Type 2 DiabetesPhase 3NCT06221969
A Research Study to See How Much CagriSema Lowers Blood Sugar and Body Weight Compared to Tirzepatide in People With Type 2 Diabetes Treated With Metformin With or Without an SGLT2 Inhibitor
A Phase 3 study testing Cagrilintide, Semaglutide and Tirzepatide in people with Type 2 Diabetes, run by Novo Nordisk A/S at 197 sites in 8 countries.
Trial summary
This study will look at how well CagriSema helps people with type 2 diabetes lower their blood sugar and body weight. CagriSema is a new investigational medicine. Doctors may not yet prescribe CagriSema. CagriSema will be compared to a medicine called tirzepatide that doctors may prescribe in some countries. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Type 2 Diabetes
- What is being tested?
- Cagrilintide, Semaglutide and Tirzepatide
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,024 participants
- Where
- 197 sitesin 8 countries
- Study dates
- 16 Jan 2024to 6 Apr 2026
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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.
- Diagnosed with type 2 diabetes ≥ 180 days before screening.
- Stable daily dose(s) ≥ 90 days before screening of any of the following antidiabetic drug(s) or combination regimen(s) at effective or maximum tolerated dose as judged by the investigator: metformin with or without an sodium-glucose co-transporter-2 (SGLT2) inhibitor.
- HbA1c 7.0-10.5% (53-91 mmol/mol) (both inclusive) as determined by central laboratory at screening.
- Body mass index (BMI) of ≥ 30.0 kilogram per square meter (kg/m^2) at screening. BMI will be calculated in the electronic case report form (eCRF) based on height and body weight at screening.
Who cannot join
- Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using a highly effective contraceptive method.
- Renal impairment with estimated Glomerular Filtration Rate < 30 milliliter per minute per 1.73 square meter (mL/min/1.73 m^2) as determined by central laboratory at screening.
- Treatment with any medication for the indication of diabetes or obesity other than stated in the inclusion criteria within 90 days before screening. However, short term insulin treatment for a maximum of 14 consecutive days and prior insulin treatment for gestational diabetes are allowed.
- Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by an eye 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.
Trial locations and contacts
197 sites in 8 countries.
197 sites in 8 countries
United States117 sites
AMC Community Endocrinology
Albany, New York, 12203
Velocity Clin Res Albuquerque
Albuquerque, New Mexico, 87107
Velocity Clinical Res-Anderson
Anderson, South Carolina, 29621
Arlington Family Res. Ctr Inc
Arlington, Texas, 76012-4637
University of Colorado Hospital
Aurora, Colorado, 80045
Velocity Clin Res
Austin, Texas, 78759
AM Diabetes And Endocrinology Center
Bartlett, Tennessee, 38133
UT Health University of Texas
Bellaire, Texas, 77401
Belzoni Clinical Research
Belzoni, Mississippi, 39038
Synexus Clin Res-Birmingham
Birmingham, Alabama, 35211
Univ of Alabama_Birmingham
Birmingham, Alabama, 35233
St. Luke's Health System
Boise, Idaho, 83702
Joslin Diabetes Center
Boston, Massachusetts, 02215
Holston Medical Group Pc
Bristol, Tennessee, 37620
UNC Eastowne Clinical Research Unit
Chapel Hill, North Carolina, 27514
Univ Diab & Endo Consultants
Chattanooga, Tennessee, 37411
Diabetes & Endo Specialists Inc
Chesterfield, Missouri, 63017
Cedar-Crosse Research Center
Chicago, Illinois, 60607
Velocity Clin Res-Chula Vista
Chula Vista, California, 91911
StudyMetrix Research LLC
City of Saint Peters, Missouri, 63303
Optumcare Clinical Trials,LLC-Golden
Colorado Springs, Colorado, 80906
Remington Davis Inc
Columbus, Ohio, 43215
