Novo Nordisk Drug Approved for Weight Loss

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FDA has approved a Novo Nordisk NDA for Wegovy (semaglutide) injection (2.4 mg once weekly) for chronic weight management in overweight adults with at least one weight-related condition (such as high blood pressure, Type 2 diabetes, or high cholesterol). The approval recommends the drug’s use in addition to a reduced calorie diet and increased physical activity. Novo Nordisk’s semaglutide was first approved as a 1 mg injection (Ozempic) in 2017 for treating Type 2 diabetes.

 

Wegovy works by mimicking the hormone glucagon-like peptide-1 that targets areas of the brain that regulate appetite and food intake, an FDA release says. “The medication dose must be increased gradually over 16 to 20 weeks to 2.4 mg once weekly to reduce gastrointestinal side effects,” it says.

 

Approval was based on data from four 68-week trials involving 4,100 patients. “The largest placebo-controlled trial enrolled adults without diabetes,” FDA says. “Individuals who received Wegovy lost an average of 12.4% of their initial body weight compared to individuals who received placebo. Another trial enrolled adults with type 2 diabetes. The average age was 55 years and 51% were female. The average body weight was 220 pounds (100 kg) and average BMI was 36 kg/m2. In this trial, individuals who received Wegovy lost 6.2% of their initial body weight compared to those who received placebo.”

 

On the safety side, the most common side effects included nausea, diarrhea, vomiting, constipation, stomach pain, headache, fatigue, dyspepsia (indigestion), dizziness, abdominal distension, eructation (belching), hypoglycemia (low blood sugar) in patients with Type 2 diabetes, flatulence, gastroenteritis (an intestinal infection) and gastroesophageal reflux disease.

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