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
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 83
Cocer Peptides 10 mg $260.00 82
Crystal Peptides 5 mg $59.99 66
Certified Peptides 10 mg $128.00 62
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
Mandy 5 mg $84.00 43
HongDa Peptide $186.00 43
HongDa Peptide $129.00 43
zztai Peptide Ltd 43
MJT peptides 5 mg $119.00 39
HK Peptide Ltd (hk peptides) 37
NG Peptide 5 mg $40.00
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
Peptide Crafters 5 mg $80.00
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
Puratek Peptides $45.95
S1 Research 5 mg $40.00
S1 Research 10 mg $40.00
Soma Peptides 10 mg $124.00
True Peptide 10 mg $105.00
Welli Labs $39.99
Wellness Peptides 5 mg $60.00
Wellness Peptides 10 mg $60.00

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 to Compare Different Versions of Injectable CagriSema and Placebo in People With Excess Body Weight
· ClinicalTrials.gov (2026) · rct

This study is being done to find out how well a medicine called CagriSema helps people with overweight or obesity lose weight. CagriSema is still being tested in studies and is not yet available for doctors to prescribe.

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A Research Study to Look at How Two Different Doses of CagriSema and One Dose of Semaglutide Help People Living With Obesity With or Without Type 2 Diabetes Lose Weight
· ClinicalTrials.gov (2026) · rct

This clinical study is testing how the study medicine CagriSema helps people living with obesity, with or without type 2 diabetes (T2D), lose weight. The purpose of the study is to find out how safe and effective CagriSema is for body weight loss in these participants.

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A Research Study to Look at How CagriSema Influences Food Intake, Appetite and Emptying of the Stomach in People With Excess Body Weight
· ClinicalTrials.gov (2024) · rct

This research study tests if CagriSema influences food intake, appetite and emptying of the stomach in people with excess body weight. Participant will either get CagriSema (active medicine) or placebo (a dummy medicine), which has no effect on the body. The treatment participants get is decided by chance.

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A Research Study to See How Much CagriSema Lowers Blood Sugar and Body Weight Compared to Placebo in People With Type 2 Diabetes Treated With Diet and Exercise
· ClinicalTrials.gov (2024) · rct

This study will look at how much CagriSema helps participants with type 2 diabetes lower their blood sugar and body weight. CagriSema is a new investigational medicine. Doctors may not yet prescribe CagriSema. CagriSema will be compared to a "dummy" medicine (also called "placebo") that has no effect on the body.

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A Research Study to See How Much CagriSema Lowers Blood Sugar and Body Weight Compared to Placebo in People With Type 2 Diabetes Treated With Once-daily Basal Insulin With or Without Metformin
· ClinicalTrials.gov (2024) · rct

This study will look at how much CagriSema helps people with type 2 diabetes lower their blood sugar and body weight. CagriSema is a new investigational medicine. Doctors may not yet prescribe CagriSema. CagriSema will be compared to a "dummy" medicine (also called "placebo") that has no effect on the body.

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A Research Study to Compare Blood Levels of Cagrilintide and Semaglutide After Single Doses of Different Versions of Injectable CagriSema in Adults With Overweight or Obesity
· ClinicalTrials.gov (2024) · rct

This study will compare the blood levels of cagrilintide and semaglutide when the same dose is given in two different versions of CagriSema. CagriSema is a medicine that combines two medicines called cagrilintide and semaglutide. It is still being tested in studies and is not yet available for doctors to prescribe.

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A Research Study to See How Well CagriSema Compared to Semaglutide, Cagrilintide and Placebo Lowers Blood Sugar and Body Weight in People With Type 2 Diabetes Treated With Metformin With or Without an SGLT2 Inhibitor
· ClinicalTrials.gov (2023) · rct

The study will look at how well CagriSema helps people lower their blood sugar and body weight. CagriSema is a new weekly medicine that combines two medicines called semaglutide and cagrilintide. CagriSema will be compared to the two medicines semaglutide and cagrilintide, when they are taken alone.

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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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