Mounjaro Bests Ozempic for Weight Loss

Medically reviewed by Drugs.com.
By Dennis Thompson HealthDay Reporter

Mounjaro outperforms Ozempic in helping people lose weight, a new study shows. People taking tirzepatide (Mounjaro, Zepbound) dropped significantly more pounds than those taking semaglutide (Ozempic, Wegovy), researchers reported July 8 in the journal JAMA Internal Medicine.

“Individuals with overweight or obesity treated with tirzepatide were significantly more likely to achieve clinically meaningful weight loss and larger reductions in body weight compared with those treated with semaglutide,” concluded the research team led by Dr. Nicholas Stucky, Vice President of Research with Truveta Inc., a medical research collective.

For the study, researchers tracked more than 18,000 overweight and obese people who were prescribed either drug to help control their type 2 diabetes between May 2022 and September 2023. Both drugs initially were developed as type 2 diabetes medications but were later approved for use in weight loss.

Results show that both drugs are effective in promoting some weight loss. Nearly 82% of patients taking Mounjaro lost 5% or more of their body weight, compared to nearly 67% of those taking Ozempic, researchers found.

However, Mounjaro users were more likely to achieve greater weight gain. About 42% of Mounjaro patients lost 15% or more of their body weight, compared to about 18% of those taking Ozempic.

Overall, patients on Mounjaro were 76% more likely than those on Ozempic to lose 5% or more of their body weight; 2.5 times more likely to lose 10% or more of their body weight; and 3.2 times more likely to lose 15% or more of their body weight, results show.

Mounjaro patients also experienced larger reductions in body weight throughout their first year on the drug, researchers added.

After three months, Mounjaro patients had lost about 6% of their body weight compared to under 4% for Ozempic patients. The difference was 10% versus 6% at six months, and 15% to 8% at one year. Both drugs work by mimicking the effects of the gut hormone GLP-1, which plays a role in maintaining stable blood sugar levels. This action also slows digestion and increases satiety.

However, Mounjaro also stimulates a second gut hormone called GIP, which might explain the boosted effects found in this study.

Sources:

  • JAMA Internal Medicine, news release, July 8, 2024

Wegovy, Ozempic Lower Risk of Many Obesity-Related Cancers

Medically reviewed by Drugs.com.
By Robin Foster HealthDay Reporter

In yet another finding that touts the health benefits of wildly popular weight-loss medications like Wegovy and Ozempic, scientists report that taking the drugs may help reduce the risk of some cancers. In a study published July 5 in JAMA Network Open, researchers found people with type 2 diabetes who were being treated with a class of GLP-1 drugs were less likely to be diagnosed with 10 of 13 obesity-linked cancers than those who were taking insulin.

The reduction in risk was significant: Taking the medications cut rates of gallbladder cancer, meningioma, pancreatic cancer and hepatocellular carcinoma, a type of liver cancer, by more than half. Risks were also reduced for cancers of the ovaries, colon, esophagus, and kidneys as well as for multiple myeloma (a cancer of the bone marrow) and endometrial cancer (which begins in the lining of the uterus). Excess weight can trigger chronic inflammation and high levels of insulin, insulin-like growth factor and sex hormones. All of these can prompt the development of cancer, according to the U.S. Centers for Disease Control and Prevention. GLP-1 medications interact with systems related to insulin production, the researchers noted.

Importantly, the study found that taking GLP-1 drugs did not lower the risk of postmenopausal breast cancer, which CDC data show is the most common obesity-linked cancer. Risk was also not reduced for stomach cancer or thyroid cancer. Other early research has found that GLP-1s may interact with the body’s insulin production in ways that may harm the thyroid, CNN reported, and the study noted that patients should be aware of thyroid-related risks that are included in the medication’s packaging.

The researchers also found the risk of cancer for people with type 2 diabetes was not different among those who were treated with GLP-1s compared with those where were being treated with metformin. Kidney cancer risk was higher among those using GLP-1s, however. In the study, researchers from the Case Western Reserve University School of Medicine and the MetroHealth System analyzed more than a decade of medical records on nearly 1.7 million people with type 2 diabetes.

While more research is needed, the findings provide “preliminary evidence of the potential benefit of GLP-1RAs for cancer prevention in high-risk populations and support further preclinical and clinical studies,” the authors wrote.

