Diabetes Mellitus, Type 2Phase 3REIMAGINE 5NCT06534411
A Research Study to See How Much CagriSema Lowers Blood Sugar and Body Weight Compared to Tirzepatide in People With Type 2 Diabetes Treated With Metformin, SGLT2 Inhibitor or Both
A Phase 3 study testing Cagrilintide, Semaglutide and Tirzepatide in people with Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 163 sites in 14 countries.
Trial summary
This study will look at how much CagriSema lowers blood sugar and body weight in people with type 2 diabetes. CagriSema is a new investigational medicine. Doctors cannot yet prescribe CagriSema. CagriSema will be compared to a medicine called tirzepatide. Doctors can prescribe tirzepatide in some countries. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Diabetes Mellitus, Type 2
- What is being tested?
- Cagrilintide, Semaglutide and Tirzepatide
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,023 participants
- Where
- 163 sitesin 14 countries
- Study dates
- 5 Nov 2024to 9 Jul 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) >= 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
- sodium-glucose co-transporter 2 inhibitor (SGLT2i)
- Glycated haemoglobin (HbA1c) 7.0-10.5 percent (53-91 millimoles per mol [mmol/mol]) (both inclusive) as determined by central laboratory at screening.
- Body mass index (BMI) >= 30 kilogram per square meter (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
- Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using a highly effective contraceptive method.
- Renal impairment with estimated Glomerular Filtration Rate less than < 30 milliliter per minute per 1.73 square meter (mL/min/1.73 m^2) as determined by central laboratory at screening.
- Treatment with any anti-diabetic or anti-obesity medication (irrespective of indication) other than stated in the inclusion criteria within 90 days before screening. However, short term insulin treatment for a maximum of 14 consecutive days is 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. Pharmacological pupil-dilation is a requirement unless using a digital fundus photography camera specified for non-dilated examination.
Trial locations and contacts
163 sites in 14 countries.
163 sites in 14 countries
United States54 sites
Albany Medical College
Albany, New York, 12203
Velocity Clin Res Albuquerque
Albuquerque, New Mexico, 87107
Velocity Clin Res Austin
Austin, Texas, 78759
Velocity Clin Res-Chula Vista
Chula Vista, California, 91911
Tampa Bay Medical Research
Clearwater, Florida, 33761
Optumcare Clinical Trials,LLC-Golden
Colorado Springs, Colorado, 80906
John Muir Physicians Network
Concord, California, 94520
Clinical Res Collaborative
Cumberland, Rhode Island, 02864
Synexus Clin Res Dallas
Dallas, Texas, 75234
UT Southwestern Med Center
Dallas, Texas, 75390
Velocity Clin Res Providence
East Greenwich, Rhode Island, 02818
Lillestol Research LLC
Fargo, North Dakota, 58104
Javara Inc. / Privia Medical Group Georgia LLC
Fayetteville, Georgia, 30214
Velocity Clin Res Gaffney
Gaffney, South Carolina, 29340
Velocity Clin Res Gulfport
Gulfport, Mississippi, 39503
Clinical Invest Special_Gurnee
Gurnee, Illinois, 60031
AGA Clinical Trial
Hialeah, Florida, 33012
JCCT- Juno NW Houston
Houston, Texas, 77040
Synergy Groups Medical
Houston, Texas, 77061
PlanIt Research, PLLC
Houston, Texas, 77079
Sante Clinical Research
Kerrville, Texas, 78028
Holston Medical Group
Kingsport, Tennessee, 37660
Diabetes & Endocrine Specialists - La Mesa
La Mesa, California, 91942
Aeres Clinical Research
Laredo, Texas, 78041
Woodland Int. Research Group
Little Rock, Arkansas, 72211
Velocity Clin Research LA
Los Angeles, California, 90017
Biopharma Informatic, LLC
McAllen, Texas, 78503
Bioclinical Research Alliance
Miami, Florida, 33155
New Horizon Research Center
Miami, Florida, 33165
South Broward Research LLC
Miramar, Florida, 33027
Carteret Medical Group
Morehead City, North Carolina, 28557
Clinical Research Associates
Nashville, Tennessee, 37203
TPMG Clinical Research
Newport News, Virginia, 23606
Triad Research Institute
Norman, Oklahoma, 73072
West Orange Endocrinology
Ocoee, Florida, 34761
Univ of Nebraska Medical CTR
Omaha, Nebraska, 68198-3020
Optimal Research Sites
Orange City, Florida, 32763
Desert Oasis Healthcare
Palm Springs, California, 92262
Cahaba Research
Pelham, Alabama, 35124
Center for Diab,Obes & Metab
Pembroke Pines, Florida, 33024
Velocity Clinical Research-Phoenix
Phoenix, Arizona, 85006
Circuit Clinical - PMSI
Pottstown, Pennsylvania, 19464
AES Minneapolis DRS
Richfield, Minnesota, 55423
J.Lewis Research Inc
Salt Lake City, Utah, 84109
Velocity Clin Res Santa Ana
Santa Ana, California, 92704
AES St. Louis DRS
St Louis, Missouri, 63141
Chrysalis Clinical Research
St. George, Utah, 84790
Piedmont Healthcare/Research
Statesville, North Carolina, 28625
Privia Health Javara Clin Res.
