Does not produce clinically meaningful weight loss in adults with obesity.
Why this rating
The best-powered test of this compound, a 24-week trial in over 500 participants, failed to beat placebo on its primary endpoint, and the program was discontinued. That is the most informative result available. The tier is low rather than high because the failed trial was never published in full, so the effect estimate and its confidence interval cannot be independently examined. The direction of the evidence, however, is not ambiguous: this compound was tested properly and did not work.
GRADE downgrade factors applied
- Publication bias: Suspicion that negative or null results were not published, inflating apparent effect.
- Risk of bias: Methodological flaws in the studies (e.g. lack of blinding, allocation concealment, high attrition).
Supporting studies
- Phase 2b obesity trial (Metabolic Pharmaceuticals)Randomized Controlled Trial2007n=536
Primary weight-loss endpoint not met at 24 weeks. Development discontinued.
- The weight-reducing effect of an orally active growth hormone fragment in obese subjectsRandomized Controlled TrialInternational Journal of Obesity2004
A shorter 12-week trial reported about 2.6kg versus 0.8kg on placebo, a result the larger trial did not confirm.