Trial Outcomes & Findings for Individualized Obesity Pharmacotherapy (NCT NCT03374956)

NCT ID: NCT03374956

Last Updated: 2023-07-18

Results Overview

Percent change in body weight

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

193 participants

Primary outcome timeframe

baseline to 12 weeks

Results posted on

2023-07-18

Participant Flow

Participant milestones

Participant milestones
Measure
Intervention Group
Phenotype-guided pharmacotherapy, which includes Phentermine-Topiramate, Liraglutide, Naltrexone/bupropion or Phentermine plus Exercise Phentermine-Topiramate: Extended Release at dose of 7.5/46 mg oral daily Liraglutide: dose of 3 mg subcutaneous daily Naltrexone/bupropion: Oral naltrexone extended-release/bupropion extended-release at dose of 32/360 mg oral daily (divided in 2 tables in morning and 2 tablets in evening)
Control Group
Randomly assigned pharmacotherapy, which includes Phentermine-Topiramate, Liraglutide, Naltrexone/bupropion or Phentermine Phentermine-Topiramate: Extended Release at dose of 7.5/46 mg oral daily Liraglutide: dose of 3 mg subcutaneous daily Naltrexone/bupropion: Oral naltrexone extended-release/bupropion extended-release at dose of 32/360 mg oral daily (divided in 2 tables in morning and 2 tablets in evening) Phentermine: 15-37.5 mg oral daily
Overall Study
STARTED
93
100
Overall Study
COMPLETED
93
100
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Individualized Obesity Pharmacotherapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention Group
n=93 Participants
Phenotype-guided pharmacotherapy, which includes Phentermine-Topiramate, Liraglutide, Naltrexone/bupropion or Phentermine plus Exercise Phentermine-Topiramate: Extended Release at dose of 7.5/46 mg oral daily Liraglutide: dose of 3 mg subcutaneous daily Naltrexone/bupropion: Oral naltrexone extended-release/bupropion extended-release at dose of 32/360 mg oral daily (divided in 2 tables in morning and 2 tablets in evening)
Control Group
n=100 Participants
Randomly assigned pharmacotherapy, which includes Phentermine-Topiramate, Liraglutide, Naltrexone/bupropion or Phentermine Phentermine-Topiramate: Extended Release at dose of 7.5/46 mg oral daily Liraglutide: dose of 3 mg subcutaneous daily Naltrexone/bupropion: Oral naltrexone extended-release/bupropion extended-release at dose of 32/360 mg oral daily (divided in 2 tables in morning and 2 tablets in evening) Phentermine: 15-37.5 mg oral daily
Total
n=193 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
93 Participants
n=5 Participants
100 Participants
n=7 Participants
193 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
38.5 years
STANDARD_DEVIATION 16 • n=5 Participants
39 years
STANDARD_DEVIATION 14 • n=7 Participants
39 years
STANDARD_DEVIATION 15 • n=5 Participants
Sex: Female, Male
Female
65 Participants
n=5 Participants
78 Participants
n=7 Participants
143 Participants
n=5 Participants
Sex: Female, Male
Male
28 Participants
n=5 Participants
22 Participants
n=7 Participants
50 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
White
88 Participants
n=5 Participants
87 Participants
n=7 Participants
175 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
10 Participants
n=7 Participants
13 Participants
n=5 Participants
Region of Enrollment
United States
93 Participants
n=5 Participants
100 Participants
n=7 Participants
193 Participants
n=5 Participants

PRIMARY outcome

Timeframe: baseline to 12 weeks

Percent change in body weight

Outcome measures

Outcome measures
Measure
Intervention Group
n=93 Participants
Phenotype-guided pharmacotherapy, which includes Phentermine-Topiramate, Liraglutide, Naltrexone/bupropion or Phentermine plus Exercise Phentermine-Topiramate: Extended Release at dose of 7.5/46 mg oral daily Liraglutide: dose of 3 mg subcutaneous daily Naltrexone/bupropion: Oral naltrexone extended-release/bupropion extended-release at dose of 32/360 mg oral daily (divided in 2 tables in morning and 2 tablets in evening)
Control Group
n=100 Participants
Randomly assigned pharmacotherapy, which includes Phentermine-Topiramate, Liraglutide, Naltrexone/bupropion or Phentermine Phentermine-Topiramate: Extended Release at dose of 7.5/46 mg oral daily Liraglutide: dose of 3 mg subcutaneous daily Naltrexone/bupropion: Oral naltrexone extended-release/bupropion extended-release at dose of 32/360 mg oral daily (divided in 2 tables in morning and 2 tablets in evening) Phentermine: 15-37.5 mg oral daily
Change in Total Body Weight
-7.7 percent change
Interval -11.0 to -4.7
-6.5 percent change
Interval -11.0 to -2.3

