What this study is
This study will look at how well CagriSema and cagrilintide help children and adolescents with excess body weight lose weight. The study has 2 parts: main and extension study. In the main study, participants will either get CagriSema (a new study drug), cagrilintide (a new study drug), semaglutide (a drug that doctors can already prescribe to adolescents and adults) or placebo (a placebo looks like the treatment being tested, but doesn't have any active ingredients in it). Which treatment participants will get is decided by chance. Participants who get semaglutide in the main study will not take part in the extension study. If participants take part in the extension study, they will get either CagriSema or cagrilintide in this part of the study. Like all drugs, the study drugs may have side effects. The total time participants will be in the main study is about 1 year and 6 months. If participants take part in the extension study, the total time is about 4 years and 10 months.
What's being tested
- Cagrilintide
Intervention · DRUG
Participants will receive cagrilintide subcutaneously.
- Semaglutide
Intervention · DRUG
Participants will receive semaglutide subcutaneously.
- Placebo cagrilintide
Intervention · DRUG
Participants will receive placebo matched to cagrilintide subcutaneously.
- Placebo semaglutide
Intervention · DRUG
Participants will receive placebo matched to semaglutide subcutaneously.
Study details
- Official title
- Efficacy, Safety and Pharmacokinetics of Cagrilintide s.c. 2.4 mg as Monotherapy and in Combination With Semaglutide s.c. 2.4 mg (CagriSema) Once Weekly for Weight Management in Chidren and Adolescents With Overweight or Obesity
- Sponsor
- Novo Nordisk A/S
- Conditions
- Overweight · Obesity
- Enrolling
- 460 people
- Starts
- 2026-01-08
- Est. completion
- 2033-09-20
- Design
- Quadruple-blind, randomized, parallel groups, Phase 3
- Record
- View on ClinicalTrials.gov ↗
Who can join
Age 8 Years – 18 YearsSex ALLHealthy volunteers Not acceptedYou may qualify if
- Informed consent of parent(s) or legally acceptable representative (LAR) of participant and child assent, as age-appropriate, obtained before any study related activities. Study related activities are any procedures that are carried out as part of the study, including activities to determine suitability for the study.
- The parent(s) or LAR of the child must sign and date the Informed Consent Form (according to local requirements)
- The child must sign and date the Child Assent Form or provide oral assent (according to local requirements).
- Male or female.
- Aged 8 to less than (<) 18 years at the time of signing the informed consent.
- Body mass index (BMI), at screening, corresponding to:; Greater than or equal to (>=) 95th percentile for children aged 8 to < 12 years (Tanner stage 1-5); >= 95th percentile or >= 85th percentile with the presence of at least one obesity-related complication including, but not limited to, type 2 diabetes (T2D), hypertension, dyslipidaemia or obstructive sleep apnoea for adolescents aged 12 to < 18 years (Tanner stage 2-5).; Laboratory parameters, as measured by the central lab at screening, within normal sex- and age-specific ranges of total calcium, phosphate, alkaline phosphatase, parathyroid hormone.; History of at least one unsuccessful effort to lose sufficient body weight after participation in a structured lifestyle modification programme (diet and exercise counselling) for at least 3 months.; Body weight greater than (>) 45 kilograms (kg) at screening. For participants with T2D at screening the following inclusion criteria also apply; Glycated haemoglobin (HbA1c) less than or equal to (<=)10.0 percent (%) (86 millimoles per mole [mmol/mol]) as measured by central laboratory at screening.; Treatment with lifestyle intervention or treatment with metformin according to local label.; Treatment with metformin should be stable (same dose and dosing frequency) for at least 56 days before screening.
You can't join if
- Treatment with any medication prescribed for obesity or weight management within 90 days before screening.