Stephenville, Texas, 76401
Cotton-Oneill Diabetes and End
Topeka, Kansas, 66606-2806
AES Tucson DRS
Tucson, Arizona, 85712
Velocity Clin Res - Panorama
Van Nuys, California, 91405
FEME Medical LLC
Washington D.C., District of Columbia, 20010
Iowa Diabetes & Endo Res Ctr
West Des Moines, Iowa, 50266
Canada13 sites
Centricity Research Brampton Endocrinology
Brampton, Ontario, L6S 0C6
Centricity Research Etobicoke Endocrinology
Etobicoke, Ontario, M9R 4E1
Wharton Medical Clinic Clinical Trials (Hamilton)
Hamilton, Ontario, L8L 5G8
Ctr de recherche Clinique de Laval
Laval, Quebec, H7T 2P5
Alpha Recherche Clinique - Clinique de Levis
Lévis, Quebec, G6V 0C9
G.A. Research Associates Ltd.
Moncton, New Brunswick, E1G 1A7
Centre Medical Acadie
Montreal, Quebec, H4N 2W2
Centre de Recherche Saint-Louis
Québec, G1W 4R4
London Road Diagnostic Clinic and Medical Centre
Sarnia, Ontario, N7T 4X3
Hilltop Medical Clinic
Surrey, British Columbia, V4A 0C1
Ctr de Med Metab de Lanaudiere
Terrebonne, Quebec, J6X 4P7
Diabetes Heart Research Centre
Toronto, Ontario, M6G 1M2
Diex Recherche Victoriaville
Victoriaville, Quebec, G6P 3Z8
India13 sites
Jawahar Lal Nehru Govt. Medical College
Ajmer, Rajasthan, 305001
Ramaiah Memorial Hospital
Bengaluru, Karnataka, 560054
Endolife Specialty Hospitals
Guntur, Andhra Pradesh, 522001
AIG Hospitals,Hyderabad
Hyderabad, Telangana, 500032
SMS Hospital
Jaipur, Rajasthan, 302004
Diabetes, Thyroid and Endocrine Centre
Jaipur, Rajasthan, 302006
Excel Endocrine Centre
Kolhāpur, Maharashtra, 416008
IPGME&R and SSKM Hospital
Kolkata, West Bengal, 700020
Udyaan Health Care
Lucknow, Uttar Pradesh, 226002
Arthur Asirvatham hospital,
Madurai, Tamil Nadu, 625 020
All India Institute of Medical Sciences (AIIMS)
New Delhi, National Capital Territory of Delhi, 110029
Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)
Puducherry, Tamil Nadu, 605006
Acharya Vinoba Bhave Rural Hospital, Sawangi Meghe, Wardha
Wardha, Maharashtra, 442001
Hungary10 sites
Óbudai Egészségügyi Centrum
Budapest, Pest County, 1036
QUALICLINIC Egészségügyi Szolgáltató és Kutatásszervező Kft
Budapest, Pest County, 1134
Szőcs Depot Egészségügyi Szolgáltató Kft.
Budapest, 1042
Semmelweis Egyetem
Budapest, 1083
ClinDiab Egészségügyi Szolgáltató és Kereskedelmi Kft.
Budapest, 1089
PVN Kutató Kft.
Budapest, 1102
MED-TIMA Kft.