SECONDARY outcome

Timeframe: baseline to 12 weeks

Percentage of participants who loss 5% or more of total body weight

Outcome measures

Outcome measures
Measure
Intervention Group
n=93 Participants
Phenotype-guided pharmacotherapy, which includes Phentermine-Topiramate, Liraglutide, Naltrexone/bupropion or Phentermine plus Exercise Phentermine-Topiramate: Extended Release at dose of 7.5/46 mg oral daily Liraglutide: dose of 3 mg subcutaneous daily Naltrexone/bupropion: Oral naltrexone extended-release/bupropion extended-release at dose of 32/360 mg oral daily (divided in 2 tables in morning and 2 tablets in evening)
Control Group
n=100 Participants
Randomly assigned pharmacotherapy, which includes Phentermine-Topiramate, Liraglutide, Naltrexone/bupropion or Phentermine Phentermine-Topiramate: Extended Release at dose of 7.5/46 mg oral daily Liraglutide: dose of 3 mg subcutaneous daily Naltrexone/bupropion: Oral naltrexone extended-release/bupropion extended-release at dose of 32/360 mg oral daily (divided in 2 tables in morning and 2 tablets in evening) Phentermine: 15-37.5 mg oral daily
Percentage of Responders
81 percentage of participants
80 percentage of participants

SECONDARY outcome

Timeframe: baseline to 12 weeks

Percentage of participants with at least 10% total body weight loss

Outcome measures

Outcome measures
Measure
Intervention Group
n=93 Participants
Phenotype-guided pharmacotherapy, which includes Phentermine-Topiramate, Liraglutide, Naltrexone/bupropion or Phentermine plus Exercise Phentermine-Topiramate: Extended Release at dose of 7.5/46 mg oral daily Liraglutide: dose of 3 mg subcutaneous daily Naltrexone/bupropion: Oral naltrexone extended-release/bupropion extended-release at dose of 32/360 mg oral daily (divided in 2 tables in morning and 2 tablets in evening)
Control Group
n=100 Participants
Randomly assigned pharmacotherapy, which includes Phentermine-Topiramate, Liraglutide, Naltrexone/bupropion or Phentermine Phentermine-Topiramate: Extended Release at dose of 7.5/46 mg oral daily Liraglutide: dose of 3 mg subcutaneous daily Naltrexone/bupropion: Oral naltrexone extended-release/bupropion extended-release at dose of 32/360 mg oral daily (divided in 2 tables in morning and 2 tablets in evening) Phentermine: 15-37.5 mg oral daily
Percentage of Responders
44 percentage of participants
40 percentage of participants

Adverse Events

Intervention Group

Serious events: 0 serious events
Other events: 23 other events
Deaths: 0 deaths

Control Group

Serious events: 0 serious events
Other events: 25 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Intervention Group
n=93 participants at risk
Phenotype-guided pharmacotherapy, which includes Phentermine-Topiramate, Liraglutide, Naltrexone/bupropion or Phentermine plus Exercise Phentermine-Topiramate: Extended Release at dose of 7.5/46 mg oral daily Liraglutide: dose of 3 mg subcutaneous daily Naltrexone/bupropion: Oral naltrexone extended-release/bupropion extended-release at dose of 32/360 mg oral daily (divided in 2 tables in morning and 2 tablets in evening)
Control Group
n=100 participants at risk
Randomly assigned pharmacotherapy, which includes Phentermine-Topiramate, Liraglutide, Naltrexone/bupropion or Phentermine Phentermine-Topiramate: Extended Release at dose of 7.5/46 mg oral daily Liraglutide: dose of 3 mg subcutaneous daily Naltrexone/bupropion: Oral naltrexone extended-release/bupropion extended-release at dose of 32/360 mg oral daily (divided in 2 tables in morning and 2 tablets in evening) Phentermine: 15-37.5 mg oral daily
Gastrointestinal disorders
During study
24.7%
23/93 • Number of events 23 • Baseline to 12 months
25.0%
25/100 • Number of events 25 • Baseline to 12 months

Additional Information

Andres Acosta

Mayo Clinic

Phone: 507-266-6931

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place