Table 2.
GLP-1 monotherapy for obesity
Drug | Licensing | Maximum recommended dose | Weight loss |
---|---|---|---|
Exenatide [28] | Type 2 diabetes (FDA 2005; EMA 2006) | 10 mcg twice daily, or 2 mg once weekly |
10 mcg twice daily: 1.4 kga 2 mg once weekly: 1.6 kga |
Liraglutide [16, 17, 28] | Type 2 diabetes (FDA 2010; EMA 2009); obesity (FDA 2014; EMA 2015) |
T2D: ≤ 1.8 mg once daily Obesity: ≤ 3.0 mg once daily |
1.8 mg once daily: 1.5 kga 3.0 mg once daily: 5.9 kga |
Lixisenatide [30] | Type 2 diabetes (FDA 2016; EMA 2013) | 20 mcg once daily | 20 mcg daily: 2.0 kgb |
Dulaglutide [31] | Type 2 diabetes (FDA 2014; EMA 2014) | 1.5 mg once weekly |
1.5 mg weekly: 2.3 kgb 0.75 mg weekly: 1.4 kgb |
Semaglutide [32] | Type 2 diabetes (FDA 2017; EMA 2018) | 1.0 mg once weekly |
1.0 mg weekly: 6.5 kgb 0.5 mg weekly: 4.6 kgb |
Summarises the use and weight loss efficacy of available GLP-1 analogue monotherapy
aAdditional weight loss compared with control
bAbsolute weight loss