Budapest, 1132
Észak-Pesti Centrumkórház Honvédkórház - Diabetológia Szakrendelés
Budapest, 1134
Komáromi Selye János Kórház
Komárom, Komárom-Esztergom, 2900
Szegedi Tudomanyegyetem St Györgyi Albert Klinikai Központ
Szeged, Csongrád-Csanád, 6725
Taiwan10 sites
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 807
Chang Gung Memorial Hospital - Kaohsiung Branch
Kaohsiung City, 833
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaoshiung, 807
China Medical University Hospital
Taichung, 404328
China Medical University Hospital
Taichung, 404
Taichung Veterans General Hospital
Taichung, 407
National Cheng Kung University Hospital
Tainan, 704
Taipei Veterans General Hospital
Taipei, 112
Chang Gung Memorial Hospital, Linkou
Taoyuan, 333
Chang Gung Memorial Hospital Linkou
Taoyuan City, 333
Poland9 sites
Uniwersytecki Szpital Kliniczny w Bialymstoku
Bialystok, Podlaskie Voivodeship, 15-276
Uniwersytecki Szpital Kliniczny w Bialymstoku
Bialystok, 15-269
Diab Serwis Popenda Spółka Jawna
Chorzów, 41-516
Specjalistyczny Gabinet Diabetologiczny Rumianowski Radosław
Gorzów Wielkopolski, 66-400
Centrum Terapii Wspolczesnej - J.M. Jasnorzewska S.K.A.
Lodz, Łódź Voivodeship, 90-338
Etyka Osrodek Badan Klinicznych Tomasz Pesta S.K.A.
Olsztyn, 10-117
Kiepury Clinic MALGORZATA JARNOT SPECJALISTYCZNA PRAKTYKA GINEKOLOGICZNO-POLOZNICZA
Sosnowiec, 41-209
Centrum Medyczne Oporow
Wroclaw, 52-416
Samodzielny Publiczny Szpital Kliniczny Nr 1 im. Prof. Szyszko
Zabrze, 41-800
Germany8 sites
Herz- und Diabeteszentrum NRW - Bad Oeynhausen
Bad Oeynhausen, 32545
Universitätsklinikum Essen - Klinik für Endokrinologie, Diabetologie und Stoffwechsel
Essen, 45147
Praxis am Markt Dr. Becker
Essen, 45355
Universitätsklinikum Freiburg - Innere Medizin II
Freiburg im Breisgau, 79106
Wendisch - Dahl Hamburg - DZHW
Hamburg, 22607
Medicover Neuroendokrinologie MVZ München
München, 81667
MedicalCenter am Clemenshospital - Schwerpunktpraxis für Diabetologie und Ernährungsmedizin
Münster, 48153
Zentrum für klinische Studien Allgäu Oberschwaben
Wangen, 88239
Greece8 sites
Alexandra General Hospital, Therapeutic Clinic
Athens, Attica, 11528
Evangelismos Hospital
Athens, 10676
Iatriko Athinon 'Palaiou Falirou'
Athens, 17562
"Laiko" General Hospital of Athens
Goudi/Athens, 11527
General Hospital Venizeleio-Pananeio - Diabetic Clinic
Heraklion, Crete, 71409
University General Hospital of Ioannina,Internal Medicine
Ioannina, 45500
General Hospital of Thessaloniki 'G. Gennimatas
Thessaloniki, 54635
'Ippokrateio' General Hospital of Thessaloniki
Thessaloniki, 54642
Romania8 sites
CMI Dr Pop Lavinia
Baia Mare, Maramureş, 430222
Institutul National De Diabet Nutritie Si Boli Metabolice Prof.Dr.N.Paulescu Bucuresti- Ion Movila
Bucharest, Bucharest, 020475
SC Nutrilife SRL
Bucharest, 013764
Diabet Med SRL
Bucharest, 050913
Sanamed Hospital SRL
Bucharest, 060013
Diabdana S.R.L.
