HypertensionPhase 3REDEFINENCT07919405
A Research Study to Investigate How Well the Medicine CagriSema Lowers High Blood Pressure in People Living With High Blood Pressure and Obesity
A Phase 3 study testing CagriSema, Semaglutide and Cagrilintide in people with Hypertension and Obesity, run by Novo Nordisk A/S at 212 sites in 19 countries.
Trial summary
This study is testing whether CagriSema is safe and works well in adults with high blood pressure and excess body weight. Participants will receive CagriSema, semaglutide, cagrilintide, or placebo, and treatment will be assigned by chance. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hypertension, Obesity
- What is being tested?
- CagriSema, Semaglutide and Cagrilintide
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,408 participants
- Where
- 212 sitesin 19 countries
- Study dates
- 11 Nov 2026to 13 Jul 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.
- Resting in-office SBP of 140-160 mmHg (both inclusive) at screening (V1-Optional/V1) and the Run-in visit. Systolic blood pressure will be calculated as the mean of the second and third consecutive readings of triplicated blood pressure readings collected at 2-minute intervals with the blood pressure monitor provided by the Sponsor.
- Body mass index greater than or equal to (>=) 30.0 kilograms per metre square (kg/m^2) at screening.
- Not receiving Sodium-Glucose Cotransporter-2 Inhibitor (SGLT2i) or antihypertensive medication or on stable (i.e., same drug(s), dose and dosing frequency) SGLT2i or antihypertensive treatment >= 30 days prior to screening.
- For participants with Type 2 Diabetes (T2D)
Show all 11Show fewer
- The following inclusion criteria apply at screening in addition to the inclusion criteria listed above:
- Diagnosed with T2D >= 90 days before screening.
- Glycated Haemoglobin (HbA1c) 6.5-10.0% (48-86 millimoles per mole (mmol/mol)) (both inclusive) as measured by the central laboratory at screening.
- Treatment with either lifestyle intervention only, or treatment with 1-3 marketed oral antidiabetic drugs (metformin, α-glucosidase inhibitors, glinides, SGLT2i or thiazolidinediones, as a single agent or in combination) according to local label.
- Treatment with antidiabetic medication should be stable (i.e., same drug(s), dose and dosing frequency) for at least 90 days before screening.
Who cannot join
- Known orthostatic hypotension or orthostatic hypotension at screening (V1-Optional/V1).
- Known secondary hypertension due to renovascular hypertension (renal artery stenosis), primary aldosteronism, Cushing's syndrome, pheochromocytoma, acromegaly, coarctation of the aorta, or any other identifiable cause of secondary hypertension.
- Currently under medical investigation for any cause of secondary hypertension.
- Hospitalisation within the last 90 days before screening for hypertension or hypertensive crisis.
- Atrial fibrillation at the Run-in visit or history of frequent intermittent or chronic atrial fibrillation.
- Moderate-to-severe anaemia with Hgb lesser than (<) 10.9 grams per decilitre (g/dL) as measured by the central lab at screening.
Show all 12Show fewer
- A change in body weight greater than (>) 5% within 90 days before screening irrespective of medical records.
- Treatment with any medication prescribed for the indication of obesity or weight management within 90 days before screening.
- Use of any Glucagon-Like Peptide-1 Receptor Agonist (GLP-1 RA), including medication with GLP-1 RA activity, or amylin agonists, within 90 days before screening.
- For participants without T2D
- HbA1c greater than or equal to >= 6.5 % (48 mmol/mol) as measured by the central laboratory at screening.
- History of type 1 or type 2 diabetes mellitus.
Trial locations and contacts
212 sites in 19 countries. Contact the study team or a site near you to ask about taking part.
