Routine clinical use of liraglutide 3 mg for the treatment of obesity: Outcomes in non-surgical and bariatric surgery patients

被引:67
作者
Suliman, Mohamed [1 ]
Buckley, Adam [1 ,2 ,3 ,4 ]
Al Tikriti, Alia [1 ]
Tan, Tricia [2 ,3 ,4 ]
le Roux, Carel W. [2 ,3 ,4 ,5 ]
Lessan, Nader [1 ]
Barakat, Maha [1 ]
机构
[1] Imperial Coll London, Ctr Diabet, Abu Dhabi, U Arab Emirates
[2] Imperial Coll London, Div Diabet, London, England
[3] Imperial Coll London, Div Endocrinol, London, England
[4] Imperial Coll London, Div Metab, London, England
[5] Univ Coll Dublin, Conway Inst, Diabet Complicat Res Ctr, Dublin, Ireland
关键词
antiobesity drug; bariatric surgery; liraglutide; WEIGHT-LOSS; MEDICATIONS;
D O I
10.1111/dom.13672
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In this study we prospectively collected data on the use of liraglutide 3 mg in obese Arab patients. As part of routine care, 2092 patients were dispensed liraglutide 3 mg. Median age was 38 years and 77% were women. Median baseline weight was 95 kg and body mass index was 36.6 kg/m(2). Of the patients, 188 (9%) had previous bariatric surgery. Seven hundred and eighty-seven patients were treated for >= 16 weeks and their median (interquartile range) weight loss was 6.0 (2.4-9.4) kg, equivalent to 6.4% (2.6%-9.7%) of baseline weight (P < 0.0001, n = 787). Of those treated for >= 16 weeks, 474 (60%) achieved a weight loss of >5% of baseline weight while 182 (23%) achieved >10% weight loss. There was no difference in percentage weight loss between postbariatric surgery (n = 76) and non-surgical patients (n = 711). As a result of adverse events, mainly gastrointestinal symptoms, 140 (6.7%) of the patients stopped treatment. One patient developed acute pancreatitis in the context of gallstone disease but made an uneventful recovery. Liraglutide 3 mg was well tolerated and resulted in weight loss in routine clinical care similar to that seen in randomized controlled trials.
引用
收藏
页码:1498 / 1501
页数:4
相关论文
共 15 条
[1]   Health Effects of Overweight and Obesity in 195 Countries over 25 Years [J].
Afshin, Ashkan ;
Forouzanfar, Mohammad H. ;
Reitsma, Marissa B. ;
Sur, Patrick ;
Estep, Kara ;
Lee, Alex ;
Marczak, Laurie ;
Mokdad, Ali H. ;
Moradi-Lakeh, Maziar ;
Naghavi, Mohsen ;
Salama, Joseph S. ;
Vos, Theo ;
Abate, Kalkidan H. ;
Abbafati, Cristiana ;
Ahmed, Muktar B. ;
Al-Aly, Ziyad ;
Alkerwi, Ala'a ;
Al-Raddadi, Rajaa ;
Amare, Azmeraw T. ;
Amberbir, Alemayehu ;
Amegah, Adeladza K. ;
Amini, Erfan ;
Amrock, Stephen M. ;
Anjana, Ranjit M. ;
Arnlov, Johan ;
Asayesh, Hamid ;
Banerjee, Amitava ;
Barac, Aleksandra ;
Baye, Estifanos ;
Bennett, Derrick A. ;
Beyene, Addisu S. ;
Biadgilign, Sibhatu ;
Biryukov, Stan ;
Bjertness, Espen ;
Boneya, Dube J. ;
Campos-Nonato, Ismael ;
Carrero, Juan J. ;
Cecilio, Pedro ;
Cercy, Kelly ;
Ciobanu, Liliana G. ;
Cornaby, Leslie ;
Damtew, Solomon A. ;
Dandona, Lalit ;
Dandona, Rakhi ;
Dharmaratne, Samath D. ;
Duncan, Bruce B. ;
Eshrati, Babak ;
Esteghamati, Alireza ;
Feigin, Valery L. ;
Fernandes, Joao C. .
