Expert Rev Clin Pharmacol:荟萃分析结果证实五种抗肥胖药可显著减轻肥胖的体重

2020-08-21 MedSci原创 MedSci原创

肥胖症会显著增加患者的发病率和死亡率,因此,美国FDA目前已经批准了五种抗肥胖药物。几项3期试验显示,与安慰剂相比,这些药物能显著改善肥胖患者的心脑代谢状况,包括显著减轻体重。

肥胖症会显著增加患者的发病率和死亡率,因此,美国FDA目前已经批准了五种抗肥胖药物。几项3期试验显示,与安慰剂相比,这些药物能显著改善肥胖患者的心脑代谢状况,包括显著减轻体重。

研究人员系统地检索了截至2019年9月30日的PubMed、Embase、The Cochrane Library和The ClinicalTrials.gov数据库收录的使用这5种药物进行的≥1年的随机对照试验(RCTs),这些RCTs明确报道了药物VS安慰剂的疗效。随后,我们进行了荟萃分析,主要探究这些抗肥胖药物对体重减轻的影响。此外,研究人员还回顾了这些药物对其他心脑代谢参数包括主要不良事件的影响。

 

结果发现,与安慰剂相比,奥利司他(N = 10435;∆ -3.07 Kg,95% CI,-3.76至-2.37)、芬特明加托吡酯(N = 2985;∆ -9.77 Kg;95% CI,-11.73至-7.81)、洛赛林(N = 16856;∆ -3. 08 Kg;95% CI,-3.49至-2.66)、纳曲酮加布洛芬(N = 3239;∆ -4.39 Kg;95% CI,-5.05至-3.72)和利拉鲁肽(N = 4978;∆ -5.25 Kg;95% CI,-6.17至-4.32)都显著降低了肥胖患者的体重(均P <0.00001)。

 

原始出处:

 

Awadhesh Kumar SinghRitu Singh, et al., Pharmacotherapy in obesity: a systematic review and meta-analysis of randomized controlled trials of anti-obesity drugs. Expert Rev Clin Pharmacol. 2020 Jan;13(1):53-64. doi: 10.1080/17512433.2020.1698291. 

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    2020-10-26 venlin
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    2021-07-03 jj000001
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    2021-08-06 feather89
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    2021-05-30 yb6560

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