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ObesityPhase 3NCT07011667

A Research Study to Look at How Well CagriSema Helps People Living With Obesity Lose Weight and Maintain Weight Loss in the Long-term

A Phase 3 study testing CagriSema (Cagrilintide B and Semaglutide I) in people with Obesity, run by Novo Nordisk A/S at 47 sites in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This study will look at how well CagriSema helps people living with obesity to lose weight and maintain the weight loss long-term. The study has 2 parts: The first part is called 'the main study' and the second part is called 'the extension study'. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Obesity
What is being tested?
CagriSema (Cagrilintide B and Semaglutide I)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
609 participants
Where
47 sitesUnited States
Study dates
3 Jun 2025to 17 Oct 2028
Phase
Phase 3
Are there results?
Not yet: the study is under way

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.
  • BMI ≥ 30.0 kilogram per square meter (kg/m^2) at screening.
  • Participant has a wish to lose at least 25% of body weight within 80 weeks from randomisation.

Who cannot join

  • Glycated haemoglobin (HbA1c) ≥ 6.5% (48 millimole per mole [mmol/mol]) as measured by the central laboratory at screening.
  • History of type 1 or type 2 diabetes.

Trial locations and contacts

47 sites in 1 country.

47 sites in 1 country

United States47 sites
  • Amarillo Medical Specialists

    Amarillo, Texas, 79124

  • Washington Cntr Weight Mgmt

    Arlington, Virginia, 22206

  • Northern Pines Hlth Ctr, PC

    Buckley, Michigan, 49620

  • Mercury Str Med Grp, PLLC

    Butte, Montana, 59701

  • University of North Carolina

    Chapel Hill, North Carolina, 27514

  • Great Lakes Clinical Trials

    Chicago, Illinois, 60640

  • StudyMetrix Research LLC

    City of Saint Peters, Missouri, 63303

  • Hope Clin Res & Wellness

    Conyers, Georgia, 30094

  • FDRC

    Costa Mesa, California, 92627

  • Clinical Res Collaborative

    Cumberland, Rhode Island, 02864

  • Velocity Clin Res, Dallas

    Dallas, Texas, 75230

  • Northeast Research Institute

    Fleming Island, Florida, 32003

  • Medication Mgmnt, LLC_Grnsboro

    Greensboro, North Carolina, 27405

  • PharmQuest Life Sciences LLC

    Greensboro, North Carolina, 27408

  • PlanIt Research, PLLC

    Houston, Texas, 77079

  • Midwest Inst For Clin Res

    Indianapolis, Indiana, 46260

  • Jacksonville Ctr For Clin Res

    Jacksonville, Florida, 32216

  • Holston Medical Group

    Kingsport, Tennessee, 37660

  • Radiance Clinical Research

    Lampasas, Texas, 76550

  • DCOL Ctr for Clin Res

    Longview, Texas, 75605

  • South Broward Research LLC

    Miramar, Florida, 33027

  • Clinical Research Associates

    Nashville, Tennessee, 37203

  • Health Res of Hampton Roads

    Newport News, Virginia, 23606

  • Lynn Institute of Norman

    Norman, Oklahoma, 73072

  • Coastal Carolina Res Ctr

    North Charleston, South Carolina, 29405

  • Florida Inst For Clin Res LLC

    Orlando, Florida, 32825

  • Oviedo Medical Research, LLC

    Oviedo, Florida, 32765

  • Center for Diab,Obes & Metab

    Pembroke Pines, Florida, 33024

  • Accellacare_NC

    Raleigh, North Carolina, 27609

  • Rainier Clin Res Ctr Inc

    Renton, Washington, 98057

  • Endocrine Research Solutions

    Roswell, Georgia, 30076

  • Linda Vista Health Care Ctr

    San Diego, California, 92111

  • Northeast Clinical Research of San Antonio

    Schertz, Texas, 78154

  • 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

  • Amicis Centers of Clinical Research

    St Louis, Missouri, 63128

  • Piedmont Healthcare/Research

    Statesville, North Carolina, 28625

  • New Venture Medical Research

    Wadsworth, Ohio, 44281-9236

  • 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

  • Accellacare

    Wilmington, North Carolina, 28401

  • Selma Medical Associates

    Winchester, Virginia, 22601-3834

Other trials in United States

About this study

Official title: Efficacy and Safety of Cagrilintide s.c. in Combination With Semaglutide s.c. (CagriSema s.c.) Once Weekly for Weight Management and Long-term Weight Maintenance in Participants With Obesity

