Novo Nordisk Seeks FDA Approval for CagriSema, a Weekly Obesity Treatment

Key highlights
  • Novo Nordisk submitted a New Drug Application for CagriSema to the FDA on December 18, 2025.
  • CagriSema combines cagrilintide and semaglutide for obesity management.
  • The REDEFINE 1 trial showed a 23% average weight loss for patients on CagriSema.
  • FDA review of CagriSema is expected in 2026.

FDA Submission

Novo Nordisk has submitted a New Drug Application to the U.S. FDA for CagriSema, a once-weekly injectable treatment combining cagrilintide and semaglutide, aimed at managing obesity and overweight conditions.

Clinical Trial Results

The REDEFINE 1 phase 3 trial demonstrated that adults with obesity or overweight, taking CagriSema, experienced an average weight loss of 23% when all patients stayed on treatment. The trial involved 3,417 adults and compared CagriSema to semaglutide alone, cagrilintide alone, and placebo.

Safety and Efficacy

Safety data from the REDEFINE 1 and 2 trials showed that CagriSema had a tolerability profile consistent with the GLP-1 receptor agonist class. Adverse events were mainly gastrointestinal, with low discontinuation rates due to adverse events.

Future Outlook

If approved, CagriSema would be the first injectable combination of a GLP-1 receptor agonist and an amylin analogue for obesity treatment. The FDA is expected to review the application in 2026.

Source: Novo Nordisk

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