weekly subcutaneous cagrilintide at 0.3, 0.6, 1.2, 2.4, and 4.5 mg after a short escalation; the CagriSema combination uses 2.4 mg cagrilintide. Cagrilintide is investigational, so there is no approved prescribing dose.

Read the full Cagrilintide dosage guide →

Side effects

Across trials the most common adverse events were gastrointestinal (nausea, vomiting, diarrhea, constipation) plus injection-site reactions, generally mild to moderate and most prominent during dose escalation.

Read the full Cagrilintide side effects guide →

Storage

Keep unmixed vials refrigerated and away from light. Once reconstituted, most research reports store it refrigerated for roughly 3–4 weeks. See the full storage & safety guide for handling and disposal basics.

FAQ

How is cagrilintide different from semaglutide?They act through different hormone systems: cagrilintide mimics amylin, while semaglutide is a GLP-1 receptor agonist. In trials the two have been combined (CagriSema) to target appetite through both pathways at once.
Is cagrilintide approved?No. Cagrilintide is investigational and has no FDA-approved product. The semaglutide combination CagriSema was under regulatory review as of 2026, but nothing described here is an approved treatment.
What is CagriSema?CagriSema is the fixed combination of cagrilintide and semaglutide studied in Novo Nordisk's Phase 3 REDEFINE program, using 2.4 mg of each in a single once-weekly injection.

References

  1. Once-Weekly Cagrilintide for Weight Management in People With Overweight and Obesity: A Dose-Finding Phase 2 TrialThe Lancet · 2021 · PMID 34798060 · DOI 10.1016/S0140-6736(21)01751-7 · NCT03856047
  2. Cagrilintide-Semaglutide in Adults With Overweight or Obesity and Type 2 Diabetes (REDEFINE 2)New England Journal of Medicine · 2025 · PMID 40544432 · DOI 10.1056/NEJMoa2502082 · NCT05394519
  3. Investigation of Safety and Efficacy of NNC0174-0833 for Weight Management: A Dose-Finding TrialClinicalTrials.gov (sponsor: Novo Nordisk A/S) · 2019 · NCT03856047
Following this research protocol? PepHub can log your weekly doses and remind you.Coming soon

This page is an independent educational reference and is not medical advice, and does not indicate any approval status for any use. Talk to a doctor before starting any compound.