ObesityPhase 3REDEFINE 1NCT05567796
A Research Study to See How Well CagriSema Helps People With Excess Body Weight Lose Weight
A Phase 3 study testing Cagrilintide and Semaglutide in people with Obesity, run by Novo Nordisk A/S at 256 sites in 23 countries.
Trial summary
This study has 2 parts: First part is the main study and second part is the extension study. During the main study participants will receive 1 of 4 study medicines. If participants continue in the extension study, they will not receive any study medicine during the extension. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Obesity
- What is being tested?
- Cagrilintide and Semaglutide
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 3,400 participants
- Where
- 256 sitesin 23 countries
- Study dates
- 1 Nov 2022to 19 Oct 2026
- 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 Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Male or female
- Age above or equal to 18 years at the time of signing informed consent
- Body mass index (BMI) greater than or equal to 30.0 kilograms per square meter (kg/m^2) or b) BMI greater than or equal to 27.0 kg/m^2 with the presence of at least one weight-related comorbidity including, but not limited to hypertension, dyslipidaemia, obstructive sleep apnoea or cardiovascular disease
Who cannot join
- Glycaemia related: a) Glycated Haemoglobin (HbA1c) greater than or equal to 6.5 percent (48 millimoles per mole [mmol/mol]) as measured by the central laboratory at screening b) History of type 1 or type 2 diabetes mellitus
Trial locations and contacts
256 sites in 23 countries.
256 sites in 23 countries
United States46 sites
Washington Cntr Weight Mgmt
Arlington, Virginia, 22206
Univ of Colorado at Denver
Aurora, Colorado, 80045
Velocity Clinical Research Binghamton
Binghamton, New York, 13905
Univ of Alabama Birmingham
Birmingham, Alabama, 35233
Holston Medical Group_Bristol
Bristol, Tennessee, 37620
Northern Pines Hlth Ctr, PC
Buckley, Michigan, 49620
University of North Carolina
Chapel Hill, North Carolina, 27514
University of North Carolina
Chapel Hill, North Carolina, 27517
Medical Uni of SC Charleston
Charleston, South Carolina, 29425
Great Lakes Clinical Trials
Chicago, Illinois, 60640
StudyMetrix Research LLC
City of Saint Peters, Missouri, 63303
Hope Clin Res & Wellness
Conyers, Georgia, 30094
Clinical Res Collaborative
Cumberland, Rhode Island, 02864
Baylr Sctt White Rs Inst, Endo
Dallas, Texas, 75226
Velocity Clinical Res-Dallas
Dallas, Texas, 75230
UT Southwestern Med Cntr
Dallas, Texas, 75390-9302
Northeast Research Institute
Fleming Island, Florida, 32003
OptumCare Clinical Trials LLC
Golden, Colorado, 80401
Medication Mgmnt, LLC_Grnsboro
Greensboro, North Carolina, 27405
PharmQuest Life Sciences LLC
Greensboro, North Carolina, 27408
East West Med Res Inst
Honolulu, Hawaii, 96814
Midwest Inst For Clin Res
Indianapolis, Indiana, 46260
Holston Medical Group
Kingsport, Tennessee, 37660
DCOL Ctr for Clin Res
Longview, Texas, 75605
Velocity Clin Res Los Angeles
Los Angeles, California, 90017
Velocity Clin Res Wstlke
Los Angeles, California, 90057
South Broward Research LLC
Miramar, Florida, 33027
Comprehensive Weight Ctrl Prog
New York, New York, 10021
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
Capital Clin Res Ctr,LLC
Olympia, Washington, 98502
Clinical Neuroscience Solution
Orlando, Florida, 32801
Florida Inst For Clin Res
Orlando, Florida, 32825
Florida Institute for Clinical research
Orlando, Florida, 32825
The University of Penn Center
Philadelphia, Pennsylvania, 19104-3317
Clinical Trial Res Assoc,Inc
Plantation, Florida, 33324
Accellacare_NC
Raleigh, North Carolina, 27609
Rainier Clin Res Ctr Inc
Renton, Washington, 98057
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
New Venture Medical Research
Wadsworth, Ohio, 44281
Accellacare
Wilmington, North Carolina, 28401
Selma Medical Associates
Winchester, Virginia, 22601-3834
Poland21 sites
Uniwersytecki Szpital Kliniczny w Bialymstoku
Bialystok, Podlaskie Voivodeship, 15-276
Gabinet Leczenia Otylosci i Chorob Dietozaleznych
Bialystok, Podlaskie Voivodeship, 15-281
NZOZ Vita-Diabetica Malgorzata Buraczyk
Bialystok, Podlaskie Voivodeship, 15-879
50BIO.COM Sp. z o.o.
Bydgoszcz, Kujawsko-Pomorskie Voivodeship, 85-107
Gierach-Med
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-796
Klinika Bellamed
Elblag, Warmian-Masurian Voivodeship, 82-300
Uniwersyteckie Centrum Kliniczne
Gdansk, Pomeranian Voivodeship, 80-214
Centrum Medyczne Salvia
Katowice, Slaskie Voivodeship, 40-772
Centrum Medyczne Plejady
Krakow, Lesser Poland Voivodeship, 30-363
Centrum Medyczne Plejady
Krakow, 30-363
Beata Miklaszewicz & Dariusz Dabrowski "CARDIAMED" s.j.
Legnica, Lower Silesian Voivodeship, 59-220
Beata Mikłaszewicz & Dariusz Dąbrowski "CARDIAMED" s.j.
Legnica, 59-220
Terpa Sp. z o.o. Sp. k.
Lublin, Lubelskie Voivodeship, 20-333
Terpa Sp. z o.o. Sp. k.
