The trial was in a general overweight/obese adult population, not in GLP-1 users
Obesity and Weight Management Research The primary focus of cagrilintide research has been its profound effects on body weight reduction [9] : Key Clinical Trial Data - Phase 2 ONWARDS 1 Design: 32-week, dose-ranging study in 706 adults with overweight/obesity Results (Cagrilintide monotherapy): [9] 0.3 mg weekly: -3.9% weight loss 0.6 mg weekly: -6.0% weight loss 1.2 mg weekly: -8.1% weight loss 2.4 mg weekly: -10.8% weight loss 4.5 mg weekly: -10.4% weight loss Mechanism: Weight loss attributed primarily to reduced energy intake (-535 kcal/day at 2.4 mg dose) rather than increased energy expenditure Research Implications: Cagrilintide provides a valuable research tool for investigating amylin receptor-mediated satiety pathways independent of GLP-1 signaling, offering insights into hormone-specific contributions to appetite regulation

The safety of subcutaneous and oral semaglutide will be covered in a separate article in this issue ( Design of The Sustain and Pioneer Programs Both formulations of semaglutide were investigated in comprehensive international clinical development programs
This contrasts with medications that dont follow simple half-life elimination, where clearance timelines might be more variable and harder to predict
Research also shows that people have a tendency to lose a significant amount of fat-free mass or muscle mass while on a GLP-1
The regulatory status should be verified at the time of reading, as this may change as trials progress