Hope Clin Res & Wellness
Conyers, Georgia, 30094
Clinical Res Collaborative
Cumberland, Rhode Island, 02864
Velocity Clin Res, Dallas
Dallas, Texas, 75230
North Texas Endocrine Center
Dallas, Texas, 75231
Synexus Clin Res Dallas
Dallas, Texas, 75234
Cedar Health Research
Dallas, Texas, 75251
Velocity Clin Res Providence
East Greenwich, Rhode Island, 02818
Velocity Clin Res Syracuse
East Syracuse, New York, 13057
Headlands Research California, LLC
Escondido, California, 92025
Neighborhood Healthcare
Escondido, California, 92025
Plains Clinical Research Center, LLC
Fargo, North Dakota, 58104
St. Jude Heritage Yorba Linda - Pediatric Ste D
Fullerton, California, 92835
Center for Adv Res & Education
Gainesville, Georgia, 30501
Prime Medical Group, LLC
Gilbert, Arizona, 85296
Prevea Health
Green Bay, Wisconsin, 54303
American Health Network of Indiana, LLC_Greenfield
Greenfield, Indiana, 46140
PharmQuest Life Sciences LLC
Greensboro, North Carolina, 27408
Velocity Clin Res Gulfport
Gulfport, Mississippi, 39503
Clinical Invest Special_Gurnee
Gurnee, Illinois, 60031
Pacific Diabetes & Endo Ctr
Honolulu, Hawaii, 96813
CCT Research
Horsham, Pennsylvania, 19044
PrimeCare Medical Group
Houston, Texas, 77024
JCCT- Juno NW Houston
Houston, Texas, 77040
Discovery MM Services, Inc
Houston, Texas, 77061
PlanIt Research, PLLC
Houston, Texas, 77079
Amir Ali Hassan, MD, PA
Houston, Texas, 77089
MedStar Hlth Res Institute
Hyattsville, Maryland, 20782
Jackson Clinic
Jackson, Tennessee, 38305
Northeast Res Inst. Inc.
Jacksonville, Florida, 32204
Holston Medical Group
Kingsport, Tennessee, 37660
Diabetes & Endocrine Specialists - La Mesa
La Mesa, California, 91942
Diabetes and Endocrine Specialists - La Mesa
La Mesa, California, 91942
Velocity Clin Res San Diego
La Mesa, California, 91942
Velocity Clin Res Lafayette
Lafayette, Louisiana, 70508
Fmc Science, Llc
Lampasas, Texas, 76550
Headlands Research CTR Lincoln
Lincoln, California, 95648
Arkansas Clinical Research
Little Rock, Arkansas, 72205
Loma Linda Univ Hlth Cr Endo
Loma Linda, California, 92354
Urban Family Practice Assoc
Marietta, Georgia, 30067
Advanced Medical Research
Maumee, Ohio, 43537
Clinical Neuroscience Solutions
Memphis, Tennessee, 38119
Solaris Clinical Research
Meridian, Idaho, 83646
Bioclinical Research Alliance
Miami, Florida, 33155
New Horizon Research Center
Miami, Florida, 33165
International Diabetes Center
Minneapolis, Minnesota, 55416
South Broward Research LLC
Miramar, Florida, 33027
Carteret Medical Group
Morehead City, North Carolina, 28557
Centricity Rsrch MHCity Multi
Morehead City, North Carolina, 28557
HealthStar Physicians PC
Morristown, Tennessee, 37813
Trial Management Associates
Myrtle Beach, South Carolina, 29572
Clinical Research Associates
Nashville, Tennessee, 37203
TPMG Clinical Research
Newport News, Virginia, 23606
Lynn Institute of Norman
Norman, Oklahoma, 73072
Valley Clinical Trials, Inc.
Northridge, California, 91325
West Orange Endocrinology
Ocoee, Florida, 34761
Optimal Research Sites
Orange City, Florida, 32763
Trans Res Inst for Met & Diab
Orlando, Florida, 32804
Oviedo Medical Research, LLC
Oviedo, Florida, 32765
Desert Oasis Healthcare
Palm Springs, California, 92262
Velocity Clin Res - Panorama
Panorama City, California, 91402
Center for Diab,Obes & Metab
Pembroke Pines, Florida, 33024
Thomas Jefferson University_Philadelphia
Philadelphia, Pennsylvania, 19114
Velocity Clinical Research-Phoenix
Phoenix, Arizona, 85006
Synexus Rsch /Cnt Phnx Med C
Phoenix, Arizona, 85020
Western University of Health Sciences
Pomona, California, 91766
Rainier Clin Res Ctr Inc
Renton, Washington, 98057
Endocrine Research Solutions
Roswell, Georgia, 30076
Foothill Family Clinic South
Salt Lake City, Utah, 84121
Quality Clinical Research, Inc.