Lublin, 20-333
Centrum Ginekologii, Poloznictwa i Leczenia Nieplodnosci
Poznan, Wielkopolskie Voivodeship, 60-198
Centrum Ginekologii, Położnictwa i Leczenia Niepłodności
Poznan, Wielkopolskie Voivodeship, 60-198
Centrum Zdrowia Metabolicznego Paweł Bogdański
Poznan, Wielkopolskie Voivodeship, 60-589
Samodzielny Publiczny Szpital Kliniczny Im. Prof. W. Orlowskiego Centrum Medycznego Ksztalcenia Podyplomowego
Warsaw, Masovian Voivodeship, 00-416
Instytut Diabetologii Sp. z o.o.
Warsaw, Mazovian Voivodeship, 02-117
Samodzielny Publiczny Szpital Kliniczny Im. Prof. W. Orłowskiego Centrum Medycznego Kształcenia Podyplomowego
Warsaw, 00-416
Instytut Diabetologii Sp. z o.o.
Warsaw, 02-117
India19 sites
Belgaum Diabetes Centre
Belagavi, Karnataka, 590001
Post Graduate Institute of Medical Education & Research_Chandigarh
Chandigarh, Punjab, 160012
Maulana Azad Medical College
Delhi, New Delhi, 110002
All India Institute of Medical Sciences_New Dehli
Delhi, 110029
AIG Hospitals,Hyderabad
Hyderabad, Telangana, 500032
Osmania General Hospital
Hyderabad, 500012
SMS Medical College & Hospital
Jaipur, Rajasthan, 302004
Eternal Heart Care Centre
Jaipur, Rajasthan, 302017
Government Medical College, Kozhikode
Kozhikode, Kerala, 673008
Sir H. N. Reliance Foundation Hospital and Research Centre
Mumbai, Maharashtra, 400004
Wockhardt Hospital, Mumbai Central
Mumbai, Maharashtra, 400011
Government Medical College and Super Speciality Hospital, Nagpur
Nagpur, Maharashtra, 440009
Grant Medical Foundation Ruby Hall Clinic
Pune, Maharashtra, 411001
Deenanath Mangeshkar Hospital & Research Centre
Pune, Maharashtra, 411004
Sahyadri Super Speciality Hospital
Pune, Maharashtra, 411004
Chellaram Diabetes Institute
Pune, Maharashtra, 411021
chelleram Diabetes Institute
Pune, Maharashtra, 411021
Nirmal Hospital Pvt. Ltd.
Surat, Gujarat, 395002
Christian Medical College Hospital, Vellore
Vellore, Tamil Nadu, 632004
Bulgaria17 sites
MHAT Puls AD, Department of Internal Diseases
Blagoevgrad, 2700
Medical centre Asclepius OOD
Dupnitsa, Kyustendil, 2600
OCIPSOMC - Endocrinology NT EOOD
Montana, 3400
OCSOMCE - Dr. Albena Dinkova EOOD
Pleven, 5800
DCC Iztok EOOD
Plovdiv, 4006
ASOMCEM - Individual Practice - Dr. Antoanela Slavcheva
Rousse, 7002
ASOMCEM - IP - Dr. Antoanela Slavcheva
Rousse, 7002
Nader Yabrudi - ASMPVBE Individual practice
Smolyan, 4700
UMHAT Aleksandrovska EAD, Densitometry and Bone Metabolic Diseases
Sofia, 1431
USHATE "Akad. Ivan Penchev" Second Clinic of Endocrinology
Sofia, 1431
USHATE Acad. Ivan Penchev EAD, First Clinic of Endocrinology
Sofia, 1431
USHATE Akad. Ivan Penchev EAD, Second Clinic of Endocrinology
Sofia, 1431
DCC XVIII - Sofia EOOD
Sofia, 1517
UMHAT Tsaritsa Yoanna - ISUL EAD, Endocrinology
Sofia, 1527
DCC XX - Sofia EOOD, Endocrinology
Sofia, 1618
AIPSMC Dr. Artin Magardichyan EOOD
Varna, 9020
MC Berbatov EOOD, Cherni Drin
Yambol, 8600
Turkey (Türkiye)16 sites
Adana Şehir Eğitim ve Araştırma Hastanesi
Adana, 01060
Başkent Üniversitesi Adana Dr. Turgut Noyan Uygulama ve Araştırma Merkezi
Adana, 01250
Baskent University Ankara Hospital
Ankara, Cankaya, 06800
Başkent Üniversitesi Ankara Hastanesi-Aile Hekimliği
Ankara, Cankaya, 06800
Ankara Bilkent Şehir Hastanesi-Dahiliye
Ankara, 06800
Ankara Sehir Hastanesi Dahiliye Klinigi
Ankara, 06800
Akdeniz Üniversitesi Hastanesi- Endokrinoloji
Antalya, 07058
Hatay Mustafa Kemal Universitesi Saglik Uygulama ve Arastirm
Hatay, 31060
Istanbul Universitesi Istanbul Tip Fakultesi - Endokrinoloji
