Routine clinical use of liraglutide 3 mg for the treatment of obesity: Outcomes in non-surgical and bariatric surgery patients

Diabetes Obes Metab. 2019 Jun;21(6):1498-1501. doi: 10.1111/dom.13672. Epub 2019 Mar 25.

Abstract

In this study we prospectively collected data on the use of liraglutide 3 mg in obese Arab patients. As part of routine care, 2092 patients were dispensed liraglutide 3 mg. Median age was 38 years and 77% were women. Median baseline weight was 95 kg and body mass index was 36.6 kg/m2 . Of the patients, 188 (9%) had previous bariatric surgery. Seven hundred and eighty-seven patients were treated for ≥16 weeks and their median (interquartile range) weight loss was 6.0 (2.4-9.4) kg, equivalent to 6.4% (2.6%-9.7%) of baseline weight (P < 0.0001, n = 787). Of those treated for ≥16 weeks, 474 (60%) achieved a weight loss of >5% of baseline weight while 182 (23%) achieved >10% weight loss. There was no difference in percentage weight loss between postbariatric surgery (n = 76) and non-surgical patients (n = 711). As a result of adverse events, mainly gastrointestinal symptoms, 140 (6.7%) of the patients stopped treatment. One patient developed acute pancreatitis in the context of gallstone disease but made an uneventful recovery. Liraglutide 3 mg was well tolerated and resulted in weight loss in routine clinical care similar to that seen in randomized controlled trials.

Keywords: antiobesity drug; bariatric surgery; liraglutide.

MeSH terms

  • Adult
  • Anti-Obesity Agents / adverse effects
  • Anti-Obesity Agents / therapeutic use*
  • Bariatric Surgery*
  • Female
  • Humans
  • Liraglutide / adverse effects
  • Liraglutide / therapeutic use*
  • Male
  • Middle Aged
  • Obesity / drug therapy*
  • Obesity / surgery*
  • Prospective Studies
  • Treatment Outcome
  • Weight Loss / drug effects

Substances

  • Anti-Obesity Agents
  • Liraglutide