Pipeline (not approved)

CagriSema (investigational)

cagrilintide + semaglutide · Amylin analog + GLP-1 receptor agonist combination · Novo Nordisk

✓Last reviewed · Written by Dr. George Grunberger · Medical review: pending — clinician review in progress · How we review

In short

CagriSema (cagrilintide + semaglutide) is an investigational amylin analog + GLP-1 receptor agonist combination from Novo Nordisk. It is not approved and cannot legally be bought outside a registered clinical trial. Not FDA-approved. Filed December 18, 2025; Novo Nordisk guides to an FDA decision in Q4 2026.

FormWeekly injection
How oftenOnce weekly
United StatesNot FDA-approved. Filed December 18, 2025; Novo Nordisk guides to an FDA decision in Q4 2026.
CanadaNot approved.
PrescriptionInvestigational — not sold

What it is used for

  • Under FDA review for chronic weight management

CagriSema dosage

Per the official label. Your prescriber sets your dose — never change it on your own.

CagriSema label dosing schedule
1StatusNo approved dosing — investigational

How to take it

Not available outside clinical trials.

Storage

—

How it works

How GLP-1 medicines workGLP-1 medicines raise insulin after meals, lower glucagon, slow stomach emptying and reduce appetite.1More insulinreleased after meals,only when sugar is high2Less glucagonso the liver makesless sugar3Slower stomachfood leaves the stomachmore slowly4Less appetitethe brain signalsfullness sooner
The four main actions of GLP-1 receptor agonists, as described on their labels.

Safety

Safety data come from clinical trials only. Gastrointestinal effects were the most common, as with other incretin medicines.

Cost

No price until approval.

GLP-1 cost without insurance →

Can you buy CagriSema?

No. It is not approved, so there is no legal way to purchase or order it outside a registered clinical trial. Search ClinicalTrials.gov for trials near you.

Why online "research" versions are dangerous →

Frequently asked questions

How did CagriSema compare with tirzepatide?

In REDEFINE 4 (Feb 2026), CagriSema achieved 23.0% weight loss versus 25.5% with tirzepatide 15 mg and missed its non-inferiority goal.

Can I buy CagriSema online?

No. Anything sold as CagriSema today is unapproved and unverified.

Also searched as: cagrilintide, cagrilintide semaglutide, CagriSema approval, CagriSema release date, Cagri Sema

Sources

Checked against these primary sources on .

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