Istanbul, 34390
İstanbul Üniversitesi İstanbul Tıp Fakültesi Hastanesi- Endokrinoloji
Istanbul, 34390
Prof. Dr. Cemil Taşcıoğlu Şehir Hastanesi- Endokrinoloji
Istanbul, 34400
Haydarpaşa Numune Eğitim ve Araştırma Hastanesi - Endokrinoloji
Istanbul, 34668
Göztepe Prof. Dr.Süleyman Yalçın Şehir Hastanesi- Dahiliye
Istanbul, 34722
Sivas Cumhuriyet Univesity Endocrinology Department
Sivas, 58140
Sivas Cumhuriyet Üniversitesi Hastanesi -Endokrinoloji
Sivas, 58140
Haseki Egitim ve Arastirma Hastanesi
Sultangazi, Istanbul, 34265
Japan15 sites
TOSAKI Clinic for Diabetes and Endocrinology_Diabetes and Endocrinology
Aichi, 468-0009
Chiba University Hospital_Diabetes, Metabolism and Endocrinology
Chiba-shi, Chiba, 260-8677
Kawada Clinic
Gunma, 373-0036
Motomachi Takatsuka Naika Clinic_Internal Medicine
Kanagawa, 231-0023
Osaka NISHI-UMEDA Clinic_Internal Medicine
Osaka, 530-0001
Asano Clinic
Saitama, 350-0851
Shinsapporo Seiryou Hospital_General Clinical Department
Sapporo, Hokkaido, 004-0004
Shinden Higashi Clinic_Internal medicine
Sendai-shi, Miyagi, 983-0039
OCROM Clinic_Internal medicine
Suita-shi, Osaka, 565-0853
Tokyo-Eki Center-building Clinic_Internal Medicine
Tokyo, 103-0027
Tokyo-Eki Center-building Clinic
Tokyo, 103-0027
Fukuwa Clinic_Internal Medicine
Tokyo, 104-0031
Miho Clinic
Tokyo, 141-0032
ToCROM Clinic_Internal Medicine
Tokyo, 160-0008
Higashi-shinjuku clinic
Tokyo, 169-0072
United Kingdom14 sites
Layton Medical Centre
Blackpool, FY3 7EN
Southmead Hospital
Bristol, BS10 5NB
Addenbrooke's Hospital_Cambridge
Cambridge, CB2 0QQ
Countess of Chester Hospital
Chester, CH2 1UL
Hathaway Medical Centre
Chippenham, SN14 6GT
University Hospital Coventry - WISDEM Centre
Coventry, CV2 2DX
Aintree University Hospital
Liverpool, L9 7AL
University Hospital Aintree
Liverpool, L9 7AL
Guy's Hospital - Diabetes
London, SE1 9RT
Imperial College London
London, W12 0HS
University College London - Obesity
London, WC1E 6JF
Princess Royal University Hospital
Orpington, Kent, BR6 8ND
Princess Royal University Hospital
Orpington, BR6 8ND
Musgrove Park Hospital
Taunton, TA1 5DA
South Korea13 sites
The Catholic University of Korea, Bucheon ST. Mary's Hospital
Bucheon-si, Gyeonggi-do, 14647
The catholic university of Korea, Bucheon St.Mary's Hospital
Bucheon-si, Gyeonggi-do, 14647
Kyungpook National University Hospital
Daegu, 14233
Daejeon Eulji Medical Center, Eulji University
Daejeon, 35233
Gachon University Gil Medical Center
Incheon, 21565
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620
Seoul National University Hospital
Seoul, 03080
Severance Hospital, Yonsei University Health System
Seoul, 03722
Asan Medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 06351
Pusan National University Yangsan Hospital
Yangsan, Gyeongsangnam-do, 50612
Pusan National University Yangsan Hospital
Yangsan, 50612
Italy11 sites
A.O.U. Consorziale Policlinico di Bari
Bari, BA, 70124
A.O.Universitaria S.ORSOLA-MALPIGHI - U.O.Endocrinologia e Cura
Bologna, 40138
ARNAS Garibaldi Catania - Presidio Ospedaliero Garibaldi-Centro
Catania, 95122
Azienda Ospedaliero-Universitaria Renato Dulbecco
Catanzaro, Cz, 88100
Azienda Ospedaliera di Padova Clin.Med.3
Padova, 35128
Ospedale Civico Partinico di Palermo
Partinico, 90047
Pol. Uni. Campus Biomedico
Roma, RM, 00128
Policlinico Universitario Tor Vergata
Roma, 00133
AOU Policlinico Umberto I - Dip. Medicina Interna, Scienze endocrino-metaboliche e malattie infettive
Roma, 00161
Policlinico San Donato S.p.A.