212 sites in 19 countries
United States57 sites
Javara Inc. / Privia Medical Group Georgia LLC
Albany, Georgia, 31707
Amarillo Med Spec LLP
Amarillo, Texas, 79124
Texas Diabetes & Endocrinology
Austin, Texas, 78731
Texas Diabetes & Endocrinology, P.A._Austin
Austin, Texas, 78749
Juno Research, LLC
Bellaire, Texas, 77401
Graves Gibert Clinic
Bowling Green, Kentucky, 42101
Holston Medical Group Pc
Bristol, Tennessee, 37620
Northern Pines Hlth Ctr, PC
Buckley, Michigan, 49620
Diab & Endo Assoc of Stark Co
Canton, Ohio, 44718
Great Lakes Clinical Trials
Chicago, Illinois, 60640
StudyMetrix Research LLC
City of Saint Peters, Missouri, 63303
Clinical Res Of W Florida Inc
Clearwater, Florida, 33765
John Muir Physicians Network
Concord, California, 94520
Hope Clin Res & Wellness
Conyers, Georgia, 30094
Aurora FDRC Inc.
Costa Mesa, California, 92627
Clinical Res Collaborative
Cumberland, Rhode Island, 02864
Baylor Jack and Jane Hamilton
Dallas, Texas, 75226
Velocity Clin Res, Dallas
Dallas, Texas, 75230
North Texas Endocrine Center
Dallas, Texas, 75231
Aa Mrc Llc
Flint, Michigan, 48504
Providence Medical Foundation
Fullerton, California, 92835
Discovery MM Services Inc
Houston, Texas, 77036
The Endocrine Center
Houston, Texas, 77079
Midwest Inst For Clin Res
Indianapolis, Indiana, 46260
Holston Medical Group
Kingsport, Tennessee, 37660
Radiance Clinical Research
Lampasas, Texas, 76550
DCOL Ctr for Clin Res
Longview, Texas, 75605
Monroe Biomedical Research, LLC
Louisville, Kentucky, 40213
Catalina Research Institute, LLC
Montclair, California, 91763
Koch Research
Morton, Illinois, 61550
Clinical Research Associates
Nashville, Tennessee, 37203
Lynn Institute of Norman
Norman, Oklahoma, 73072
Coastal Carolina Res Ctr
North Charleston, South Carolina, 29405
Renstar Medical Research
Ocala, Florida, 34470
Florida Institute for Clinical research
Orlando, Florida, 32825
Desert Oasis Hlthcr Med Group
Palm Springs, California, 92262
Seacoast Kidney & Htn Specialists
Portsmouth, New Hampshire, 03801
Accellacare_NC
Raleigh, North Carolina, 27609
Medication Management, LLC
Raleigh, North Carolina, 27609
Rainier Clin Res Ctr Inc
Renton, Washington, 98057
Endocrine Research Solutions, Inc
Roswell, Georgia, 30076
Clinical Advancement Center
San Antonio, Texas, 78212
Northeast Clinical Research of San Antonio
San Antonio, Texas, 78233
N America Res Inst - San Dimas
San Dimas, California, 91773
Javara Inc. / Privia Medical Group Georgia LLC
Savannah, Georgia, 31406
Consano Clinical Research, LLC
Shavano Park, Texas, 78231
Endeavor Health
Skokie, Illinois, 60077
Evanston Premier Hlthcr Res
Skokie, Illinois, 60077
Spartanburg Medical Research
Spartanburg, South Carolina, 29303
SIU Medicine
Springfield, Illinois, 62702
Amicis Centers of Clinical Research
St Louis, Missouri, 63128
Piedmont Healthcare, Inc.
Statesville, North Carolina, 28625
Family Practice Center of Wadsworth Inc.
