Type 2 Diabetes MellitusPhase 3REIMAGINE 2NCT06065540
A Research Study to See How Well CagriSema Compared to Semaglutide, Cagrilintide and Placebo Lowers Blood Sugar and Body Weight in People With Type 2 Diabetes Treated With Metformin With or Without an SGLT2 Inhibitor
A Phase 3 study testing Cagrilintide and Semaglutide in people with Type 2 Diabetes Mellitus, run by Novo Nordisk A/S at 405 sites in 32 countries.
Trial summary
The study will look at how well CagriSema helps people lower their blood sugar and body weight. CagriSema is a new weekly medicine that combines two medicines called semaglutide and cagrilintide. CagriSema will be compared to the two medicines semaglutide and cagrilintide, when they are taken alone. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- 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
- 2,734 participants
- Where
- 405 sitesin 32 countries
- Study dates
- 27 Sep 2023to 6 Jan 2026
- 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 (sex at birth).
- Age 18 years or above at the time of signing the informed consent.
- Diagnosed with type 2 diabetes mellitus greater than or equal to 180 days before screening.
- Stable daily dose(s) greater than or equal to 90 days before screening of any of the following antidiabetic drug(s) or combination regimen(s) at effective or maximum tolerated dose as judged by the investigator: metformin with or without Sodium-Glucose Cotransporter-2 (SGLT2) inhibitors.
- Glycated haemoglobin (HbA1c) 7.0-10.5 percent (53-91 millimoles per mole [mmol/mol]) (both inclusive) as determined by central laboratory at screening.
- Body Mass Index (BMI) greater than or equal to 25 kilogram per square metre ( kg/m^2) at screening. BMI will be calculated in the electronic case report form (eCRF) based on height and body weight at screening.
Who cannot join
- Renal impairment with estimated Glomerular Filtration Rate (eGFR) less than 30 milliliters per minute per 1.73 square metre (mL/min/1.73 m^2) as determined by central laboratory at screening.
- Treatment with any medication for the indication of diabetes or obesity other than stated in the inclusion criteria within 90 days before screening. However, short term insulin treatment for a maximum of 14 consecutive days and prior insulin treatment for gestational diabetes are allowed.
- Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by an eye examination performed within 90 days before screening or in the period between screening and randomisation.
Trial locations and contacts
405 sites in 32 countries.
405 sites in 32 countries
United States100 sites
Synexus Clinical Research US, Inc
Akron, Ohio, 44311
AMC Community Endocrinology
Albany, New York, 12203
Velocity Clin Res Albuquerque
Albuquerque, New Mexico, 87107
AnMed Health IMA
Anderson, South Carolina, 29621
Synexus Clin Res US-Anderson
Anderson, South Carolina, 29621
Velocity Clinical Res-Anderson
Anderson, South Carolina, 29621
Arlington Family Res. Ctr Inc
Arlington, Texas, 76012-4637
Velocity Clin Res Austin
Austin, Texas, 78759
Velocity Clinical Res-Banning
Banning, California, 92220
UT Health University of Texas
Bellaire, Texas, 77401
Synexus Clin Res-Birmingham
Birmingham, Alabama, 35211
Univ of Alabama_Birmingham
Birmingham, Alabama, 35294
St. Luke's Health System
Boise, Idaho, 83702
Holston Medical Group Pc
Bristol, Tennessee, 37620-7352
University of North Carolina
Chapel Hill, North Carolina, 27514
Diabetes & Endo Specialists Inc
Chesterfield, Missouri, 63017
Cedar-Crosse Research Center
Chicago, Illinois, 60607
Velocity Clin Res-Chula Vista
Chula Vista, California, 91911
Optumcare Clinical Trials,LLC-Golden
Colorado Springs, Colorado, 80906
Centricity Research
Columbus, Ohio, 43213
John Muir Physicians Network
Concord, California, 94520
Hope Clin Res & Wellness
Conyers, Georgia, 30094
Clinical Res Collaborative
Cumberland, Rhode Island, 02864
Velocity Clinical Res-Dallas
Dallas, Texas, 75230
North Texas Endocrine Center
Dallas, Texas, 75231
Synexus Clin Res Dallas
Dallas, Texas, 75234
Cedar Health Research
Dallas, Texas, 75251
Velocity Clin Res Providence
East Greenwich, Rhode Island, 02818
Velocity Clin Res Syracuse
East Syracuse, New York, 13057
Headlands Research California, LLC
Escondido, California, 92025
Velocity Clin Res Gaffney
Gaffney, South Carolina, 29340
Velocity Clin Res Gardena
Gardena, California, 90247
St. Vincent Hosp-Prevea Health
Green Bay, Wisconsin, 54303
PharmQuest Life Sciences LLC
Greensboro, North Carolina, 27408
Velocity Clin Res Gulfport
Gulfport, Mississippi, 39503
Clinical Invest Special_Gurnee
Gurnee, Illinois, 60031
Pacific Diabetes & Endo Ctr
Honolulu, Hawaii, 96813
JCCT- Juno NW Houston
Houston, Texas, 77040
Synergy Groups Medical
Houston, Texas, 77061
PlanIt Research, PLLC
Houston, Texas, 77079
Northeast Research Institute
Jacksonville, Florida, 32204
Medical Colleagues-Texas LLP
Katy, Texas, 77450
Sante Clinical Research
Kerrville, Texas, 78028
Holston Medical Group
Kingsport, Tennessee, 37660
Velocity Clin Res San Diego
La Mesa, California, 91942
Velocity Clin Res Lafayette
Lafayette, Louisiana, 70508
Arkansas Clinical Research
Little Rock, Arkansas, 72205
Loma Linda Univ Hlth Cr Endo
Loma Linda, California, 92354
East Coast Institute for Res
Macon, Georgia, 31210
Urban Family Practice Assoc
Marietta, Georgia, 30067
Solaris Clinical Research
Meridian, Idaho, 83646
Clinical Trial Services Corp
Miami, Florida, 33144
Bioclinical Research Alliance
Miami, Florida, 33155
New Horizon Research Center
Miami, Florida, 33165
South Broward Research LLC
Miramar, Florida, 33027
Facey Medical Foundation
Mission Hills, California, 91345
Discovery MM Services, INC Missouri
Missouri City, Texas, 77459
Carteret Medical Group
Morehead City, North Carolina, 28557
Clinical Research Associates
Nashville, Tennessee, 37203
BTC of New Bedford, LLC
New Bedford, Massachusetts, 02740
TPMG Clinical Research
Newport News, Virginia, 23606
Alliance for Multispec Res
Newton, Kansas, 67114
Alliance for Multispec Res
Norman, Oklahoma, 73069
West Orange Endocrinology
Ocoee, Florida, 34761
Optimal Research Sites
Orange City, Florida, 32763
Advent Health-Res Inst
Orlando, Florida, 32804
AdventHealth Diab Inst
Orlando, Florida, 32804
Synexus Clin Res - Orlando
Orlando, Florida, 32806
Oviedo Medical Research, LLC
Oviedo, Florida, 32765
Desert Oasis Hlthcr Med Group
Palm Springs, California, 92262
Cahaba Research
Pelham, Alabama, 35124
Velocity Clinical Research-Phoenix
Phoenix, Arizona, 85006
Synexus Rsch /Cnt Phnx Med C
Phoenix, Arizona, 85020
Rainier Clin Res Ctr Inc
Renton, Washington, 98057
Endocrine Research Solutions, Inc.
