PMID- 28345809 OWN - NLM STAT- MEDLINE DCOM- 20171116 LR - 20221207 IS - 1930-739X (Electronic) IS - 1930-7381 (Linking) VI - 25 IP - 5 DP - 2017 May TI - Effect of lorcaserin on glycemic parameters in patients with type 2 diabetes mellitus. PG - 842-849 LID - 10.1002/oby.21798 [doi] AB - OBJECTIVE: Lorcaserin, a 5-HT(2C) receptor agonist approved for chronic weight management, is also associated with improvements in glycemic parameters in patients with/without type 2 diabetes mellitus (T2DM), but the extent to which these effects are mediated by weight loss is unknown. This post hoc analysis further examines glycemic data from the Phase III BLOOM-DM study stratified by weight changes. METHODS: Patients with T2DM were randomized to lorcaserin 10 mg twice daily or placebo. Glycemic parameters were reported by Week (W) 12 weight loss status >/=5% (Group >/=5%) or <5% (Group <5%). Glycemic parameter changes were analyzed using ANCOVA; the relationship between glycemic parameter changes and percent weight loss was assessed by simple regression modeling. RESULTS: Group >/=5% receiving lorcaserin had greater improvements in fasting plasma glucose (FPG) at W2 (prior to significant weight loss) and greater improvements in glycated hemoglobin (HbA1c) at W12 versus placebo. These improvements were maintained through W52 (FPG, -29.3 mg/dL vs. -24.2 mg/dL; HbA1c, -1.2% vs. -1.1%). Group <5% treated with lorcaserin also had larger decreases in FPG (-28.3 mg/dL vs. -10.0 mg/dL) and HbA1c (-0.8% vs. -0.4%) at W52 versus placebo despite limited weight loss. CONCLUSIONS: Lorcaserin may have beneficial effects on glycemic control with or without weight loss. CI - (c) 2017 The Obesity Society. FAU - Magkos, Faidon AU - Magkos F AD - Department of Physiology, Yong Loo Lin School of Medicine, National University of Singapore & Clinical Nutrition Research Centre, Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), Singapore. FAU - Nikonova, Elena AU - Nikonova E AD - Eisai Medical and Scientific Affairs, Eisai Inc, Woodcliff Lake, New Jersey, USA. FAU - Fain, Randi AU - Fain R AD - Mallinckrodt Pharmaceuticals, Hampton, New Jersey, USA. FAU - Zhou, Sharon AU - Zhou S AD - Eisai Medical and Scientific Affairs, Eisai Inc, Woodcliff Lake, New Jersey, USA. FAU - Ma, Tony AU - Ma T AD - Janssen Research & Development, LLC, Raritan, New Jersey, USA. FAU - Shanahan, William AU - Shanahan W AD - Anthera Pharmaceuticals, Hayward, California, USA. LA - eng SI - ClinicalTrials.gov/NCT00603291 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial DEP - 20170327 PL - United States TA - Obesity (Silver Spring) JT - Obesity (Silver Spring, Md.) JID - 101264860 RN - 0 (Benzazepines) RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 637E494O0Z (lorcaserin) SB - IM CIN - Obesity (Silver Spring). 2017 May;25(5):816. PMID: 28371396 MH - Adolescent MH - Adult MH - Aged MH - Benzazepines/administration & dosage/pharmacology/*therapeutic use MH - Blood Glucose/*drug effects MH - Diabetes Mellitus, Type 2/blood/*drug therapy MH - Double-Blind Method MH - Female MH - Glycated Hemoglobin/analysis/*drug effects MH - Humans MH - Male MH - Middle Aged MH - Retrospective Studies MH - Young Adult EDAT- 2017/03/28 06:00 MHDA- 2017/11/29 06:00 CRDT- 2017/03/28 06:00 PHST- 2016/08/02 00:00 [received] PHST- 2016/12/22 00:00 [revised] PHST- 2017/01/13 00:00 [accepted] PHST- 2017/03/28 06:00 [pubmed] PHST- 2017/11/29 06:00 [medline] PHST- 2017/03/28 06:00 [entrez] AID - 10.1002/oby.21798 [doi] PST - ppublish SO - Obesity (Silver Spring). 2017 May;25(5):842-849. doi: 10.1002/oby.21798. Epub 2017 Mar 27.