San Donato Milanese (MI), Lombardy, 20097
Azienda Ospedaliera Universitaria Senese
Siena, SI, 53100
Belgium9 sites
Imeldaziekenhuis - Bonheiden - Department of Endocrinology
Bonheiden, 2820
Imelda
Bonheiden, 2820
CHR Mons-Hainaut - Site Warquignies
Boussu, 7300
Cliniques Universitaires Saint-Luc - Serv Endocrinologie - Diabétologie
Brussels, 1200
UZ Antwerpen - UZA - Department of Endocrinology
Edegem, 2650
UZA - UZ Antwerpen - Department of Endocrinology
Edegem, 2650
UZ Gent - Endocrinologie
Ghent, 9000
UZ Leuven - Endocrinology
Leuven, 3000
CHU Helora - Hôpital de Mons - Site Constantinople
Mons, 7000
Germany9 sites
Diabetespraxis Mergentheim
Bad Mergentheim, 97980
Zentrum für klinische Studien Südbrandenburg GmbH
Elsterwerda, 04910
InnoDiab Forschung GmbH
Essen, 45136
Wendisch - Dahl Hamburg - DZHW
Hamburg, 22607
Uniklinik Leipzig - Klinik und Poliklinik für Endokrinologie, Nephrologie, Rheumatologie
Leipzig, 04103
AmBeNet GmbH
Leipzig, 04107
Institut für Diabetesforschung GmbH Münster - Dr. med. Rose
Münster, 48145
MZM Praxis Drs. Erlinger
Stuttgart, 70378
Zentrum für klinische Studien Allgäu Oberschwaben
Wangen, 88239
South Africa9 sites
East Rand Physicians Clinical Research Division (Pty) Ltd
Benoni, Gauteng, 1501
Armansis Medical Centre
Brits, North West, 0250
Dr Hilton Kaplan
Cape Town, Western Cape, 7708
Dr Vawda's site
Durban, KwaZulu-Natal, 4091
Dr J Reddy
Durban, KwaZulu-Natal, 4450
Dr R Dulabh
Johannesburg, Gauteng, 1812
Dr Moosa's Rooms
Lenasia, Gauteng, 1827
Dr A Jacovides and Partners Inc
Midrand, Gauteng, 1685
Botho ke Bontle Health Services
Pretoria, Gauteng, 0184
Spain8 sites
Hospital Clinic i Provincial
Barcelona, 08036
Hospital Vithas Sevilla
Castilleja de la Cuesta, 41950
H. de León_Endocrinología
León, 24008
Hospital de León
León, 24008
Hospital Gregorio Marañón
Madrid, 28007
Clinica Universitaria de Navarra
Pamplona, Navarre, 31008
Clínica Nuevas Tecnologías en Diabetes y Endocrinología
Seville, 41003
H. Infanta Luisa_Endocrino y Obesidad
Seville, 41010
Canada7 sites
C-endo Diab & Endo Clinic
Edmonton, Alberta, T6H 2L4
Nova Scotia Hlth Halifax
Halifax, Nova Scotia, B3H 1V7
Premier Clinical Trial Research Network (PCTRN)
Hamilton, Ontario, L8M 1K7
G.A. Research Associates Ltd.
Moncton, New Brunswick, E1G 1A7
Synergy Wellness Clinic
Sherwood Park, Alberta, T8H 0N2
Ocean West Research Clinic
Surrey, British Columbia, V3Z 2N6
Dr. M.B. Jones Inc
Victoria, British Columbia, V8V 4A1
Denmark7 sites
Aarhus Universitetshospital Diabetes og Hormonsygdomme
Aarhus N, 8200
Sydvestjysk Sygehus Esbjerg - Medicinsk Endokrinologisk Ambulatorium, Forskningsenheden
Esbjerg, Region Syddanmark, 6700
Center for Klinisk Metabolisk Forskning
Hellerup, 2900
Gentofte Hospital - Center for Klinisk Metabolisk Forskning
Hellerup, 2900
Hvidovre Hospital Endokrinologisk forsknings afsnit 159
Hvidovre, 2650
Sjællands Universitetshospital, Køge - Medicinsk Afdeling
Køge, Region Sjælland, 4600
Sjællands Universitetshospital
Køge, 4600
Argentina6 sites
CEDIC Centro de Investigación Clínica
CABA, C1060ABA
Centro de Investigación Clínica
CABA, C1060ABA
Centro Médico Viamonte SRL
CABA, C1120AAC
Instituto Centenario
Ciudad de Buenos Aires, C1204AAD
Fundación CESIM
Santa Rosa, La Pampa Province, 6300
Sanatorio Norte
Santiago del Estero, G4200
France5 sites
APHP - LA PITIE SALPETRIERE _ Service de Nutrition
Paris, 75013
Hospices Civils de Lyon-Hopital Lyon Sud
Pierre-Bénite, 69310
Centre Hospitalier Universitaire de Nantes-Hopital Nord Laennec
Saint-Herblain, 44800
Les Hopitaux Universitaires de Strasbourg-Hopital de Hautepierre
Strasbourg, 67098
Centre de Recherche Clinique Portes Du Sud
Vénissieux, 69200
Mexico5 sites
Centro de Investigación Cardiometabólica de Aguascalientes
Aguascalientes, 20230
Consultorio Arechavaleta Granell María del Rosario
Guadalajara, Jalisco, 44650
Centro de Investigacion Clinica Endocrinologica de Jalisco
Guadalajara, Jalisco, 44670
Internal Medicine Clin Trials
Monterrey, Nuevo León, 64020
Cardiolink Clin Trials S.C.
Monterrey, Nuevo León, 64060
Netherlands5 sites
AmsterdamUMC AMC
Amsterdam, 1105 AZ
Rijnstate Ziekenhuis
Arnhem, 6815 AD
Spaarne Gasthuis Hoofddorp - Interne
Hoofddorp, 2134 TM
Bravis Zkh Roosendaal
Roosendaal, 4708 AE
Albert Schweitzer Zkh, Zwijndrecht - Interne
Zwijndrecht, 3331 LZ
Australia4 sites
Northern Beaches Clinical Research
Brookvale, New South Wales, 2100
Novatrials
Charlestown, New South Wales, 2290
Momentum Clinical Research Darlinghurst
Darlinghurst, New South Wales, 2010
Momentum Clinical Research Taringa
Taringa, Queensland, 4068
Finland4 sites
HUS Clinical Research Obesity Unit CRC
Helsinki, 00290
Health Step Finland Oy
Kuopio, 70600
OYS - Sisätautien tutkimusyksikkö
Oulu, 90220
Turku University Hospital
Turku, 20520
Serbia4 sites
Endocrinology, Diabetes and Metabolism Diseases Clinic
Belgrade, 11000
Clinical Hospital Center Bezanijska Kosa
Belgrade, 11080
Clin. Centre Vojvodina, Clin. endocr., diab. and met. dis.
Novi Sad, Vojvodina, 21000
Clin. Centre Vojvodina, Clin. endocr., diab. and met. dis.
