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# A Research Study to See How Well CagriSema Helps People With Excess Body Weight Lose Weight

NCT05567796

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

Phase

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

Recruitment status

Active, not recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

Participants

3,400

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

Lead sponsor

Novo Nordisk A/S

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

Start date

2022-11-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

Number of sites

256

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

## Title and summary

**Summary**

This study has 2 parts: First part is the main study and second part is the extension study. During the main study participants will receive 1 of 4 study medicines. If participants continue in the extension study, they will not receive any study medicine during the extension. The main study will look at how well CagriSema helps participants with excess body weight lose weight compared to a "dummy" medicine and 2 other medicines, cagrilintide and semaglutide. Participants will either get CagriSema, cagrilintide,semaglutide or "dummy" medicine. Which treatment participants get is decided by chance. They will take one injection once a week. The study medicine is injected briefly with a thin needle, typically in the stomach, thighs or upper arms. Extension study: After the main study, not all participants will continue in the extension study. The study staff will tell the participant if they will continue or not into the extension study. In the extension study we will look at what happens to the participant's body weight and diseases related to excess body weight after the participant stops taking the study medicine. The main study will last for about 1½ years and the extension study will last for another 2 years.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

**Acronym**

REDEFINE 1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

**Short title**

A Research Study to See How Well CagriSema Helps People With Excess Body Weight Lose Weight

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

**Official title**

Efficacy and Safety of Cagrilintide s.c. 2.4 Milligram (mg) in Combination With Semaglutide Subcutaneous (s.c). 2.4 mg (CagriSema s.c. 2.4 mg/2.4 mg) Once-weekly in Participants With Overweight or Obesity

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

## Status and phase

**Control arm**

Placebo

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

**Recruitment status**

Active, not recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

**Phase**

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

## Dates

**Completion date**

2026-10-19

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

**First posted**

2022-10-05

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

**Registry last updated**

2026-07-17

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

**Primary completion date**

2024-10-30

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

**Start date**

2022-11-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

## Size and sites

**Participants**

3,400

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

**Participant count basis**

Estimated

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

**Planned participants**

3,400

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

**Protocol amendments**

3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

**Number of sites**

256

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

## Sponsor and oversight

**Data monitoring committee**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

**Lead sponsor**

Novo Nordisk A/S

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

## Identifiers

**Registry ID**

NCT05567796

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

**ClinicalTrials.gov ID**

NCT05567796

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

## Study design

**Allocation**

Randomised

**Model**

Parallel groups

**Purpose**

Treatment

**Masking**

Quadruple masking

**Masked roles**

Participants, Care providers, Investigators, Outcome assessors

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

## Outcomes

### Primary outcomes

1. CagriSema versus placebo: Relative change in body weight  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured in percentage (%)
2. CagriSema versus placebo: Achievement of greater than or equal to (>=) 5% weight reduction  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured as count of participants

### Secondary outcomes

1. CagriSema versus placebo: Achievement of >= 20% weight reduction  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured as count of participant
2. CagriSema versus placebo: Achievement of >= 25% weight reduction  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured as count of participant
3. CagriSema versus placebo: Achievement of >= 30% weight reduction  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured as count of participant
4. CagriSema versus cagrilintide and CagriSema versus semaglutide: Relative change in body weight  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured as percentage (%)
5. CagriSema versus placebo: Relative change in body weight  
Timeframe: From baseline (week 0) to week 8  
Measured as percentage (%)
6. CagriSema versus placebo: Relative change in body weight  
Timeframe: From baseline (week 0) to week 20  
Measured as percentage (%)
7. CagriSema versus placebo: Change in waist circumference  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured in centimeters (cm)
8. CagriSema versus placebo: Change in systolic blood pressure (SBP)  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured in millimeters of mercury (mmHg)
9. CagriSema versus placebo: Change in Impact of Weight on Quality Of Life-Lite Clinical Trials Version (IWQOL-Lite-CT) Physical Function Score  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured as score points. IWQOL-Lite-CT version 3 is a 20-item COA instrument used to assess the impact of body weight changes in obesity studies on patients' physical and psychosocial functioning in three composite scores (physical function, physical and psychosocial) and a total score.
10. CagriSema versus placebo: Change in SF-v2 Health Survey Acute (SF-36 v2 Acute) Physical Functioning Score  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured as score points. The SF-36v2 Acute measures Health-Related Quality of Life (HRQOL). The measure consists of 36 items yielding 8 health domain scores and 2 component summary scores. SF-36v2\. Acute scores are norm-based scores, i.e. transformed to a scale where the 2009 US general population has a mean of 50 and a standard deviation of 10\. Higher scores indicate better functional health and well-being.
11. CagriSema versus placebo, semaglutide and cagrilintide: Change in body weight  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured in kilograms (kg)
12. CagriSema versus placebo, semalutide and cagrilintide: Change in body mass index (BMI)  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured in kilogram per square meter (kg/m\\^2)
13. CagriSema versus placebo, semaglutide and cagrilintide: Improvement in weight category  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured as count of participants. The categories are: BMI, underweight less than (\\<) 18.5, normal weight 18.5 to \\<25, overweight 25.0 to \\<30, obesity class I 30 to \\< 35, obesity class II 35 to \\< 40, obesity class III \\>40.
14. CagriSema versus placebo: Change in Glycated Haemoglobin (HbA1c)  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured as percentage (%)
15. CagriSema versus placebo: Change in HbA1c  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured as millimoles per mole (mmol/mol).
16. CagriSema versus placebo: Change in Fasting Plasma Glucose (FPG) (mmol/L).  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured as millimoles per liter (mmol/L).
17. CagriSema versus placebo: Change in FPG (mg/dL)  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured as milligrams per deciliter (mg/dL).
18. CagriSema versus placebo: Ratio to baseline in fasting serum insulin  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured as ratio
19. CagriSema versus placebo: Change in Diastolic Blood Pressure (DBP)  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured in mmHg
20. CagriSema versus placebo: Ratio to baseline in total cholesterol  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured as ratio
21. CagriSema versus placebo: Ratio to baseline in High-density lipoprotein (HDL) cholesterol  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured as ratio
22. CagriSema versus placebo: Ratio to baseline in Low-density lipoprotein (LDL) cholesterol  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured as ratio
23. CagriSema versus placebo: Ratio to baseline in Very low-density lipoprotein (VLDL) cholesterol  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured as ratio
24. CagriSema versus placebo: Ratio to baseline in Triglycerides  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured as ratio
25. CagriSema versus placebo: Ratio to baseline in Free fatty acids  
Timeframe: From baseline (week 0) to end of treatment (week 68)  
Measured as ratio