This study will look at how well CagriSema helps people living with obesity to lose weight and maintain the weight loss long-term. The study has 2 parts: The first part is called 'the main study' and the second part is called 'the extension study'. In the main study participants will either get CagriSema (a study medicine) or placebo (a dummy medicine that looks like CagriSema but has no active ingredient). Which treatment participants get is decided by chance. Participants are two times more likely to get CagriSema than placebo. If participants get CagriSema in the main study, participants will continue on CagriSema in the extension study. Which dose of CagriSema participants will continue on is decided by chance. If participants get placebo in the main study, participants will get CagriSema in the extension study. Participants will take one injection of study medicine once a week. The study will last for about 3 years and 3 months.

Conditions
Obesity
Being tested
CagriSema (Cagrilintide B and Semaglutide I), Placebo matched to CagriSema (Cagrilintide B and Semaglutide I)
Medical subject headings
Obesity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • CagriSema (Cagrilintide B and Semaglutide I)Drug

    CagriSema (Cagrilintide B and Semaglutide I) will be administered subcutaneously using DV3384 pen-injector.

  • Placebo matched to CagriSema (Cagrilintide B and Semaglutide I)Drug

    Placebo matched to Cagrilintide B and placebo matched to Semaglutide I will be administered subcutaneously using DV3384 pen-injector.

Study groups in NCT07011667
Study groupRoleWhat they receive
CagriSemaExperimentalParticipants will receive CagriSema subcutaneously once weekly in a dose escalation manner (dose increases every 4 weeks) for up to 16 weeks followed by CagriSema maintenance dose subcutaneously once weekly for 64 weeks in the main phase of the study. Participants randomised to this arm will be included in the extension phase to receive 1 of the 3 dose levels of CagriSema for 80 weeks.
Receives: Drug: CagriSema (Cagrilintide B and Semaglutide I)
PlaceboPlacebo comparatorParticipants will receive placebo matched to CagriSema subcutaneously once weekly for 80 weeks in the main phase of the study. Participants randomised to this arm will be included in the extension phase to receive CagriSema with flexible dose escalation for 80 weeks.
Receives: Drug: CagriSema (Cagrilintide B and Semaglutide I); Drug: Placebo matched to CagriSema (Cagrilintide B and Semaglutide I)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Relative change in body weight

    Measured as percentage change.

    Measured: From baseline (week 0) to week 80

Secondary outcomes (40)
  1. Relative change in body weight in women

    Measured as percentage change.

    Measured: From baseline (week 0) to week 80

  2. Number of participants who achieve greater than or equals (≥) 20% weight reduction

    Measured as count of participants.

    Measured: From baseline (week 0) to week 80

  3. Number of participants who achieve ≥ 25% weight reduction

    Measured as count of participants.

    Measured: From baseline (week 0) to week 80

  4. Number of participants who achieve ≥ 30% weight reduction

    Measured as count of participants.

    Measured: From baseline (week 0) to week 80

  5. Number of participants who achieve BMI < 30 kg/m^2

    Measured as count of participants.

    Measured: From baseline (week 0) to week 80

  6. Number of participants who achieve normal body mass index (BMI) (18.5 kilograms per meter square (kg/m^2) less than or equal to (≤ ) BMI < 25 kg/m^2)

    Measured as count of participants.

    Measured: From baseline (week 0) to week 80

  7. Change in waist circumference

    Measured as centimeter (cm).

    Measured: From baseline (week 0) to week 80

  8. Change in systolic blood pressure

    Measured as millimeters of mercury (mmHg).