San Antonio, Texas, 78209
University of Texas San Antonio
San Antonio, Texas, 78229
NE Clin Res of San Antonio
San Antonio, Texas, 78233
University of Texas San Antonio
San Antonio, Texas, 78284
Endocrinology Josel Cabaccan
San Jose, California, 95148
Mills-Peninsula Medical Center
San Mateo, California, 94401
NorCal Endocrinology and Internal Medicine
San Ramon, California, 94583
Unity Health-Searcy Medical Center
Searcy, Arkansas, 72143
Consano Clinical Research, LLC
Shavano Park, Texas, 78231
Hillcrest Clinical Research
Simpsonville, South Carolina, 29681-1538
Endeavor Health
Skokie, Illinois, 60077
Evanston Premier Hlthcr Res
Skokie, Illinois, 60077
J.Lewis Research Inc
South Jordan, Utah, 84095
Spartanburg Medical Research
Spartanburg, South Carolina, 29303
Amicis Centers of Clinical Research
St Louis, Missouri, 63128
Piedmont Healthcare/Research
Statesville, North Carolina, 28625
Mt Olympus Medical Research, LLC
Sugar Land, Texas, 77478
Premier Medical Center, Inc.
Toluca Lake, California, 91602
DM Clin Rsrch/Fam Diag Clinic
Tomball, Texas, 77375
Cotton-O'Neil Diab & Endo Ctr
Topeka, Kansas, 66606
Velocity Clin Res - Panorama
Van Nuys, California, 91405
New Venture Medical Research
Wadsworth, Ohio, 44281-9236
Diablo Clinical Research, Inc.
Walnut Creek, California, 94598
Iowa Diabetes & Endo Res Ctr
West Des Moines, Iowa, 50266
Velocity Clin Res-Salt Lk City
West Jordan, Utah, 84088
Southgate Medical Group, LLP
West Seneca, New York, 14224
Accellacare
Wilmington, North Carolina, 28401
Canada20 sites
Centricity Research Oshawa
Barrie, West Oshawa, L4N 7L3
Centricity Research Brampton Endocrinology
Brampton, Ontario, L6S 0C6
Centricity Research Calgary Endocrinology
Calgary, Alberta, T2H 2G4
Milestone Research
London, Ontario, N5W 6A2
Western Univ. Cnt for Studies in Fam Med
London, Ontario, N6G 2M1
G.A. Research Associates Ltd.
Moncton, New Brunswick, E1G 1A7
Centre Medical Acadie
Montreal, Quebec, H4N 2W2
ALPHA Recherche Clinique
Québec, Quebec, G3K 2P8
Clin des Mal Lipid de Quebec
Québec, G1V 4W2
Clinique des Maladies Lipidiques de Quebec Inc.
Québec, G1V 4W2
Centre de Recherche Saint-Louis
Québec, G1W 4R4
London Road Diagnostic Clinic and Medical Centre
Sarnia, Ontario, N7T 4X3
Guilford Med Clinic
Surrey, British Columbia, V3R 4H6
TLC Diabetes and Endocrinology
Surrey, British Columbia, V3T0X6
Ocean West Research Clinic
Surrey, British Columbia, V3Z 2N6
Hilltop Medical Clinic
Surrey, British Columbia, V4A 0C1
Ctr de Med Metab de Lanaudiere
Terrebonne, Quebec, J6X 4P7
Centricity Research Toronto
Toronto, Ontario, M4G 3E8
Diabetes Heart Research Centre
Toronto, Ontario, M6G 1M2
Diex Recherche Victoriaville
Victoriaville, Quebec, G6P 3Z8
India20 sites
Rajiv Gandhi Centre for Diabetes and Endocrinology, J.N Medical College, Aligarh Muslim University
Aligarh, 202002
Belgaum Diabetes Centre
Belagavi, Karnataka, 590001
SRM Centre for Clinical Trials & Research
Chennai, 603203
Maulana Azad Medical College
Delhi, New Delhi, 110002
AIG Hospitals,Hyderabad
Hyderabad, Telangana, 500032
SMS Medical College & Hospital
Jaipur, Rajasthan, 302004
Diabetes, Thyroid and Endocrine Centre
Jaipur, Rajasthan, 302006
BP Poddar Hospital
Kolkata, West Bengal, 700053
Government Medical College, Kozhikode
Kozhikode, Kerala, 673008
Seth GS Medical College & KEM Hospital
Mumbai, Maharashtra, 400012
BSES MG hospital
Mumbai, Maharashtra, 400058
Government Institute of Medical Sciences
Noida, Uttar Pradesh, 201310
Grant Medical Foundation Ruby Hall Clinic
Pune, Maharashtra, 411001
Chellaram Diabetes Institute
Pune, Maharashtra, 411021
Nirmal Hospital Pvt. Ltd.
