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> Record changed: 2026-10-13

# The Role of the Amylin Analogue Cagrilintide in Bone Metabolism

NCT07010432

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

Phase

Phase 1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

Recruitment status

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

Participants

144

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

Lead sponsor

Novo Nordisk A/S

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

Start date

2025-06-12

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

Number of sites

1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

## Title and summary

**Summary**

In this study we will investigate how the medicine cagrilintide affects bone health in women after menopause with obesity during weight loss, compared to treatment with placebo (the dummy medicine with no active substances) and semaglutide. The purpose is to examine whether cagrilintide can reduce the decline in bone mass associated to weight loss. Participants will either get cagrilintide, semaglutide, CagriSema (cagrilintide combined with semaglutide), or placebo. Which treatment participants get is decided by chance. Semaglutide is already approved for the treatment of overweight and obesity and can be prescribed by doctors. Cagrilintide and CagriSema are new medications currently under development for weight management. The study will last for about 79 weeks.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

**Acronym**

RAMBO

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

**Short title**

The Role of the Amylin Analogue Cagrilintide in Bone Metabolism

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

**Official title**

The Role of the Amylin Analogue Cagrilintide in Bone Metabolism During Weight Loss in Postmenopausal Women With Obesity

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

## Status and phase

**Control arm**

Placebo

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

**Recruitment status**

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

**Phase**

Phase 1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

## Dates

**Completion date**

2028-05-03

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

**First posted**

2025-06-08

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

**Registry last updated**

2025-07-25

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

**Primary completion date**

2028-05-03

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

**Start date**

2025-06-12

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

## Size and sites

**Participants**

144

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

**Participant count basis**

Estimated

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

**Planned participants**

144

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

**Protocol amendments**

0

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

**Number of sites**

1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

## Sponsor and oversight

**Data monitoring committee**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

**Lead sponsor**

Novo Nordisk A/S

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

## Identifiers

**Registry ID**

NCT07010432

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

**ClinicalTrials.gov ID**

NCT07010432

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

## Study design

**Allocation**

Randomised

**Model**

Parallel groups

**Purpose**

Treatment

**Masking**

Quadruple masking

**Masking description**

Sponsor staff involved in the clinical trial is masked according to company standard procedures.

**Masked roles**

Participants, Care providers, Investigators, Outcome assessors

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

## Outcomes

### Primary outcomes

1. Relative change in volumetric bone mineral density (vBMD) of the total hip assessed by quantitative computed tomography (QCT)  
Timeframe: From baseline to end of treatment (week 68)  
Measured in percentage (%).

### Secondary outcomes

1. Relative changes in vBMD of the lumbar 1 (L1) - L4 vertebrae assessed by QCT  
Timeframe: From baseline to end of treatment (week 68)  
Measured in %.
2. Relative changes in vBMD of the radius assessed by QCT  
Timeframe: From baseline to end of treatment (week 68)  
Measured in %.
3. Relative changes in vBMD of the L1 - L4 vertebrae assessed by QCT  
Timeframe: From baseline to week 20  
Measured in %.
4. Relative changes in vBMD of the radius assessed by QCT  
Timeframe: From baseline to week 20  
Measured in %.
5. Relative change in the Ki (bone turnover) of the femoral neck assessed by fluoride - positron emission tomography (PET)  
Timeframe: From baseline to end of treatment (week 68)  
Measured in %.
6. Relative change in the Ki (bone turnover) of the femoral neck assessed by fluoride - PET  
Timeframe: From baseline to week 20  
Measured in %.
7. Relative changes in C-terminal telopeptide of type I collagen (CTX-1) and procollagen type 1 N-terminal propeptide (P1NP)  
Timeframe: From baseline to end of treatment (week 68)  
Measured in %.
8. Relative changes in CTX-1 and P1NP  
Timeframe: From baseline to week 20  
Measured in %.
9. Relative changes in cortical thickness and porosity assessed by photon-counting computed tomography (PCCT)  
Timeframe: From baseline to end of treatment (week 68)  
Measured in %.
10. Relative changes in trabecular thickness assessed by PCCT  
Timeframe: From baseline to end of treatment (week 68)  
Measured in %.
11. Relative changes in number and separation of the femoral neck assessed by PCCT  
Timeframe: From baseline to end of treatment (week 68)  
Measured in %.
12. Relative changes in L1-L2 vertebrae assessed by PCCT  
Timeframe: From baseline to end of treatment (week 68)  
Measured in %.
13. Relative changes in radius assessed by PCCT  
Timeframe: From baseline to end of treatment (week 68)  
Measured in %.

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

## Eligibility

**Sex**

Female

**Age groups**

Adults, Older adults

**Minimum age**

50 Years

**Maximum age**

70 Years

**Healthy volunteers**

No

### Inclusion criteria

- Female.
- Post-menopausal at screening (defined as minimum 12 months of amenorrhea, high levels of follicular stimulating hormone (FSH) 16 - 130 international units per liter (IU/L), and low levels of anti-müllerian hormone (AMH) and inhibin B).
- Age 50-70 years (both inclusive) at the time of signing the informed consent.
- Body Mass Index (BMI) greater than or equal to >= 30.0 kilograms per square meter (kg/m^2).

### Exclusion criteria

- Previous or current bone disease (e.g., osteoporosis, Paget's disease of bone, or bone cancer).
- Presence of disease affecting bone metabolism (e.g., diabetes mellitus, hyperparathyroidism, hyper or hypothyroidism, chronic kidney disease, celiac disease, or inflammatory diseases (e.g., psoriatic arthritis or ankylosing spondylitis)).
- Treatment with any medication affecting bone metabolism within 6 months prior to screening as judged by the investigator (e.g., anti-resorptive medication, anabolic medication, systemic hormone replacement therapy (HRT), or systemic corticosteroids).

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

## Sites

- Steno Diabetes Center CopenhagenHerlev, DenmarkRecruiting

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

## References

### Other registry identifiers (2)

- 2024-517883-49
- U1111-1313-0864

Sources for references

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07010432)

## 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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