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A Research Study to See How Well CagriSema Compared to Tirzepatide Helps People With Obesity Lose Weight

Efficacy and Safety of Cagrilintide 2.4 mg s.c. in Combination With Semaglutide 2.4 mg s.c. (CagriSema s.c. 2.4 mg/2.4 mg) Once-weekly Compared to Tirzepatide 15 mg s.c. Once-weekly in Participants With Obesity

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06131437
Enrollment
809
Registered
2023-11-14
Start date
2023-11-27
Completion date
2026-01-09
Last updated
2026-02-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Obesity

Brief summary

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. Participant will get injections once a week throughout the treatment period. Participant will inject the study medicine under the skin with a pen injector in the thigh, stomach, or upper arm. After a first low dose, the study medicine will be gradually increased until reaching the planned dose (2.4 mg CagriSema or 15 mg Tirzepatide). The study will last for about one and a half year for each participant.

Interventions

DRUGCagrilintide

Cagrilintide will be administered subcutaneously.

DRUGSemaglutide

Semaglutide will be administered subcutaneously.

DRUGTirzepatide

Tirzepatide will be administered subcutaneously.

Sponsors

Novo Nordisk A/S
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Male or female * Age 18 years or above at the time of signing the informed consent * Body mass index (BMI) of ≥ 30.0 kilogram per square meter (kg/m\^2)

Exclusion criteria

* Glycated haemoglobin (HbA1c) ≥ 6.5 % (48 millimoles per mole \[mmol/mol\]) as measured by the central laboratory at screening * History of type 1 or type 2 diabetes mellitus

Design outcomes

Primary

MeasureTime frameDescription
To confirm non-inferiority of CagriSema versus tirzepatide: Relative change in body weightFrom baseline (week 0) to end of treatment (week 84)Measured in percentage (%).

Secondary

MeasureTime frameDescription
To confirm superiority of CagriSema versus tirzepatide: Relative change in body weightFrom baseline (week 0) to end of treatment (week 84)Measured in percentage (%).
Achievement of greater than or equal to (≥) 25% weight reductionFrom baseline (week 0) to end of treatment (week 84)Count of participants.
Achievement of ≥ 30% weight reductionFrom baseline (week 0) to end of treatment (week 84)Count of participants.
Change in waist circumferenceFrom baseline (week 0) to end of treatment (week 84)Measured in centimeter (cm).
Change in systolic blood pressure (SBP)From baseline (week 0) to end of treatment (week 84)Measured in millimeter of mercury (mmHg).
Change in diastolic blood pressure (DBP)From baseline (week 0) to end of treatment (week 84)Measured in mmHg.
Relative change in lipids: Total cholesterolFrom baseline (week 0) to end of treatment (week 84)Measured in percentage.
Relative change in lipids: High-density lipoprotein (HDL) cholesterolFrom baseline (week 0) to end of treatment (week 84)Measured in percentage.
Relative change in lipids: Non-HDL cholesterolFrom baseline (week 0) to end of treatment (week 84)Measured in percentage.
Relative change in lipids: Low-density lipoprotein (LDL) cholesterolFrom baseline (week 0) to end of treatment (week 84)Measured in percentage.
Relative change in lipids: Very low-density lipoprotein (VLDL) cholesterolFrom baseline (week 0) to end of treatment (week 84)Measured in percentage.
Relative change in lipids: TriglyceridesFrom baseline (week 0) to end of treatment (week 84)Measured in percentage.
Number of Treatment-emergent Adverse Events (TEAEs)From baseline (week 0) to end of study (week 90)Count of events.
Number of Treatment Emergent Serious adverse events (TESAEs)From baseline (week 0) to end of study (week 90)Count of events.

Countries

United States

Contacts

STUDY_DIRECTORClinical Transparency (dept. 2834)

Novo Nordisk A/S

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 7, 2026