Skip to main content

Pharmacotherapy

  • Chapter
  • First Online:
  • 960 Accesses

Abstract

Medications currently approved by the US Food and Drug Administration (FDA) for obesity treatment most be considered in adults with a body mass index (BMI) of at least 30 kg/m2 or BMI of ≥27 plus at least one weight-related comorbidity, such as hypertension or type 2 diabetes [1] (Table 6.1). FDA approval implies that the drug must induce statistically significant weight loss of at least 5 % at 1 year when compared with placebo, and at least 35 % of patients must achieve at least a 5 % weight loss and show improvement in metabolic biomarkers. The drug must also be safe for use in the intended population [2].

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Yanovski S, Yanovski J. Long-term drug treatment for obesity, a systematic and clinical review. JAMA. 2014;311:74–86.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Gnacinska M, Malgorzewicz S, Stojek M, Lysiak-Szydlowska W, Sworczak K. Role of adipokines in complications related to obesity: a review. Adv Med Sci. 2009;54:150–7.

    Article  CAS  PubMed  Google Scholar 

  3. Colon-Gonzalez F, Kim G, Lin J, Valentino M, Waldam S. Obesity pharmacotherapy: what is next. Mol Aspects Med. 2013;34:71–83.

    Article  CAS  PubMed  Google Scholar 

  4. Double-blind, multi-center, randomized study to assess the efficacy and safety of velneperit (S-2367) and orlistat administered individually or combined with a reduced calorie diet in obese subjects. https://clinicaltrials.gov/ct2/show/NCT01126970. Accessed 17 Mar 2015.

  5. Safety study of the inhibition of agouti-related protein (AgRP) for the management of obesity and weight loss. https://clinicaltrials.gov/ct2/show/NCT00779519. Accessed 17 Mar 2015.

  6. Dodds CM, O’Neill B, Beaver J, Makwana A, Bani M, Merlo-Pich E, et al. Effects of the D3 antagonist GSK598809 on brain responses to rewarding food images in overweight and obese binge eaters. Appetite. 2012;59:27–33.

    Article  CAS  PubMed  Google Scholar 

  7. Malmlöf K, Zaragoza F, Golozoubova V, Refsgaard HH, Cremers T, Raun K, et al. Influence of a selective histamine H3 receptor antagonist on hypothalamic neural activity, food intake and body weight. Int J Obes (Lond). 2005;29:1402–12.

    Article  Google Scholar 

  8. Santoprete A, Capitò E, Carrington PE, Pocai A, Finotto M, Langella A, et al. DPP-IV-resistant, long-acting oxyntomodulin derivatives. J Pept Sci. 2011;17:270–80.

    Article  CAS  PubMed  Google Scholar 

  9. Koda J, Weyer C, Smith S, Ravussin E, Mitchell J. Enhanced weight loss following pramlintide/metreleptin combination treatment in obese subjects: clinical evidence for restoration of leptin responsiveness by amylin agonism. 44th annual meeting of the European Association for the study of diabetes. 7 Sep 2008: Abstr. 83.

    Google Scholar 

  10. Kopelman P, Groot Gde H, Rissanen A, Rossner S, Toubro S, Palmer R, et al. Weight loss, HbA1c reduction, and tolerability of cetilistat in a randomized, placebo-controlled phase 2 trial in obese diabetics: comparison with orlistat (Xenical). Obesity (Silver Spring). 2010;18:108–15.

    Article  CAS  Google Scholar 

  11. Álvarez-Castro P, Pena L, Cordido F. Ghrelin in obesity, physiological and pharmacological considerations. Mini Rev Med Chem. 2013;13:541–52.

    Article  PubMed  Google Scholar 

  12. Kim G, Lin J, Blomain E, Waldman S. Anti-obesity pharmacotherapy: new drugs and emerging targets. Clin Pharmacol Ther. 2014;95:53–66.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

González, H. (2016). Pharmacotherapy. In: Managing Patients with Obesity. Adis, Cham. https://doi.org/10.1007/978-3-319-12331-8_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-12331-8_6

  • Published:

  • Publisher Name: Adis, Cham

  • Print ISBN: 978-3-319-12330-1

  • Online ISBN: 978-3-319-12331-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics