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Xenical

Clinical Pharmacology
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Clinical Pharmacology

In study 14119C, patients treated with placebo regained 52% of the weight they had previously lost while the patients treated with XENICAL regained 26% of the weight they had previously lost (p < 0.001). In study 14185, patients treated with placebo regained 63% of the weight they had previously lost while the patients treated with XENICAL regained 35% of the weight they had lost (p < 0.001). In study 14302, patients treated with placebo regained 53% of the weight they had previously lost while the patients treated with XENICAL regained 32% of the weight that they had lost (p < 0.001).

Two-year Results: Long-term Weight Control and Risk Factors

The treatment effects of XENICAL were examined for 2 years in four of the five 1-year weight management clinical studies previously discussed (see Table 1). At the end of year 1, the patients' diets were reviewed and changed where necessary. The diet prescribed in the second year was designed to maintain patient's current weight. XENICAL was shown to be more effective than placebo in long-term weight control in four large, multicenter, 2-year double-blind, placebo-controlled studies.

Pooled data from four clinical studies indicate that 40% of all patients treated with 120 mg three times a day of XENICAL and 24% of patients treated with placebo who completed 2 years of the same therapy had ≥ 5% loss of body weight from randomization. Pooled data from four clinical studies indicate that the relative weight loss advantage between XENICAL 120 mg three times a day and placebo treatment groups was the same after 2 years as for 1 year, indicating that the pharmacologic advantage of XENICAL was maintained over 2 years. In the same studies cited in the One-year Results (see Table 1), the percentages of patients achieving a ≥ 5% and ≥ 10% weight loss after 2 years are shown in Table 3.

Table 3: Percentage of Patients Losing ≥ 5% and ≥ 10% of Body Weight From Randomization After 2-Year Treatment*

Intent-to-Treat Population
≥ 5% Weight Loss ≥ 10% Weight Loss
Study No. XENICAL n Placebo n p-value XENICAL n Placebo n p-value
14119C 45.1% 133 23.6% 123 < 0.001 24.8% 133 6.5% 123 < 0.001
14149 43.3% 178 27.2% 158 0.002 18.0% 178 9.5% 158 0.025
14161 25.0% 148 15.0% 113 0.049 16.9% 148 3.5% 113 0.001
14185 34.0% 147 27.9% 122 0.279 17.7% 147 11.5% 122 0.154
The diet utilized during year 2 was designed for weight maintenance and not weight loss.
* Treatment designates XENICAL 120 mg three times a day plus diet or placebo plusdiet
Last observation carried forward
All studies, with the exception of 14161 were conducted at centers specializing intreating obesity or complications of obesity. Study 14161 was conducted with primarycare physicians.

Brand Name: Xenical
Generic Name: Orlistat 120 mg
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