Head-to-head evidence

cagrilintide/semaglutide vs XW014

Same mechanism, same race: design-graded trial evidence for both assets, with the grading rationale shown. Grades describe the quality of the evidence, never the merits of either security.

Type 2 Diabetes

Shared mechanism: GLP-1 receptor · full Type 2 Diabetes pipeline

cagrilintide/semaglutide · CagriSema

Developed by Novo Nordisk

Phase 3 in Type 2 Diabetespeptide
Reliable signal

NCT05394519 · Phase 3 · completed

This was a large, randomized, quadruple-blind, placebo-controlled trial in 1,200 patients using percentage body weight change, the standard efficacy measure for obesity treatment. CagriSema reduced body weight by 13.7% versus 3.4% on placebo, a 10.4-percentage-point difference (p<0.001), meeting the primary endpoint.

Next expected readout: June 2027 · NCT07817251 (registry estimate)

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XW014

Developed by Sciwind Biosciences

Phase 1 in Type 2 Diabetessmall molecule
Partial signal

NCT05579314 · Phase 1 · completed

This is a randomized, blinded, placebo-controlled trial, but its primary endpoints are adverse events and routine safety measurements rather than a diabetes outcome such as blood sugar control, and no results have been posted yet.

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The full competitive landscape for each asset (every same-race competitor with aligned evidence, sortable) is on the asset pages: cagrilintide/semaglutide's landscape · XW014's landscape