- Previous or planned (during the study period) obesity treatment with surgery or a weight loss device. However, the following are allowed:; Liposuction and/or abdominoplasty, if performed > 1 year before screening.; Adjustable gastric banding, if the band has been removed > 1 year before screening.; Intragastric balloon, if the balloon has been removed > 1 year before screening.; Duodenal-jejunal bypass liner (e.g., Endobarrier), if the sleeve has been removed >1 year before screening.; Uncontrolled thyroid disease.; Endocrine, hypothalamic, or syndromic obesity.; A self-reported (or by parent(s)/LAR, where applicable) change in body weight > 5 % within 90 days before screening irrespective of medical records.; Type 1 diabetes or monogenic diabetes. For participants without T2D at screening the following exclusion criteria also apply; HbA1c greater than or equal to 6.5% (48 mmol/mol) as measured by the central laboratory at screening.; Treatment with glucose-lowering agent(s) prescribed for the indication of diabetes or pre-diabetes within 90 days before screening. For participants with T2D at screening the following exclusion criteria also apply; Known hypoglycaemic unawareness as indicated by the investigator according to Clarke's questionnaire.; Recurrent severe hypoglycaemic episodes within 1 year before screening, as judged by the investigator.; Positive insulinoma associated protein-2 (IA-2) antibodies or anti-glutamic acid decarboxylase (anti-GAD) antibodies.; Treatment with any medication for the indication of diabetes other than those stated in the inclusion criteria within 90 days before screening.; Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by a fundus examination performed within 90 days before screening or in the period between screening and randomisation. Pharmacological pupil-dilation is a requirement unless using a digital fundus photography camera specified for non-dilated examination.
Sign in and we'll check these against your records.Full criteria on ClinicalTrials.gov ↗
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Study locations (121)
120 openNeighborhood Healthcare
Escondido, California, United States
RecruitingEncore Medical Research LLC
Hollywood, Florida, United States
RecruitingJacksonville Ctr for Clin Res
Jacksonville, Florida, United States
RecruitingEncore Medical Research of Weston
Weston, Florida, United States
RecruitingChildren's Healthcare Atlanta
Atlanta, Georgia, United States
RecruitingColumbus Research Foundation
Columbus, Georgia, United States
RecruitingAccel Research Sites-NeuroStudies
Decatur, Georgia, United States
RecruitingEastside Bariatric and Gen Surg
Snellville, Georgia, United States
RecruitingSolaris Clinical Research
Meridian, Idaho, United States
RecruitingIU Health - Riley Physicians Endo-Diab
Indianapolis, Indiana, United States
RecruitingCotton O'Neil Clinical Research Center
Topeka, Kansas, United States
RecruitingPennington Biomed Res Ctr
Baton Rouge, Louisiana, United States
RecruitingBarry J. Reiner, MD LLC
Baltimore, Maryland, United States
RecruitingUniversity of Minnesota
Minneapolis, Minnesota, United States
RecruitingSynexus Clinical Research US-MN
Richfield, Minnesota, United States
RecruitingUBMD Physicians Group - Pediatrics - Conventus
Buffalo, New York, United States
Not yet recruitingSUNY Upstate Medical Univ - Syracuse
Syracuse, New York, United States
RecruitingAdvantage Clinical Trials
The Bronx, New York, United States
Not yet recruitingValley Weight Loss Clinic
Fargo, North Dakota, United States
RecruitingCentricity Research - Ohio
Columbus, Ohio, United States
RecruitingPriMed Clinical Research
Dayton, Ohio, United States
RecruitingChildren's Physicians OU
Oklahoma City, Oklahoma, United States
Not yet recruitingUPMC Child Hosp-Pittsburgh
Pittsburgh, Pennsylvania, United States
Not yet recruitingPrisma Health-Ped Endo
Greenville, South Carolina, United States
Not yet recruitingCoastal Carolina Research Ctr
North Charleston, South Carolina, United States
