FDA Approves Lilly’s Zepbound™ (tirzepatide) for Chronic Weight Management, a Powerful New Option for the Treatment of Obesity or Overweight with Weight-Related Medical Problems

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Adults taking Zepbound in a scientific trial misplaced on common 48 lb. on the highest dose

Zepbound is the primary and solely authorised therapy activating two incretin hormone receptors, GIP and GLP-1, to sort out an underlying explanation for extra weight

INDIANAPOLIS, Nov. 8, 2023 /PRNewswire/ — The U.S. Meals and Drug Administration (FDA) authorised Eli Lilly and Firm’s (NYSE: LLY) Zepbound™ (tirzepatide) injection, the primary and solely weight problems therapy of its sort that prompts each GIP (glucose-dependent insulinotropic polypeptide) and GLP-1 (glucagon-like peptide-1) hormone receptors. Zepbound is indicated for adults with weight problems (with a BMI of 30 kg/m2 or higher), or those that are obese (with a BMI of 27 kg/m2 or higher) and still have weight-related medical issues equivalent to hypertension, dyslipidemia, sort 2 diabetes mellitus, obstructive sleep apnea or heart problems, to shed weight and maintain it off. It must be used with a reduced-calorie weight loss plan and elevated bodily exercise. Zepbound shouldn’t be used with different tirzepatide-containing merchandise or any GLP-1 receptor agonist medicines, and it has not been studied in sufferers with a historical past of pancreatitis, or with extreme gastrointestinal illness, together with extreme gastroparesis.

“Obesity is a chronic disease that can result in serious health complications, including heart disease, stroke and diabetes. Despite our knowledge of obesity as a treatable, chronic disease, people living with obesity still face many challenges in their health and weight management journey,” stated Joe Nadglowski, president and chief govt officer of the Weight problems Motion Coalition. “New treatment options bring hope to the many people with obesity who struggle with this disease and are seeking better options for weight management.”

The approval was based mostly on outcomes from the part 3 SURMOUNT-1 and SURMOUNT-2 trials. In SURMOUNT-1, a research in 2,539 adults with weight problems, or extra weight and weight-related medical issues not together with diabetes, individuals taking Zepbound as an adjunct to weight loss plan and train skilled substantial weight reduction in contrast with placebo at 72 weeks. On the highest dose (15 mg), individuals taking Zepbound misplaced on common 48 lb., whereas on the lowest dose (5 mg), individuals misplaced on common 34 lb. (in comparison with 7 lb. on placebo).

Moreover, 1 in 3 sufferers taking Zepbound on the highest dose misplaced over 58 lb. (25% of physique weight), in comparison with 1.5% on placebo, in keeping with information not managed for sort 1 error. The common beginning weight was 231 lb.

Whereas not authorised to deal with these situations, in a scientific trial, individuals who dieted, exercised and took Zepbound for the therapy of weight problems or obese with weight-related medical issues noticed adjustments in ldl cholesterol and reductions in blood stress and waist dimension.

“Unfortunately, despite scientific evidence to the contrary, obesity is often seen as a lifestyle choice – something that people should manage themselves,” stated Dr. Leonard Glass, senior vp world medical affairs, Lilly Diabetes and Weight problems. “For decades, diet and exercise have been a go-to, but it’s not uncommon for a person to have tried 20-30 times to lose weight with this approach. Research now shows that the body may respond to a calorie-deficit diet by increasing hunger and reducing feelings of fullness, making weight loss more difficult. Lilly is aiming to eliminate misperceptions about this disease and transform how it can be managed.”

Zepbound use could also be related to gastrointestinal hostile reactions, typically extreme. Probably the most generally reported hostile occasions (noticed in ≥ 5% of scientific trial contributors) had been nausea, diarrhea, vomiting, constipation, stomach ache, dyspepsia, injection-site reactions, fatigue, hypersensitivity reactions, eructation, hair loss and gastroesophageal reflux illness.1 In research, most nausea, diarrhea and vomiting occurred when individuals elevated their dose – however the results usually decreased over time. In research, gastrointestinal negative effects had been extra widespread in individuals taking Zepbound than individuals taking placebo, and folks taking Zepbound had been extra possible than these on placebo to cease therapy due to these negative effects. The label for Zepbound features a Boxed Warning relating to thyroid C-cell tumors. Zepbound is contraindicated in sufferers with a private or household historical past of medullary thyroid carcinoma, in sufferers with A number of Endocrine Neoplasia syndrome sort 2, and in sufferers with recognized severe hypersensitivity to tirzepatide or any of the excipients in Zepbound. See Essential Security Data under and full Prescribing Information and Medication Guide.

