peptide wiki

Cagrilintide

aka NN9838

GLP-1 / Metabolic

Mechanism

Cagrilintide is a long-acting acylated amylin analog developed by Novo Nordisk. It is investigational and not FDA-approved; Novo Nordisk's lead development path is the CagriSema co-formulation with semaglutide for weight management. Monotherapy cagrilintide was evaluated in Phase 2 but was deprioritized in favor of the combination.

Identification

CAS number1415456-99-3
Molecular formulaC194H312N54O59S2
SequenceKCNTATCATQRLAEFLRHSSNNFGPILPPTNVGSNTP
Typical dose0.3–4.5 mg once weekly subcutaneous (Phase 2); 2.4 mg/week maintenance in Phase 3 REDEFINE/REIMAGINE trials
Half-life~159–195 hours (~7–8 days)

Vendors selling Cagrilintide

VendorSizePriceListed purityTrust
Peptide Partners 50 mg $335.00 99
Glacier Aminos 5 mg $56.99 99
Glacier Aminos 10 mg $56.99 99
Moglabs 10 mg $82.00 96
BioLongevity Labs 5 mg $170.00 96
Crush Research 5 mg $149.00 95
Orbitrex Peptides 10 mg $219.99 95
Profound Aminos 5 mg $69.00 95
Licensed Peptides 5 mg $107.99 95
Licensed Peptides 10 mg $107.99 95
Peptide Tech 10 mg $59.99 94
Mile High Compounds $119.99 94
Forge Performance Co. 10 mg $70.00 94
Amino Club $69.99 93
Skye Peptides 5 mg $89.00 90
Peptide Plugs 10 mg $60.00 89
Qihang Peptide 87
Simple Peptide 10 mg $140.00 85
Reta Peptide 10 mg $135.00 83
Cocer Peptides 10 mg $260.00 82
Crystal Peptides 5 mg $59.99 66
Certified Peptides 10 mg $128.00 61
Nox Amino 10 mg $95.00 55
Peptiatlas 51
Taishijie 51
Taikangbio 50
Zjpeptix 50
Hkuppeptide 5 mg $10.00 50
MEI-PEPETIDE 5 mg $140.00 48
DongCheng Peptide 46
Puratek Peptides $45.95 44
Mandy 5 mg $84.00 43
HongDa Peptide $186.00 43
HongDa Peptide $129.00 43
zztai Peptide Ltd 5 mg $100.00 43
zztai Peptide Ltd 10 mg $180.00 43
MJT peptides 5 mg $119.00 39
HK Peptide Ltd (hk peptides) 37
NG Peptide 5 mg $40.00
Welli Labs $39.99
synthesispeptides.io $62.99
Alpha Omega 10 mg $140.00
Bulk Peptides 10 mg $400.00
Flawless Compounds
Genetic Peptide 5 mg $90.00
Genetic Peptide 10 mg $90.00
Modern Research Peptides $41.75
Oasis Labs 5 mg $81.00
Paramount Peptides 10 mg $157.25
Peptide Crafters 10 mg $110.00
Peptide Crafters 5 mg $65.00
Pepvida Labs 5 mg $90.00
Pepvida Labs 10 mg $170.00
Platinum Lion 10 mg $109.99
Polaris Peptides 10 mg $149.00
Polaris Peptides 10 mg $140.00
Polaris Peptides 3 mg $50.00
Polaris Peptides 5 mg $80.00
S1 Research 5 mg $29.99
S1 Research 10 mg $29.99
Soma Peptides 10 mg $124.00
True Peptide 10 mg $105.00
Wellness Peptides 5 mg $60.00
Wellness Peptides 10 mg $60.00
realpeptides.co $160.00

Research

Comparative Effectiveness of CagriSegma, Semaglutide, Cagrilintide and Tirzepatide in the Management of Overweight and Obesity: A Network Meta-Analysis of Randomized Clinical Trials
Hamarsheh S, Jaber AR, Abu-Khazneh O, Andonie CR, Majadleh S, Zahran A, Ayesh H. · Endocrinology, diabetes & metabolism (2026) · cohort

Background Obesity is a chronic, progressive disease affecting over 1 billion adults worldwide, linked to serious comorbidities, including diabetes, hypertension, and cardiovascular disease and associated with increased mortality. Achieving clinically meaningful weight loss is critical to reducing cardiometabolic risk.