Roswell, Georgia, 30076
Endocrine Research Solutions
Roswell, Georgia, 30076
AES San Antonio
San Antonio, Texas, 78229
University of Texas San Antonio
San Antonio, Texas, 78229
NE Clin Res of San Antonio
San Antonio, Texas, 78233
Velocity Clin Res- San Bern
San Bernardino, California, 92408
Linda Vista Health Care Ctr
San Diego, California, 92111
Diabetes & Endo Treatment Spec
Sandy City, Utah, 84093
Velocity Clin Res Santa Ana
Santa Ana, California, 92704
Consano Clinical Research, LLC
Shavano Park, Texas, 78231
Hillcrest Clinical Research
Simpsonville, South Carolina, 29681-1538
Endeavor Health
Skokie, Illinois, 60077
Evanston Premier Hlthcr Res
Skokie, Illinois, 60077
Spartanburg Medical Research
Spartanburg, South Carolina, 29303
Velocity Clin Res Spartanburg
Spartanburg, South Carolina, 29303
Piedmont Healthcare/Research
Statesville, North Carolina, 28625
Premier Medical Center, Inc.
Toluca Lake, California, 91602
DM Clin Rsrch/Fam Diag Clinic
Tomball, Texas, 77375
Cotton-O'Neil Diab & Endo Ctr
Topeka, Kansas, 66606
Premier Research Inc.
Trenton, New Jersey, 08611
Velocity Clin Res - Panorama
Van Nuys, California, 91405
Iowa Diabetes & Endo Res Ctr
West Des Moines, Iowa, 50266
Velocity Clin Res-Salt Lk City
West Jordan, Utah, 84088
Southgate Medical Group, LLP
West Seneca, New York, 14224
Great Lakes Medical Research
Westfield, New York, 14787
Accellacare
Wilmington, North Carolina, 28401
Canada31 sites
Centricity Res. Barrie Endo
Barrie, Ontario, L4N 7L3
Centricity Research Brampton Endocrinology
Brampton, Ontario, L6S 0C6
Centricity Research Calgary Endocrinology
Calgary, Alberta, T2H 2G4
Centricity Research Calgary
Calgary, Alberta, T2H 2G4
Centricity Research Vaughn Endocrinology
Concord, Ontario, L4K 4M2
Medical Trust Clinics, Inc.
Courtice, Ontario, L1E2J5
Centricity Research Etobicoke Endocrinology
Etobicoke, Ontario, M9R 4E1
Milestone Research
London, Ontario, N5W 6A2
Western Univ. Cnt for Studies in Fam Med
London, Ontario, N6G 2M1
My Endo Diabetes & Endo Cent
Markham, Ontario, L3P 7P2
G.A. Research Associates Ltd.
Moncton, New Brunswick, E1G 1A7
Centre Medical Acadie
Montreal, Quebec, H4N 2W2
Centricity Research Ottawa LMC
Nepean, Ontario, K2J 0V2
Centricity Research Oshawa
Oshawa, Ontario, L1J 2K9
Centricity Res Pointe-Claire
Pointe-Claire, Quebec, H9R 4S3
ALPHA Recherche Clinique
Québec, Quebec, G3K 2P8
Diex Recherche Quebec
Québec, G1V 4T3
Clinique des Maladies Lipidiques de Quebec Inc.
Québec, G1V 4W2
Centre de Recherche Saint-Louis
Québec, G1W 4R4
LMC Clin Rsrch Inc. (Montreal)
Saint-Laurent, Quebec, H4T 1Z9
Q & T Research Sherbrooke Inc.
Sherbrooke, Quebec, J1J 2G2
Synergy Wellness Clinic
Sherwood Park, Alberta, T8H 0N2
Guilford Med Clinic
Surrey, British Columbia, V3R 4H6
TLC Diabetes and Endocrinology
Surrey, British Columbia, V3T0X6
Ocean West Research Clinic
Surrey, British Columbia, V3Z 2N6
Hilltop Medical Clinic
Surrey, British Columbia, V4A 0C1
Ctr de Med Metab de Lanaudiere
Terrebonne, Quebec, J6X 4P7
Centricity Research Toronto
Toronto, Ontario, M4G 3E8
Diabetes Heart Research Centre
Toronto, Ontario, M6G 1M2
Spectrum Health Clinic
Vancouver, British Columbia, V6Z 2T1
Diex Recherche Victoriaville
Victoriaville, Quebec, G6P 3Z8
Poland20 sites
Osteo Medic s.c. Artur Racewicz Jerzy Supronik
Bialystok, Podlaskie Voivodeship, 15-351
NZOZ Specjalistyczny Osrodek Internistyczno-Diabetologiczny Małgorzata Arciszewska
Bialystok, Podlaskie Voivodeship, 15-435
Centrum Medyczne Pratia Bydgoszcz
Bydgoszcz, 85-796
Malopolskie Centrum Sercowo-Naczyniowe
Chrzanów, Lesser Poland Voivodeship, 32-500
PAKS III Oddział Kardiologii Inwazyjnej, Angiologii i Elektrokardiologii
Dąbrowa Górnicza, Silesian Voivodeship, 41-300
PAKS III Oddział Kardiologii Inwazyjnej, Angiologii i Elektrokardiologii
Dąbrowa Górnicza, 41-300
Specjalistyczny Gabinet Diabetologiczny Radoslaw Rumianowski
Gorzów Wielkopolski, Lubusz Voivodeship, 66-400
Wojewodzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im. M. Kopernika
Lodz, Łódź Voivodeship, 93-513
Velocity Nova Sp. z o.o.
Lublin, 20-362
KO-MED Centra Kliniczne Sp. z o.o.
Puławy, 24-100
Centrum Medyczne Medyk Sp. z o.o.
Rzeszów, Podkarpackie Voivodeship, 35-055
Velocity Nova Sp. z o.o.
Staszów, 28-200
Velocity Nova Sp. z o.o.
Staszów, Świętokrzyskie Voivodeship, 28-200
PAKS III Oddział Kardiologii Inwazyjnej, Angiologii i Elektrokardiologii
Tychy, Silesian Voivodeship, 43-100
Instytut Diabetologii Sp. z o.o.
Warsaw, Mazovian Voivodeship, 02-117
NBR Polska Tomasz Klodawski
Warsaw, 00-710
Instytut Diabetologii Sp. z o.o.
