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Cagrilintide

Amylin analog

Also known as: AM833

Tier 2, Investigational, human data

Studied in registered human trials with published pharmacokinetic data, but not approved. Dosing outside a trial protocol has no established safety margin.

Half-life
Not established · human data · subcutaneous

FLAG: A half-life of 159-195 h (~7 days) is widely cited but I could NOT trace it to an allowed primary source, it originates in the Lancet phase 1b paper (non-permitted host) and is absent from the PubMed abstract of the phase 2 trial. Reported null rather than repeat an unverifiable figure. Long-acting design (C20 diacid acylation) supports once-weekly dosing.

Dosing
300 - 4500 mcg

Phase 2 monotherapy dose-finding: 0.3, 0.6, 1.2, 2.4, 4.5 mg once weekly SC. Investigational.

Titration
Investigational; phase 2 used weekly dose escalation to target (up to 4.5 mg).
Frequency
Once weekly (investigational)
Regulatory status
Investigational (Novo Nordisk), long-acting amylin analog; developed alone and as CagriSema (with semaglutide). Not approved.
Evidence base
human clinical · confidence: medium

Published phase 1b/phase 2 trials; no regulatory label. Half-life not traceable to an allowed primary source.

Safety

Investigational; no boxed warning. Trial adverse events predominantly gastrointestinal, mostly mild-moderate. Not for clinical dosing decisions.