Obesity

The Supportive Effect of Acarbose to Orlistat in Weight Management—A Randomized, Double‐Blind, Multiarm Phase 2 Trial

Obesity (Silver Spring)Published Randomised controlled trial

Authors' conclusion

Acarbose enhances the weight loss efficacy of EMP16, supporting its potential as a safe and effective treatment for long-term obesity management.

Study context

Population
Individuals with obesity or overweight and comorbiditiesrandomized equally
Participants
240 individuals
Comparison
EMP16 vs MR-O vs Conv-O
Primary endpoint
Relative and categorical weight loss
Follow-up
6 months
Methodological detailsdouble-blind, multiarm, phase 2
  • Double-blind
  • Multiarm
  • Phase 2

Primary result

As reported in the abstract

Mean relative weight loss

Mean relative weight loss · 6 months EMP16 mean −7.73 % · MR-O mean −5.78 % · Conv-O mean −5.13 %

≥ 5% weight reduction

≥ 10% weight reduction

P > 0.05 for ≥ 10%

  • EMP16 vs MR-O: P < 0.01 — relative weight loss, across EMP16, MR-O and Conv-O

Further findings

OutcomeP value
Fatty liver index and quality of lifeEMP16 vs Conv-O · greater improvement with EMP16P < 0.01

Glucose and lipid markers

All groups showed small improvements in glucose and lipid markers

Safety

Serious adverse events
0
Most AEs were mild and transient

Original publication

The Supportive Effect of Acarbose to Orlistat in Weight Management—A Randomized, Double‐Blind, Multiarm Phase 2 Trial. Obesity (Silver Spring). Published 6 August 2025. doi:10.1002/oby.24369

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