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Metabolic

Cagrilintide

Amylin / calcitonin analog (long-acting)

Long-acting amylin agonism — and a powerful combo with GLP-1.

Half-life

~ several days (once-weekly)

Mol. weight

~ 3.7 kDa (modified amylin analog)

Sequence

Long-acting amylin/calcitonin analog

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Overview

Cagrilintide is a long-acting amylin (islet amyloid polypeptide, IAPP) calcitonin receptor agonist developed for obesity. Amylin is co-secreted with insulin and complements GLP-1's effects on satiety and gastric emptying; cagrilintide is engineered for long duration and is studied both alone and in combination with semaglutide (cagrilintide + semaglutide, or CagriSema) for additive weight loss.

Mechanism of action

Amylin is co-secreted from pancreatic beta cells alongside insulin and acts centrally to suppress glucagon, slow gastric emptying, and induce satiety. Cagrilintide is a modified analog of amylin designed for long-acting calcitonin-receptor agonism with once-weekly dosing. Because amylin and GLP-1 act on complementary pathways (both reducing appetite but via distinct mechanisms), combining cagrilintide with semaglutide is studied for additive weight-loss effect.

Researched benefits

  • Suppresses appetite via amylin signaling
  • Slows gastric emptying and reduces glucagon
  • Long-acting (weekly) amylin agonism
  • Studied in combination with semaglutide (CagriSema) for additive weight loss

Considerations

  • Investigational; not yet approved
  • GI side effects expected (amylin class)
  • Combination with GLP-1 amplifies both efficacy and side-effect burden
  • Requires medical supervision

Key Academic Literature & Studies

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Peer-reviewed citations and clinical trials evaluating Cagrilintide in scientific literature.

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View Cagrilintide index on PubMed (NCBI)

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