P Palthera
Hormone Analogues

Cagrilintide

AM833 / NNC0174-0833

Cagrilintide is an acylated long-acting of the pancreatic hormone amylin. It is investigational and is most often discussed in the literature alongside semaglutide as the CagriSema combination. The Lau 2021 Phase 2 dose-finding RCT established the monotherapy efficacy and safety profile in obesity.

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Hormone Analogues
Classification
Long-acting amylin analogue · Investigational
Research stage
Phase II clinical evidence published; ongoing Phase III development including the CagriSema (cagrilintide + semaglutide) combination
Sequence
Acylated 37-residue amylin analogue with C18 fatty diacid side chain
Molecular weight
Approx. 4358 Da

Snapshot

Key takeaways

A three-bullet snapshot before reading the full dossier.

  1. 01

    Long-acting amylin designed for once-weekly subcutaneous dosing.

  2. 02

    Most prominent in obesity research, often paired with semaglutide as CagriSema.

  3. 03

    Not yet FDA-approved at the time of writing; Phase III programmes are ongoing.

Dossier overview

3

research areas

3

references

3

handling notes

01

Mechanism of action

Cagrilintide activates calcitonin and amylin implicated in satiety and gastric-emptying regulation. Its lipidation provides extended plasma , enabling weekly dosing alongside other long-acting metabolic peptides.

02

Research applications

  • Obesity clinical research (monotherapy and combination)
  • Amylin / calcitonin pharmacology
  • Combination incretin / amylin therapy research

Evidence at a glance

What's behind this profile

3 citations · 2021–2024

Human
1

Studies in human volunteers or patients (incl. early-phase trials).

Review
2

Narrative or systematic reviews; no primary data.

Publication years

  1. 21
  2. 22
  3. 23
  4. 24
20212024

Counts are derived from the cited studies below. A study covering both in vivo and in vitro work is counted by its primary model. Sample size is reported in 1 of 3 citations. Findings remain model-specific and are not extrapolated to therapeutic use.

03

Study references

Each profile cites a minimum of two peer-reviewed sources, with model type and reported sample size where the source provides it. Findings are model-specific and must not be extrapolated to therapeutic use.

Once-weekly cagrilintide for weight management in people with overweight and obesity

2021

Lau DCW et al. · The Lancet

Model
Phase 2 dose-finding double-blind RCT in adults with overweight/obesity
Sample
n=706

Cagrilintide doses of 0.3–4.5 mg were associated with dose-dependent mean weight reductions of 6.0%–10.8% versus 3.0% with placebo over 26 weeks.

PMID 34798060 DOI 10.1016/S0140-6736(21)01751-7

Cagrilintide: A Long-Acting Amylin Analog for the Treatment of Obesity

2024

D'Ascanio AM et al. · Cardiology in Review

Model
Narrative review
Sample
N/A (review)

Reviewed cagrilintide's mechanism, the Phase 2 monotherapy evidence, and the rationale for the CagriSema (cagrilintide + semaglutide) combination.

PMID 36883831 DOI 10.1097/CRD.0000000000000513

Amylin analogs for the treatment of obesity without diabetes: present and future

2024

Panou T et al. · Expert Review of Clinical Pharmacology

Model
Narrative review
Sample
N/A (review)

Reviewed amylin development for non-diabetic obesity and the emerging dual- and triple- combinations including CagriSema.

PMID 39317404 DOI 10.1080/17512433.2024.2409403

Evidence caveats

  • Cagrilintide is investigational. Most published primary data come from a single Phase 2 dose-finding RCT (Lau 2021). Phase III evidence is accumulating but not yet established at the time of writing.
  • The CagriSema combination is a separate clinical-development programme; this profile covers cagrilintide monotherapy evidence.

04

Storage and handling

Trial material follows the clinical trial protocol cold-chain. Research-grade material must be stored under controlled laboratory conditions per protocol.

  • Investigational compound — use is restricted to authorised clinical trials and research settings.
  • Maintain full batch and supplier traceability.
  • Cold-chain handling per clinical trial protocol.

Common questions

Cagrilintide FAQ

Plain-English answers backed by the citations on this profile — what it is, what's been studied, regulatory status, evidence limits.

Open FAQ

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