Switching from Semaglutide to CagriSema in Type 2 Diabetes
Official title: Safety And Tolerability of 3 Switch Regimens From Semaglutide 1.0 mg and 2.0 mg to Co-Administered Cagrilintide and Semaglutide (Cagrisema) in Participants With Type 2 Diabetes
Run by Novo Nordisk A/S · NCT07817251 · Data updated 2026-11-12
This study tests whether people with type 2 diabetes can safely switch from branded semaglutide to CagriSema over about six months.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 210 (estimated) |
| Sponsor | Novo Nordisk A/S Industry-sponsored |
| Locations | 40 sites (Gilbert, Arizona and 39 other locations) |
| Status | Recruiting |
| Started | September 16, 2026 |
| Main results expected | June 9, 2027 |
| Study ends | July 21, 2027 |
| Registry record updated | September 30, 2026 |
| Trial ID | NCT07817251 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18 years or older with type 2 diabetes who have been on branded weekly semaglutide for at least 90 days and meet HbA1c and BMI criteria.
✕Probably not a fit
Participants not meeting stable semaglutide criteria or with HbA1c outside the specified range may not benefit from switching.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 3 interventional trial examines the safety and tolerability of switching from branded semaglutide (Ozempic or Wegovy) to CagriSema in adults with type 2 diabetes. All participants receive CagriSema during the study, and eligibility requires stable semaglutide use and HbA1c between 6.5% and 10.5%. The study duration is approximately six months, and sites are in Arizona and California. Primary focus is on safety and tolerability of the treatment switch, with central lab confirmation of HbA1c and ongoing monitoring throughout the trial.
Why it matters
Potential benefit: If successful, participants may experience acceptable tolerability after switching to CagriSema, potentially maintaining glycemic control.
How similar studies have gone: Previous studies of switching GLP-1 receptor agonists have shown variable safety and tolerability, making this specific switch exploratory.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion criteria: * Male or female (sex assigned at birth, inclusive of all gender identities). * Age 18 years or above at the time of signing the informed consent. * Diagnosed with type 2 diabetes mellitus (T2DM) greater than or equal to (≥) 180 days before screening. * Stable once-weekly dose ≥ 90 days before screening of branded s.c. semaglutide. Branded semaglutide s.c. includes Ozempic and Wegovy. Participants on compounded semaglutide are ineligible. * Not on treatment with oral antidiabetic drugs or on stable daily dose(s) ≥ 90 days before screening of any of the following antidiabetic drug(s) or combination regimen at effective or maximum tolerated dose (MTD) as judged by the investigator: metformin and/or sodiumglucose co-transporter-2 (SGLT2) inhibitor. * Glycated haemoglobin (HbA1c) 6.5-10.5 percentage (%) (48-91 millimoles per mole \[mmol/mol\]) (both inclusive) as determined by central laboratory at screening. * Body mass index (BMI) ≥ 25 kilograms per square meter (kg/m\^2) at screening. BMI will be calculated in the electronic case report form (eCRF) based on height and body weight at screening. Exclusion criteria: * Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using a highly effective contraceptive method from screening. * Renal impairment with estimated glomerular filtration rate (eGFR) less than (\<) 30 milliliter per minute per 1.73 square meter (mL/min/1.73 m\^2) as determined by central laboratory at screening. * Treatment with any medication for the indication of diabetes or obesity other than stated in the inclusion criteria within 90 days before screening. However, short term insulin treatment for a maximum of 14 consecutive days and prior insulin treatment for gestational diabetes are allowed. * Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by an eye examination performed within 90 days before screening or in the period between screening and randomisation. Pharmacological pupil-dilation is a requirement unless using a digital fundus photography camera specified for non-dilated examination. * A self-reported change in body weight \> 5% within 90 days before screening irrespective of medical records. * Use of personal continuous glucose monitoring (CGM) devices. Participants currently using personal CGM devices must discontinue use prior to screening and throughout study participation.
Where it's running
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Gilbert Center For Family Medicine
Gilbert, Arizona, United States Recruiting -
Ark Clinical Research
Fountain Valley, California, United States Recruiting -
Thrive Clinical Research Group
Glendora, California, United States Recruiting -
Scripps Whittier Diabetes Inst
La Jolla, California, United States Recruiting -
Downtown LA Res Ctr. Inc.
Los Angeles, California, United States Recruiting -
Valley Clinical Trials, Inc.
Northridge, California, United States Recruiting
Show 34 more locations
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Dream Team Clinical Research
Pomona, California, United States Recruiting -
Clinical Trials Research_Sacramento
Sacramento, California, United States Recruiting -
Linda Vista Health Care Ctr
San Diego, California, United States Recruiting -
Chase Medical Research LLC
Waterbury, Connecticut, United States Recruiting -
Northeast Research Institute
Fleming Island, Florida, United States Recruiting -
AGA Clinical Trial
Hialeah, Florida, United States Recruiting -
Adult Medicine of Lake County, Inc
Mt. Dora, Florida, United States Recruiting -
Optimal Research Sites
Orange City, Florida, United States Recruiting -
Metabolic Research Institute Inc
West Palm Beach, Florida, United States Recruiting -
East West Med Res Inst
Honolulu, Hawaii, United States Recruiting -
Endeavor Health
Skokie, Illinois, United States Recruiting -
Iowa Diabetes & Endo Res Ctr
West Des Moines, Iowa, United States Recruiting -
Alliance for Multispecialty Research
Newton, Kansas, United States Recruiting -
Cotton O'Neil Diabetes & Endocrinology
Topeka, Kansas, United States Recruiting -
Northern Pines Hlth Ctr, PC
Buckley, Michigan, United States Recruiting -
Palm Research Center Inc-Vegas
Las Vegas, Nevada, United States Recruiting -
Albuquerque Clinical Trials Inc.
Albuquerque, New Mexico, United States Recruiting -
PharmQuest Life Sciences LLC
Greensboro, North Carolina, United States Recruiting -
Accellacare Wilmington
Wilmington, North Carolina, United States Recruiting -
Clinical Research Associates
Nashville, Tennessee, United States Recruiting -
Amarillo Med Spec LLP
Amarillo, Texas, United States Recruiting -
Texas Diabetes & Endocrinology
Austin, Texas, United States Recruiting -
North Texas Endocrine Center
Dallas, Texas, United States Recruiting -
Diabetes and Thyroid Center of Fort Worth
Fort Worth, Texas, United States Recruiting -
JCCT- Juno NW Houston
Houston, Texas, United States Recruiting -
Sante Clinical Research
Kerrville, Texas, United States Recruiting -
DCOL Ctr for Clin Res
Longview, Texas, United States Recruiting -
North Hills Medical Research Inc
North Richland Hills, Texas, United States Recruiting -
J.Lewis Research Inc
Salt Lake City, Utah, United States Recruiting -
Chrysalis Clinical Research
St. George, Utah, United States Recruiting -
Tidewater Physicians Multispecialty Group
Newport News, Virginia, United States Recruiting -
Advanced Medical Research
Maumee, Ohio, United States Not yet recruiting -
NE Clin Res of San Antonio
San Antonio, Texas, United States Not yet recruiting -
Diabetes & Endo Treatment Spec
Sandy City, Utah, United States Not yet recruiting
Study contacts
- Study coordinator: Novo Nordisk
- Email: clinicaltrials@novonordisk.com
- Phone: (+1) 866-867-7178
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.