Obesity

Evaluation of the efficacy and safety of controlled‐release phentermine/topiramate in adults with obesity in Korea: A randomized, double‐blind, placebo‐controlled, phase 4 trial ( QUEEN 's study)

Diabetes Obes MetabPublished Randomised controlled trial

Primary result · Percentage change in body weightResult — go to the resultTreatment difference −6.1 % 95% CI −7.7 to −4.5

Authors' conclusion

Administration of PHEN/TPM CR plus lifestyle intervention in Korean adults with obesity resulted in a greater reduction in body weight and adiposity than lifestyle intervention alone.

Study context

Population
Korean adults aged 19–70 years with obesity (BMI ≥ 25 kg/m²), 8 sites in South Korea, after a 12-week lifestyle programmerandomized 1:1
Participants
232 adults
Comparison
PHEN/TPM CR vs placebo, as adjunct to lifestyle recommendations
Primary endpoint
Percentage change in body weight from baseline
Follow-up
Week 56
Methodological detailsdouble-blind, placebo-controlled, phase 4, 8 sites
  • Double-blind
  • Placebo-controlled
  • Phase 4
  • 8 sites

Primary result

Percentage change in body weight · 56 weeks

Treatment difference

−6.1 %

95% CI −7.7 to −4.5

P < 0.001

Change by group

PHEN/TPM CR

−8.3%

Placebo

−2.3%

PHEN/TPM CRvs Placebo
treatment difference −6.1 % (95% CI −7.7 to −4.5); P < 0.001

As reported in the abstract

Further findings

OutcomePHEN/TPM CRPlaceboOR (95% CI)P value
≥5% weight loss · 56 weeks68.5%25.0%6.4 (3.5–11.6)P < 0.001

Safety

Dizziness, paraesthesia and dry mouth more common with PHEN/TPM CR; most adverse events mild or moderate

Original publication

Evaluation of the efficacy and safety of controlled‐release phentermine/topiramate in adults with obesity in Korea: A randomized, double‐blind, placebo‐controlled, phase 4 trial ( QUEEN 's study). Diabetes Obes Metab. Published 20 December 2024. doi:10.1111/dom.16119

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