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Peptide comparison

Cagrilintide vs semaglutide: amylin and GLP-1, complementary pathways

They are not two versions of the same thing. Semaglutide mimics GLP-1, a gut hormone; cagrilintide mimics amylin, a pancreatic hormone. They act on different receptors that regulate food intake through complementary routes, which is why research has focused on combining them.

Compare mechanism, class, receptors and evidence. All compounds are offered with ≥99% purity verified by HPLC and a batch COA.

Tabla comparativa

  CagrilintideSemaglutide
Hormone it mimicsAmylin (pancreas)GLP-1 (gut)
ReceptorsAmylin and calcitonin receptorsGLP-1 receptor
Long-acting strategyLipidation (albumin binding)Lipidation (C18 diacid, albumin binding)
Described actionsSatiety, gastric emptying, lower post-meal glucagonGlucose-dependent insulin secretion, satiety, gastric emptying
Clinical developmentIn clinical research, mainly in combinationComplete; approved medicine
Relationship between themResearched in combination with semaglutideBasis of the combination

Analysis: how they differ

Semaglutide is the reference GLP-1 agonist: it amplifies insulin when glucose is high, slows gastric emptying and acts on the brain's appetite centres. Its clinical development is complete. Cagrilintide is a long-acting amylin analogue; amylin is released together with insulin and acts in brainstem regions involved in satiety, as well as reducing glucagon after meals.

Because the two hormones regulate food intake through different mechanisms, their effects can add up. That is the logic of the large clinical programmes studying cagrilintide combined with semaglutide. That is why cagrilintide is best understood as a complement to the GLP-1 pathway rather than an alternative to it.

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Frequently asked questions

Is cagrilintide a GLP-1 agonist?

No. It is an amylin analogue that acts on amylin and calcitonin receptors. Its pathway is different from and complementary to GLP-1.

Why are they studied together?

Because GLP-1 and amylin regulate food intake through different mechanisms, so their effects can add up. The cagrilintide + semaglutide combination is being investigated in large-scale clinical programmes.

Which one is approved?

Semaglutide is approved as a medicine. Cagrilintide is still in clinical research. The material in this catalogue is for research use only.

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Educational content for scientific purposes. Preclinical and clinical evidence are distinguished; it does not constitute medical advice or a recommendation for use. NeoPeptidos products are sold labeled for scientific research.