Research Study to Look at How Well Cagrilintide Together With Semaglutide Works in People With Type 2 Diabetes

NCT ID: NCT04982575

Last Updated: 2025-12-23

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

92 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-02

Study Completion Date

2022-07-07

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This study looks at how well a new medicine called cagrilintide works together with semaglutide on blood sugar levels in people with type 2 diabetes compared to cagrilintide alone or semaglutide alone.

Before a new medicine can be prescribed to people it needs to be tested to see if it is safe and effective.

Participants will either get cagrilintide and semaglutide together or cagrilintide and a dummy medicine or semaglutide and a dummy medicine. Which treatment participants get is decided by chance.

A dummy medicine (placebo) looks like the study medicine but does not contain any active medicine. The dummy medicine is in the study to see if the study medicine works as expected.

Participants will get 2 injections per week on the same day. Participants will take the study medicine with a pen. A pen is a medical tool with a needle used for injections under the skin. The study doctor or staff will show how.

The study will last for about 39 weeks. Participants will have 12 visits at the clinic and 5 phone calls with the study doctor.

At 6 of the clinic visits participants must not eat and drink for 8 hours before the visit (water is allowed).

Women who can become pregnant cannot take part in this study. Only women that are surgically sterilised or post-menopausal are allowed to participate in this study Women cannot take part if pregnant, breast-feeding or plan to get pregnant during the study period

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Diabetes Mellitus, Type 2

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Cagrilintide 2.4 mg and semaglutide 2.4 mg

Participants will receive cagrilintide and semaglutide once a week as injections for 32 weeks.

Group Type EXPERIMENTAL

Semaglutide 2.4 mg

Intervention Type DRUG

Semaglutide administered s.c. (subcutaneously, under the skin) once weekly. Participants will gradually increase the dose until they reach the target dose, and will continue on the this dose once weekly up to 32 weeks

Cagrilintide 2.4 mg

Intervention Type DRUG

Cagrilintide administered s.c. (subcutaneously, under the skin) once weekly. Participants will gradually increase the dose until they reach the target dose, and will continue on the this dose once weekly up to 32 weeks

Cagrilintide 2.4 mg and placebo (semaglutide)

Participants will receive cagrilintide and placebo (semaglutide) once a week as injections for 32 weeks

Group Type ACTIVE_COMPARATOR

Cagrilintide 2.4 mg

Intervention Type DRUG

Cagrilintide administered s.c. (subcutaneously, under the skin) once weekly. Participants will gradually increase the dose until they reach the target dose, and will continue on the this dose once weekly up to 32 weeks

Placebo (semaglutide)

Intervention Type DRUG

Placebo (semaglutide) administered s.c. (subcutaneously, under the skin) once weekly.

Participants will gradually increase the dose until they reach the target dose, and will continue on the this dose once weekly up to 32 weeks

Semaglutide 2.4 mg and Placebo (cagrilintide)

Participants will receive semaglutide and placebo (cagrilintide) once a week as injections for 32 weeks

Group Type ACTIVE_COMPARATOR

Semaglutide 2.4 mg

Intervention Type DRUG

Semaglutide administered s.c. (subcutaneously, under the skin) once weekly. Participants will gradually increase the dose until they reach the target dose, and will continue on the this dose once weekly up to 32 weeks

Placebo (cagrilintide)

Intervention Type DRUG

Placebo (cagrilintide) administered s.c. (subcutaneously, under the skin) once weekly.

Participants will gradually increase the dose until they reach the target dose, and will continue on the this dose once weekly up to 32 weeks

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Semaglutide 2.4 mg

Semaglutide administered s.c. (subcutaneously, under the skin) once weekly. Participants will gradually increase the dose until they reach the target dose, and will continue on the this dose once weekly up to 32 weeks

Intervention Type DRUG

Cagrilintide 2.4 mg

Cagrilintide administered s.c. (subcutaneously, under the skin) once weekly. Participants will gradually increase the dose until they reach the target dose, and will continue on the this dose once weekly up to 32 weeks

Intervention Type DRUG

Placebo (semaglutide)

Placebo (semaglutide) administered s.c. (subcutaneously, under the skin) once weekly.