Wadsworth, Ohio, 44281-9236
Chase Medical Research LLC
Waterbury, Connecticut, 06708
Iowa Diabetes Research
West Des Moines, Iowa, 50266
Southgate Medical Group, LLP
West Seneca, New York, 14224
Great Lakes Medical Research
Westfield, New York, 14787
Bulgaria15 sites
Medical center Medconsult Burgas OOD
Burgas, 8000
MHAT - Uni Hospital OOD, Clinic of Cardiology
Panagyurishte, 4500
MHAT Rahila Angelova AD, Research Center
Pernik, 2308
Dr. Ilcho Ilchev - AIPSMC - Cardiology EOOD
Plovdiv, 4002
MHAT Shumen AD
Shumen, 9700
GPSMC - Inacor OOD
Sliven, 8800
DCC Ascendent OOD
Sofia, 1202
MC Dr. Atanasov EOOD
Sofia, 1231
UMHAT Aleksandrovska EAD, Clinic of Cardiology
Sofia, 1431
MC Hera EOOD - Sofia
Sofia, 1510
UMHAT Tsaritsa Yoanna - ISUL EAD, Cardiology
Sofia, 1527
Nevrovita - Medical Center OOD
Sofia, 1612
MHAT Sveta Anna Sofia AD, Clinic of Cardiology
Sofia, 1750
SHATC - Cardiolife OOD - Varna
Varna, 9009
UMHAT Sveta Marina EAD, Clinic of Internal Diseases
Varna, 9010
Poland15 sites
Centrum Kliniczno-Badawcze J. Brzezicki, B. Górnikiewicz-Brzezicka Lekarze Spółka Partnerska
Elblag, 82-300
Uniwersyteckie Centrum Kliniczne
Gdansk, 80-214
Copernicus Podmiot Leczniczy Sp. z o.o.
Gdansk, 80-462
Ind. Spec. Prak. Lek. w dziedz. Kardiologii lek. med. K. Cymerman
Gdynia, Pomeranian Voivodeship, 81-157
Samodzielny Publiczny Specjalistyczny Szpital Zachodni Im.Sw.Jana Pawla II
Grodzisk Mazowiecki, Masovian Voivodeship, 05-825
Linden sp. z o.o. sp. k.
Krakow, 30-721
Gyncentrum Sp. z o. o.
Krakow, 31-322
Wojewodzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im. M. Kopernika
Lodz, 93-513
Kresmed Sp. z o. o.
Ostrów Mazowiecka, Masovian Voivodeship, 07-300
EMED Centrum Usług Medycznych Ewa Smialek
Rzeszów, 35-205
Lukmed 2 Sp. z o.o.
Siedlce, 08-110
Star Badania Kliniczne Sp. z o.o
Starachowice, 27-200
Balticmed Świnoujście Sp. z o. o.
Świnoujście, 72-600
Narodowy Instytut Kardiologii Stefana Kardynala Wyszynskiego Panstwowy Instytut Badawczy
Warsaw, Masovian Voivodeship, 04-635
Narodowy Instytut Kardiologii Stefana Kardynala Wyszynskiego Panstwowy Instytut Badawczy
Warsaw, 04-628
Italy12 sites
INRCA Ancona - UOC Clinica Medica e Geriatrica
Ancorna, The Marches, 60127
AUO Consorziale Policlinico Bari - UOC Medicina Interna Universitaria (Cesare Frugoni)
Bari, Apulia, 70124
Spedali Civili Brescia - U.O. Medicina Generale 2
Brescia, Lombardy, 25123
AOU Renato Dulbecco - Unità Operativa Complessa Medicina Interna
Catanzaro, Calabria, 88100
Arcispedale Sant'Anna (Cona) - Medicina Interna Universitaria
Ferrara, Emilia-Romagna, 44124
Grande Ospedale Metropolitano Niguarda - Dipartimento di Cardiologia Clinica
Milan, Lombardy, 20162
Azienda Ospedaliera di Padova - UOSD Chirurgia Bariatrica
Padova, Veneto, 35128
Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone
Palermo, Sicily, 90127
NeuroMed S.p.A. - Dipartimento di Angio-Cardio-Neurologia
Pozzilli (IS), Molise, 86077
Azienda Ospedaliero - Universitaria Sant'Andrea - UOC Cardiologia
Rome, Lazio, 00189
Fondazione Policlinico Universitario Agostino Gemelli IRCS
Rome, RM, 00168
Azienda Ospedaliero Universitaria Senese - Endocrinologia
Siena, Tuscany, 53100
Argentina10 sites
Centro Medico Dra. Laura Maffei e Investigacion Clínica Apli
Buenos Aires, C1425AGC
Mautalen Salud e investigación
CABA, Buenos Aires, C1128 AAF
CEMEDIC
CABA, Buenos Aires, C1440CFD
CEDIC Centro de Investigación Clínica
CABA, C1060ABA
Centro Médico Viamonte SRL
CABA, C1120AAC
Centro de Investigaciones Metabólicas
Capital Federal, Buenos Aires, C1056ABI
Hospital Español de Mendoza
Godoy Cruz, Mendoza, Mendoza Province, 5501
CAICI
Rosario, S2000PBJ
Fundación CESIM
Santa Rosa, La Pampa Province, 6300
Sanatorio Norte
Santiago del Estero, G4200
Canada10 sites
Nova Scotia Health Authority
Halifax, Nova Scotia, B3H 1V7
Hamilton Medical Research Group
Hamilton, Ontario, L8L 5G4
Premier Clinical Trial Research Network (PCTRN)
Hamilton, Ontario, L8L 5G4
Milestone Research
London, Ontario, N5W 6A2
G.A. Research Associates Ltd.
