A Research Study to See How Much CagriSema Lowers Blood Sugar and Body Weight Compared to Placebo in Children and Adolescents With Type 2 Diabetes

NCT ID: NCT07282613

Last Updated: 2026-01-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-08-04

Study Completion Date

2030-03-30

Brief Summary

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The purpose of this clinical study is to look into how well a study medicine called CagriSema helps children and adolescents living with diabetes lower their blood sugar and body weight. The study has 2 parts: in the first part participant will get either CagriSema or placebo, and in the second part participant will get CagriSema. In the first part, which treatment participant gets is decided by chance and second part is open label and all participants will get CagriSema during this part. The study will last for about 1 year and 3 months.

Detailed Description

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Conditions

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Diabetes Mellitus, Type 2

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
It is 2-part study, first part is double-blinded and second part is open-label.

Study Groups

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Part 1: CagriSema

Participants will receive CagriSema (Cagrilintide B + Semaglutide I) subcutaneously once weekly for 26 weeks in Part 1.

Group Type EXPERIMENTAL

CagriSema (Cagrilintide B and Semaglutide I)

Intervention Type DRUG

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

Part 1: Placebo

Participants will receive placebo matched to CagriSema (Cagrilintide B + Semaglutide I) subcutaneously once weekly for 26 weeks in Part 1.

Group Type PLACEBO_COMPARATOR

Placebo matched to CagriSema (Cagrilintide B and Semaglutide I)

Intervention Type DRUG

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

Part 2: CagriSema

Participants who received placebo in Part 1 will receive CagriSema (Cagrilintide B + Semaglutide I) subcutaneously once weekly for 26 weeks in Part 2.

Group Type EXPERIMENTAL

CagriSema (Cagrilintide B and Semaglutide I)

Intervention Type DRUG

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

Interventions

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CagriSema (Cagrilintide B and Semaglutide I)

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

Intervention Type DRUG

Placebo matched to CagriSema (Cagrilintide B and Semaglutide I)

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

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Informed consent of parent(s) or legally acceptable representative (LAR) of participant and child assent, as age-appropriate, obtained before any study-related activities. Study-related activities are any procedures that are carried out as part of the study, including activities to determine suitability for the study.

* The parent(s) or LAR of the child must sign and date the Informed Consent Form (according to local requirements)
* The child must sign and date the Child Assent Form or provide oral assent (according to local requirements)
* Male or female.
* Age 10 to \< 18 years at the time of signing the informed consent.
* Diagnosed with T2D (according to the latest International Society for Pediatric and Adolescent Diabetes \[ISPAD\] criteria) ≥ 30 days before screening.
* Treated with diet and exercise counselling alone or with a stable daily dose(a), in addition to diet and exercise counselling, of any of the following antidiabetic drugs or combination regimens:

* Insulin (any regimen)
* Metformin
* SGLT2i
* HbA1c 6.5%-11.0% (48 mmol/mol - 97 mmol/mol) (both inclusive) as determined by central laboratory at screening.
* Body weight ≥ 45 kg and BMI ≥ 85th percentile(b). BMI will be calculated in the electronic case report form based on height and body weight at screening.

* (a) For metformin, a stable dose is defined as at least 1000 mg daily or the maximum tolerated dose for ≥ 56 days prior to screening. For Sodium-Glucose Transport protein 2 inhibitor (SGLT2i), a stable dose is defined as the same total daily dose for ≥ 56 days prior to screening. For insulin, it is defined as the dose ± 25% of that taken at screening for ≥ 30 days prior to screening.
* (b) Based on sex-specific BMI-for-age percentiles for the given country or region. If not available for the country or region, the respective charts or tables on cdc.gov may be used.

* Known or previous diagnosis of hypoparathyroidism.
* Previous or planned (during the study period) obesity treatment with surgery or a weight loss device. However, the following are allowed: (1) liposuction and/or abdominoplasty, if performed \>1 year before screening, (2) lap banding, if the band has been removed \>1 year before screening, (3) intragastric balloon, if the balloon has been removed \>1 year before screening or (4) duodenal-jejunal bypass sleeve, if the sleeve has been removed \> 1 year before screening.
* Positive insulinoma associated-protein 2 (IA-2) antibodies or anti-glutamic acid decarboxylase (anti-GAD) antibodies as determined by central laboratory at screening or in medical history.
* Recurrent severe hypoglycaemic episodes within the last year as judged by the investigator.
* Known hypoglycaemic unawareness as indicated by the investigator according to Clarke's questionnaire question 8.
* Uncontrolled and potentially unstable diabetic retinopathy maculopathy. Verified by a fundus examination and optical coherence tomography (OCT) assessment 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.

