June 5 (Reuters) - Roche said on Friday that
patients lost 22.7% of their body weight in a mid-stage trial of
its dual-acting experimental obesity drug, with more than a
quarter of those who received the highest dose achieving at
least 30% weight loss.
Roche is one of several large drugmakers, including
AstraZeneca ( AZN ) and Amgen ( AMGN ), seeking to challenge
Novo Nordisk and Eli Lilly ( LLY ) with
next-generation treatments in an obesity market some analysts
expect to generate over $100 billion annually in the next
decade.
The 22.7% weight loss reported for Roche's enicepatide was
achieved after just 48 weeks.
By comparison, Novo's Wegovy injection produced about 15%
weight loss after 68 weeks in a late-stage trial. In a recent
84-week head-to-head trial, Lilly's Zepbound delivered weight
loss of 25.5%, compared with 23% for Novo's next-generation
obesity drug CagriSema. Enicepatide is a once-weekly injection
that, like Zepbound, mimics both the GLP-1 and GIP hormones
rather than just GLP-1.
The weight-loss trajectory showed "no hint of any plateau"
at week 48, Manu Chakravarthy, Roche's head of cardiovascular,
renal and metabolism product development, said in an interview.
The data suggested patients could continue losing weight if
treatment extended beyond the study period, he added.
The Phase 2 study tested enicepatide in 469 adults with
overweight or obesity at five doses ranging from 4 mg to 24 mg
against a placebo.
Among patients who received the highest dose, 26% shed at
least 30% of their weight.
The results, which were presented at the American Diabetes
Association meeting in New Orleans, showed a clear dose-response
relationship, the Swiss drugmaker said. The GLP-1 class of
medicines was originally designed to control blood sugar in type
2 diabetes patients.
Treatment discontinuations due to adverse events were 5.9%
for patients taking enicepatide, compared with 1.3% in the
placebo group. Most gastrointestinal side effects, which are
common with the class of medications, were mild to moderate, the
company said.
Among patients classified as obese at the start of the
trial, more than half who received doses above 8 mg had moved
below the obesity threshold of a body mass index of 30 by week
48, Chakravarthy said.