Trial Outcomes & Findings for Lifestyle Modification and Liraglutide (NCT NCT02911818)

NCT ID: NCT02911818

Last Updated: 2019-05-07

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

150 participants

Primary outcome timeframe

Randomization and 52 weeks

Results posted on

2019-05-07

Participant Flow

This trial enrolled 150 participants for the original 52-week study. The 12-week extension study randomized 45 participants from the 100 eligible from the original 52-week trial who were originally in either the CMS-Liraglutide or Multi-Component groups. Eligible participants for the 12-week extension had to complete 1 year on liraglutide.

Participant milestones

Participant milestones
Measure
CMS-Alone
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
12-Week Extension Study: Phentermine Group
After the 1-year trial, half the participants who elect to join the extension study will be randomized to phentermine 15.0 mg/d in a double-blind fashion, while continuing to take liraglutide. They will also continue to receive monthly lifestyle counseling: 4 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Phentermine 15 MG
12-Week Extension Study: Placebo Group
After the 1-year trial, half the participants who elect to join the extension study will be randomized to placebo in a double-blind fashion, while continuing to take liraglutide. They will also continue to receive monthly lifestyle counseling: 4 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Placebo Oral Tablet
52 Week Study
STARTED
50
50
50
0
0
52 Week Study
COMPLETED
46
45
46
0
0
52 Week Study
NOT COMPLETED
4
5
4
0
0
12 Week Extension Study
STARTED
0
0
0
22
23
12 Week Extension Study
COMPLETED
0
0
0
22
22
12 Week Extension Study
NOT COMPLETED
0
0
0
0
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Lifestyle Modification and Liraglutide

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
CMS-Alone
n=50 Participants
Lifestyle counseling, on the visit schedule currently recommended by the CMS. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=50 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
n=50 Participants
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Total
n=150 Participants
Total of all reporting groups
Age, Continuous
49.5 years
STANDARD_DEVIATION 11.0 • n=39 Participants
45.2 years
STANDARD_DEVIATION 12.3 • n=41 Participants
48.0 years
STANDARD_DEVIATION 11.9 • n=35 Participants
47.6 years
STANDARD_DEVIATION 11.8 • n=31 Participants
Sex: Female, Male
Female
39 Participants
n=39 Participants
42 Participants
n=41 Participants
38 Participants
n=35 Participants
119 Participants
n=31 Participants
Sex: Female, Male
Male
11 Participants
n=39 Participants
8 Participants
n=41 Participants
12 Participants
n=35 Participants
31 Participants
n=31 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
Asian
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=39 Participants
0 Participants
n=41 Participants
1 Participants
n=35 Participants
1 Participants
n=31 Participants
Race (NIH/OMB)
Black or African American
22 Participants
n=39 Participants
23 Participants
n=41 Participants
22 Participants
n=35 Participants
67 Participants
n=31 Participants
Race (NIH/OMB)
White
27 Participants
n=39 Participants
27 Participants
n=41 Participants
27 Participants
n=35 Participants
81 Participants
n=31 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
1 Participants
n=31 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants

PRIMARY outcome

Timeframe: Randomization and 52 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=50 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=50 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
n=50 Participants
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Percent Change in Baseline Weight
-6.1 percent change
Standard Error 1.3
-11.5 percent change
Standard Error 1.3
-11.8 percent change
Standard Error 1.3

PRIMARY outcome

Timeframe: Re-randomization and 12 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=22 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=23 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Extension Study Primary Outcome: Percent Change in Re-randomization Weight
-1.6 percent change
Standard Error 0.6
-0.1 percent change
Standard Error 0.5

SECONDARY outcome

Timeframe: Randomization and 52 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=50 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=50 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
n=50 Participants
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Change in Systolic Blood Pressure
-14.1 mm Hg
Standard Error 2.1
-13.3 mm Hg
Standard Error 2.1
-15.3 mm Hg
Standard Error 2.1

