Once-weekly cagrilintide for weight management in people with overweight and obesity: a multicentre, randomised, double-blind, placebo-controlled and active-controlled, dose-finding phase 2 trial
Lau DCW, Erichsen L, Francisco AM, et al. Lancet. 2021;398(10317):2160–2172. View source ↗
This Phase 2 dose-finding trial randomized 706 adults with body mass index ≥30 (or ≥27 with weight-related comorbidities, without diabetes) across 57 sites in ten countries to once-weekly subcutaneous cagrilintide (0.3, 0.6, 1.2, 2.4, or 4.5 mg), liraglutide 3.0 mg daily, or placebo, over a 26-week treatment period that included up to 6 weeks of dose escalation. At week 26, mean percentage body-weight change was -10.8% at the 4.5 mg cagrilintide dose versus -3.0% with placebo and -9.0% with liraglutide 3.0 mg. Approximately 31% of participants in the 4.5 mg cagrilintide arm achieved ≥15% weight reduction versus 5.2% in placebo. The compound was generally well tolerated; the most common adverse events were gastrointestinal (nausea, decreased appetite) and consistent with the amylin receptor agonist mechanism.
A 26-week study tested five different weekly doses of cagrilintide against placebo and against a daily GLP-1 comparator in adults with overweight or obesity. The highest cagrilintide dose (4.5 mg weekly) produced an average body-weight reduction of about 10.8%, compared with about 3% on placebo. About one in three people on the top dose lost at least 15% of their starting weight. Side effects were mostly stomach-related and matched what would be expected from this class of compound.
