Abstract | BACKGROUND: METHODS: We conducted a 56-week, double-blind trial involving 3731 patients who did not have type 2 diabetes and who had a body-mass index (BMI; the weight in kilograms divided by the square of the height in meters) of at least 30 or a BMI of at least 27 if they had treated or untreated dyslipidemia or hypertension. We randomly assigned patients in a 2:1 ratio to receive once-daily subcutaneous injections of liraglutide at a dose of 3.0 mg (2487 patients) or placebo (1244 patients); both groups received counseling on lifestyle modification. The coprimary end points were the change in body weight and the proportions of patients losing at least 5% and more than 10% of their initial body weight. RESULTS: At baseline, the mean (±SD) age of the patients was 45.1±12.0 years, the mean weight was 106.2±21.4 kg, and the mean BMI was 38.3±6.4; a total of 78.5% of the patients were women and 61.2% had prediabetes. At week 56, patients in the liraglutide group had lost a mean of 8.4±7.3 kg of body weight, and those in the placebo group had lost a mean of 2.8±6.5 kg (a difference of -5.6 kg; 95% confidence interval, -6.0 to -5.1; P<0.001, with last-observation-carried-forward imputation). A total of 63.2% of the patients in the liraglutide group as compared with 27.1% in the placebo group lost at least 5% of their body weight (P<0.001), and 33.1% and 10.6%, respectively, lost more than 10% of their body weight (P<0.001). The most frequently reported adverse events with liraglutide were mild or moderate nausea and diarrhea. Serious events occurred in 6.2% of the patients in the liraglutide group and in 5.0% of the patients in the placebo group. CONCLUSIONS: In this study, 3.0 mg of liraglutide, as an adjunct to diet and exercise, was associated with reduced body weight and improved metabolic control. (Funded by Novo Nordisk; SCALE Obesity and Prediabetes NN8022-1839 ClinicalTrials.gov number, NCT01272219.).
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Authors | Xavier Pi-Sunyer, Arne Astrup, Ken Fujioka, Frank Greenway, Alfredo Halpern, Michel Krempf, David C W Lau, Carel W le Roux, Rafael Violante Ortiz, Christine Bjørn Jensen, John P H Wilding, SCALE Obesity and Prediabetes NN8022-1839 Study Group |
Journal | The New England journal of medicine
(N Engl J Med)
Vol. 373
Issue 1
Pg. 11-22
(Jul 02 2015)
ISSN: 1533-4406 [Electronic] United States |
PMID | 26132939
(Publication Type: Comparative Study, Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Chemical References |
- Blood Glucose
- Hypoglycemic Agents
- Liraglutide
- Glucagon-Like Peptide 1
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Topics |
- Adult
- Blood Glucose
(analysis)
- Body Mass Index
- Combined Modality Therapy
- Counseling
- Diarrhea
(chemically induced)
- Diet, Reducing
- Double-Blind Method
- Exercise
- Female
- Glucagon-Like Peptide 1
(administration & dosage, adverse effects, analogs & derivatives)
- Humans
- Hypoglycemic Agents
(administration & dosage, adverse effects)
- Injections, Subcutaneous
- Liraglutide
- Male
- Middle Aged
- Nausea
(chemically induced)
- Obesity
(drug therapy, therapy)
- Weight Loss
(drug effects)
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