Obesity

Beinaglutide for weight management in Chinese individuals with overweight or obesity: A phase 3 randomized controlled clinical study

Diabetes Obes MetabPublished Randomised controlled trial

Primary result · Mean body weight change from baselineResult — go to the resultMixed model repeated measures difference −3.6 % 95% CI −4.6% to −2.6%

Authors' conclusion

Beinaglutide combined with lifestyle intervention resulted in significant and clinically meaningful weight reduction with good tolerance in non-diabetic Chinese individuals with overweight or obesity.

Study context

Population
Non-diabetic Chinese adults with BMI ≥28 kg/m² (obesity) or 24–27.9 kg/m² (overweight) with weight-related complicationsrandomized 2:1
Participants
427 adults
Comparison
Beinaglutide 0.2 mg SC thrice daily vs placebo, as adjunct to lifestyle intervention, 16 weeks
  • Beinaglutiden = 282
  • Placebon = 138reference
Primary endpoint
Co-primary: body weight change and proportion with weight reduction ≥5%
Follow-up
Week 16
Methodological detailsmulticentre, double-blind, placebo-controlled
  • Multicentre
  • Double-blind
  • Placebo-controlled

Primary result

Mean body weight change from baseline

Mixed model repeated measures difference

−3.6 %

95% CI −4.6% to −2.6%

P < 0.0001

Change by group

Beinaglutide

−6.0

mean · %

Placebo

−2.4

mean · %

Beinaglutidevs Placebo
mixed model repeated measures difference −3.6 % (95% CI −4.6% to −2.6%); P < 0.0001

As reported in the abstract

Further findings

Co-primary: weight reduction ≥5% · week 16

OR 4.4 · P < 0.0001

Weight reduction ≥10% · week 16

OR 5.5 · P < 0.0001

OutcomeBeinaglutidePlaceboDifference (cm)P value
Waist circumference reductionGreater reduction with Beinaglutide−1.81P < 0.01
Weight regain rate · 12 weeks after beinaglutide treatment0.78%— not stated in the abstract

— not stated in the abstract

Safety

Nausea (transient, mild-to-moderate); most common AE with beinaglutide

Discontinuation due to AEs

Pancreatitis or increased resting heart rate

Not observed with beinaglutide

Original publication

Beinaglutide for weight management in Chinese individuals with overweight or obesity: A phase 3 randomized controlled clinical study. Diabetes Obes Metab. Published 9 November 2023. doi:10.1111/dom.15360

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