9 Frequently Asked Questions About CagriSema

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9FrequentlyAskedQuestionsAboutCagriSema

CagrilintideandSemaglutideoverview

WhatisCagrilintide?

Asanon-selectiveagonistforbothamylinreceptor(AMYR)andalcitoninGprotein-coupled receptor(CTR),itconfidentlyreducesfoodintake,resultinginsignificantweightloss.Cagrilintide peptideisanexcitingamylinanalogthathasshownstrongpotentialinthestudyofobesity.

CagrilintideiscurrentlybeingtestedaloneandincombinationwithSemaglutideforthetreatment ofobesityandtype2diabetes.

WhatisSemaglutide?

Semaglutideisanamazingpeptidebelongingtotheclassofmedicationsknownasglucagon-like peptide-1receptoragonists(GLP-1RAs)!Thismedicationistrulyagame-changer!Itexpertly mimicstheGLP-1hormone,significantlyincreasesinsulinrelease,effectivelylowersglucagon release,expertlydelaysgastricemptying,andgreatlyreducesappetite.

WhatisCagrilintide/semaglutide?

AfixeddosecombinationofCagrilintideandSemaglutideisunderdevelopmentforthetreatmentof type2diabetes,obesityandmetabolicdysfunction-associatedsteatohepatitis(MASH)It administeredthroughsubcutaneousroute.Cagrilintideisalong-actingamylinanaloguewhichacts bytargetingcalcitoninreceptor,receptoractivitymodifyingproteins1,2,3(RAMP1-3)and

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semaglutideactsbytargetingglucagonlikepeptide1receptor(GLP1R).

9FrequentlyAskedQuestionsAboutCagriSema

IsCagriSemaapproved?

Althoughsemaglutideisapprovedfortreatmentofobesity,tirzepatideandCagriSemaarestillin clinicaltrialsandnotyetapprovedforobesity.

WhataretheresultsoftheCagriSematrial?

Inthisexploratorytrial,32-weektreatmentwithCagriSemaresultedinaclinicallyrelevant reductioninHbA1cof2·2percentagepointsversus1·8percentagepointswithsemaglutideand0·9 percentagepointswithcagrilintide

IsCagriSemaphase2diabetes?

Interpretation:Inpeoplewithtype2diabetes,treatmentwithCagriSemaresultedinclinically relevantimprovementsinglycaemiccontrol(includingCGMparameters).Themeanchangein HbA1cwithCagriSemawasgreaterversuscagrilintide,butnotversussemaglutide

Iscagrilintidethesameassemaglutide?

Cagrilintideisalong-actingamylinanaloguewhichactsbytargetingcalcitoninreceptor,receptor activitymodifyingproteins1,2,3(RAMP1-3)andsemaglutideactsbytargetingglucagonlike peptide1receptor(GLP1R).

Whataretheresultsofphase3ofCagriSema?

Inthephase3trial,at72weeksoftreatmentwiththemaximumdoseofZepbound,patients achievedadecreaseinbodyweightfromthebaselineof209%Ontheotherhand,inCagriSema's phase2trial,thecombinationtherapycausedadecreaseinbodyweightatweek32oftreatmentof 15.6%frombaseline.

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WhatisthegenericnameforCagriSema?

Cagrilintide/semaglutide,marketedasCagriSema,isacombinationofcagrilintide,adualamylin andcalcitoninreceptoragonist,andsemaglutide,aGLP-1agonistItisinjectedonceweeklyandis beingtestedintype2diabetesandobesity

WhomakesCagriSema?

NovoNordisklaunchestrialofpipelinedrugCagriSemaversusnewlyapprovedZepboundClinicalTrialsArena.

IsCagriSemasafe?

Inapreviousphase2trial,CagriSemawasfoundtobesafeandwell-toleratedBackinMarch, MartinHolstLange,executivevicepresidentatNovoNordiskDevelopment,saidhewas 'encouraged'bythe'impressivephase2results.

