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GLP-1 C | GLP-1 1S

CagriSema is a fixed-dose, co-formulated therapy combining Cagrilintide (2.4 mg), a long-acting amylin analog, with Semaglutide (2.4 mg), a GLP-1 receptor agonist. Delivered as a single once-weekly subcutaneous injection, CagriSema leverages complementary pathways for appetite regulation, glycemic control, and metabolic optimization.

  • Cagrilintide – an amylin and calcitonin receptor agonist with a half-life of ~184 hours, enhancing satiety, delaying gastric emptying, and suppressing postprandial glucagon through brainstem signaling.

  • Semaglutide – a GLP-1 receptor agonist with a half-life of ~158 hours, driving glucose-dependent insulin secretion, further glucagon suppression, and hypothalamic appetite regulation.

The combination provides dual appetite suppression and superior metabolic outcomes, with clinical efficacy approaching that of bariatric surgery.

  • Weight Loss Superiority: Up to 22.7% mean bodyweight reduction at 68 weeks.
  • High Responder Rate: ~60% of patients achieved ≥20% weight loss.
  • Glycemic Control: Mean HbA1c reduction of 2.07%; 74% achieved HbA1c ≤6.5%.
  • Dual Appetite Suppression: Targeting both homeostatic and hedonic eating pathways.
  • Cardiovascular Benefits: Reductions in systolic blood pressure and improvements in lipid profile.
  • Diabetes Remission Potential: Durable improvements in weight and glycemic indices.
  • Favorable Tolerability: Mostly GI-related adverse events with relatively low discontinuation.
  • Flexible Dosing: Clinically meaningful weight loss achieved even below maximum dosing levels.
  1. Garvey WT, et al. Coadministered cagrilintide and semaglutide in adults with overweight or obesity. N Engl J Med. Published online June 22, 2025. doi:10.1056/NEJMoa2502081
  2. Davies MJ, et al. Cagrilintide-semaglutide in adults with overweight or obesity and type 2 diabetes. N Engl J Med. Published online June 22, 2025. doi:10.1056/NEJMoa2502082
  3. Frias JP, et al. Efficacy and safety of co-administered once-weekly cagrilintide 2·4 mg with once-weekly semaglutide 2·4 mg in type 2 diabetes: a multicentre, randomised, double-blind, active-controlled, phase 2 trial. Lancet. 2023;402(10401):529-544. doi:10.1016/S0140-6736(23)01163-7
  4. Dutta D, et al. Efficacy and Safety of Cagrilintide Alone and in Combination with Semaglutide (CagriSema) as Anti-Obesity Medications: A Systematic Review and Meta-Analysis. Indian J Endocrinol Metab. 2024;28(5):436-444. doi:10.4103/ijem.ijem_45_24
  5. Enebo LB, et al. Safety, tolerability, pharmacokinetics, and pharmacodynamics of concomitant administration of multiple doses of cagrilintide with semaglutide 2·4 mg for weight management: a randomised, controlled, phase 1b trial. Lancet. 2021;397(10257):1736-1748. doi:10.1016/S0140-6736(21)00845-X

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