Evidence map›Paper›PMID 40055520›Full record

Trial reportNature medicine2025

Anti-obesity medication for weight loss in early nonresponders to behavioral treatment: a randomized controlled trial.

Jena S Tronieri, Eleanor Ghanbari, Jonathan Chevinsky, Erica M LaFata, Alyssa M Minnick, Simran Rajpal, Seamus Y Wang, Kylie Burcaw, Robert I Berkowitz, Thomas A Wadden

Abstract readClinical Trial, Phase IVRandomized Controlled Trial
In one paragraph

Trial report in Nature medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Review
  3. Review
  4. Observational
  5. Review
  6. Review
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

10 authors.

Jena S TronieriCenter for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA. jena.tronieri@pennmedicine.upenn.edu.ORCID http://orcid.org/0000-0003-3587-4130
Eleanor GhanbariCenter for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Jonathan ChevinskyDepartment of Psychiatry, Beth Israel Deaconess Medical Center, Boston, MA, USA.ORCID http://orcid.org/0000-0002-4535-8108
Erica M LaFataCenter for Weight, Eating and Lifestyle Science, Department of Psychology, Drexel University, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-8505-6366
Alyssa M MinnickCenter for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-7699-0184
Simran RajpalCollege of Arts and Sciences, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-9756-7510
Seamus Y WangCollege of Arts and Sciences, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-7529-6147
Kylie BurcawSchool of Nursing, University of Pennsylvania, Philadelphia, PA, USA.
Robert I BerkowitzCenter for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Thomas A WaddenCenter for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-0438-4609

Funding

Improving Weight Loss in Early Non-responders to Behavioral TreatmentK23DK116935 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI TRONIERI, JENNIFER SHAW · 2019 to 2023
$938k
NIDDK NIH HHS K23 DK116935U.S. Department of Health & Human Services | NIH | National Institute of Diabetes and Digestive and Kidney Diseases (National Institute of Diabetes & Digestive & Kidney Diseases) K23DK116935
6 · The paper itself

Abstract

Current guidelines recommend behavioral treatment (BT) as the first intervention for patients with obesity. However, a substantial minority (35-50%) do not achieve a clinically meaningful loss of ≥5%. Anti-obesity medications (AOMs) are recommended when target weight loss is not achieved; however, their efficacy among BT nonresponders has not been established. This double-blind, randomized controlled proof-of-principle study evaluated whether augmenting BT with AOM improved 24-week weight loss compared to BT with placebo in early nonresponders to BT. A total of 147 adults with a body mass index ≥31 kg m

Indexed as

Anti-Obesity AgentsBehavior TherapyObesityPhentermineWeight LossAdultBody Mass IndexDouble-Blind MethodFemaleHumansMaleMiddle AgedTreatment OutcomeAnti-Obesity AgentsPhentermine

Identifiers

PMID40055520
PMCPMC12092266

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.