Novi Sad, 21000
Taiwan2 sites
China Medical University Hospital
Taichung, 404
National Taiwan University Hospital_main
Taipei, 100
About this study
Official title: Efficacy and Safety of Cagrilintide s.c. 2.4 Milligram (mg) in Combination With Semaglutide Subcutaneous (s.c). 2.4 mg (CagriSema s.c. 2.4 mg/2.4 mg) Once-weekly in Participants With Overweight or Obesity
This study has 2 parts: First part is the main study and second part is the extension study. During the main study participants will receive 1 of 4 study medicines. If participants continue in the extension study, they will not receive any study medicine during the extension. The main study will look at how well CagriSema helps participants with excess body weight lose weight compared to a "dummy" medicine and 2 other medicines, cagrilintide and semaglutide. Participants will either get CagriSema, cagrilintide,semaglutide or "dummy" medicine. Which treatment participants get is decided by chance. They will take one injection once a week. The study medicine is injected briefly with a thin needle, typically in the stomach, thighs or upper arms.
Extension study: After the main study, not all participants will continue in the extension study. The study staff will tell the participant if they will continue or not into the extension study. In the extension study we will look at what happens to the participant's body weight and diseases related to excess body weight after the participant stops taking the study medicine. The main study will last for about 1½ years and the extension study will last for another 2 years.
- Conditions
- Obesity
- Being tested
- Cagrilintide, Semaglutide, Placebo cagrilintide, Placebo semaglutide
- Medical subject headings
- Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CagrilintideDrug
Cagrilintide will be administered subcutaneously.
SemaglutideDrug
Participants will recieve semaglutide subcutaneously.
Placebo cagrilintideDrug
Participants will receive placebo matched to cagrilintide.
Placebo semaglutideDrug
Participants will receive placebo matched to semaglutide.
| Study group | Role | What they receive |
|---|---|---|
| Cagrisema | Experimental | Participants will receive cagrilintide and semaglutide once-weekly after a dose escalation period of 16 weeks during the maintenance period for 52 weeks in the main phase. Participants randomised to this arm will be included in the extension phase for 97 weeks. Receives: Drug: Cagrilintide; Drug: Semaglutide |
| Cagrilintide | Active comparator | Participants will receive cagrilintide s.c. and placebo matching to semaglutide once-weekly after a dose escalation period of 16 weeks during the maintenance period for 52 weeks. Receives: Drug: Cagrilintide; Drug: Placebo semaglutide |
| Semaglutide | Active comparator | Participants will receive semaglutide s.c.and placebo matched to cagrilintide once-weekly after a dose escalation period of 16 weeks during the maintenance period for 52 weeks. Receives: Drug: Semaglutide; Drug: Placebo cagrilintide |
| Placebo s.c. | Placebo comparator | Participants will receive placebo matched to cagrilintide and placebo matched to semaglutide once weekly for 68 weeks. Participants randomised to this arm will be included in the extension phase for 97 weeks. Receives: Drug: Placebo cagrilintide; Drug: Placebo semaglutide |
What is being measured
The primary outcome is the main question the study is designed to answer.
CagriSema versus placebo: Relative change in body weight
Measured in percentage (%)
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Achievement of greater than or equal to (>=) 5% weight reduction
Measured as count of participants
Measured: From baseline (week 0) to end of treatment (week 68)
Secondary outcomes (65)
CagriSema versus placebo: Achievement of >= 20% weight reduction
Measured as count of participant
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Achievement of >= 25% weight reduction
Measured as count of participant
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Achievement of >= 30% weight reduction
Measured as count of participant
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus cagrilintide and CagriSema versus semaglutide: Relative change in body weight
Measured as percentage (%)
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Relative change in body weight
Measured as percentage (%)
Measured: From baseline (week 0) to week 8
CagriSema versus placebo: Relative change in body weight
Measured as percentage (%)
Measured: From baseline (week 0) to week 20
CagriSema versus placebo: Change in waist circumference
Measured in centimeters (cm)
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in systolic blood pressure (SBP)
Measured in millimeters of mercury (mmHg)
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in Impact of Weight on Quality Of Life-Lite Clinical Trials Version (IWQOL-Lite-CT) Physical Function Score
Measured as score points. IWQOL-Lite-CT version 3 is a 20-item COA instrument used to assess the impact of body weight changes in obesity studies on patients' physical and psychosocial functioning in three composite scores (physical function, physical and psychosocial) and a total score.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in SF-v2 Health Survey Acute (SF-36 v2 Acute) Physical Functioning Score
Measured as score points. 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 US general population has a mean of 50 and a standard deviation of 10. Higher scores indicate better functional health and well-being.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo, semaglutide and cagrilintide: Change in body weight
Measured in kilograms (kg)
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo, semalutide and cagrilintide: Change in body mass index (BMI)
Measured in kilogram per square meter (kg/m^2)
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo, semaglutide and cagrilintide: Improvement in weight category
Measured as count of participants. The categories are: BMI, underweight less than (<) 18.5, normal weight 18.5 to <25, overweight 25.0 to <30, obesity class I 30 to < 35, obesity class II 35 to < 40, obesity class III >40.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in Glycated Haemoglobin (HbA1c)
Measured as percentage (%)
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in HbA1c
Measured as millimoles per mole (mmol/mol).
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in Fasting Plasma Glucose (FPG) (mmol/L).
Measured as millimoles per liter (mmol/L).
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in FPG (mg/dL)
Measured as milligrams per deciliter (mg/dL).
