Novo Nordisk Files CagriSema NDA for Weight Loss

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Novo Nordisk has submitted an NDA to FDA for once-weekly CagriSema (cagrilintide 2.4 mg and semaglutide 2.4 mg) injection to be used with a reduced-calorie diet and increased physical activity to reduce excess body weight and maintain weight reduction long-term in adults with obesity or overweight in the presence of at least one weight-related comorbid condition. A company statement says that if the NDA is approved, CagriSema would be the first injectable GLP-1 receptor agonist and amylin analogue combination treatment. (Semaglutide is the active ingredient in the company’s blockbuster drugs Ozempic and Wegovy.)

The statement says the NDA is based on results from REDEFINE 1, a 68-week Phase 3 placebo- and active-controlled clinical trial evaluating the efficacy and safety of once-weekly CagriSema compared to semaglutide 2.4 mg alone, cagrilintide 2.4 mg alone, or placebo, all as an adjunct to lifestyle intervention in 3,417 adults with obesity or overweight with one or more obesity-related comorbid complications and without diabetes, and REDEFINE 2, a 68-week Phase 3 placebo-controlled trial that evaluated the efficacy and safety of once-weekly CagriSema versus placebo as an adjunct to lifestyle intervention in 1,206 adults with type 2 diabetes and either obesity or overweight.

In REDEFINE 1, the company says, those treated with CagriSema achieved weight loss of 20.4% at 68 weeks versus 3% for the placebo group, which was statistically significant. Safety data generated in both trials were comparable with the GLP-1 RA class, the notice says. Discontinuation rates due to adverse events were low, Novo Nordisk says, with adverse events mainly gastrointestinal, including nausea, constipation, and vomiting.

The company says it expects FDA to review the NDA in 2026.

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