Skip to main content
xMedica

NCT07564414ClinicalTrials.gov

A Research Study to Look at How Two Different Doses of CagriSema and One Dose of Semaglutide Help People Living With Obesity With or Without Type 2 Diabetes Lose Weight

A Clinical Study to Compare Efficacy and Safety of Two Different Doses of CagriSema and Semaglutide in Participants With Obesity With or Without Type 2 Diabetes

RecruitingTaking participants now, according to the registry record.
Contact this study

In brief

This clinical study is testing how the study medicine CagriSema helps people living with obesity, with or without type 2 diabetes (T2D), lose weight. The purpose of the study is to find out how safe and effective CagriSema is for…

Phase 32,500 participants sought303 sites19 countries

Categories

Registered in 1 registry

One study can be registered in several registries. We show it once and link every record we hold.

Trial information is shown as published by the registry, in its original language.

Interested in this study?

Sign in or create an account to register your interest and follow this study.

How this study is set up

The points below are drawn from the public registry record for this study. Each one cites the field or sentence it came from. A dash (—) means the record does not state something — not that it is missing or wrong. Many well-run studies, especially small ones, leave some of these blank.

  • Present: Registered before enrolment beganFirst posted 2026-05-04; recorded start 2026-05-21
  • Present: Has a defined primary outcomeA primary outcome measure is listed in the record
  • Present: The primary outcome states a time frameThe primary outcome measure records a time frame
  • Present: Participants are randomly assignedAllocation is recorded as randomised
  • Present: Has a comparison groupThe record lists a placebo or comparator arm, or more than one study arm
  • Present: Uses blinding (masking)A masking level is recorded in the record
  • Not stated: An ethics committee is not stated in the registry recordThis registry's ingested record has no ethics-committee field
  • Not stated: Regulatory oversight (such as an IND or IDE) is not stated in the registry recordThis registry's ingested record has no regulatory-authorisation field
  • Not stated: A data monitoring committee is not stated in the registry recordThis registry's ingested record has no data-monitoring-committee fieldA data monitoring committee is not required for many smaller studies, and its absence here is not unusual.
  • Present: No cost to participants is mentioned in the recordChecked the summary, description and eligibility text; no cost-to-participant phrase found
  • Present: Sponsor has 333 other studies in this databaseCounted from the lead sponsor named in the record (Novo Nordisk A/S)
  • Present: Sponsor has posted results for at least one studyBased on the sponsor’s studies in this database
  • The record lists 2 conditions.
  • Lead sponsor type recorded as: industry.
  • Intervention regulatory context: investigational, within a phased regulatory pathway.

Trial stature

Three independent measures of this study, described from its registry record — not a recommendation about it. A rigorous study by investigators nobody has heard of is better evidence than a weak study led by a famous one. How these are scored.

Methodological rigourDEFINITIVE

A definitive-grade design for a phase 3 study, judged from its ClinicalTrials.gov record.

How this score is built
  • Randomised allocation20/20

    Participants are randomly allocated between arms

  • Blinding20/20

    Quadruple-blind

  • Control arm15/15

    Active-comparator control arm

  • Primary-outcome specificity10/10

    Named primary outcome with a defined time frame

  • Endpoint type3/10

    Surrogate or intermediate endpoint (conservative default)

  • Multi-centre8/8

    Multi-centre: 303 sites

  • Data monitoring committee0/7

    No data monitoring committee stated

  • Prospective registration5/5

    Registered before the study start date

  • Protocol / SAP posted0/5

    No protocol or SAP posted to the registry

ScaleLARGE

A large study, international in scope: 2,500 participants (target), run at 303 sites, across 19 countries.

How this score is built
  • Enrolment34/40

    2,500 participants (target)

  • Site count25/25

    303 sites

  • Country count15/15

    19 countries

  • Planned duration7/10

    Planned over about 23 months

  • Sponsor scale9/10

    Novo Nordisk A/S has led 320 trials in our corpus

Investigator standingUNKNOWN

We have no verifiable track record for the investigator named on this trial. That is common for early-career investigators and for records held outside ClinicalTrials.gov — it is not a negative signal.