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Ratio to baseline in fasting serum insulin
Measured as ratio
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in Diastolic Blood Pressure (DBP)
Measured in mmHg
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Ratio to baseline in total cholesterol
Measured as ratio
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Ratio to baseline in High-density lipoprotein (HDL) cholesterol
Measured as ratio
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Ratio to baseline in Low-density lipoprotein (LDL) cholesterol
Measured as ratio
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Ratio to baseline in Very low-density lipoprotein (VLDL) cholesterol
Measured as ratio
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Ratio to baseline in Triglycerides
Measured as ratio
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Ratio to baseline in Free fatty acids
Measured as ratio
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide and cagrilintide: Change in waist circumference
Measured in centimeters (cm)
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide and cagrilintide: Change in SBP
Measured in mmHg
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide and cagrilintide: Ratio to baseline in total cholesterol
Measured as ratio
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide and cagrilintide: Ratio to baseline in HDL
Measured as ratio
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide and cagrilintide: Ratio to baseline in LDL
Measured as ratio
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide and cagrilintide: Ratio to baseline in VLDL
Measured as ratio
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide and cagrilintide: Ratio to baseline in Triglycerides
Measured as ratio
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide and cagrilintide: Ratio to baseline in Free fatty acids
Measured as ratio
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Relative change in body weight (Measured in kilograms (kg))
Measured in kilograms (kg).
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Relative change in body weight (Measured in percentage (%))
Measured in percentage (%).
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Absolute change in body weight (Measured in kilograms (kg))
Measured in kilograms (kg).
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Absolute change in body weight (Measured in percentage (%))
Measured in percentage (%).
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in total fat mass by Dual energy X-ray absorption (DXA)a absolute to total body mass (Measured as kilograms (kg))
Measured as kilograms (kg)
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in total fat mass by Dual energy X-ray absorption (DXA)a absolute to total body mass (Measured as percentage (%))
Measured as percentage (%)
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in total fat mass by Dual energy X-ray absorption (DXA)a relative to total body mass (Measured as kilograms (kg))
Measured as kilograms (kg)
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in total fat mass by Dual energy X-ray absorption (DXA)a relative to total body mass (Measured as percentage (%))
Measured as percentage (%)
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in visceral fat mass by DXA, relative to baseline of fat mass in visceral fat mass region (Measured as percentage (%))
Measured as percentage (%)
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in visceral fat mass by DXA, relative to baseline of fat mass in visceral fat mass region (Measured as %-points)
Measured as %-points
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in visceral fat mass by DXA, relative to total amount of fat mass in visceral fat mass region (Measured as percentage (%))
Measured as percentage (%).
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in visceral fat mass by DXA, relative to total amount of fat mass in visceral fat mass region (Measured as %-points)
Measured as %-points
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in lean body mass by DXA absolute to total body mass (Measured in kilograms (kg))
Measured in kilograms (kg)
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in lean body mass by DXA absolute to total body mass (Measured in percentage (%))
Measured in percentage (%)
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in lean body mass by DXA relative to total body mass (Measured in kilograms (kg))
Measured in kilograms (kg)
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in lean body mass by DXA relative to total body mass (Measured in percentage (%))
Measured in percentage (%)
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Achievement of at least 14.6- point increase (yes/no) in IWQOL-Lite-CT Physical Function score
Measured as count of participants. IWQOL-Lite-CT version 3 is a 20-item COA instrument used to assess the impact of body weight changes in obesity studies on patients' physical and psychosocial functioning in three composite scores (physical function, physical and psychosocial) and a total score.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Achievement of at least 3.7-point increase (yes/no) in SF-36v2 Physical Functioning score
Measured as count of participants. 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 US general population has a mean of 50 and a standard deviation of 10. Higher scores indicate better functional health and well-being.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in IWQOL-Lite-CT - Physical Function Score
Measured as score points. IWQOL-Lite-CT version 3 is a 20-item COA instrument used to assess the impact of body weight changes in obesity studies on patients' physical and psychosocial functioning in three composite scores (physical function, physical and psychosocial) and a total score.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in IWQOL-Lite-CT - Psychosocial Score
Measured as score points. IWQOL-Lite-CT version 3 is a 20-item COA instrument used to assess the impact of body weight changes in obesity studies on patients' physical and psychosocial functioning in three composite scores (physical function, physical and psychosocial) and a total score.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in IWQOL-Lite-CT - Total Score
Measured as score points. IWQOL-Lite-CT version 3 is a 20-item COA instrument used to assess the impact of body weight changes in obesity studies on patients' physical and psychosocial functioning in three composite scores (physical function, physical and psychosocial) and a total score.
Measured: From baseline (week 0) to end of treatment (week 68)
Change in Control of Eating (COEQ): Craving Control Score
Measured as score points. CoEQ is a 19-item multidimensional patient-reported outcome (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).
Measured: From baseline (week 0) to end of treatment (week 68)
Change in COEQ: Craving for Savoury food score
Measured as score points. CoEQ is a 19-item multidimensional patient-reported outcome (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).
Measured: From baseline (week 0) to end of treatment (week 68)
Change in COEQ: Hunger score
Measured as score points. CoEQ is a 19-item multidimensional patient-reported outcome (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).
Measured: From baseline (week 0) to end of treatment (week 68)
Change in COEQ: Craving for Sweets Score
Measured as score points. CoEQ is a 19-item multidimensional patient-reported outcome (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).
Measured: From baseline (week 0) to end of treatment (week 68)
Change in COEQ: Positive Mood score
Measured as score points. CoEQ is a 19-item multidimensional patient-reported outcome (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).
Measured: From baseline (week 0) to end of treatment (week 68)
Change in COEQ: Satiety score
Measured as score points. CoEQ is a 19-item multidimensional patient-reported outcome (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).
