CagriSema
An investigational once-weekly injection combining cagrilintide, an amylin analogue, with semaglutide, a GLP-1 receptor agonist. It is not authorised in the EU.
General information, not medical advice. Docalo does not sell medicines, and prescription-only medicines are prescribed only after an individual medical assessment.
What CagriSema is and how it works
CagriSema pairs two hormone copies in one pen: semaglutide, which acts like the gut hormone GLP-1, and cagrilintide, which acts like amylin, a hormone the pancreas releases after eating. Both act on appetite.
It has completed Phase 3 trials (REDEFINE 1 and 2). The manufacturer applied for US approval in December 2025; it holds no EU authorisation.
Authorisation status and label
- No one outside a clinical trial in the EU: it has no authorised indication.
- Phase 3 trials studied adults with obesity or overweight, with and without type 2 diabetes.
- Each trial sets its own eligibility criteria, and the trial team checks them.
Only a doctor who knows your history can decide whether a medicine suits you.
How to use CagriSema
Only within a clinical trial. In trials it was given as one injection under the skin once a week, with doses built up over several weeks under the study protocol.
No authorised dosing. There is no authorised dose outside a trial.
Common side effects
Get urgent medical help if (whatever the frequency): Severe, persistent stomach pain, often spreading to the back, Pain under the right ribs with fever or yellowing skin, Swelling of the face, lips, tongue or throat, or trouble breathing
Most reported in trials (in more than 1 in 10 trial participants): nausea, constipation, vomiting
Safety
Do not use CagriSema if
- You are outside a registered clinical trial, because no authorised product exists
- You are pregnant, planning a pregnancy or breastfeeding
- The product comes from an online seller, because its content, dose and sterility are unchecked
Pancreatitis and gallbladder problems are known risks of medicines in this class.
Your questions answered
Is CagriSema authorised in the EU?
What is cagrilintide?
More questions
Can CagriSema be bought online?
References
This page summarises the official product information and the published sources below.
- Cagrilintide–semaglutide in adults with overweight or obesity (REDEFINE 1) New England Journal of Medicine, 2025
- Cagrilintide–semaglutide in adults with overweight or obesity and type 2 diabetes (REDEFINE 2) New England Journal of Medicine, 2025
- REDEFINE 1 (NCT05567796) ClinicalTrials.gov, 2025
- REDEFINE 2 (NCT05394519) ClinicalTrials.gov, 2025
- Novo Nordisk files for FDA approval of CagriSema Novo Nordisk A/S, 2025
Other medicines used in weight management
Talk to a doctor about weight care
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