Pituitary & hypothalamus

Impact of exenatide on weight loss and eating behavior in adults with craniopharyngioma-related obesity: the CRANIOEXE randomized placebo-controlled trial

Eur J EndocrinolPublished Randomised controlled trial

Authors' conclusion

Combined with intensive lifestyle interventions, a 26-week treatment with exenatide was not demonstrated superior to placebo to treat craniopharyngioma-related obesity.

Study context

Population
Adults with craniopharyngioma-related obesity (BMI > 30 kg/m²) without sign of craniopharyngioma recurrence in the past year; 11 French University Hospital Centers
Comparison
Exenatide vs placebo
Primary endpoint
Mean change in body weight, ITT population
Follow-up
Week 26
Methodological detailsdouble-blind, multicenter, superiority, two parallel arms
  • Double-blind
  • Multicenter
  • Superiority
  • Two parallel arms

Primary result

Change in body weight from baseline

Adjusted mean treatment difference

−3.1 kg

95% CI −7.0 to 0.7

P = 0.11

Change by group

Exenatide

−3.8

mean · SD 4.3 · kg

Placebo

−1.6

mean · SD 3.8 · kg

Between Exenatide and Placebo
adjusted mean treatment difference −3.1 kg (95% CI −7.0 to 0.7); P = 0.11

As reported in the abstract

Secondary outcomes

OutcomeEstimated treatment difference (95% CI)
Hunger score, change from baseline · week 26Higher reduction of hunger score with exenatide−2.3 (−4.5 to −0.2)

All other secondary outcomes

All other outcomes did not significantly differ between groups

Safety

Adverse events

Events Exenatide 108 · Placebo 54

Adverse events

Adverse events more common with exenatide vs placebo

Original publication

Impact of exenatide on weight loss and eating behavior in adults with craniopharyngioma-related obesity: the CRANIOEXE randomized placebo-controlled trial. Eur J Endocrinol. Published 12 March 2024. doi:10.1093/ejendo/lvae024

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