DG Peptide Protocols
Extensively StudiedWeight LossMetabolic

Cagrilintide

AM833

Long-Acting Amylin Receptor Agonist | Weight Loss & Diabetes

Half-life
~7 days (159-195 hours)
Chain length
37 amino acids
Reference frequency
Once weekly, same day each week

Research overview

DoseGear research brief

Novel long-acting lipidated amylin analog functioning as dual amylin and calcitonin receptor agonist for weight management and type 2 diabetes. Phase 3 trials demonstrate 22. 7% weight loss with CagriSema combination.

Mechanism of action

Subcutaneous injection enables optimal bioavailability, targeting dual amylin and calcitonin receptors for satiety and metabolic regulation. Enhances insulin sensitivity and controls gastric emptying.

Compound background

Development & research timeline

Study windows describe what researchers measured, not when an individual should expect a result.

Origin & development

Long-acting lipidated amylin analog.

What it is researched for

Weight-management and metabolic-disease trials, including combination research with semaglutide.

Research observation window

Cited CagriSema combination studies ran 32 and 68 weeks; these do not establish a cagrilintide-alone response window.

Reference data

Lyophilized vial injectable protocols

Not personalized dosing instructions

Only injectable vial references are shown. Nasal, topical, and unsupported non-vial schedules are excluded.

Research contextAmountFrequencyRoute
Weight Loss (Monotherapy)2.4mgOnce weeklySubQ
Weight Loss (CagriSema)2.4mg + semaglutide 2.4mgOnce weeklySubQ
Type 2 Diabetes Management2.4mg weeklyOnce weeklySubQ with metformin
Dose Escalation Protocol0.25mg → 0.5mg → 1.0mg → 1.7mg → 2.4mgWeekly increases over 16 weeksSubQ

Reference cycle

Continuous long-term therapy

Reference storage

Lyophilized: -20°C frozen; Reconstituted: 2-8°C refrigerated, use within 30 days

Safety context

Reported side effects

  • Gastrointestinal effects (nausea, vomiting, diarrhea) during initial weeks
  • Anti-cagrilintide antibodies develop in 46-73% but do not affect efficacy
  • Only 57.3% achieved maximum 2.4mg dose in REDEFINE 1 trial

Contraindications & cautions

  • Not recommended in pregnancy or breastfeeding
  • Not yet commercially available (FDA approval expected Q1 2026)

Scientific references

  1. 01

    Coadministered Cagrilintide and Semaglutide in Adults with Overweight or Obesity

    Scientific citationCoadministered Cagrilintide and Semaglutide in Adults with Overweight or Obesity. New England Journal of Medicine (2025).
  2. 02

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

    Scientific citationCagrilintide-Semaglutide in Adults with Overweight or Obesity and Type 2 Diabetes. New England Journal of Medicine (2025).
  3. 03

    Efficacy and safety of co-administered once-weekly cagrilintide 2.4 mg with once-weekly semaglutide 2.4 mg in type 2 diabetes: a multicentre, randomised, double-blind, active-controlled, phase 2 trial

    Scientific citationEfficacy and safety of co-administered once-weekly cagrilintide 2.4 mg with once-weekly semaglutide 2.4 mg in type 2 diabetes: a multicentre, randomised, double-blind, active-controlled, phase 2 trial. The Lancet (2023).

This DoseGear profile combines published scientific literature with lyophilized-vial protocol references. Citations are provided for independent review.

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