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An Acupoint Catgut-embedding Therapy for Treating Obesity
Published on: April 4, 2025
Development of anti-obesity agents: drugs that target neuropeptide and neurotransmitter systems
1Merck Research Laboratories, R80M-213, PO Box 2000, Rahway, NJ 07065, USA. tung_fong@merck.com
Background:
Obesity results from an imbalance of energy intake and energy expenditure. While the prevalence of obesity is increasing and the negative impact on public health is being recognized, highly effective and safe therapy for obesity is not yet available.
Objective:
This review summarizes the current state of the art in the late-stage development area of anti-obesity drugs, provides a framework for understanding the potential disparity of animal data and human disease modification for some agents, and highlights novel agents that may provide significant clinical benefits in the future.
Methods:
Published literature and meeting proceedings were surveyed to review the late-stage development of new anti-obesity agents.
Results/Conclusions:
Most of the current clinical candidates for obesity treatment are targeting neurotransmitter receptors or peptide receptors. While new agents have been discovered, a significant failure rate also emerged. Rigorous scientific investigations, developing target engagement tools, and understanding any potential rodent versus human species difference will be necessary to ascertain mechanism-based efficacy and increase the probability of success.
Insights
New anti-obesity drugs are in late-stage development, targeting neurotransmitter and peptide receptors. Understanding species differences is crucial for successful obesity therapies.
Area of Science:
- Pharmacology
- Endocrinology
- Public Health
Background:
- Obesity stems from energy imbalance, with rising prevalence and significant public health concerns.
- Current obesity therapies lack sufficient efficacy and safety.
- Effective and safe treatments for obesity remain a critical unmet medical need.
Purpose of the Study:
- To review the current status of late-stage anti-obesity drug development.
- To analyze potential discrepancies between animal model data and human disease modification.
- To identify novel agents with potential for significant clinical impact.
Main Methods:
- A comprehensive survey of published literature and meeting proceedings.
- Focus on agents in the late stages of clinical development for obesity.
- Analysis of drug targets and observed efficacy/failure rates.
Main Results:
- Current drug candidates primarily target neurotransmitter or peptide receptors.
- Despite discovery of new agents, a notable rate of clinical failure exists.
- Understanding species-specific differences (rodent vs. human) is key.
Conclusions:
- Future anti-obesity drug development requires rigorous scientific investigation.
- Development of target engagement tools is essential for efficacy assessment.
- Addressing species differences will improve the success rate of novel obesity treatments.
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