OverweightPhase 3REDEFINE 2NCT05394519
A Research Study to See How Well CagriSema Helps People With Type 2 Diabetes and Excess Body Weight Lose Weight
A Phase 3 study testing Cagrilintide and Semaglutide in people with Overweight and Obesity, run by Novo Nordisk A/S at 179 sites in 13 countries.
Trial summary
This study will look at how well the new medicine CagriSema helps people living with excess body weight and type 2 diabetes losing weight. Participants will either get CagriSema or a dummy medicine. Which treatment they get is decided by chance. The study will last for about 1½ years. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Overweight, Obesity, Type 2 Diabetes Mellitus
- What is being tested?
- Cagrilintide and Semaglutide
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,200 participants
- Where
- 179 sitesin 13 countries
- Study dates
- 1 Feb 2023to 3 Feb 2025
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female
- Age above or equal to 18 years at the time of signing informed consent
- BMI greather than or equal to 27.0 kg/m^2
- Diagnosed with type 2 diabetes mellitus greater than or equal to 180 days before screening
- Treatment with either lifestyle intervention, or treatment with 1-3 marketed oral antidiabetic drugs (OAD)s (metformin, α-glucosidase inhibitors (AGI), glinides, sodium-glucose co-transporter 2 inhibitor (SGLT2i), thiazolidinediones, or sulphonylureas (SU)s as a single agent or in combination) according to local label
- Treatment with oral antidiabetic drugs should be stable (same drug(s), dose and dosing frequency) for at least 90 days before screening
- HbA1c 7%-10% (53-86 mmol/mol) (both inclusive) as measured by the central laboratory at screening
Who cannot join
- Clinically significant or severe hypoglycaemia within 6 months before screening or history of hypoglycaemia unawareness
- Renal impairment with estimated glomerular filtration rate (eGFR) below 30 mL/min/1.73 m^2, as measured by the central laboratory at screening
- Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by a fundus examination performed within 90 days before screening or in the period between screening and randomisation. Pharmacological pupil-dilation is a requirement unless using a digital fundus photography camera specified for non-dilated examination.
Trial locations and contacts
179 sites in 13 countries.
179 sites in 13 countries
United States49 sites
AMC Community Endocrinology
Albany, New York, 12203
Amarillo Med Spec LLP
Amarillo, Texas, 79106
Texas Diab & Endo, P.A.
Austin, Texas, 78731
Texas Diab & Endo, P.A.
Austin, Texas, 78749
Pennington Biom Res Ctr
Baton Rouge, Louisiana, 70808
Northern Pines Hlth Ctr, PC
Buckley, Michigan, 49620
Mercury Str Med Grp, PLLC
Butte, Montana, 59701
Cedar-Crosse Research Center
Chicago, Illinois, 60607
StudyMetrix Research LLC
City of Saint Peters, Missouri, 63303
Clinical Res Of W Florida Inc
Clearwater, Florida, 33765
John Muir Physicians Network
Concord, California, 94520
Velocity Clinical Res-Dallas
Dallas, Texas, 75230
North Texas Endocrine Center
Dallas, Texas, 75231
UT Southwestern Med Cntr
Dallas, Texas, 75390-9302
Headlands Research California, LLC
Escondido, California, 92025
Northeast Research Institute
Fleming Island, Florida, 32003
Providence Medical Foundation
Fullerton, California, 92835
St. Jos Heritage Hlthcr_Fllrtn
Fullerton, California, 92835
New West Physicians,Inc.
Golden, Colorado, 80401
PharmQuest Life Sciences LLC
Greensboro, North Carolina, 27408
East West Med Res Inst
Honolulu, Hawaii, 96814
PlanIt Research, PLLC
Houston, Texas, 77079
Diabetes/Lipid Mgmt & Res Ctr
Huntington Beach, California, 92648
Jacksonville Ctr For Clin Res
Jacksonville, Florida, 32216
Holston Medical Group
Kingsport, Tennessee, 37660
Clinical Trials Research
Lincoln, California, 95648
DCOL Ctr for Clin Res
Longview, Texas, 75605
Velocity Clin Res Los Angeles
Los Angeles, California, 90017
Velocity Clin Res Wstlke
Los Angeles, California, 90057
L-MARC Research Center
Louisville, Kentucky, 40213
International Diabetes Center
Minneapolis, Minnesota, 55416
Renstar Medical Research
Ocala, Florida, 34470
Capital Clin Res Ctr,LLC
Olympia, Washington, 98502
AdventHealth Diab Inst
Orlando, Florida, 32804
Florida Institute for Clinical Research, LLC
Orlando, Florida, 32825
Oviedo Medical Research, LLC
Oviedo, Florida, 32765
Desert Oasis Hlthcr Med Group
Palm Springs, California, 92262
National Clin Res Inc.
