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Stimulation of cholecystokinin-A receptors with GI181771X does not cause weight loss in overweight or obese patients.

Jordan, J (author)
Greenway, F L (author)
Leiter, L A (author)
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Li, Z (author)
Jacobson, Peter, 1962 (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
Murphy, K (author)
Hill, J (author)
Kler, L (author)
Aftring, R P (author)
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 (creator_code:org_t)
2007-06-27
2008
English.
In: Clinical pharmacology and therapeutics. - : Springer Science and Business Media LLC. - 1532-6535 .- 0009-9236. ; 83:2, s. 281-7
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Cholecystokinin (CCK) decreases meal size through activation of CCK-A receptors on vagal afferents. We tested the hypothesis that the selective CCK-A agonist GI181771X induces weight loss in obese patients. Patients with body mass index > or = 30 or > or = 27 kg/m2 with concomitant risk factors were randomized to 24-week, double-blind treatment with different GI181771X doses or matching placebo together with a hypocaloric diet. The primary efficacy end point was the absolute change in body weight. To monitor pancreatic and gallbladder effects, patients underwent abdominal ultrasound and magnetic resonance imaging before and after treatment. We randomized 701 patients to double-blind treatment. GI181771X did not reduce body weight and had no effect on waist circumference or other cardiometabolic risk markers. Gastrointestinal side effects were more common with GI181771X than with placebo treatment, whereas hepatobiliary or pancreatic abnormalities did not occur. CCK-A by itself does not have a central role in long-term energy balance.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)

Keyword

Adult
Anti-Obesity Agents
adverse effects
therapeutic use
Benzodiazepines
adverse effects
therapeutic use
Caloric Restriction
Combined Modality Therapy
Double-Blind Method
Female
Gallbladder
drug effects
Humans
Liver
drug effects
Magnetic Resonance Imaging
Male
Middle Aged
Obesity
diet therapy
drug therapy
metabolism
pathology
Pancreas
drug effects
Receptor
Cholecystokinin A
agonists
metabolism
Time Factors
Treatment Outcome
Ultrasonography
Weight Loss
drug effects

Publication and Content Type

ref (subject category)
art (subject category)

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