Obesity

Weight maintenance on cost‐effective antiobesity medications after 1 year of GLP‐1 receptor agonist therapy: a real‐world study

Obesity (Silver Spring)Published Prospective real-world cohort study

Authors' conclusion

Patients successfully treated with GLP-1 RAs can maintain their weight loss using generic older-generation AOMs, suggesting potential cost savings for insurers and implications for policy regarding AOM coverage.

Study context

Population
Patients who completed 12 months of GLP-1 RA therapy in a medical weight loss bundle (12 months GLP-1 RA then 6 months transition care) with successful weight loss; baseline mean BMI 36.4 kg/m²40 transitioned to antiobesity medications (AOMs)
Participants
105 patients
Exposure
Generic older-generation AOMs for weight maintenance after 12 months of GLP-1 RA therapy
  • Generic AOMsn = 40
Outcome
Body weight outcomes
Follow-up
6, 12, 18 and 24 months
Methodological detailssingle-group
  • Single-group

Main finding

As reported in the abstract

12 and 18 months

Average body weight loss from baseline at 12 months

18.3%, 95% CI 13.0%–23.6%

Mean BMI at 12 months

27.9 kg/m²

Weight loss maintained at 18 months; mean BMI

27.9 kg/m²

Observational data: associations, not effects.

Further findings

Total weight loss vs initial visit at subsequent follow-up without GLP-1 RAs · average 1.5 months after 18 months

Total average weight loss vs initial visit
25.5%, 95% CI 23.1%–27.9%

Original publication

Weight maintenance on cost‐effective antiobesity medications after 1 year of GLP‐1 receptor agonist therapy: a real‐world study. Obesity (Silver Spring). Published 18 November 2024. doi:10.1002/oby.24177

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