Public educational draft · 04 November 2026Clinical review pending →
AXON Cagrilintide research card. Verified numbered backbone and locus-specific modification map. Original evidence diagrams show source-specific findings and limits.

Visual summary only. The research findings, limitations and references accompany the card on this page.

Verified numbered backbone and locus-specific modification map. Sequence transcribed from specified verified source dossier. Linker blocks show identity and ordering, not atomic bonding geometry. Standard chiral amino acids are L; Gly and Aib are achiral. Biological settings and research diagrams are illustrations, not measured anatomy or clinical outcomes.

Read the research ↓ · View all references ↓

Metabolic / incretin

Cagrilintide

Amylin / calcitonin receptors

Cagrilintide reference parent; C-terminal amide
Backbone
37 residues
Modification
N-terminal C20 · Cys2–Cys7
Terminus
C-terminal amide

Research snapshot

Cagrilintide is an engineered amylin analogue with a lipid extension. Research examines how receptor activation, peptide design and prolonged exposure relate to appetite and body-weight outcomes.

Human trial and receptor structures

Identity & representation

Literature reference molecule. Catalog naming is not analytical confirmation of AXON contents, salt, purity or formulation. All-L peptide; Cys2–Cys7 disulfide. N-terminal α-amino group linked through L-γGlu to a C20 diacid. Not acylation of Lys1 ε-amine.

Educational reference only. Not a dosing guide, treatment recommendation or product endorsement.

Verified numbered backbone and locus-specific modification map.[4][5][1]

Sources checked: 2026-11-06. Identity and evidence limits are stated above. Independent specialist review is pending.

ClassLipidated 37-residue peptide

Target / pathwayAmylin / calcitonin receptors

Selected evidenceHuman trial and receptor structures

ScopeResearch summary; not a product or treatment assessment

What researchers study

Cagrilintide is an engineered amylin analogue with a lipid extension. Research examines how receptor activation, peptide design and prolonged exposure relate to appetite and body-weight outcomes.

  • Cryo-EM structures of active amylin and calcitonin receptors

  • Peptide substitutions and lipidation for prolonged exposure

  • Monotherapy and combination studies with separately interpreted results

Mechanism in context

  1. Binds amylin and calcitonin-family receptors
  2. Activates receptor-linked signaling
  3. Trials assess body-weight outcomes and tolerability

Receptor structures establish binding interactions; they do not independently establish clinical benefit or long-term safety.

Simplified publication-grounded schematic, not a solved protein structure or proof of clinical benefit.

Selected evidence

Selected human evidence is summarized above; this is not an exhaustive clinical or regulatory review.

Once-weekly cagrilintide for weight management in people with overweight and obesity: a multicentre, randomised, double-blind, placebo-controlled and active-controlled, dose-finding phase 2 trial.[2]

Phase 2 randomized placebo- and active-controlled trial · Adults with overweight or obesity without diabetes · 26-week treatment; 6-week follow-up · Reported n: 706

Observed: Cagrilintide groups had greater weight reduction than placebo. Gastrointestinal symptoms and administration-site reactions were frequent.

Limit: Different active treatments were not mutually masked; dose-finding monotherapy results are not combination-treatment evidence.

Reference identity in detail

Sequences and form distinctions describe the cited reference substance, not a verified supplier preparation.

Read the sequence and form notes
Sequence
KCNTATCATQRLAEFLRHSSNNFGPILPPTNVGSNTP-NH2
Sequence notes
All-L peptide; Cys2–Cys7 disulfide. N-terminal α-amino group linked through L-γGlu to a C20 diacid. Not acylation of Lys1 ε-amine.
Molecular formula
C194H312N54O59S2
Molecular weight (g/mol)
4409
Rejected record notes
  • PubChem CID 171397054 has multiple D configurations inconsistent with the all-L backbone.
  • PubChem CID 164618153 matches the all-L peptide backbone but is named acetate despite a parent formula and no acetate component; complete lipid graph not independently cleared.

Safety & evidence limits

  • Combination studies cannot be attributed to cagrilintide alone; the selected monotherapy study must remain identified as such.

  • Short clinical trials cannot establish rare adverse effects, long-term outcomes or safety across unstudied populations.

  • Some chemical database records contain stereochemical or naming conflicts; use the verified sequence and modification definition.

Practical identity notes

  • All-L peptide; Cys2–Cys7 disulfide. N-terminal α-amino group linked through L-γGlu to a C20 diacid. Not acylation of Lys1 ε-amine.
  • Formula and mass apply only to the named reference form, excluding unspecified counterions, solvent and water.
  • Educational molecular reference • Selected studies, not a systematic review • No dosing guidance

The 10-second takeaway

A long-acting amylin analogue studied in humans; distinguish its exact chemistry and monotherapy evidence from combination regimens.

What the visual panels show

Original diagrams summarize the cited research or documented evidence search. They are not copied publication figures or claims of treatment benefit.

  • AMYLIN / CALCITONIN RECEPTORS[3][2]

    Publication-grounded mechanism schematic · Original publication-grounded diagram

    Binds AMY and calcitonin receptors · Receptor-linked signaling measured · Trials assess weight and tolerability

    Interpretation: Receptor structures do not alone establish clinical benefit.

  • Multiple receptor complexes[3]

    STRUCTURAL RESEARCH · Original publication-grounded diagram

    AMY1 / AMY2 / AMY3 / CTR studied

    Original receptor symbol, not an atomic docking model.

    Interpretation: Do not invent protein structures or relative receptor effects.

  • 706 adults · 26 weeks[2]

    HUMAN PHASE 2 · Original publication-grounded diagram

    Greater weight reduction than placebo

    Dose-finding monotherapy trial; not combination evidence.

    Interpretation: No extrapolation to CagriSema combination results.

  • Adverse events recorded[2]

    TRIAL TOLERABILITY · Original publication-grounded diagram

    GI symptoms and injection-site reactions

    Long-term outcomes require separate evidence.

    Interpretation: Do not imply safety established by this study.

Follow the evidence

Sources & what they support

  1. Development of Cagrilintide, a Long-Acting Amylin Analogue.

    J Med Chem · 2021 · PMID: 34288673 · DOI: 10.1021/acs.jmedchem.1c00565

    Supports: Discovery and lipidated amylin-analogue design

  2. Once-weekly cagrilintide for weight management in people with overweight and obesity: a multicentre, randomised, double-blind, placebo-controlled and active-controlled, dose-finding phase 2 trial.

    Lancet · 2021 · PMID: 34798060 · DOI: 10.1016/S0140-6736(21)01751-7

    Supports: Phase 2 monotherapy trial

  3. Structural and dynamic features of cagrilintide binding to calcitonin and amylin receptors.

    Nat Commun · 2025 · PMID: 40204768 · DOI: 10.1038/s41467-025-58680-y

    Supports: Active AMY1/AMY2/AMY3/CTR receptor structures

  4. WHO proposed INN List 123, pages 286–287

    Supports: Exact substitutions, N-terminal modification, disulfide definition and molecular formula

  5. FDA GSRS cagrilintide, UNII AO43BIF1U8

    Supports: Full peptide sequence and reference molecular mass

Source-linked educational drafts. Scientific and clinical review is pending. These cards describe molecules and study context, not product quality, approval or treatment recommendations.

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