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American Diabetes Affiliation eighty fifth Scientific Classes

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Combination Bimagrumab, Semaglutide Enhances Fat Loss and Muscle Preservation

In the randomized double-blind, placebo-controlled, multicenter BELIEVE trial (NCT05616013), bimagrumab (Eli Lilly and Co)—a drug indicated to fight muscle loss—mixed with semaglutide (Ozempic, Wegovy; Novo Nordisk) led to better fats loss and improved muscle retention than both therapy alone.1,2 In the BELIEVE medical trial, researchers evaluated the consequences of bimagrumab alone and together with semaglutide in adults with obese or weight problems. A complete of 507 people have been randomly assigned to obtain semaglutide as a once-weekly subcutaneous injection and/or bimagrumab through intravenous infusion at weeks 4, 16, 28, and 40.1,2 Presenter Penelope Montgomery, MD, of Optimal Clinical Trials, stated the first endpoint was change in physique weight from baseline, with secondary endpoints together with modifications in waist circumference, complete physique fats mass, visceral adipose tissue, and lean mass.1,2 The outcomes demonstrated that the mix remedy led to better reductions in weight, complete and visceral fats, and markers of irritation in contrast with both therapy alone. Notably, 92.8% of the whole weight reduction from the mix remedy got here from fats mass, in contrast with 71.8% with semaglutide alone. When bimagrumab was used as a monotherapy, 100% of weight reduction was attributed to fats mass, and there was a 2.5% improve in complete lean mass.1 The breakthroughs offered within the BELIEVE medical trial spotlight a brand new path ahead in weight problems therapy by specializing in the standard—not simply amount—of weight reduction.

CagriSema Demonstrates Significant Weight Loss in Clinical Trials

In the Phase 3 randomized, double-blind, multicenter, placebo-controlled REDEFINE 1 (NCT05567796) and REDEFINE 2 (NCT05394519) medical trials, carried out over 68 weeks, CagriSema (Novo Nordisk)—a once-weekly mixture remedy of semaglutide and cagrilintide, an amylin analog—demonstrated vital weight reduction and metabolic enhancements in contrast with placebo.1,2

Image Credit: Minerva Studio | inventory.adobe.com

REDEFINE 1 evaluated the efficacy and security of once-weekly CagriSema in people with obese or weight problems over 68 weeks. Baseline traits included a imply physique weight of 106.9 kg, a imply physique mass index of 37.9 kg/mÇ, a waist circumference of 114.7 cm, and a hemoglobin A1c (HbA1c) of 5.5%. Primary endpoints included relative physique weight change at 68 weeks and the proportion of members attaining 5% or extra weight reduction.1,2

CagriSema produced clinically significant and sustained weight reduction in contrast with semaglutide alone, cagrilintide alone, or placebo. Participants receiving CagriSema have been extra more likely to obtain 5% or larger, 20% or larger, and 30% or larger weight discount and skilled enhancements in blood stress, glycemic management, and lipid profiles.1

REDEFINE 2 targeted on people with obese or weight problems and sort 2 diabetes. Findings confirmed that CagriSema led to vital and clinically related weight reduction, glycemic enhancements (together with HbA1c and steady glucose monitor metrics), and near-normoglycemic management. Participants additionally confirmed enhancements in cardiovascular danger markers and bodily perform.1

“These are spectacular results,” presenter Louis J. Aronne, MD, FACP, DABOM, stated. “I keep hearing people talk about best in class. This is now right there as best in class.”1

Semaglutide Improves Mobility for Patients With Diabetes and PAD

In the Phase 3, multinational, double-blind, randomized STRIDE medical trial, semaglutide (Ozempic, Rybelsus, Wegovy; Novo Nordisk), a glucagon-like peptide-1 receptor agonist, confirmed potential in managing peripheral arterial illness (PAD) amongst people with kind 2 diabetes (T2D).

A complete of 792 people (median age 68 years; 25% feminine) with T2D and PAD presenting with intermittent claudication have been randomly assigned to obtain both semaglutide (n = 396) or placebo (n = 396) over 52 weeks.1,2

The outcomes demonstrated that semaglutide considerably improved strolling outcomes, enhanced high quality of life, and diminished the chance of illness development by 54%. At week 52, the estimated median ratio to baseline in most strolling distance was 1.21 within the semaglutide group vs 1.08 within the placebo group.1,2

Importantly, advantages have been noticed independently of baseline hemoglobin A1C ranges, diabetes length, therapy depth, physique mass index, or concurrent use of sodium-glucose cotransporter-2 (SGLT2) inhibitors.1,2


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