    Measured: From baseline (week 0) to week 80

  9. Ratio to baseline in C-reactive protein (CRP)

    Measured as ratio.

    Measured: From baseline (week 0) to week 80

  10. Ratio to baseline in lipids: non-high density lipoprotein (HDL) cholesterol

    Measured as ratio.

    Measured: From baseline (week 0) to week 80

  11. Ratio to baseline in lipids: triglycerides

    Measured as ratio.

    Measured: From baseline (week 0) to week 80

  12. Ratio to baseline in lipids: HDL

    Measured as ratio.

    Measured: From baseline (week 0) to week 80

  13. Change in impact of weight on quality of life-lite for clinical trials (IWQOL-Lite-CT) physical function score

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

    Measured: From baseline (week 0) to week 80

  14. Change in short form (SF)-36v2 physical function

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

    Measured: From baseline (week 0) to week 80

  15. Change in IWQOL-Lite-CT physical function for subgroup with poor physical functioning at baseline (according to patient global impression of status [PGI-S])

    Measured as score on a scale. IWQOL-Lite-CT measures weight-related physical and psychosocial functioning. The measure consists of 20 items yielding 3 composite scores, and 1 total score. Physical function score ranges from 0 to 100, with higher scores indicating better levels of functioning. PGI-S at baseline is used to define the subgroup with "poor" physical function in IWQOL-Lite-CT.

    Measured: From baseline (week 0) to week 80

  16. Change in SF-36v2 physical function for subgroup with poor physical functioning at baseline (according to PGI-S)

    Measured as score on a scale. SF-36v2 acute measures HRQOL. The measure consists of 36 items yielding 8 health domain scores and 2 component summary scores. SF-36v2 acute scores are norm-based scores, i.e. transformed to a scale where the 2009 United States general population has a mean of 50 and a standard deviation of 10. Physical functioning score ranges from 19.0-57.6, with higher scores indicating better functional health and well-being. PGI-S at baseline is used to define the subgroup with "poor" physical function in SF-36V2.

    Measured: From baseline (week 0) to week 80

  17. Number of participants who achieve ≥ 5% weight reduction

    Measured as count of participants.

    Measured: From baseline (week 0) to week 80

  18. Number of participants who achieve ≥ 10% weight reduction

    Measured as count of participants.

    Measured: From baseline (week 0) to week 80

  19. Number of participants who achieve ≥ 15% weight reduction

    Measured as count of participants.

    Measured: From baseline (week 0) to week 80

  20. Change in waist to height ratio

    Measured as ratio.

    Measured: From baseline (week 0) to week 80

  21. Change in waist to hip ratio

    Measured as ratio.

    Measured: From baseline (week 0) to week 80

  22. Number of participants with reduction in weight category

    Measured as count of participants. Reduction in weight categories: underweight, BMI < 18.5 kg/m^2; normal weight 18.5 kg/m^2 ≤ BMI < 25 kg/m^2; overweight 25 kg/m^2 ≤ BMI < 30 kg/m^2; obesity class I 30 kg/m^2 ≤ BMI < 35 kg/m^2; obesity class II 35 kg/m^2 ≤ BMI < 40 kg/m^2; obesity class III BMI ≥ 40 kg/m^2.

    Measured: From baseline (week 0) to week 80

  23. Change in diastolic blood pressure

    Measured as mmHg.

    Measured: From baseline (week 0) to week 80

  24. Ratio to baseline in lipids: total cholesterol

    Measured as ratio.

    Measured: From baseline (week 0) to week 80

  25. Ratio to baseline in lipids: low-density lipoprotein (LDL) cholesterol

    Measured as ratio.

    Measured: From baseline (week 0) to week 80

  26. Ratio to baseline in lipids: very low-density lipoprotein (VLDL) cholesterol

    Measured as ratio.

    Measured: From baseline (week 0) to week 80

  27. Ratio to baseline in lipids: free fatty acids

    Measured as ratio.

