Table 1 Primary endpoints for each subgroup of patients

From: Framework for the pharmacological treatment of obesity and its complications from the European Association for the Study of Obesity (EASO)

   

Primary endpoint

Orlistat

Naltr-Bupr

Liraglutide

Phen-Topir

Semaglutide

Tirzepatide

Obesity management medication decision

Body weight management in obesity

No complications present

Total body weight loss (%)

      

At endpoint

3.0a

4.8a

4.2a

8.8a

8.7a

16.5a

At 52 weeks

2.1

4.8a

7.0a

8.8a

10.7a

14.8a

At 53–104 weeks

2.8a

4.8a

4.3a

8.8a

10.1a

16.5a

Complications management in obesity

Fat mass diseases

       

OSAS

OSAS remission (OR)

NA

NA

NA

NA

NA

2.9a

KOA

KOA improvement (WMD)

NA

NA

NA

NA

−8.6a

NA

Sick fat diseases

       

Pre-diabetes

Normoglycemia restoration (OR)

NA

NA

3.25a

NA

19.6a

8.3a

Type 2 diabetes

Diabetes remission (OR)

NA

2.3a

6.8a

NA

12.3a

15.6a

Cardiovascular disease

MACE incidence (OR)

A

0.88

NA

NA

0.78a

NA

Heart failure

Hospitalization for heart failure (OR)

NA

NA

NA

NA

0.23a

0.45a

MASLD

MASH remission (OR)

NA

NA

NA

NA

2.0

11.8a

  1. Data obtained from the network metanalysis6. KOA improvement refers to a reduction in knee pain and/or improvement in physical functioning assessed using any validated questionnaire. NA, information not available; OR, subtracted-placebo Mantel–Haenszel odds ratio; WMD, subtracted-placebo weighted mean difference. aStatistically significant result (P < 0.05).