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Binge Eating DisorderNCT02555553

Noom Monitor for Binge Eating

A study testing CBT-GSH with Noom Monitor in people with Binge Eating Disorder, run by Icahn School of Medicine at Mount Sinai at 1 site in United States.

Completed

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

Official record
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Trial summary

The purpose of the proposed Phase II STTR study is to test the primary efficacy of a novel mobile app, 'Noom Monitor,' in a large population of binge eaters in the Kaiser Permanente health care system relative to a well-established treatment as usual (TAU) control condition. 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?
CBT-GSH with Noom Monitor
Could I receive a placebo?
No, everyone receives an active treatment
How many people
225 participants
Where
1 siteUnited States
Study dates
Apr 2016to 1 May 2018
Phase
Interventional
Are there results?
None posted in the registry

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

  • Meets for DSM-5 BN or BED criteria
  • Between the ages of 18 and 55
  • Males and females
  • BMI greater than 18.5 and less than 40
  • Medical clearance in the case of reported purging or extreme exercise
  • Free of psychiatric medication for at least 2 weeks prior to study or on a stable dose of medication for 4 weeks
  • 1 year continuous enrollment in Kaiser Permanente Northwest health plan

Who cannot join

  • Has undergone bariatric surgery
  • Demonstrates need for higher level of care (e.g., very low weight (<18.5))
  • Current comorbid substance dependence, bipolar or psychotic illness
  • Current suicidal ideation
  • Previously received Enhance Cognitive behavioral therapy or Cognitive behavioral therapy-guided self help
  • Previously read Overcoming Binge Eating by Christopher Fairburn
  • Purging and/or laxative use more than 2x a day on average over the last month.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Kaiser Permanente Center for Health Research

    Portland, Oregon, 97227-1098

Other trials in United States

About this study

The purpose of the proposed Phase II STTR study is to test the primary efficacy of a novel mobile app, 'Noom Monitor,' in a large population of binge eaters in the Kaiser Permanente health care system relative to a well-established treatment as usual (TAU) control condition. Noom Monitor facilitates the delivery of CBT-GSH by utilizing a patient interface that increases adherence and provides between-session reminders of CBT-GSH principles. In addition, the Noom Monitor includes a therapist interface with weekly feedback to the provider about patient progress. This application has several primary objectives, including: (1) testing the real-world effectiveness of the Noom Monitor in a clinical setting, and (2) establishing a database of training materials for Noom Monitor. The knowledge gained from the current study will contribute to our understanding of the role of new emerging mobile technologies in augmenting existing treatments.

Read the detailed description

Binge eating is a core maladaptive behavior characteristic of several forms of eating pathology, including bulimia nervosa (BN) and binge eating disorder (BED). These chronic conditions affect approximately 5% of the population, and cause significant psychosocial and physical impairment. However, a number of barriers prevent the implementation of effective treatments, including poor treatment adherence, a paucity of specialized therapists, and high rates of drop out. The guided self-help version of cognitive-behavior therapy (CBT-GSH) is a brief 8-session highly scalable treatment to reduce binge eating. Moreover, CBT-GSH is a cost-effective empirically supported treatment that has been demonstrated to reduce total health care costs.

Although CBT-GSH for BN and BED is effective, few individuals receive these treatments and the majority of other available treatments do not meet adequate standards for care for eating disorders. There are a number of reasons for why this is the case, but an important concern about CBT-GSH is participant burden. The primary CBT-GSH intervention is self-monitoring, a uniquely effective technique for reducing binge eating episodes; however, traditional self-monitoring is time-intensive and cumbersome because of its paper-and-pencil format. In addition, other behavioral strategies utilized in CBT-GSH (e.g., the development of regular eating) require a high degree of participant engagement outside of session. Novel technologies, such as those available with smartphones, offer potentially important means for reducing participant burden in the delivery of CBT-GSH. The purpose of the proposed is to test the primary efficacy of a novel mobile app, 'Noom Monitor' in a large population of binge eaters relative to a well-established treatment as usual (TAU) control condition. The investigative team developed these products via phase I study (R41-MH096435) to facilitate delivery of a cognitive-behavior therapy version of Guided Self-Help.

The efficacy and product development aims of this proposal will be used to support the commercial launch of Noom Monitor, a smartphone platform.

