Effect of CagriSema, cagrilintide, and semaglutide on muscle health during weight loss

Effect of CagriSema, Semaglutide and Cagrilintide on Skeletal Muscle Insulin Sensitivity, Composition and Function

Phase 1 Interventional Novo Nordisk A/S · NCT07527195

This trial tests whether CagriSema, cagrilintide, or semaglutide helps preserve muscle health as people aged 50-70 with obesity and mildly elevated blood sugar lose weight.

Quick facts

PhasePhase 1
Study typeInterventional
Enrollment100 (estimated)
Ages50 Years to 70 Years
SexAll
SponsorNovo Nordisk A/S Industry-sponsored
Locations1 site (Aarhus N)
Trial IDNCT07527195 on ClinicalTrials.gov

What this trial studies

In this Phase 1, randomized, placebo-controlled trial participants are assigned by chance to receive CagriSema (cagrilintide + semaglutide), cagrilintide alone, semaglutide alone, or placebo and are followed for up to 15 months. The study enrolls adults aged 50-70 with BMI 30.0–39.9 and slightly higher-than-normal blood sugar who want to lose substantial weight. Outcomes focus on muscle health measures and the role of an amylin-related signature as participants lose weight. Participants who recently used GLP-1 drugs or had recent significant weight change are excluded to isolate drug effects on muscle.

Who should consider this trial

Good fit: Ideal candidates are adults 50-70 years old with BMI 30.0–39.9 due to excess adipose tissue, slightly elevated blood sugar, postmenopausal if female, not on GLP‑1 medications, and willing to attempt substantial weight loss over the study period.

Not a fit: People who recently lost or tried to lose significant weight (≥5% in the prior 90 days), those treated with GLP‑1 receptor agonists within 90 days, premenopausal women, or individuals with leg amputations are unlikely to qualify or benefit from this study.

Why it matters

Potential benefit: If successful, these treatments could allow people to achieve weight loss while better preserving muscle mass and strength, improving mobility and metabolic health.

How similar studies have performed: Semaglutide and cagrilintide combinations have produced large weight loss in other trials, but their specific effects on muscle health and the amylin signature are not well established.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion criteria

* Male or female.
* Age 50-70 years (both inclusive) at the time of signing the informed consent.
* Body Mass index (BMI) between 30.0 kilograms per square meter (kg/m\^2) and 39.9 kg/m\^2 (both inclusive) at screening (V1).
* Excess body weight should be due to excess adipose tissue, as judged by the investigator.
* Participant has a wish to lose at least 25 percentage (%) of body weight within 52 weeks of treatment.

Exclusion criteria

* Any leg amputations.
* Female participants who are not postmenopausal at screening.
* Any clinically significant body weight change (greater than or equal to \[\>=\] 5% self-reported change) or dieting attempts within 90 days before screening.
* Treatment with any glucagon-like peptide-1 (GLP-1) receptor agonist or a medication with GLP-1 activity within 90 days before screening.

Where this trial is running

Aarhus N

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Obesity
Last reviewed 2026-06-10 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.