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Binge Eating DisorderPhase 3NCT01718483

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

A Phase 3 study testing SPD489 (Lisdexamfetamine dimesylate) in people with Binge Eating Disorder, run by Shire at 50 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial 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)… Read more about this study

Who is it for?
Ages 18 to 55 years
Conditions the study is for
Binge Eating Disorder
What is being tested?
SPD489 (Lisdexamfetamine dimesylate)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
383 participants
Where
50 sitesin 4 countries
Study dates
26 Nov 2012to 25 Sep 2013
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Subject is between 18-55 years of age.
  • Subject meets the following DSM-IV-TR criteria for a diagnosis of BED:
  • Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following: eating, in a discrete period of time (eg, within a 2-hour period) an amount of food that is definitely larger than most people would eat in a similar period of time under similar conditions, and a sense of lack of control over the eating (eg, a feeling that one cannot stop eating or control what or how much one is eating).
  • The binge eating episodes are associated with at least 3 of the following: eating much more rapidly than normal; eating until uncomfortably full; eating large amounts of food when not feeling physically hungry; eating alone because of being embarrassed by how much one is eating; feeling disgusted with oneself, depressed, or feeling very guilty after overeating.
  • Marked distress regarding binge eating. The binge eating occurs, on average, at least 2 days a week for 6 months. The episodes of binge eating do not occur exclusively during the course of bulimia nervosa or anorexia nervosa.
  • Subject's BED is of at least moderate severity with subjects reporting at least 3 binge eating days per week for the 14 days prior to the Baseline Visit (Visit 0) as documented in the subject's binge diary. A binge day is a day during which at least 1 binge eating episode occurs.
  • Female subjects must have a negative serum B HCG pregnancy test and a negative urine pregnancy test.

Who cannot join

  • Subject has concurrent symptoms of bulimia nervosa or anorexia nervosa.
  • Subject is receiving psychotherapy (eg, supportive psychotherapy, cognitive behavior therapy, interpersonal therapy) or weight loss support (eg, Weight Watchers) for BED within 3 months.
  • Subject has used psychostimulants to facilitate fasting or dieting as a part of their BED within 6 months.
  • Subject has a lifetime history of psychosis, mania, hypomania, dementia, or ADHD.
  • Subject is considered a suicide risk in the opinion of the investigator, has previously made a suicide attempt, or is currently demonstrating active suicidal ideation. Subjects with intermittent passive suicidal ideation are not necessarily excluded based on the assessment of the investigator.
  • Subject has known history of symptomatic cardiovascular disease, advanced arteriosclerosis, structural cardiac abnormality, cardiomyopathy, serious heart rhythm abnormalities, coronary artery disease, or other serious cardiac problems.
Show all 10Show fewer
  • Subject has recently initiated treatment with a lipid-lowering medication (within the past 3 months).
  • Subject has a history of moderate or severe hypertension.
  • Subject is female and pregnant or nursing.
  • Subjects who have had bariatric surgery, lap bands, duodenal stents, or other procedures for weight loss.

Trial locations and contacts

50 sites in 4 countries.

50 sites in 4 countries

United States43 sites
  • Pacific Research for Research and Evaluation

    Albuquerque, New Mexico, 87102

  • Radiant Research, Inc.

    Anderson, South Carolina, 29621

  • Future Search Trials

    Austin, Texas, 78731

  • Northwest Clinical Research Center

    Bellevue, Washington, 98007

  • McLean Hospital

    Belmont, Massachusetts, 02478

  • Birmingham Research Group

    Birmingham, Alabama, 35216

  • Charlottesville Medical Research Center, LLC

    Charlottesville, Virginia, 22911

  • Uptown Research Institute

    Chicago, Illinois, 60640

  • Community Research

    Cincinnati, Ohio, 45227

  • Trimed Clinical Trials

    Corona, California, 92880

  • Futuresearch Trials of Dallas, L.P.

    Dallas, Texas, 75231

  • Midwest Clinical Research Center, LLC

    Dayton, Ohio, 45417

  • Western Affiliated Research Institute, Inc.

    Denver, Colorado, 80209

  • Pharmacology Research Institute

    Encino, California, 91316

  • Gulfcoast Clinical Research

    Fort Myers, Florida, 33912

  • Alexian Brothers Behavioral Health Hospital

    Hoffman Estates, Illinois, 60169

  • Goldpoint Clinical Research, LLC

    Indianapolis, Indiana, 46260

  • Clinical Neuroscience Solutions, Inc.