Oradea, Bihor County, 410147
Clinica Korall S.R.L. Satu Mare
Satu Mare, 440055
Sc Mediab Srl
Târgu Mureş, Mureș County, 540142
Argentina7 sites
IMOBA
City of Buenos Aires, C1056ABH
Centro de Investigaciones Metabólicas
City of Buenos Aires, C1056ABI
Centro Médico CIMEL
Lanús Este, Buenos Aires, B1824KAJ
Centro de Investigaciones Médicas Mar del Plata
Mar del Plata, Buenos Aires, B7600GNY
Centro de Investigaciones Médicas Tucumán
San Miguel de Tucuimán, Tucumán Province, 4000
Instituto de Investigaciones Clinicas San Nicolás
San Nicolás, B2900
Fundación CESIM
Santa Rosa, La Pampa Province, 6300
Australia7 sites
Paratus Clinical
Bruce, Australian Capital Territory, 2617
Townsville University Hospital
Douglas, Queensland, 4814
Paratus Clinical
Herston, Queensland, 4006
Hunter Diabetes Centre
Merewether, New South Wales, 2291
Austrials
St Leonards, New South Wales, 2065
Momentum Clinical Research St Leonards
St Leonards, New South Wales, 2065
Roger Chih Yu Chen
Sydney, New South Wales, 2148
Israel7 sites
Rambam MC - Diabetes and obesity center of excellence
Haifa, 31096
Clalit sick fund Herzeliya
Herzeliya, Israel, 4630945
Wolfson MC - Diabetes Clinic
Holon, 58100
Hadassah Ein Karam MC - Diabetes Unit
Jerusalem, 91120
Rabin MC Beilinson - Endo unit
Petah Tikva, 49100
Sourasky MC - Institute of Endocrinology, metabolism and hypertension
Tel Aviv, 6423906
Sheba MC - Endocrinology Clinic
Tel HaShomer, 52621
Spain6 sites
Centro Periferico De Especialidades Bola Azul
Almería, 04009
Hospital Vall d'Hebron
Barcelona, 08035
Hospital Universitario San Cecilio
Granada, 18016
Clinica Universitaria de Navarra
Pamplona, Navarre, 31008
Clínica Nuevas Tecnologías en Diabetes y Endocrinología
Seville, 41003
Hospital Clínico de Valladolid
Valladolid, 47003
Brazil3 sites
Centro de Diabetes Curitiba
Curitiba, Paraná, 80810-040
Núcleo de Pesquisa Clínica do Rio Grande do Sul Ltda.
Porto Alegre, Rio Grande do Sul, 90430-001
CPQuali Pesquisa Clínica Ltda
São Paulo, São Paulo, 01228-000
About this study
Official title: Efficacy and Safety of Co-administered Cagrilintide and Semaglutide (CagriSema) 1.0 mg/1.0 mg s.c. Once Weekly Versus Tirzepatide 5 mg s.c. Once Weekly in Participants With Type 2 Diabetes Inadequately Controlled on Metformin, SGLT2 Inhibitor or Both
This study will look at how much CagriSema lowers blood sugar and body weight in people with type 2 diabetes. CagriSema is a new investigational medicine. Doctors cannot yet prescribe CagriSema. CagriSema will be compared to a medicine called tirzepatide. Doctors can prescribe tirzepatide in some countries. Participants will either receive CagriSema or tirzepatide. Which treatment the participant will receive is decided by chance. For each participant, the study will last for up to 1 year and 4 months.
- Conditions
- Diabetes Mellitus, Type 2
- Being tested
- Cagrilintide, Semaglutide, Tirzepatide
- 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 cagrilintide subcutaneously.
SemaglutideDrug
Participants will receive once-weekly semaglutide subcutaneously.
TirzepatideDrug
Participants will receive once-weekly tirzepatide subcutaneously.
| Study group | Role | What they receive |
|---|---|---|
| CagriSema | Experimental | Participants will receive once-weekly subcutaneous (s.c) injections of CagriSema (cagrilintide and semaglutide) at escalating doses every 4 weeks in a 8-week dose escalation period until target dose of CagriSema is achieved and maintained for 52 weeks. Receives: Drug: Cagrilintide; Drug: Semaglutide |
| Tirzepatide | Experimental | Participants will receive once-weekly s.c injections of tirzepatide at escalating dose in a 4-week dose escalating period and maintained up to 56 weeks. Receives: Drug: Tirzepatide |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Glycated Haemoglobin (HbA1c)
Measured in percentage points.
Measured: From baseline (week 0) to end of treatment (week 60)
Relative Change in Body Weight
Measured in percentage (%).
Measured: From baseline (week 0) to end of treatment (week 60)
Secondary outcomes (25)
Change in HbA1c
Measured in percentage points.