Warsaw, 02-117
Panstwowy Instytut Medyczny Ministerstwa Spraw Wewnetrznych I Administracji
Warsaw, 02-507
Zgierskie Centrum Kardiologii Med-Pro Polsko-Amerykańskich Klinik Serca
Zgierz, 95-100
Prywatna Praktyka Lekarska Anna Chudoba
Żyrardów, Masovian Voivodeship, 96-300
Turkey (Türkiye)20 sites
Cukurova Universitesi Tip Fakultesi
Adana, 01790
Çukurova Üniversitesi Tıp Fakültesi Balcalı Hastanesi- Endokrinoloji
Adana, 01790
Akdeniz University Tip Fakultesi Hastanesi
Antalya, 07058
Akdeniz Üniversitesi Hastanesi- Endokrinoloji
Antalya, 07058
Eskisehir Osmangazi University School of Medicine
Eskişehir, 26040
Eskişehir Osmangazi Üniversitesi Sağlık, Uygulama ve Araştırma Hastanesi
Eskişehir, 26040
Haseki Eğitim ve Araştırma Hastanesi- Dahiliye
Istanbul, 34098
Haseki Sultangazi
Istanbul, 34098
Seyrantepe Hamidiye Etfal Egitim ve Arastirma Hastanesi
Istanbul, 34371
Şişli Hamidiye Etfal Eğitim ve Araştırma Hastanesi- Seyrantepe Yerleşkesi- Endokrinoloji
Istanbul, 34371
Istanbul Universitesi Istanbul Tip Fakultesi - Endokrinoloji
Istanbul, 34390
İstanbul Üniversitesi İstanbul Tıp Fakültesi Hastanesi- Endokrinoloji
Istanbul, 34390
Basaksehir Cam ve Sakura Sehir Hastanesi
Istanbul, 34480
Başakşehir Çam ve Sakura Şehir Hastanesi
Istanbul, 34480
Göztepe Prof. Dr.Süleyman Yalçın Şehir Hastanesi- Dahiliye
Istanbul, 34722
T.C SB Goztepe Prof. Dr. Suleyman Yalcin City Hospital
Istanbul, 34722
Recep Tayyip Erdoğan Üni. Eğitim ve Araştırma Hastanesi
Rize, 53020
Recep Tayyip Erdoğan Üniversitesi EAH-Endokrinoloji
Rize, 53020
Tekirdag Namık Kemal UTF
Tekirdağ, 59030
Tekirdağ Namık Kemal Üniversitesi Hastanesi- Dahiliye
Tekirdağ, 59030
Germany15 sites
Medizinisches Versorgungszentrum Am Bahnhof Spandau GbR
Berlin, 13597
Diabetologische Schwerpunktpraxis Daaden
Daaden, 57567
Diabeteszentrum-Do Dres. K U. Ch. Busch GbR
Dortmund, 44137
Uniklinik TU Dresden - Med. Klinik III
Dresden, 01307
Zentrum für klinische Studien Südbrandenburg GmbH
Elsterwerda, 04910
InnoDiab Forschung GmbH
Essen, 45136
MVZ Diabeteszentrum Dr. Tews GmbH
Gelnhausen, 63571
Diabetes-Zentrum-Wilhelmsburg GbR
Hamburg, 21109
Diabetes Zentrum Wandsbek Berufsausuebungsgemeinschaft GbR
Hamburg, 22041
Diabetologische Gemeinschaftspraxis Dr. Staudenmeyer und Dr. Schiwietz
Lingen, 49808
Uniklinik Schleswig-Holstein - Medizinischen Klinik I am Campus Lübeck
Lübeck, 23538
Die Praxis am Ludwigsplatz
Ludwigshafen, 67059
Medicover Neuroendokrinologie MVZ München
München, 81667
RED-Institut für medizinische Forschung und Fortbildung GmbH
Oldenburg in Holstein, 23758
Praxis für Innere Medizin - Zwenkau
Zwenkau, 04442
India15 sites
Swasthya Diabetes Care
Ahmedabad, Gujarat, 390013
Lifecare Hospital and Research Centre
Bengaluru, Karnataka, 560066
Post Graduate Institute of Medical Education & Research
Chandigarh, 160012
Madras Diabetes Research Foundation
Chennai, Tamil Nadu, 600086
KG Hospital
Coimbatore, Tamil Nadu, 641018
Gauhati Medical College and Hospital
Guwahati, Assam, 781032
Gleneagles Hospitals
Hyderabad, Telangana, 500004
Dr P V Rao - Diabetes Research Centre
Hyderabad, Telangana, 50082
SMS Medical College & Hospital
Jaipur, Rajasthan, 302004
Apollo Multispeciality Hospital, Kolkata
Kolkata, West Bengal, 700054
BYL Nair Hospital and T N Medical College Department of endo
Mumbai, Maharashtra, 400008
K R Hospital
Mysuru, Karnataka, 570001
Lady Hardinge Medical College
New Delhi, 110001
Ashirwad Hospital and Research Centre
Thane, Maharashtra, 421004
Yalamanchi Hospitals and Research centres pvt ltd
Vijaywada, Andhra Pradesh, 520002
Romania15 sites
CMI Dr. Pletea Noemi SRL
Bacau, 600154
Mariodiab Clinic SRL
Brasov, 500101
Centrul Medical de Diagnostic si Tratament Ambulatoriu Neomed
Brasov, 500283
Institutul National De Diabet Nutritie Si Boli Metabolice Prof.Dr.N.Paulescu Bucuresti- Ion Movila
Bucharest, Bucurestii, 020475
Diabet Med SRL
Bucharest, 050913
Spitalul Clinic Judetean Urgenta Cluj-Napoca
Cluj-Napoca, Cluj, 400006
Urodiamed SRL
Craiova, 200349
S.C Milena Sante SRL
Galati, 800001
Gama Diamed Srl
Mangalia, 905500
Bella Praxis S.R.L.
Paşcani, 705200
Cabinet Medical Individual Dr. Ramona Dragut SRL
Piteşti, Argeş, 110283
Diabmed Dr Popescu Alexandrina SRL
Ploieşti, Prahova, 100179
CMI Dr. Busegeanu Mihaela Magdalena
Ploieşti, Prahova, 100342
Poli Cardinal Med Srl
Reghin, Mureș County, 545300
Cabinet Medical de Diabet, Nutritie si Boli Metabolice-Dr. Zaharie Daniela Gabriela
Zalău, Sălaj County, 450112
Italy14 sites
Azienda Sanitaria Usl Toscana Sud Est - Ospedale San Donato
Arezzo, 52100
Azienda Ospedaliera Papa Giovanni XXIII
Bergamo, 24127
Azienda Ospedaliero-Universitaria Renato Dulbecco
Catanzaro, 88100
Università degli studi G. D'Annunzio Chieti Pescara - CAST
Chieti Scalo, 66100
AOU Careggi Firenze
Florence, Fi, 50134
AOU Careggi Firenze
Florence, Tuscany, 50134
Istituto Scientifico San Raffaele
Milan, MI, 20132
Azienda Ospedaliera Luigi Sacco
Milan, 20157
Azienda Ospedaliera Universitaria Federico II di Napoli
Naples, 80131
AOUP Giaccone Palermo
Palermo, 90127
Dip. di Medicina Interna Policlinico Universitario Palermo
Palermo, 90127
Azienda Ospealiero Universitaria Policlinico Umberto I
Roma, 00161
Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Dipartimento di scienze Mediche e Chirurgiche
Rome, 00168
Azienda Ospedaliera Universitaria Integrata Verona - Ospedale Civile Maggiore Borgo Trento
Verona, 37126
Slovakia12 sites
DIADA, s.r.o.
