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

Россия

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

Россия

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 Россия

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

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