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Efficacy and safety of once-weekly cagrilintide-semaglutide (CagriSema) in adults with type 2 diabetes inadequately controlled on diet and exercise (REIMAGINE 1): a randomised, double-blind, placebo-controlled, phase 3a study
Aroda VR, Buzzetti R, Dalskov SM, Jain AB, Larsen JH, Mathieu C, Pratley RE, Videmark A, Watt T, Buse JB. · The lancet. Diabetes & endocrinology (2026) · rct

Background Cagrilintide-semaglutide (CagriSema) is a novel, once-weekly combination of the amylin receptor agonist cagrilintide and the GLP-1 receptor agonist semaglutide.

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Cagrilintide-semaglutide (CagriSema) as an add-on to basal insulin in adults with type 2 diabetes (REIMAGINE 3): a randomised, double-blind, placebo-controlled, multicentre, phase 3 study
Rosenstock J, Billings LK, Gajria R, Giorgino F, Johansen NB, Klein KR, Thamattoor UK, Buse JB, Jain AB. · Lancet (London, England) (2026) · rct

Background Basal insulin treatment for type 2 diabetes often results in inadequate glycaemic control and is associated with weight gain and increased risk of hypoglycaemia.

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Renal or Hepatic Impairment Does Not Affect Pharmacokinetics, Safety, or Tolerability of Subcutaneous Cagrilintide
Nielsen MJF, Becker NP, Duus HHH, Kirkeby K, Kupčová V, Lauenborg BW, Low B, Svolgaard O, Witten L. · Clinical pharmacokinetics (2026) · rct

Background and objectives Cagrilintide is a long-acting amylin agonist under development as monotherapy for weight management and as a fixed-dose combination with the glucagon-like peptide-1 receptor agonist semaglutide (CagriSema) for weight management and treatment of type 2 diabetes.

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Cagrilintide-semaglutide (CagriSema) versus semaglutide or cagrilintide in people with type 2 diabetes (REIMAGINE 2): a double-blind, randomised, controlled, phase 3 study
Buse JB, Bajaj HS, Dalskov SM, Donaldson L, Hansen Duus HH, Fabricius TW, Haluzík M, Lingvay I, Pedersen SD, Pratley RE, Jain AB, REIMAGINE 2 study group. · The lancet. Diabetes & endocrinology (2026) · rct

Background The amylin receptor agonist cagrilintide and the GLP-1 receptor agonist semaglutide have complementary effects on glycaemic control and bodyweight.

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Cagrilintide and CagriSema for weight reduction and metabolic risk modification in overweight or obesity: a systematic review and meta-analysis
Rao H, Kumar S, Ali SME, Asif HM, Kumar M, Kumar L, Raja A. · Journal of diabetes and metabolic disorders (2026) · review

Background Obesity is a global health challenge associated with substantial cardiometabolic morbidity. Cagrilintide, a long-acting amylin analogue, alone or in combination with semaglutide (CagriSema), has emerged as a novel pharmacologic strategy for weight management.

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A cross-species atlas of the dorsal vagal complex reveals neural mediators of the effects of cagrilintide on energy balance
Ludwig MQ, Coester B, Gordian D, Hassan S, Tomlinson AJ, Toure MH, Christensen OP, Lommi G, Moltke-Prehn A, Brown JM, Belmont-Rausch DM, Bau S, Bodur C, Gowda A, Wu I, Kernodle S, et al. · Nature metabolism (2026) ·

Amylin receptor agonists such as cagrilintide represent emerging obesity therapies.

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Amylin Analogs: The Next Major Class of Weight Loss Therapy: A Review of Experimental Data and Early-Phase Clinical Trials
Alhazmi A, le Roux CW. · Diabetes, obesity & metabolism (2026) ·

Aims The management of the disease of obesity has been transformed by incretin-based therapies; however, additional and alternative therapeutic strategies are needed to address its biological complexity.

