MedPath

SPD489 in Adults Aged 18-55 Years With Moderate to Severe Binge Eating Disorder

Phase 3
Completed
Conditions
Binge Eating Disorder
Interventions
Drug: SPD489 (Lisdexamfetamine dimesylate)
Drug: Placebo
Registration Number
NCT01718483
Lead Sponsor
Shire
Brief Summary

The primary objective of the study is to demonstrate the efficacy of SPD489 compared with placebo in adults (18 55 years of age inclusive) with moderate to severe Binge Eating Disorder at Visit 8 (Weeks 11 and 12) as measured by the number of binge days (defined as days during which at least 1 binge episode occurs) per week as assessed by clinical interview based on subject diary

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
383
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
SPD489 (Lisdexamfetamine dimesylate)SPD489 (Lisdexamfetamine dimesylate)-
PlaceboPlacebo-
Primary Outcome Measures
NameTimeMethod
Change From Baseline in the Number of Binge Days Per Week at Visit 8 (Weeks 11-12)Baseline and Visit 8 (Weeks 11-12)

Binge days defined as days during which at least 1 binge episode occurred. As assessed by clinical interview based on participant binge diary.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Fasting Triglyceride Levels at Up to 12 WeeksBaseline and Week 12/Early termination (ET)
Change From Baseline In Fasting Total Cholesterol Levels at Up to 12 WeeksBaseline and Week 12/ET
Binge Eating ResponseWeek 12/ET

Response is based on the reduction in the number of binge eating episodes. Percentage of participants with response was reported. Responses were categorized as follows: 1-week Cessation = 100% reduction in binge episodes during the preceding 7 days. Marked Reduction = 99% to 75% reduction during the time since the previous visit. Moderate Reduction = 74% to 50% reduction during the time since the previous visit. Negative to Minimal Reduction = \<50% reduction during the time since the previous visit.

Change From Baseline in the Number of Binge Episodes Per Week at Visit 8 (Weeks 11-12)Baseline and Visit 8 (Weeks 11-12)
Change From Baseline in Binge Eating Scale (BES) Score at Week 12Baseline and Week 12

The BES is a self-reported questionnaire containing 16 items designed to assess behavioral, affective, and attitudinal components of the subjective experience of binge eating. Each item is assessed based on 1 of 4 responses, with 1 denoting that a participant has greater control over eating behavior and 4 denoting that a participant had less control over eating behavior. A total score (sum of the 16 items) may range from 16-64. A lower score indicates greater control over eating behavior.

Percentage of Participants With a 4-Week Cessation From Binge EatingUp to 12 weeks

4-week cessation from binge eating is defined as no binge eating episodes for 28 consecutive days prior to the last study visit.

Change From Baseline in Hemoglobin A1c Levels at Up to 12 WeeksBaseline and Week 12/ET
Percent Change From Baseline in Body Weight at Week 12Baseline and Week 12
Change From Baseline in Eating Inventory Scores at Week 12Baseline and Week 12

The Eating Inventory also known as the Three-Factor Eating Questionnaire is a 51-item self-reported questionnaire intended to assess 3 dimensions of eating behavior. There are 36 true/false items, 14 items on a 4-point Likert scale (1=eat rarely to 4=always), and 1 item on a 6-point Likert scale (1=eat whatever you want to 6=constantly limiting food intake). Cognitive Restraint score ranges from 0-21. Hunger score ranges from 0-14. Disinhibition score ranges from 0-16. Higher scores denote higher levels of restrained eating, disinhibited eating and predisposition to hunger.

Change From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Score at Week 12Baseline and Week 12

The Y-BOCS-BE measures the obsession of binge-eating thoughts and compulsiveness of binge-eating behaviors. The scale is a clinician-rated, 10-item scale, each item rated from 0 (no symptoms) to 4 (extreme symptoms). Total scores range from 0 to 40. Reduction in total score indicates improvement.

EuroQoL Group 5-Dimension 5-Level Self-Report (EQ-5D-5L): MobilityUp to 12 weeks

Quality of life was assessed using the EQ-5D-5L, which is one of the most widely used generic index measures of health-related quality of life. It consists of a 5-item descriptive system that measures 5 dimensions of health, including mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Percentage of participants with various mobility conditions were reported.

Percentage of Participants With Improvement on Clinical Global Impression-Improvement (CGI-I) ScoresUp to 12 weeks

CGI-I consists of a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). Improvement is defined as a score of 1 (very much improved) or 2 (much improved) on the scale.

Change From Baseline in Frontal Systems Behavior (FrSBe) Total Score at Week 12Baseline and Week 12

The FrSBe is a 46-item self-rating scale designed to measure the neurobehavioral traits associated with the 3 primary regions of the prefrontal cortex. Participants were asked to indicate the frequency with which they have engaged in certain behaviors using a rating scale from "1" (almost never) to "5" (almost always). Summary scores were calculated and converted to t-score. A decrease from baseline in FrSBe total score represents improvement.

EuroQoL Group 5-Dimension 5-Level Self-Report (EQ-5D-5L): Anxiety/DepressionUp to 12 weeks

Quality of life was assessed using the EQ-5D-5L, which is one of the most widely used generic index measures of health-related quality of life. It consists of a 5-item descriptive system that measures 5 dimensions of health, including mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Percentage of participants with various anxiety/depression conditions were reported.

EuroQoL Group 5-Dimension 5-Level Self-Report (EQ-5D-5L): Self-CareUp to 12 weeks

Quality of life was assessed using the EQ-5D-5L, which is one of the most widely used generic index measures of health-related quality of life. It consists of a 5-item descriptive system that measures 5 dimensions of health, including mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Percentage of participants with various self-care conditions were reported.