Surat, Gujarat, 395002
Nirmal Hospital Pvt. Ltd.
Surat, 395002
Indian Institute of Diabetes
Thiruvnanthapuram, Kerala, 695033
Jothydev's Diabetes & Research Center
Thriruvananthapuram, 695 032
SSG Hospital, Baroda
Vadodara, Gujarat, 390001
Christian Medical College Hospital, Vellore
Vellore, Tamil Nadu, 632004
Australia12 sites
Paratus Clinical
Blacktown, New South Wales, 2148
Townsville University Hospital
Douglas, Queensland, 4814
Paratus Clinical
Kanwal, New South Wales, 2259
Hunter Diabetes Centre
Merewether, New South Wales, 2291
University of Sunshine Coast - Morayfield
Morayfield, Queensland, 4506
Southern Adelaide Diabetes & Endocrine Services
Oaklands Park, South Australia, 5046
The Royal Melbourne Hospital - Diabetes & Endocrinology Department
Parkville, Victoria, 3050
The Royal Melbourne Hospital
Parkville, Victoria, 3050
Austrials
St Albans, Victoria, 3021
Momentum Clinical Research Sunshine
St Albans, Victoria, 3021
Royal North Shore Hospital
St Leonards, New South Wales, 2065
Momentum Clinical Research Taringa
Taringa, Queensland, 4068
Argentina10 sites
Instituto de Investigaciones Metabolicas (IDIM)
Buenos Aires, C1012AAR
OMI- Organización Médica de Investigación
Buenos Aires, C1015
CICEMO- Consultorio de Investigación Clínica EMO
Buenos Aires, C1405BUB
CEDIC Centro de Investigación Clínica
CABA, C1060ABA
Centro de Investigación Clínica
CABA, C1060ABA
Buenos Aires Mácula
Ciudad Autonoma de Buenos Aires, Buenos Aires, C1061AAE
CICEMO- Consultorio de Investigación Clínica EMO
Ciudad Autonoma de Buenos Aires, Buenos Aires, C1405BUB
Instituto Medico Especializado_Capital Federal
Ciudad de Buenos Aires, Buenos Aires, C1405CWB
Instituto de Investigaciones Clinicas Mar Del Plata
Mar del Plata, Buenos Aires, B7600FZN
CEDIR - Centro de diagnóstico y rehabilitación Santa Fe
Santa Fe, S3000FSO
Taiwan7 sites
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 807
Chung Shan Medical University Hospital
Taichung, 402
Taichung Veterans General Hospital
Taichung, 407
Kuang Tien General Hospital
Taichung, 433
National Cheng Kung University Hospital
Tainan, 704
National Taiwan University Hospital_main
Taipei, 100
Taipei Veterans General Hospital
Taipei, 112
South Africa6 sites
Dr Wilhase's rooms
Boksburg, Gauteng, 1466
Bella Vita Clinical Research
Cape Town, Western Cape, 7560
Synapta Clinical Research Centre
Durban, KwaZulu-Natal, 4001
Dr J Reddy
Durban, KwaZulu-Natal, 4450
Ubuntu Clinical Research
Johannesburg, Gauteng, 1827
Krugersdorp Medical Centre
Krugersdorp, Gauteng, 1739
Colombia5 sites
Clinica de la Costa
Barranquilla, Atlántico, 80020
Cimedical
Barranquilla, 80001
UNIENDO
Bogotá, 110111
Centro de Investigación en Reumatología y Especialidades Médicas S.A.S. CIREEM S.A.S.