Bardejov, 08501
Diabetologicka ambulancia DIOLI s.r.o.
Košice, 040 01
DIOLI s.r.o.
Košice, 040 01
MediVet s.r.o.
Malacky, 90101
DIALIPID, s.r.o.
Prešov, 080 01
MUDr. Jan Culak, s.r.o.
Prievidza, 971 01
DIACENTRUM, s.r.o.
Ružomberok, 034 01
MEDI-DIA s.r.o.
Sabinov, 083 01
MEDI-DIA s.r.o.
Sabinov, 08301
DEImedi, s. r. o.
Šurany, 942 01
ARETEUS s.r.o.
Trebišov, 075 01
iDia s. r. o.
Žiar nad Hronom, 965 01
United Kingdom12 sites
Aberdeen Royal Infirmary - Diabetes
Aberdeen, AB25 2ZP
Aberdeen Royal Infirmary
Aberdeen, AB25 2ZP
Oldfield Surgery
Bath, BA2 3HT
Oakenhurst Medical Practice
Blackburn, BB2 1AX
Ninewells Hospital
Dundee, DD1 9SY
Aintree University Hospital
Liverpool, L9 7AL
Norfolk and Norwich University Hospital Trust
Norwich, NR4 7UY
Pickering Medical Practice
Pickering, North Yorkshire, YO18 8BL
Moorgreen Hospital
Southampton, SO30 3JB
Lister Hospital
Stevenage, Hertfordshire, SG1 4AB
Joint Clinical Research Facility - Swansea
Swansea, SA2 8PP
Royal Cornwall Hospital (Treliske)
Truro, TR1 3LJ
Greece11 sites
University Hospital of Athens ATTIKON
Athens, Attica, 12462
Iatriko Psychicou Private Clinic
Athens, 115 25
"Laiko" General Hospital of Athens
Athens, 11527
General hospital of Athens 'G.Gennimatas'
Athens, 11527
Iatriko Athinon (Athens Medical Canter)
Athens, 15125
Univ Gen Hospital Larisa
Larissa, 41110
General Hospital Of Thessaloniki Papageorgiou
Nea Efkarpia, Thessaloniki, 56429
"AHEPA" University Hospital of Thessaloniki
Thessaloniki, 54621
NextHealth S.A. - Department of Endocrinology, Metabolism & Diabetes
Thessaloniki, 54635
"AHEPA" University Hospital of Thessaloniki
Thessaloniki, 54636
"Ippokrateio" G.H. of Thessaloniki
Thessaloniki, 54642
Bulgaria10 sites
IPSMC - Dr. Nikolay Kostadinov EOOD
Burgas, 8000
Dr. Tatyana Metalova - AIPSMCE EOOD
Gotse Delchev, 2900
ASOMCEID - Individual Practice - Dr. Abdul-Azis EOOD
Kardzhali, 6600
Medical Center Zdrave Lom EOOD
Lom, 3600
Medical Centre Razgrad OOD
Razgrad, 7200
DCC Ascendent OOD
Sofia, 1202
Medical Center Maraya Med EOOD
Sofia, 1756
Medical Centre - Clinic Nova EOOD
Varna, 9000
Medical centre Clinic Nova
Varna, 9000
UMHAT Sveta Marina EAD, Clinic of Internal Diseases
Varna, 9010
Japan10 sites
Akaicho Clinic
Chiba-shi, Chiba, 260-0804
Naka Kinen Clinic_Internal medicine
Ibaraki, 311-0113
Naka Kinen Clinic
Ibaraki, 311-0113
Seino Internal Medicine Clinic_Internal medicine
Koriyama-shi, Fukushima, Fukushima, Japan, 963-8851
Minami Akatsuka Clinic_internal medicine
Mito-shi, Ibaraki, 311-4153
Abe Diabetes Clinic_Internal Medicine
Oita-shi, Oita,, Japan, 870 0039
Medical Research Institute KITANO HOSPITAL_Diabetes & Endocrinology
Osaka-shi, Osaka, 530-8480
Tokyo-Eki Center-building Clinic_Internal Medicine
Tokyo, 103-0027
Fukuwa Clinic_Internal Medicine
Tokyo, 104-0031
Fukuwa Clinic
Tokyo, 104-0031
China9 sites
Beijing Friendship Hospital, Capital Medical University-Endocrinology
Beijing, Beijing Municipality, 100050
Chinese People's Liberation Army General Hospital-Endocrinology
Beijing, Beijing Municipality, 100853
Chongqing University Three Gorges Hospital
Chongqing, Chongqing Municipality, 404000
Jinan Central Hospital
Ji'Nan, Shandong, 250000
Jinan Central Hospital
Jinan, Shandong, 250013
Huaihe Hospital of Henan University-Endocrinology
Kaifeng, Henan, 475000
The Second Affiliated Hospital of Nanjing Medical University-Endocrinology
Nanjing, Jiangsu, 210011
Suzhou Municipal Hospital-Endocrinology
Suzhou, Jiangsu, 215002
The Affiliated Hospital of Jiangsu University-Endocrinology
Zhenjiang, Jiangsu, 212001
Hungary9 sites
Óbudai Egészségügyi Centrum
Budapest, Pest County, 1036
Bajcsy-Zsilinszky Kórház
Budapest, 1106
MH Egészségügyi Központ
Budapest, 1134
Debreceni Egyetem Belgyógyászati Klinika
Debrecen, Hajdú-Bihar, 4032
Kaposi Mór Oktató Kórház
Kaposvár, 7400
Kanizsai Dorottya Kórház
Nagykanizsa, 8800
Szegedi Tudomanyegyetem St Györgyi Albert Klinikai Központ
Szeged, Csongrád-Csanád, 6725
Vas Vármegyei Markusovszky Egyetemi Oktatókórház
Szombathely, 9700
Zala Megyei Szent Rafael Kórház
Zalaegerszeg, 8900
Israel9 sites
Linn clinic - Clalit Health Services
Haifa, 35152
Linn clinic - Diabetes Unit
Haifa, 35152
Clalit sick fund Herzeliya
Herzeliya, Israel, 4630945
Clalit sick fund Herzlia
Herzliya, 4630945
Wolfson MC - Diabetes Clinic
Holon, 58100
Hadassah Ein Karam MC - Diabetes Unit
Jerusalem, 91120
Kaplan MC - Metabolic Unit
Rehovot, 76100
Kaplan MC
Rehovot, 76100
Sheba MC - Endocrinology Clinic
Tel HaShomer, 52621
Australia8 sites
Charles Perkins Centre
Camperdown, New South Wales, 2050
Momentum Clinical Research Darlinghurst
Darlinghurst, New South Wales, 2010
St Vincent's Hospital Melbourne - Endocrinology & Diabetes Department
Fitzroy, Victoria, 3065
Macquarie University - Clinical Trials Unit