SECONDARY outcome

Timeframe: Randomization and 52 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=50 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=50 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
n=50 Participants
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Change in Diastolic Blood Pressure
-3.0 mm Hg
Standard Error 1.2
-2.9 mm Hg
Standard Error 1.2
-3.5 mm Hg
Standard Error 1.2

SECONDARY outcome

Timeframe: Randomization and 52 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=50 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=50 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
n=50 Participants
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Change in Heart Rate
-7.4 Beats per minute
Standard Error 2.0
-5.3 Beats per minute
Standard Error 2.0
9.7 Beats per minute
Standard Error 2.0

SECONDARY outcome

Timeframe: Randomization and 52 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=50 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=50 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
n=50 Participants
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Change in Waist Circumference
-6.5 cm
Standard Error 1.3
-11.1 cm
Standard Error 1.3
-12.6 cm
Standard Error 1.3

SECONDARY outcome

Timeframe: Randomization and 52 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=50 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=50 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
n=50 Participants
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Change in Total Cholesterol
-7.0 mg/dL
Standard Error 3.5
-9.7 mg/dL
Standard Error 3.6
-10.0 mg/dL
Standard Error 3.5

SECONDARY outcome

Timeframe: Randomization and 52 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=50 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=50 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
n=50 Participants
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Change in LDL Cholesterol
-3.3 mg/dL
Standard Error 3.1
-9.6 mg/dL
Standard Error 3.1
-9.4 mg/dL
Standard Error 3.1

SECONDARY outcome

Timeframe: Randomization and 52 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=50 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=50 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
n=50 Participants
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Change in HDL Cholesterol
-1.3 mg/dL
Standard Error 1.3
3.0 mg/dL
Standard Error 1.3
2.0 mg/dL
Standard Error 1.3

SECONDARY outcome

Timeframe: Randomization and 52 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=50 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=50 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
n=50 Participants
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Change in Triglycerides
-16.3 mg/dL
Standard Error 5.7
-21.3 mg/dL
Standard Error 5.8
-14.4 mg/dL
Standard Error 5.7

SECONDARY outcome

Timeframe: Randomization and 52 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=50 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=50 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
n=50 Participants
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Change in C Reactive Protein
-0.4 mg/L
Standard Error 0.7
-2.0 mg/L
Standard Error 0.7
-3.0 mg/L
Standard Error 0.7

SECONDARY outcome

Timeframe: Randomization and 52 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=50 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=50 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
n=50 Participants
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Change in Fasting Glucose
0.01 mg/dL
Standard Error 1.3
-5.2 mg/dL
Standard Error 1.3
-5.7 mg/dL
Standard Error 1.3

SECONDARY outcome

Timeframe: Randomization and 52 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=50 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=50 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
n=50 Participants
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Change in HbA1c
-0.3 percentage
Standard Error 0.03
-0.5 percentage
Standard Error 0.03
-0.6 percentage
Standard Error 0.03

SECONDARY outcome

Timeframe: Randomization and 52 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=50 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=50 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
n=50 Participants
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Change in Fasting Insulin
-1.5 uIU/mL
Standard Error 0.8
-1.1 uIU/mL
Standard Error 0.8
-1.5 uIU/mL
Standard Error 0.8

SECONDARY outcome

Timeframe: Randomization and 52 weeks

HOMA-IR is a measurement for insulin resistance and is calculated from: fasting insulin (U/L) x fasting glucose (mg/dL)/405. A decrease from baseline to the end of treatment, a negative value, indicates an improvement

Outcome measures

Outcome measures
Measure
CMS-Alone
n=50 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=50 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
n=50 Participants
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Change in HOMA-IR
-0.4 mg/dL*µIU/mL/405
Standard Error 0.2
-0.3 mg/dL*µIU/mL/405
Standard Error 0.2
-0.4 mg/dL*µIU/mL/405
Standard Error 0.2

SECONDARY outcome

Timeframe: Randomization and 52 weeks

All sub scales are scored from 0 - 100, with higher scores indicating better health. Each component summary is a normed score with a mean of 50 and standard deviation of 10 in the US general population. Higher scores indicate better health. Z-scores are computed for each subscale, which are then converted into a component summary z-score using a weighted formula. The component summary z-score is then converted to a t-distribution with a mean of 50 and standard deviation of 10. Scores are scaled to a T-score with a mean of 50 and standard deviation of 10. Scores above 50 indicate better health.

