TY - BOOK AU - Weissman, Neil J TI - Effects of lorcaserin on pre-existing valvulopathy: A pooled analysis of phase 3 trials SN - 1930-7381 PY - 2017/// KW - *Anti-Obesity Agents/ad [Administration & Dosage] KW - *Aortic Valve Insufficiency/dt [Drug Therapy] KW - *Benzazepines/ad [Administration & Dosage] KW - *Diabetes Mellitus, Type 2/dt [Drug Therapy] KW - Adult KW - Aged KW - Aortic Valve Insufficiency/co [Complications] KW - Body Mass Index KW - Body Weight/de [Drug Effects] KW - Diabetes Mellitus, Type 2/co [Complications] KW - Female KW - Humans KW - Male KW - Middle Aged KW - Obesity/dt [Drug Therapy] KW - Randomized Controlled Trials as Topic KW - Weight Loss/de [Drug Effects] KW - MedStar Heart & Vascular Institute KW - Journal Article N1 - Available online from MWHC library: 2000 - after 1 year) N2 - CONCLUSIONS: These data suggest that lorcaserin does not adversely affect valvular disease in patients with pre-existing FDA-defined valvulopathy; Copyright � 2016 The Authors. Obesity published by Wiley Periodicals, Inc. on behalf of The Obesity Society (TOS); METHODS: This is a pooled, post hoc analysis of three Phase 3 studies. BLOOM and BLOSSOM patients were 18 to 65 years of age without diabetes and with a body mass index (BMI) of 27 to 29.9 kg/m2 and >1 weight-related comorbidity or a BMI of 30 to 45 kg/m2 . BLOOM-DM patients had a BMI of 27 to 45 kg/m2 and type 2 diabetes. Patients were treated with placebo, lorcaserin 10 mg once daily, or lorcaserin 10 mg twice daily. Serial echocardiographs were obtained at baseline and every 6 months; OBJECTIVE: To evaluate the effects of lorcaserin in patients with pre-existing Food and Drug Administration (FDA)-defined valvulopathy; RESULTS: Included patients (N = 169) had FDA-defined valvulopathy at baseline and a week 52 echocardiogram. At week 52, 35.5% and 52.7% of patients experienced changes from baseline in aortic and mitral regurgitation, respectively. Numerically greater proportions of patients taking lorcaserin versus placebo had decreases in aortic (33.0% vs. 28.3%) or mitral (41.3% vs. 36.7%) regurgitation. Fewer patients taking lorcaserin versus placebo had increases in aortic (2.8% vs. 6.7%) or mitral (8.3% vs. 21.7%) regurgitation. No adverse event-related discontinuation was due to a valve problem UR - https://dx.doi.org/10.1002/oby.21695 ER -