And 40 more, listed on the interactive page.

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

## Eligibility

**Sex**

All

**Age groups**

Children, Adults, Older adults

**Healthy volunteers**

No

### Inclusion criteria

- Male or female
- Age above or equal to 18 years at the time of signing informed consent
- Body mass index (BMI) greater than or equal to 30.0 kilograms per square meter (kg/m^2) or b) BMI greater than or equal to 27.0 kg/m^2 with the presence of at least one weight-related comorbidity including, but not limited to hypertension, dyslipidaemia, obstructive sleep apnoea or cardiovascular disease

### Exclusion criteria

\- Glycaemia related: a) Glycated Haemoglobin (HbA1c) greater than or equal to 6.5 percent (48 millimoles per mole \[mmol/mol\]) as measured by the central laboratory at screening b) History of type 1 or type 2 diabetes mellitus

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

## Sites

- Univ of Alabama BirminghamBirmingham, United States
- Velocity Clin Res Los AngelesLos Angeles, United States
- Velocity Clin Res WstlkeLos Angeles, United States
- Univ of Colorado at DenverAurora, United States
- OptumCare Clinical Trials LLCGolden, United States
- Northeast Research InstituteFleming Island, United States
- South Broward Research LLCMiramar, United States
- Clinical Neuroscience SolutionOrlando, United States
- Florida Inst For Clin ResOrlando, United States
- Florida Institute for Clinical researchOrlando, United States
- Clinical Trial Res Assoc,IncPlantation, United States
- Hope Clin Res & WellnessConyers, United States
- East West Med Res InstHonolulu, United States
- Great Lakes Clinical TrialsChicago, United States
- Endeavor HealthSkokie, United States
- Evanston Premier Hlthcr ResSkokie, United States
- Midwest Inst For Clin ResIndianapolis, United States
- Northern Pines Hlth Ctr, PCBuckley, United States
- StudyMetrix Research LLCCity of Saint Peters, United States
- Velocity Clinical Research BinghamtonBinghamton, United States
- Comprehensive Weight Ctrl ProgNew York, United States
- University of North CarolinaChapel Hill, United States
- University of North CarolinaChapel Hill, United States
- Medication Mgmnt, LLC\_GrnsboroGreensboro, United States
- PharmQuest Life Sciences LLCGreensboro, United States

And 231 more, listed on the interactive page.

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

## References

- PubMed 41328546  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/41328546/)
Related publication
- PubMed 40544433  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/40544433/)
Related publication

### Other registry identifiers

- 2020-005435-75

Sources for references

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05567796)

## Related records

### Drugs (2)

- [Cagrilintide](https://trialight.com/data/asset/cagrilintide-83b81776-3caf-4dea-a1a9-64bd998ac431.md)
- [Semaglutide](https://trialight.com/data/asset/semaglutide-0f0980aa-d386-4209-8f14-80da83c40d80.md)

### Lead sponsors (1)

- [Novo Nordisk A/S](https://trialight.com/data/company/novo-nordisk-a-s-35a80f1a-9ef6-4057-99c1-6ab497939195.md)

### Conditions (1)

- [Obesity disorder](https://trialight.com/data/condition/obesity-disorder-f3b57dc0-68ac-555c-8f13-0d81e595d9cb.md) Primary condition

### Targets (1)

- [GLP1R](https://trialight.com/data/target/glp1r-c31cc749-2d8a-54a9-9dab-84f5ee5d1742.md)

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