Richmond, Virginia, 23294
Endo Res Solutions Inc
Roswell, Georgia, 30076
Consano Clinical Research, LLC
Shavano Park, Texas, 78231
Hillcrest Clinical Research
Simpsonville, South Carolina, 29681-1538
Chrysalis Clinical Research
St. George, Utah, 84790
Cotton-Oneill Diabetes and End
Topeka, Kansas, 66606-2806
Diablo Clinical Research, Inc.
Walnut Creek, California, 94598
Iowa Diab & Endo Res Center
West Des Moines, Iowa, 50266
Southgate Medical Group, LLP
West Seneca, New York, 14224
Great Lakes Medical Research
Westfield, New York, 14787
Selma Medical Associates
Winchester, Virginia, 22601-3834
Amherst Family Practice P.C.
Winchester, Virginia, 22601
India20 sites
HCG Hospitals
Ahmedabad, Gujarat, 380006
All India Institute of Medical Sciences_Delhi
Ansārinagar, New Delhi, 110029
Ramaiah Memorial Hospital
Bangalore, Karnataka, 560054
Post Graduate Institute of Medical Education & Research_Chandigarh
Chandigarh, Punjab, 160012
Apollo Research & Innovation (ARI)
Chennai, Tamil Nadu, 600006
Madras Diabetes Research Foundation
Chennai, Tamil Nadu, 600086
Gleneagles Hospitals
Hyderabad, Telangana, 500004
J K Lon Hospital, SMS Medical College & Attached Hospitals
Jaipur, Rajasthan, 302004
SMS Medical College & Hospital
Jaipur, Rajasthan, 302004
Excel Endocrine Centre
Kolhāpur, Maharashtra, 416008
Apollo Multispeciality Hospital, Kolkata
Kolkata, West Bengal, 700054
Apollo Multispeciality Hospitals Limited
Kolkata, West Bengal, 700054
Calicut Medical College
Kozhikode, Kerala, 673008
BYL Nair Hospital and T N Medical College Department of endo
Mumbai, Maharashtra, 400008
Seth GS medical college and KEM Hospital
Mumbai, Maharashtra, 400012
Sunil's Diabetes Care n' Research Centre Pvt Ltd
Nagpur, Maharashtra, 440010
Sunil's Diabetes Care n' Research Centre Pvt Ltd
Nagpur, 440010
Lady Hardinge Medical College
New Delhi, 110001
Noble Hospitals Pvt Ltd.
Pune, Maharashtra, 411013
Indian Institute of Diabetes
Thiruvnanthapuram, Kerala, 695033
Poland20 sites
Uniwersytecki Szpital Kliniczny w Bialymstoku
Bialystok, Podlaskie Voivodeship, 15-276
Gabinet Leczenia Otylosci i Chorob Dietozaleznych
Bialystok, Podlaskie Voivodeship, 15-281
Uniwersytecki Szpital Kliniczny w Bialymstoku
Bialystok, 15-276
Gierach-Med
Bygdoszcz, Kuyavian-Pomeranian Voivodeship, 85-796
Gierach-Med
Bygdoszcz, 85-796
Klinika Bellamed
Elblag, Warmian-Masurian Voivodeship, 82-300
Uniwersyteckie Centrum Kliniczne
Gdansk, Pomeranian Voivodeship, 80-214
Uniwersyteckie Centrum Kliniczne
Gdansk, 80-952
Centrum Medyczne Salvia
Katowice, Slaskie Voivodeship, 40-772
Linden sp. z o.o. sp. k.
Krakow, Lesser Poland Voivodeship, 30-721
Linden sp. z o.o. sp. k.
Krakow, 30-721
Beata Miklaszewicz & Dariusz Dabrowski "CARDIAMED" s.j.
Legnica, Lower Silesian Voivodeship, 59-220
Terpa Sp. z o.o. Sp. k.
Lublin, Lubelskie Voivodeship, 20-333
Terpa Sp. z o.o. Sp. k.
Lublin, 20-333
Trialmed CRS
Piotrkow Trybunalski, Łódź Voivodeship, 97-300
Centrum Zdrowia Metabolicznego
Poznan, Wielkopolskie Voivodeship, 60-589
Samodzielny Publiczny Szpital Kliniczny Im. Prof. W. Orłowskiego Centrum Medycznego Kształcenia Podyplomowego
Warsaw, Masovian Voivodeship, 00-416
Medical Concierge Centrum Medyczne
Warsaw, Masovian Voivodeship, 02-798
Instytut Diabetologii Sp. z o.o.