Sources:

  • JAMA Network Open, July 5, 2024
  • CNN

GENERIC DRUG APPROVALS

July 2024

  • Indium In-111 Pentetreotide Injection Kit 3 mCi/mL
    Approved: July 1, 2024 – Sun Pharmaceutical Industries, Inc.
    Used for: Diagnosis and Investigation
    Generic for: Octreoscan
  • Bupivacaine Liposome Injectable Suspension 133mg/10mL (13.3mg/mL) and 266mg/20mL
    (13.3mg/mL)
    Approved: July 1, 2024 – Jiangsu Hengrui Pharmaceuticals Co., Ltd.
    Used for: Analgesia
    Generic for: Exparel

June 2024

  • Palbociclib Tablets 75mg, 100mg and 125mg
    Approved: June 5, 2024 – Synthon Pharmaceuticals, Inc.
    Treatment for: Breast Cancer
    Generic for: Ibrance Tablets
  • Avanafil Tablets 50mg, 100mg and 200mg
    Approved: June 14, 2024 – Hetero Labs Limited
    Treatment for: Erectile Dysfunction
    Generic for: Stendra
  • Phentermine Hydrochloride and Topiramate Extended-Release Capsules 3.75mg (base)/23mg,
    7.5mg (base)/46mg, 11.25mg (base)/69mg and 15mg (base)/92mg
    Approved: June 25, 2024 – Actavis Laboratories FL, Inc.
    Treatment for: Obesity
    Generic for: Qsymia

Main Products, Inc. Issues Recall of Umary Acido Hialuronico, SuplementoAlimenticio Due to the Presence of Undeclared Drug Ingredients

Main Products, Inc. is voluntarily recalling all lots of “Umary Acido Hialuronico, Suplemento Alimenticio – 30 Capletas de 850mg” to the consumer level. FDA laboratory analysis confirmed that UMARY has been found to be tainted with the drug ingredients, diclofenac and omeprazole. Products containing diclofenac and omeprazole cannot be marketed as dietary supplements. UMARY is an unapproved new drug for which safety and efficacy have not been established and, therefore, subject to recall.

Risk Statement: Diclofenac is a non-steroidal anti-inflammatory drug (commonly referred to as NSAIDs). There is a reasonable probability that consumption of high levels of undeclared diclofenac could result in serious adverse events that include cardiovascular, gastrointestinal, renal, and anaphylaxis in patients taking concomitant NSAIDs and/or anticoagulants, such as Warfarin, in those who have allergies to diclofenac, or those with underlying cardiovascular, gastrointestinal, renal, and hepatic illnesses.

Omeprazole is a proton pump inhibitor (commonly referred to as PPI) used to treat gastric (stomach) acidrelated disorders. PPI medicines may cause serious skin reactions, abdominal pain, diarrhea, nausea, and headache. This hidden ingredient may mask stomach issues such as erosions, ulcers, and stomach cancer, and it can also interact with other medications and should not be taken with certain medications. The product is used as a dietary supplement promoted and sold for pain and is packaged in bottles with 30 caplets. The affected product includes all lots within expiry. The product was distributed via online store Main Products, Inc. on Amazon.com.

Main Products, Inc. is notifying its customers by email and is arranging for the return of all recalled products. Consumers that have UMARY which is being recalled should stop using and return to their place of purchase. Consumers may return the products to the address below.

Main Products, Inc., 1551 Glenwood Springs Ave., Chula Vista CA, 91913
www.main-products.com.
Source: FDA

Read more…

Endo USA, Inc. Issues Recall of One Lot of Clonazepam Orally Disintegrating TabletsDue to Mislabeling: Incorrect Strength on Product Carton

Endo, Inc announced that one of its operating subsidiaries, Endo USA, Inc., is voluntarily recalling one lot of Clonazepam Orally Disintegrating Tablets, USP (C-IV) 0.25mg tablets, which may also appear as Clonazepam Orally Disintegrating Tablets, USP (C-IV) 0.125mg tablets 60-count pack to the consumer level.

The product lot is being recalled due to mislabeling where an incorrect strength appears on the cartons of some packs to show the product strength as 0.125mg and not 0.25mg due to an error at a third-party packager. The blister strips inside the product pack reflect the correct strength of 0.25mg.

This recall impacts the following product lot:

  • See below image of correct carton label: Clonazepam Orally Disintegrating Tablets, USP 0.25mg 60-count carton, lot 550147301, expiration date August 2026
  • See below image of incorrect carton label: Clonazepam Orally Disintegrating Tablets, USP 0.125mg
    60-count carton, lot 550147301, expiration date August 2026

(Note: No BeneCard PBF members were affected by this recall.)
Source: FDA

Read more…

FEMLYV

FDA Approves Femlyv Orally Disintegrating Birth Control Pill

The U.S. Food and Drug Administration (FDA) approved Femlyv (norethindrone acetate and ethinyl estradiol), the first orally disintegrating tablet approved for the prevention of pregnancy.