Bogotá, 110221
FOSCAL
Floridablanca, Santander Department, 681004
About this study
Official title: Efficacy and Safety of Co-administered Cagrilintide and Semaglutide (CagriSema) 2.4 mg/2.4 mg s.c. Once Weekly Versus Tirzepatide 15 mg s.c. Once Weekly in Participants With Type 2 Diabetes Inadequately Controlled on Metformin With or Without an SGLT2 Inhibitor
This study will look at how well CagriSema helps people with type 2 diabetes lower their blood sugar and body weight. CagriSema is a new investigational medicine. Doctors may not yet prescribe CagriSema. CagriSema will be compared to a medicine called tirzepatide that doctors may prescribe in some countries. Participants will get either CagriSema or tirzepatide. Which treatment participant get is decided by chance like flipping a coin. Participant will have an equal chance of receiving either drug. For each participant, the study will last for up to one and a half years.
- Conditions
- Type 2 Diabetes
- Being tested
- Cagrilintide, Semaglutide, Tirzepatide
- Medical subject headings
- Diabetes Mellitus, Type 2
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
Semaglutide will be administered subcutaneously.
TirzepatideDrug
Tirzepatide will be administered subcutaneously.
| Study group | Role | What they receive |
|---|---|---|
| CagriSema | Experimental | Participants will receive cagrilintide dose 1 and semaglutide dose 2 subcutaneously once-weekly (dose escalation period of 16 weeks) for up to 68 weeks. Receives: Drug: Cagrilintide; Drug: Semaglutide |
| Tirzepatide | Active comparator | Participants will receive tirzepatide dose 1 subcutaneously once-weekly (dose escalation period of 20 weeks) for up to 68 weeks. Receives: Drug: Tirzepatide |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in glycated haemoglobin (HbA1c)
Measured in percentage (%)-points.
Measured: From baseline (week 0) to end of treatment (week 68)
Relative change in body weight
Measured in percentage (%).
Measured: From baseline (week 0) to end of treatment (week 68)
Secondary outcomes (22)
Change in HbA1c
Measured in %-points.
Measured: From baseline (week 0) to end of treatment (week 68)
Change in fasting plasma glucose (FPG)
Measured in millimoles per liter (mmol/L).
Measured: From baseline (week 0) to end of treatment (week 68)
Achievement of HbA1c target values of less than (<) 7.0% (<53 millimole per mole [mmol/mol])
Count of participant
Measured: At end of treatment (week 68)
Achievement of HbA1c target values of less than or equal to (≤) 6.5% (≤ 48 mmol/mol)
Count of participant
Measured: From baseline (week 0) to end of treatment (week 68)
Achievement of greater than or equal to (≥) 5% weight reduction
Count of participant
Measured: From baseline (week 0) to end of treatment (week 68)
Achievement of ≥ 10% weight reduction
Count of participant
Measured: From baseline (week 0) to end of treatment (week 68)
Achievement of ≥ 15 % weight reduction
Count of participant
Measured: From baseline (week 0) to end of treatment (week 68)
Achievement of ≥ 20 % weight reduction
Count of participant
Measured: From baseline (week 0) to end of treatment (week 68)
Change in systolic blood pressure
Measured in millimeters of mercury(mmHg).
Measured: From baseline (week 0) to end of treatment (week 68)
Change in diastolic blood pressure
Measured in mmHg.
Measured: From baseline (week 0) to end of treatment (week 68)
Change in waist circumference
Measured in centimeter (cm).
Measured: From baseline (week 0) to end of treatment (week 68)
Ratio to baseline in lipids: Total cholesterol
Measured in ratio.
Measured: From baseline (week 0) to end of treatment (week 68)
Ratio to baseline in lipids: High-density lipoprotein (HDL) cholesterol
Measured in ratio.
Measured: From baseline (week 0) to end of treatment (week 68)
Ratio to baseline in lipids: Low-density lipoprotein (LDL) cholesterol
Measured in ratio.
Measured: From baseline (week 0) to end of treatment (week 68)
Ratio to baseline in lipids: Very low-density lipoprotein (VLDL) cholesterol
Measured in ratio.
Measured: From baseline (week 0) to end of treatment (week 68)
Ratio to baseline in lipids: Triglycerides
Measured in ratio.
Measured: From baseline (week 0) to end of treatment (week 68)
Ratio to baseline in lipids: non-HDL cholesterol
Measured in ratio.
Measured: From baseline (week 0) to end of treatment (week 68)
Change From Baseline in Short Form-36 Version 2 (SF-36v2) (Acute Version) Health Survey
The SF-36 v2 will be used to measure differences in quality of life and mental wellbeing. The scores 0-100 (where higher scores indicated a better quality of life and mental wellbeing) from the SF-36 will be converted to a norm-based score using a T-score transformation in order to obtain a direct interpretation in relation to the distribution of the scores in the 1998 United States general population. Measured as score on a scale.
