Obesity

Arginine-Vasopressin Dynamics in Relation to Food Intake and 8-Week Intranasal Oxytocin Treatment in Adults With Obesity

J Clin Endocrinol MetabPublished Secondary analysis of a randomised clinical trial

Authors' conclusion

AVP levels decreased after food intake in adults with obesity, indicating a potential disruption in AVP signaling and possibly underlying obesity pathophysiology. Chronic IN OXT administration did not alter AVP levels, supporting safety of OXT-based therapeutics.

Study context

Population
Adults with obesity (56% women, age 33.7 ± 6.3 years), tertiary academic center61 randomized
Participants
63 adults
Comparison
8-W intranasal oxytocin (OXT) vs placebo; Arginine-vasopressin (AVP) around a standardized meal
Primary endpoint
AVP levels before and 30, 60 and 120 minutes after a standardized meal at baseline, and W4, 6 and 8 after starting OXT or placebo
Methodological detailscross-sectional and longitudinal data, randomized 1:1, placebo-controlled, 8-week, tertiary academic center
  • Cross-sectional and longitudinal data
  • Randomized 1:1
  • Placebo-controlled
  • 8-week
  • Tertiary academic center

Primary result

As reported in the abstract

AVP levels after standardized meal vs fasting · 60 minutes after meal
AVP at 60 minutes, adjusted mean ± SE
68.55 ± 9.64 pg/mL
AVP fasting, adjusted mean ± SE
80.99 ± 11.22 pg/mL
AVP levels did not significantly change over 8-W intranasal (IN) OXT vs placebo
P ≥ .544

Further findings

No effect of BMI on AVP levels
P ≥ 0.615
No effect of sex on AVP levels
P ≥ 0.498

Original publication

Arginine-Vasopressin Dynamics in Relation to Food Intake and 8-Week Intranasal Oxytocin Treatment in Adults With Obesity. J Clin Endocrinol Metab. Published 2 May 2025. doi:10.1210/clinem/dgaf237

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