Warsaw, Mazovian Voivodeship, 02-117
Instytut Diabetologii Sp. z o.o.
Warsaw, Mazovian, 02-117
United Kingdom17 sites
Crouch Oak Family Practice
Addlestone, Surrey, KT15 2BH
Antrim Area Hospital
Antrim, BT42 2RL
Layton Medical Centre
Blackpool, FY3 7EN
The Health Centre
Bradford on Avon, BA15 1DQ
Southmead Hospital
Bristol, BS10 5NB
Hathaway Medical Centre
Chippenham, SN14 6GT
Harrogate District Hospital
Harrogate, North Yorkshire, HG2 7SX
HMC Health - Heston
Hounslow, TW5 9ER
Leicester General Hospital
Leicester, LE5 4PW
Kiltearn Medical Centre
Nantwich, CW5 5NX
Clifton Medical Centre
Rotherham, S65 1DA
Ashfields Primary Care Centre
Sandbach, CW11 1EQ
Staploe Medical Centre
Soham, CB7 5JD
Joint Clinical Research Facility - Swansea
Swansea, SA2 8PP
Musgrove Park Hospital
Taunton, TA1 5DA
Royal Cornwall Hospital (Treliske)
Truro, TR1 3LJ
Albany House Medical Centre
Wellingborough, NN8 4RW
Canada13 sites
Dr. Harpreet Bajaj
Brampton, Ontario, L6S 0C6
LMC Clin Res Inc. Calgary
Calgary, Alberta, T2H 2G4
C-endo Diab Endo Clin Calgery
Calgary, Alberta, T2V 4J2
Centricity Research Etobicoke Endocrinology
Etobicoke, Ontario, M9R 4E1
Wharton Med Clin Trials
Hamilton, Ontario, L8L 5G8
Milestone Research
London, Ontario, N5W 6A2
Centre Medical Acadie
Montreal, Quebec, H4N 2W2
Commonwealth Medical Clinic
Mount Pearl, Newfoundland and Labrador, A1N 1W7
LMC Research Inc. Ottawa
Nepean, Ontario, K2J 0V2
Centricity Res Pointe-Claire
Pointe-Claire, Quebec, H9R 4S3
LMC Clin Rsrch Inc. (Montreal)
Saint-Laurent, Quebec, H4T 1Z9
Diabetes Heart Research Centre
Toronto, Ontario, M6G 1M2
Dr. M.B. Jones Inc
Victoria, British Columbia, V8V 4A1
Germany10 sites
Diabetespraxis Mergentheim
Bad Mergentheim, 97980
Zentrum fuer klinische Studien Suedbrandenburg GmbH
Elsterwerda, 04910
InnoDiab Forschung GmbH
Essen, 45136
Universitätsklinikum Freiburg - Innere Medizin II
Freiburg im Breisgau, 79106
Wendisch - Dahl Hamburg - DZHW
Hamburg, 22607
AmBeNet GmbH
Leipzig, 04107
Institut für Diabetesforschung GmbH Münster - Dr. med. Rose
Münster, 48145
Zentrum für klinische Studien Alexander Segner
Saint Ingbert-Oberwürzbach, 66386
MZM Praxis Drs. Erlinger
Stuttgart, 70378
Zentrum für klinische Studien Allgäu Oberschwaben
Wangen, 88239
Malaysia10 sites
Hospital Ampang
Ampang, Selangor, Selangor, 68000
Hospital Canselor Tuanku Muhriz UKM
Cheras, Kuala Lumpur, 56000
Hospital Universiti Sains Malaysia
Kota Bharu, Kelantan, 16150
Sarawak General Hospital
Kuching, Sarawak, 93586
Hospital Melaka
Malacca, 75400
Hospital Miri
Miri, Sarawak, 98000
Hospital Putrajaya
Putrajaya, Putrajaya, 62250
Hospital Tuanku Jaafar
Seremban, 70300
Hospital Seri Manjung
Seri Manjung, Perak, 32040
University Technology MARA (UiTM) - Sg Buloh
Sungai Buloh, Selangor, 47000
Thailand10 sites
Ramathibodi Hospital
Bangkok, Ratchathewi Bangkok, 10400
King Chulalongkorn Memorial Hospital_Bangkok
Bangkok, 10330
King Chulalongkorn Memorial Hospital_Endocrinology
Bangkok, 10330
Rajavithi Hospital_Diabetes and Endocrinology
Bangkok, 10400
Rajavithi Hospital
Bangkok, 10400
Ramathibodi Hospital
Bangkok, 10400
Siriraj Hospital_Dept Endocrinology
Bangkok, 10700
Siriraj Hospital_Bangkoknoi, Bangkok
Bangkoknoi, Bangkok, Bangkok, 10700
Srinagarind Hospital
Khon Kaen, 40002
Thammasat Hospital_Cardiology
Pathum Thani, 12120
Hungary9 sites
Clinexpert Egészségügyi Szolgáltató és Kereskedelmi Kft.