    Jacksonville, Florida, 32256

  • The Clinical Trials Center, LLC

    Jenkintown, Pennsylvania, 19046

  • Center for Psychiatry and Behavioral Medicine, Inc.

    Las Vegas, Nevada, 89128

  • Fidelity Clinical Research, Inc.

    Lauderhill, Florida, 33319

  • Compass Research LLC

    Leesburg, Florida, 34748

  • Clinical Study Centers, LLC

    Little Rock, Arkansas, 72211

  • Pharmacology Research Institute

    Los Alamitos, California, 90720

  • Suburban Research Associates

    Media, Pennsylvania, 19063

  • Clinical Neuroscience Solutions, Inc.

    Memphis, Tennessee, 38119

  • North Star Medical Research

    Middleburg Heights, Ohio, 44130

  • Dean Foundation for Health, Research and Educations, Inc.

    Middleton, Wisconsin, 53562

  • Coastal Carolina Research Center

    Mt. Pleasant, South Carolina, 29464

  • Radiant Research, Inc.

    Murray, Utah, 84123

  • AMR Baber Research, Inc.

    Naperville, Illinois, 60563

  • Scientific Clinical Research Inc.

    North Miami, Florida, 33161

  • Pacific Research Partners, LLC

    Oakland, California, 94812

  • IPS Research Company

    Oklahoma City, Oklahoma, 73103

  • Clinical Trials Research Services, LLC

    Pittsburgh, Pennsylvania, 15206

  • Wake Research Associates, LLC

    Raleigh, North Carolina, 27612

  • Alliance Research Group

    Richmond, Virginia, 23230

  • St. Charles Psychiatric Associates/Midwest Research Group

    Saint Charles, Missouri, 63304

  • Oregon Center for Clinical Investigations, Inc.

    Salem, Oregon, 97301

  • Research Across America

    Santa Ana, California, 92705

  • Cypress Medical Research Center, LLC

    Wichita, Kansas, 67226

  • Grayline Clinical Drug Trials

    Wichita Falls, Texas, 76309

  • Neuropsychiatric Associates, LLC

    Woodstock, Vermont, 05091

Other trials in United States

Germany3 sites
  • Ernovis GmbH

    Berlin, 10629

  • Klinische Forschung Dresden GmbH

    Dresden, 01069

  • Studienzentrum Nordwest, Gemeinschaftspraxis

    Westerstede, 26655

Other trials in Germany

Sweden3 sites
  • Lakarmottagning Ekdahl & Kronberg

    Malmö, 22152

  • Sophiahemmet

    Stockholm, 11486

  • Stockholm Center for Eating Disorders

    Stockholm, 11850

Other trials in Sweden

Spain1 site
  • Hospital Universitario Infanta Leonor

    Madrid, 28031

Other trials in Spain

About this study

Official title: The SPD489-343, Phase 3, Multicenter, Randomized, Double-blind, Parallel-group, Placebo-controlled, Dose-optimization Study to Evaluate the Efficacy, Safety, and Tolerability of SPD489 in Adults Aged 18-55 Years With Moderate to Severe Binge Eating Disorder

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

Being tested
SPD489 (Lisdexamfetamine dimesylate), Placebo
Medical subject headings
Binge-Eating Disorder

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SPD489 (Lisdexamfetamine dimesylate)Drug

    Also called Vyvanse, Venvanse, LDX

    50 or 70 mg administered orally, once-daily for up to 12 weeks

  • PlaceboDrug

    Administered once-daily, orally, for up to 12 weeks

Study groups in NCT01718483
Study groupRoleWhat they receive
SPD489 (Lisdexamfetamine dimesylate)ExperimentalNot described
Receives: Drug: SPD489 (Lisdexamfetamine dimesylate)
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in the Number of Binge Days Per Week at 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.

    Measured: Baseline and Visit 8 (Weeks 11-12)

Secondary outcomes (19)
  1. Percentage of Participants With Improvement on Clinical Global Impression-Improvement (CGI-I) Scores

    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.

    Measured: Up to 12 weeks

  2. Percentage of Participants With a 4-Week Cessation From Binge Eating

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

    Measured: Up to 12 weeks

  3. Percent Change From Baseline in Body Weight at Week 12

    Measured: Baseline and Week 12

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

    Measured: Baseline and Week 12

  5. Change From Baseline in Fasting Triglyceride Levels at Up to 12 Weeks

    Measured: Baseline and Week 12/Early termination (ET)

  6. Change From Baseline In Fasting Total Cholesterol Levels at Up to 12 Weeks

    Measured: Baseline and Week 12/ET

  7. Change From Baseline in Hemoglobin A1c Levels at Up to 12 Weeks

    Measured: Baseline and Week 12/ET

  8. Binge Eating Response

    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.

