📖Complete GuideUpdated 2026🔬Evidence-Based

CagriSema Guide

Semaglutide + Cagrilintide: REDEFINE Phase 3 Data & Approval Timeline

CagriSema combines semaglutide (a GLP-1 agonist) with cagrilintide (an amylin analogue) into a single weekly injection. The REDEFINE Phase 3 program demonstrated substantial weight loss beyond what either compound achieves alone. This guide covers the mechanism, trial results, dosing, side-effect profile, and expected FDA timeline.

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Medication Levels
7 Days2 Weeks1 Month90 Days
CURRENT LEVEL
5.42mg
Mar 6
Today
ACTIVE MEDICATIONS
CagrisemaRetatrutide
0mg2.7mg5.4mg
18
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122/78
Average BP
🩺 mmHg
8.4
Avg Mood
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1mAll
218.6lb
↓ 8.4 lb · 3.7%
WeightInjectionsBPMood
2282222162102277.5mg7.5mg4mg10mg218
Feb 6Feb 14Feb 22Mar 2Today
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12 photos · 2w streak
Week 1
Week 7
Today
Scheduled Reminders
Weight
Due today
Mood
Done
Blood Pressure
Tomorrow
Body Measurements
In 3 days
Dashboard
Your complete health overview in one place
🔥
14-day streak
Logged 18 of 18 scheduled shots
Next Shot Reminder
ACTIVE MEDICATIONS
CagrisemaB12
CAGRISEMA
🔥 14
2
days away
Thursday · 7.5mg
Medication Supply
Cagrisema
6.2 / 10 mg · Vial
~42 days left · Mar 15
B12
4.4 / 5 ml · Vial
~88 days left · May 8
Retatrutide
1.2 / 5 mg · Vial
~6 days left · refill soon
Medication Levels
7 Days2 Weeks1 Month90 Days
CURRENT LEVEL
5.42mg
Mar 6
Today
ACTIVE MEDICATIONS
CagrisemaRetatrutide
0mg2.7mg5.4mg
18
Total Injections
💉 All time
122/78
Average BP
🩺 mmHg
8.4
Avg Mood
😊 /10
Health Chart
1mAll
218.6lb
↓ 8.4 lb · 3.7%
WeightInjectionsBPMood
2282222162102277.5mg7.5mg4mg10mg218
Feb 6Feb 14Feb 22Mar 2Today
Photos
12 photos · 2w streak
Week 1
Week 7
Today
Scheduled Reminders
Weight
Due today
Mood
Done
Blood Pressure
Tomorrow
Body Measurements
In 3 days
01BACKGROUND

What Is Cagrisema?

CagriSema combines semaglutide, a GLP-1 receptor agonist, with cagrilintide, a long-acting amylin analog that has been studied for obesity. The combination is intended to target appetite and satiety through complementary pathways.

Phase 3 trials reported clinically meaningful weight loss and gastrointestinal adverse events that were mostly transient and mild to moderate. That makes the therapy promising, but also one that needs careful tolerability tracking.

Use Shotlee to log your own protocol data if you are following a comparable research or treatment plan under clinician supervision.

02MECHANICS

Mechanism Highlights

1
Targets GLP-1 signaling
2
Targets amylin signaling
3
May reduce appetite and food intake
4
May slow gastric emptying
5
Phase 3 trials showed greater weight loss than placebo
6
GI side effects were common in trials
03DEEP DIVE

CagriSema Snapshot

In a 68-week phase 3 trial in adults with overweight or obesity, cagrilintide-semaglutide reduced mean body weight by about 20.4% compared with 3.0% with placebo.

A separate phase 3 study in adults with overweight or obesity and type 2 diabetes also reported clinically relevant weight loss with the combination.

Use the page as a snapshot of the published evidence, not as a substitute for current prescribing information.

04MECHANICS

Trial Administration

1
Once-weekly subcutaneous dosing was used in phase 3 studies
2
Dose escalation schedules varied by protocol
3
Published trial regimens are not the same as an approved labeled dose
4
Track the exact regimen if you are comparing outcomes over time
05WHAT TO TRACK

Side Effects

01
🔬
Common in Trials
Nausea, vomiting, diarrhea, constipation, abdominal pain, and injection site reactions
02
📊
Tolerability
GI adverse events were common but usually transient and mild to moderate in severity
06TIMELINE

Evidence Timeline

2025:
Phase 3 obesity trial reported substantial weight loss with cagrilintide-semaglutide
2025:
A companion diabetes population study also reported clinically relevant weight loss
Ongoing:
Additional analyses continue to refine the benefit-risk picture
07WHAT TO TRACK

Key Questions

01
🔬
What is CagriSema?
An investigational semaglutide + cagrilintide combination studied for obesity and related metabolic conditions.
02
🧬
How strong is the evidence?
Phase 3 data show clinically meaningful weight loss, but the exact benefit-risk balance depends on the final regimen and follow-up data.
03
🔬
What should I track?
Dose timing, GI symptoms, weight trend, and any changes in appetite or tolerability are the most useful protocol logs.
04
🔬
Is it the same as semaglutide alone?
No. The combination adds cagrilintide, an amylin analog, so the evidence and tolerability profile are not identical to semaglutide monotherapy.
08FAQ

Guide FAQs

CagriSema is an investigational combination of semaglutide and cagrilintide studied for obesity.

Yes. Shotlee supports tracking CagriSema doses, side effects, and health metrics. It is free to use.

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📚References & sources

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