Exclusion Criteria

* Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using a highly effective contraceptive method.
Minimum Eligible Age

10 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novo Nordisk A/S

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Transparency dept. 2834

Role: STUDY_DIRECTOR

Novo Nordisk A/S

Locations

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Yale School of Medicine

New Haven, Connecticut, United States

Site Status

Encore Medical Research Boynton Beach

Boynton Beach, Florida, United States

Site Status

Nemours Chld Clnc Jacksonville

Jacksonville, Florida, United States

Site Status

Innovus Clinical

Kissimmee, Florida, United States

Site Status

D&H National Research Centers

Tamarac, Florida, United States

Site Status

Clinical Research Trials of Florida

Tampa, Florida, United States

Site Status

Columbus Research Foundation

Columbus, Georgia, United States

Site Status

Eastside Bariatric and Gen Surg

Snellville, Georgia, United States

Site Status

SIU Medicine

Springfield, Illinois, United States

Site Status

Riley Hospital For Children

Indianapolis, Indiana, United States

Site Status

University of Iowa

Iowa City, Iowa, United States

Site Status

Great Lakes Research Inst.

Southfield, Michigan, United States

Site Status

UBMD Pediatrics

Buffalo, New York, United States

Site Status

NYU Langone Health

New York, New York, United States

Site Status

Children's Hosptl Philadelphia

Philadelphia, Pennsylvania, United States

Site Status

Monument Health Clinical Rsrch

Rapid City, South Dakota, United States

Site Status

LifeDoc Health

Memphis, Tennessee, United States

Site Status

Amir Ali Hassan, MD, PA

Houston, Texas, United States

Site Status

Consano Clinical Research, LLC

Shavano Park, Texas, United States

Site Status

Seattle Children's Research Institute

Seattle, Washington, United States

Site Status

Centro de Investigación C.I.C.E 9 de Julio - Sanatorio 9 de Julio

San Miguel de Tucumán, Tucumán Province, Argentina

Site Status

Centro de Investigaciones Metabólicas

Capital Federal, , Argentina

Site Status

IMOBA

City of Buenos Aires, , Argentina

Site Status

Clínica Mayo de Urgencias Médicas Cruz Blanca

San Miguel de Tucumán, , Argentina

Site Status

Hospital Universitário Walter Cantídio

Bairro Rodolfo Teófilo, Fortaleza, Ceará, Brazil

Site Status

Centro de Diabetes Curitiba

Curitiba, Paraná, Brazil

Site Status

Instituto da Criança com Diabetes - ICD

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Unidade de Pesquisa Clínica do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo

Ribeirão Preto, São Paulo, Brazil

Site Status

Instituto da Criança e do Adolescente do HCFMUSP

São Paulo, São Paulo, Brazil

Site Status

Salud SURA Industriales

Bogotá, Antioquia, Colombia

Site Status

Fundacion Valle del Lili

Cali, Valle del Cauca Department, Colombia

Site Status

Endolife Specialty Hospitals

Guntur, Andhra Pradesh, India

Site Status

Indira Gandhi Institute of child health

Bangalore, Karnataka, India

Site Status

Sir Ganga Ram Hospital

New Delhi, National Capital Territory of Delhi, India

Site Status

Regency Hospital

Kanpur, Uttar Pradesh, India

Site Status

Institute of Child Health

Kolkata, West Bengal, India

Site Status

All India Institute of Medical Sciences (AIIMS)

New Delhi, , India

Site Status

HaEmek MC - Pediatric Endocrinology department

Afula, , Israel

Site Status

Soroka MC - Pediatric Endocrinology

Beersheba, , Israel

Site Status

Rambam MC - Department of Pediatrics A

Haifa, , Israel

Site Status

Carmel MC - Pediatric Endocrinology Unit

Haifa, , Israel

Site Status

Shaare Zedek MC - Pediatric Endocrinology

Jerusalem, , Israel

Site Status

University Malaya Medical Centre

Lembah Pantai, Kuala Lumpur, Malaysia

Site Status

Instituto Nacional de Pediatría

Coyoacán, Mexico City, Mexico

Site Status

IECSI Centro de Investigación Clínica

Monterrey, Nuevo León, Mexico

Site Status

Centro de Investigación y Control Metabólico S. C.

San Nicolás de los Garza, Nuevo León, Mexico

Site Status

Consultorio de Endocrinología y Pediatría

Puebla City, , Mexico

Site Status

Taipei Mackay Memorial Hospital

Taipei, , Taiwan

Site Status

Countries

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United States Argentina Brazil Colombia India Israel Malaysia Mexico Taiwan

Central Contacts

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Novo Nordisk

Role: CONTACT

(+1) 866-867-7178

Other Identifiers

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U1111-1307-6786

Identifier Type: OTHER

Identifier Source: secondary_id

2024-514432-24

Identifier Type: OTHER

Identifier Source: secondary_id

NN9388-7988

Identifier Type: -

Identifier Source: org_study_id

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