LONDON, Dec 18 (Reuters) - A new class of weight loss
drugs developed by Novo Nordisk and Eli Lilly ( LLY ) "opens the
possibility of an end to the obesity pandemic" alongside other
interventions, the World Health Organization (WHO) said this
week.
But the global health agency said it has concerns that
unless health systems prepare properly, the drugs could distort
the response to the global obesity crisis, risking leaving
people behind and overshadowing other steps to improve health.
The new drugs "have the potential to be transformative",
according to the WHO's chief scientist, Jeremy Farrar, its
director of nutrition, Francesco Branca, and his senior adviser,
Francesca Celleti, in an opinion piece in the Journal of the
American Medical Association (JAMA). The article is the agency's
clearest comment yet on the potential of the new drugs, known as
GLP-1 receptor agonists.
But "medication in isolation will not be enough to address
the obesity crisis," they added, calling instead for the
innovation to push clinicians, governments, the pharmaceutical
industry and the public towards considering the condition a
chronic disease that needs further study into how best to
prevent and treat it.
More than a billion people worldwide are obese, and there
were 5 million obesity-related deaths in 2019, the WHO said. The
condition is becoming more common almost everywhere in the
world.
The article accepts that, while there is good evidence for
the effectiveness of policies aimed at healthy diets and regular
physical activity, "it is time to recognise that...(they) have
so far failed to treat obesity."
Combining them with the new drugs could change that, it
said, but the authors also raised concerns with how the
treatments - known by the brand names Wegovy and Mounjaro or
Zepbound - are being rolled out.
For example, they said models that intervene only when
people have severe obesity or other related conditions must be
replaced with models that see obesity as a chronic disease
requiring a social, public health and clinical response.
They also said the drugs need to be available more
equitably, cheaply, and at greater scale in order to respond to
the obesity crisis in low-income countries as well as among the
world's wealthiest.
The agency is drawing up guidelines for how to use the drugs
in adults, including in low and middle-income countries, which
are due out in July 2025.
In 2023, the WHO decided not to add GLP-1 drugs to its
essential medicines list, a catalogue of the items that should
be available in all functioning health systems. Another
application has been lodged for the agency to again consider
their inclusion in the 2025 list update, a spokesperson said on
Wednesday.