Budapest, 1033
Szőcs Depot Egészségügyi Szolgáltató Kft.
Budapest, 1042
Bajcsy-Zsilinszky Kórház
Budapest, 1106
Debreceni Egyetem Belgyógyászati Klinika
Debrecen, Hajdú-Bihar, 4032
Komáromi Selye János Kórház
Komárom, Komárom-Esztergom, 2900
Selye János Kórház és Rendelőintézet
Komárom, 2900
Szegedi Tudomanyegyetem St Györgyi Albert Klinikai Központ
Szeged, Csongrád-Csanád, 6725
Hetényi Géza Kórház
Szolnok, Jász-Nagykun-Szolnok, 5000
Hetényi Géza Kórház
Szolnok, 5004
Ireland8 sites
Clinical Research Centre, St. Vincent's University Hospital,
Dublin, Leinster, D04 T6F4
Mater Miscericordiae Hospital
Dublin, Leinster, D07 XAO9
St James's CRF
Dublin, Leinster, D08 A978
Connolly Hospital_Blanchardstown_Diabetes Day Centre
Dublin, Leinster, D15 X40D
Connolly Hospital
Dublin, Leinster, DUBLIN 15
Mater Miscericordiae Hospital
Dublin, Leinster, DUBLIN 7
CRF - Galway
Galway, Connaght, H91 YR71
CRF HRB - Galway
Galway, Connaght, H91 YR71
Austria6 sites
Universitätsklinik für Innere Medizin Graz
Graz, 8036
Barmh. Brüder Linz, Konventspital
Linz, 4021
Fließer-Görzer [Ordination]
Saint Stefan, 8511
Klinik Landstraße
Vienna, 1030
Universitätsklinikum AKH Wien
Vienna, 1090
Imed 19- privat
Vienna, 1190
Japan6 sites
TOSAKI Clinic for Diabetes and Endocrinology_Diabetes and Endocrinology
Aichi, 468-0009
Tokuyama clinic_Diabetic internal medicine
Chiba, 261-0004
Naka Kinen Clinic_Internal medicine
Ibaraki, 311-0113
Osaka Nishiumeda Clinic_Diabetes Internal Medicine
Osaka, 530-0001
Osaka University Hospital_Metabolic Medicine
Osaka, 565-0871
Takatsuki Red Cross Hospital
Osaka, 569-1045
About this study
Official title: Efficacy and Safety of Cagrilintide s.c. 2.4 mg in Combination With Semaglutide s.c. 2.4 mg (CagriSema s.c. 2.4 mg/2.4 mg) Once-weekly in Participants With Overweight or Obesity and Type 2 Diabetes
This study will look at how well the new medicine CagriSema helps people living with excess body weight and type 2 diabetes losing weight. Participants will either get CagriSema or a dummy medicine. Which treatment they get is decided by chance.
The study will last for about 1½ years. Women cannot take part if pregnant, breast-feeding or planning to get pregnant during the study period.
- Conditions
- Overweight, Obesity, Type 2 Diabetes Mellitus
- Being tested
- Cagrilintide, Semaglutide, Placebo cagrilintide, Placebo semaglutide
- Medical subject headings
- Overweight, Obesity, Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CagrilintideDrug
Cagrilintide administered subcutaneously (s.c., under the skin) once-weekly
SemaglutideDrug
Semaglutide administered subcutaneously (s.c., under the skin) once-weekly
Placebo cagrilintideDrug
Placebo cagrilintide administered subcutaneously (s.c., under the skin) once-weekly
Placebo semaglutideDrug
Placebo semaglutide administered subcutaneously (s.c., under the skin) once-weekly
| Study group | Role | What they receive |
|---|---|---|
| CagriSema | Experimental | Cagrilintide + semaglutide once weekly Receives: Drug: Cagrilintide; Drug: Semaglutide |
| Placebo | Placebo comparator | Placebo cagrilintide + semaglutide once weekly Receives: Drug: Placebo cagrilintide; Drug: Placebo semaglutide |
What is being measured
The primary outcome is the main question the study is designed to answer.
