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Home / Encyclopedia / GLP-1 & Weight / Cagrilintide
MONOGRAPH No. 032
EVIDENCE BASEModerate
TYPE
Amylin analogue
MW
~3.8 kDa
CAS
Not assigned
EU STATUS
Not approved · Research
WADA
Not listed
MIN PURITY
≥98% HPLC
⚖ GLP-1 & Weight

Cagrilintide — EU research guide.

Cagrilintide is a long-acting amylin analogue developed by Novo Nordisk, designed for once-weekly dosing. In combination with semaglutide (CagriSema), it has shown up to 22% weight loss in Phase 3 trials.

Last reviewed:

What is Cagrilintide?

Cagrilintide activates amylin receptors (CALCR + RAMPs) to reduce appetite, slow gastric emptying and suppress glucagon — mechanisms complementary to GLP-1 receptor agonism. It is not a GLP-1 analogue. Its half-life of ~7 days supports once-weekly administration.

What does the research show?

In the REDEFINE 1 Phase 3 trial (CagriSema 2.4mg semaglutide + 2.4mg cagrilintide), mean weight reduction reached ~22.7% at 68 weeks in people with obesity. Standalone cagrilintide produces modest weight loss (~8–10%); the combination is the primary clinical interest. Not yet EMA-approved as of mid-2026.

EU legal status

Not approved in the EU. Available from research suppliers as a laboratory peptide for mechanistic amylin-receptor research.

⚠ Investigational compound. Not EMA/FDA-approved as a standalone drug. No human use outside authorized clinical trials. This is a research compound, not a medication.
✓ PeptideCompare tracks cagrilintide from EU research vendors with COA documentation.
EVIDENCE SUMMARY
STRONG
Weight reduction (monotherapy) — A 26-week, placebo- and active-controlled phase 2 trial (706 adults) showed cagrilintide 4.5 mg produced 10.8% mean weight loss versus 3.0% with placebo, outperforming liraglutide 3.0 mg head-to-head.

Molecular information

Molecular formula
C194H312N54O59S2
Molecular weight
4409.07 g/mol
CAS number
1415456-99-3
Molecular data verified via PubChem.

Pharmacokinetics

Half-life (t½)
≈ 7 days
Source: Lau et al., Lancet 2021 — human t½ ≈7 days (168 h) supports once-weekly dosing; phase 2 monotherapy dose-finding trial (706 adults).

Potency retained over time

Each line is one storage condition: it starts at 100% and declines as potency is lost. Above the dotted 80% line the material is considered reliable — hover the chart for exact values.

Freezer −20 °C
36+ mo
Stable · >95% potency
Fridge 4 °C
5-7 mo
In use · post-recon
Room 20 °C
3-4 wks
Limited · moderate loss
Warm 37 °C+
2-3 days
Poor · rapid loss

⚠ Estimates modelled per component from molecular properties (chain length, cyclisation, oxidation- and deamidation-sensitive residues, light sensitivity). Indicative only — not lab-measured per batch.

Cagrilintide across EU suppliers

COA-verified EU vendors · Updated monthly

Frequently asked questions

What is Cagrilintide? ▾

Cagrilintide is an amylin analog that activates amylin receptors (CALCR with RAMPs) to reduce appetite, slow gastric emptying and suppress glucagon. It is not a GLP-1 analog, and its roughly 7-day half-life supports once-weekly dosing.

What does the research show? ▾

In the REDEFINE 1 Phase 3 trial the CagriSema combination (2.4 mg semaglutide plus 2.4 mg cagrilintide) reached about 22.7% mean weight reduction at 68 weeks in people with obesity, while standalone cagrilintide produces more modest weight loss of roughly 8 to 10%.

How is cagrilintide different from GLP-1 drugs? ▾

It works through amylin receptors rather than the GLP-1 receptor, a complementary mechanism, which is why it is primarily studied in combination with a GLP-1 agonist.

What is CagriSema? ▾

CagriSema is the combination of cagrilintide with semaglutide, which is the primary clinical interest and reached about 22.7% weight reduction in the REDEFINE 1 trial.

Is cagrilintide approved in the EU? ▾

No. It is an investigational compound not yet EMA-approved as of mid-2026, available from research suppliers for laboratory amylin-receptor research.

Is cagrilintide banned in sport? ▾

It is not currently on the WADA prohibited list.

References

  1. Phase 2, 26-week, placebo- and active-controlled dose-finding trial of cagrilintide monotherapy for obesity, including a head-to-head liraglutide comparator arm. Lau DCW, et al. Lancet. 2021;398(10307):2160–2172. DOI

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