How this score is built
  • Investigator standing0/100

    No investigator recorded in the registry for this trial

These describe the registry record only, and today we hold ClinicalTrials.gov data. Absent fields lower a score, and absence often reflects registration practice rather than study quality. A high-stature trial is not necessarily safer or a better choice for you — enrolling in a large definitive trial can mean a higher chance of receiving placebo, while a small early-phase study may be the only route to a new therapy.

Summary

This clinical study is testing how the study medicine CagriSema helps people living with obesity, with or without type 2 diabetes (T2D), lose weight. The purpose of the study is to find out how safe and effective CagriSema is for body weight loss in these participants. Participants will receive either CagriSema or semaglutide, and which treatment participants receive is decided by chance. CagriSema is a new study medicine being tested, while semaglutide is a medicine that doctors can already prescribe. The study will last for about 83 weeks

Conditions

  • Obesity
  • Type 2 Diabetes

Eligibility

Eligibility
SexAll
Ages18 YearsNo maximum
Healthy volunteersNo

Eligibility as written in the registry

Inclusion Criteria : * Male or female (sex assigned at birth, inclusive of all gender identities). * Age 18 years or above at the time of signing the informed consent. * BMI≥ 35.0 kg/m\^2. * Participants without T2D: No history of T2D and HbA1c \< 6.5% (48 millimoles per mole (mmol/mol)) Participants with T2D: A history of T2D and HbA1c \< 10% (\< 86 mmol/mol). If a participant without a history of diabetes during the screening period receives an HbA1c result of 6.5% (48 mmol/mol) or higher, the investigator or the participant's healthcare provider must confirm the diagnosis of type 2 diabetes before the participant is randomised. Exclusion Criteria: * A self-reported change in body weight \> 5% within 90 days before screening, irrespective of medical records. * Use of any glucagon-like-peptide-1 receptor agonist (GLP-1 RA), including medication with GLP-1 RA activity, or amylin analogues, including medication with amylin activity, within 6 months before screening.

Eligibility in plain statements

This record's criteria have not been broken into separate statements yet. The registry text above is complete and is the authoritative version.

Study design

Study design
Study typeInterventional
PhasePhase 3
AllocationRandomised
Intervention modelPARALLEL
Primary purposeTREATMENT
MaskingQUADRUPLE (4)
Enrolment2,500 participants sought

Sponsor and collaborators

  • Novo Nordisk A/S Sponsor

Arms and interventions

  • Cagrisema - dose level 1EXPERIMENTAL

    Participants will receive CagriSema at dose level 1 once weekly subcutaneously during the treatment period for 72 weeks.

  • Cagrisema - dose level 2ACTIVE_COMPARATOR

    Participants will receive CagriSema at dose level 2 once weekly subcutaneously during the treatment period for 72 weeks.

  • SemaglutideACTIVE_COMPARATOR

    Participants will receive Semaglutide once weekly subcutaneously during the treatment period for 72 weeks.

Interventions

  • Drug Cagrisema

    Cagrisema (Cagrilintide and Semaglutide) will be administered subcutaneously.

  • Drug Semaglutide

    Semaglutide will be administered subcutaneously.

Outcome measures

  1. Primary outcome

    Relative change in body weight

    Measured as percentage (%).

    Time frame From randomisation (week 0) to end of treatment (week 72)

  2. Secondary outcome

    Relative change in body weight

    Measured as %.

    Time frame From randomisation (week 0) to end of treatment (week 72)

  3. Secondary outcome

    Change in Body Mass Index (BMI)

    Measured as kilograms per square metre (kg/m\^2).

    Time frame From randomisation (week 0) to end of treatment (week 72)

  4. Secondary outcome

    Number of participants who achieve greater than or equal to (≥) 30% weight reduction

    Measured as count of participants.

    Time frame From randomisation (week 0) to end of treatment (week 72)

  5. Secondary outcome

    Number of participants who achieve ≥25% weight reduction

    Measured as count of participants.

    Time frame From randomisation (week 0) to end of treatment (week 72)

  6. Secondary outcome

    Number of participants who achieve greater ≥ 20% weight reduction

    Measured as count of participants.

    Time frame From randomisation (week 0) to end of treatment (week 72)

  7. Secondary outcome

    Change in waist circumference

    Measured in centimetre (cm).

    Time frame From randomisation (week 0) to end of treatment (week 72)

  8. Secondary outcome

    Mean change in body weight

    Measured in kilograms (kg).