WhatisthedifferencebetweenAmycretinandCagriSema?

Amycretinis,inasense,amorestreamlinedversionofCagriSema.Inadditiontoaneasierdelivery route,amycretin'sabilitytoreduceweightcouldmakeitatopsellerPatientsrandomizedtoreceive itexperienceda12%placebo-adjustedweightreductionafter12weeksoftreatment

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ReferencedCitations:

[1]Frias,JuanP;Deenadayalan,Srikanth;Erichsen,Lars;Knop,FilipK;Lingvay,Ildiko;Macura, Stanislava;Mathieu,Chantal;Pedersen,SueD;Davies,Melanie(August2023)"Efficacyand safetyofco-administeredonce-weeklycagrilintide2·4mgwithonce-weeklysemaglutide2·4mgin type2diabetes:amulticentre,randomised,double-blind,active-controlled,phase2trial"The Lancet.402(10403):720–730.doi:10.1016/S0140-6736(23)01163-7.PMID37364590.S2CID 259237278.

[2]Idris,Iskandar(July2023)."Coadministrationofthelong‐actingamylinanalogcagrilintideplus semaglutide(CagriSema),resultedinsignificantlygreaterweightloss,alongwithimproved measuresofglucosecontrol,inashortphase2trialofpatientswithtype2diabetes"Diabetes, ObesityandMetabolismNow1(7)doi:101002/doi268ISSN2688-8939

[3]Holst,JensJuul;Jepsen,SaraLind;Modvig,Ida(April2022)"GLP-1–Incretinandpleiotropic hormonewithpharmacotherapypotential.IncreasingsecretionofendogenousGLP-1fordiabetes andobesitytherapy".CurrentOpinioninPharmacology.63:102189. doi:10.1016/j.coph.2022.102189.PMID35231672.

[4]Jeon,Eonju;Lee,KiYoung;Kim,Kyoung-Kon(1June2023)."ApprovedAnti-Obesity Medicationsin2022KSSOGuidelinesandthePromiseofPhase3ClinicalTrials:Anti-Obesity DrugsintheSkyandontheHorizon"JournalofObesity&MetabolicSyndrome32(2):106–120 doi:107570/jomes23032ISSN2508-7576PMC10327684PMID37349257

[5]Enebo,LoneB;Berthelsen,KasperK;Kankam,Martin;Lund,MichaelT;Rubino,DomenicaM; Satylganova,Altynai;Lau,DavidCW(May2021)."Safety,tolerability,pharmacokinetics,and pharmacodynamicsofconcomitantadministrationofmultipledosesofcagrilintidewithsemaglutide 24mgforweightmanagement:arandomised,controlled,phase1btrial".TheLancet.397(10286): 1736–1748doi:101016/S0140-6736(21)00845-XPMID33894838S2CID233354744

[6]Larsen,AT;Mohamed,KE;Sonne,N;Bredtoft,E;Andersen,F;Karsdal,MA;Henriksen, K(1December2022)“Doesreceptorbalancematter?–Comparingtheefficaciesofthedual amylinandcalcitoninreceptoragonistscagrilintideandKBP-336onmetabolicparametersin preclinicalmodels“.Biomedicine&Pharmacotherapy.156:113842.

doi:10.1016/j.biopha.2022.113842.ISSN0753-3322.PMID36242844.S2CID252881350

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[7]Enebo,LoneB;Berthelsen,KasperK;Kankam,Martin;Lund,MichaelT;Rubino,DomenicaM; Satylganova,Altynai;Lau,DavidCW(May2021)“Safety,tolerability,pharmacokinetics,and pharmacodynamicsofconcomitantadministrationofmultipledosesofcagrilintidewithsemaglutide 2·4mgforweightmanagement:arandomised,controlled,phase1btrial“TheLancet397(10286): 1736–1748doi:101016/S0140-6736(21)00845-XPMID33894838S2CID233354744