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Cagrilintide-semaglutide: a new option for patients with type 2 diabetes
Scheen AJ. · The lancet. Diabetes & endocrinology (2026) ·
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Cellular loci for cagrilintide action identified
Hevesi Z, Harkany T. · Nature metabolism (2026) ·
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Efficacy and safety of co-administered cagrilintide and semaglutide versus semaglutide alone in adults with overweight or obesity with or without type 2 diabetes in Japan and Taiwan (REDEFINE 5): a multicentre, randomised, active-controlled, phase 3a trial
Yamauchi T, Becker NP, Hagemann CA, Huang KC, Kiyosue A, Lim S, Onishi Y, Kosuvaripalli A, Takano T, Ishigaki Y, REDEFINE 5 study group. · The lancet. Diabetes & endocrinology (2026) · rct

Background The combination of cagrilintide and semaglutide has been shown in global studies to induce reductions in bodyweight. We assessed the efficacy and safety of a fixed-dose combination of cagrilintide 2·4 mg and semaglutide 2·4 mg versus semaglutide 2·4 mg for weight management in an east Asian population.

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Mitochondrial Adaptations in Skeletal Muscle Following Incretin-Based Therapies: In Vitro
Old V, Davies M, Denniff M, Choudhary P, Eastley N, Ashford RU, Watson E. · Journal of cachexia, sarcopenia and muscle (2026) ·

Background Incretin-based therapies such as glucagon-like peptide-1 receptor agonists (GLP-1Ras), dual GLP-1/GIP agonists and amylin analogues have demonstrated significant weight loss benefits. However, their impact on skeletal muscle mitochondrial function, particularly under metabolic stress, remains unclear.

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A Research Study on How Well Cagrilintide and CagriSema Work in Children and Adolescents With Excess Body Weight
· ClinicalTrials.gov (2026) · rct

This study will look at how well CagriSema and cagrilintide help children and adolescents with excess body weight lose weight. The study has 2 parts: main and extension study.

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A Research Study to Investigate the Effects of CagriSema Compared to Placebo in People With Type 2 Diabetes and Painful Diabetic Peripheral Neuropathy
· ClinicalTrials.gov (2025) · rct

This study will look at the effects of CagriSema in people with both type 2 diabetes and painful diabetic peripheral neuropathy, compared to placebo. Participants will either get an active medicine or a "dummy" medicine (placebo). Which treatment participants get is decided by chance.

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Effects of NNC0194-0499, Cagrilintide, and Semaglutide Alone or in Combinations on Liver Damage and Alcohol Use in People With Alcohol-related Liver Disease
· ClinicalTrials.gov (2024) · rct

The study will look at the effects of NNC0194-0499, cagrilintide and semaglutide, on liver damage and alcohol use in participants with alcoholic liver disease. Participants will get NNC0194-0499, semaglutide, cagrilintide or ''dummy" medicine in different treatment combinations.

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A Study on How NNC0174-1213 Works in People With Overweight or Obesity.
· ClinicalTrials.gov (2024) · rct

This study is testing a new study medicine to treat people living with overweight or obesity. The aim of this study is to see if the medicine is safe, how it works in human body, and what human body does to the study medicine.

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A Research Study to See How Well CagriSema Compared to Tirzepatide Helps People With Obesity Lose Weight
· ClinicalTrials.gov (2023) · rct

This study will look at how well CagriSema compared to Tirzepatide helps people lower their body weight. CagriSema is a new investigational medicine developed by Novo Nordisk that combines Cagrilintide and Semaglutide. CagriSema is not yet being prescribed by doctors.

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A Research Study to See How Well CagriSema Helps People in China With Excess Body Weight Lose Weight
· ClinicalTrials.gov (2023) · rct

This study will look at how well the new medicine CagriSema helps people with excess body weight losing weight compared to a "dummy" medicine and a medicine called semaglutide. Participants will either get CagriSema, a dummy medicine or semaglutide. Which treatment participants get is decided by chance.

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A Research Study Looking at How Cagrilintide Works on the Heart Rhythm in Healthy Participants
· ClinicalTrials.gov (2023) · rct

The study tests if treatment with cagrilintide delays the transmission of electrical signals in the heart compared to treatment with placebo. To confirm the sensitivity of the methodology, the drug moxifloxacin is also compared to a placebo in 2 treatment arms.

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Research Study to Look at How Well Cagrilintide Together With Semaglutide Works in People With Type 2 Diabetes
· ClinicalTrials.gov (2021) · rct

This study looks at how well a new medicine called cagrilintide works together with semaglutide on blood sugar levels in people with type 2 diabetes compared to cagrilintide alone or semaglutide alone. Before a new medicine can be prescribed to people it needs to be tested to see if it is safe and effective.

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