Application of liquid chromatography-mass spectrometry for the determination of semaglutide in human serum in clinical pharmacokinetic studies DOI Creative Commons
P. K. Karnakova, Е. S. Vetrova, P. A. Karpova

et al.

Meditsinskiy sovet = Medical Council, Journal Year: 2024, Volume and Issue: 16, P. 246 - 255

Published: Nov. 1, 2024

Introduction . Semaglutide preparations are an important therapeutic option for patients suffering from type 2 diabetes mellitus and obesity due to their high efficacy the expected increase in prevalence of these diseases. Consequently, there is a growing need development domestic analogs semaglutide requiring bioequivalence studies. This study proposes use high-performance liquid chromatography with tandem mass spectrometry (HPLC-MS/MS) as alternative widely used immunoassay quantitative determination human serum. Aim To develop validate method serum using HPLC-MS/MS. Materials methods Serum sample preparation was based on protein precipitation acetonitrile-methanol mixture. Liraglutide selected internal standard. The mobile phase consisted 0.3% formic acid water acetonitrile. stationary represented by Phenomenex Kinetex C18 chromatographic column 100×3.0 mm, 5 μm, 100 Å. Ionization liraglutide performed positive electrospray mode. Detection carried out multiple reaction monitoring mode (MRM). Results demonstrated accuracy precision, relative error standard deviation values less than 15% across all quality control levels. confirmed analytical ranges were 0.50–200.00 ng/mL 1.00–800.00 ng/mL. Over 3.400 volunteer samples analyzed part Compared ELISA method, proposed provides higher selectivity reproducibility measurements. Conclusions has been developed that reproducible blood validated accordance EAEU requirements successfully applied studies GP40331 (GEROPHARM LLC, Russia). suitable conducting pharmacokinetic other preparations.

Language: Английский

How ‘miracle’ weight‐loss semaglutide promises to change medicine but can we afford the expense? DOI Creative Commons
Ralf Weiskirchen, Amedeo Lonardo

British Journal of Pharmacology, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 13, 2025

Obesity is a complex and growing global concern, affecting one in eight individuals compromising health, quality of life expectancy. It carries significant metabolic, cardiovascular, oncological, hepatorenal, skeletal psychiatric risks, imposing substantial costs on health‐care systems. Traditional treatments have often been ineffective or led to relapse after lifestyle changes. Whereas bariatric surgery effective, it also involves risks such as mortality hospitalisation. Semaglutide, licensed 2018, synthetic analogue glucagon‐like peptide 1 which regulates glucose metabolism gastrointestinal (GI) motility. Studies show that semaglutide, administered either weekly subcutaneously, daily orally, induces an average weight loss −11.62 kg compared placebo reduces waist circumference by up −9.4 cm. improves blood pressure, fasting levels, C‐reactive protein levels lipid profiles. The most common adverse events are mild‐to‐moderate GI complaints occurring more frequently with administration than doses; hypoglycaemia without intervention. Weight regain follows semaglutide withdrawal. Furthermore, offers cardiovascular benefits for patients established atherosclerotic disease (CVD), lowers the risk kidney outcomes cardiovascular‐related death, resolves nonalcoholic steatohepatitis many cases, positively impacts mental health life. In conclusion, therapy could significantly benefit adults regarding CVD if made widely accessible. Ethical financial considerations must be addressed personalised obesity treatment approaches.

Language: Английский

Citations

3
GLP-1-based therapies for the treatment of resistant hypertension in individuals with overweight or obesity: a review DOI Creative Commons

Candace Jarade,

Tetiana Zolotarova,

Areesha Moiz

et al.

EClinicalMedicine, Journal Year: 2024, Volume and Issue: 75, P. 102789 - 102789

Published: Aug. 15, 2024

Language: Английский

Citations

7
Semaglutide as a GLP-1 Agonist: A Breakthrough in Obesity Treatment DOI Creative Commons

Richard Salvador,

Carla Moutinho, Carla Silva

et al.

Pharmaceuticals, Journal Year: 2025, Volume and Issue: 18(3), P. 399 - 399

Published: March 12, 2025

This review addresses the role of semaglutide (SMG), a GLP-1 receptor agonist, in treatment obesity and its related comorbidities. Originally developed for type 2 diabetes (DM2), SMG has shown significant efficacy weight reduction, with superior results compared to other treatments same class. Its effects include appetite suppression, increased satiety, improvements cardiovascular, renal, metabolic parameters. Studies such as SUSTAIN, PIONEER, STEP highlight superiority agonists anti-obesity drugs. The oral formulation showed promising initial results, higher doses (50 mg) showing losses comparable those subcutaneous administration. Despite benefits, there are challenges, regain after cessation treatment, gastrointestinal adverse effects, variability response. Future studies should explore strategies mitigate these identify predictive factors efficacy, expand therapeutic indications conditions insulin resistance. constant innovation this class drugs reinforces potential transform protocols chronic weight-related diseases.

