PMID- 22862847 OWN - NLM STAT- MEDLINE DCOM- 20130702 LR - 20221207 IS - 1463-1326 (Electronic) IS - 1462-8902 (Linking) VI - 15 IP - 1 DP - 2013 Jan TI - Weight change with liraglutide and comparator therapies: an analysis of seven phase 3 trials from the liraglutide diabetes development programme. PG - 42-54 LID - 10.1111/j.1463-1326.2012.01673.x [doi] AB - AIM: We investigated the relationship between weight change and related factors in subjects with type 2 diabetes mellitus (T2DM) treated with liraglutide versus comparator diabetes therapies. METHODS: Twenty-six-week data from seven phase 3, randomized trials in the liraglutide T2DM development programme were analysed by trial and treatment group: liraglutide (1.2 and 1.8 mg), active comparator and placebo. Outcome measures included proportions of subjects in various weight change categories and their percentage weight change from baseline; impact of body mass index (BMI) and gastrointestinal (GI) adverse events (AEs) on weight change and correlation of weight change with change in glycosylated haemoglobin (HbA1c). RESULTS: A number of subjects experienced >5% weight loss during the trials (24.4% liraglutide 1.8 mg and 17.7% liraglutide 1.2 mg; 17.7% exenatide, 10.0% sitagliptin, 3.6-7.0% sulphonylurea, 2.6% thiazolidinedione and 2.6% glargine; 9.9% placebo). More weight loss was seen with liraglutide 1.2 and 1.8 mg than with active comparators except exenatide. Across trials, higher initial BMI was associated with slightly greater weight loss with liraglutide. Mean weight loss increased slightly the longer GI AEs persisted. Although HbA1c reduction was slightly larger in higher weight loss categories across treatments (including placebo), sample sizes were small and no clear correlation could be determined. Liraglutide-treated subjects experienced additional HbA1c reduction beyond that which appeared weight induced; thus, not all HbA1c-lowering effect appears weight mediated. CONCLUSIONS: The majority of liraglutide-treated T2DM subjects experienced weight loss in this analysis. Weight loss was greater and occurred more in glucagon-like peptide-1 receptor agonist-treated subjects than in active comparator-treated subjects. CI - (c) 2012 Blackwell Publishing Ltd. FAU - Niswender, K AU - Niswender K AD - Division of Diabetes, Endocrinology and Metabolism, Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN 37232-0475, USA. kevin.niswender@vanderbilt.edu FAU - Pi-Sunyer, X AU - Pi-Sunyer X FAU - Buse, J AU - Buse J FAU - Jensen, K H AU - Jensen KH FAU - Toft, A D AU - Toft AD FAU - Russell-Jones, D AU - Russell-Jones D FAU - Zinman, B AU - Zinman B LA - eng PT - Clinical Trial, Phase III PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20120909 PL - England TA - Diabetes Obes Metab JT - Diabetes, obesity & metabolism JID - 100883645 RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (Insulin, Long-Acting) RN - 0 (Peptides) RN - 0 (Pyrazines) RN - 0 (Sulfonylurea Compounds) RN - 0 (Thiazolidinediones) RN - 0 (Triazoles) RN - 0 (Venoms) RN - 0 (hemoglobin A1c protein, human) RN - 2ZM8CX04RZ (Insulin Glargine) RN - 839I73S42A (Liraglutide) RN - 89750-14-1 (Glucagon-Like Peptide 1) RN - 9P1872D4OL (Exenatide) RN - TS63EW8X6F (Sitagliptin Phosphate) SB - IM MH - Blood Glucose/*drug effects/metabolism MH - Body Mass Index MH - Diabetes Mellitus, Type 2/*drug therapy/metabolism MH - Exenatide MH - Female MH - Glucagon-Like Peptide 1/*analogs & derivatives/pharmacology/therapeutic use MH - Glycated Hemoglobin/*drug effects/metabolism MH - Humans MH - Hypoglycemic Agents/pharmacology/*therapeutic use MH - Insulin Glargine MH - Insulin, Long-Acting/therapeutic use MH - Liraglutide MH - Male MH - Middle Aged MH - Peptides/therapeutic use MH - Pyrazines/therapeutic use MH - Sitagliptin Phosphate MH - Sulfonylurea Compounds/therapeutic use MH - Thiazolidinediones/therapeutic use MH - Triazoles/therapeutic use MH - Venoms/therapeutic use MH - Weight Loss/*drug effects EDAT- 2012/08/07 06:00 MHDA- 2013/07/03 06:00 CRDT- 2012/08/07 06:00 PHST- 2011/10/31 00:00 [received] PHST- 2011/12/06 00:00 [revised] PHST- 2012/07/31 00:00 [accepted] PHST- 2012/08/07 06:00 [entrez] PHST- 2012/08/07 06:00 [pubmed] PHST- 2013/07/03 06:00 [medline] AID - 10.1111/j.1463-1326.2012.01673.x [doi] PST - ppublish SO - Diabetes Obes Metab. 2013 Jan;15(1):42-54. doi: 10.1111/j.1463-1326.2012.01673.x. Epub 2012 Sep 9.