RecruitingMonument Health Clinical Rsrch
Rapid City, South Dakota, United States
Not yet recruitingLifeDoc Health
Memphis, Tennessee, United States
RecruitingDM Clinical
Houston, Texas, United States
RecruitingDM Clinical
San Antonio, Texas, United States
Not yet recruitingThe Texas Liver Institute
San Antonio, Texas, United States
RecruitingPinnacle Clinical Research
San Antonio, Texas, United States
RecruitingConsano Clin Res-Shavano Park
Shavano Park, Texas, United States
RecruitingTexas Valley Clinical Research
Weslaco, Texas, United States
RecruitingAMR Clinical
Layton, Utah, United States
Recruiting
87 sites outside the US
The Children's Hospital at Westmead - Clinical Research Centre
Westmead, New South Wales, Australia
RecruitingQueensland Children's Hospital
South Brisbane, Queensland, Australia
RecruitingPerth Children's Hospital
Nedlands, Western Australia, Australia
RecruitingUniversitätsklinik Kinder-Jugendheilkunde Innsbruck
Innsbruck, Austria
RecruitingUniversitätsklinik für Kinder und Jugendheilkunde Haus E
Salzburg, Austria
RecruitingUZ Brussel - Universitair Ziekenhuis Brussel
Brussels, Belgium
RecruitingUZA - Universitair Ziekenhuis Antwerpen
Edegem, Belgium
RecruitingUMHAT Sveti Georgi EAD, Plovdiv, Clinic of Pediatrics
Plovdiv, Bulgaria
RecruitingSHATPD - Prof. Ivan Mitev EAD, Pediatric Endocrinology and Metabolic Diseases
Sofia, Bulgaria
RecruitingMedical center Children's Health EOOD
Sofia, Bulgaria
Not yet recruitingUMHAT Sveta Marina EAD, First Pediatric Clinic
Varna, Bulgaria
RecruitingCapital Center for Children's Health, Capital Medical University-Endocrinology
Beijing, Beijing Municipality, China
RecruitingBeijing Children's Hospital, Capital Medical University
Beijing, Beijing Municipality, China
Not yet recruitingHenan Children's Hospital Zhengzhou Children's Hospital-Endocrine Genetics and Metabolism
Zhengzhou, Henan, China
RecruitingWuhan Children Hospital-Endocrine Genetics and Metabolism
Wuhan, Hubei, China
RecruitingTongji Hospital, Tongji Medical College, Huazhong University of Science & Technology-Pediatric
Wuhan, Hubei, China
RecruitingThe First Bethune Hospital of Jilin University-Pediatric
Changchun, Jilin, China
Not yet recruitingShandong Provincial Hospital-Pediatric
Jinan, Shandong, China
RecruitingChildren's Hospital of Fudan University-Endocrinology and Metabolism
Shanghai, Shanghai Municipality, China
RecruitingChengdu Women's and Children's Central Hospital- Pediatric Endocrinology, Genetics and Metabolism
Chengdu, Sichuan, China
RecruitingServicios de Salud Ips Suramericana S.A.S.
Medellín, Antioquia, Colombia
Not yet recruitingFundación Santa Fe de Bogotá
Bogotá, Colombia
Not yet recruitingClinical Hospital Centre Rijeka_Pediatric
Rijeka, Croatia
Not yet recruitingKBC "Sestre Milosrdnice"
Zagreb, Croatia
Not yet recruitingKlinika Za Djecje Bolesti Zagreb_Endocrinology
Zagreb, Croatia
Not yet recruitingAalborg Universitetshospital - Børne og Ungeafdelingen
Aalborg, Denmark
Not yet recruitingHolbæk Sygehus - Børne- og Ungeafdelingen
Holbæk, Denmark
RecruitingÉszak-Közép-budai Centrum, Szent János Kórház és Szakrendelő
Budapest, Hungary
RecruitingSemmelweis Egyetem ÁOK
Budapest, Hungary
Not yet recruitingSzegedi Tudományegyetem Gyermekgyógyászati Klinika
Szeged, Hungary
Not yet recruitingEndolife Specialty Hospitals
Guntur, Andhra Pradesh, India
Not yet recruitingBAPS Pramukh Swami Hospital
Surat, Gujarat, India
Not yet recruitingIndira Gandhi Institute of child health
Bangalore, Karnataka, India
Not yet recruitingSir Ganga Ram Hospital
New Delhi, National Capital Territory of Delhi, India
Not yet recruitingMaulana Azad Medical College
Delhi, New Delhi, India
Not yet recruitingRegency Hospital
Kanpur, Uttar Pradesh, India
Not yet recruitingInstitute of Child Health
Kolkata, West Bengal, India
Not yet recruitingExcel Endocrine Centre
Kolhāpur, India
Not yet recruitingAll India Institute of Medical Sciences (AIIMS)
New Delhi, India
Not yet recruitingRambam MC - Department of Pediatrics A
Haifa, Israel
