CagriSema registration in chronic kidney disease with type 2 diabetes lists four blinded arms
A ClinicalTrials.gov registration describes a randomized, blinded study comparing CagriSema with semaglutide alone, cagrilintide alone and placebo in people with chronic kidney disease, type 2 diabetes and overweight or obesity over about 35 weeks.
2026 · Trial registration · n=626 · Human · Published October 8, 2026
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What the registration says
The source is a ClinicalTrials.gov registration for a human study in people with chronic kidney disease, type 2 diabetes and overweight or obesity. The registration text provided does not state the number of participants enrolled, so no sample size is reported here. The registration states the study "will look if CagriSema can lower kidney damage" in that population and describes CagriSema as a new investigational medicine that cannot yet be prescribed by doctors.
Four groups are described: CagriSema, semaglutide alone, cagrilintide alone, and placebo. The registration states that treatment assignment is decided by chance and that the study doctor will not know which of the study medicines a participant receives. The stated duration is about 35 weeks per participant.
Arms and blinding
Each active arm is paired with a matched placebo so that all participants receive two subcutaneous injections. The semaglutide arm receives semaglutide plus placebo matched to cagrilintide; the cagrilintide arm receives cagrilintide plus placebo matched to semaglutide; the placebo arm receives both matched placebos. This design, as written in the registration, allows the combination to be compared with each single agent and with no active ingredient.
Because this is a registration record rather than a results publication, no outcome data, no effect sizes and no adverse-event counts appear in the provided text.
Reported dosing
The registration describes schedules rather than milligram amounts. The three active arms receive study medicine subcutaneously once weekly after a dose escalation period of 16 weeks, followed by a maintenance period of 10 weeks. The placebo arm receives matched placebo subcutaneously once weekly for 26 weeks. No specific doses in milligrams are stated anywhere in the provided registration text.
Limitations
This is a registration-only record: it describes what the study intends to do, not what it found. No results, no participant numbers and no safety data appear in the provided text, and the registration does not state the specific milligram doses used in any arm.
Kidney damage is named as the subject of the study, but the provided excerpt does not define the measurement used, the statistical plan, the number of sites, or any funding or sponsor detail. Readers cannot judge from this text whether the design was adequately powered for the stated question.
Regulatory context
Cagrilintide, studied alone and coformulated with semaglutide as CagriSema, is not an FDA-approved drug for any use. Consistent with that, the registration itself states that CagriSema cannot yet be prescribed by doctors.
Study-reported dosing
| Regimen as reported | Population | Route | Source |
|---|---|---|---|
| cagrilintide and semaglutide subcutaneously once-weekly after a dose escalation period of 16 weeks during the maintenance period for 10 weeksNo milligram doses are stated in the registration text. | participants assigned to the CagriSema arm | Subcutaneous | |
| semaglutide and placebo matched to cagrilintide subcutaneously once-weekly after a dose escalation period of 16 weeks during the maintenance period for 10 weeksNo milligram doses are stated in the registration text. | participants assigned to the semaglutide arm | Subcutaneous | |
| cagrilintide and placebo matching to semaglutide subcutaneously once-weekly after a dose escalation period of 16 weeks during the maintenance period for 10 weeksNo milligram doses are stated in the registration text. | participants assigned to the cagrilintide arm | Subcutaneous | |
| placebo matched to cagrilintide and placebo matched to semaglutide subcutaneously once weekly for 26 weeksPlacebo contains no active ingredient, per the registration. | participants assigned to the placebo comparator arm | Subcutaneous |
Claims and where they come from
Each statement below is followed by the passage of the source record it was checked against.
The registration states the study examines whether CagriSema can lower kidney damage in people with chronic kidney disease, type 2 diabetes and overweight or obesity.
“This study will look if CagriSema can lower kidney damage in people with chronic kidney disease (CKD), type 2 diabetes (T2D) and overweight or obesity.”
Treatment assignment is randomized, according to the registration.
“Which treatment participant will get is decided by chance (like flipping a coin).”
The registration describes blinding of the study doctor to treatment assignment.
“Study doctor will not know which of the study medicines participant will get.”
The stated duration is about 35 weeks per participant.
“For each participant, the study will last for about 35 weeks.”
The combination arm receives both agents subcutaneously once weekly after a 16-week dose escalation period and then a 10-week maintenance period.
“Participants will receive cagrilintide and semaglutide subcutaneously once-weekly after a dose escalation period of 16 weeks during the maintenance period for 10 weeks.”
The registration states that CagriSema is investigational and not currently prescribable.
“CagriSema cannot yet be prescribed by doctors.”
Common questions
Was there a placebo group?
Yes. The registration lists a placebo comparator arm receiving placebo matched to cagrilintide and placebo matched to semaglutide subcutaneously once weekly for 26 weeks.
Does the registration report any results?
No. The provided text describes the design, arms and duration only. No outcomes, effect sizes or adverse-event data appear in it.
What doses were used?
The registration describes a once-weekly subcutaneous schedule with a 16-week dose escalation period followed by a 10-week maintenance period, but it does not state any milligram amounts.
How long did participation last?
The registration states that for each participant the study will last for about 35 weeks.
Source
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