Evidence map›Paper›PMID 32523721›Full record

ArticleObesity science & practice2020

Effects of a novel combination of orlistat and acarbose on tolerability, appetite, and glucose metabolism in persons with obesity.

Ulf Holmbäck, Anders Forslund, Stefan Grudén, Göran Alderborn, Arvid Söderhäll, Per M Hellström, Hans Lennernäs

Abstract read
In one paragraph

Article in Obesity science & practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Trial
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  5. Article
  6. Review
  7. Article
  8. Review
  9. Manipulation of Post-Prandial Hyperglycaemia in Type 2 Diabetes: An Update for Practitioners.Diabetes, metabolic syndrome and obesity : targets and therapy · 2024
    Review
  10. Review
  11. Reversal and Remission of T2DM - An Update for Practitioners.Vascular health and risk management · 2022
    Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ulf HolmbäckDepartment of Public Health and Caring Sciences, Clinical Nutrition and Metabolism Uppsala University Uppsala Sweden.ORCID https://orcid.org/0000-0002-0764-5878
Anders ForslundDepartment of Women's and Children's Health Uppsala University Uppsala Sweden.ORCID https://orcid.org/0000-0001-9109-4556
Stefan GrudénEmpros Pharma AB Solna Sweden.
Göran AlderbornDepartment of Pharmacy Uppsala University Uppsala Sweden.
Arvid SöderhällEmpros Pharma AB Solna Sweden.
Per M HellströmDepartment of Medical Sciences Uppsala University Uppsala Sweden.ORCID https://orcid.org/0000-0001-8428-0772
Hans LennernäsDepartment of Pharmacy Uppsala University Uppsala Sweden.ORCID https://orcid.org/0000-0002-1578-5184

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThere is an unmet medical need for a safe and effective weight loss product with minimal systemic side-effects. In this study, the effect of a novel modified-release fixed-dose combination of orlistat and acarbose (MR-OA) was compared with conventional orlistat (CO) regarding tolerability, appetite and glucose metabolism.

methodsSixty-seven men with obesity, aged 24 to 60 years with body mass indexes (BMIs) 33 to 40 kg m

resultsIn the MR-OA groups, reports of liquid and oily stools as well as faecal incontinence were fewer, whereas reports of gastric distension and flatulence were higher, compared with the CO group. More participants reported decreased hunger in the 90/30 and 120/40 MR-OA, and postprandial plasma glucose concentration was reduced in all MR-OA groups compared with CO.

conclusionsThis study shows that by using a modified-release dosage form, orlistat and acarbose can be combined without compromising tolerability. Furthermore, MR-OA shows promising effects regarding reduction of appetite and reduces postprandial glucose. Tolerability is coupled to compliance and thereby efficacy of a treatment; therefore, this novel combination MR-OA could be an effective approach for weight loss treatment. A follow-up study in a more diverse population and for a longer duration with weight loss as primary outcome variable is planned.

Indexed as

gastrointestinal tolerabilitymodified releaseobesitytype‐2 diabetes

Identifiers

PMID32523721
PMCPMC7278902

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.