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GLP-1 / Metabolic

CagriSema

Also known as: cagrisema

CagriSema is Novo Nordisk's investigational once-weekly fixed-dose co-formulation of cagrilintide 2.4 mg (long-acting amylin analog) with semaglutide 2.4 mg (GLP-1 receptor agonist) for chronic weight management. Unlike the other grey-market blends, it has a proper Phase 3 clinical program. Novo Nordisk filed an FDA NDA in December 2025; as of April 2026 it is under FDA review and not yet approved.

Where to buy · live market data

Who's worth your money for CagriSema

Every current seller, ranked by independent evidence — Merit Score, latest COA purity, and live $/mg (size-normalized). Prices refresh daily. Rankings are never paid.

Top Merit pick

Highest Merit Score (95) of 4 scored sellers

$7.15/mg

$143 · 20mg · 99.8% purity

Best value

Lowest $/mg among scored sellers

$2.86/mg

$99.99 · 35mg

no COAs yet

Average price

$9.06/mg

Sellers

7

45-day trend

+4%

7 of 7 sellers have a current price· 2 stale hidden· 1 unverified hidden

Prices observed from public storefronts (last 24h), normalized to $/mg. "Evidence" is Merit's 0–100 Merit Score, derived only from observable verification evidence (methodology on /about); "Purity" is the latest independent COA. Some buy links are affiliate links — Merit may earn a commission at no extra cost to you, and where a vendor offers one, the code shown gets you a discount at their checkout. Affiliate status never affects price data, ranking, or the Merit Score (full policy on /disclosure). Research use only.

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Compound reference

About CagriSema

CAS

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Molecular formula

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Typical dose range

2.4 mg/week cagrilintide + 2.4 mg/week semaglutide, subcutaneous once-weekly; dose-escalation starting at 0.16 mg/week cagrilintide escalated over 16 weeks

Half-life

Cagrilintide ~184 hours (~7.7 days); semaglutide ~158 hours (~6.6 days)

Research depth

20 citations indexed for CagriSema

All research on CagriSema →

Study · 2026

Design and baseline characteristics of the CagriSema cardiovascular outcomes trial (REDEFINE 3)

Importance Cagrilintide-semaglutide (CagriSema) is a fixed-dose combination of the amylin receptor agonist cagrilintide and the glucagon-like peptide-1 receptor agonist semaglutide administered subcutaneously once weekly.

Study · 2026

Efficacy and Safety of CagriSema for Metabolic Outcomes: Systematic Review and Pairwise Meta-Analysis of Randomized Controlled Trials

Background Overweight status, obesity, and diabetes represent significant socioeconomic burdens that require long-term management.

review · 2026

New Amylin-Based Agonists for the Treatment of Obesity and Type 2 Diabetes Mellitus

Introduction Type 2 diabetes mellitus (T2DM) and obesity represent two major global health challenges. Amylin-based agonists offer a promising perspective. Three frontrunner agents of this class are increasingly being investigated: zenagamtide, eloralintide and cagrilintide-semaglutide (CagriSema).

review · 2026

Maximizing weight loss with cagrisema: a systematic review and GRADE-assessed meta-analysis of randomized controlled trials

To evaluate the efficacy and safety of CagriSema, a fixed-dose combination of cagrilintide, a long-acting amylin analogue, and semaglutide, a Glucagon-Like Peptide-1 (GLP-1) receptor agonist, compared with placebo, cagrilintide, or semaglutide monotherapy in overweight or obese individuals.

Study · 2026

Amylin-based obesity therapy: a meta-analysis of Cagrilintide and CagriSema versus placebo

Background Obesity remains a major global health challenge, driving demand for effective pharmacotherapies. Cagrilintide, a once-weekly amylin receptor agonist, and its fixed-dose combination with semaglutide (CagriSema) represent novel therapeutic approaches.

rct · 2026

Efficacy of CagriSema for Reaching Anthropometric Treatment Targets and Cardiometabolic Outcomes: A Secondary, Post hoc Analysis of REDEFINE 1

Aims To assess the added value of absolute anthropometric targets alongside percentage weight loss in the clinical management of obesity.