vialroom

#cagrilintide 2025-07-13

Sunday37 messages9 participantstimes are UTC
Highlights from this day
  • ms_ms_mira — two VendorInvestigate results on the same BCH lot came back 96.8 and 99, closer than i expected noticed something around week 6 on monotherapy, well after i had given… 19:45
  • bpc_sceptic — anyone stopped the GLP-1 and kept only this 20:04
  • week_three_wall — amylin is about slowed gastric emptying and satiety signalling, thats the short version and im no pharmacologist 21:02
  • lyophile_liv — does amylin do something about fullness that the GLP-1 doesnt 21:06
LL

how do people separate which of the two is doing what in a combination

sorry to jump in i keep the two on separate days so if something goes wrong i have a chance of knowing which
the combination is the thing with trial data behind it, monotherapy in here is mostly us guessing

combination for me

if youre used to GLP-1 titration steps this feels absurdly cautious and i still do it that way

MM

REDEFINE is the trial

site-rotation-map.png
1000 × 700 · 459 KB · not retained in the public archive
DD

unrelated but is the nausea profile genuinely different or am i imagining it

WT

for the archive REDEFINE is the phase 3 programme, most of what gets quoted casually in here is earlier work

DD

the combination is the thing with trial data behind it, monotherapy in here is mostly us guessing, from memory
nobody should copy my schedule, im describing it because people asked what a slow ramp looks like

thats the phase 3 one

CC

combination GI was worse than either alone for me, which is not what i had read anywhere
amylin is about slowed gastric emptying and satiety signalling, thats the short version and im no pharmacologist

MM

does the fullness effect fade the way appetite suppression does

€72 for a 15 vial and it lasts me longer than the GLP-1 does at my doses, anyway

the reason nausea reads differently is timing, mine arrived on the second day rather than the first

genuine question added it to an existing cagrilintide dose rather than starting both, which made attribution possible, not advice obviously

two VendorInvestigate results on the same BCH lot came back 96.8 and 99, closer than i expected
noticed something around week 6 on monotherapy, well after i had given up expecting to

BS

titrating dead slow

Cited study
Efficacy and Safety of Cagrilintide in Adults with Overweight or Obesity — Phase 2
The Lancet · 2021
Cagrilintide monotherapy, dose ranging. The combination trials came later.

right so back after 21 months, is monotherapy still a minority thing here

DD

the fullness effect hasnt faded over 21 months, unlike my semaglutide appetite curve

is 2.4 the number for this too or am i confusing compounds

CC

dropped the GLP-1 and stayed on this alone for 8 months, appetite held but weight barely moved

WT

CagriSema is cagrilintide with semaglutide and REDEFINE is the trial programme around it

LL

its an amylin analogue, different receptor family, so treating it as another GLP-1 is the first mistake, someone check my working

monotherapy here

BS

ok so i titrated over twice as many weeks as i did on semaglutide and that was right for me