Semaglutide vs Cagrilintide half-life

Semaglutide has an elimination half-life of about 6.9 days; Cagrilintide has about 7.3 days. Cagrilintide is a long-acting amylin analogue studied in combination with semaglutide (CagriSema). Their similar, roughly weekly half-lives allow both to be given in one weekly injection.

Side by side

SemaglutideCagrilintide
Half-life6.9 days (range 6–7 days)7.3 days (range 6.6–8.1 days)
RouteSC weekly / oral dailySC weekly
CategoryGLP-1 & incretinsGLP-1 & incretins
EvidenceClinicalLimited
Remaining after 24 hours90.4%90.9%
Remaining after 7 days49.4%51.4%
~97% cleared (5 half-lives)34.4 days36.5 days
Steady state (4-5 half-lives)27.5 days to 34.4 days29.2 days to 36.5 days

Single-dose decay

Share of one dose remaining over time, assuming first-order elimination. Dashed lines mark each half-life.

Semaglutide vs Cagrilintide single-dose decay 0% 25% 50% 75% 100% 0 7 days 14 days 21 days 28 days 35 days 42 days

Semaglutide (t½ 6.9 days) Cagrilintide (t½ 7.3 days)

Semaglutide: FDA label: elimination half-life of about 1 week. Cagrilintide: Phase 1b (with semaglutide): 159–195 hours.

Model Semaglutide doses Model Cagrilintide doses

FAQ

Which lasts longer, Semaglutide or Cagrilintide?

Semaglutide and Cagrilintide have similar half-lives: about 6.9 days and 7.3 days.

How long do Semaglutide and Cagrilintide stay in your system?

With first-order elimination, about 97% of a single dose is cleared after five half-lives: roughly 34.4 days for Semaglutide and 36.5 days for Cagrilintide. Individual clearance varies.

How long until Semaglutide and Cagrilintide reach steady state?

With consistent repeated dosing, levels approach steady state after 4 to 5 half-lives: about 27.5 days to 34.4 days for Semaglutide, and 29.2 days to 36.5 days for Cagrilintide.

How reliable are these half-lives?

Semaglutide: Clinical evidence. Cagrilintide: Limited evidence. Anecdotal values are community estimates and may be far off.

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