Head-to-head evidence

cagrilintide vs petrelintide

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.

Obesity

Shared mechanisms: Amylin receptor · Amylin/calcitonin receptor (dual) · full Obesity pipeline

cagrilintide

Developed by Novo Nordisk

Phase 3 in Obesitypeptide
Reliable signal

NCT03856047 · Phase 2 · completed

The trial randomized participants to five active doses, a pooled placebo, and an active liraglutide comparator arm, with quadruple-blinding (participant, care provider, investigator, and outcomes assessor all masked) and roughly 100 participants per arm. The primary endpoint, percent change in body weight at 26 weeks, is the regulator-accepted physiological measure for obesity trials, and every cagrilintide dose showed a statistically significant weight-loss advantage over placebo (p-values ranging from 0.0002 to <.0001), so the primary comparison was clearly met in the favorable direction.

Next expected readout: January 2027 · NCT07411560 (registry estimate)

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petrelintide

Developed by Zealand Pharma and partners

Phase 3 in Obesitypeptide
Partial signal

NCT06662539 · Phase 2 · completed

The study was randomized and double-blind, used matching placebo, and enrolled 493 participants. Its primary clinical endpoint was change in body weight, but the outcome comparison is not yet available because results have not been posted.

Next expected readout: November 2027 · NCT07589686 (registry estimate)

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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's landscape · petrelintide's landscape