~766 spots leftby Nov 2025

CagriSema for Type 2 Diabetes

(REIMAGINE 2 Trial)

Recruiting in Palo Alto (17 mi)
+653 other locations
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Phase 3
Waitlist Available
Sponsor: Novo Nordisk A/S
Pivotal Trial (Near Approval)
Prior Safety Data

Trial Summary

What is the purpose of this trial?

This trial tests CagriSema, a combination of semaglutide and cagrilintide, in people with type 2 diabetes. It aims to see if it can better manage blood sugar levels and reduce body weight by increasing insulin and reducing hunger. Semaglutide is known for lowering blood glucose levels and reducing appetite.

Research Team

CT

Clinical Transparency (dept. 2834)

Principal Investigator

Novo Nordisk A/S

Eligibility Criteria

This trial is for adults with type 2 diabetes who have been diagnosed for at least 180 days, have an HbA1c level of 7.0-10.5%, and are on a stable dose of metformin with or without SGLT2 inhibitors. Participants should also have a BMI of at least 25 kg/m^2. Those with severe kidney issues, unstable diabetic eye disease, or recent use of other diabetes/obesity meds (except short-term insulin) cannot join.

Inclusion Criteria

My BMI is 25 or higher.
I have been on a stable dose of metformin, with or without SGLT2 inhibitors, for over 90 days.
I am either male or female.
See 4 more

Exclusion Criteria

I have unstable diabetic eye problems confirmed by a recent eye exam.
My kidney function is severely impaired.
I haven't taken diabetes or obesity drugs, except short insulin uses, in the last 90 days.

Treatment Details

Interventions

  • CagriSema (GLP-1 Receptor Agonist)
  • Placebo cagrilintide (Placebo)
  • Placebo semaglutide (Placebo)
  • Semaglutide (GLP-1 Receptor Agonist)
Trial OverviewThe study tests CagriSema—a combination drug including semaglutide and cagrilintide—against each component alone and a placebo to see how well it lowers blood sugar and body weight in people taking their usual diabetes medication.
Participant Groups
7Treatment groups
Experimental Treatment
Active Control
Placebo Group
Group I: CagriSema Dose 2Experimental Treatment2 Interventions
Participants will receive once-weekly s.c injections of cagrilintide dose 2 and semaglutide dose 2 for 68 weeks.
Group II: CagriSema Dose 1Experimental Treatment2 Interventions
Participants will receive once-weekly subcutaneous (s.c) injections of cagrilintide dose 1 and semaglutide dose 1 for 68 weeks.
Group III: Semaglutide Dose 1Active Control1 Intervention
Participants will receive once-weekly s.c injection of semaglutide dose 1 for 68 weeks.
Group IV: Semaglutide Dose 2Active Control1 Intervention
Participants will receive once-weekly s.c injection of semaglutide dose 2 for 68 weeks.
Group V: Cagrilintide Dose 1Active Control1 Intervention
Participants will receive once-weekly s.c injection of cagrilintide dose 1 for 68 weeks.
Group VI: Placebo Dose 1Placebo Group2 Interventions
Participants will receive once-weekly s.c injection of placebo matched to cagrilintide dose 1 and semaglutide dose 1 for 68 weeks.
Group VII: Placebo Dose 2Placebo Group2 Interventions
Participants will receive once-weekly s.c injection of placebo matched to cagrilintide dose 2 and semaglutide dose 2 for 68 weeks.

Find a Clinic Near You

Research Locations NearbySelect from list below to view details:
Novo Nordisk Investigational SiteEast Greenwich, RI
Novo Nordisk Investigational SiteVal Bélair, Canada
Novo Nordisk Investigational SiteToronto, Canada
Novo Nordisk Investigational SitePhoenix, AZ
More Trial Locations
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Who Is Running the Clinical Trial?

Novo Nordisk A/S

Lead Sponsor

Trials
1578
Patients Recruited
3,813,000+