Type 2 & other diabetes

Cagrilintide–Semaglutide in Adults with Overweight or Obesity and Type 2 Diabetes

N Engl J MedPublished Randomised controlled trial

Primary result · Percent change in body weight from baselineResult — go to the resultEstimated difference −10.4 percentage points 95% CI −11.2 to −9.5

Authors' conclusion

Once-weekly cagrilintide-semaglutide (at a dose of 2.4 mg each) resulted in a significantly lower body weight than placebo in adults with obesity and type 2 diabetes.

Study context

Population
Adults with BMI ≥27, HbA1c 7 to 10%, and T2Drandomized 3:1
Participants
1,206 adults
Comparison
Once-weekly cagrilintide-semaglutide (2.4 mg each) vs placebo, with lifestyle intervention, for 68 weeks
  • Cagrilintide-semaglutiden = 904
  • Placebon = 302reference
Primary endpoint
Two primary end points: percent change in body weight and percentage of patients with weight reduction ≥5%
Follow-up
Week 68
Methodological detailsphase 3a, double-blind, placebo-controlled, 12 countries, randomized 3:1
  • Phase 3a
  • Double-blind
  • Placebo-controlled
  • 12 countries
  • Randomized 3:1

Primary result

Percent change in body weight from baseline

Estimated difference

−10.4 percentage points

95% CI −11.2 to −9.5

P < 0.001

Change by group

Cagrilintide-semaglutide

−13.7

estimated mean · %

Placebo

−3.4

estimated mean · %

Cagrilintide-semaglutidevs Placebo
estimated difference −10.4 percentage points (95% CI −11.2 to −9.5); P < 0.001

As reported in the abstract

Further findings

HbA1c ≤6.5%

Weight reduction ≥10%, ≥15% and ≥20% · more patients with cagrilintide-semaglutide
P < 0.001 for the last comparison

Weight reduction ≥10%, ≥15% and ≥20%

More patients with cagrilintide-semaglutide than placebo had reductions of ≥10%, ≥15% and ≥20%

Safety

Gastrointestinal adverse events · most transient and mild or moderate in severity

Original publication

Cagrilintide–Semaglutide in Adults with Overweight or Obesity and Type 2 Diabetes. N Engl J Med. Published 22 June 2025. doi:10.1056/nejmoa2502082

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