NEW ENGLAND JOURNAL OF MEDICINE, 2017, 377 (01) :13-27
[2]  
[Anonymous], DIABETES CARE, DOI DOI 10.2337/DC11-1468
[3]   Pharmacological Management of Obesity: An Endocrine Society Clinical Practice Guideline [J].
Apovian, Caroline M ;
Aronne, Louis J. ;
Bessesen, Daniel H. ;
McDonnell, Marie E. ;
Murad, M. Hassan ;
Pagotto, Uberto ;
Ryan, Donna H. ;
Still, Christopher D. .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2015, 100 (02) :342-362
[4]   Effect of liraglutide 3.0 mg in individuals with obesity and moderate or severe obstructive sleep apnea: the SCALE Sleep Apnea randomized clinical trial [J].
Blackman, A. ;
Foster, G. D. ;
Zammit, G. ;
Rosenberg, R. ;
Aronne, L. ;
Wadden, T. ;
Claudius, B. ;
Jensen, C. B. ;
Mignot, E. .
INTERNATIONAL JOURNAL OF OBESITY, 2016, 40 (08) :1310-1319
[5]   Efficacy of Liraglutide for Weight Loss Among Patients With Type 2 Diabetes The SCALE Diabetes Randomized Clinical Trial [J].
Davies, Melanie J. ;
Bergenstal, Richard ;
Bode, Bruce ;
Kushner, Robert F. ;
Lewin, Andrew ;
Skjoth, Trine Vang ;
Andreasen, Arne Haahr ;
Jensen, Christine Bjorn ;
DeFronzo, Ralph A. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2015, 314 (07) :687-699
[6]   Pancreatic Safety of Incretin-Based Drugs - FDA and EMA Assessment [J].
Egan, Amy G. ;
Blind, Eberhard ;
Dunder, Kristina ;
de Graeff, Pieter A. ;
Hummer, B. Timothy ;
Bourcier, Todd ;
Rosebraugh, Curtis .
NEW ENGLAND JOURNAL OF MEDICINE, 2014, 370 (09) :794-797
[7]   Early Weight Loss with Liraglutide 3.0 mg Predicts 1-Year Weight Loss and is Associated with Improvements in Clinical Markers [J].
Fujioka, Ken ;
O'Neil, Patrick M. ;
Davies, Melanie ;
Greenway, Frank ;
Lau, David C. W. ;
Claudius, Birgitte ;
Skjoth, Trine Vang ;
Jensen, Christine Bjorn ;
Wilding, John P. H. .
OBESITY, 2016, 24 (11) :2278-2288
[8]   2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society [J].
Jensen, Michael D. ;
Ryan, Donna H. ;
Apovian, Caroline M. ;
Ard, Jamy D. ;
Comuzzie, Anthony G. ;
Donato, Karen A. ;
Hu, Frank B. ;
Hubbard, Van S. ;
Jakicic, John M. ;
Kushner, Robert F. ;
Loria, Catherine M. ;
Millen, Barbara E. ;
Nonas, Cathy A. ;
Pi-Sunyer, F. Xavier ;
Stevens, June ;
Stevens, Victor J. ;
Wadden, Thomas A. ;
Wolfe, Bruce M. ;
Yanovski, Susan Z. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2014, 63 (25) :2985-3025
[9]   Association of Pharmacological Treatments for Obesity With Weight Loss and Adverse Events A Systematic Review and Meta-analysis [J].
Khera, Rohan ;
Murad, Mohammad Hassan ;
Chandar, Apoorva K. ;
Dulai, Parambir S. ;
Wang, Zhen ;
Prokop, Larry J. ;
Loomba, Rohit ;
Camilleri, Michael ;
Singh, Siddharth .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2016, 315 (22) :2424-2434
[10]   3 years of liraglutide versus placebo for type 2 diabetes risk reduction and weight management in individuals with prediabetes: a randomised, double-blind trial [J].
le Roux, Carel W. ;
Astrup, Arne ;
Fujioka, Ken ;
Greenway, Frank ;
Lau, David C. W. ;
Van Gaal, Luc ;
Ortiz, Rafael Violante ;
Wilding, John P. H. ;
Skjoth, Trine V. ;
Manning, Linda Shapiro ;
Pi-Sunyer, Xavier .
LANCET, 2017, 389 (10077) :1399-1409