Graded
The US health department published a draft policy under which it would not act against pharmacies that make BPC-157 on a prescription for a named patient, until the FDA decides by rule. It is still not an approved medicine.
PL

Cagrilintide

CagriSema (with semaglutide) · AM833

A substance that mimics amylin, a fullness hormone. Still being studied, alone and with semaglutide. Not approved in the EU or US.

This site is for information and education only. It does not promote or encourage the use or purchase of the substances described and is not medical advice. Many are not authorised as medicines and their safety has not been established. We sell nothing and have no ties to sellers. For health decisions, consult a doctor.

Type
Mimics a fullness hormone
Stage
Still being studied
Safety
Little data
Doping
May be banned, WADA 2026
Risk of fakes
Not known
Checked
Not yet

Doping. It is not on the WADA list, but WADA also bans substances that no health authority has approved, so it may be banned.

Safety. There are early studies and a large study with semaglutide. Stomach and bowel problems were common in both. No approval yet. Sources: study 1, study 2.

Risk of fakes. We found no tests of products sold outside pharmacies.

Is it legal

How much research exists

Scientific papers
124
Studies with random groups
15
Registered studies in people
44

Scientific papers per year 2015–2025

These are search results. A count shows how much exists, not how good the studies are. 1 Nov 2026.

What studies show

  • BFat loss

    Effect in studies. Weight fell 6.0% to 10.8%, and 3.0% on placebo, in an early study. In a large study the mix with semaglutide reached 20.4% against 3.0%, but that is a result for the mix.

Reported side effects

What doctors, patients and companies reported to the US medicines agency (FDA), and single cases described in medical journals. A report says what happened to someone after taking the substance. It does not prove the substance caused it, and it does not say how often it happens. Reports do not change any grade.

Reports to the FDA (USA)

Reports
4
Of these, serious
3
Most often reportedReports
Shortness of breath2
Loss of bowel control1
Lower BMI1
Less appetite1
Stomach flu1
Passing out1
Nausea1
Itching1

Serious means the person went to hospital, their life was in danger, they were left with lasting harm, or they died. One report can list several side effects.

Cases described in medical journals

We found no published case of harm.

FDA reports come from openFDA, cases from a PubMed search. The editors have not read these cases yet. Titles stay in the original language. As of 3 Nov 2026.

Studies we have read

StudiesKind of studyWho was studiedPeopleDurationDose as studiedWho paid
Coadministered Cagrilintide and Semaglutide in Adults with Overweight or Obesity.The New England journal of medicine 2025Random groupsAdults with overweight or obesity, phase 3a (REDEFINE 1), combination with semaglutide–68 wk2.4 mg weekly, alone or with semaglutide 2.4 mgManufacturer
Once-weekly cagrilintide for weight management in people with overweight and obesity: a multicentre, randomised, double-blind, placebo-controlled and active-controlled, dose-finding phase 2 trial.Lancet (London, England) 2021Random groupsAdults with overweight or obesity, phase 2 dose-finding–26 wk0.3 to 4.5 mg weeklyManufacturer

More papers we found

StudiesKind of studyYear
CagriSema versus Semaglutide 2.4 mg monotherapy for weight management in adults with overweight or obesity, with or without type 2 diabetes: a systematic review, meta-analysis, and trial sequential analysis.Front Endocrinol (Lausanne)Pooled analysis2026
Weight Loss, Obesity Medication, and Risk of Obesity-Associated Cancer: A Meta-Analysis of Randomized Controlled Trials.Obesity (Silver Spring)Pooled analysis2026
Benefits and Harms of Pharmacologic Treatments in Adults With Overweight or Obesity: A Living Systematic Review and Network Meta-analysis for the American College of Physicians.Ann Intern MedPooled analysis2026
Comparative effects of drugs for adults with overweight or obesity: systematic review and network meta-analysis.BMJPooled analysis2026
Comparative Effectiveness of CagriSegma, Semaglutide, Cagrilintide and Tirzepatide in the Management of Overweight and Obesity: A Network Meta-Analysis of Randomized Clinical Trials.Endocrinol Diabetes MetabPooled analysis2026
Efficacy and Safety of Cagrilintide and Cagrisema Versus Semaglutide as Anti-Obesity Medications: A Systematic Review, Meta-Analysis and Meta-Regression.Diabetes Obes MetabPooled analysis2026
CagriSema Versus Semaglutide Monotherapy or Placebo for Obesity: A Systematic Review and Meta-Analysis of Randomized Controlled Trials with GRADE Assessment.Am J CardiolPooled analysis2026
Novel Amylin-Based Therapies for Weight Management in Adults With Overweight or Obesity Without Diabetes: A Network Meta-Analysis.Endocrinol Diabetes MetabPooled analysis2026

We found these papers automatically in PubMed. The editors have not read them yet, and they do not affect any grade. Titles stay in the original language.

All papers and studies we found (157)

Short answers

Does cagrilintide work?
A substance that mimics amylin, a fullness hormone. Still being studied, alone and with semaglutide. Not approved in the EU or US. Fat loss: grade B, effect in studies. Weight fell 6.0% to 10.8%, and 3.0% on placebo, in an early study. In a large study the mix with semaglutide reached 20.4% against 3.0%, but that is a result for the mix.
Is Cagrilintide legal?
PL: No approval. The European medicines database (EMA) lists no such medicine in Poland (9 October 2026). The Polish register was down, so we could not check it directly. EU: No approval. The European medicines database (EMA), which covers EU and national approvals, lists no such medicine (9 October 2026). US: No approval. The FDA drug register has no such medicine.
Is cagrilintide banned in sport?
May be banned, WADA 2026. It is not on the WADA list, but WADA also bans substances that no health authority has approved, so it may be banned.
Is Cagrilintide safe?
Little data. There are early studies and a large study with semaglutide. Stomach and bowel problems were common in both. No approval yet.

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