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo for subgroup with baseline PGI-S assessment 'Poor' : Change in IWQOL-Lite-CT Physical Function score
Measured as score points. IWQOL-Lite-CT version 3 is a 20-item COA instrument used to assess the impact of body weight changes in obesity studies on patients' physical and psychosocial functioning in three composite scores (physical function, physical and psychosocial) and a total score.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo for subgroup with baseline PGI-S assessment 'Poor' : Achievement of at least 14.6-point increase (yes/no) in IWQOL-Lite-CT Physical Function score
Measured as count of participants.
Measured: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo, semalutide and cagrilintide: Ratio to baseline C-reactive protein (CRP)
Measured as ratio
Measured: From baseline (week 0) to end of treatment (week 68)
Number of Treatment Emergent Adverse Events (TEAEs)
Measured as count of events
Measured: From baseline (week 0) to end of study-main part (week 75)
Number of Treatment Emergent Serious adverse events (TESAEs)
Measured as count of events.
Measured: From baseline (week 0) to end of study-main part (week 75)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Oct 2022
- Study start1 Nov 2022
- Primary completion30 Oct 2024
- Study completion19 Oct 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for ObesityStudies 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
- 3,400 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
- NCT05567796
- Sponsor's protocol ID
- NN9838-4608
- Other IDs
- Universal Trial Number (UTN), 2020-005435-75
- Acronym
- REDEFINE 1
- Status last verified
- Sep 2026
- First submitted
- 3 Oct 2022
- 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
Publications
Verma S, Bottcher M, Brown P, Dicker D, Rubino D, Sbraccia P, Sharma AM, Smedegaard L, Sorrig R, Garvey WT. CagriSema Reduces Blood Pressure in Adults With Overweight or Obesity: REDEFINE 1. Hypertension. 2026 Feb;83(2):e26055. doi: 10.1161/HYPERTENSIONAHA.125.26055. Epub 2025 Dec 2.
PubMed 41328546Garvey WT, Bluher M, Osorto Contreras CK, Davies MJ, Winning Lehmann E, Pietilainen KH, Rubino D, Sbraccia P, Wadden T, Zeuthen N, Wilding JPH; REDEFINE 1 Study Group. Coadministered Cagrilintide and Semaglutide in Adults with Overweight or Obesity. N Engl J Med. 2025 Aug 14;393(7):635-647. doi: 10.1056/NEJMoa2502081. Epub 2025 Jun 22.
PubMed 40544433
Study at a glance
From the registry record, last updated by the sponsor on 30 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy and Safety of Cagrilintide s.c. 2.4 Milligram (mg) in Combination With Semaglutide Subcutaneous (s.c). 2.4 mg (CagriSema s.c. 2.4 mg/2.4 mg) Once-weekly in Participants With Overweight or Obesity
- ClinicalTrials.gov ID
- NCT05567796
- Acronym / sponsor ID
- REDEFINE 1 / NN9838-4608
- Conditions
- Obesity
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 3,400 participants (estimated)
- Lead sponsor
- Novo Nordisk A/SIndustry (pharma, biotech, devices)
- Study start
- 1 Nov 2022 (actual)
- Primary completion
- 30 Oct 2024 (actual)
- Study completion
- 19 Oct 2026 (estimated)
- First posted
- 5 Oct 2022 (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 has 2 parts: First part is the main study and second part is the extension study. During the main study participants will receive 1 of 4 study medicines. If participants continue in the extension study, they will not receive any study medicine during the extension. The main study will look at how well CagriSema helps participants with excess body weight lose weight compared to a "dummy" medicine and 2 other medicines, cagrilintide and semaglutide. Participants will either get CagriSema, cagrilintide,semaglutide or "dummy" medicine. Which treatment participants get is decided by chance. They will take one injection once a week. The study medicine is injected briefly with a thin needle, typically in the stomach, thighs or upper arms.
Extension study: After the main study, not all participants will continue in the extension study. The study staff will tell the participant if they will continue or not into the extension study. In the extension study we will look at what happens to the participant's body weight and diseases related to excess body weight after the participant stops taking the study medicine. The main study will last for about 1½ years and the extension study will last for another 2 years.
