Oral GLP-1 delivers up to 11.3% weight loss: 4 study notes

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An investigational oral GLP-1 receptor agonist helped adults with overweight or obesity lose up to 11.3% more body weight than placebo over 36 weeks, according to a phase 2b study published July 1 in Nature Medicine.

Here are four things to know from the study:

  1. The randomized, double-blind, placebo-controlled ACCESS trial enrolled 230 adults across 38 U.S. sites. Placebo-adjusted weight loss reached 8.2%, 9.8% and 11.3% in the 45 milligram, 90 milligram and 120 milligram dose groups, respectively.
  2. Researchers observed no apparent weight-loss plateau, with investigators reporting that participants continued losing weight through the end of the 36-week double-blind study. An interim analysis of the ongoing open-label extension also showed continued weight loss beyond the initial treatment period.
  3. Most participants achieved clinically meaningful weight loss. Among those receiving the 120-milligram dose, 86% lost at least 5% of their body weight, 70% lost at least 10% and 38% lost at least 15%.
  4. Gastrointestinal side effects were the most common adverse events. Treatment-related discontinuations across the active treatment groups totaled 10.4%, and investigators reported no cases of drug-induced liver injury. 
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