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Will a New Drug Melt the Pounds? It May, but Doctors Urge Caution
New York Times ^ | 5 December 2004 | GINA KOLATA

Posted on 12/05/2004 4:31:21 AM PST by shrinkermd

To people who have struggled for a lifetime to lose weight, the new drug called rimonabant sounds like a dream come true.

It will make a person uninterested in fattening foods, they have heard from news reports and word of mouth. Weight will just melt away, and fat accumulating around the waist and abdomen will be the first to go. And by the way, those who take it will end up with higher levels of H.D.L., the good cholesterol. If they smoke, they will find it easier to quit. If they are heavy drinkers, they will no longer crave alcohol.

(Excerpt) Read more at nytimes.com ...


TOPICS: Culture/Society; Unclassified
KEYWORDS: health; obesity; rimonabant; treatment
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"Rimonabant blocks a protein in brain cells that allows cannabis, the active ingredient in marijuana, to work. It also blocks the body's own versions of cannabis, the so-called endocannabinoids. Marijuana is supposed to increase appetite. So a drug that blocks cannabis, it seems logical, should suppress the appetite.

"Obese people have more receptors for endocannabinoids than thin people, said Dr. F. Xavier Pi-Sunyer, a professor of medicine at Columbia University and the principal investigator of a large rimonabant study in the United States and Canada. The drug does not completely block these receptors, Dr. Pi-Sunyer said.

"The idea of blocking these receptors worked in animals.

"For example, mice that were genetically engineered so they could not respond to endocannabinoids ate less and were thinner than normal. And when scientists at Sanofi-Aventis gave rimonabant to obese mice, the animals ate much less, lost 20 percent of their body weight, and had lower levels of blood glucose and lipids, risk factors for diabetes and heart disease.

"Rimonabant, said Dr. Jeffrey Friedman, an obesity researcher at Rockefeller University, "is the first in what I think will be a wave of rational therapies" that attack what has recently been learned about how eating is controlled. But with rimonabant, he said, "the issue is, what's the safety and efficacy?"

"The company says it has enrolled more than 13,000 subjects in clinical trials asking if the drug helps with

1 posted on 12/05/2004 4:31:22 AM PST by shrinkermd
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To: shrinkermd

Sanofi-Aventis.....hhhmmmm, chart looks pretty good.....note to self - call broker......


2 posted on 12/05/2004 4:34:53 AM PST by anniegetyourgun (All taglines should be knee-length.)
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To: anniegetyourgun

What's that, a spinoff of Aventis Pasteur?


3 posted on 12/05/2004 4:36:54 AM PST by mewzilla
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To: shrinkermd

bttt


4 posted on 12/05/2004 4:37:05 AM PST by Guenevere
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To: anniegetyourgun

Hey, good idea.

Perhaps the market hasn't already factored this in.
- interesting.


5 posted on 12/05/2004 4:37:47 AM PST by bill1952 ("All that we do is done with an eye towards something else.")
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To: bill1952

You can bet the trial lawyers have.


6 posted on 12/05/2004 4:38:17 AM PST by mewzilla
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To: shrinkermd
It will make a person uninterested in fattening foods, they have heard from news reports and word of mouth. Weight will just melt away, and fat accumulating around the waist and abdomen will be the first to go. And by the way, those who take it will end up with higher levels of H.D.L., the good cholesterol. If they smoke, they will find it easier to quit. If they are heavy drinkers, they will no longer crave alcohol.

Cool.

But I quit alcohol (I no longer will even take a single beer or a single glass of wine) by being part of a 12 step program, and I lost 60 lbs by walking a lot and eating small meals.

But still, a shortcut might be nice for some. And there's that additional 40 lbs I want to lose... :o)

7 posted on 12/05/2004 4:44:59 AM PST by Lazamataz ("Stay well - Stay safe - Stay armed - Yorktown" -- harpseal)
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To: shrinkermd
I nominate Michael Moore as a test pig!
 

8 posted on 12/05/2004 4:47:54 AM PST by Rain-maker
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To: Rain-maker
"It also blocks the body's own versions of cannabis, the so-called endocannabinoids. "

That explains the pot belly.