Moncton, New Brunswick, E1G 1A7
IUCPQ - Universite Laval
Québec, G1V 4G5
Diex Recherche Quebec
Québec, G1V 4T3
Diex Recherche Trois-Rivieres
Trois-Rivières, Quebec, G9A 4P3
Spectrum Health Clinic
Vancouver, British Columbia, V6Z 2T1
Dr. M.B. Jones Inc
Victoria, British Columbia, V8V 4A1
South Korea10 sites
Hallym University Sacred Heart Hospital_Family Medicine
Anyang-si, Gyeonggi-do, 14068
The Catholic University of Korea, Bucheon ST. Mary's Hospital_Endocrinology
Bucheon-si, Gyeonggi-do, 14647
Dong-A University Hospital_Family Medicine
Busan, 49201
Kyungpook National University Hospital_Family Medicine
Daegu, 41944
Keimyung University Dongsan Hospital_Endocrinology
Daegu, 42601
Konyang University Hospital_Family Medicine
Daejeon, 35365
Seoul National University Bundang Hospital_Family Medicine
Seongnam-si, Gyeonggi-do, 13620
Severance Hospital, Yonsei University Health System_Family Medicine
Seoul, 03722
Hanyang University Seoul Hospital_Family Medicine
Seoul, 04763
Pusan National University Yangsan Hospital_Family Medicine
Yangsan, Gyeongsangnam-do, 50612
United Kingdom10 sites
West Walk Surgery
Bristol, BS37 4AX
Attenborough Surgery
Bushey, Hertfordshire, WD23 2NN
Addenbrooke's Hospital_Cambridge
Cambridge, CB2 0QQ
Hathaway Medical Centre
Chippenham, SN14 6GT
Belmont Health Centre
Harrow, HA3 7LT
HMC Health - Heston - The Meadows Centre for Health
Hounslow, TW4 7NJ
William Harvey Research Institute
London, EC1M 6BQ
Healthcare Central London - South Westminster Centre for Health
London, SW1P 2PF
Newquay Health Centre
Newquay, Cornwall, TR7 1RU
Trinity Surgery
Wisbech, Cambridgeshire, PE13 3UZ
Brazil9 sites
Centro Universitário de Belo Horizonte (UNIBH)
Belo Horizonte, Minas Gerais, 30455-610
Associação Lar São Francisco de Assis na Providência de Deus - Bragança Paulista
Bragança Paulista, São Paulo, 12916-542
PUCCAMP - Hospital e Maternidade Celso Pierro
Campinas, São Paulo, 13060-803
Centro de Pesquisa Clínica da Faculdade de Ciências Médicas - Unicamp
Campinas, São Paulo, 13083-887
i9 Pesquisas Clínicas
Campinas, São Paulo, 13092-133
PUCPR - Pontificia Universidade Catolica do Parana
Curitiba, Paraná, 80230-130
CPQuali Pesquisa Clínica Ltda
São Paulo, São Paulo, 01228-000
IBTED Tecnologia e Educação em Diabetes - EPP
São Paulo, São Paulo, 04038-032
Instituto do Coração - HCFMUSP
São Paulo, São Paulo, 05403-000
Australia8 sites
Brecken Health Clinical Trials
Bunbury, Western Australia, 6230
Castle Hill Medical Centre
Castle Hill, New South Wales, 2154
Momentum Clinical Research Darlinghurst
Darlinghurst, New South Wales, 2010
Townsville University Hospital
Douglas, Queensland, 4814
Australian Clinical Research Network
Maroubra, New South Wales, 2035
Dobney Hypertension Centre
Perth, Western Australia, 6000
Roger Chih Yu Chen
Sydney, New South Wales, 2148
Clinical Trials Institute
Torquay, Victoria, 3228
Hungary8 sites
Békés Vármegyei Központi Kórház
Békéscsaba, 5600
Trial Pharma Kft.
