Weight Loss Drug Cut Heart Failure Risk by 38% in Trial

An injection pen of Zepbound, Eli Lilly’s weight loss drug, is displayed in New York City, US, December 11, 2023. REUTERS/Brendan McDermid/File Photo Purchase Licensing Rights
An injection pen of Zepbound, Eli Lilly’s weight loss drug, is displayed in New York City, US, December 11, 2023. REUTERS/Brendan McDermid/File Photo Purchase Licensing Rights
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Weight Loss Drug Cut Heart Failure Risk by 38% in Trial

An injection pen of Zepbound, Eli Lilly’s weight loss drug, is displayed in New York City, US, December 11, 2023. REUTERS/Brendan McDermid/File Photo Purchase Licensing Rights
An injection pen of Zepbound, Eli Lilly’s weight loss drug, is displayed in New York City, US, December 11, 2023. REUTERS/Brendan McDermid/File Photo Purchase Licensing Rights

Trial results show Eli Lilly's weight loss drug Zepbound reduces the risk of hospitalization, death and other outcomes for obese adults with a common type of heart failure, the company said on Thursday as it continues to build a case for the medication's wider health benefits.

The drug, also known as tirzepatide, reduced the risk of a composite of heart failure urgent visit or hospitalization, oral diuretic intensification or cardiovascular death by 38% compared to a placebo, according to Reuters.

The trial enrolled 731 patients across 10 countries who have heart failure with preserved ejection fraction and obesity.

The condition "accounts for nearly half of all heart failure cases, and in the US almost 60% of those impacted also live with obesity," Jeff Emmick, Lilly senior vice president, product development, said in a statement.

Lilly said the study also showed the drug significantly improved heart failure symptoms and physical limitations.

Heart failure is a condition in which the heart is unable to pump enough blood to meet the body's needs. It is associated with a high burden of symptoms and physical limitations affecting daily life, including fatigue, shortness of breath, reduced ability to exercise and swelling of extremities.

Trial patients on tirzepatide were given weekly injections of the highest dose they could tolerate, up to 15 milligrams, and were followed for a median of two years.

The drug led to 15.7% weight loss in the combined population of people with and without type 2 diabetes, compared with 2.2% for the placebo, Lilly said. For the non-diabetes patients, weight loss was 13.9%.

Zepbound, also sold under the brand name Mounjaro for type 2 diabetes, is part of a top-selling class of drugs designed to mimic the action of the GLP-1 hormone, which helps regulate blood sugar, slow digestion and decrease appetite.

Lilly said the most common side effects for trial patients on tirzepatide were diarrhea, nausea, constipation and vomiting.

The company said it plans to submit the heart failure results to the US Food and Drug Administration and other regulatory agencies starting later this year. The findings will also be presented at an upcoming medical meeting and submitted to a peer-reviewed journal.

Novo Nordisk has reported data showing its GLP-1 weight loss drug Wegovy reduces heart failure symptoms.



Heavy Metal in Most Chocolates May Not Pose Health Risk, Researchers Say

A worker cools chocolate during a manufacturing process in Belgium, May 15, 2024. (Reuters)
A worker cools chocolate during a manufacturing process in Belgium, May 15, 2024. (Reuters)
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Heavy Metal in Most Chocolates May Not Pose Health Risk, Researchers Say

A worker cools chocolate during a manufacturing process in Belgium, May 15, 2024. (Reuters)
A worker cools chocolate during a manufacturing process in Belgium, May 15, 2024. (Reuters)

Concentrations of heavy metals found in single servings of some chocolates and cocoa-based products are too low in most cases to pose a health risk to consumers, research set to be published on Thursday in the journal Frontiers shows.

Some consumer groups and independent test agencies have previously reported heavy metal contamination in cocoa products such as dark chocolate, with possible causes being the type of soil where cocoa is grown and industrial processing.

Yet researchers at the George Washington University School of Medicine and ConsumerLab.com found that 70 of the 72 cocoa-containing products they analyzed fell below limits set by the Food and Drug Administration (FDA) for lead contamination.

They said the findings of their study showed the products may not pose a health risk when consumed as single servings, though larger portions could exceed strict California limits set in a law known as Prop 65.

The recommended single serving for chocolate is about 1 oz to 2 oz (30 gm to 60 gm).

"If contaminated products as a whole are consumed in small amounts and infrequently by most, these contaminants may not be a public health concern," read the paper, which concluded with a call for more testing of consumer products.

"In contrast, if many such products are consumed fairly regularly by the average consumer, the additive exposure may be a public health concern."

US chocolate industry group the National Confectioners Association said the research confirms that "chocolate and cocoa are safe to eat and can be enjoyed as treats as they have been for centuries."

The long-running research analyzed 72 products for potential contamination with heavy metals such as lead, cadmium and arsenic in four different cohorts in 2014, 2016, 2019 and 2022.

"Median concentrations of each metal tested were lower than even the conservative Prop 65," they added, referring to the strict California legislation on food contamination used as a benchmark for the study.

"However, consuming some of the products tested, or more than one serving per day in combination with non-cocoa derived sources ... may add up to exposure that would exceed the Prop 65 (limits)."

The researchers used the California legislation because it sets limits on contamination for the three types of heavy metals tested, while the FDA regulation only sets limits for lead.