    Time frame From randomisation (week 0) to end of treatment (week 72)

  9. Secondary outcome

    Number of participants who achieve a BMI less than (<) 30 kg/m^2

    Measured as count of participants.

    Time frame From randomisation (week 0) to end of treatment (week 72)

  10. Secondary outcome

    Number of participants who achieve BMI <27 kg/m^2

    Measured as count of participants.

    Time frame end of treatment (week 72)

  11. Secondary outcome

    Number of participants who achieve normal BMI, defined as 18.5 lesser than or equal to (≤) BMI < 25 kg/m^2

    Measured as count of participants.

    Time frame At end of treatment (week 72)

  12. Secondary outcome

    Number of participants who achieve a waist-to-height ratio < 0.53

    Measured as count of participants.

    Time frame At end of treatment (week 72)

  13. Secondary outcome

    Ratio to baseline : Total cholesterol

    Measured in terms of ratio.

    Time frame From baseline (week 0) to end of treatment (week 72)

  14. Secondary outcome

    Ratio to baseline : High density lipoprotein (HDL) cholesterol

    Measured in terms of ratio.

    Time frame From baseline (week 0) to end of treatment (week 72)

  15. Secondary outcome

    Ratio to baseline : Low density lipoprotein (LDL) cholesterol

    Measured in terms of ratio.

    Time frame From baseline (week 0) to end of treatment (week 72)

  16. Secondary outcome

    Ratio to baseline : Very low density lipoprotein ( VLDL) cholesterol

    Measured in terms of ratio.

    Time frame From baseline (week 0) to end of treatment (week 72)

  17. Secondary outcome

    Ratio to baseline : Triglycerides

    Measured in terms of ratio.

    Time frame From baseline (week 0) to end of treatment (week 72)

  18. Secondary outcome

    Ratio to baseline: Free fatty acids

    Measured in terms of ratio.

    Time frame From baseline (week 0) to end of treatment (week 72)

  19. Secondary outcome

    Ratio to baseline : Non-HDL cholesterol

    Measured in terms of ratio.

    Time frame From baseline (week 0) to end of treatment (week 72)

  20. Secondary outcome

    Change in Short-Form-36 Health Survey Version 2.0 (SF-36v2) physical Function

    Measured as score on a scale. The SF-36v2 acute measures health-related quality of life (HRQOL). The measure consists of 36 items yielding 8 health domain scores and 2 component summary scores. SF-36v2 acute scores are norm-based scores, i.e. transformed to a scale where the 2009 United States general population has a mean of 50 and a standard deviation of 10. Physical functioning score ranges from 19.0-57.6, with higher scores indicating better functional health and well-being.

    Time frame From randomisation (week 0) to end of treatment (week 72)

  21. Secondary outcome

    Change in Impact of Weight on Quality of Life-Lite Clinical Trials (IWQOL-Lite-CT) physical function

    Measured as score on a scale. IWQOL-Lite-CT measures weight-related physical and psychosocial functioning. The measure consists of 20 items yielding 3 composite scores, and 1 total score. Physical function score ranges from 0 to 100, with higher scores indicating better levels of functioning.

    Time frame From randomisation (week 0) to end of treatment (week 72)

  22. Secondary outcome

    Change in glycated haemoglobin (HbA1c)

    Measured in %-points.

    Time frame From randomisation (week 0) to end of treatment (week 72)

  23. Secondary outcome

    Number of participants who achieve HbA1c <6.5%

    Measured as count of participants.

    Time frame At end of treatment (week 72)

  24. Secondary outcome

    Number of participants who achieve normal HbA1c <5.7%

    Measured as count of participants.

    Time frame At end of treatment (week 72)

  25. Secondary outcome

    Number of treatment-emergent adverse events (TEAEs)

    Measured in number of events.

    Time frame From randomisation (week 0) to end of study (week 80)

  26. Secondary outcome

    Number of treatment-emergent serious adverse events (TESAEs)

    Measured in number of events.

    Time frame From randomisation (week 0) to end of study (week 80)

Dates

Dates
Start dateMay 21, 2026 (actual)
Primary completionFebruary 23, 2028 (estimated)
CompletionApril 19, 2028 (estimated)
First postedMay 4, 2026 (actual)
Last updatedAugust 31, 2026
Results postedNot stated in the registry record
Status last verifiedAugust 2026

Actual means the event happened. Estimated means the sponsor expects it. The two mean different things.