Outcome measures

Outcome measures
Measure
CMS-Alone
n=50 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=50 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
n=50 Participants
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Change in 36-Item Short Form Survey (SF-36) - Physical Component Summary
4.4 T scores
Standard Error 1.0
2.1 T scores
Standard Error 1.0
3.4 T scores
Standard Error 1.0

SECONDARY outcome

Timeframe: Randomization and 52 weeks

All sub scales are scored from 0 - 100, with higher scores indicating better health. Each component summary is a normed score with a mean of 50 and standard deviation of 10 in the US general population. Higher scores indicate better health. Z-scores are computed for each subscale, which are then converted into a component summary z-score using a weighted formula. The component summary z-score is then converted to a t-distribution with a mean of 50 and standard deviation of 10. Scores are scaled to a T-score with a mean of 50 and standard deviation of 10. Scores above 50 indicate better health.

Outcome measures

Outcome measures
Measure
CMS-Alone
n=50 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=50 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
n=50 Participants
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Change 36-Item Short Form Survey (SF-36) - Mental Component Summary
0.8 T scores
Standard Error 1.3
4.5 T scores
Standard Error 1.3
6.4 T scores
Standard Error 1.3

SECONDARY outcome

Timeframe: Randomization and 52 weeks

PHQ-9 is scored based on a 0-27 scale in which higher scores indicate more severe depression. Values are summed to compute the total score.

Outcome measures

Outcome measures
Measure
CMS-Alone
n=50 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=50 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
n=50 Participants
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Change in Patient Health Questionnaire (PHQ-9)
-1.8 score on a scale
Standard Error 0.6
-1.9 score on a scale
Standard Error 0.6
-1.5 score on a scale
Standard Error 0.6

SECONDARY outcome

Timeframe: Re-randomization and 12 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=23 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=22 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Extension Study Secondary Outcome: Change in Systolic Blood Pressure
1.2 mm Hg
Standard Error 2.1
2.0 mm Hg
Standard Error 2.1

SECONDARY outcome

Timeframe: Re-randomization and 12 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=22 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=23 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Extension Study Secondary Outcome: Change in Diastolic Blood Pressure
1.3 mm Hg
Standard Error 1.6
0.2 mm Hg
Standard Error 1.6

SECONDARY outcome

Timeframe: Re-randomization and 12 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=23 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=22 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Extension Study Secondary Outcome: Change in Heart Rate
0 Beats per minute
Standard Error 1.4
2.1 Beats per minute
Standard Error 1.4

SECONDARY outcome

Timeframe: Re-randomization and 12 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=23 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=22 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Extension Study Secondary Outcome: Change in Waist Circumference
-0.6 cm
Standard Error 0.8
-0.4 cm
Standard Error 0.8

SECONDARY outcome

Timeframe: Re-randomization and 12 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=23 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=22 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Extension Study Secondary Outcome: Change in Total Cholesterol
3.4 mg/dL
Standard Error 3.3
0.4 mg/dL
Standard Error 3.3

SECONDARY outcome

Timeframe: Re-randomization and 12 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=23 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=22 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Extension Study Secondary Outcome: Change in LDL Cholesterol
2.3 mg/dL
Standard Error 2.8
-2.4 mg/dL
Standard Error 2.8

SECONDARY outcome

Timeframe: Re-randomization and 12 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=23 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=22 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Extension Study Secondary Outcome: Change in HDL Cholesterol
0.6 mg/dL
Standard Error 1.4
2.0 mg/dL
Standard Error 1.4

SECONDARY outcome

Timeframe: Re-randomization and 12 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=23 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=22 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Extension Study Secondary Outcome: Change in Triglycerides
4.1 mg/dL
Standard Error 4.7
6.6 mg/dL
Standard Error 4.7