EuroQoL Group 5-Dimension 5-Level Self-Report (EQ-5D-5L): Usual ActivitiesUp to 12 weeks

Quality of life was assessed using the EQ-5D-5L, which is one of the most widely used generic index measures of health-related quality of life. It consists of a 5-item descriptive system that measures 5 dimensions of health, including mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Percentage of participants with various usual activities conditions were reported.

EuroQoL Group 5-Dimension 5-Level Self-Report (EQ-5D-5L): Pain/DiscomfortUp to 12 weeks

Quality of life was assessed using the EQ-5D-5L, which is one of the most widely used generic index measures of health-related quality of life. It consists of a 5-item descriptive system that measures 5 dimensions of health, including mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Percentage of participants with various pain/discomfort conditions were reported.

Amphetamine Cessation Symptom Assessment (ACSA) Total ScoreUp to 12 weeks

ACSA scale has 16 symptom items rated on a scale from 0 (not at all) to 4 (extremely) with a possible total score range of 0 to 64. Higher scores indicate greater withdrawal symptom severity.

Columbia-Suicide Severity Rating Scale (C-SSRS)Up to 12 weeks

C-SSRS is a semi-structured interview that captures the occurrence, severity, and frequency of suicide-related thoughts and behaviors during the assessment period. The interview includes definitions and suggested questions to solicit the type of information needed to determine if a suicide-related thought or behaviour occurred. The assessment is done by the nature of the responses, not by a numbered scale. Number of participants with suicidal ideation and suicidal behavior were reported.

Trial Locations

Locations (47)

Gulfcoast Clinical Research

🇺🇸

Fort Myers, Florida, United States

McLean Hospital

🇺🇸

Belmont, Massachusetts, United States

Cypress Medical Research Center, LLC

🇺🇸

Wichita, Kansas, United States

Birmingham Research Group

🇺🇸

Birmingham, Alabama, United States

Pacific Research Partners, LLC

🇺🇸

Oakland, California, United States

Pharmacology Research Institute

🇺🇸

Los Alamitos, California, United States

Trimed Clinical Trials

🇺🇸

Corona, California, United States

Clinical Study Centers, LLC

🇺🇸

Little Rock, Arkansas, United States

Western Affiliated Research Institute, Inc.

🇺🇸

Denver, Colorado, United States

Research Across America

🇺🇸

Santa Ana, California, United States

Fidelity Clinical Research, Inc.

🇺🇸

Lauderhill, Florida, United States

Clinical Neuroscience Solutions, Inc.

🇺🇸

Memphis, Tennessee, United States

Compass Research LLC

🇺🇸

Leesburg, Florida, United States

Alexian Brothers Behavioral Health Hospital

🇺🇸

Hoffman Estates, Illinois, United States

Goldpoint Clinical Research, LLC

🇺🇸

Indianapolis, Indiana, United States

Uptown Research Institute

🇺🇸

Chicago, Illinois, United States

Scientific Clinical Research Inc.

🇺🇸

North Miami, Florida, United States

AMR Baber Research, Inc.

🇺🇸

Naperville, Illinois, United States

St. Charles Psychiatric Associates/Midwest Research Group

🇺🇸

Saint Charles, Missouri, United States

Wake Research Associates, LLC

🇺🇸

Raleigh, North Carolina, United States

Pacific Research for Research and Evaluation

🇺🇸

Albuquerque, New Mexico, United States

Community Research

🇺🇸

Cincinnati, Ohio, United States

Midwest Clinical Research Center, LLC

🇺🇸

Dayton, Ohio, United States

Center for Psychiatry and Behavioral Medicine, Inc.

🇺🇸

Las Vegas, Nevada, United States

Clinical Trials Research Services, LLC

🇺🇸

Pittsburgh, Pennsylvania, United States

Oregon Center for Clinical Investigations, Inc.

🇺🇸

Salem, Oregon, United States

The Clinical Trials Center, LLC

🇺🇸

Jenkintown, Pennsylvania, United States

IPS Research Company

🇺🇸

Oklahoma City, Oklahoma, United States

North Star Medical Research

🇺🇸

Middleburg Heights, Ohio, United States

Suburban Research Associates

🇺🇸

Media, Pennsylvania, United States

Radiant Research, Inc.

🇺🇸

Murray, Utah, United States

Coastal Carolina Research Center

🇺🇸

Mount Pleasant, South Carolina, United States

Future Search Trials

🇺🇸

Austin, Texas, United States

Futuresearch Trials of Dallas, L.P.

🇺🇸

Dallas, Texas, United States

Neuropsychiatric Associates, LLC

🇺🇸

Woodstock, Vermont, United States

Grayline Clinical Drug Trials

🇺🇸

Wichita Falls, Texas, United States

Charlottesville Medical Research Center, LLC

🇺🇸

Charlottesville, Virginia, United States

Northwest Clinical Research Center

🇺🇸

Bellevue, Washington, United States

Dean Foundation for Health, Research and Educations, Inc.

🇺🇸

Middleton, Wisconsin, United States

Alliance Research Group

🇺🇸

Richmond, Virginia, United States

Ernovis GmbH

🇩🇪

Berlin, Germany

Klinische Forschung Dresden GmbH

🇩🇪

Dresden, Germany

Studienzentrum Nordwest, Gemeinschaftspraxis

🇩🇪

Westerstede, Germany

Hospital Universitario Infanta Leonor

🇪🇸

Madrid, Spain

Lakarmottagning Ekdahl & Kronberg

🇸🇪

Malmo, Sweden

Sophiahemmet

🇸🇪

Stockholm, Sweden

Stockholm Center for Eating Disorders

🇸🇪

Stockholm, Sweden

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