Table 2.
Effects of Concomitant Drugs on Body Weight (kg), Results of 40 Studies, and Meta-analyses of 19 Interventions
| Concomitant Drug/Study | n, Analyzed | Mean ± SD Change at Endpoint (kg) | Mean Difference (95% CI) (kg) | I 2 (%) | ||
|---|---|---|---|---|---|---|
| Author (Year) | Active Drug | Placebo | Active Drug | Placebo | ||
| Amantadine (N = 2) | ||||||
| Deberdt et al (2005) 11 | 59 | 64 | −0.19±4.58 | 1.28±4.26 | −2.27 (−4.76, 0.23) | 40 |
| Graham et al (2005) 12 | 12 | 9 | −0.4±3.5 | 3.9±5.3 | ||
| Aripiprazole (N = 3) | ||||||
| Henderson et al (2009) 13 | 15 | 15 | −1.3±2.1 | 1.0±1.5 | −2.13 (−2.87, −1.39) | 0 |
| Fleischhacker et al (2010) 14 | 107 | 99 | −2.53±3.9 a | −0.38±3.9 a | ||
| Fan et al (2013) 15 | 16 | 14 | −1.5±2.3 | 0.3±2.3 | ||
| Atomoxetine (N = 1) | ||||||
| Ball et al (2011) 16 | 19 | 17 | −1.7±6.1b | −2.1±5.8b | — | — |
| D-Fenfluramine (N = 1) | ||||||
| Goodall et al (1988) 17 | 9 | 7 | −5.4±3.4 | −2.8±1.65 | — | — |
| Dextroamphetamine (N = 1) | ||||||
| Modell et al (1965) 18 | 10 | 10 | 0.9±4.3 | 0.1±2.3 | — | — |
| Famotidine (N = 1) | ||||||
| Poyurovsky et al (2004) 19 | 7 | 7 | 4.8±3.2 | 4.9±1.6 | — | — |
| Fluoxetine (N = 2) | ||||||
| Poyurovsky et al (2002) 20 | 15 | 15 | 6.1±5.3 | 5.9±4.6 | 0.75 (−1.76, 3.26) | 0 |
| Bustillo et al (2003) 21 | 15 | 15 | 3.0±5.3c | 1.7±4.6c | ||
| Intranasal Insulin (N = 1) | ||||||
| Li et al (2013) 22 | 18 | 21 | 0.8±1.9 | −2.8±9.6 | — | — |
| Metformin (N = 10) | ||||||
| Baptista et al (2006) 23 | 19 | 18 | 5.5±3.3d | 6.3±2.3d | −3.17 (−4.44, −1.90) | 88 |
| Baptista et al (2007) 24 | 36 | 36 | −1.40±3.2 | −0.18±2.8 | ||
| Arman et al (2008) 25 | 16 | 16 | 0.81±0.33 | 2.2±2.54 | ||
| Wu et al (2008) lifestyle [+] 26 | 32 | 32 | −4.7±3.2 e | −1.4±1.8 e | ||
| Wu et al (2008) lifestyle [−] 26 | 32 | 32 | −3.2±1.9 e | 3.1±1.9 e | ||
| Wu et al (2008) 27 | 18 | 19 | 1.9±2.72 | 6.87±4.23 | ||
| Carrizo et al (2009) 28 | 24 | 30 | −1.87±2.9 | 0.16±2.9 | ||
| Wang et al (2012) 29 | 32 | 34 | −3.3±3.9 c | 2.5±4.0 c | ||
| Wu et al (2012) 30 | 42 | 42 | −2.37±6.1 f | 2.15±6.1 f | ||
| Chen et al (2013) 31 | 28 | 27 | −3.2±3.1 | −0.2±2.1 | ||
| Jarskog et al (2013) 32 | 75 | 71 | −3.0±4.3 e | −1.0±4.2 e | ||
| Metformin-sibutramine combination (N = 1) | ||||||
| Baptista et al (2008) 33 | 13 | 15 | −2.8±3.2 | −1.4±2.6 | — | — |
| Nizatidine (N = 4) | ||||||
| Atmaca et al (2003) 35 | 17 | 17 | −4.5±2.2 | 2.3±0.9 | −2.03 (−4.53, 0.47) | 97 |
| Cavazzoni et al (2003) 36 ; 600 mg | 57 | 56 | 3.29±5.33 | 4.18±4.33 | ||
| Cavazzoni et al (2003) 36 ; 300 mg | 56 | 56 | 3.56±4.95 | 4.18±4.33 | ||
| Atmaca et al (2004) 37 | 14 | 14 | −1.0±0.6 | 1.2±1.2 | ||
| Assunção et al (2006) 38 | 27 | 27 | 1.1±0.6g | 0.7±1.2g | ||
| Orlistat (N = 1) | ||||||
| Joffe et al (2008) 39 | 31 | 32 | −1.25±4.33 | 0.44±3.73 | — | — |
| Phenylpropanolamine (N = 1) | ||||||
| Borovicka et al (2002) 40 | 8 | 8 | 1.36±21.8h | 1.36±16.6h | — | — |
| Reboxetine (N = 2) | ||||||
| Poyurovsky et al (2003) 41 | 10 | 10 | 2.45±2.72 | 5.45±3.09 | −1.90 (−3.07, −0.72) | 0 |
| Poyurovsky et al (2007) 42 | 31 | 28 | 3.31±2.73 | 4.91±2.45 | ||
| Reboxetine-betahistine combination (N = 1) | ||||||
| Poyurovsky et al (2013) 4 | 29 | 14 | 2.02±2.37 | 4.77±3.16 | — | — |
| Rosiglitazone (N = 2) | ||||||
| Baptista et al (2009) 43 | 14 | 15 | 3.2±4.5 | 2.2±2.3 | 0.26 (−1.83, 2.35) | 0 |
| Henderson et al (2009) 44 | 8 | 10 | −0.5±4.5i | 0.5±2.3i | ||
| Sibutramine (N = 3) | ||||||
| Henderson et al (2005) 45 | 19 | 18 | −3.8±1.1 | −0.8±0.7 | −2.86 (−4.72, −1.01) | 49 |
| Henderson et al (2007) 46 | 10 | 8 | −1.9±3.0b | −0.5±2.2b | ||
| Biedermann (in press) 50 | 5 | 6 | −6.1±6.7 | 1.9±3.5 | ||
| Topiramate (N = 2) | ||||||
| Ko et al (2005) 47 ; 200 mg | 17 | 20 | −5.45±13.1 j | −0.3±13.1 j | −5.20 (−9.55, −0.84) | 0 |
| Ko et al (2005) 47 ; 100 mg | 16 | 20 | −1.68±13.1j | −0.3±13.1j | ||
| Narula et al (2010) 49 | 33 | 34 | −1.27±13.1 f | 6.03±13.1 f | ||
| Zonisamide (N = 1) | ||||||
| Ghanizadeh et al (2013) 5 | 21 | 20 | −1.1±1.4 | 1.9±2.2 | — | — |
Notes: Statistically significant effects compared to placebo are shown in bold.
SD values were supplemented using the following methods:
aCalculated from 95% CIs of mean group difference.
bCalculated from SEs of within group difference.
cImputed from Poyurovsky et al (2002) 20 .
dAdditional data were provided by the authors.
eCalculated from 95% CIs of within group difference.
fCalculated from t values of between group difference.
gImputed from Atmaca et al (2004) 37 .
hCalculated from SEs measured in figures.
iImputed from Baptista et al (2009) 43 .
jImputed from Narula et al (2010) 49 .