  • Norethindrone acetate and ethinyl estradiol, the main ingredients in Femlyv, have been approved
    in the U.S. for the prevention of pregnancy as a swallowable tablet since 1968.
  • Femlyv is the first FDA-approved dissolvable birth control pill, designed for individuals who have
    trouble swallowing their medication.
    Source: FDA

Read more…

KISUNLA™

FDA Approves Kisunla for the Treatment of Early Symptomatic Alzheimer’s Disease

The U.S. Food and Drug Administration (FDA) has approved Kisunla™ (donanemab-azbt, 350mg/20mL injection for IV infusion) as treatment of early symptomatic Alzheimer’s disease (AD) which includes people with mild cognitive impairment (MCI) as well as people with the mild dementia stage of AD, with confirmed amyloid pathology.

  • Once-monthly Kisunla IV infusion is the first and only amyloid plaque-targeting therapy with evidence to support stopping therapy when amyloid plaques are removed, which can result in lower treatment costs and fewer infusions.
  • Among the overall population of Phase 3 study participants, Kisunla reduced amyloid plaques on average by 61% at 6 months, 80% at 12 months, and 84% at 18 months compared to the start of the study.
  • The FDA’s dosing instructions state that prescribers can consider stopping the dosing of Kisunla based on removal of amyloid plaques to minimal levels as observed on amyloid PET imaging.

Read more…

VIGAFYDE™

FDA Approves Vigafyde™ as the First and Only Ready-to-Use Vigabatrin Oral Solution

Pyros Pharmaceuticals, Inc. has announced that the U.S. Food and Drug Administration (FDA) approved Vigafyde™, the only ready-to-use vigabatrin oral solution, as a monotherapy for the treatment of pediatric patients 1 month to 2 years of age with infantile spasms (IS), where the potential benefits outweigh the potential risk of vision loss.

  • Infantile spasms, a rare but severe form of epilepsy, pose significant challenges for patients and their families.
  • Pyros provides ongoing personalized support to caregivers. The support program offers personal assistance and financial resources to caregivers whose child is starting or continuing therapy.
  • Vigafyde™ is expected to be available in the second half of 2024.

Read more…

PYZCHIVA®

FDA Approves Pyzchiva, a Biosimilar to Stelara

Sandoz has announced that the U.S. Food and Drug Administration (FDA) approved biosimilar Pyzchiva®* (ustekinumab-ttwe) 45 mg/0.5 mL and 90 mg/mL pre-filled syringes for subcutaneous injection and 130mg/26mL (5mg/mL) single-dose vial for intravenous infusion. Developed by Samsung Bioepis Co., Ltd, it is approved for all indications of its reference medicine and will be commercialized by Sandoz in the US.

  • Pyzchiva® is approved by the FDA for all indications of the reference medicine
    Stelara®† (ustekinumab), a human interleukin (IL)-12 and IL-23 antagonist including to treat adult
    patients with moderate to severe plaque psoriasis, active psoriatic arthritis, moderately to severely active Crohn’s disease and moderately to severely active ulcerative colitis, as well as pediatric patients with moderate to severe plaque psoriasis and active psoriatic arthritis.
  • In addition, the FDA provisionally determined that Pyzchiva® would be interchangeable with the
    reference medicine as it is currently subject to an unexpired period of exclusivity for the first
    interchangeable biosimilar biological products.
  • Sandoz intends to launch Pyzchiva® in the US in February 2025.
  • *Pyzchiva® is a trademark of Samsung Bioepis Co. Ltd.† Stelara® is a registered trademark of JOHNSON & JOHNSON (USA).

Read more…

GENERIC DRUG APPROVALS

July 2024

  • Indium In-111 Pentetreotide Injection Kit 3mCi/mL
    Approved: July 1, 2024 – Sun Pharmaceutical Industries, Inc.
    Used for: Diagnosis and Investigation
    Generic for: Octreoscan
  • Bupivacaine Liposome Injectable Suspension 133mg/10mL (13.3mg/mL) and 266mg/20mL (13.3mg/mL)
    Approved: July 1, 2024 – Jiangsu Hengrui Pharmaceuticals Co., Ltd.
    Used for: Analgesia
    Generic for: Exparel
  • L-Glutamine Powder for Oral Solution 5gm/packet
    Approved: July 8, 2024 – Novitium Pharma LLC
    Used for: Sickle Cell Disease
    Generic for: Endari
  • Nimodipine Oral Solution 3mg/mL
    Approved: July 9, 2024 – Annora Pharma Private Limited
    Used for: Subarachnoid Hemorrhage
    Generic for: Nymalize
  • Tazarotene Topical Cream 0.05%
    Approved: July 15, 2024 – Padagis Israel Pharmaceuticals Ltd.
    Used for: Plaque Psoriasis
    Generic for: Tazorac Cream 0.05%