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Cagrilintide vs Survodutide

Both Cagrilintide and Survodutide are used for weight-loss and metabolic. Here's how their evidence, dosing, and regulatory status actually compare.

Cagrilintide

Evidence A

Cagrilintide (long-acting amylin analog)

A once-weekly amylin analog that reduces appetite via the area postrema. Combined with semaglutide ('CagriSema') it has produced ~22% weight loss in trial data.

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Survodutide

Evidence A

Survodutide (BI 456906)

A dual GLP-1 / glucagon receptor agonist with strong Phase 2 weight-loss and MASH data. Resolution of MASH in 83% of participants at the highest dose at week 48.

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Side-by-Side

AttributeCagrilintideSurvodutide
Evidence GradeAA
FDA StatusNot FDA-approved — combined with semaglutide as CagriSema; Phase 3 in progressNot FDA-approved — Phase 3 trials for obesity and MASH
Typical DoseTrial range: 0.16–4.5 mg weekly (subcutaneous)Trial range: 0.6–6 mg weekly (subcutaneous)
Clinics Indexed86
Categoriesweight-loss, metabolicweight-loss, metabolic

Key reported benefits — Cagrilintide

  • Amylin pathway weight loss
  • Synergy with GLP-1
  • Lower-dose tolerability

Key reported benefits — Survodutide

  • Weight loss
  • MASH resolution
  • Glucose control

Educational use only

This comparison is for educational purposes and not medical advice. Peptide selection should be made with a licensed medical professional based on your individual goals, health history, and current evidence quality.

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