Language: Английский

Citations

0
The Efficacy and Safety of Semaglutide-Based Medications for Long-Term Weight Loss and Cardiovascular Health DOI
Sadaf Khalid, Marek Malík, Marium Khan

et al.

Pakistan Journal of Health Sciences, Journal Year: 2025, Volume and Issue: unknown

Published: April 30, 2025

The advantages of semaglutide associated with weight loss have been well documented. However, its utilization regarding clinical safety and efficacy in treating obesity Cardiovascular Health (CVH) conditions is less described. Objective: To focus on evaluating the effectiveness semaglutide-based medications for long-term CVH. Methods: PubMed, Google Scholar, Cochrane Library, Scopus, Clinical Trial. Gov. was systematically explored to undertake a detailed search relevant papers from January 2015 February 2024. Following PRISMA guidelines 1500 were identified initially, which 500 screened their titles abstracts, leading screening eligibility 200 full-text papers. Finally, 22 studies further evaluated based inclusion, exclusion criteria, data gathered, systematic review performed. Results: results highlight substantial contribution clinically meaningful reduction among individuals obesity. Overweight participants compared other AOMs showed improved sustainable loss, healthy BMI, CV-related factors such as improvements blood pressure, lipid profile, risk factors. Conclusions: Semaglutide-based medicines not only are safe terms, but also work people obesity, assisting them reduce long term while enhancing cardiovascular health. Results show benefits terms BP profiles thereby indicating that may serve valuable, intervention managing risks.

Language: Английский

Citations

0
Bridging the gap in obesity research: A consensus statement from the European Society for Clinical Investigation DOI Creative Commons
Federico Carbone, Jean‐Pierre Després, John P. A. Ioannidis

et al.

European Journal of Clinical Investigation, Journal Year: 2025, Volume and Issue: unknown

Published: May 15, 2025

Abstract Background Most forms of obesity are associated with chronic diseases that remain a global public health challenge. Aims Despite significant advancements in understanding its pathophysiology, effective management is hindered by the persistence knowledge gaps epidemiology, phenotypic heterogeneity and policy implementation. Materials Methods This consensus statement European Society for Clinical Investigation identifies eight critical areas requiring urgent attention. Key include insufficient long‐term data on trends, inadequacy body mass index (BMI) as sole diagnostic measure, recognition diversity obesity‐related cardiometabolic risks. Moreover, socio‐economic drivers transition across phenotypes poorly understood. Results The syndemic nature obesity, exacerbated globalization environmental changes, necessitates holistic approach integrating frameworks community‐level interventions. advocates leveraging emerging technologies, such artificial intelligence, to refine predictive models address variability. It underscores importance collaborative efforts among scientists, policymakers, stakeholders create tailored interventions enduring policies. Discussion highlights need harmonizing anthropometric biochemical markers, fostering inclusive narratives combating stigma obesity. By addressing these gaps, this initiative aims advance research, improve prevention strategies optimize care delivery people living Conclusion effort marks decisive step towards mitigating epidemic profound impact systems. Ultimately, should be considered being largely consequence model not compatible optimal human health.

Language: Английский

Citations

0
Application of liquid chromatography-mass spectrometry for the determination of semaglutide in human serum in clinical pharmacokinetic studies DOI Creative Commons
P. K. Karnakova, Е. S. Vetrova, P. A. Karpova

et al.

Meditsinskiy sovet = Medical Council, Journal Year: 2024, Volume and Issue: 16, P. 246 - 255

Published: Nov. 1, 2024

Introduction . Semaglutide preparations are an important therapeutic option for patients suffering from type 2 diabetes mellitus and obesity due to their high efficacy the expected increase in prevalence of these diseases. Consequently, there is a growing need development domestic analogs semaglutide requiring bioequivalence studies. This study proposes use high-performance liquid chromatography with tandem mass spectrometry (HPLC-MS/MS) as alternative widely used immunoassay quantitative determination human serum. Aim To develop validate method serum using HPLC-MS/MS. Materials methods Serum sample preparation was based on protein precipitation acetonitrile-methanol mixture. Liraglutide selected internal standard. The mobile phase consisted 0.3% formic acid water acetonitrile. stationary represented by Phenomenex Kinetex C18 chromatographic column 100×3.0 mm, 5 μm, 100 Å. Ionization liraglutide performed positive electrospray mode. Detection carried out multiple reaction monitoring mode (MRM). Results demonstrated accuracy precision, relative error standard deviation values less than 15% across all quality control levels. confirmed analytical ranges were 0.50–200.00 ng/mL 1.00–800.00 ng/mL. Over 3.400 volunteer samples analyzed part Compared ELISA method, proposed provides higher selectivity reproducibility measurements. Conclusions has been developed that reproducible blood validated accordance EAEU requirements successfully applied studies GP40331 (GEROPHARM LLC, Russia). suitable conducting pharmacokinetic other preparations.

Language: Английский

Citations

0