Obesity

Semaglutide treatment of hypothalamic obesity – a real-life data study

PituitaryPublished Retrospective cohort study

Authors' conclusion

Treatment with semaglutide shows promising results in reducing body weight in patients with acquired hypothalamic obesity. Whether the weight reduction remains stable after long time follow-up needs further investigation.

Study context

Population
Patients with hypothalamic obesity due to tumors involving the hypothalamic region, outpatient clinic, Department of Endocrinology, Rigshospitalet, September 2020 to November 2023; 15 females, median age 52 (range 18–65) years; Body mass index (BMI) at semaglutide initiation median 38 (range 28–58) kg/m²15 females
Participants
26 patients
Exposure
Before vs after semaglutide treatment
  • Semaglutiden = 26
Outcome
Weight change before and after semaglutide treatment
Follow-up
12 months
Methodological detailssingle-centre, real-life data
  • Single-centre
  • Real-life data

Main finding

As reported in the abstract

Weight loss

Semaglutide

13.4

mean · 95% CI 10.3–16.5 · kg

Mean weight loss, p
P = < 0.001

Observational data: associations, not effects.

Further findings

OutcomeValues
Loss in BMI · 12 monthsSemaglutide 4.4 (95% CI 3.4–5.4) kg/m²
Lost >10% of initial body weightSemaglutide 58%
Lost >20% of initial body weightSemaglutide 8%
Loss in BMI — BMI loss, p
p = < 0.001

Original publication

Semaglutide treatment of hypothalamic obesity – a real-life data study. Pituitary. Published 9 August 2024. doi:10.1007/s11102-024-01429-5

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