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Cagrilintide vs Semaglutide

A side-by-side research comparison of Cagrilintide and Semaglutide across mechanism, dosing, half-life, benefits, side effects and research status.

Comparison table

AttributeCagrilintideSemaglutide
Full nameCagrilintide (AM833)Semaglutide (GLP-1 Receptor Agonist)
CategoryWeight ManagementWeight Management
StatusInvestigational (Phase III)FDA Approved
MechanismActs as a dual amylin and calcitonin receptor agonist. It engages satiety centers in the area postrema and hindbrain, reducing food intake and slowing gastric emptying through a pathway distinct from GLP-1.Binds GLP-1 receptors in the pancreas to stimulate insulin secretion, in the brain to reduce appetite, and in the GI tract to slow gastric emptying. 94% homology to native GLP-1.
Molecular weight~3963 Da4,114 Da
Half-life~7-8 days7 days (168 hours)
BioavailabilityHigh via subcutaneous injectionHigh (SubQ ~89%), Moderate (oral ~1% with SNAC)
Typical dose0.3-2.4 mg (titrated)0.25 mg → titrate up to 2.4 mg
FrequencyOnce weeklyOnce weekly
RouteSubcutaneous injectionSubcutaneous injection

Cagrilintide reported benefits

  • Appetite suppression and increased satiety
  • Meaningful weight loss
  • Complements GLP-1 agonists (additive effect)
  • Slows gastric emptying

Semaglutide reported benefits

  • Significant weight loss (15-17%)
  • Improved glycemic control
  • Cardiovascular risk reduction
  • Reduced food cravings
  • Lower HbA1c

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Research and educational reference only. Not medical advice.