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May 19, 2023 – Nearly half of teens given the weight-loss drug semaglutide (Wegovy) managed to lose enough weight to drop below the clinical threshold for obesity, a new study shows.
By comparison, only 12.1% of obese adolescents who received a placebo in the 68-week trial fell below the threshold.
Semaglutide belongs to a class of drugs known as GLP-1 because it mimics the effects of glucagon-like peptide 1, a hormone produced in the intestine that helps people feel full.
The study, called STEP TEENS (Semaglutide Treatment Effect in People with Obesity), also shows that 74% of people in the study dropped at least one body mass index, or BMI, category after receiving an injection medication weekly. compared to 19% of those who received placebo.
“In a practical sense, we see that semaglutide reduced weight to a level below what is defined as clinical obesity in nearly 50% of adolescents in our trial, which is historically unprecedented with treatments other than surgery. disease,” said Aaron Kelly, MD, co-director of the Center for Pediatric Obesity Medicine at the University of Minnesota in Minneapolis, who presented the latest data Thursday at the European Congress on Obesity in Dublin, Ireland.
It said that an adolescent was 23 times more likely to fall below the obesity threshold when using semaglutide, compared with placebo.
This analysis, published In the diary Obesity on Wednesday, follows the publication last fall of the main results of the study in the New England Journal of Medicinethat showed semaglutide helps teenagers lose weight.
the drug was FDA approved in January for the treatment of obesity in people over 12 years of age.
Grace Malley, PhD, of the Child and Adolescent Obesity Service, Children’s Health Ireland, in Dublin, said adolescents’ access to comprehensive healthcare is essential for proper obesity treatment.
“Treatment requires a multidisciplinary approach to long-term chronic care, and typically when treatment is stopped, the biological mechanisms that drive obesity begin again to drive the accumulation of [fatty] tissue,” he said. This means that “long-term treatment including nutritional therapy, exercise…behavioral support and sleep therapy should be available to families in combination with pharmacotherapy and surgical intervention when necessary.”
“The results of the STEP TEENS study represent a promising development for the treatment of adolescent obesity and associated complications related to liver function,” said Malley.
Exercising a part of the plan
In this most recent analysis of the STEP TEENS trial, the authors examined the effect of semaglutide on moving 134 adolescents from one BMI category to another, including falling below the obesity threshold to the overweight or normal weight category; 66 adolescents received a placebo.
All participants also received nutritional counseling and a goal of 60 minutes of moderate-to-high-intensity physical activity per day.
“After 68 weeks not much happened [in placebo participants]however, 12.1% of placebo participants dropped below the obesity threshold into the overweight or normal weight categories,” Kelly said.
But referring to people taking semaglutide, “a total of 45% of patients taking semaglutide fell below the clinical BMI cutoff point for obesity, so 19.5% fell into the overweight category and 25.4% reduced their BMI to the normal weight category,” he said. saying.
Although not “statistically significant,” Kelly noted that “females tended to respond better to semaglutide, just as younger adolescents and average body weights tended to respond better to the drug, and there was a similar pattern with classes of obesity”.
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