Relative change in body weight
Measured in percentage (%).
Measured: From baseline (week 0) to end of treatment (week 68)
Achievement of greater than or equal to (≥) 5% weight reduction
Count of participant.
Measured: From baseline (week 0) to end of treatment (week 68)
Secondary outcomes (34)
Achievement of ≥ 20% weight reduction
Count of participant.
Measured: From baseline (week 0) to end of treatment (week 68)
Relative change in body weight
Measured in %.
Measured: From baseline (week 0) to week 20
Change in waist circumference
Measured in centimeter (cm).
Measured: From baseline (week 0) to end of treatment (week 68)
Change in Glycated Haemoglobin (HbA1c)
Measured in %-points.
Measured: From baseline (week 0) to end of treatment (week 68)
Change in Systolic Blood Pressure (SBP)
Measured in millimeter of mercury (mmHg).
Measured: From baseline (week 0) to end of treatment (week 68)
Change in Impact of Weight on Quality Of Life-Lite Clinical Trials Version (IWQOL-Lite-CT) Physical Function score
Measured in score points.
Measured: From baseline (week 0) to end of treatment (week 68)
Change in Short Form-36 Version 2.0 Health Survey Acute (SF-36v2 Acute) Physical Functioning score
Measured in score points.
Measured: From baseline (week 0) to end of treatment (week 68)
Change in body weight
Measured in kilogram (kg).
Measured: From baseline (week 0) to end of treatment (week 68)
Change in body mass index (BMI)
Measured in kilogram per meter square (kg/m^2).
Measured: From baseline (week 0) to end of treatment (week 68)
Improvement in weight category (BMI, underweight below 18.5, normal weight 18.5 to below 25, overweight 25.0 to below 30, obesity class I 30 to below 35, obesity class II 35 to below 40, obesity class III above 40)
Count of participant.
Measured: From baseline (week 0) to end of treatment (week 68)
Achievement of HbA1c less than or equal to (≤) 6.5%
Count of participant.
Measured: At end of treatment (week 68)
Change in Fasting Plasma Glucose (mmol/L)
Measured in millimoles per liter (mmol/L).
Measured: From baseline (week 0) to end of treatment (week 68)
Change in Fasting Plasma Glucose (mg/dL)
Measured in milligram per deciliter (mg/dL)
Measured: From baseline (week 0) to end of treatment (week 68)
Ratio to baseline in fasting serum insulin
Measured in ratio.
Measured: From baseline (week 0) to end of treatment (week 68)
Change in Diastolic Blood Pressure (DBP)
Measured in mmHg.
Measured: From baseline (week 0) to end of treatment (week 68)
Ratio to baseline in C-reactive protein (CRP)
Measured in ratio.
Measured: From baseline (week 0) to end of treatment (week 68)
Ratio to baseline in lipids: Total cholesterol, High-density lipoprotein (HDL) cholesterol, Low-density lipoprotein (LDL) cholesterol, Very low-density lipoprotein (VLDL) cholesterol, Triglycerides and Free fatty acids
Measured in ratio.
Measured: From baseline (week 0) to end of treatment (week 68)
Change in IWQOL-Lite-CT: Total score, Physical and Psycosocial score
IWQOL-Lite-CT is a 20-item clinical outcomes assessment (COA) instrument used to assess the impact of body weight changes in obesity studies on patients' physical and psychosocial functioning in three composite scores (physical function, physical and psychosocial) and a total score. Score ranges for composite score (physical composite, psychosocial composite and physical function composite) and Total score is 0-100. Higher scores indicate better level of functioning.
Measured: From baseline (week 0) to end of treatment (week 68)
Change in Control of Eating Questionnaire (CoEQ): Craving Control score, Positive Mood score, Craving for Sweet score, Craving for Savoury food score, Hunger score and Satiety score
CoEQ is a 19-item multidimensional patient-reported outcome (PRO) that assesses the experience of hunger, satiety, and severity and type of food cravings. CoEQ consists of 4 subscales that measure craving control (5 items), positive mood (4 items), craving for sweet (4 items), and craving for savoury food (4 items), and 2 single items that address hunger and satiety. Each item is evaluated on a 0-10 (i.e., 11-point) numeric rating scale. The total score for each subscale is calculated as the sum of the item scores divided by the number of items in the subscale. Scores ranges are thus: Craving Control 0-50/5 = 0-10); Positive Mood (0-40/4 = 0-10); Craving Sweet (0-40/4 = 0-10); Craving Savoury food (0-40/4 = 0-10); single items that address hunger and satiety (0-10). Higher score represents a greater level of Craving Control.