Macquarie Park, New South Wales, 2109
Logan Hospital
Meadowbrook, Queensland, 4131
Baker Heart and Diabetes Institute
Melbourne, Victoria, 3004
Hunter Diabetes Centre
Merewether, New South Wales, 2291
Southern Adelaide Diabetes & Endocrine Services
Oaklands Park, South Australia, 5046
Slovenia8 sites
Healthcare centre Kocevje
Kočevje, 1330
Healthcare Centre Koper
Koper, 6000
Dermatologija Bartenjev
Ljubljana, 1000
UKC Ljubljana, Endocrinology and Diabetes
Ljubljana, 1000
UKC Maribor - diabetes
Maribor, 2000
Healthcare Centre Nova Gorica
Nova Gorica, 5000
General Hospital Nova Gorica_Diabetes
Sempeter pri Gorici, 5290
Hospital Topolšica
Topolšica, 3326
Spain8 sites
Complejo Hospitalario Universitario A Coruña
A Coruña, 15006
Hospital Vall d'Hebron
Barcelona, 08035
ABS La Roca CAP Vicenç_Endocrino
La Roca Del Vallés, Barcelona, 08430
Hospital Universitario de Móstoles
Móstoles, 28935
Hospital Son Llatzer
Palma de Mallorca, 07198
Hospital General de Segovia
Segovia, 40002
H. Infanta Luisa_Endocrino y Obesidad
Seville, 41010
Hospital La Fe - Endocrinología y Nutrición
Valencia, 46026
Czechia7 sites
Fakultní nemocnice U sv. Anny v Brně
Brno, 602 00
Edumed Broumov
Broumov, 550 01
Diahaza s.r.o.
Holešov, 76901
DIALINE s.r.o.
Plzeň 3, 301 00
IKEM Centrum Diabetologie
Prague, Czech Republic, 140 21
Diabet2 s.r.o.
Prague, 110 00
MUDr. Michala Pelikanova
Prague, 140 00
South Korea7 sites
The Catholic University of Korea, Bucheon ST. Mary's Hospital
Bucheon-si, Gyeonggi-do, 14647
Yeungnam University Medical Center
Daegu, 42415
Chosun University Hospital
Gwangju, 501-717
Kyunghee University Medical Center
Seoul, 02447
Korea University Anam Hospital
Seoul, 02841
Seoul National University Hospital
Seoul, 03080
Kangbuk Samsung Hospital
Seoul, 03181
Sweden7 sites
CTC EbbePark Linköping
Linköping, 582 13
Clemenstorgets Hjärtmottagning
Lund, 222 21
Skåne US - Endokrinologkliniken Lund
Lund, 222 42
Skåne US - Forskningsmottagning Internmedicin (tidigare KFE)
Malmö, 205 02
CTC GoCo Mölndal
Mölndal, 431 53
Örebro US - Överviktsenheten
Örebro, 701 85
KS Solna - FOU hjärta- kärl Mottagningen
Stockholm, 171 64
Argentina6 sites
STAT Research
Buenos Aires, C1023AAB
Centro Medico Dra. Laura Maffei e Investigacion Clínica Apli
Buenos Aires, C1425AGC
Mautalen Salud e investigación
CABA, Buenos Aires, C1128 AAF
Sanatorio Güemes
CABA, City of Buenos Aires, C1180AAX
CIPREC Arenales
CABA, C1061AAS.
Instituto de Investigaciones Clínicas Rosario
Rosario, Santa Fe Province, S2000CUD
Croatia6 sites
Specijalna bolnica Thalassotherapia
Opatija, 51 410
Poliklinika SLAVONIJA OSIJEK
Osijek, County of Osijek-Baranja, 31000
Clinical Hospital Centre Rijeka_Endocrinology
Rijeka, Primorje-Gorski Kotar County, 51 000
General Hospital Dr. Josip Bencevic_Diabetic department
Slavonski Brod, 35 000
Opca bolnica Varazdin_Endocrinology
Varaždin, 42 000
Poliklinika Solmed
Zagreb, City of Zagreb, 10000
Denmark6 sites
Aarhus Universitetshospital, Steno Diabetes Center Aarhus
Aarhus N, 8200
Bispebjerg Hospital, IC-Forskning
Copenhagen, 2400
Steno Diabetes Center Copenhagen
Herlev, 2730
Hillerød Endokrinologisk amb. H0652
Hillerød, 3400
Hvidovre Hospital Endokrinologisk forsk. afs. 159
Hvidovre, 2650
Steno Diabetes Center Odense
Odense C, 5000
Serbia6 sites
CHC Zvezdara, Clinical department for endocrinology
Belgrade, 11000
Endocrinology, Diabetes and Metabolism Diseases Clinic
Belgrade, 11000
Clinical Hospital Center Bezanijska Kosa
Belgrade, 11080
Clinical Centre Kragujevac, Internal Diseases Clinic, Endocrinology department
Kragujevac, 34000
Clinical Centre Kragujevac, Internal Diseases Clinic, Endocr
Kragujevac, 34000
Clin. Centre Vojvodina, Clin. endocr., diab. and met. dis.
Novi Sad, Vojvodina, 21000
South Africa6 sites
Newtown Clinical Research
Johannesburg, Gauteng, 2001
Sandton Medical Research
Johannesburg, Gauteng, 2196
Clinresco Centres (Pty) Ltd
Kempton Park, Gauteng, 1619
Paarl Research Centre
Paarl, Cape Town, Western Cape, 7646
Phoenix Pharma
Port Elizabeth, Eastern Cape, 6001
Clinical Trial Systems (CTC)
Pretoria, Gauteng, 0186
Finland5 sites
Terveystalo Jyväskylä
Jyväskylä, 40100
Seinäjoen keskussairaala
Seinäjoki, 60220
Pihlajalinna Koskiklinikka
Tampere, 33100
Terveystalo Tampere Rautatienkatu
Tampere, 33100
Turku University Hospital
Turku, 20520
Colombia4 sites
Cimedical
Barranquilla, 80001
Clinica Imbanco SAS
Cali, 760042
FOSCAL
Floridablanca, Santander Department, 681004
IMAT - Oncomedica
Montería, 230001
Mexico4 sites
Centro de Estudios de Investigación Metabólicos y Cardio
Ciudad Madero, Tamaulipas, 89440
Instituto Jalisciense de Investigación en Diabetes y Obesidad
Guadalajara, Jalisco, 44600
Centro de Investigacion Clinica Endocrinologica de Jalisco
Guadalajara, Jalisco, 44670
Centro de investigación en Artritis y Osteoporosis S.C.