Measured: From baseline (week 0) to end of treatment (week 60)
Change in Fasting Plasma Glucose (FPG)
Measured as millimole per liter (mmol/L).
Measured: From baseline (week 0) to end of treatment (week 60)
Number of Participants Who Achieve HbA1c Target Values of Less Than (<) 7.0 (Percent [%]) (< 53 millimole per mole [mmol/mol])
Measured as count of participants.
Measured: At end of treatment (week 60)
Number of Participants Who Achieve 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 60)
Number of Participants Who Achieve Greater Than or Equal to (>=) 5% Weight Reduction
Measured as count of participants.
Measured: From baseline (week 0) to end of treatment (week 60)
Number of Participants Who Achieve >= 10% Weight Reduction
Measured as count of participants.
Measured: From baseline (week 0) to end of treatment (week 60)
Number of Participants Who Achieve >= 15% Weight Reduction
Measured as count of participants.
Measured: From baseline (week 0) to end of treatment (week 60)
Number of Participants Who Achieve >= 20% Weight Reduction
Measured as count of participants.
Measured: From baseline (week 0) to end of treatment (week 60)
Change in Systolic Blood Pressure (SBP)
Measured in millimeter of mercury (mmHg).
Measured: From baseline (week 0) to end of treatment (week 60)
Change in Diastolic Blood Pressure (DBP)
Measured in mmHg.
Measured: From baseline (week 0) to end of treatment (week 60)
Change in Waist Circumference
Measured in centimeter (cm).
Measured: From baseline (week 0) to end of treatment (week 60)
Ratio to Baseline in Lipids: Total Cholesterol
Measured as ratio.
Measured: From baseline (week 0) to end of treatment (week 60)
Ratio to Baseline in Lipids: High Density Lipoprotein (HDL) Cholesterol
Measured as ratio.
Measured: From baseline (week 0) to end of treatment (week 60)
Ratio to Baseline in Lipids: Low Density Lipoprotein (LDL) Cholesterol
Measured as ratio.
Measured: From baseline (week 0) to end of treatment (week 60)
Ratio to Baseline in Lipids: Very Low Density Lipoprotein (VLDL) Cholesterol
Measured as ratio.
Measured: From baseline (week 0) to end of treatment (week 60)
Ratio to Baseline in Lipids: Triglycerides
Measured as ratio.
Measured: From baseline (week 0) to end of treatment (week 60)
Ratio to Baseline in Lipids: Non-HDL cholesterol
Measured as ratio.
Measured: From baseline (week 0) to end of treatment (week 60)
Change in Short Form (SF) -36v2 Score: Physical Component Summary Score
Measured as score points. SF-36v2 Acute measures Health-Related Quality of Life (HRQOL). The measure consists of 36 items yielding 8 health domain scores and 2 component summary scores. SF-36v2. Acute scores are norm-based scores, i.e. transformed to a scale where the 2009 US general population has a mean of 50 and a standard deviation of 10. Physical component summary scores ranges 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 60)
Change in SF-36v2 Score: Mental Component Summary Score
Measured as score points. SF-36v2 Acute measures Health-Related Quality of Life (HRQOL). The measure consists of 36 items yielding 8 health domain scores and 2 component summary scores. SF-36v2. Acute scores are norm-based scores, i.e. transformed to a scale where the 2009 US general population has a mean of 50 and a standard deviation of 10. Mental component summary scores ranges 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 60)
Change in SF-36v2 Score: Vitality Subscale
Measured as score points. SF-36v2 Acute measures Health-Related Quality of Life (HRQOL). The measure consists of 36 items yielding 8 health domain scores and 2 component summary scores. SF-36v2. Acute scores are norm-based scores, i.e. transformed to a scale where the 2009 US general population has a mean of 50 and a standard deviation of 10. Vitality score ranges from 25.6 to 69.1 with higher scores indicating better functional health and well-being.
Measured: From baseline (week 0) to end of treatment (week 60)
Change in Impact of Weight on Quality of Life Lite for Clinical Trials Version (IWQOL-Lite-CT) : Physical Function score
Measured as score points. IWQOL-Lite-CT measures weight-related physical and psychosocial functioning. The measure consists of 20 items yielding 3 composite scores, and 1 total score. Higher scores indicate better levels of functioning. Physical functioning score ranges from 0 to 100, with higher scores reflecting better levels of functioning.