Measured: From baseline (week 0) to end of treatment (week 68)
Change in Impact of Weight on Quality of Life-Lite Clinical Trials (IWQOL-Lite-CT) version 3
IWQOL-Lite-CT measures weight-related physical and psychosocial functioning. The measure consists of 20 items yielding 3 composite scores, and 1 total score. Higher scores indicate better levels of functioning. Composite scores (score range): Physical composite (0-100), Psychosocial composite (0-100), Physical Function composite (0-100). Total score (0-100). Higher scores indicate better level of functioning.
Measured: From baseline (week 0) to end of treatment (week 68)
Number of Treatment-emergent Adverse Events (TEAEs)
Count of events
Measured: From baseline (week 0) to end of study (week 74)
Number of clinically significant hypoglycaemic episodes (level 2) (<3.0 mmol/L (<54 milligram per deciliter [mg/dL]), confirmed by blood glucose meter)
Count of episodes
Measured: From baseline (week 0) to end of study (week 74)
Number of severe hypoglycaemic episodes (level 3): hypoglycaemia associated with severe cognitive impairment requiring external assistance for recovery, with no specific glucose threshold
Count of episodes
Measured: From baseline (week 0) to end of study (week 74)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Jan 2024
- Study start16 Jan 2024
- Primary completion4 Mar 2026
- Study completion6 Apr 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Type 2 DiabetesStudies 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
- None (open label)
- Enrolment
- 1,024 participants (actual)
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
- NCT06221969
- Sponsor's protocol ID
- NN9388-4894
- Other IDs
- U1111-1282-5561, 2023-503789-21-00, 2023
- Status last verified
- Oct 2026
- First submitted
- 15 Jan 2024
- Last updated
- 19 Oct 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 19 Oct 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) 2.4 mg/2.4 mg s.c. Once Weekly Versus Tirzepatide 15 mg s.c. Once Weekly in Participants With Type 2 Diabetes Inadequately Controlled on Metformin With or Without an SGLT2 Inhibitor
- ClinicalTrials.gov ID
- NCT06221969
- Acronym / sponsor ID
- NN9388-4894
- Conditions
- Type 2 Diabetes
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,024 participants (actual)
- Lead sponsor
- Novo Nordisk A/SIndustry (pharma, biotech, devices)
- Study start
- 16 Jan 2024 (actual)
- Primary completion
- 4 Mar 2026 (actual)
- Study completion
- 6 Apr 2026 (actual)
- First posted
- 24 Jan 2024 (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 will look at how well CagriSema helps people with type 2 diabetes lower their blood sugar and body weight. CagriSema is a new investigational medicine. Doctors may not yet prescribe CagriSema. CagriSema will be compared to a medicine called tirzepatide that doctors may prescribe in some countries. Participants will get either CagriSema or tirzepatide. Which treatment participant get is decided by chance like flipping a coin. Participant will have an equal chance of receiving either drug. For each participant, the study will last for up to one and a half years.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| CagriSema | Experimental | Drug: Cagrilintide, Drug: SemaglutideParticipants will receive cagrilintide dose 1 and semaglutide dose 2 subcutaneously once-weekly (dose escalation period of 16 weeks) for up to 68 weeks. |
| Tirzepatide | Active comparator | Drug: TirzepatideParticipants will receive tirzepatide dose 1 subcutaneously once-weekly (dose escalation period of 20 weeks) for up to 68 weeks. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Male or female (sex at birth).
- Age 18 years or above at the time of signing the informed consent.
- Diagnosed with type 2 diabetes ≥ 180 days before screening.
- Stable daily dose(s) ≥ 90 days before screening of any of the following antidiabetic drug(s) or combination regimen(s) at effective or maximum tolerated dose as judged by the investigator: metformin with or without an sodium-glucose co-transporter-2 (SGLT2) inhibitor.
- HbA1c 7.0-10.5% (53-91 mmol/mol) (both inclusive) as determined by central laboratory at screening.
Key exclusion criteria (4 listed)
- Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using a highly effective contraceptive method.