Mexicali, Estado de Baja California, 21200
Brazil3 sites
Cline Research Center
Curitiba, Paraná, 80030-480
CPQuali Pesquisa Clínica Ltda
São Paulo, São Paulo, 01228-000
CPCLIN - Centro de Pesquisas Clínicas
São Paulo, São Paulo, 01228-200
Taiwan2 sites
Changhua Christian Hospital_Metabolic Dept.
Changhua, 500
Taipei Medical University Hospital
Taipei, 110
About this study
Official title: Efficacy and Safety of Co-administered Cagrilintide and Semaglutide (CagriSema) s.c. in Doses 2.4/2.4 mg and 1.0/1.0 mg Once Weekly Versus Semaglutide 2.4 mg and 1.0 mg, Cagrilintide 2.4 mg and Placebo in Participants With Type 2 Diabetes Inadequately Controlled on Metformin With or Without an SGLT2 Inhibitor
The study will look at how well CagriSema helps people lower their blood sugar and body weight. CagriSema is a new weekly medicine that combines two medicines called semaglutide and cagrilintide. CagriSema will be compared to the two medicines semaglutide and cagrilintide, when they are taken alone. CagriSema will also be compared to a "dummy" medicine without any active ingredient. The study will be done in participants who have type 2 diabetes. Participants will take the study medicine together with the current diabetes medicine (metformin with or without an SGLT2 inhibitor).
- Conditions
- Type 2 Diabetes Mellitus
- Being tested
- Cagrilintide, Semaglutide, Placebo cagrilintide, Placebo semaglutide
- Medical subject headings
- Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CagrilintideDrug
Participants will receive once-weekly s.c injection of cagrilintide at escalating doses every week until maintenance dose 1 and dose 2 of cagrilintide is reached.
SemaglutideDrug
Participants will receive once-weekly s.c injection of semaglutide at escalating doses every week until maintenance dose 1 and dose 2 of semaglutide is reached.
Placebo cagrilintideDrug
Participants will receive placebo matched to cagrilintide subcutaneously.
Placebo semaglutideDrug
Participants will receive placebo matched to semaglutide subcutaneously.
| Study group | Role | What they receive |
|---|---|---|
| CagriSema Dose 1 | Experimental | Participants will receive once-weekly subcutaneous (s.c) injections of cagrilintide dose 1 and semaglutide dose 1 for 68 weeks. Receives: Drug: Cagrilintide; Drug: Semaglutide |
| CagriSema Dose 2 | Experimental | Participants will receive once-weekly s.c injections of cagrilintide dose 2 and semaglutide dose 2 for 68 weeks. Receives: Drug: Cagrilintide; Drug: Semaglutide |
| Semaglutide Dose 1 | Active comparator | Participants will receive once-weekly s.c injection of semaglutide dose 1 for 68 weeks. Receives: Drug: Semaglutide |
| Semaglutide Dose 2 | Active comparator | Participants will receive once-weekly s.c injection of semaglutide dose 2 for 68 weeks. Receives: Drug: Semaglutide |
| Cagrilintide Dose 1 | Active comparator | Participants will receive once-weekly s.c injection of cagrilintide dose 1 for 68 weeks. Receives: Drug: Cagrilintide |
| Placebo Dose 1 | Placebo comparator | Participants will receive once-weekly s.c injection of placebo matched to cagrilintide dose 1 and semaglutide dose 1 for 68 weeks. Receives: Drug: Placebo cagrilintide; Drug: Placebo semaglutide |
| Placebo Dose 2 | Placebo comparator | Participants will receive once-weekly s.c injection of placebo matched to cagrilintide dose 2 and semaglutide dose 2 for 68 weeks. Receives: Drug: Placebo cagrilintide; Drug: Placebo semaglutide |
What is being measured
The primary outcome is the main question the study is designed to answer.
CagriSema (dose 1) versus semaglutide (dose 1): Change in glycated haemoglobin (HbA1c)
Measured in percentage-points.
Measured: From baseline (week 0) to end of treatment (week 68)
Secondary outcomes (37)
CagriSema versus cagrilintide: Change in HbA1c
Measured in percentage-points.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus cagrilintide: Relative change in body weight
Measured in percentage.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema (dose 1) versus semaglutide (dose 2): Change in HbA1c
Measured in percentage-points.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Relative change in body weight
Measured in percentage.
Measured: From baseline (week 0) to end of treatment (week 68)
Cagrilintide versus placebo: Change in HbA1c
Measured in percentage-points.
Measured: From baseline (week 0) to end of treatment (week 68)
Cagrilintide versus placebo: Relative change in body weight
Measured in percentage.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Achievement of greater than or equal to (>=) 10 percent (%) weight reduction
Measured as count of participants.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Achievement of >= 15 % weight reduction
Measured as count of participants.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Achievement of >= 20 % weight reduction
Measured as count of participants.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema (pooled doses) versus semaglutide (pooled doses): Continuous Glucose Monitoring (CGM) - Change in Time in Range (TIR) 3.9-10.0 millimoles per litre (mmol/L) (70-180 milligrams per decilitre [mg/dL])
Measured in percentage-points.
Measured: From baseline (week -3) to end of treatment (week 68)
CagriSema versus semaglutide: CGM - Change in time in Tight Target Range (TITR) 3.9-7.8 (mmol/L) (70-140 mg/dL)
Measured in percentage-points.
Measured: From baseline (week -3) to end of treatment (week 68)
CagriSema versus semaglutide: Change in Systolic Blood Pressure (SBP)
Measured in millimeters of mercury (mmHg).
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Ratio to baseline in triglycerides
Measured as ratio of triglycerides.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Ratio to baseline in non-High Density Lipoprotein (HDL) cholesterols
Measured as ratio of non-HDL cholesterol.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: CGM - Change in Time In Range (TIR) 3.9-10.0 mmol/L (70-180 mg/dL)
Measured in percentage-points.
Measured: From baseline (week -3) to end of treatment (week 68)
CagriSema versus semaglutide: Ratio to baseline in high sensitivity C-Reactive Protein (hsCRP)
Measured as ratio of hsCRP.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Change in Fasting Plasma Glucose (FPG)
Measured in mmol/L.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Achievement of HbA1c target values of less than (<) 7.0% (<53 millimoles per mole [mmol/mol])
Measured as count of participants.
Measured: At end of treatment (week 68)
CagriSema versus semaglutide: Achievement of HbA1c target values of less than or equal to (≤)6.5% (≤48 mmol/mol)
Measured as count of participants.