Measured: From baseline (week 0) to end of treatment (week 60)
Change in IWQOL-Lite-CT: Total score
Measured as score points. IWQOL-Lite-CT measures weight-related physical and psychosocial functioning. The measure consists of 20 items yielding 3 composite scores, and 1 total score. Higher scores indicate better levels of functioning. Total score ranges from 0 to 100, with higher scores reflecting better levels of functioning.
Measured: From baseline (week 0) to end of treatment (week 60)
Number of Treatment Emergent Adverse Events (TEAEs)
Measured as count of events.
Measured: From baseline (week 0) to end of study (week 66)
Number of Clinically Significant Hypoglycaemic Episodes (Level 2) (<3.0 mmol/L (<54 Milligram per Deciliter [mg/dL]), Confirmed by Blood Glucose (BG) Meter
Measured as count of episodes.
Measured: From baseline (week 0) to end of study (week 66)
Number of Severe Hypoglycaemic Episodes (Level 3): Hypoglycaemia Associated With Severe Cognitive Impairment Requiring External Assistance for Recovery, With no Specific Glucose Threshold
Measured as count of episodes.
Measured: From baseline (week 0) to end of study (week 66)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Aug 2024
- Study start5 Nov 2024
- Primary completion2 Jun 2026
- Study completion9 Jul 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Diabetes Mellitus, Type 2Studies 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
- None (open label)
- Enrolment
- 1,023 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
- NCT06534411
- Sponsor's protocol ID
- NN9388-7741
- Other IDs
- U1111-1300-2590, 2023-509600-15, 2023
- Acronym
- REIMAGINE 5
- Status last verified
- Oct 2026
- First submitted
- 30 Jul 2024
- Last updated
- 19 Oct 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 novonordisktrials.com
Study at a glance
From the registry record, last updated by the sponsor on 19 Oct 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) 1.0 mg/1.0 mg s.c. Once Weekly Versus Tirzepatide 5 mg s.c. Once Weekly in Participants With Type 2 Diabetes Inadequately Controlled on Metformin, SGLT2 Inhibitor or Both
- ClinicalTrials.gov ID
- NCT06534411
- Acronym / sponsor ID
- REIMAGINE 5 / NN9388-7741
- Conditions
- Diabetes Mellitus, Type 2
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,023 participants (actual)
- Lead sponsor
- Novo Nordisk A/SIndustry (pharma, biotech, devices)
- Study start
- 5 Nov 2024 (actual)
- Primary completion
- 2 Jun 2026 (actual)
- Study completion
- 9 Jul 2026 (actual)
- First posted
- 2 Aug 2024 (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 much CagriSema lowers blood sugar and body weight in people with type 2 diabetes. CagriSema is a new investigational medicine. Doctors cannot yet prescribe CagriSema. CagriSema will be compared to a medicine called tirzepatide. Doctors can prescribe tirzepatide in some countries. Participants will either receive CagriSema or tirzepatide. Which treatment the participant will receive is decided by chance. For each participant, the study will last for up to 1 year and 4 months.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| CagriSema | Experimental | Drug: Cagrilintide, Drug: SemaglutideParticipants will receive once-weekly subcutaneous (s.c) injections of CagriSema (cagrilintide and semaglutide) at escalating doses every 4 weeks in a 8-week dose escalation period until target dose of CagriSema is achieved and maintained for 52 weeks. |
| Tirzepatide | Experimental | Drug: TirzepatideParticipants will receive once-weekly s.c injections of tirzepatide at escalating dose in a 4-week dose escalating period and maintained up to 56 weeks. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 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) >= 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
Key exclusion criteria (4 listed)
- Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using a highly effective contraceptive method.
- Renal impairment with estimated Glomerular Filtration Rate less than < 30 milliliter per minute per 1.73 square meter (mL/min/1.73 m^2) as determined by central laboratory at screening.
- Treatment with any anti-diabetic or anti-obesity medication (irrespective of indication) other than stated in the inclusion criteria within 90 days before screening. However, short term insulin treatment for a maximum of 14 consecutive days is 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. 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 |
|---|---|---|
| CagrilintideParticipants will receive once-weekly cagrilintide subcutaneously. | Drug | CagriSema |
| SemaglutideParticipants will receive once-weekly semaglutide subcutaneously. | Drug | CagriSema |
| TirzepatideParticipants will receive once-weekly tirzepatide subcutaneously. | Drug | Tirzepatide |
Primary outcome
Change in Glycated Haemoglobin (HbA1c)
Time frame: From baseline (week 0) to end of treatment (week 60)
Measured in percentage points.