Locations

162 sites are recruiting

Argentina

Argentina
FacilityCityState or regionStatus
OMI- Organización Médica de InvestigaciónBuenos AiresRecruiting
Centro Medico Dra. Laura Maffei e Investigacion Clínica ApliBuenos AiresRecruiting
Hospital Sirio LibanesBuenos AiresRecruiting
Kynet RecoletaBuenos AiresRecruiting
CEMEDICCABABuenos AiresRecruiting
CEDIC Centro de Investigación ClínicaCABANot yet recruiting
CIPREC ArenalesCABARecruiting
Centro Médico Viamonte SRLCABARecruiting
Centro de Investigaciones MetabólicasCapital FederalBuenos AiresRecruiting
CICEMO- Consultorio (Av Directorio)Ciudad Autónoma de Buenos AiresBuenos AiresRecruiting
Centro Médico ArsemaCiudad Autónoma de Buenos AiresBuenos AiresRecruiting
Instituto CentenarioCiudad de Buenos AiresRecruiting
Centro de Investigación C.I.C.E 9 de Julio - Sanatorio 9 de JulioSan Miguel de TucumánTucumán ProvinceRecruiting
CEDIR - Centro de diagnóstico y rehabilitación Santa FeSanta FeRecruiting
Sanatorio NorteSantiago del EsteroRecruiting

Australia

Australia
FacilityCityState or regionStatus
University of Sunshine Coast - Vitality VillageBirtinyaQueenslandRecruiting
Emeritus Research MelbourneCamberwellVictoriaRecruiting
Sydney Clinical TrialsCampbelltownNew South WalesRecruiting
Gosford Renal ResearchGosfordNew South WalesRecruiting
Sydney Cardiometabolic CentreLiverpoolNew South WalesRecruiting
Hunter Diabetes CentreMerewetherNew South WalesRecruiting
University of Sunshine Coast - South BrisbaneSouth BrisbaneQueenslandRecruiting

Austria

Austria
FacilityCityState or regionStatus
Medical University of GrazGrazRecruiting
Ordination Winhofer-StöcklMattersburgRecruiting
Fließer-Görzer [Ordination]Saint StefanRecruiting
Universitätsklinikum AKH WienViennaRecruiting
Klinik LandstraßeViennaRecruiting
Ordination Dr. Günter SokolViennaRecruiting
Klinik Hietzing 3. Med. Abt.ViennaRecruiting
Itariu [Ordination]ViennaRecruiting

Belgium

Belgium
FacilityCityState or regionStatus
Anima Research CenterAlkenRecruiting
Cliniques universitaires Saint-LucBrusselsNot yet recruiting
KORMONTKluisbergenRecruiting
CHU TivoliLa LouvièreRecruiting
MECLINASMechelenRecruiting
AZ Delta - RoeselareRoeselareRecruiting
KORMONTZwalmRecruiting

Bulgaria

Bulgaria
FacilityCityState or regionStatus
MC For Life EOODBurgasRecruiting
MC Kazanlak EOODKazanlakRecruiting
Medical center Medi City 21 OODKyustendilRecruiting
OCSOMCE - Dr. Albena Dinkova EOODPlevenRecruiting
AIPSMCEMDID - Dr. Georgi Levterov EOODPlovdivRecruiting
DCC Sveti Georgi EOODPlovdivRecruiting
Hipocrat 9 - Dr. Rumyana Boykova - Draganova - AISPEMD EOODSofiaRecruiting
DCC XX - Sofia EOOD, EndocrinologySofiaRecruiting
MC Diamedical - 2013 OOD, SofiaSofiaRecruiting
Medical Centre Medical Arts Medico-dental centreSofiaRecruiting
DCC XXV Sofia EOOD, Endocrinology Consulting roomSofiaRecruiting
UMHAT Prof. Dr. Stoyan Kirkovich ADStara ZagoraRecruiting
AIPSMC Dr. Evelina Zlatanova EOODVarnaRecruiting

253 further sites are listed in the registry record.

Study documents

No documents are linked in this registry record.

Changes over time

No changes have been recorded since we first ingested this record.

A change is recorded each time the sponsor updates the registry record. Status, dates, enrolment and sites appear here as they move.