“Far too many hurdles continue to prevent people living with obesity from accessing obesity treatments that could lead to significant weight loss,” stated Mike Mason, govt vp and president, Lilly Diabetes and Weight problems. “Broader access to these medicines is critical, which is why Lilly is committed to working with healthcare, government and industry partners to ensure people who may benefit from Zepbound can access it.”

Zepbound is predicted to be obtainable within the U.S. by the top of the yr in six doses (2.5 mg, 5 mg, 7.5 mg, 10 mg, 12.5 mg, 15 mg) at an inventory worth of $1,059.87, which is roughly 20% decrease than semaglutide 2.4 mg injection for weight reduction. Checklist worth doesn’t replicate the standard out-of-pocket value to sufferers given insurance coverage protection and reductions. Lilly is placing a industrial financial savings card program in place that can assist individuals who might profit from Zepbound higher entry it.

  • People who find themselves commercially insured with protection for Zepbound could also be eligible to pay as little as $25 for a 1-month or 3-month prescription.
  • People who find themselves commercially insured with out protection for Zepbound could also be eligible to pay as little as $550 for a 1-month prescription of Zepbound, roughly 50% decrease than the checklist worth.

Individuals might start utilizing the financial savings card program within the days following product availability at U.S. pharmacies. To be taught extra about these applications, or to enroll to obtain the newest information, please go to www.Zepbound.lilly.com. Phrases and situations apply.

Tirzepatide can be underneath regulatory assessment for weight administration in Europe, China, the United Kingdom and several other extra markets.

Click on here to view the Zepbound product picture.

Click on here to view the Zepbound emblem.

In regards to the SURMOUNT scientific trial program
The SURMOUNT part 3 world scientific improvement program for tirzepatide in continual weight administration started in late 2019 and has enrolled greater than 5,000 individuals with weight problems or obese throughout six registration research, 4 of that are world research. SURMOUNT-1 and SURMOUNT-2 had been submitted to the FDA and demonstrated tirzepatide considerably decreased physique weight in contrast with placebo in individuals residing with weight problems or obese, with or with out sort 2 diabetes.

About Zepbound (tirzepatide) injection1
Zepbound™ (tirzepatide) injection is FDA-approved as an adjunct to a reduced-calorie weight loss plan and elevated bodily exercise for continual weight administration in adults with weight problems (BMI ≥ 30 kg/m2), or obese (BMI ≥ 27 kg/m2) with at the very least one weight-related comorbid situation. Zepbound is the primary and solely FDA-approved weight problems therapy that prompts each GIP (glucose-dependent insulinotropic polypeptide) and GLP-1 (glucagon-like peptide-1) hormone receptors.

INDICATION AND SAFETY SUMMARY WITH WARNINGS

Zepbound™ (ZEHP-bownd) is an injectable prescription medication that will assist adults with weight problems, or with extra weight (obese) who even have weight-related medical issues, shed weight and maintain it off.  It must be used with a reduced-calorie weight loss plan and elevated bodily exercise.

  • Zepbound incorporates tirzepatide and shouldn’t be used with different tirzepatide-containing merchandise or any GLP-1 receptor agonist medicines. It isn’t recognized if Zepbound is secure and efficient when taken with different prescription, over-the-counter, or natural weight reduction merchandise. It isn’t recognized if Zepbound can be utilized in individuals who have had pancreatitis. It isn’t recognized if Zepbound is secure and efficient to be used in youngsters underneath 18 years of age.

Warnings – Zepbound might trigger tumors within the thyroid, together with thyroid most cancers. Look ahead to attainable signs, equivalent to a lump or swelling within the neck, hoarseness, hassle swallowing, or shortness of breath. When you’ve got any of those signs, inform your healthcare supplier.