Békéscsaba, 5600
Újpesti Egészségközpont
Budapest, 1046
Budapesti Szent Ferenc Kórház
Budapest, H-1021
Cardiogeneral Kft.
Budapest, H-1141
Debreceni Egyetem
Debrecen, Hajdú-Bihar, 4032
Stúdium Egészségház Kft.
Kalocsa, Bács-Kiskun county, 6300
KomplexLabor Diagnosztika Kft.
Szeged, 6724
Netherlands8 sites
Deventer Ziekenhuis - Interne geneeskunde
Deventer, 7416 SE
Albert Schweitzer Zkh, Dordwijk - Nefrologie
Dordrecht, 3318 AT
Catharina Zkh Eindhoven - Interne geneeskunde
Eindhoven, 5623 EJ
Spaarne Gasthuis Haarlem - Interne
Haarlem, 2035 RC
Zuyderland ziekenhuis - Interne
Heerlen, 6419 PC
Bethesda Diabetes Research Center
Hoogeveen, 7909 AA
RadboudUMC - Vasculaire geneeskunde
Nijmegen, 6525 GA
UMC Utrecht - Vasculaire geneeskunde
Utrecht, 3584 CX
Spain8 sites
Hospital Universitario de Badajoz
Badajoz, 06080
Centro Médico Quirón-Teknon
Barcelona, 08022
Clinic Barcelona_Endocrinología
Barcelona, 08036
H. de León_Endocrinología
León, 24008
H.G.Marañón_Endocrino-Obesidad
Madrid, 28009
Hospital Universitario Sanitas Virgen del Mar
Madrid, 28016
H. Univ. Marqués de Valdecilla_Endocrinología
Santander, 39008
Clínica Gaias Santiago
Santiago de Compostela, 15702
Germany7 sites
KARDIA - Dr. Hashemi
Berlin, 13405
MVZ Hausärzte Großenbaum GmbH Duisburg
Duisburg, 47269
Zentrum für klinische Studien Südbrandenburg GmbH
Elsterwerda, 04910
Uniklinik FFM - Nephrologie
Frankfurt, 60590
Wendisch - Dahl Hamburg - DZHW
Hamburg, 22607
Institut für Diabetesforschung GmbH Münster - Dr. med. Rose
Münster, 48145
RED-Institut für medizinische Forschung und Fortbildung GmbH
Oldenburg in Holstein, 23758
Japan7 sites
Kumanomae Nishimura Naika Clinic_Internal Medicine
Arakawa-ku, Tokyo, 116-0012
Okayama University Hospital_Neph. and Diabetes, Metabolism
Okayama, 700-8558
Shinden Higashi Clinic_Internal medicine
Sendai-shi, Miyagi, 983-0039
Tokyo-Eki Center-building Clinic_Internal Medicine
Tokyo, 103-0027
Fukuwa Clinic_Internal Medicine
Tokyo, 104-0031
Clinical Research Hospital Tokyo_Internal medicine
Tokyo, 160-0004
Tsuruma Kaneshiro Diabetes Clinic_Internal medicine
Yamato-shi, Kanagawa, 242-0004
Belgium6 sites
Anima Research Center
Alken, 3570
Imelda
Bonheiden, 2820
Ziekenhuis Oost-Limburg
Genk, 3600
Universitair Ziekenhuis Gent
Ghent, 9000
Uz Leuven
Leuven, 3000
CHU Helora - Hôpital de Mons - Site Constantinople
Mons, 7000
South Africa6 sites
Dr Vawda's site
Durban, KwaZulu-Natal, 4091
Dr T Padayachee
eMkhomazi, KwaZulu-Natal, 4170
Dr Moosa's Rooms
Gauteng, Lenasia, 1827
Soweto Clinical Trial Centre
Johannesburg, Gauteng, 1818
Wits Bara Clinical Trial Site
Johannesburg, Gauteng, 2013
Dr A Jacovides and Partners Inc
Midrand, Gauteng, 1685
Denmark5 sites
Sydvestjysk Sygehus Esbjerg - Medicinsk Endokrinologisk Ambulatorium, Forskningsenheden
Esbjerg, Region Syddanmark, 6700
Regionshospitalet Gødstrup - Universitetsklinikken for Nyresygdomme og Blodtryksforhøjelse
Herning, 7400
Holbæk Sygehus - Forskningsenheden, Medicinsk Afdeling, afs. 44-4
Holbæk, 4300
Hvidovre Hospital Endokrinologisk forsknings afsnit 159
Hvidovre, 2650
Viborg Sygehus
Viborg, 8800
About this study
Official title: Efficacy and Safety of Co-administered Cagrilintide and Semaglutide (CagriSema) in Participants With Hypertension and Obesity