Not yet recruitingShaare Zedek MC - Endocrinology Department
Jerusalem, Israel
Not yet recruitingSchneider MC - Endrocrinology and Diabetes
Petah Tikva, Israel
Not yet recruitingShamir MC - Pediatric and Adolescents Endocrinology unit
Ẕerifin, Israel
Not yet recruitingFondazione IRCCS Ca Granda Ospedale Maggiore Policlinico - UO Endocrinologia
Milan, Lombardy, Italy
Not yet recruitingAOU Maggiore della Carità di Novara - Dipartimento Interaziendale Strutturale Materno Infantile - SCDU Pediatria
Novara, Piedmont, Italy
Not yet recruitingA.O.U.I Verona - Ospedale Donna Bambino Borgo Trento - Pediatria B
Verona, Veneto, Italy
Not yet recruitingIRCCS materno infantile Burlo Garofolo - Clinica Pediatrica
Trieste, Italy
Not yet recruitingHospital Tunku Azizah
Kampung Baru, Kuala Lumpur, Malaysia
Not yet recruitingUniversity Malaya Medical Centre
Lembah Pantai, Kuala Lumpur, Malaysia
RecruitingHospital Sibu
Sibu, Sarawak, Malaysia
RecruitingCHRISTUS - Latam Hub Excellence and Innovation Center
Monterrey, Nuevo León, Mexico
Not yet recruitingIECSI Centro de Investigación Clínica
Monterrey, Nuevo León, Mexico
Not yet recruitingConsultorio de Endocrinología y Pediatría
Puebla City, Mexico
Not yet recruitingJeroen Bosch Zkh
's-Hertogenbosch, Netherlands
Not yet recruitingSamodzielny Zespol Publicznych Zakladow Opieki Zdrowotnej im. Dzieci Warszawy w Dziekanowie Lesnym
Dziekanów Leśny, Poland
Not yet recruitingUniwersytecki Szpital Kliniczny w Opolu
Opole, Poland
Not yet recruitingKliniczny Szpital Wojewodzki nr 2 im. Sw. Jadwigi Krolowej w Rzeszowie
Rzeszów, Poland
Not yet recruitingSamodzielny Publiczny Szpital Kliniczny Nr 1 im. Prof. Szyszko
Zabrze, Poland
Not yet recruitingULS De Santo António, E.P.E. _CMIN_Serviço de Pediatria
Porto, Portugal
Not yet recruitingCUF Porto_Serviço de Pediatria
Porto, Portugal
Not yet recruitingULS De Gaia/Espinho_H.Santos Silva_Unidade Ensaios Clínicos
Vila Nova de Gaia, Portugal
Not yet recruitingSpitalul Judetean de Urgenta Dr. Constantin Opris Baia Mare
Baia Mare, Romania
Not yet recruitingKilostop Junior SRL
Bucharest, Romania
RecruitingSpitalul Clinic de Urgenta pentru Copii "M.S.Curie"
Bucharest, Romania
RecruitingSpitalul Clinic Judetean De Urgenta Pius Brinzeu Timisoara
Timișoara, Romania
RecruitingUniversity Children's Hospital Tirsova
Belgrade, Serbia
RecruitingInstitute for Mother and Child Health Care of Serbia
Belgrade, Serbia
RecruitingInstitute for Health Care of Children and Adolescents
Novi Sad, Serbia
RecruitingNarodny Ustav Detskych Chorob
Bratislava, Slovakia
Not yet recruitingDetska Fakultna nemocnica Kosice
Košice, Slovakia
RecruitingNarodny Endokrinologicky a diabetologicky ustav
Ľubochňa, Slovakia
RecruitingNemocnica Poprad, a.s.
Poprad, Slovakia
Not yet recruitingHosp. Vall d'Hebrón_Endocrinología pediatríca
Barcelona, Spain
Not yet recruitingHospital Sant Joan de Déu
Esplugues de Llobregat, Spain
Not yet recruitingHospital Universitario Virgen del Rocío
Seville, Spain
Not yet recruitingBarn och ungdomscentrum Västerbotten - NU
Umeå, Sweden
Not yet recruitingAkademiska barnsjukhuset - klinisk forskningsmottagning
Uppsala, Sweden
Not yet recruitingChang Gung Memorial Hospital - Kaohsiung Branch
Kaohsiung City, Taiwan
RecruitingChung Shan Medical University Hospital
Taichung, Taiwan
RecruitingTaipei Mackay Children's Hospital
Taipei, Taiwan
RecruitingChang Gung Memorial Hospital Linkou-Dept of Pediatrics
Taoyuan, Taiwan
RecruitingKing Chulalongkorn Memorial Hospital_Ped-Nutrition
Bangkok, Thailand
RecruitingThammasat Hospital_CRC
Pathum Thani, Thailand
RecruitingBirmingham Children's Hospital
Birmingham, United Kingdom
RecruitingAlder Hey Children's Hospital
Liverpool, United Kingdom
RecruitingUniversity College Hospital - Paediatric Services
London, United Kingdom
RecruitingMeander MC
Amersfoort, Netherlands
Completed
Study team
Sponsor
Novo Nordisk A/S
Study ID NN9838-4968
Study director
Clinical Transparency (dept. 2834)
Novo Nordisk A/S
Frequently asked questions
The sponsor hasn't published answers to common questions for this trial.