Obesity Pharmacotherapy
The Duke Clinical Research Institute hosted a think tank, "Anti-Obesity Pharmacotherapy: Need for Guidance, Access, and Equity" in October 2024. This brought together multi-industry stakeholders to align and advance the field of obesity medications (OMs). Key themes included the need for an evidence-based, patient-centric definition of obesity incorporating alternative measures of excess or dysfunctional adiposity, obesity symptoms, and obesity-related complications; barriers to OM access (cost and availability) that perpetuate inequalities in care; ambiguity in optimal clinical OM use; challenges of novel clinical trial designs; and ethics of placebo-controlled trials. Action items included a cross-stakeholder obesity research roadmap, standardized obesity measures inclusive of and beyond body mass index, strategies to ensure equitable OM access, and a forum to address regulatory and payer challenges. The complex, rapidly developing field of obesity research and OM development requires a strategy to ensure equitable, streamlined research and access to OMs.
Authors
- Ania M. Jastreboff (ORCID: https://orcid.org/0000-0003-1446-0991)
- Javed Butler (ORCID: https://orcid.org/0000-0001-7683-4720)
- Jyothis T. George (ORCID: https://orcid.org/0000-0002-5299-775X)
- Pishoy Gouda (ORCID: https://orcid.org/0000-0002-8158-4786)
- Jennifer Jackman
- Ruth M. Belin
- Maria Borentain
- Joanne Waldstreicher (ORCID: https://orcid.org/0000-0002-3992-4636)
- Jingyu Julia Luan
- Mariell Jessup (ORCID: https://orcid.org/0000-0002-3010-0112)
- Christoph P. Hornik (ORCID: https://orcid.org/0000-0001-7056-8759)
- Lesley H. Curtis (ORCID: https://orcid.org/0000-0002-3286-9371)
- Paul Kessler
- Nadine Allyn
- D H Ryan
- Brad Jordan
- Sarah Wells Kocsis
- Latoya Lartey
- Neha Pagidipati
Institutions
- Pennington Biomedical Research Center (US)
- American Heart Association (US)
- Milken Institute (US)
- Becton Dickinson (United States) (US)
- Bayer (United States) (US)
- Eli Lilly (United States) (US)
- Yale University (US)
- University of Mississippi (US)
- Clinical Research Institute (US)
- Bristol-Myers Squibb (United States) (US)
- Parkinson's UK (GB)
- AstraZeneca (United States) (US)
- Boehringer Ingelheim (United States) (US)
- Baylor Scott & White Health (US)
Publication Details
- Journal
- JACC Advances
- Published
- 2026-04-01
- DOI
- https://doi.org/10.1016/j.jacadv.2026.102713
- Primary Topic
- Pharmacology and Obesity Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00