Relative Change in Body Weight
Time frame: From baseline (week 0) to end of treatment (week 60)
Measured in percentage (%).
25 secondary outcomes
Change in HbA1c
Time frame: From baseline (week 0) to end of treatment (week 60)
Change in Fasting Plasma Glucose (FPG)
Time frame: From baseline (week 0) to end of treatment (week 60)
Number of Participants Who Achieve HbA1c Target Values of Less Than (<) 7.0 (Percent [%]) (< 53 millimole per mole [mmol/mol])
Time frame: At end of treatment (week 60)
Number of Participants Who Achieve HbA1c Target Values of Less Than or Equal to (<=) 6.5% (<= 48 mmol/mol)
Time frame: At end of treatment (week 60)
Number of Participants Who Achieve Greater Than or Equal to (>=) 5% Weight Reduction
Time frame: From baseline (week 0) to end of treatment (week 60)
Number of Participants Who Achieve >= 10% Weight Reduction
Time frame: From baseline (week 0) to end of treatment (week 60)
Number of Participants Who Achieve >= 15% Weight Reduction
Time frame: From baseline (week 0) to end of treatment (week 60)
Number of Participants Who Achieve >= 20% Weight Reduction
Time frame: From baseline (week 0) to end of treatment (week 60)
Change in Systolic Blood Pressure (SBP)
Time frame: From baseline (week 0) to end of treatment (week 60)
Change in Diastolic Blood Pressure (DBP)
Time frame: From baseline (week 0) to end of treatment (week 60)
Change in Waist Circumference
Time frame: From baseline (week 0) to end of treatment (week 60)
Ratio to Baseline in Lipids: Total Cholesterol
Time frame: From baseline (week 0) to end of treatment (week 60)
Ratio to Baseline in Lipids: High Density Lipoprotein (HDL) Cholesterol
Time frame: From baseline (week 0) to end of treatment (week 60)
Ratio to Baseline in Lipids: Low Density Lipoprotein (LDL) Cholesterol
Time frame: From baseline (week 0) to end of treatment (week 60)
Ratio to Baseline in Lipids: Very Low Density Lipoprotein (VLDL) Cholesterol
Time frame: From baseline (week 0) to end of treatment (week 60)
Ratio to Baseline in Lipids: Triglycerides
Time frame: From baseline (week 0) to end of treatment (week 60)
Ratio to Baseline in Lipids: Non-HDL cholesterol
Time frame: From baseline (week 0) to end of treatment (week 60)
Change in Short Form (SF) -36v2 Score: Physical Component Summary Score
Time frame: From baseline (week 0) to end of treatment (week 60)
Change in SF-36v2 Score: Mental Component Summary Score
Time frame: From baseline (week 0) to end of treatment (week 60)
Change in SF-36v2 Score: Vitality Subscale
Time frame: From baseline (week 0) to end of treatment (week 60)
Change in Impact of Weight on Quality of Life Lite for Clinical Trials Version (IWQOL-Lite-CT) : Physical Function score
Time frame: From baseline (week 0) to end of treatment (week 60)
Change in IWQOL-Lite-CT: Total score
Time frame: From baseline (week 0) to end of treatment (week 60)
Number of Treatment Emergent Adverse Events (TEAEs)
Time frame: From baseline (week 0) to end of study (week 66)
Number of Clinically Significant Hypoglycaemic Episodes (Level 2) (<3.0 mmol/L (<54 Milligram per Deciliter [mg/dL]), Confirmed by Blood Glucose (BG) Meter
Time frame: From baseline (week 0) to end of study (week 66)
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 66)
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 19 Oct 2026.
- Individual participant dataSharing planned: Yes. According to the Novo Nordisk disclosure commitment on novonordisktrials.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
163 sites in 14 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Cagrilintide, Semaglutide and Tirzepatide in people with Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 163 sites in 14 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 8 inclusion and 4 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 19 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 163 sites in United States, Canada, India, Hungary, Taiwan and 9 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. 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?
Change in Glycated Haemoglobin (HbA1c) (time frame: From baseline (week 0) to end of treatment (week 60)). 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?
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 19 Oct 2026.