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GLP-1 Agonists Show Promise in Smoking Cessation and Weight Management in Clinical Trials

• A clinical trial at UTHealth Houston is investigating GLP-1 agonists for smoking cessation and prevention of post-cessation weight gain. • Preliminary findings suggest GLP-1 agonists may reduce cravings for addictive substances like nicotine by affecting reward pathways in the brain. • Participants in the double-blind study receive either a GLP-1 agonist or a placebo, with follow-up assessments to determine long-term success. • GLP-1 agonists, typically used for type 2 diabetes and obesity, may offer a dual benefit by aiding smoking cessation and preventing associated weight gain.

A clinical trial at UTHealth Houston is exploring the potential of GLP-1 agonists in aiding smoking cessation and preventing weight gain often associated with quitting. The double-blind study, led by Dr. Luba Yammine, is evaluating whether these medications, typically used for type 2 diabetes and obesity, can decrease cravings for addictive substances like nicotine.
The study involves participants receiving either a GLP-1 agonist or a placebo. Participants receive medication for three months, and are then followed up three months later to assess if they have successfully quit smoking. The researchers hypothesize that GLP-1 agonists may reduce the reward associated with substance abuse, including nicotine.

Potential Dual Benefits

Dr. Yammine noted that smokers often gain weight after quitting, so the trial is also examining whether GLP-1 agonists can prevent this weight gain. While the primary focus is not weight loss, the potential for preventing weight gain is an added benefit.
GLP-1 agonists are a class of medications commonly prescribed for type 2 diabetes and obesity, with brand names like Ozempic and Rybelsus. These drugs have shown promise in other areas of addiction as well. A study in Nature Communications indicated that individuals taking these medications had a decreased odds of developing alcoholism or relapsing into alcoholism.

Participant Experiences

Miranda Johnson, a participant in the UTHealth clinical trial, shared her positive experience, stating that she feels hopeful about quitting smoking with the help of the medication. Johnson had been smoking since her early 20s and had struggled to quit in the past.

Broader Implications

The findings from this trial could have significant implications for the treatment of nicotine addiction and associated weight management. If proven effective, GLP-1 agonists could offer a novel approach to helping individuals quit smoking and maintain a healthy weight, addressing two significant health challenges simultaneously.
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Reference News

[1]
Clinical trial taking place in Houston for those who want to stop smoking, lose weight
khou.com · Aug 28, 2024

Miranda Johnson, a smoker for over a decade, joins a double-blind study at UTHealth using GLP-1 agonist medication or pl...

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