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eural mechanisms of lisdexamfetamine in binge eating disorder.

Phase 4
Recruiting
Conditions
Binge-Eating Disorder
Mental Health - Eating disorders
Registration Number
ACTRN12618000623291
Lead Sponsor
niversity of Sydney
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
62
Inclusion Criteria

The key inclusion criteria for BED patients are:
- Age 18 – 40 years.
- Binge-eating disorder diagnosis, confirmed by the eating disorders module of the Structured Clinical Interview for DSM 5.
- Moderate to severe BED, defined as the presence of binge eating frequency of 3 days/week or greater in the month prior to the baseline assessment and a score of 4 or greater on the clinical global impressions severity scale.
- Body mass index of 20 – 45kg/m2.
- A study doctor has verified that it is medically and psychiatrically safe for their patient to commence LDX.
- Fluent in English.
- Have provided written informed consent.

The key inclusion criteria for control participants are:
- Age 18 – 40 years.
- Body Mass Index 20-45 kg/m2.
- Fluent in English.
- Have provided written informed consent.

Exclusion Criteria

The key exclusion criteria for BED patients are:
- Current anorexia or bulimia nervosa.
- History of psychosis or mania.
- Pregnant or breast-feeding women.
- Current therapy with antipsychotics or norepinephrine reuptake inhibitors.
- Cardiovascular disease, hypertension, use of monoamine oxidase inhibitors (MAOIs), or any other contraindications for psychostimulants.
- History of substance abuse/dependence (excluding nicotine).
- Previous suicide attempts or current suicidal ideation.
- Known medical condition, disease or neurological disorder which might, in the opinion of investigator/s, interfere with the assessments to be made in the study or put BED patients at increased risk when exposed to optimal doses of the drug treatment. For example, hypertension or a diagnosis of epilepsy would exclude a patient from this trial.
- Use of a psychostimulant in the 6 months prior to the study.
- Inability to tolerate the MRI scanner due to physical or psychological factors.
- History of physical brain injury or blow to the head that resulted in loss of consciousness for at least 10 minutes.

The key exclusion criteria for control participants are:
- Current or previous diagnosis of an eating disorder or any other psychiatric diagnosis, including substance dependence.
- Pregnant or breast-feeding women.
- Inability to tolerate the MRI scanner due to physical or psychological factors.
- Known medical condition, disease or neurological disorder which might, in the opinion of investigator/s, interfere with the assessments to be made in the study or put subjects at increased risk.
- History of physical brain injury or blow to the head that resulted in loss of consciousness for at least 10 minutes.
- Prior treatment with any stimulant medication.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Changes in resting-state functional connectivity between reward and inhibition networks in participants on LDX after 8 weeks of treatment, relative to pre-treatment, as assessed by MRI scans.[Baseline; 8 weeks after LDX treatment commencement.];Changes in resting-state functional connectivity between reward and inhibition networks in participants on LDX after 8 weeks of treatment, relative to no-treatment controls, as assessed by MRI scans.[Baseline; 8 weeks after LDX treatment commencement.]
Secondary Outcome Measures
NameTimeMethod
Changes in binge-eating symptoms, as assessed by the number of binge-eating events in the past week in a self-report diary.[Baseline; 8 weeks after LDX treatment commencement.];Changes in functional connectivity between reward and inhibition networks.[Baseline; 8 weeks after LDX treatment commencement.]
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