    Measured: Week 12/ET

  9. Change From Baseline in the Number of Binge Episodes Per Week at Visit 8 (Weeks 11-12)

    Measured: Baseline and Visit 8 (Weeks 11-12)

  10. Change From Baseline in Eating Inventory Scores at 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.

    Measured: Baseline and Week 12

  11. Change From Baseline in Binge Eating Scale (BES) Score at 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.

    Measured: Baseline and Week 12

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

    Measured: Baseline and Week 12

  13. EuroQoL Group 5-Dimension 5-Level Self-Report (EQ-5D-5L): Mobility

    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.

    Measured: Up to 12 weeks

  14. EuroQoL Group 5-Dimension 5-Level Self-Report (EQ-5D-5L): Self-Care

    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.

    Measured: Up to 12 weeks

  15. EuroQoL Group 5-Dimension 5-Level Self-Report (EQ-5D-5L): Usual Activities

    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.

    Measured: Up to 12 weeks

  16. EuroQoL Group 5-Dimension 5-Level Self-Report (EQ-5D-5L): Pain/Discomfort

    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.

    Measured: Up to 12 weeks

  17. EuroQoL Group 5-Dimension 5-Level Self-Report (EQ-5D-5L): Anxiety/Depression

    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.

    Measured: Up to 12 weeks

  18. Columbia-Suicide Severity Rating Scale (C-SSRS)

    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.

    Measured: Up to 12 weeks

  19. Amphetamine Cessation Symptom Assessment (ACSA) Total Score

    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.

    Measured: Up to 12 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Oct 2012 (estimated)
  2. Study start26 Nov 2012
  3. Primary completion25 Sep 2013
  4. Study completion25 Sep 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
383 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01718483
Sponsor's protocol ID
SPD489-343
Other IDs
2012-003309-91
Status last verified
May 2021
First submitted
29 Oct 2012
Last updated
8 Jun 2021
Data monitoring committee
No

Publications

  • McElroy SL, Hudson J, Ferreira-Cornwell MC, Radewonuk J, Whitaker T, Gasior M. Lisdexamfetamine Dimesylate for Adults with Moderate to Severe Binge Eating Disorder: Results of Two Pivotal Phase 3 Randomized Controlled Trials. Neuropsychopharmacology. 2016 Apr;41(5):1251-60. doi: 10.1038/npp.2015.275. Epub 2015 Sep 9.

    PubMed 26346638
  • Robertson B, Wu J, Fant RV, Schnoll SH, McElroy SL. Assessment of Amphetamine Withdrawal Symptoms of Lisdexamfetamine Dimesylate Treatment for Adults With Binge-Eating Disorder. Prim Care Companion CNS Disord. 2020 Mar 26;22(2):19m02540. doi: 10.4088/PCC.19m02540.

    PubMed 32237290
  • Kornstein SG, Bliss C, Kando J, Madhoo M. Clinical Characteristics and Treatment Response to Lisdexamfetamine Dimesylate Versus Placebo in Adults With Binge Eating Disorder: Analysis by Gender and Age. J Clin Psychiatry. 2019 Feb 26;80(2):18m12378. doi: 10.4088/JCP.18m12378.

    PubMed 30817099
  • Sheehan DV, Gasior M, McElroy SL, Radewonuk J, Herman BK, Hudson J. Effects of Lisdexamfetamine Dimesylate on Functional Impairment Measured on the Sheehan Disability Scale in Adults With Moderate-to-severe Binge Eating Disorder: Results from Two Randomized, Placebo-controlled Trials. Innov Clin Neurosci. 2018 Jun 1;15(5-6):22-29.

    PubMed 30013816
  • Citrome L, Kando JC, Bliss C. Relationships between clinical scales and binge eating days in adults with moderate to severe binge eating disorder in two Phase III studies. Neuropsychiatr Dis Treat. 2018 Feb 15;14:537-546. doi: 10.2147/NDT.S158395. eCollection 2018.

    PubMed 29497297

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing SPD489 (Lisdexamfetamine dimesylate) in people with Binge Eating Disorder, run by Shire at 50 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 8 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 50 sites in United States, Germany, Sweden, Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 21 Jul 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in the Number of Binge Days Per Week at Visit 8 (Weeks 11-12) (time frame: Baseline and Visit 8 (Weeks 11-12)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01718483, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Jun 2021.

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