DEVELOPMENT OF THERAPEUTIC STRATEGIES FOR OBESITY AND COMORBID DISORDERS BASED ON OBSERVATIONAL PROGRAMS: INTERIM RESULTS OF THE RUSSIAN OBSERVATIONAL PROGRAM PRIMAVERA

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Abstract

Aim: To assess interim results of the Russian observational program PrimaVera on efficacy and safety sibutramine (Reduxin®) for treatment of obesity within routine medical practice.

 Materials and methods: This multicenter observational program included patients with obesity aged below 65  years, excluding those with uncontrolled arterial hypertension, coronary heart disease, heart failure and cerebrovascular disease. All patients were administered sibutramine for treatment of their obesity. During out-patient follow-up visits, physicians assessed changes in patients’ body mass, blood pressure and heart rate, as well as registered adverse events. Maximal treatment duration was 12 months. In this report, the results from 16  515  patients are analyzed, 82% of whom (n=13 192) were females.

Results: After 3  months of treatment body mass index (BMI) decreased by 2.81±1.0  kg/m², after 6 months, by 5.17±2.15 kg/m². At 12 months decrease in BMI was 1.3-fold higher compared to 6  months’ results and amounted to 6.76±2.93  kg/m². Reduction of body mass with longterm (above 6  months) treatment with sibutramine under supervision of a physician was associated with a decrease in systolic and diastolic blood pressure levels (by 4.1 mm Hg, in both cases) and did not lead to an increase in heart rate (Δ=-1.02  bpm). Based on data from 16  515  medical records processed up to now, 397  episodes of adverse events were registered, with none of them being serious.

Conclusion: This interim results of the program PrimaVera confirmed favorable safety profile of Reduxin® and its high efficacy in the treatment of obesity.

About the authors

E. A. Troshina

Federal Research Centre of Endocrinology, Moscow

Author for correspondence.
Email: troshina@inbox.ru

Troshina Ekaterina Anatol'evna – MD, PhD, Professor, Head of Department of Treatment of Endocrinopathies with the Obesity Group

* 11 Dmitriya Ul'yanova ul., Moscow, 117036, Russian Federation. Tel.: +7 (495) 124 35 02. E-mail: troshina@inbox.ru

Russian Federation

N. V. Mazurina

Federal Research Centre of Endocrinology, Moscow

Email: troshina@inbox.ru

Mazurina Nataliya Valentinovna – PhD, Leading Research Fellow, Department of Treatment of Endocrinopathies with the Obesity Group

Russian Federation

M. O. Galieva

Federal Research Centre of Endocrinology, Moscow

Email: troshina@inbox.ru
Galieva Marina Olegovna – Postgraduate Student, Department of Treatment of Endocrinopathies with the Obesity Group Russian Federation

References

  1. World Health Organization. Obesity: preventing and managing the global epidemic. WHO, 2000.
  2. Всемирная организация здравоохранения. Ожирение и избыточный вес. Информационный бюллетень ВОЗ № 311. Май 2014. Доступно на: http://www.who.int/mediacentre/ factsheets/fs311/ru/ (World Health Organization. Obesity and overweight. Fact sheet No. 311. Reviewed May 2014. Available at: http://www.who.int/mediacentre/factsheets/fs311/en/).
  3. Jensen MD, Ryan DH, Apovian CM, Ard JD, Comuzzie AG, Donato KA, Hu FB, Hubbard VS, Jakicic JM, Kushner RF, Loria CM, Millen BE, Nonas CA, Pi-Sunyer FX, Stevens J, Stevens VJ, Wadden TA, Wolfe BM, Yanovski SZ; American College of Cardiology/American Heart Association Task Force on Practice Guidelines; Obesity Society. 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. J Am Coll Cardiol. 2014;63(25 Pt B):2985–3023.
  4. Brixner D, Ghate SR, McAdam-Marx C, BenJoseph R, Said Q. Association between cardiometabolic risk factors and body mass index based on diagnosis and treatment codes in an electronic medical record database. J Manag Care Pharm. 2008;14(8):756–67.
  5. Després JP, Poirier P, Bergeron J, Tremblay A, Lemieux I, Alméras N. From individual risk factors and the metabolic syndrome to global cardiometabolic risk. Eur Heart J Suppl. 2008;10(Suppl B):B24–B33.
  6. Dattilo AM, Kris-Etherton PM. Effects of weight reduction on blood lipids and lipoproteins: a meta-analysis. Am J Clin Nutr. 1992;56(2):320–8.
  7. Leenen R, van der Kooy K, Meyboom S, Seidell JC, Deurenberg P, Weststrate JA. Relative effects of weight loss and dietary fat modification on serum lipid levels in the dietary treatment of obesity. J Lipid Res. 1993;34(12):2183–91.
  8. Kannel WB. Hypertension: reflections on risks and prognostication. Med Clin North Am. 2009;93(3):541–58.
  9. Lenz M, Richter T, Mühlhauser I. The morbidity and mortality associated with overweight and obesity in adulthood: a systematic review. Dtsch Arztebl Int. 2009;106(40):641–8.
  10. Guh DP, Zhang W, Bansback N, Amarsi Z, Birmingham CL, Anis AH. The incidence of comorbidities related to obesity and overweight: a systematic review and meta-analysis. BMC Public Health. 2009;9:88.
  11. Vazquez G, Duval S, Jacobs DR Jr, Silventoinen K. Comparison of body mass index, waist circumference, and waist/hip ratio in predicting incident diabetes: a metaanalysis. Epidemiol Rev. 2007;29:115–28.
  12. Anderson JW, Konz EC, Frederich RC, Wood CL. Long-term weight-loss maintenance: a meta-analysis of US studies. Am J Clin Nutr. 2001;74(5):579–84.
  13. Avenell A, Brown TJ, McGee MA, Campbell MK, Grant AM, Broom J, Jung RT, Smith WC. What are the long-term benefits of weight reducing diets in adults? A systematic review of randomized controlled trials. J Hum Nutr Diet. 2004;17(4):317–35.
  14. Orzano AJ, Scott JG. Diagnosis and treatment of obesity in adults: an applied evidence-based review. J Am Board Fam Pract. 2004;17(5): 359–69.
  15. Douketis JD, Macie C, Thabane L, Williamson DF. Systematic review of long-term weight loss studies in obese adults: clinical significance and applicability to clinical practice. Int J Obes (Lond). 2005;29(10):1153–67.
  16. Шестакова МВ. Опыт применения ситаглиптина (первого ингибитора ДПП-4) в лечении сахарного диабета 2 типа в Российской Федерации: результаты наблюдательной программы «Диа-Да». Сахарный диабет. 2010;(3):57–60. (Shestakova MV. Experience with sitagliptin (the first DPP-4 inhibitor) application to the treatment of type 2 diabetes mellitus in the Russian Federation: results of the DIA-DA observation program. Sakharnyy diabet. 2010;(3):57–60. Russian)

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Copyright (c) 2015 Troshina E.A., Mazurina N.V., Galieva M.O.

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