About effectiveness of domestic drug liraglutide: results of clinical cases in pediatrics

Abstract

Obesity is a global problem in pediatrics. Scientific interest in the study of this disease in childhood and adolescence is due to a number of factors: a steady increase in the number of patients in most countries of the world, unfavorable long-term consequences and complications, its progression into adulthood. These circumstances dictate the need for health professionals to search for new methods of treatment and prevention. The basis of treatment is a comprehensive approach, including normocaloric diet, increased physical activity, behavioral therapy and psychological support. However, these methods are often ineffective. In recent years, medications, particularly glucagon-like peptide-1 agonists (the drug liraglutide), have been approved for effective weight loss. However, there is some clinical stagnation on the part of the medical community regarding its prescription due to the lack of clear criteria determining the validity and increasing the effectiveness of treatment. On the basis of clinical observations, to propose criteria determining the possibility of prescribing a domestic analog of liraglutide (enligria) to improve the effectiveness of treatment of obesity in adolescent children. Four clinical cases demonstrated the high efficacy of liraglutide with respect to leveling cardiometabolic risks regardless of the degree of obesity and increasing adherence to lifestyle modification principles in patients with a metabolically “healthy” obesity phenotype. Also, its use was associated with facilitating the management of different types of eating disorders. Additional criteria determining the validity of liraglutide prescription in the therapy of obesity in adolescent children were proposed. It will contribute to a wider introduction of this drug into practical healthcare.