  • Don’t use Zepbound for those who or any of your loved ones have ever had a sort of thyroid most cancers referred to as medullary thyroid carcinoma (MTC).
  • Don’t use Zepbound in case you have A number of Endocrine Neoplasia syndrome sort 2 (MEN 2).
  • Don’t use Zepbound in case you have had a severe allergic response to tirzepatide or any of the elements in Zepbound.

Zepbound might trigger severe negative effects, together with:

Extreme abdomen issues. Abdomen issues, typically extreme, have been reported in individuals who use Zepbound. Inform your healthcare supplier in case you have abdomen issues which are extreme or is not going to go away.

Kidney issues (kidney failure).  Diarrhea, nausea, and vomiting might trigger a lack of fluids (dehydration), which can trigger kidney issues. It’s important so that you can drink fluids to assist cut back your probability of dehydration.

Gallbladder issues. Gallbladder issues have occurred in some individuals who use Zepbound. Inform your healthcare supplier immediately for those who get signs of gallbladder issues, which can embody ache in your higher abdomen (stomach), fever, yellowing of pores and skin or eyes (jaundice), or clay-colored stools.

Irritation of the pancreas (pancreatitis). Cease utilizing Zepbound and name your healthcare supplier immediately in case you have extreme ache in your abdomen space (stomach) that won’t go away, with or with out vomiting. It’s possible you’ll really feel the ache out of your stomach to your again.

Critical allergic reactions. Cease utilizing Zepbound and get medical assist immediately in case you have any signs of a severe allergic response, together with swelling of your face, lips, tongue or throat, issues respiration or swallowing, extreme rash or itching, fainting or feeling dizzy,  or very fast heartbeat.

Low blood sugar (hypoglycemia). Your danger for getting low blood sugar could also be larger for those who use Zepbound with medicines that may trigger low blood sugar, equivalent to a sulfonylurea or insulin. Indicators and signs of low blood sugar might embody dizziness or light-headedness, sweating, confusion or drowsiness, headache, blurred imaginative and prescient, slurred speech, shakiness, quick heartbeat, nervousness, irritability, temper adjustments, starvation, weak spot or feeling jittery.

Modifications in imaginative and prescient in sufferers with sort 2 diabetes. Inform your healthcare supplier in case you have adjustments in imaginative and prescient throughout therapy with Zepbound.

Despair or ideas of suicide. You must take note of adjustments in your temper, behaviors, emotions or ideas. Name your healthcare supplier immediately in case you have any psychological adjustments which are new, worse, or fear you.

Frequent negative effects

The most typical negative effects of Zepbound embody nausea, diarrhea, vomiting, constipation, abdomen (stomach) ache, indigestion, injection website reactions, feeling drained, allergic reactions, belching, hair loss, and heartburn. These are usually not all of the attainable negative effects of Zepbound. Speak to your healthcare supplier about any facet impact that bothers you or does not go away.

Inform your healthcare supplier in case you have any negative effects. You may report negative effects at 1-800-FDA-1088 or www.fda.gov/medwatch.

Earlier than utilizing Zepbound

  • Your healthcare supplier ought to present you the way to use Zepbound earlier than you utilize it for the primary time.
  • Inform your healthcare supplier in case you are taking medicines to deal with diabetes together with insulin or sulfonylureas which might enhance your danger of low blood sugar. Speak to your healthcare supplier about low blood sugar ranges and the way to handle them.
  • In case you take contraception capsules by mouth, discuss to your healthcare supplier earlier than you utilize Zepbound. Contraception capsules might not work as nicely whereas utilizing Zepbound. Your healthcare supplier might advocate one other sort of contraception for 4 weeks after you begin Zepbound and for 4 weeks after every enhance in your dose of Zepbound.

Evaluation these questions together with your healthcare supplier:

❑ Do you’ve gotten different medical situations, together with issues together with your pancreas or kidneys, or extreme issues together with your abdomen, equivalent to slowed emptying of your abdomen (gastroparesis) or issues digesting meals?
❑ Do you’re taking diabetes medicines, equivalent to insulin or sulfonylureas?
❑ Do you’ve gotten a historical past of diabetic retinopathy?
❑ Do you’re taking another prescription medicines or over-the-counter medicine, nutritional vitamins, or natural dietary supplements? 
❑ Are you pregnant, plan to grow to be pregnant, breastfeeding, or plan to breastfeed? Zepbound might hurt your unborn child. Inform your healthcare supplier for those who grow to be pregnant whereas utilizing Zepbound. It isn’t recognized if Zepbound passes into your breast milk You must discuss together with your healthcare supplier about one of the best ways to feed your child whereas utilizing Zepbound.

