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cagrilintide amylin agonist rct 2023-03-01 ClinicalTrials

REDEFINE 3: CagriSema's Cardiovascular Impact in Heart Disease Patients

REDEFINE 3: A Research Study to See the Effects of CagriSema in People Living With Diseases in the Heart and Blood Vessels

Background

Cardiovascular disease (CVD) remains a leading cause of morbidity and mortality globally, often co-occurring with metabolic conditions. CagriSema, a novel combination therapy, pairs semaglutide (a GLP-1 receptor agonist that regulates blood sugar and appetite) with cagrilintide (an amylin analog that enhances satiety and glucose control). While both components have shown metabolic benefits, this Phase 3 trial specifically addresses the long-term cardiovascular safety and efficacy of CagriSema in patients with established cardiovascular disease.

Study Design

Population
N=7101 patients with established cardiovascular disease.
Intervention
CagriSema (semaglutide + cagrilintide) administered over a 235-week treatment period.
Comparator
Placebo.
Outcome
Time to first occurrence of a composite of cardiovascular death, non-fatal myocardial infarction, or non-fatal stroke.

Results

As an active, not-yet-completed Phase 3 trial, specific efficacy and safety results are not yet available. However, the study is meticulously designed to detect significant differences in cardiovascular outcomes. The primary endpoint focuses on the time to first occurrence of a composite of cardiovascular death, non-fatal myocardial infarction, or non-fatal stroke. With an enrollment of 7101 participants, the trial is powered to provide robust statistical evidence regarding CagriSema's impact. The ultimate goal is to determine if CagriSema significantly improves cardiovascular outcomes and reduces the risk of major adverse cardiovascular events (MACE) in patients with established cardiovascular disease over a 235-week treatment period, compared to placebo.

Why It Matters

The successful completion of the REDEFINE 3 trial could have a profound impact on the management of cardiovascular disease, particularly in patients who may also have metabolic comorbidities. If CagriSema demonstrates significant cardiovascular benefits, it could become a new standard of care for cardiovascular risk reduction in patients with established heart disease. This would represent a major advancement, offering a novel therapeutic option beyond existing treatments. The findings will be crucial for regulatory bodies to consider approval, potentially leading to widespread clinical availability and improved patient outcomes.


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Source: clinicaltrials:NCT05669755 · Ingested 2026-04-28 · Digest: gemini-2.5-flash