Being tested
CBT-GSH with Noom Monitor
Keywords
Cognitive behavioral therapy guided self-help, Mobile Mental Health, Binge Eating, Cognitive Behavioral Therapy, Eating Disorder Treatment, Self-monitoring, Eating Disorders, Ecological Momentary Intervention
Medical subject headings
Binge-Eating Disorder, Bulimia, Feeding and Eating Disorders

What participants receive

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

  • CBT-GSH with Noom MonitorBehavioural

    This intervention is cognitive behavioral treatment with a smartphone application

Study groups in NCT02555553
Study groupRoleWhat they receive
Treatment as UsualNo interventionThe control group for the RCT will be a "usual care" condition in which participants are free to seek any assistance for their ED during the study period.
CBT-GSH with Noom MonitorExperimentalParticipation will include 12 weeks of guided cognitive-behavioral therapy- guided self help (CBT-GSH) with an MA-level health coach or nutritionist from the KPNW health plan. Patients will use a self-help book, Overcoming Binge Eating (2013) by Christopher Fairburn. The first session will last 60 minutes, and each subsequent session lasts 20-25 minutes. The first four sessions are weekly, with the subsequent four twice monthly. Self-monitoring will be conducted through Noom Monitor and individuals will receive a specialized set of instructions on how to use the monitor. Therapists will also be asked to check feedback report on clients before each session.
Receives: Behavioral: CBT-GSH with Noom Monitor

What is being measured

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

  1. Objective Binge Days

    Objective Binge Days - Objective binge days item of Eating Disorder Examination Scale version 16 (EDE-Q V6) - Frequency of days with objective binge episodes

    Measured: At 0 week

  2. Objective Binge Days

    Objective Binge Days - Objective binge days item of EDE-Q V6 - Frequency of days with objective binge episodes

    Measured: At 4 weeks

  3. Objective Binge Days

    Objective Binge Days - Objective binge days item of EDE-Q V6 - Frequency of days with objective binge episodes

    Measured: At 8 weeks

  4. Objective Binge Days

    Objective Binge Days - Objective binge days item of EDE-Q V6 - Frequency of days with objective binge episodes

    Measured: At 12 weeks

  5. Objective Binge Days

    Objective Binge Days - Objective binge days item of EDE-Q V6 - Frequency of days with objective binge episodes

    Measured: At 26 weeks

  6. Objective Binge Days

    Objective Binge Days - Objective binge days item of EDE-Q V6 - Frequency of days with objective binge episodes

    Measured: At 52 weeks

  7. Sum of Compensatory Episodes

    Sum of days where vomiting, laxative, or compulsive exercise occurs - sum of 3 items on EDE-Q v6

    Measured: At 0 week

  8. Sum of Compensatory Episodes

    Sum of days where vomiting, laxative, or compulsive exercise occurs - sum of 3 items on EDE-Q v6

    Measured: At 4 weeks

  9. Sum of Compensatory Episodes

    Sum of days where vomiting, laxative, or compulsive exercise occurs - sum of 3 items on EDE-Q v6

    Measured: At 8 weeks

  10. Sum of Compensatory Episodes

    Sum of days where vomiting, laxative, or compulsive exercise occurs - sum of 3 items on EDE-Q v6

    Measured: At 12 weeks

  11. Sum of Compensatory Episodes

    Sum of days where vomiting, laxative, or compulsive exercise occurs - sum of 3 items on EDE-Q v6

    Measured: At 26 weeks

  12. Sum of Compensatory Episodes

    Sum of days where vomiting, laxative, or compulsive exercise occurs -sum of 3 items on EDE-Q v6

