July 29 (Reuters) - Smokers with type 2 diabetes taking
Novo Nordisk's Ozempic had fewer tobacco-related
medical encounters and fewer interventions to help them quit
smoking than those who received other diabetes drugs, according
to a study of electronic health records published on Monday.
In the year after starting treatment, Ozempic users with a
previous diagnosis of tobacco use disorder were up to 32% less
likely to discuss tobacco use with a healthcare provider than
those taking other diabetes medications. This was true even
compared with those taking medicines in the same class, known as
GLP-1 receptor agonists, researchers reported in Annals of
Internal Medicine.
They were also up to 68% less likely to receive
prescriptions for smoking cessation medication and up to 21%
less likely to receive smoking cessation counseling.
The findings were drawn from electronic health record data
on nearly 229,000 patients, including 6,000 recipients of
Ozempic.
The researchers called for clinical trials to evaluate the
potential of the drug's active ingredient, semaglutide, for use
in smoking cessation to backup the findings from this study
sponsored by the U.S. National Institutes of Health.
They noted earlier reports have suggested a reduced desire
to smoke in patients treated with semaglutide, possibly related
to a dampening of addictive nicotine's reward effects in the
brain. Novo's wildly popular weight-loss drug Wegovy has the
same active ingredient.
The current study did not include data showing whether
patients actually stopped or decreased tobacco use after
starting on the various drugs.
While the observed reduction in tobacco disorder-related
encounters might suggest reductions in tobacco use or relapses,
it "could also reflect other scenarios, such as a reduced
willingness to seek help to quit smoking," the researchers
acknowledged.
The classes of diabetes drugs looked at in the study
included insulins, metformin, DPP-4 inhibitors, SGLT-2
inhibitors, sulfonylureas, thiazolidinediones and other GLP-1's
than Ozempic.