SECONDARY outcome

Timeframe: Re-randomization and 12 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=23 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=22 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Extension Study Secondary Outcome: Change in c-Reactive Protein
-0.8 mg/L
Standard Error 0.6
-0.6 mg/L
Standard Error 0.6

SECONDARY outcome

Timeframe: Re-randomization and 12 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=23 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=22 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Extension Study Secondary Outcome: Change in Fasting Glucose
1.4 mg/dL
Standard Error 1.6
6.3 mg/dL
Standard Error 1.6

SECONDARY outcome

Timeframe: Re-randomization and 12 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=23 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=22 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Extension Study Secondary Outcome: Change in HbA1c
0.0 percentage
Standard Error 0.1
0.0 percentage
Standard Error 0.0

SECONDARY outcome

Timeframe: Re-randomization and 12 weeks

Outcome measures

Outcome measures
Measure
CMS-Alone
n=23 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=22 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Extension Study Secondary Outcome: Change in Fasting Insulin
0.2 uIU/mL
Standard Error 1.0
0.5 uIU/mL
Standard Error 1.0

SECONDARY outcome

Timeframe: Re-randomization and 12 weeks

HOMA-IR is a measurement for insulin resistance and is calculated from: fasting insulin (U/L) x fasting glucose (mg/dL)/405. A decrease from baseline to the end of treatment, a negative value, indicates an improvement

Outcome measures

Outcome measures
Measure
CMS-Alone
n=23 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=22 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Extension Study Secondary Outcome: Change in HOMA-IR
0.1 mg/dL*µIU/mL/405
Standard Error 0.2
0.3 mg/dL*µIU/mL/405
Standard Error 0.2

SECONDARY outcome

Timeframe: Re-randomization and 12 weeks

All sub scales are scored from 0 - 100, with higher scores indicating better health. Each component summary is a normed score with a mean of 50 and standard deviation of 10 in the US general population. Higher scores indicate better health. Z-scores are computed for each subscale, which are then converted into a component summary z-score using a weighted formula. The component summary z-score is then converted to a t-distribution with a mean of 50 and standard deviation of 10. Scores are scaled to a T-score with a mean of 50 and standard deviation of 10. Scores above 50 indicate better health.

Outcome measures

Outcome measures
Measure
CMS-Alone
n=23 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=22 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Extension Study Secondary Outcome: SF-36 - Physical Health Component
0.3 T scores
Standard Error 1.0
-1.2 T scores
Standard Error 1.0

SECONDARY outcome

Timeframe: Re-randomization and 12 weeks

All sub scales are scored from 0 - 100, with higher scores indicating better health. Each component summary is a normed score with a mean of 50 and standard deviation of 10 in the US general population. Higher scores indicate better health. Z-scores are computed for each subscale, which are then converted into a component summary z-score using a weighted formula. The component summary z-score is then converted to a t-distribution with a mean of 50 and standard deviation of 10. Scores are scaled to a T-score with a mean of 50 and standard deviation of 10. Scores above 50 indicate better health.

Outcome measures

Outcome measures
Measure
CMS-Alone
n=23 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=22 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Extension Study Secondary Outcome: SF-36 - Mental Health Component
-0.1 T scores
Standard Error 1.1
0.2 T scores
Standard Error 1.1

SECONDARY outcome

Timeframe: Re-randomization and 12 weeks

PHQ-9 is scored based on a 0-27 scale in which higher scores indicate more severe depression. Values are summed to compute the total score.

Outcome measures

Outcome measures
Measure
CMS-Alone
n=23 Participants
Lifestyle counseling on the visit schedule recommended by the Centers for Medicare and Medicaid Services (CMS). CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=22 Participants
CMS lifestyle counselling plus liraglutide 3.0 mg/d. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg/d: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
Extension Study Secondary Outcome: Patient Health Questionnaire (PHQ-9)
0.2 score on a scale
Standard Error 0.4
0.0 score on a scale
Standard Error 0.4

