Phase 3
N=486
A Study to Evaluate a Drug (Dasotraline) on the Safety, Effectiveness and How Well the Body Tolerates it, in Adults With Moderate to Severe Binge Eating Disorder
Binge Eating Disorder
Bottom Line
View on ClinicalTrials.gov: NCT03107026 ↗Enrolled (actual)
486
Serious AEs
1.0%
Results posted
Jul 2020
Primary outcome: Primary: Change From Baseline in Number of Binge Days — -2.92; -3.21; -3.47 binge days/week — p=0.1187
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- dasotraline 4mg (Drug); dasotraline 6mg (Drug); Placebo (Drug)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- Sumitomo Pharma America, Inc.
- Primary completion
- May 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline in Number of Binge Days |
-2.92; -3.21; -3.47 | 0.1187 |
| SECONDARY Change From Baseline in Binge Eating Clinical Global Impression-Severity( BE-CGI-S )Score |
-1.77; -2.13; -2.27 | 0.0256 sig |
| SECONDARY Percent of Subjects With a 4-week Cessation From Binge Eating |
49; 54; 55 | 0.5342 |
| SECONDARY Change From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Score |
-11.83; -14.13; -15.23 | 0.0154 sig |
| SECONDARY Change From Baseline in Number of Binge Days Per Week at Weeks 1, 2, 3, 4, 6, 8, and 10 |
-1.16; -1.82; -1.51; -1.74; -2.36; -2.27 | — |
| SECONDARY Change From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12 |
-1.53; -2.43; -2.21; -2.48; -3.20; -2.88 | — |
| SECONDARY Change From Baseline in Binge-eating Clinical Global Impression-Severity (BE-CGI-S) Score at Weeks 2, 4, 6, 8, and 10 |
-0.82; -1.37; -1.20; -1.21; -1.89; -1.79 | — |
| SECONDARY Change From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Score at Weeks 2, 4, 6, 8, and 10 |
-6.49; -10.32; -9.21; -9.30; -13.15; -12.77 | — |
| SECONDARY Change From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12 |
-3.14; -4.84; -4.37; -4.30; -6.32; -6.29 | — |
| SECONDARY Change From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12 |
-5.73; -7.65; -6.88; -6.14; -8.56; -8.19 | — |
| SECONDARY Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score at Week 12 |
-1.1; -0.9; 0.6 | — |
| SECONDARY Change From Baseline in Hamilton Anxiety Rating Scale (HAM-A) Total Score at Week 12 |
-0.4; 0.3; 1.8 | — |
| SECONDARY Proportion of Binge Eating Responders Who Have ≥ 75% Reduction in the Number of Binge Eating Episodes From Baseline at Week 12 |
91; 112; 123 | — |
| SECONDARY Change From Baseline in Eating Disorder Examination Questionnaire (EDE-Q) Modified Including EDE-Q7 Global Score and 3 Subscale Scores (Dietary Restraint, Shape/Weight Overvaluation, and Body Dissatisfaction) at Week 12 |
-0.54; -1.20; -1.35; -0.23; -0.85; -1.14 | — |
Summary
A study to evaluate a drug (dasotraline) on the safety, effectiveness and how well the body tolerates it, in adults with moderate to severe binge eating disorder
Eligibility Criteria
Inclusion Criteria
- 1. Male or female subject between 18-55 years of age, inclusive, at time of informed consent.
- Subject meets the following DSM-5 criteria for a diagnosis of BED. An episode of binge eating is characterized by both:
- Eating an amount of food larger than what most people would eat, in a discrete period of time (eg, 2 hours)
- Sense of lack of control over eating episode
Binge eating episodes are associated with ≥ 3 of the following:
- Eating much more rapidly than normal
- Eating until uncomfortably full
- Eating large amounts when not feeling hungry
- Eating alone because of embarrassment
- Feeling disgusted with oneself, guilty afterward Binge eating episodes are also associated with marked distress regarding the episode and not associated with recurrent use of compensatory behavior (eg, bulimia nervosa). Note: A subject using compensatory behavior less than 1 time every 2 weeks over the 3 months prior to screening may be permitted to enroll in the study.
- Diagnosis is confirmed based on the Structured Clinical Interview for DSM-IV Axis I Disorders, Module H (SCID-I Module H), clinician review of subject diaries, and the EDE-Q.
- Subject has a BED diagnosis or is diagnosed at screening and has a history of at least 2 binge eating days a week for at least 6 months prior to screening.
- Subject's BED is of at least moderate severity with subject reporting at least 3 binge eating days for each of the 2 weeks prior to baseline as documented in the subject's binge diary. A binge eating day is defined as having at least one binge eating episode 6. Subject has a BE- CGI-S score ≥ 4 at screening and baseline. 7. Subject has a negative breath alcohol test and a negative UDS for any illicit drug.
- Female subject must have a negative serum pregnancy test at screening; females who are post-menopausal (defined as at least 12 months of spontaneous amenorrhea) and those who have undergone hysterectomy or bilateral oophorectomy will be exempted from the pregnancy test.
- Female subject of childbearing potential and male subject with female partner of childbearing potential must agree to use an effective and medically acceptable form of birth control throughout the study period. Note: Continued use of an effective and medically acceptable form of birth control is recommended for 30 days after study completion.
- Subject must be able to comply with study drug administration and adhere to protocol requirements including all study assessments.
- Subject can read well enough to understand the informed consent form and other subject materials
Exclusion Criteria
- Subject has BMI of 18 kg/m2or less, or greater than 45 kg/m2.
- Subject has a lifetime history or current symptoms consistent with bulimia nervosa or anorexia nervosa.
- Subject has started psychotherapy (eg, supportive psychotherapy, cognitive behavior therapy, interpersonal therapy) within 3 months prior to screening. Note: Subjects receiving stable ongoing psychotherapy for longer than 3 months are permitted to enroll.
- Subject has participated in a formal weight loss program (eg, Weight Watchers®) within 3 months prior to screening.
- Subject has used a psychostimulant or mood stabilizer within the 3 months prior to screening.
- Subject has used any medications for the treatment of binge eating, other eating disorders, obesity, or weight gain or any other medication that could result in weight gain or weight loss including over-the-counter and herbal products within the 3 months prior to screening.
- Subject has received lisdexamfetamine dimesylate (Vyvanse®) for any reason, including but not limited to participation in any Phase 2 or 3 trial.
- Subject has a lifetime history of psychotic disorder, bipolar disorder, hypomania, dementia, or ADHD as defined by the DSM-5 criteria.
- Subject has a history of moderate to severe depression based on Investigator's judgment within the 6 months prior to screening or is currently takin
Data sourced from ClinicalTrials.gov (NCT03107026). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.