Measured: From baseline (week 0) to end of treatment (week 68)
Achievement of at least 14.6-point increase (yes/no) in IWQOL-Lite-CT Physical Function score
Count of participant.
Measured: From baseline (week 0) to end of treatment (week 68)
Achievement of at least 3.7-point increase (yes/no) in SF-36v2 Acute Physical Functioning score
Count of participant.
Measured: From baseline (week 0) to end of treatment (week 68)
Change in IWQOL-Lite-CT Physical Function score
Measured: From baseline (week 0) to end of treatment (week 68)
Achievement of at least 14.6-point increase (yes/no) in IWQOL-Lite -CT Physical Function score for subgroup
Count of participant.
Measured: From baseline (week 0) to end of treatment (week 68)
Continuous glucose monitoring: Change in mean glucose (mmol/L)
Measured in mmol/L.
Measured: From baseline (week 0) to end of treatment (week 68)
Continuous glucose monitoring: Change in mean glucose (mg/L)
Measured in mg/L.
Measured: From baseline (week 0) to end of treatment (week 68)
CGM: Change in time above range (TAR) >10.0 mmol/L (>180 mg/dL)
Measured in %-points.
Measured: From baseline (week 0) to end of treatment (week 68)
CGM: Change in time in range (TIR) 3.9-10.0 mmol/L (70-180 mg/dL)
Measured in %-points.
Measured: From baseline (week 0) to end of treatment (week 68)
CGM: Change in time above high range (TAHR) >13.9 mmol/L (>250 mg/dL)
Measured in %-points.
Measured: From baseline (week 0) to end of treatment (week 68)
CGM: Change in time in tight range (TITR) 3.9-7.8 mmol/L (71-140 mg/dL)
Measured in %-points.
Measured: From baseline (week 0) to end of treatment (week 68)
CGM: Within-day glycaemic variability (% CV)
Measured in %.
Measured: At end of treatment (week 68)
Number of Treatment Emergent Adverse Events (TEAEs)
Count of events.
Measured: From baseline (week 0) to end of study (week 75)
Number of Treatment Emergent Serious adverse events (TESAEs)
Count of events.
Measured: From baseline (week 0) to end of study (week 75)
Number of clinically significant hypoglycaemic episodes (level 2) (<3.0 mmol/L (54 mg/dL), confirmed by BG meter)
Count of episodes.
Measured: From baseline (week 0) to end of study (week 75)
Number of severe hypoglycaemic episodes (level 3): hypoglycaemia associated with severe cognitive impairment requiring external assistance for recovery, with no specific glucose threshold
Count of episodes.
Measured: From baseline (week 0) to end of study (week 75)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 May 2022
- Study start1 Feb 2023
- Primary completion28 Jan 2025
- Study completion3 Feb 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for OverweightStudies of the same condition, open and under way.
- More trials run by Novo Nordisk A/SThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,200 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novo Nordisk A/S
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Transparency (dept. 2834), Study director, Novo Nordisk A/S
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05394519
- Sponsor's protocol ID
- NN9838-4609
- Other IDs
- U1111-1267-4287, 2021-005121-24, jRCT2031220671
- Acronym
- REDEFINE 2
- Status last verified
- Jan 2026
- First submitted
- 24 May 2022
- Last updated
- 28 Jan 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: "According to the Novo Nordisk disclosure commitment on novonordisk-trials.com"
Publications
Davies MJ, Bajaj HS, Broholm C, Eliasen A, Garvey WT, le Roux CW, Lingvay I, Lyndgaard CB, Rosenstock J, Pedersen SD; REDEFINE 2 Study Group. Cagrilintide-Semaglutide in Adults with Overweight or Obesity and Type 2 Diabetes. N Engl J Med. 2025 Aug 14;393(7):648-659. doi: 10.1056/NEJMoa2502082. Epub 2025 Jun 22.
