What cagrilintide is
Cagrilintide is a synthetic, lipidated, long-acting analogue of human amylin, engineered for once-weekly administration. Its backbone borrows from both human amylin and salmon calcitonin, which is the standard route to an amylin analogue that resists aggregation, and it carries a C20 fatty diacid for albumin binding.
Amylin signals through receptor complexes formed between the calcitonin receptor and receptor-activity-modifying proteins (RAMP1, RAMP2, RAMP3). Cagrilintide engages those complexes with a broader profile than a strictly selective agonist would, which is the pharmacological difference between it and newer selective compounds such as eloralintide.[4]

