A Research Study to Compare Blood Levels of Cagrilintide After Multiple Doses of Different Versions of Cagrilintide in Adults With Overweight or Obesity

May 18, 2026 updated by: Novo Nordisk A/S

Bioequivalence Study of Cagrilintide B + Placebo Semaglutide I and Cagrilintide D Once Weekly in Participants With Overweight or Obesity

This clinical study is testing two versions of the study medicine cagrilintide. The purpose of the study is to compare these two versions to understand their effects in participants with overweight or obesity. Participants will receive either cagrilintide version D or cagrilintide version B, and which treatment participants receive is decided by chance. Participants will be in this clinical study for about 6 months.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

234

Phase

  • Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

  • Germany
      • Berlin, Germany, 14050
        • Parexel International GmbH

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Aged 18-64 years (both inclusive) at the time of signing informed consent
  • Body mass index (BMI) between 27.0 and 34.9 kilograms per square metre (kg/m^2) (both inclusive) at screening. Overweight should be due to excess adipose tissue, as judged by the investigator.
  • Considered to be generally healthy based on the medical history, physical examination, and the results of vital signs, electrocardiogram (ECG), and clinical laboratory tests performed during the screening visit, as judged by the investigator.

Exclusion Criteria:

  • Previous participation in study(s) with an amylin analogue. Participation is defined as randomisation.
  • Any condition which in the investigator's opinion might jeopardise participant's safety or compliance with the protocol.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Cagrilintide B and Placebo Semaglutide I
Participants will receive Cagrilintide B and Placebo semaglutide I subcutaneously once weekly for up to 17 weeks.
Drug: Cagrilintide B and placebo semaglutide I
Cagrilintide B and placebo semaglutide I will be administered subcutaneously
Experimental: Cagrilintide D-Injection site 1
Participants will receive Cagrilintide D subcutaneously once weekly for up to 17 weeks.
Drug: Cagrilintide D
Cagrilintide D will be administered subcutaneously.
Experimental: Cagrilintide D-Injection site 2
Participants will receive Cagrilintide D subcutaneously once weekly for up to 17 weeks.
Drug: Cagrilintide D
Cagrilintide D will be administered subcutaneously.
Experimental: Cagrilintide D-Injection site 3
Participants will receive Cagrilintide D subcutaneously once weekly for up to 17 weeks.
Drug: Cagrilintide D
Cagrilintide D will be administered subcutaneously.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
AUC,ss: area under the total cagrilintide concentration-time curve at steady state after 5th dosing of cagrilintide s.c.
Time Frame: Day 113 (pre-dose) to Day 120 (post-dose)
Measured in hour nanomoles per litre (h*nmol/L)
Day 113 (pre-dose) to Day 120 (post-dose)
Cmax,ss: maximum concentration of total cagrilintide at steady state after 5th dosing of cagrilintide s.c.
Time Frame: Day 113 (pre-dose) to Day 120 (post-dose)
Measured in nanomoles per litre (nmol/L).
Day 113 (pre-dose) to Day 120 (post-dose)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
tmax,ss: time since last dosing to maximum concentration of totala cagrilintide at steady state after 5th dosing of cagrilintide s.c.
Time Frame: Day 113 (pre-dose) to Day 120 (post-dose)
Measured in hours.
Day 113 (pre-dose) to Day 120 (post-dose)
t½,ss: terminal half-life of total cagrilintide at steady state after 5th dosing of cagrilintide s.c.
Time Frame: Day 113 (pre-dose) to Day 162 (post-dose)
Measured in hours.
Day 113 (pre-dose) to Day 162 (post-dose)
Vz/F: the apparent volume of distribution of total cagrilintide during elimination after the 5th dosing of cagrilintide s.c.
Time Frame: Day 113 (pre-dose) to Day 120 (post-dose)
Measured in litre.
Day 113 (pre-dose) to Day 120 (post-dose)
CL/F: total apparent clearance of total cagrilintide after the 5th dosing of cagrilintide s.c.
Time Frame: Day 113 (pre-dose) to Day 120 (post-dose)
Measured in litre per hours.
Day 113 (pre-dose) to Day 120 (post-dose)
AUC,ss: area under the cagrilintide and metabolites concentration-time curve at steady state after the 5th dosing of cagrilintide s.c.
Time Frame: Day 113 (pre-dose) to Day 120 (post-dose)
Measured in hours*nmol/L.
Day 113 (pre-dose) to Day 120 (post-dose)
Cmax,ss: maximum concentration of cagrilintide and metabolites at steady state after the 5th dosing of cagrilintide s.c.
Time Frame: Day 113 (pre-dose) to Day 120 (post-dose)
Measured in nmol/L.
Day 113 (pre-dose) to Day 120 (post-dose)
tmax,ss: time since the last dosing to maximum concentration of cagrilintide and metabolites at steady state after the 5th dosing of cagrilintide s.c.
Time Frame: Day 113 (pre-dose) to Day 120 (post-dose)
Measured in hours.
Day 113 (pre-dose) to Day 120 (post-dose)
t½,ss: terminal half-life of cagrilintide parent at steady state after the 5th dosing of cagrilintide s.c.
Time Frame: Day 113 (pre-dose) to Day 120 (post-dose)
Measured in hours.
Day 113 (pre-dose) to Day 120 (post-dose)
AUC,ss: area under the total cagrilintide concentration-time curve at steady state after the 4th dosing of cagrilintide s.c
Time Frame: Day 22 (pre-dose) to Day 29 (post-dose)
Measured in hours*nmol/L.
Day 22 (pre-dose) to Day 29 (post-dose)
Cmax,ss: maximum concentration of total cagrilintide at steady state after the 4th dosing of cagrilintide s.c.
Time Frame: Day 22 (pre-dose) to Day 29 (post-dose)
Measured in nmol/L.
Day 22 (pre-dose) to Day 29 (post-dose)
tmax,ss: time since the last dosing to maximum concentration of total cagrilintide at steady state after the 4th dosing of cagrilintide s.c.
Time Frame: Day 22 (pre-dose) to Day 29 (post-dose)
Measured in hours.
Day 22 (pre-dose) to Day 29 (post-dose)
Number of treatment-emergent adverse events (TEAEs)
Time Frame: Day 1 (randomisation) to Day 162 (end of study)
Measured in count of events.
Day 1 (randomisation) to Day 162 (end of study)
Number of treatment-emergent serious adverse events (TESAEs)
Time Frame: Day 1 (randomisation) to Day 162 (end of study)
Measured in count of events.
Day 1 (randomisation) to Day 162 (end of study)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Novo Nordisk A/S

Investigators

  • Study Director: Clinical Transparency (dept. 2834), Novo Nordisk A/S

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

May 18, 2026

Primary Completion (Estimated)

May 28, 2027

Study Completion (Estimated)

May 28, 2027

Study Registration Dates

First Submitted

April 21, 2026

First Submitted That Met QC Criteria

May 18, 2026

First Posted (Actual)

May 19, 2026

Study Record Updates

Last Update Posted (Actual)

May 19, 2026

Last Update Submitted That Met QC Criteria

May 18, 2026

Last Verified

May 1, 2026

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • NN9833-8285
  • U1111-1314-9337 (Other Identifier: World Health Organization (WHO))
  • 2025-521384-12 (Other Identifier: European Medical Agency (EMA))

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

According to the Novo Nordisk disclosure commitment on novonordisk-trials.com

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

Yes

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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