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. 2019 Jan 30;79(3):219–230. doi: 10.1007/s40265-019-1057-0

Table 1.

Effects of SGLT2 inhibitors on body weight in obese individuals without type 2 diabetes

Reference, year Duration (week) N Treatment arms Bodyweight change from baseline
(kg)
Other effects
SGLT2 inhibitors
 Bays et al. 2014 [29] 12 376 Placebo
Canagliflozin 50 mg
Canagliflozin 100 mg
Canagliflozin 300 mg
− 1.1
− 1.9
− 2.8
− 2.4
↓ BMI, SBP
↑ UGE/creatinine ratio, LDL-C/HDL-C, IWQOL-Lite total scores
= TG, HDL-C, FPG, HbA1c, pulse rate
 Napolitano et al. 2014 [82] 8 30 Placebo + diet (− 500 cal)
Remogliflozin etaborate 250 mg + diet (− 500 cal)
Sergliflozin etaborate 1,000 mg + diet (− 500 cal)
− 5.1
− 7.6
− 6.1
↓ Fat mass, fat free mass, leptin/adiponectin
↑ UGE
 Ramirez-Rodriguez et al. 2018 [23] 12 24 Placebo
Dapagliflozin 10 mg
− 1.0
− 3.0
↓ FPG, uric acid
SGLT2 inhibitors +GLP1-RA 
 Lundkvist et al. 2016 [83] 24 50 Placebo
Dapagliflozin 10 mg + Exenatide 2 mg
− 0.4
− 4.5
 ↓ VAT, SAT, TAT, HbA1c, 2-h PG, IFG, SBP
↑ UGE
= total lean tissue, liver fat, serum lipids
 Lundkvist et al. 2017 [21] 52 50 Dapagliflozin 10 mg + Exenatide 2 mg − 5.7
SGLT2 inhibitors + phentermine
 Hollander et al. 2017 [42] 26 335 Placebo
Canagliflozin 300 mg
Phentermine 15 mg
Canagliflozin + Phentermine 15 mg
− 0.6
− 1.9
− 4.1
− 7.3
↓ SBP
↑ Pulse rate (Phentermine, Canagliflozin + Phentermine)
= plasma lipids

BMI body mass index, SBP systolic blood pressure, UGE urinary glucose excretion, LDL-C low density lipoprotein-cholesterol, HDL-C high-density lipoprotein-cholesterol, IWQOL Impact of Weight on Quality of Life, TG triglycerides, FPG fasting plasma glucose, VAT visceral adipose tissue, SAT subcutaneous adipose tissue, TAT total adipose tissue, 2-h PG 2-h post-OGTT plasma glucose, IFG impaired fasting glucose, ↓ reduction, ↑ increase, = no change