This study is testing whether CagriSema is safe and works well in adults with high blood pressure and excess body weight. Participants will receive CagriSema, semaglutide, cagrilintide, or placebo, and treatment will be assigned by chance. CagriSema and cagrilintide are investigational medicines, while semaglutide is already available by prescription.
- Conditions
- Hypertension, Obesity
- Being tested
- CagriSema, Semaglutide, Cagrilintide, Placebo
- Medical subject headings
- Hypertension, Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CagriSemaDrug
CagriSema will be administered subcutaneously.
SemaglutideDrug
Semaglutide will be administered subcutaneously.
CagrilintideDrug
Cagrilintide will be administered subcutaneously.
PlaceboDrug
Placebo will be administered subcutaneously.
| Study group | Role | What they receive |
|---|---|---|
| CagriSema | Experimental | Participants will receive CagriSema subcutaneously once weekly. Receives: Drug: CagriSema |
| Semaglutide | Active comparator | Participants will receive semaglutide subcutaneously once weekly. Receives: Drug: Semaglutide |
| Cagrilintide | Active comparator | Participants will receive cagrilintide subcutaneously once weekly. Receives: Drug: Cagrilintide |
| Placebo | Placebo comparator | Participants will receive placebo subcutaneously once weekly. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
CagriSema versus Placebo : Change in in-office systolic blood pressure (SBP)
Measured in millimeters of mercury (mmHg).
Measured: From baseline (week 0) to week 32
Secondary outcomes (15)
CagriSema versus Semaglutide and Cagrilintide : Change in in-office systolic blood pressure
Measured in mmHg.
Measured: From baseline (week 0) to week 32
Change in Home blood pressure monitoring (HBPM) -based systolic blood pressure
Measured in mmHg.
Measured: From baseline (week 0) to week 32
Number of participants who achieve a target goal of in-office systolic blood pressure lesser than or equal to (≤) 130 mmHg
Measured as Count of participants.
Measured: At Week 32
Number of participants who achieve American College of Cardiology and the American Heart Association (ACC/AHA) guidelines based blood pressure targets lesser than (<) 130/80 mmHg
Measured as Count of participants.
Measured: At Week 32
Change in body weight (%)
Measured in percentage (%).
Measured: From baseline (week 0) to week 32
Change in body weight (Kg)
Measured in Kilograms (kg).
Measured: From baseline (week 0) to week 32
Change in waist circumference
Measured in centimetre (cm).
Measured: From baseline (week 0) to week 32
Change in ACC/AHA 10-year atherosclerotic cardiovascular disease (ASCVD) risk score
Measured in percentage of risk. ACC/AHA risk estimator calculates 10 year risk of ASCVD using a formula which includes age, sex, race, total cholesterol, high density lipoprotein (HDL) cholesterol, systolic blood pressure, blood pressure medication use, diabetes status, smoking status; minimum score 0, maximum score 100 where higher score indicates higher risk of 10-year risk of ASCVD.
Measured: From baseline (week 0) to week 32
Ratio to baseline of lipids: Total cholesterol
Measured in Ratio.
Measured: From baseline (week 0) to week 32
Ratio to baseline of lipids: HDL cholesterol
Measured in Ratio.