- Renal impairment with estimated Glomerular Filtration Rate < 30 milliliter per minute per 1.73 square meter (mL/min/1.73 m^2) as determined by central laboratory at screening.
- Treatment with any medication for the indication of diabetes or obesity other than stated in the inclusion criteria within 90 days before screening. However, short term insulin treatment for a maximum of 14 consecutive days and prior insulin treatment for gestational diabetes are allowed.
- Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by an eye 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.
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 | CagriSema |
| SemaglutideSemaglutide will be administered subcutaneously. | Drug | CagriSema |
| TirzepatideTirzepatide will be administered subcutaneously. | Drug | Tirzepatide |
Primary outcome
Change in glycated haemoglobin (HbA1c)
Time frame: From baseline (week 0) to end of treatment (week 68)
Measured in percentage (%)-points.
Relative change in body weight
Time frame: From baseline (week 0) to end of treatment (week 68)
Measured in percentage (%).
22 secondary outcomes
Change in HbA1c
Time frame: From baseline (week 0) to end of treatment (week 68)
Change in fasting plasma glucose (FPG)
Time frame: From baseline (week 0) to end of treatment (week 68)
Achievement of HbA1c target values of less than (<) 7.0% (<53 millimole per mole [mmol/mol])
Time frame: At end of treatment (week 68)
Achievement of HbA1c target values of less than or equal to (≤) 6.5% (≤ 48 mmol/mol)
Time frame: From baseline (week 0) to end of treatment (week 68)
Achievement of greater than or equal to (≥) 5% weight reduction
Time frame: From baseline (week 0) to end of treatment (week 68)
Achievement of ≥ 10% weight reduction
Time frame: From baseline (week 0) to end of treatment (week 68)
Achievement of ≥ 15 % weight reduction
Time frame: From baseline (week 0) to end of treatment (week 68)
Achievement of ≥ 20 % weight reduction
Time frame: From baseline (week 0) to end of treatment (week 68)
Change in systolic blood pressure
Time frame: From baseline (week 0) to end of treatment (week 68)
Change in diastolic blood pressure
Time frame: From baseline (week 0) to end of treatment (week 68)
Change in waist circumference
Time frame: From baseline (week 0) to end of treatment (week 68)
Ratio to baseline in lipids: Total cholesterol
Time frame: From baseline (week 0) to end of treatment (week 68)
Ratio to baseline in lipids: High-density lipoprotein (HDL) cholesterol
Time frame: From baseline (week 0) to end of treatment (week 68)
Ratio to baseline in lipids: Low-density lipoprotein (LDL) cholesterol
Time frame: From baseline (week 0) to end of treatment (week 68)
Ratio to baseline in lipids: Very low-density lipoprotein (VLDL) cholesterol
Time frame: From baseline (week 0) to end of treatment (week 68)
Ratio to baseline in lipids: Triglycerides
Time frame: From baseline (week 0) to end of treatment (week 68)
Ratio to baseline in lipids: non-HDL cholesterol
Time frame: From baseline (week 0) to end of treatment (week 68)
Change From Baseline in Short Form-36 Version 2 (SF-36v2) (Acute Version) Health Survey
Time frame: From baseline (week 0) to end of treatment (week 68)
Change in Impact of Weight on Quality of Life-Lite Clinical Trials (IWQOL-Lite-CT) version 3
Time frame: From baseline (week 0) to end of treatment (week 68)
Number of Treatment-emergent Adverse Events (TEAEs)
Time frame: From baseline (week 0) to end of study (week 74)
Number of clinically significant hypoglycaemic episodes (level 2) (<3.0 mmol/L (<54 milligram per deciliter [mg/dL]), confirmed by blood glucose meter)
Time frame: From baseline (week 0) to end of study (week 74)
Number of severe hypoglycaemic episodes (level 3): hypoglycaemia associated with severe cognitive impairment requiring external assistance for recovery, with no specific glucose threshold
Time frame: From baseline (week 0) to end of study (week 74)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Oct 2026.
- 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
197 sites in 8 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Cagrilintide, Semaglutide and Tirzepatide in people with Type 2 Diabetes, run by Novo Nordisk A/S at 197 sites in 8 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 6 inclusion and 4 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: finished, as of the sponsor's last update on 19 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 197 sites in United States, Canada, India, Australia, Argentina and 3 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. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Change in glycated haemoglobin (HbA1c) (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?
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 19 Oct 2026.