J Clin Med. 2021 Sep 30;10(19). doi: 10.3390/jcm10194540.
Anti-Obesity Medication Use in Children and Adolescents with Prader-Willi Syndrome: Case Review and Literature Search.
Journal of clinical medicine
Victoria E Goldman, Monica N Naguib, Alaina P Vidmar
Affiliations
Affiliations
- Department of Pediatrics, Children's Hospital Los Angeles, Los Angeles, CA 90027, USA.
- Center for Endocrinology, Children's Hospital Los Angeles, Los Angeles, CA 90027, USA.
- Department of Pediatrics, Keck School of Medicine of University of Southern California, Los Angeles, CA 90033, USA.
PMID: 34640558
PMCID: PMC8509766 DOI: 10.3390/jcm10194540
Abstract
(1) Background: children with Prader-Willi syndrome (PWS) have high obesity rates due to hyperphagia and decreased metabolic rates. Although anti-obesity medications (AOMs) are prescribed to this population, there are no consensus guidelines on acceptability, safety, and efficacy. We present literature review and case series on AOMs in youth with PWS. (2) Methods: we performed PubMed review from January 2000 to April 2021 utilizing keywords: "Prader-Willi syndrome" or "PWS" and "medication" including: topiramate, metformin, phentermine, liraglutide, orlistat, oxytocin, semaglutide, naltrexone-bupropion. For our case series, patients were identified through retrospective chart reviews from a multi-disciplinary PWS clinic. Eligibility criteria: age ≤ 18 years, genetically confirmed PWS, AOM use for at least 16 weeks, and recent anthropometric data. (3) Results: a literature search yielded 14 articles (3 topiramate, 1 metformin, 4 liraglutide, 5 oxytocin, 1 naltrexone-bupropion). All studies reported improved hyperphagia with variable BMI effects. Ten adolescents met case series eligibility (mean age 13.2 ± 2.6 years, 40% female; AOMs: 6 metformin, 5 topiramate, 2 semaglutide, 3 liraglutide). After AOM course, 60% had decreased or stable BMI z-score. No significant side effects. (4) Conclusions: results suggest AOMs may be useful for weight management in youth with PWS. Additional studies are required to validate findings and support AOM treatment guidelines.
Keywords: Prader-Willi syndrome; anti-obesity medication; liraglutide; metformin; naltrexone-bupropion; oxytocin; semaglutide; topiramate
References
- JAMA. 2017 Jun 20;317(23):2427-2444 - PubMed
- Clin Endocrinol (Oxf). 2016 Dec;85(6):979-987 - PubMed
- Curr Obes Rep. 2019 Jun;8(2):156-164 - PubMed
- Expert Opin Drug Saf. 2018 Apr;17(4):379-385 - PubMed
- PLoS One. 2019 Sep 23;14(9):e0221615 - PubMed
- J Child Adolesc Psychopharmacol. 2016 May;26(4):403-4 - PubMed
- J Pediatr Endocrinol Metab. 2014 Jan;27(1-2):23-9 - PubMed
- Curr Opin Endocrinol Diabetes Obes. 2020 Feb;27(1):56-62 - PubMed
- Endocr J. 2012;59(10):889-94 - PubMed
- Am J Med Genet A. 2017 May;173(5):1243-1250 - PubMed
- Diabet Med. 2011 Jun;28(6):755-6 - PubMed
- Pediatr Neurol. 2003 Feb;28(2):130-3 - PubMed
- Diabetes Obes Metab. 2017 Dec;19(12):1751-1761 - PubMed
- Mol Genet Metab. 2018 Apr;123(4):511-517 - PubMed
- Clin Pediatr Endocrinol. 2020;29(2):81-84 - PubMed
- Ann Pharmacother. 2013 Mar;47(3):340-9 - PubMed
- J Korean Med Sci. 2021 Jan 18;36(3):e21 - PubMed
- Med Clin North Am. 2018 Jan;102(1):135-148 - PubMed
- JAMA. 2015 Mar 24-31;313(12):1213-4 - PubMed
- Nat Rev Endocrinol. 2017 Dec;13(12):700-709 - PubMed
- Front Endocrinol (Lausanne). 2019 Apr 12;10:155 - PubMed
- Endocr Rev. 2020 Apr 1;41(2): - PubMed
- Eur J Endocrinol. 2020 Nov;183(5):R149-R166 - PubMed
- Pediatr Diabetes. 2017 Feb;18(1):10-16 - PubMed
- J Endocrinol Invest. 2021 Oct;44(10):2057-2070 - PubMed
- Obes Rev. 2020 May;21(5):e12992 - PubMed
- Obes Rev. 2011 May;12(5):e338-47 - PubMed
- Curr Obes Rep. 2020 Dec;9(4):442-450 - PubMed
- Am J Ment Retard. 2004 Jul;109(4):301-9 - PubMed
- Am J Med Genet A. 2014 Sep;164A(9):2232-9 - PubMed
- Lancet. 2008 Nov 29;372(9653):1906-1913 - PubMed
- J Pediatr Endocrinol Metab. 2020 Jul 28;33(7):951-955 - PubMed
- Nature. 2012 Aug 9;488(7410):172-7 - PubMed
- Obes Rev. 2019 Jun;20(6):805-815 - PubMed
- Drugs. 2018 Dec;78(18):1887-1901 - PubMed
- Mol Ther Methods Clin Dev. 2019 Mar 14;13:344-358 - PubMed
- Ann Pediatr Endocrinol Metab. 2020 Mar;25(1):52-56 - PubMed
- Genet Med. 2012 Jan;14(1):10-26 - PubMed
- Curr Opin Endocrinol Diabetes Obes. 2014 Oct;21(5):323-9 - PubMed
- Int J Neuropsychopharmacol. 2002 Jun;5(2):141-5 - PubMed
- Diabetes Metab Syndr Obes. 2018 Oct 04;11:579-593 - PubMed
- Transl Psychiatry. 2019 Nov 4;9(1):274 - PubMed
- Curr Obes Rep. 2018 Jun;7(2):147-161 - PubMed
- PLoS One. 2018 Jan 10;13(1):e0190849 - PubMed
- Clin Endocrinol (Oxf). 2021 May;94(5):774-785 - PubMed
- Diabetes Care. 2014 Apr;37(4):e76-7 - PubMed
- Br J Pharmacol. 2016 Sep;173(17):2614-21 - PubMed
- J Psychiatr Res. 2021 May;137:643-651 - PubMed
- Ment Health Clin. 2018 Mar 23;7(1):7-9 - PubMed
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