Measured: From baseline (week 0) to week 32
Ratio to baseline of lipids: Low Density Lipoprotein (LDL) cholesterol
Measured in Ratio.
Measured: From baseline (week 0) to week 32
Ratio to baseline of lipids: Very Low Density Lipoprotein (VLDL) cholesterol
Measured in Ratio.
Measured: From baseline (week 0) to week 32
Ratio to baseline of lipids: Non-HDL cholesterol
Measured in Ratio.
Measured: From baseline (week 0) to week 32
Ratio to baseline of lipids: Triglycerides
Measured in Ratio.
Measured: From baseline (week 0) to week 32
Ratio to baseline of high-sensitivity C-reactive protein (hsCRP)
Measured in Ratio.
Measured: From baseline (week 0) to week 32
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Nov 2026
- Study start11 Nov 2026 (estimated)
- Primary completion1 Jun 2028 (estimated)
- Study completion13 Jul 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for HypertensionStudies of the same condition, open and under way.
- More trials run by Novo Nordisk A/SThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,408 participants (estimated)
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
- NCT07919405
- Sponsor's protocol ID
- NN9838-8768
- Other IDs
- U1111-1338-1943, 2026-526360-21
- Acronym
- REDEFINE
- Status last verified
- Oct 2026
- First submitted
- 30 Oct 2026
- Last updated
- 5 Nov 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
Study at a glance
From the registry record, last updated by the sponsor on 5 Nov 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) in Participants With Hypertension and Obesity
- ClinicalTrials.gov ID
- NCT07919405
- Acronym / sponsor ID
- REDEFINE / NN9838-8768
- Conditions
- Hypertension, Obesity
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 1,408 participants (estimated)
- Lead sponsor
- Novo Nordisk A/SIndustry (pharma, biotech, devices)
- Study start
- 11 Nov 2026 (estimated)
- Primary completion
- 1 Jun 2028 (estimated)
- Study completion
- 13 Jul 2028 (estimated)
- First posted
- 5 Nov 2026 (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 is testing whether CagriSema is safe and works well in adults with high blood pressure and excess body weight. Participants will receive CagriSema, semaglutide, cagrilintide, or placebo, and treatment will be assigned by chance. CagriSema and cagrilintide are investigational medicines, while semaglutide is already available by prescription.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| CagriSema | Experimental | Drug: CagriSemaParticipants will receive CagriSema subcutaneously once weekly. |
| Semaglutide | Active comparator | Drug: SemaglutideParticipants will receive semaglutide subcutaneously once weekly. |
| Cagrilintide | Active comparator | Drug: CagrilintideParticipants will receive cagrilintide subcutaneously once weekly. |
| Placebo | Placebo comparator | Drug: PlaceboParticipants will receive placebo subcutaneously once weekly. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Male or female (sex at birth).
- Age 18 years or above at the time of signing the informed consent.
- Resting in-office SBP of 140-160 mmHg (both inclusive) at screening (V1-Optional/V1) and the Run-in visit. Systolic blood pressure will be calculated as the mean of the second and third consecutive readings of triplicated blood pressure readings collected at 2-minute intervals with the blood pressure monitor provided by the Sponsor.
- Body mass index greater than or equal to (>=) 30.0 kilograms per metre square (kg/m^2) at screening.
- Not receiving Sodium-Glucose Cotransporter-2 Inhibitor (SGLT2i) or antihypertensive medication or on stable (i.e., same drug(s), dose and dosing frequency) SGLT2i or antihypertensive treatment >= 30 days prior to screening.
Key exclusion criteria (12 listed)
- Known orthostatic hypotension or orthostatic hypotension at screening (V1-Optional/V1).
- Known secondary hypertension due to renovascular hypertension (renal artery stenosis), primary aldosteronism, Cushing's syndrome, pheochromocytoma, acromegaly, coarctation of the aorta, or any other identifiable cause of secondary hypertension.
- Currently under medical investigation for any cause of secondary hypertension.
- Hospitalisation within the last 90 days before screening for hypertension or hypertensive crisis.
- Atrial fibrillation at the Run-in visit or history of frequent intermittent or chronic atrial fibrillation.