Participants will gradually increase the dose until they reach the target dose, and will continue on the this dose once weekly up to 32 weeks

Intervention Type DRUG

Placebo (cagrilintide)

Placebo (cagrilintide) administered s.c. (subcutaneously, under the skin) once weekly.

Participants will gradually increase the dose until they reach the target dose, and will continue on the this dose once weekly up to 32 weeks

Intervention Type DRUG

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Female of non-childbearing potential or male
* Age above or equal to 18 years at the time of signing informed consent
* Body mass index (BMI) greater than or equal to 27.0 kg/m\^2
* Diagnosed with type 2 diabetes mellitus greater than or equal to 180 days before screening
* Glycated haemoglobin (HbA1c) of 7.5-10.0% (58-86 mmol/mol) (both inclusive) as assessed by central laboratory at screening
* Stable daily dose(s) ≥ 90 days before screening of the following antidiabetic drug(s) or combination regimen(s) at maximum tolerated or effective dose as judged by the investigator: metformin with or without Sodium-glucose co-transporter-2 (SGLT2) inhibitor

* Renal impairment with estimated Glomerular Filtration Rate (eGFR) below 60 ml/min/1.73m\^2 by central laboratory at screening
* Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by a fundus 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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Novo Nordisk A/S

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Clinical Transparency (dept. 1452)

Role: STUDY_DIRECTOR

Novo Nordisk A/S

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Uni of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Valley Research

Fresno, California, United States

Site Status

Pacific Clinical Studies

Los Alamitos, California, United States

Site Status

Velocity Clin Res Los Angeles

Los Angeles, California, United States

Site Status

Encompass Clinical Research_Spring Valley

Spring Valley, California, United States

Site Status

New West Physicians,Inc.

Golden, Colorado, United States

Site Status

FPA Clinical Research

Kissimmee, Florida, United States

Site Status

Florida Inst For Clin Res

Orlando, Florida, United States

Site Status

Clinical Trial Res Assoc,Inc

Plantation, Florida, United States

Site Status

Ellipsis Group

Alpharetta, Georgia, United States

Site Status

East West Med Res Inst

Honolulu, Hawaii, United States

Site Status

Macoupin Research Group

Gillespie, Illinois, United States

Site Status

MD Medical Research

Oxon Hill, Maryland, United States

Site Status

PharmQuest Life Sciences LLC

Greensboro, North Carolina, United States

Site Status

Accellacare

Wilmington, North Carolina, United States

Site Status

Lillestol Research LLC

Fargo, North Dakota, United States

Site Status

Plains Clinical Research Center, LLC_Fargo

Fargo, North Dakota, United States

Site Status

Holston Medical Group

Kingsport, Tennessee, United States

Site Status

Velocity Clinical Res-Dallas

Dallas, Texas, United States

Site Status

PlanIt Research, PLLC

Houston, Texas, United States

Site Status

DCOL Ctr for Clin Res

Longview, Texas, United States

Site Status

Selma Medical Associates

Winchester, Virginia, United States

Site Status

Capital Clin Res Ctr,LLC

Olympia, Washington, United States

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States

References

Explore related publications, articles, or registry entries linked to this study.

Frias JP, Deenadayalan S, Erichsen L, Knop FK, Lingvay I, Macura S, Mathieu C, Pedersen SD, Davies M. Efficacy and safety of co-administered once-weekly cagrilintide 2.4 mg with once-weekly semaglutide 2.4 mg in type 2 diabetes: a multicentre, randomised, double-blind, active-controlled, phase 2 trial. Lancet. 2023 Aug 26;402(10403):720-730. doi: 10.1016/S0140-6736(23)01163-7. Epub 2023 Jun 23.

Reference Type BACKGROUND
PMID: 37364590 (View on PubMed)

Provided Documents

Download supplemental materials such as informed consent forms, study protocols, or participant manuals.

Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

NN9838-4862

Identifier Type: -

Identifier Source: org_study_id