Adverse Events

CMS-Alone

Serious events: 2 serious events
Other events: 21 other events
Deaths: 0 deaths

CMS-Liraglutide

Serious events: 0 serious events
Other events: 42 other events
Deaths: 0 deaths

Multi-Component Intervention

Serious events: 3 serious events
Other events: 44 other events
Deaths: 0 deaths

12-Week Extension Study: Phentermine Group

Serious events: 1 serious events
Other events: 12 other events
Deaths: 1 deaths

12-Week Extension Study: Placebo Group

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
CMS-Alone
n=50 participants at risk
Lifestyle counseling, as currently recommended by the CMS. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=50 participants at risk
CMS lifestyle counselling plus liraglutide. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
n=50 participants at risk
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
12-Week Extension Study: Phentermine Group
n=22 participants at risk
After the 1-year trial, half the participants who join the extension study will be randomized to phentermine 15.0 mg/d in a double-blind fashion, while continuing to take liraglutide. They will also continue to receive monthly lifestyle counseling. CMS-recommended lifestyle counseling: 4 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Phentermine 15 MG
12-Week Extension Study: Placebo Group
n=23 participants at risk
After the 1-year trial, half the participants who join the extension study will be randomized to placebo in a double-blind fashion, while continuing to take liraglutide. They will also continue to receive monthly lifestyle counseling. CMS-recommended lifestyle counseling: 4 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Placebo Oral Tablet
Respiratory, thoracic and mediastinal disorders
Asthma Exacerbation
2.0%
1/50 • Number of events 1 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/22 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/23 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
Hepatobiliary disorders
Bile duct stone
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
2.0%
1/50 • Number of events 1 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/22 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/23 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
Gastrointestinal disorders
Gastroenteritis
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
2.0%
1/50 • Number of events 2 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/22 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/23 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
Respiratory, thoracic and mediastinal disorders
Pneumonia
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
2.0%
1/50 • Number of events 1 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/22 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/23 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
Infections and infestations
Wound infection
2.0%
1/50 • Number of events 1 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/22 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/23 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
Nervous system disorders
Quadriplegic event
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
4.5%
1/22 • Number of events 1 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/23 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization

