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Phase 2 N=147 Randomized Double-blind Treatment

A Trial of Centanafadine Efficacy, Safety, and Tolerability in Adult Subjects With Binge Eating Disorder

Binge-Eating Disorder

Enrolled (actual)
147
Serious AEs
0.0%
Results posted
Sep 2025
Primary outcome: Primary: Change From Baseline in Number of Binge Eating Days Per Week — -3.44; -3.07; -3.01 binge eating days per week — p=0.1893

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Centanafadine (Drug); Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Otsuka Pharmaceutical Development & Commercialization, Inc.
Primary completion
Aug 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline in Number of Binge Eating Days Per Week
-3.44; -3.07; -3.01 0.1893
SECONDARY
Change From Baseline in Clinical Global Impression - Severity (CGI-S) Score
SECONDARY
Number of Participants With Adverse Events (AEs), Adverse Events of Special Interest (AESIs) Related to Rash, AEs Related to Abuse, and AEs Involving Medication Handling Irregularities (MHIs)
34; 28; 24; 5; 3; 1
SECONDARY
Number of Participants With Potentially Clinically Relevant Laboratory Abnormalities
0; 0; 1; 0; 1; 0
SECONDARY
Number of Participants With Potentially Clinically Relevant Vital Sign Abnormalities
1; 0; 0; 0; 1; 3
SECONDARY
Number of Participants With Potentially Clinically Relevant 12-Lead Electrocardiogram (ECG) Abnormalities
0; 1; 0; 0; 0; 1
SECONDARY
Study Medication Withdrawal Questionnaire (SMWQ) Total Mean Score
5.56; 7.72; 6.40
SECONDARY
Change From Baseline in Hamilton Anxiety Rating Scale (HAM-A) Total Score
-1.23; 0.55; -1.20
SECONDARY
Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score
-0.20; 0.00; -1.20
SECONDARY
Number of Participants With Suicidality as Measured by Columbia Suicide Severity Rating Scale (C-SSRS) Score
0; 1; 0

Summary

The primary objective of this study is to assess the efficacy of 2 doses of centanafadine sustained-release (SR) (200 milligrams [mg] and 400 mg total daily dose [TDD]) compared with placebo in adults with moderate to severe binge eating disorder (BED).

Eligibility Criteria

Inclusion Criteria

  • Adult participants 18 to 65 years of age (inclusive) at the time of informed consent.
  • A primary diagnosis of BED, or is diagnosed at screening, according to Diagnostic and Statistical Manual of Mental Disorders - 5th Edition (DSM-5) criteria and confirmed by the Structured Clinical Interview for DSM-5 (SCID).
  • BED with a history of at least 2 binge eating days per week for 6 months prior to screening.
  • A rating of 4 or higher on the Clinical Global Impression - Severity (CGI-S) at screening and baseline.
  • Body mass index (BMI) of 18 to 45 kg/m^2, inclusive.

Exclusion Criteria

  • Lifetime history of bulimia nervosa or anorexia nervosa.
  • Participation in a formal weight loss program within 3 months of screening or planning to start a weight loss program during the trial.
  • History of bariatric surgery.
  • Montgomery-Asberg Depression Rating Scale (MADRS) score ≥ 18.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05113953). 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.

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