Overview
Cagrilintide is a long-acting amylin analog designed for once-weekly dosing, most commonly studied as 'CagriSema' with semaglutide.
- Investigational pharmaceutical
- Subcutaneous injection
Mechanism of action
Activates amylin and calcitonin receptors to slow gastric emptying, increase satiety, and suppress glucagon.
- · Amylin receptor
- · Calcitonin receptor
- · Vagal satiety signaling
- · Amylin
- · Glucagon
How it acts on the body
Amylin is co-secreted with insulin by β-cells and contributes to post-meal satiety and glucose control. Cagrilintide is engineered for weekly dosing and adds an amylin-pathway signal on top of the GLP-1 effect from semaglutide, with additive weight loss in trials.
In CagriSema phase 2 data, combined weight loss reached the high teens in percent after roughly six months, exceeding either agent alone. The combination targets two complementary appetite and glucose pathways simultaneously.
Hormonal & endocrine impact
How this peptide is reported to shift specific hormones and signaling molecules. Directionality reflects research literature and preclinical models, not clinical prescribing data.
Curves are schematic shapes (sigmoid for increases/decreases, damped oscillation for modulation/stabilization) anchored to a 100% baseline. They communicate direction and tempo of change reported in research literature — not absolute hormone concentrations.
Effects on the body
Organ system effects
Slower gastric emptying.
Amylin-axis stimulation.
Reduced hepatic glucose output via glucagon suppression.
Reported effects
Drawn from preclinical research, anecdote, and small-scale clinical observation. No evidence grades are assigned — most peptides on this page lack rigorous human trials.
- Complementary mechanism to GLP-1 agonists
- Weekly dosing
Potential side effects
- · Nausea
- · Decreased appetite
- · Injection-site reactions
- · Pancreatitis risk in combination therapy under study
Drug interactions
Pairing context
- SemaglutideStudied combination with additive weight loss.
- Personal history of medullary thyroid cancerClass-level caution with GLP-1/calcitonin-axis drugs.