Anorectic state of obesity medications in the United States. Are leaner times ahead?

Expert Opin Pharmacother. 2020 Feb;21(2):167-172. doi: 10.1080/14656566.2019.1692815. Epub 2019 Nov 24.

Abstract

Introduction: Obesity is considered to be a chronic disease. Currently there are five prescription-only medications on the US market for the long-term management of obesity. However, these medications are underutilized by obese or overweight individuals seeking medical assistance for weight management.Areas covered: This special report provides an overview of the emerging obesity pharmacotherapies based on the data available from recruiting and active phase II/III trials from a registry of clinical trials. The authors also give their expert opinion and provide their future perspectives on the treatment of obesity based on what is known.Expert opinion: Despite obesity being a chronic condition affecting 40% of the US population, there is a low demand for obesity medications in the US market. Although the potential obesity medications that are currently being investigated in phase II/III clinical trials are promising, it is unclear whether the future pharmacotherapies will be enough to meet the health care need.

Keywords: MEDI0382; Orlistat; dapagliflozin; liraglutide; lorcaserin; naltrexone/bupropion; phentermine/topiramate; semaglutide; setmelanotide; tesofensine.

Publication types

  • Review

MeSH terms

  • Anti-Obesity Agents / administration & dosage*
  • Anti-Obesity Agents / therapeutic use
  • Appetite Depressants / administration & dosage*
  • Humans
  • Obesity / drug therapy*
  • United States
  • Weight Loss / drug effects

Substances

  • Anti-Obesity Agents
  • Appetite Depressants