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 |
|---|---|---|
| CagriSemaCagriSema will be administered subcutaneously. | Drug | CagriSema |
| SemaglutideSemaglutide will be administered subcutaneously. | Drug | Semaglutide |
| CagrilintideCagrilintide will be administered subcutaneously. | Drug | Cagrilintide |
| PlaceboPlacebo will be administered subcutaneously. | Drug | Placebo |
Primary outcome
CagriSema versus Placebo : Change in in-office systolic blood pressure (SBP)
Time frame: From baseline (week 0) to week 32
Measured in millimeters of mercury (mmHg).
15 secondary outcomes
CagriSema versus Semaglutide and Cagrilintide : Change in in-office systolic blood pressure
Time frame: From baseline (week 0) to week 32
Change in Home blood pressure monitoring (HBPM) -based systolic blood pressure
Time frame: From baseline (week 0) to week 32
Number of participants who achieve a target goal of in-office systolic blood pressure lesser than or equal to (≤) 130 mmHg
Time frame: At Week 32
Number of participants who achieve American College of Cardiology and the American Heart Association (ACC/AHA) guidelines based blood pressure targets lesser than (<) 130/80 mmHg
Time frame: At Week 32
Change in body weight (%)
Time frame: From baseline (week 0) to week 32
Change in body weight (Kg)
Time frame: From baseline (week 0) to week 32
Change in waist circumference
Time frame: From baseline (week 0) to week 32
Change in ACC/AHA 10-year atherosclerotic cardiovascular disease (ASCVD) risk score
Time frame: From baseline (week 0) to week 32
Ratio to baseline of lipids: Total cholesterol
Time frame: From baseline (week 0) to week 32
Ratio to baseline of lipids: HDL cholesterol
Time frame: From baseline (week 0) to week 32
Ratio to baseline of lipids: Low Density Lipoprotein (LDL) cholesterol
Time frame: From baseline (week 0) to week 32
Ratio to baseline of lipids: Very Low Density Lipoprotein (VLDL) cholesterol
Time frame: From baseline (week 0) to week 32
Ratio to baseline of lipids: Non-HDL cholesterol
Time frame: From baseline (week 0) to week 32
Ratio to baseline of lipids: Triglycerides
Time frame: From baseline (week 0) to week 32
Ratio to baseline of high-sensitivity C-reactive protein (hsCRP)
Time frame: From baseline (week 0) to week 32
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Nov 2026.
- Individual participant dataSharing planned: Yes. According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
Related trials for Hypertension
Active, not recruiting
Digital Reinforcement of Motivational Interviewing Micro-Skills Among Primary Care Healthcare Professionals
Hypertension (Without Type 2 Diabetes Mellitus)
Recruiting
Investigating Vascular Properties of HEMI and SPG Signals in Individuals With or at Risk for Chronic Kidney Disease
Chronic Kidney Disease, Hypertension (HTN)
Recruiting
Trial Phase: Syndemic Adapted Medly Uganda
Mental Health
Not yet recruitingPhase 2/3
An Open-Label Extension Study to Evaluate Inhaled Treprostinil SMI in Participants With Pulmonary Hypertension Associated With Chronic Obstructive Pulmonary Disease (PH-COPD)
Pulmonary Hypertension Associated With Chronic Obstructive Pulmonary Disease
Enrolling by invitation
Testing Implementation Strategies to Support Clinic Fidelity to an Outpatient Hypertension Bundle
Pregnancy Related, Hypertension
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.
Clinical Transparency (dept. 2834) study director
Novo Nordisk A/S
212 sites in 19 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing CagriSema, Semaglutide and Cagrilintide in people with Hypertension and Obesity, run by Novo Nordisk A/S at 212 sites in 19 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 11 inclusion and 12 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: opening soon, as of the sponsor's last update on 5 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 212 sites in United States, Bulgaria, Poland, Italy, Argentina and 14 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?
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?
Contact Novo Nordisk ((+1) 866-867-7178, clinicaltrials@novonordisk.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
CagriSema versus Placebo : Change in in-office systolic blood pressure (SBP) (time frame: From baseline (week 0) to week 32). 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 5 Nov 2026.