[8]Idris,Iskandar(July2023).“Coadministrationofthelong‐actingamylinanalogcagrilintideplus semaglutide(CagriSema),resultedinsignificantlygreaterweightloss,alongwithimproved measuresofglucosecontrol,inashortphase2trialofpatientswithtype2diabetes“.Diabetes, ObesityandMetabolismNow1(7)doi:101002/doi268ISSN2688-8939

[9]Holst,JensJuul;Jepsen,SaraLind;Modvig,Ida(April2022)“GLP-1–Incretinandpleiotropic hormonewithpharmacotherapypotentialIncreasingsecretionofendogenousGLP-1fordiabetes andobesitytherapy“CurrentOpinioninPharmacology63:102189 doi:10.1016/j.coph.2022.102189.PMID3523167

[10]Jeon,Eonju;Lee,KiYoung;Kim,Kyoung-Kon(1June2023).“ApprovedAnti-Obesity Medicationsin2022KSSOGuidelinesandthePromiseofPhase3ClinicalTrials:Anti-Obesity DrugsintheSkyandontheHorizon“.JournalofObesity&MetabolicSyndrome.32(2):106–doi:107570/jomes23032ISSN2508-7576PMC10327684PMID37349257

[11]ChristouGA,KatsikiN,BlundellJ,FruhbeckG,KiortsisDN”Semaglutideasapromising antiobesitydrug”ObesRev2019Jun;20(6):805-815doi:101111/obr12839Epub2019Feb 15PMID:30768766

[12]MeierJJ.”EfficacyofSemaglutideinaSubcutaneousandanOralFormulation.”Front Endocrinol(Lausanne).2021Jun25;12:645617.doi:10.3389/fendo.2021.645617.eCollection 2021.PMID:34248838

[13]GarveyWT,BatterhamRL,BhattaM,BuscemiS,ChristensenLN,FriasJP,JódarE,KandlerK, RigasG,WaddenTA,WhartonS;STEP5StudyGroup”Two-yeareffectsofsemaglutideinadults withoverweightorobesity:theSTEP5trial”NatMed2022Oct;28(10):2083-2091doi: 101038/s41591-022-02026-4Epub2022Oct10PMID:36216945

[14]HusainM,BirkenfeldAL,DonsmarkM,DunganK,EliaschewitzFG,FrancoDR,JeppesenOK, LingvayI,MosenzonO,PedersenSD,TackCJ,ThomsenM,VilsbøllT,WarrenML,BainSC;

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PIONEER6Investigators.”OralSemaglutideandCardiovascularOutcomesinPatientswithType2

Diabetes”NEnglJMed2019Aug29;381(9):841-851doi:101056/NEJMoa1901118Epub2019

Jun11PMID:31185157

[15]WildingJPH,BatterhamRL,DaviesM,VanGaalLF,KandlerK,KonakliK,LingvayI, McGowanBM,OralTK,RosenstockJ,WaddenTA,WhartonS,YokoteK,KushnerRF;STEP1 StudyGroup.”Weightregainandcardiometaboliceffectsafterwithdrawalofsemaglutide:The STEP1trialextension.”DiabetesObesMetab.2022Aug;24(8):1553-1564.doi:10.1111/dom.14725.

Epub2022May19.PMID:35441470

Authorofthisarticle:

DrJeanZenggraduatedfromking’scollegelondonFacultyofLifeSciences&Medicine

ScientificJournalpaperAuthor:

1.CarolineMApovian

BrighamandWomen'sHospital,HarvardMedicalSchool,Boston,MA02115,USA

2MarieEMcDonnell

BrighamandWomen'sHospital,HarvardMedicalSchool,Boston,MA02115,USA

3JuanPFriasMD

Correspondenceto:DrJuanPFrias,VelocityClinicalResearch,LosAngeles,CA90057,USA

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