New class of weight-loss drugs may offer an alternative to GLP-1s: 5 things to know

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obesity, with a phase 2 trial finding that the amylin analogue petrelintide reduced body weight by up to 10.7% through week 42, according to a study published Sept. 29 in The Lancet Diabetes & Endocrinology.

Here are five things to know:

  1. Petrelintide uses a different mechanism. The once-weekly drug is a long-acting amylin analogue being developed for obesity treatment, distinct from incretin-based treatments.
  2. Participants lost up to 10.7% of their body weight. At 28 weeks, mean body weight reductions ranged from 7.9% to 9.8% across petrelintide doses, compared with 1.7% with placebo. Body weight continued to decline through week 42, with reductions of up to 10.7%.
  3. Nausea was the most common adverse event. It occurred among 79 (20%) of 404 participants receiving petrelintide, compared with five (6%) receiving placebo. Vomiting occurred among 12 (3%) receiving petrelintide.
  4. The phase 2 trial included 485 treated participants. The study was conducted at 32 sites in Poland, Romania and the U.S. among people with obesity without Type 2 diabetes.
  5. The study did not directly compare petrelintide with GLP-1 drugs. The trial compared petrelintide with placebo, so the findings do not establish that it causes fewer side effects or produces better outcomes than GLP-1 therapies. Zealand Pharma funded the trial.
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