Astrup A, Meier DH, Mikkelsen BO, Villumsen JS, Larsen TM · Obesity (Silver Spring) (2008)
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16 peer-reviewed studies
What the evidence says
Most Tesofensine studies are mechanism or observational rather than RCTs that measure a clinical effect — keep findings provisional.
Most evidence is from high-quality meta-analyses and randomised trials published 2004–2024.
Based on 16 studies · 1 meta-analysis · 12 RCTs
Confidence
Moderate confidenceBy outcome
2 studies in the last 5 years · Latest meta-analysis: 2008
Astrup A, Meier DH, Mikkelsen BO, Villumsen JS, Larsen TM · Obesity (Silver Spring) (2008)
Lehr T, Staab A, Tillmann C, Trommeshauser D, Raschig A, Schaefer HG · Br J Clin Pharmacol (2007)
Lehr T, Staab A, Tillmann C, Trommeshauser D, Schaefer HG, Kloft C · Clin Pharmacokinet (2009)
Nielsen AL, Larsen TM, Madsbad S, Breum L, Jensen TJ, Kroustrup JP · Ugeskr Laeger (2009)
Rascol O, Poewe W, Lees A, Aristin M, Salin L, Juhel N · Arch Neurol (2008)
Gilbert JA, Gasteyger C, Raben A, Meier DH, Astrup A, Sjödin A · Obesity (Silver Spring) (2012)
Sjödin A, Gasteyger C, Nielsen AL, Raben A, Mikkelsen JD, Jensen JK · Int J Obes (Lond) (2010)
Schoedel KA, Meier D, Chakraborty B, Manniche PM, Sellers EM · Clin Pharmacol Ther (2010)
Lehr T, Staab A, Trommeshauser D, Schaefer HG, Kloft C · AAPS J (2010)
Astrup A, Madsbad S, Breum L, Jensen TJ, Kroustrup JP, Larsen TM · Lancet (2008)
Hauser RA, Salin L, Juhel N, Konyago VL · Mov Disord (2007)
Bara-Jimenez W, Dimitrova T, Sherzai A, Favit A, Mouradian MM, Chase TN · Mov Disord (2004)
Huynh K, Klose M, Krogsgaard K, Drejer J, Byberg S, Madsbad S · Eur J Endocrinol (2022)
In plain English: Tesofensine inhibited a subset of LH GABAergic neurons, reducing their ability to promote feeding behavior... and blocked the body weight rebound that often occurs after weight loss.
Perez CI, Luis-Islas J, Lopez A, Diaz X, Molina O, Arroyo B, Moreno MG, Lievana EG, Fonseca E, Castañeda-Hernández G, Gutierrez R. · PLoS One (2024)
In plain English: The monoaminergic re-uptake inhibitor tesofensine has also been shown to produce impressive weight loss in smaller-scale clinical studies... behavioural specificity and psychological side effects remain an issue.
Halford JC, Boyland EJ, Lawton CL, Blundell JE, Harrold JA. · Drugs (2011)
In plain English: Expression of concern for the 2008 TIPO-1 tesofensine trial (Lancet 2008;372:1906-1913).
The Lancet Editors. · Lancet (2013)