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抗肥胖药物与研究性药物:肥胖医学协会(OMA)2022年临床实践声明(CPS)

Anti-Obesity Medications and Investigational Agents: An Obesity Medicine Association (OMA) Clinical Practice Statement (CPS) 2022.

作者信息

Bays Harold E, Fitch Angela, Christensen Sandra, Burridge Karli, Tondt Justin

机构信息

Louisville Metabolic and Atherosclerosis Research Center, University of Louisville School of Medicine, 3288 Illinois Avenue, Louisville, KY, 40213, USA.

Assistant Professor of Medicine Harvard Medical School, Co-Director Massachusetts General Hospital Weight Center, Boston, MA, USA.

出版信息

Obes Pillars. 2022 Apr 15;2:100018. doi: 10.1016/j.obpill.2022.100018. eCollection 2022 Jun.

Abstract

BACKGROUND

This "Anti-Obesity Medications and Investigational Agents: An Obesity Medicine Association Clinical Practice Statement 2022" is intended to provide clinicians an overview of Food and Drug Administration (FDA) approved anti-obesity medications and investigational anti-obesity agents in development.

METHODS

The scientific information for this Clinical Practice Statement (CPS) is based upon published scientific citations, clinical perspectives of OMA authors, and peer review by the Obesity Medicine Association leadership.

RESULTS

This CPS describes pharmacokinetic principles applicable to those with obesity, and discusses the efficacy and safety of anti-obesity medications [e.g., phentermine, semaglutide, liraglutide, phentermine/topiramate, naltrexone/bupropion, and orlistat, as well as non-systemic superabsorbent oral hydrogel particles (which is technically classified as a medical device)]. Other medications discussed include setmelanotide, metreleptin, and lisdexamfetamine dimesylate. Data regarding the use of combination anti-obesity pharmacotherapy, as well as use of anti-obesity pharmacotherapy after bariatric surgery are limited; however, published data support such approaches. Finally, this CPS discusses investigational anti-obesity medications, with an emphasis on the mechanisms of action and summary of available clinical trial data regarding tirzepatide.

CONCLUSION

This "Anti-Obesity Medications and Investigational Agents: An Obesity Medicine Association Clinical Practice Statement 2022" is one of a series of OMA CPSs designed to assist clinicians in the care of patients with pre-obesity/obesity.

摘要

背景

这份《抗肥胖药物与研究性药物:肥胖医学协会2022年临床实践声明》旨在为临床医生提供美国食品药品监督管理局(FDA)批准的抗肥胖药物以及正在研发的研究性抗肥胖药物的概述。

方法

本临床实践声明(CPS)的科学信息基于已发表的科学文献引用、OMA作者的临床观点以及肥胖医学协会领导层的同行评审。

结果

本CPS描述了适用于肥胖患者的药代动力学原理,并讨论了抗肥胖药物的疗效和安全性[例如,苯丁胺、司美格鲁肽、利拉鲁肽、苯丁胺/托吡酯、纳曲酮/安非他酮以及奥利司他,还有非全身性超吸收性口服水凝胶颗粒(从技术上归类为医疗器械)]。讨论的其他药物包括塞美拉肽、美曲普明和二甲磺酸赖右苯丙胺。关于联合使用抗肥胖药物疗法的数据,以及减肥手术后使用抗肥胖药物疗法的数据有限;然而,已发表的数据支持这些方法。最后,本CPS讨论了研究性抗肥胖药物,重点是替尔泊肽的作用机制和现有临床试验数据总结。

结论

这份《抗肥胖药物与研究性药物:肥胖医学协会2022年临床实践声明》是OMA一系列CPS之一,旨在帮助临床医生护理肥胖前期/肥胖患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b89/10662004/1a754fe372e5/gr1.jpg

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