Clinical trial Recruiting at 37 sites Phase 3 Interventional Ages 18 and up

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

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment210 (estimated)
SponsorNovo Nordisk A/S
Industry-sponsored
Locations40 sites (Gilbert, Arizona and 39 other locations)
StatusRecruiting
StartedSeptember 16, 2026
Main results expectedJune 9, 2027
Study endsJuly 21, 2027
Registry record updatedSeptember 30, 2026
Trial IDNCT07817251 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.