  • Being pregnant Publicity Registry: There can be a being pregnant publicity registry for ladies who’ve taken Zepbound throughout being pregnant. The aim of this registry is to gather details about the well being of you and your child. Speak to your healthcare supplier about how one can participate on this registry, or you could contact Lilly at 1-800-LillyRx (1-800-545-5979).

The best way to take

  • Learn the Directions for Use that include Zepbound.
  • Use Zepbound precisely as your healthcare supplier says.
  • Zepbound is injected underneath the pores and skin (subcutaneously) of your abdomen (stomach), thigh, or higher arm.
  • Use Zepbound 1 time every week, at any time of the day.
  • Change (rotate) your injection website with every weekly injection. Don’t use the identical website for every injection.
  • In case you take an excessive amount of Zepbound, name your healthcare supplier, search medical recommendation promptly, or contact a Poison Heart knowledgeable immediately at 1‑800‑222‑1222.

Be taught extra

Zepbound is a prescription medication. For extra data, name 1-800-LillyRx (1-800-545-5979) or go to www.zepbound.lilly.com.

This abstract offers fundamental details about Zepbound however doesn’t embody all data recognized about this medication. Learn the data that comes together with your prescription every time your prescription is crammed. This data doesn’t take the place of speaking together with your healthcare supplier. Remember to discuss to your healthcare supplier about Zepbound and the way to take it. Your healthcare supplier is one of the best particular person that can assist you determine if Zepbound is best for you.

ZP CON CBS 08NOV2023

Zepbound™ and its supply gadget base are registered emblems owned or licensed by Eli Lilly and Firm, its subsidiaries, or associates. 

About Lilly
Lilly unites caring with discovery to create medicines that make life higher for individuals all over the world. We have been pioneering life-changing discoveries for practically 150 years, and at present our medicines assist greater than 51 million individuals throughout the globe. Harnessing the ability of biotechnology, chemistry and genetic medication, our scientists are urgently advancing new discoveries to unravel a few of the world’s most vital well being challenges, redefining diabetes care, treating weight problems and curbing its most devastating long-term results, advancing the struggle towards Alzheimer’s illness, offering options to a few of the most debilitating immune system issues, and reworking essentially the most difficult-to-treat cancers into manageable illnesses. With every step towards a more healthy world, we’re motivated by one factor: making life higher for thousands and thousands extra individuals. That features delivering modern scientific trials that replicate the range of our world and dealing to make sure our medicines are accessible and inexpensive. To be taught extra, go to Lilly.com and Lilly.com/newsroom or observe us on Facebook, Instagram, Twitter and LinkedIn. P-LLY

Lilly Cautionary Assertion Relating to Ahead-Trying Statements
This press launch incorporates forward-looking statements (as that time period is outlined within the Personal Securities Litigation Reform Act of 1995) about Zepbound (tirzepatide) as a possible therapy for adults with weight problems or obese and the timeline for added regulatory submissions, future readouts, provide and commercialization of Zepbound, shows, and different milestones referring to Zepbound and displays Lilly’s present perception and expectations. Nonetheless, as with every pharmaceutical product, there are substantial dangers and uncertainties within the strategy of drug analysis, improvement, and commercialization. Amongst different issues, there may be no assure that deliberate or ongoing research can be accomplished as deliberate, that future research outcomes can be in keeping with the outcomes so far, that Zepbound will obtain extra regulatory approvals, or that Zepbound can be commercially profitable or that we’ll meet anticipated timelines for its commercialization. For additional dialogue of those and different dangers and uncertainties, see Lilly’s most up-to-date Type 10-Okay and Type 10-Q filings with the USA Securities and Change Fee. Besides as required by regulation, Lilly undertakes no responsibility to replace forward-looking statements to replicate occasions after the date of this launch.

References

  1. Zepbound. Prescribing Data. Lilly USA, LLC.

PP-ZP-US-0076 11/2023 ©Lilly USA, LLC 2023. All rights reserved.

SOURCE Eli Lilly and Firm



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