Other adverse events

Other adverse events
Measure
CMS-Alone
n=50 participants at risk
Lifestyle counseling, as currently recommended by the CMS. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian.
CMS-Liraglutide
n=50 participants at risk
CMS lifestyle counselling plus liraglutide. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection.
Multi-Component Intervention
n=50 participants at risk
CMS-Liraglutide plus a 1000-1200 kcal/day portion-controlled diet. CMS-recommended lifestyle counseling: 21 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Portion-Controlled Diet: A 1000-1200 kcal/day portion-controlled diet prescribed for 12 weeks, beginning at week 4.
12-Week Extension Study: Phentermine Group
n=22 participants at risk
After the 1-year trial, half the participants who join the extension study will be randomized to phentermine 15.0 mg/d in a double-blind fashion, while continuing to take liraglutide. They will also continue to receive monthly lifestyle counseling. CMS-recommended lifestyle counseling: 4 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Phentermine 15 MG
12-Week Extension Study: Placebo Group
n=23 participants at risk
After the 1-year trial, half the participants who join the extension study will be randomized to placebo in a double-blind fashion, while continuing to take liraglutide. They will also continue to receive monthly lifestyle counseling. CMS-recommended lifestyle counseling: 4 brief (15 minute) lifestyle counseling visits provided by a physician, nurse practitioner, or registered dietitian. Liraglutide 3.0mg: Liraglutide is a once-daily self-administered, subcutaneous (beneath the skin) injection. Placebo Oral Tablet
Respiratory, thoracic and mediastinal disorders
Upper respiratory infection
16.0%
8/50 • Number of events 8 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
32.0%
16/50 • Number of events 18 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
28.0%
14/50 • Number of events 18 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
4.5%
1/22 • Number of events 1 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
8.7%
2/23 • Number of events 2 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
Gastrointestinal disorders
Gastroenteritis
4.0%
2/50 • Number of events 2 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
20.0%
10/50 • Number of events 12 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
16.0%
8/50 • Number of events 8 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
9.1%
2/22 • Number of events 2 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
4.3%
1/23 • Number of events 1 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
Renal and urinary disorders
Urinary tract infection
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/22 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
8.7%
2/23 • Number of events 2 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
Psychiatric disorders
Depressed mood
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
6.0%
3/50 • Number of events 3 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
2.0%
1/50 • Number of events 1 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/22 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/23 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
Infections and infestations
Tonsillopharyngitis
2.0%
1/50 • Number of events 1 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
6.0%
3/50 • Number of events 3 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/22 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/23 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
Nervous system disorders
Headache
2.0%
1/50 • Number of events 1 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
6.0%
3/50 • Number of events 3 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
2.0%
1/50 • Number of events 1 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/22 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/23 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
Gastrointestinal disorders
Abdominal pain
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
8.0%
4/50 • Number of events 4 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
4.0%
2/50 • Number of events 2 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/22 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/23 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
Musculoskeletal and connective tissue disorders
Lower back pain
4.0%
2/50 • Number of events 2 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
2.0%
1/50 • Number of events 1 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
8.0%
4/50 • Number of events 5 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/22 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/23 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
Musculoskeletal and connective tissue disorders
Knee pain
4.0%
2/50 • Number of events 2 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
4.0%
2/50 • Number of events 2 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
8.0%
4/50 • Number of events 4 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/22 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/23 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
Respiratory, thoracic and mediastinal disorders
Sinusitis
6.0%
3/50 • Number of events 3 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
4.0%
2/50 • Number of events 2 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
10.0%
5/50 • Number of events 5 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/22 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/23 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
General disorders
Fatigue
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
8.0%
4/50 • Number of events 4 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
10.0%
5/50 • Number of events 6 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/22 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/23 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
Skin and subcutaneous tissue disorders
Injection site irritation
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
10.0%
5/50 • Number of events 5 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
12.0%
6/50 • Number of events 6 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/22 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/23 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
Gastrointestinal disorders
Gastroesophageal reflux disorder
4.0%
2/50 • Number of events 2 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
4.0%
2/50 • Number of events 2 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
12.0%
6/50 • Number of events 9 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
13.6%
3/22 • Number of events 3 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
4.3%
1/23 • Number of events 1 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
Gastrointestinal disorders
Vomitting
6.0%
3/50 • Number of events 3 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
12.0%
6/50 • Number of events 8 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
10.0%
5/50 • Number of events 6 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/22 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/23 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
Gastrointestinal disorders
Diarrhea
4.0%
2/50 • Number of events 2 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
12.0%
6/50 • Number of events 9 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
14.0%
7/50 • Number of events 7 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
9.1%
2/22 • Number of events 2 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
4.3%
1/23 • Number of events 2 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
Musculoskeletal and connective tissue disorders
Musculoskeletal injury
12.0%
6/50 • Number of events 7 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
12.0%
6/50 • Number of events 6 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
24.0%
12/50 • Number of events 12 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
4.5%
1/22 • Number of events 1 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
21.7%
5/23 • Number of events 6 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
Gastrointestinal disorders
Constipation
2.0%
1/50 • Number of events 2 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
30.0%
15/50 • Number of events 16 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
34.0%
17/50 • Number of events 21 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/22 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/23 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
Gastrointestinal disorders
Nausea
8.0%
4/50 • Number of events 4 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
36.0%
18/50 • Number of events 21 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
26.0%
13/50 • Number of events 17 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
9.1%
2/22 • Number of events 2 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
4.3%
1/23 • Number of events 1 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
Gastrointestinal disorders
Dry mouth
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
4.5%
1/22 • Number of events 1 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
8.7%
2/23 • Number of events 2 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
Cardiac disorders
Heart Palpitations
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/22 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
8.7%
2/23 • Number of events 2 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
General disorders
Restlessness
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/50 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
9.1%
2/22 • Number of events 2 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization
0.00%
0/23 • 52-weeks post randomization for the original trial; 12-weeks for the extension trial post extension randomization

Additional Information

Dr. Thomas Wadden

The University of Pennsylvania Center for Weight and Eating Disorders

Phone: 215-746-5046

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place