Randomized Trialhigh evidence

Cagrilintide-semaglutide (CagriSema) as an add-on to basal insulin in adults with type 2 diabetes (REIMAGINE 3): a randomised, double-blind, placebo-controlled, multicentre, phase 3 study.

Lancet (London, England)·July 4, 2026·PMID 42251856

Why it matters

For patients on basal insulin with inadequate glycemic control, CagriSema offers a potent dual mechanism—GLP-1 receptor agonism plus amylin analog—that simultaneously improves HbA1c and promotes substantial weight loss without increasing hypoglycemia risk, addressing two major treatment challenges.

Infographic summary of Cagrilintide-semaglutide (CagriSema) as an add-on to basal insulin in adults with type 2 diabetes (REIMAGINE 3): a randomised, double-blind, placebo-controlled, multicentre, phase 3 study.
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