9 posted on 12/05/2004 4:52:27 AM PST by billorites (freepo ergo sum)
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To: shrinkermd

Too good to be true?

Read: if something works this well, there just has to be some downside ;D


10 posted on 12/05/2004 4:54:36 AM PST by ECM
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To: Lazamataz

Good for you!...I admire your discipline and perseverance.


11 posted on 12/05/2004 4:58:24 AM PST by Guenevere
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To: Guenevere
Good for you!...I admire your discipline and perseverance.

:o)

And I admire your sweetness and innocence.

:o)

12 posted on 12/05/2004 5:00:18 AM PST by Lazamataz ("Stay well - Stay safe - Stay armed - Yorktown" -- harpseal)
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To: shrinkermd
Sanofi-Aventis
174, avenue de France
Paris,  75013
Web Site: http://www.sanofi-synthelabo.com/
 
Chart
 
http://finance.yahoo.com/q/mb?s=SNY
 

Obesity drug offers bit of hope, bundle of hype
Kansas City Star (subscription), MO -
4 hours ago

By GINA KOLATA. To people who have struggled for a lifetime to lose weight, the new drug called rimonabant sounds like a dream come true. ...
Myths grow around drug for dieters
San Jose Mercury News (subscription), CA - 1 hour ago
By Gina Kolata. To people who have struggled for a lifetime to lose weight, the new drug called rimonabant sounds like a dream come true. ...
Anti-obesity medicine stirs up whirlwind of hopes
Arizona Republic, AZ - 6 hours ago
To people who have struggled for a lifetime to lose weight, the new drug called rimonabant sounds like a dream come true. It will ...
Weight-loss drug's hype may be myth
Contra Costa Times (subscription), CA - 1 hour ago
By Gina Kolata. • It will melt away fat, with weight around the waist and abdomen the first to go. • It will increase levels of HDL, the good cholesterol. ...

13 posted on 12/05/2004 5:00:44 AM PST by Rain-maker
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To: Lazamataz

What are you saying...eat less and exercise?!?! No, no, no...that's way too radical. I'm going with drugs and liposuction!


14 posted on 12/05/2004 5:01:48 AM PST by GBA
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To: Lazamataz

Thank-you my friend.


15 posted on 12/05/2004 5:02:41 AM PST by Guenevere
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To: billorites
Now that's funny!
16 posted on 12/05/2004 5:03:51 AM PST by secret garden (Heaven goes by favor. If it went by merit, you would stay out and your dog would go in.)
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To: Guenevere

You're welcome.


17 posted on 12/05/2004 5:08:06 AM PST by Lazamataz ("Stay well - Stay safe - Stay armed - Yorktown" -- harpseal)
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To: mewzilla

They were recently acquired by Sanofi but retain their name. They make plenty of vaccines too.


18 posted on 12/05/2004 5:10:59 AM PST by secret garden (Heaven goes by favor. If it went by merit, you would stay out and your dog would go in.)
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To: secret garden

Thanks for the info! Well, considering the number of folks I know who've been burned by new drugs, people might want to wait a bit before hopping on the bandwagon.


19 posted on 12/05/2004 5:14:02 AM PST by mewzilla
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To: bill1952

Note to Planet Earth:

The market has already factored this in months and months ago. The Rimonabant game is basically over. Also, in my view the drug, while interesting is basically flawed in that it is an appetite supressant acting on the CNS. A better approach to obesity would be to find a way to act directly on the metabolism of lipids. Key word here "AOD9604".

Over the next few days watch a company called Metabolic Pharmaceuticals:

Symbol MBP.AX on the Australian Stock Exchange or a lighter trade on the Pink Sheets and soon to be listed onthe NASDAQ: MBLPF.PK.

This company has what I think is a better weight loss drug in the pipeline and the Phase 2B trails are about to be announced in the next day or so. I am looking for a phenomenal move in this stock over the next couple of months.

For those of you lucky enough to read this, and with enough intitiative to check it out and maybe act on it, you will owe me a genuine thank you.


20 posted on 12/05/2004 5:40:35 AM PST by John Valentine
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