Measured: At end of treatment (week 68)
CagriSema versus semaglutide: CGM - Change in time above range, >10.0 mmol/L (>180 mg/dL)
Measured in percentage-points.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: CGM - Change in time above range, >13.9 mmol/L (>250 mg/dL)
Measured in percentage-points.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: CGM - Within-day glycaemic variability (% coefficient of variation [CV])
Measured in percentage.
Measured: At end of treatment (week 68)
CagriSema versus semaglutide: Achievement of ≥ 5 % weight reduction
Measured as count of participants.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Change in waist circumference
Measured in centimetre.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Change in Diastolic Blood Pressure (DBP)
Measured in mmHg.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Ratio to baseline in total cholesterol
Measured as ratio of total cholesterol.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Ratio to baseline in HDL cholesterol
Measured as ratio of HDL cholesterol.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Ratio to baseline in low-density lipoprotein (LDL) cholesterol
Measured as ratio of LDL cholesterol.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Ratio to baseline in very low-density lipoprotein (VLDL) cholesterol
Measured as ratio of VLDL.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Ratio to baseline in free fatty acids
Measured as ratio of free fatty acids.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Change in Short Form (SF)-36v score- Physical component summary score
SF-36v2 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 US general population has a mean of 50 and an standard deviation of 10. Physical component summary score range from 6.1 to 79.7, with higher scores indicating better functional health and well-being.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Change in SF-36v2 score- Mental component summary score
SF-36v2 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 US general population has a mean of 50 and an standard deviation of 10. Mental component summary score range from -3.8 to 78.7, with higher scores indicating better functional health and well-being.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Change in Diabetes Treatment Satisfaction Questionnaire (DTSQ) score
DTSQc measures treatment satisfaction and diabetes-specific quality of life (QoL). The measure consists of 8 items yielding 1 global score and 2 single item scores. Total treatment satisfaction scores range from 0-36, with higher scores indicating greater satisfaction; the perceived frequency of hyperglycemia/hypoglycemia items are scored separately, with lower scores indicating better perceived blood glucose control.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Change in Treatment Related Impact Measure for Diabetes (TRIM-D) score
TRIM-D measures impact of diabetes treatment. The measure consists of 28 items yielding 5 domain scores and a total score. The scores were transformed to a 0-100 scale with higher scores indicating a better health state.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide, placebo and cagrilintide: Number of treatment emergent adverse events (TEAEs)
Measured as count of events.
Measured: From baseline (week 0) to end of study (week 75)
CagriSema versus semaglutide: Number of clinically significant hypoglycaemic episodes (level 2) (<3.0 mmol/L (54 mg/dL), confirmed by BG meter)
Measured as count of episodes.
Measured: From baseline (week 0) to end of study (week 75)
CagriSema versus semaglutide: Number of severe hypoglycaemic episodes (level 3)
Measured as count of episodes. Hypoglycaemia episodes (level 3) are the episodes associated with severe cognitive impairment requiring external assistance for recovery, with no specific glucose threshold.
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 posted4 Oct 2023
- Study start27 Sep 2023
- Primary completion19 Nov 2025
- Study completion6 Jan 2026
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 Type 2 Diabetes MellitusStudies 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
- 2,734 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
- NCT06065540
- Sponsor's protocol ID
- NN9388-4896
- Other IDs
- U1111-1283-0427, 2022-502678-18
- Acronym
- REIMAGINE 2
- Status last verified
- Jul 2026
- First submitted
- 26 Sep 2023
- Last updated
- 8 Jul 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
Buse JB, Bajaj HS, Dalskov SM, Donaldson L, Hansen Duus HH, Fabricius TW, Haluzik M, Lingvay I, Pedersen SD, Pratley RE, Jain AB; REIMAGINE 2 study group. Cagrilintide-semaglutide (CagriSema) versus semaglutide or cagrilintide in people with type 2 diabetes (REIMAGINE 2): a double-blind, randomised, controlled, phase 3 study. Lancet Diabetes Endocrinol. 2026 Aug;14(8):662-677. doi: 10.1016/S2213-8587(26)00125-7. Epub 2026 Jun 7.
PubMed 42251859
Study at a glance
From the registry record, last updated by the sponsor on 8 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy and Safety of Co-administered Cagrilintide and Semaglutide (CagriSema) s.c. in Doses 2.4/2.4 mg and 1.0/1.0 mg Once Weekly Versus Semaglutide 2.4 mg and 1.0 mg, Cagrilintide 2.4 mg and Placebo in Participants With Type 2 Diabetes Inadequately Controlled on Metformin With or Without an SGLT2 Inhibitor
- ClinicalTrials.gov ID
- NCT06065540
- Acronym / sponsor ID
- REIMAGINE 2 / NN9388-4896
- Conditions
- Type 2 Diabetes Mellitus
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 2,734 participants (actual)
- Lead sponsor
- Novo Nordisk A/SIndustry (pharma, biotech, devices)
- Study start
- 27 Sep 2023 (actual)
- Primary completion
- 19 Nov 2025 (actual)
- Study completion
- 6 Jan 2026 (actual)
- First posted
- 4 Oct 2023 (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.
The study will look at how well CagriSema helps people lower their blood sugar and body weight. CagriSema is a new weekly medicine that combines two medicines called semaglutide and cagrilintide. CagriSema will be compared to the two medicines semaglutide and cagrilintide, when they are taken alone. CagriSema will also be compared to a "dummy" medicine without any active ingredient. The study will be done in participants who have type 2 diabetes. Participants will take the study medicine together with the current diabetes medicine (metformin with or without an SGLT2 inhibitor).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 7
| Arm | Type | Receives |
|---|---|---|
| CagriSema Dose 1 | Experimental | Drug: Cagrilintide, Drug: SemaglutideParticipants will receive once-weekly subcutaneous (s.c) injections of cagrilintide dose 1 and semaglutide dose 1 for 68 weeks. |
| CagriSema Dose 2 | Experimental | Drug: Cagrilintide, Drug: SemaglutideParticipants will receive once-weekly s.c injections of cagrilintide dose 2 and semaglutide dose 2 for 68 weeks. |
| Semaglutide Dose 1 | Active comparator | Drug: SemaglutideParticipants will receive once-weekly s.c injection of semaglutide dose 1 for 68 weeks. |
| Semaglutide Dose 2 | Active comparator | Drug: SemaglutideParticipants will receive once-weekly s.c injection of semaglutide dose 2 for 68 weeks. |
| Cagrilintide Dose 1 | Active comparator | Drug: CagrilintideParticipants will receive once-weekly s.c injection of cagrilintide dose 1 for 68 weeks. |
| Placebo Dose 1 | Placebo comparator | Drug: Placebo cagrilintide, Drug: Placebo semaglutideParticipants will receive once-weekly s.c injection of placebo matched to cagrilintide dose 1 and semaglutide dose 1 for 68 weeks. |
| Placebo Dose 2 | Placebo comparator | Drug: Placebo cagrilintide, Drug: Placebo semaglutideParticipants will receive once-weekly s.c injection of placebo matched to cagrilintide dose 2 and semaglutide dose 2 for 68 weeks. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Male or female (sex at birth).