    Measured: From baseline (week 0) to week 80

  28. Change in control of eating questionnaire (CoEQ): craving control score

    Measured as score on a scale. CoEQ is a 19-item multidimensional 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), 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). For the craving control subscale, the subscale score is reversed so that a higher score represents a greater level of craving control.

    Measured: From baseline (week 0) to week 80

  29. Change in CoEQ: positive mood score

    Measured as score on a scale. CoEQ is a 19-item multidimensional 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). For the Positive Mood subscale, item 6 'How anxious have you felt?' is reversed.

    Measured: From baseline (week 0) to week 80

  30. Change in CoEQ: craving for sweets score

    Measured as score on a scale. CoEQ is a 19-item multidimensional 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), 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). For the craving sweets food subscale, higher score represents a greater level of craving.

    Measured: From baseline (week 0) to week 80

  31. Change in CoEQ: craving for savoury score

    Measured as score on a scale. CoEQ is a 19-item multidimensional 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), 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). For the craving savoury food subscale, higher score represents a greater level of craving.

    Measured: From baseline (week 0) to week 80

  32. Change in CoEQ: hunger score

    Measured as score on a scale. CoEQ is a 19-item multidimensional 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), 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). For the hunger subscale, higher score represents a greater level of craving.

    Measured: From baseline (week 0) to week 80

  33. Change in CoEQ: satiety score

    Measured as score points. CoEQ is a 19-item multidimensional 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), 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). For the satiety subscale, higher score represents a greater level of craving.

    Measured: From baseline (week 0) to week 80

  34. Change in IWQOL-Lite-CT: physical score

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

    Measured: From baseline (week 0) to week 80

  35. Change in IWQOL-Lite-CT: psychosocial score

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

    Measured: From baseline (week 0) to week 80

  36. Change in IWQOL-Lite-CT: total score

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

    Measured: From baseline (week 0) to week 80

  37. Change in SF-36v2 health survey acute: physical component summary score

    Measured as score on a scale. The SF-36v2 acute measures HRQOL. The measure consists of 36 items yielding 8 health domain scores and 2 component summary scores. SF-36v2 acute scores are norm-based scores, i.e. transformed to a scale where the 2009 United States general population has a mean of 50 and a standard deviation of 10. The physical component summary score ranges from 6.1-79.7, with higher scores indicating better functional health and well-being.

    Measured: From baseline (week 0) to week 80

  38. Change in SF-36v2 health survey acute: mental component summary

    Measured as score on a scale. The SF-36v2 acute measures HRQOL. The measure consists of 36 items yielding 8 health domain scores and 2 component summary scores. SF-36v2 acute scores are norm-based scores, i.e. transformed to a scale where the 2009 United States general population has a mean of 50 and a standard deviation of 10. The mental component summary score ranges from -3.8-78.7, with higher scores indicating better functional health and well-being.

    Measured: From baseline (week 0) to week 80

  39. Number of treatment emergent adverse events (TEAEs)

    Measured as count of events.

    Measured: From baseline (week 0) to week 80

  40. Number of treatment emergent serious adverse events (TESAEs)

    Measured as count of events.

    Measured: From baseline (week 0) to week 80

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Jun 2025
  2. Study start3 Jun 2025
  3. Primary completion1 Mar 2027 (estimated)
  4. Study completion17 Oct 2028 (estimated)

Resources

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
609 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07011667
Sponsor's protocol ID
NN9838-8484
Other IDs
U1111-1318-6372
Status last verified
Sep 2026
First submitted
1 Jun 2025
Last updated
30 Sep 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

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing CagriSema (Cagrilintide B and Semaglutide I) in people with Obesity, run by Novo Nordisk A/S at 47 sites in United States.

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 4 inclusion and 2 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: under way, not looking for participants, as of the sponsor's last update on 30 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 47 sites in United States. 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?

This study is still under way. Results are not available in the source record yet.

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 week 80). 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 30 Sep 2026.

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Clinical Trial NCT07011667 | AzTrials