PubMed 40544432
Study at a glance
From the registry record, last updated by the sponsor on 28 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy and Safety of Cagrilintide s.c. 2.4 mg in Combination With Semaglutide s.c. 2.4 mg (CagriSema s.c. 2.4 mg/2.4 mg) Once-weekly in Participants With Overweight or Obesity and Type 2 Diabetes
- ClinicalTrials.gov ID
- NCT05394519
- Acronym / sponsor ID
- REDEFINE 2 / NN9838-4609
- Conditions
- Overweight, Obesity, Type 2 Diabetes Mellitus
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,200 participants (actual)
- Lead sponsor
- Novo Nordisk A/SIndustry (pharma, biotech, devices)
- Study start
- 1 Feb 2023 (actual)
- Primary completion
- 28 Jan 2025 (actual)
- Study completion
- 3 Feb 2025 (actual)
- First posted
- 27 May 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will look at how well the new medicine CagriSema helps people living with excess body weight and type 2 diabetes losing weight. Participants will either get CagriSema or a dummy medicine. Which treatment they get is decided by chance.
The study will last for about 1½ years. Women cannot take part if pregnant, breast-feeding or planning to get pregnant during the study period.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| CagriSema | Experimental | Drug: Cagrilintide, Drug: SemaglutideCagrilintide + semaglutide once weekly |
| Placebo | Placebo comparator | Drug: Placebo cagrilintide, Drug: Placebo semaglutidePlacebo cagrilintide + semaglutide once weekly |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Male or female
- Age above or equal to 18 years at the time of signing informed consent
- BMI greather than or equal to 27.0 kg/m^2
- Diagnosed with type 2 diabetes mellitus greater than or equal to 180 days before screening
- Treatment with either lifestyle intervention, or treatment with 1-3 marketed oral antidiabetic drugs (OAD)s (metformin, α-glucosidase inhibitors (AGI), glinides, sodium-glucose co-transporter 2 inhibitor (SGLT2i), thiazolidinediones, or sulphonylureas (SU)s as a single agent or in combination) according to local label
Key exclusion criteria (3 listed)
- Clinically significant or severe hypoglycaemia within 6 months before screening or history of hypoglycaemia unawareness
- Renal impairment with estimated glomerular filtration rate (eGFR) below 30 mL/min/1.73 m^2, as measured by the central laboratory at screening
- Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by a fundus examination performed within 90 days before screening or in the period between screening and randomisation. Pharmacological pupil-dilation is a requirement unless using a digital fundus photography camera specified for non-dilated examination.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CagrilintideCagrilintide administered subcutaneously (s.c., under the skin) once-weekly | Drug | CagriSema |
| SemaglutideSemaglutide administered subcutaneously (s.c., under the skin) once-weekly | Drug | CagriSema |
| Placebo cagrilintidePlacebo cagrilintide administered subcutaneously (s.c., under the skin) once-weekly | Drug | Placebo |
| Placebo semaglutidePlacebo semaglutide administered subcutaneously (s.c., under the skin) once-weekly | Drug | Placebo |
Primary outcome
Relative change in body weight
Time frame: From baseline (week 0) to end of treatment (week 68)
Measured in percentage (%).
Achievement of greater than or equal to (≥) 5% weight reduction
Time frame: From baseline (week 0) to end of treatment (week 68)
Count of participant.
34 secondary outcomes
Achievement of ≥ 20% weight reduction
Time frame: From baseline (week 0) to end of treatment (week 68)
Relative change in body weight
Time frame: From baseline (week 0) to week 20
Change in waist circumference
Time frame: From baseline (week 0) to end of treatment (week 68)
Change in Glycated Haemoglobin (HbA1c)
Time frame: From baseline (week 0) to end of treatment (week 68)
Change in Systolic Blood Pressure (SBP)
Time frame: From baseline (week 0) to end of treatment (week 68)
Change in Impact of Weight on Quality Of Life-Lite Clinical Trials Version (IWQOL-Lite-CT) Physical Function score
Time frame: From baseline (week 0) to end of treatment (week 68)
Change in Short Form-36 Version 2.0 Health Survey Acute (SF-36v2 Acute) Physical Functioning score
Time frame: From baseline (week 0) to end of treatment (week 68)
Change in body weight
Time frame: From baseline (week 0) to end of treatment (week 68)
Change in body mass index (BMI)
Time frame: From baseline (week 0) to end of treatment (week 68)
Improvement in weight category (BMI, underweight below 18.5, normal weight 18.5 to below 25, overweight 25.0 to below 30, obesity class I 30 to below 35, obesity class II 35 to below 40, obesity class III above 40)
