P21 vs Cagrilintide

A detailed comparison to help you understand the differences and choose the right peptide for your research goals.

P21

P21 is a synthetic peptide derived from Cerebrolysin, specifically designed to mimic the neurotrophic effects of the parent compound. It promotes neurogenesis and has shown cognitive-enhancing properties in research.

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Cagrilintide

Cagrilintide is a long-acting amylin analog in development, showing promising results when combined with semaglutide (CagriSema). Amylin is a hormone co-secreted with insulin that promotes satiety.

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Side-by-Side Comparison

AspectP21Cagrilintide
MechanismInhibits glycogen synthase kinase-3β (GSK-3β) and activates CREB signaling pathway. This promotes BDNF expression, neurogenesis in the hippocampus, and synaptic plasticity.Activates amylin receptors (calcitonin receptor with RAMP proteins) to slow gastric emptying, suppress glucagon secretion, and reduce food intake through central satiety mechanisms distinct from GLP-1.
Typical DosageResearch protocols typically use 1-5mg administered intranasally or subcutaneously. Often used in cycles of 2-4 weeks.Clinical trials: 2.4mg weekly as monotherapy or in combination with semaglutide 2.4mg (CagriSema). Optimal dosing still being determined.
AdministrationCan be administered intranasally for direct CNS access or subcutaneously. Best used cyclically rather than continuously.Subcutaneous injection once weekly. Currently only available in clinical trials - not yet FDA approved.
Side EffectsLimited data. Reported effects include mild headache, temporary brain fog during initial use, and fatigue.Nausea, vomiting, diarrhea, constipation similar to other incretin-based therapies. Combination with semaglutide may increase GI effects initially.
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Key Differences

Unique to P21:

Unique to Cagrilintide:

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