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: Cagrilintide, Drug: SemaglutideParticipants will receive cagrilintide and semaglutide once-weekly after a dose escalation period of 16 weeks during the maintenance period for 52 weeks in the main phase. Participants randomised to this arm will be included in the extension phase for 97 weeks. |
| Cagrilintide | Active comparator | Drug: Cagrilintide, Drug: Placebo semaglutideParticipants will receive cagrilintide s.c. and placebo matching to semaglutide once-weekly after a dose escalation period of 16 weeks during the maintenance period for 52 weeks. |
| Semaglutide | Active comparator | Drug: Semaglutide, Drug: Placebo cagrilintideParticipants will receive semaglutide s.c.and placebo matched to cagrilintide once-weekly after a dose escalation period of 16 weeks during the maintenance period for 52 weeks. |
| Placebo s.c. | Placebo comparator | Drug: Placebo cagrilintide, Drug: Placebo semaglutideParticipants will receive placebo matched to cagrilintide and placebo matched to semaglutide once weekly for 68 weeks. Participants randomised to this arm will be included in the extension phase for 97 weeks. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (3 listed)
- Male or female
- Age above or equal to 18 years at the time of signing informed consent
- Body mass index (BMI) greater than or equal to 30.0 kilograms per square meter (kg/m^2) or b) BMI greater than or equal to 27.0 kg/m^2 with the presence of at least one weight-related comorbidity including, but not limited to hypertension, dyslipidaemia, obstructive sleep apnoea or cardiovascular disease
Key exclusion criteria (1 listed)
- Glycaemia related: a) Glycated Haemoglobin (HbA1c) greater than or equal to 6.5 percent (48 millimoles per mole [mmol/mol]) as measured by the central laboratory at screening b) History of type 1 or type 2 diabetes mellitus
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 |
|---|---|---|
| CagrilintideCagrilintide will be administered subcutaneously. | Drug | Cagrilintide, Cagrisema |
| SemaglutideParticipants will recieve semaglutide subcutaneously. | Drug | Cagrisema, Semaglutide |
| Placebo cagrilintideParticipants will receive placebo matched to cagrilintide. | Drug | Placebo s.c., Semaglutide |
| Placebo semaglutideParticipants will receive placebo matched to semaglutide. | Drug | Cagrilintide, Placebo s.c. |
Primary outcome
CagriSema versus placebo: Relative change in body weight
Time frame: From baseline (week 0) to end of treatment (week 68)
Measured in percentage (%)
CagriSema versus placebo: Achievement of greater than or equal to (>=) 5% weight reduction
Time frame: From baseline (week 0) to end of treatment (week 68)
Measured as count of participants
65 secondary outcomes
CagriSema versus placebo: Achievement of >= 20% weight reduction
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Achievement of >= 25% weight reduction
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Achievement of >= 30% weight reduction
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus cagrilintide and CagriSema versus semaglutide: Relative change in body weight
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Relative change in body weight
Time frame: From baseline (week 0) to week 8
CagriSema versus placebo: Relative change in body weight
Time frame: From baseline (week 0) to week 20
CagriSema versus placebo: Change in waist circumference
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in systolic blood pressure (SBP)
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in Impact of Weight on Quality Of Life-Lite Clinical Trials Version (IWQOL-Lite-CT) Physical Function Score
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in SF-v2 Health Survey Acute (SF-36 v2 Acute) Physical Functioning Score
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo, semaglutide and cagrilintide: Change in body weight
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo, semalutide and cagrilintide: Change in body mass index (BMI)
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo, semaglutide and cagrilintide: Improvement in weight category
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in Glycated Haemoglobin (HbA1c)
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in HbA1c
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in Fasting Plasma Glucose (FPG) (mmol/L).
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in FPG (mg/dL)
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Ratio to baseline in fasting serum insulin
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in Diastolic Blood Pressure (DBP)
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Ratio to baseline in total cholesterol
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Ratio to baseline in High-density lipoprotein (HDL) cholesterol
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Ratio to baseline in Low-density lipoprotein (LDL) cholesterol
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Ratio to baseline in Very low-density lipoprotein (VLDL) cholesterol
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Ratio to baseline in Triglycerides
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Ratio to baseline in Free fatty acids
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide and cagrilintide: Change in waist circumference
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide and cagrilintide: Change in SBP
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide and cagrilintide: Ratio to baseline in total cholesterol
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide and cagrilintide: Ratio to baseline in HDL
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide and cagrilintide: Ratio to baseline in LDL
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide and cagrilintide: Ratio to baseline in VLDL
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide and cagrilintide: Ratio to baseline in Triglycerides
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus semaglutide and cagrilintide: Ratio to baseline in Free fatty acids
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Relative change in body weight (Measured in kilograms (kg))
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Relative change in body weight (Measured in percentage (%))
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Absolute change in body weight (Measured in kilograms (kg))
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Absolute change in body weight (Measured in percentage (%))
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in total fat mass by Dual energy X-ray absorption (DXA)a absolute to total body mass (Measured as kilograms (kg))
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in total fat mass by Dual energy X-ray absorption (DXA)a absolute to total body mass (Measured as percentage (%))
Time frame: From baseline (week 0) to end of treatment (week 68)
CagriSema versus placebo: Change in total fat mass by Dual energy X-ray absorption (DXA)a relative to total body mass (Measured as kilograms (kg))
Time frame: From baseline (week 0) to end of treatment (week 68)
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 30 Sep 2026.
- Derived from this study: PubMed 41328546Verma S, Bottcher M, Brown P, Dicker D, Rubino D, Sbraccia P, Sharma AM, Smedegaard L, Sorrig R, Garvey WT. CagriSema Reduces Blood Pressure in Adults With Overweight or Obesity: REDEFINE 1. Hypertension. 2026 Feb;83(2):e26055. doi: 10.1161/HYPERTENSIONAHA.125.26055. Epub 2025 Dec 2.
- Derived from this study: PubMed 40544433Garvey WT, Bluher M, Osorto Contreras CK, Davies MJ, Winning Lehmann E, Pietilainen KH, Rubino D, Sbraccia P, Wadden T, Zeuthen N, Wilding JPH; REDEFINE 1 Study Group. Coadministered Cagrilintide and Semaglutide in Adults with Overweight or Obesity. N Engl J Med. 2025 Aug 14;393(7):635-647. doi: 10.1056/NEJMoa2502081. Epub 2025 Jun 22.
- Individual participant dataSharing planned: Yes. According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
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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. This study is not recruiting at the moment.
Clinical Transparency (dept. 2834) study director
Novo Nordisk A/S
256 sites in 23 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Cagrilintide and Semaglutide in people with Obesity, run by Novo Nordisk A/S at 256 sites in 23 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 3 inclusion and 1 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 256 sites in United States, Poland, India, Bulgaria, Turkey (Türkiye) and 18 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?
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?
CagriSema versus placebo: Relative change in body weight (time frame: From baseline (week 0) to end of treatment (week 68)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05567796, which also lists 2 linked publications.
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; AzTrials last refreshed its copy on 26 Oct 2026.