Obesity

Weight Loss Medications for Adult Patients With Obesity and Binge Eating—A Systematic Review and Meta-analysis

Endocr PractPublished Systematic review and meta-analysis of randomised trials

Authors' conclusion

Liraglutide was an effective intervention for weight loss in patients with obesity who experience BE. The use of liraglutide and naltrexone/bupropion as seen in individual studies may be an effective intervention to improve BE severity in this population; however, meta-analysis was not feasible due to the heterogeneous assessment tools used to measure response in BE episodes. Larger randomized and prospective studies with a longer follow-up are needed to evaluate the consistency of the data presented in this review.

Study context

Population
Adults with obesity and binge eating; mostly women (>63%), mean age 45 years, BMI 35 to 40 kg/m²
Participants
231 / 378 / 448
Comparison
Approved weight loss medications for binge eating in obesity
  • Liraglutiden = 231
  • Naltrexone/bupropionn = 378
  • Orlistatn = 448
Outcome
Binge eating episodes

Pooled result

As reported in the abstract

  • Liraglutide: reduction in binge eating (BE) episodes in most individual studies, not statistically significant in the meta-analysis
  • Naltrexone/bupropion: reduced BE episodes in individual studies; inconsistent reporting limited pooled analysis
  • Orlistat: no significant effect on BE episodes

Further pooled results

Liraglutide: greater weight loss
−4.95 kg [−7.12, −2.77]
Orlistat: no significant effect on weight loss

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Weight Loss Medications for Adult Patients With Obesity and Binge Eating—A Systematic Review and Meta-analysis. Endocr Pract. Published 7 January 2026. doi:10.1016/j.eprac.2025.11.002

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