- Age 18 years or above at the time of signing the informed consent.
- Diagnosed with type 2 diabetes mellitus greater than or equal to 180 days before screening.
- Stable daily dose(s) greater than or equal to 90 days before screening of any of the following antidiabetic drug(s) or combination regimen(s) at effective or maximum tolerated dose as judged by the investigator: metformin with or without Sodium-Glucose Cotransporter-2 (SGLT2) inhibitors.
- Glycated haemoglobin (HbA1c) 7.0-10.5 percent (53-91 millimoles per mole [mmol/mol]) (both inclusive) as determined by central laboratory at screening.
Key exclusion criteria (3 listed)
- Renal impairment with estimated Glomerular Filtration Rate (eGFR) less than 30 milliliters per minute per 1.73 square metre (mL/min/1.73 m^2) as determined by central laboratory at screening.
- Treatment with any medication for the indication of diabetes or obesity other than stated in the inclusion criteria within 90 days before screening. However, short term insulin treatment for a maximum of 14 consecutive days and prior insulin treatment for gestational diabetes are allowed.
- Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by an eye examination performed within 90 days before screening or in the period between screening and randomisation.
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 |
|---|---|---|
| CagrilintideParticipants will receive once-weekly s.c injection of cagrilintide at escalating doses every week until maintenance dose 1 and dose 2 of cagrilintide is reached. | Drug | CagriSema Dose 1, CagriSema Dose 2, Cagrilintide Dose 1 |
| SemaglutideParticipants will receive once-weekly s.c injection of semaglutide at escalating doses every week until maintenance dose 1 and dose 2 of semaglutide is reached. | Drug | CagriSema Dose 1, CagriSema Dose 2, Semaglutide Dose 1, Semaglutide Dose 2 |
| Placebo cagrilintideParticipants will receive placebo matched to cagrilintide subcutaneously. | Drug | Placebo Dose 1, Placebo Dose 2 |
| Placebo semaglutideParticipants will receive placebo matched to semaglutide subcutaneously. | Drug | Placebo Dose 1, Placebo Dose 2 |
Primary outcome
CagriSema (dose 1) versus semaglutide (dose 1): Change in glycated haemoglobin (HbA1c)
Time frame: From baseline (week 0) to end of treatment (week 68)
Measured in percentage-points.
37 secondary outcomes
CagriSema versus cagrilintide: Change in HbA1c
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus cagrilintide: Relative change in body weight
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema (dose 1) versus semaglutide (dose 2): Change in HbA1c
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Relative change in body weight
Time frame: From baseline (week 0) to end of treatment (week 68)
Cagrilintide versus placebo: Change in HbA1c
Time frame: From baseline (week 0) to end of treatment (week 68)
Cagrilintide versus placebo: Relative change in body weight
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Achievement of greater than or equal to (>=) 10 percent (%) weight reduction
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Achievement of >= 15 % weight reduction
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Achievement of >= 20 % weight reduction
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema (pooled doses) versus semaglutide (pooled doses): Continuous Glucose Monitoring (CGM) - Change in Time in Range (TIR) 3.9-10.0 millimoles per litre (mmol/L) (70-180 milligrams per decilitre [mg/dL])
Time frame: From baseline (week -3) to end of treatment (week 68)
CagriSema versus semaglutide: CGM - Change in time in Tight Target Range (TITR) 3.9-7.8 (mmol/L) (70-140 mg/dL)
Time frame: From baseline (week -3) to end of treatment (week 68)
CagriSema versus semaglutide: Change in Systolic Blood Pressure (SBP)
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Ratio to baseline in triglycerides
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Ratio to baseline in non-High Density Lipoprotein (HDL) cholesterols
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: CGM - Change in Time In Range (TIR) 3.9-10.0 mmol/L (70-180 mg/dL)
Time frame: From baseline (week -3) to end of treatment (week 68)
CagriSema versus semaglutide: Ratio to baseline in high sensitivity C-Reactive Protein (hsCRP)
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Change in Fasting Plasma Glucose (FPG)
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Achievement of HbA1c target values of less than (<) 7.0% (<53 millimoles per mole [mmol/mol])
Time frame: At end of treatment (week 68)
CagriSema versus semaglutide: Achievement of HbA1c target values of less than or equal to (≤)6.5% (≤48 mmol/mol)
Time frame: At end of treatment (week 68)
CagriSema versus semaglutide: CGM - Change in time above range, >10.0 mmol/L (>180 mg/dL)
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: CGM - Change in time above range, >13.9 mmol/L (>250 mg/dL)
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: CGM - Within-day glycaemic variability (% coefficient of variation [CV])
Time frame: At end of treatment (week 68)
CagriSema versus semaglutide: Achievement of ≥ 5 % weight reduction
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Change in waist circumference
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Change in Diastolic Blood Pressure (DBP)
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Ratio to baseline in total cholesterol
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Ratio to baseline in HDL cholesterol
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Ratio to baseline in low-density lipoprotein (LDL) cholesterol
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Ratio to baseline in very low-density lipoprotein (VLDL) cholesterol
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Ratio to baseline in free fatty acids
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Change in Short Form (SF)-36v score- Physical component summary score
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Change in SF-36v2 score- Mental component summary score
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Change in Diabetes Treatment Satisfaction Questionnaire (DTSQ) score
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide: Change in Treatment Related Impact Measure for Diabetes (TRIM-D) score
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide, placebo and cagrilintide: Number of treatment emergent adverse events (TEAEs)
Time frame: From baseline (week 0) to end of study (week 75)
CagriSema versus semaglutide: 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)
CagriSema versus semaglutide: Number of severe hypoglycaemic episodes (level 3)
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 8 Jul 2026.
- Derived from this study: PubMed 42251859Buse JB, Bajaj HS, Dalskov SM, Donaldson L, Hansen Duus HH, Fabricius TW, Haluzik M, Lingvay I, Pedersen SD, Pratley RE, Jain AB; REIMAGINE 2 study group. Cagrilintide-semaglutide (CagriSema) versus semaglutide or cagrilintide in people with type 2 diabetes (REIMAGINE 2): a double-blind, randomised, controlled, phase 3 study. Lancet Diabetes Endocrinol. 2026 Aug;14(8):662-677. doi: 10.1016/S2213-8587(26)00125-7. Epub 2026 Jun 7.
- 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
405 sites in 32 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 Type 2 Diabetes Mellitus, run by Novo Nordisk A/S at 405 sites in 32 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 6 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 8 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 405 sites in United States, Canada, Poland, Turkey (Türkiye), Germany and 27 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?
CagriSema (dose 1) versus semaglutide (dose 1): Change in glycated haemoglobin (HbA1c) (time frame: From baseline (week 0) to end of treatment (week 68)). 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 NCT06065540, 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 8 Jul 2026.