Time frame: From baseline (week 0) to end of treatment (week 68)
Achievement of HbA1c less than or equal to (≤) 6.5%
Time frame: At end of treatment (week 68)
Change in Fasting Plasma Glucose (mmol/L)
Time frame: From baseline (week 0) to end of treatment (week 68)
Change in Fasting Plasma Glucose (mg/dL)
Time frame: From baseline (week 0) to end of treatment (week 68)
Ratio to baseline in fasting serum insulin
Time frame: From baseline (week 0) to end of treatment (week 68)
Change in Diastolic Blood Pressure (DBP)
Time frame: From baseline (week 0) to end of treatment (week 68)
Ratio to baseline in C-reactive protein (CRP)
Time frame: From baseline (week 0) to end of treatment (week 68)
Ratio to baseline in lipids: Total cholesterol, High-density lipoprotein (HDL) cholesterol, Low-density lipoprotein (LDL) cholesterol, Very low-density lipoprotein (VLDL) cholesterol, Triglycerides and Free fatty acids
Time frame: From baseline (week 0) to end of treatment (week 68)
Change in IWQOL-Lite-CT: Total score, Physical and Psycosocial score
Time frame: From baseline (week 0) to end of treatment (week 68)
Change in Control of Eating Questionnaire (CoEQ): Craving Control score, Positive Mood score, Craving for Sweet score, Craving for Savoury food score, Hunger score and Satiety score
Time frame: From baseline (week 0) to end of treatment (week 68)
Achievement of at least 14.6-point increase (yes/no) in IWQOL-Lite-CT Physical Function score
Time frame: From baseline (week 0) to end of treatment (week 68)
Achievement of at least 3.7-point increase (yes/no) in SF-36v2 Acute Physical Functioning score
Time frame: From baseline (week 0) to end of treatment (week 68)
Change in IWQOL-Lite-CT Physical Function score
Time frame: From baseline (week 0) to end of treatment (week 68)
Achievement of at least 14.6-point increase (yes/no) in IWQOL-Lite -CT Physical Function score for subgroup
Time frame: From baseline (week 0) to end of treatment (week 68)
Continuous glucose monitoring: Change in mean glucose (mmol/L)
Time frame: From baseline (week 0) to end of treatment (week 68)
Continuous glucose monitoring: Change in mean glucose (mg/L)
Time frame: From baseline (week 0) to end of treatment (week 68)
CGM: Change in time above range (TAR) >10.0 mmol/L (>180 mg/dL)
Time frame: From baseline (week 0) to end of treatment (week 68)
CGM: Change in time in range (TIR) 3.9-10.0 mmol/L (70-180 mg/dL)
Time frame: From baseline (week 0) to end of treatment (week 68)
CGM: Change in time above high range (TAHR) >13.9 mmol/L (>250 mg/dL)
Time frame: From baseline (week 0) to end of treatment (week 68)
CGM: Change in time in tight range (TITR) 3.9-7.8 mmol/L (71-140 mg/dL)
Time frame: From baseline (week 0) to end of treatment (week 68)
CGM: Within-day glycaemic variability (% CV)
Time frame: At end of treatment (week 68)
Number of Treatment Emergent Adverse Events (TEAEs)
Time frame: From baseline (week 0) to end of study (week 75)
Number of Treatment Emergent Serious adverse events (TESAEs)
Time frame: From baseline (week 0) to end of study (week 75)
Number of clinically significant hypoglycaemic episodes (level 2) (<3.0 mmol/L (54 mg/dL), confirmed by BG meter)
Time frame: From baseline (week 0) to end of study (week 75)
Number of severe hypoglycaemic episodes (level 3): hypoglycaemia associated with severe cognitive impairment requiring external assistance for recovery, with no specific glucose threshold
Time frame: From baseline (week 0) to end of study (week 75)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Jan 2026.
- Derived from this study: PubMed 40544432Davies MJ, Bajaj HS, Broholm C, Eliasen A, Garvey WT, le Roux CW, Lingvay I, Lyndgaard CB, Rosenstock J, Pedersen SD; REDEFINE 2 Study Group. Cagrilintide-Semaglutide in Adults with Overweight or Obesity and Type 2 Diabetes. N Engl J Med. 2025 Aug 14;393(7):648-659. doi: 10.1056/NEJMoa2502082. Epub 2025 Jun 22.
- Individual participant dataSharing planned: Yes. "According to the Novo Nordisk disclosure commitment on novonordisk-trials.com"
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Transparency (dept. 2834) study director
Novo Nordisk A/S
179 sites in 13 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Cagrilintide and Semaglutide in people with Overweight and Obesity, run by Novo Nordisk A/S at 179 sites in 13 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 28 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 179 sites in United States, India, Poland, United Kingdom, Canada and 8 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Relative change in body weight (time frame: From baseline (week 0) to end of treatment (week 68)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05394519, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Jan 2026.