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Research Study on How People With Type 2 Diabetes Tolerate Switching From Semaglutide to Cagrisema

RecruitingPhase 3

Safety And Tolerability of 3 Switch Regimens From Semaglutide 1.0 mg and 2.0 mg to Co-Administered Cagrilintide and Semaglutide (Cagrisema) in Participants With Type 2 Diabetes

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Inclusion criteria:

* Male or female (sex assigned at birth, inclusive of all gender identities).
* Age 18 years or above at the time of signing the informed consent.
* Diagnosed with type 2 diabetes mellitus (T2DM) greater than or equal to (≥) 180 days before screening.
* Stable once-weekly dose ≥ 90 days before screening of branded s.c. semaglutide. Branded semaglutide s.c. includes Ozempic and Wegovy. Participants on compounded semaglutide are ineligible.
* Not on treatment with oral antidiabetic drugs or on stable daily dose(s) ≥ 90 days before screening of any of the following antidiabetic drug(s) or combination regimen at effective or maximum tolerated dose (MTD) as judged by the investigator: metformin and/or sodiumglucose co-transporter-2 (SGLT2) inhibitor.
* Glycated haemoglobin (HbA1c) 6.5-10.5 percentage (%) (48-91 millimoles per mole \[mmol/mol\]) (both inclusive) as determined by central laboratory at screening.
* Body mass index (BMI) ≥ 25 kilograms per square meter (kg/m\^2) at screening. BMI will be calculated in the electronic case report form (eCRF) based on height and body weight at screening.

Exclusion criteria:

* Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using a highly effective contraceptive method from screening.
* Renal impairment with estimated glomerular filtration rate (eGFR) less than (\<) 30 milliliter per minute per 1.73 square meter (mL/min/1.73 m\^2) as determined by central laboratory at screening.
* Treatment with any medication for the indication of diabetes or obesity other than stated in the inclusion criteria within 90 days before screening. However, short term insulin treatment for a maximum of 14 consecutive days and prior insulin treatment for gestational diabetes are allowed.
* Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by an eye 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.
* A self-reported change in body weight \> 5% within 90 days before screening irrespective of medical records.
* Use of personal continuous glucose monitoring (CGM) devices. Participants currently using personal CGM devices must discontinue use prior to screening and throughout study participation.

About the study

The purpose of this clinical study is to look at the safety and tolerability of switching from semaglutide to CagriSema, for participants who have type 2 diabetes. All participants will get CagriSema, the treatment being tested. Participants will be in this clinical study for about 6 months.

What is being tested

Sponsor: Novo Nordisk A/S · Participants: 210 · Started: Sep 16, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07817251

Locations in the U.S.

ArizonaGilbert Center For Family Medicine, Gilbert
CaliforniaArk Clinical Research, Fountain Valley
Thrive Clinical Research Group, Glendora
Scripps Whittier Diabetes Inst, La Jolla
Downtown LA Res Ctr. Inc., Los Angeles
Valley Clinical Trials, Inc., Northridge
Dream Team Clinical Research, Pomona
Clinical Trials Research_Sacramento, Sacramento
Linda Vista Health Care Ctr, San Diego
ConnecticutChase Medical Research LLC, Waterbury
FloridaNortheast Research Institute, Fleming Island
AGA Clinical Trial, Hialeah
Adult Medicine of Lake County, Inc, Mt. Dora
Optimal Research Sites, Orange City
Metabolic Research Institute Inc, West Palm Beach
HawaiiEast West Med Res Inst, Honolulu
IllinoisEndeavor Health, Skokie
IowaIowa Diabetes & Endo Res Ctr, West Des Moines
KansasAlliance for Multispecialty Research, Newton
Cotton O'Neil Diabetes & Endocrinology, Topeka
MichiganNorthern Pines Hlth Ctr, PC, Buckley
NevadaPalm Research Center Inc-Vegas, Las Vegas
New MexicoAlbuquerque Clinical Trials Inc., Albuquerque
North CarolinaPharmQuest Life Sciences LLC, Greensboro
Accellacare Wilmington, Wilmington
OhioAdvanced Medical Research, Maumee (Not yet recruiting)
TennesseeClinical Research Associates, Nashville
TexasAmarillo Med Spec LLP, Amarillo
Texas Diabetes & Endocrinology, Austin
North Texas Endocrine Center, Dallas
Diabetes and Thyroid Center of Fort Worth, Fort Worth
JCCT- Juno NW Houston, Houston
Sante Clinical Research, Kerrville
DCOL Ctr for Clin Res, Longview
North Hills Medical Research Inc, North Richland Hills
NE Clin Res of San Antonio, San Antonio (Not yet recruiting)
UtahJ.Lewis Research Inc, Salt Lake City
Diabetes & Endo Treatment Spec, Sandy City (Not yet recruiting)
Chrysalis Clinical Research, St. George
VirginiaTidewater Physicians Multispecialty Group, Newport News

Conditions

From ClinicalTrials.gov, data retrieved Oct 1, 2026. Each study sets its own eligibility; the study team decides who can join.