Cagrilintide vs Eloralintide
Updated 8 sources
Key differences
- 1Both are amylin agonists. Eloralintide is Lilly's selective amylin agonist; cagrilintide is Novo Nordisk's.
- 2Eloralintide's 48-week phase 2 reached 9% at 1 mg to 20% at 9 mg vs 0.4% on placebo. Cagrilintide alone reached 6.0 to 10.8% at 26 weeks in its phase 2.
- 3Community posters say eloralintide causes less fatigue, but its trial reported fatigue in 0 to 46% by arm (43% at 9 mg), so that impression is anecdotal.
- 4Eloralintide favors the amylin 1 receptor; cagrilintide also hits the calcitonin receptor.
- 5Half-life: about 310 to 366 hours for eloralintide vs 159 to 195 hours for cagrilintide.
- 6Phase 2 alone: eloralintide 9 mg -20% at 48 weeks; cagrilintide 4.5 mg -10.8% at 26 weeks. Different trial lengths, no head-to-head.
- 7In rats, eloralintide caused less taste avoidance (a nausea marker) than cagrilintide.
Side by side
Facts from each record, in the same words as their own pages.
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Doses shown are what sources report, labelled by origin. Not medical advice.
Read each in full
Sources
8 sources, each checked by date. Record updated Oct 24, 2026. Numbers are restated in our own words and labelled by where they came from.
Clinical study5
- Billings et al. Eloralintide 48-week phase 2 (Lancet 2025)PubMed · checked Oct 23, 2026
- Lau et al. Once-weekly cagrilintide for weight management: phase 2 (Lancet 2021)PubMed · checked Oct 23, 2026
- Eloralintide (LY3841136): from discovery to clinical proof of concept (Mol Metab 2025)PubMed Central · checked Oct 24, 2026
- Enebo et al. Cagrilintide with semaglutide 2.4 mg, phase 1b (Lancet 2021)PubMed · checked Oct 24, 2026
Regulatory3
- Novo Nordisk submits NDA to FDA for CagriSemaPharmExec, via a news report · checked Oct 23, 2026
- openFDA Drugs@FDA query for eloralintideFDA (openFDA) · checked Oct 24, 2026
- ENLIGHTEN-1 (NCT07321886): eloralintide in obesity or overweight without type 2 diabetes, phase 3, recruitingClinicalTrials.gov · checked Oct 24, 2026