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Type: Journal article
Title: Anti-obesity drugs
Author: Rankin, W.
Wittert, G.
Citation: Current Opinion in Lipidology, 2015; 26(6):536-543
Publisher: Wolters Kluwer Health, Inc.
Issue Date: 2015
ISSN: 0957-9672
Statement of
Wayne Rankina and Gary Wittert
Abstract: Purpose of review: The prevalence of obesity across the world continues to climb, bringing with it otherwise preventable obesity-related comorbidities including type 2 diabetes, hypertension and cardiovascular disease. Weight loss is difficult to achieve and maintain through lifestyle interventions alone, leading to intense efforts to develop adjunctive pharmacological approaches. Herein, we examine recent advances in this field and limitations of currently available and emerging agents. Recent findings: Liraglutide, lorcaserin and combination of phentermine–topiramate and bupropion–naltrexone have all been the subject of recent studies examining their efficacy as weight-loss agents. Although each effectively induces weight loss over and above placebo, significant concerns exist regarding side-effect profiles and safety, along with their ability to achieve sustained effects. Dropout rates in all examined studies were up to 50% or more, usually a result of intolerable side-effects. Recruitment of a high proportion of women of European descent also casts doubt on the generalizability of trial data. Summary: Pharmacological interventions for weight loss remain limited, with side-effects often outweighing efficacy. Interestingly, substantial early weight loss was associated with sustained loss, suggesting a responsive phenotype and future trials might best be targeted in identifying responsive subpopulations.
Keywords: generalizability; individualization; liraglutide; lorcaserin; obesity; side-effects
Rights: Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.
DOI: 10.1097/MOL.0000000000000232
Appears in Collections:Aurora harvest 3
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