    Measured: At 52 weeks

Secondary outcomes (48)
  1. Clinical Impairment Assessment

    Full scale from 0-48, with higher score indicating more impairment

    Measured: At 0 week

  2. Clinical Impairment Assessment

    Full scale from 0-48, with higher score indicating more impairment

    Measured: At 4 weeks

  3. Clinical Impairment Assessment

    Full scale from 0-48, with higher score indicating more impairment

    Measured: At 8 weeks

  4. Clinical Impairment Assessment

    Full scale from 0-48, with higher score indicating more impairment

    Measured: At 12 weeks

  5. Clinical Impairment Assessment

    Full scale from 0-48, with higher score indicating more impairment

    Measured: At 26 weeks

  6. Clinical Impairment Assessment

    Full scale from 0-48, with higher score indicating more impairment

    Measured: At 52 weeks

  7. Personal Health Questionnaire

    Full scale from 0-24, with higher score indicating more depression

    Measured: At 0 weeks

  8. Personal Health Questionnaire

    Full scale from 0-24, with higher score indicating more depression

    Measured: At 4 weeks

  9. Personal Health Questionnaire

    Full scale from 0-24, with higher score indicating more depression

    Measured: At 8 weeks

  10. Personal Health Questionnaire

    Full scale from 0-24, with higher score indicating more depression

    Measured: At 12 weeks

  11. Personal Health Questionnaire

    Full scale from 0-24, with higher score indicating more depression

    Measured: At 26 weeks

  12. Personal Health Questionnaire

    Full scale from 0-24, with higher score indicating more depression

    Measured: At 52 weeks

  13. Quality of Life Scale

    Full scale from 16-112, with higher score indicating better health outcomes

    Measured: At 0 week

  14. Quality of Life Scale

    Full scale from 16-112, with higher score indicating better health outcomes

    Measured: At 4 weeks

  15. Quality of Life Scale

    Full scale from 16-112, with higher score indicating better health outcomes

    Measured: At 8 weeks

  16. Quality of Life Scale

    Full scale from 16-112, with higher score indicating better health outcomes

    Measured: At 12 weeks

  17. Quality of Life Scale

    Full scale from 16-112, with higher score indicating better health outcomes

    Measured: At 26 weeks

  18. Quality of Life Scale

    Full scale from 16-112, with higher score indicating better health outcomes

    Measured: At 52 weeks

  19. Eating Concern Subscale

    Eating concern subscale of the EDE-QV6 from 0-6 with higher score indicating worse health outcomes

    Measured: At 0 week

  20. Eating Concern Subscale

    Eating concern subscale of the EDE-QV6 from 0-6 with higher score indicating worse health outcomes

    Measured: At 4 weeks

  21. Eating Concern Subscale

    Eating concern subscale of the EDE-Q v6 from 0-6 with higher score indicating worse health outcomes

    Measured: At 8 weeks

  22. Eating Concern Subscale

    Eating concern subscale of the EDE-Q v6 from 0-6 with higher score indicating worse health outcomes

    Measured: At 12 weeks

  23. Eating Concern Subscale

    Eating concern subscale of the EDE-Q v6 from 0-6 with higher score indicating worse health outcomes

    Measured: At 26 weeks

  24. Eating Concern Subscale

    Eating concern subscale of the EDE-Q v6 from 0-6 with higher score indicating worse health outcomes

    Measured: At 52 weeks

  25. Dietary Restraint Subscale

    Dietary Restraint Subscale of the EDE-Q v6 from 0-6, with higher score indicating worse health outcomes

    Measured: At 0 week

  26. Dietary Restraint Subscale

    Dietary Restraint Subscale of the EDE-Q v6 from 0-6, with higher score indicating worse health outcomes

    Measured: At 4 weeks

  27. Dietary Restraint Subscale

    Dietary Restraint Subscale of the EDE-Q v6 from 0-6, with higher score indicating worse health outcomes

    Measured: At 8 weeks

  28. Dietary Restraint Subscale

    Dietary Restraint Subscale of the EDE-Q v6 from 0-6, with higher score indicating worse health outcomes

    Measured: At 12 weeks

  29. Dietary Restraint Subscale

    Dietary Restraint Subscale of the EDE-Q v6 from 0-6, with higher score indicating worse health outcomes

    Measured: At 26 weeks

  30. Dietary Restraint Subscale

    Dietary Restraint Subscale of the EDE-Q v6 from 0-6, with higher score indicating worse health outcomes

    Measured: At 52 weeks

  31. Shape Concern Subscale

    Shape Concern Subscale of the EDE-Q v6 from 0-6, with higher score indicating worse health outcomes

    Measured: At 0 week

  32. Shape Concern Subscale

    Shape Concern Subscale of the EDE-Q v6 from 0-6, with higher score indicating worse health outcomes

    Measured: At 4 weeks

  33. Shape Concern Subscale

    Shape Concern Subscale of the EDE-Q v6 from 0-6, with higher score indicating worse health outcomes

    Measured: At 8 weeks

  34. Shape Concern Subscale

    Shape Concern Subscale of the EDE-Q v6 from 0-6, with higher score indicating worse health outcomes

    Measured: At 12 weeks

  35. Shape Concern Subscale

    Shape Concern Subscale of the EDE-Q v6 from 0-6, with higher score indicating worse health outcomes

    Measured: At 26 weeks

  36. Shape Concern Subscale

    Shape Concern Subscale of the EDE-Q v6 from 0-6, with higher score indicating worse health outcomes

    Measured: At 52 weeks

  37. Weight Concern Subscale

    Weight Concern Subscale of the EDE-Q v6 from 0-6, with higher score indicating worse health outcomes

    Measured: At 0 Week

  38. Weight Concern Subscale

    Weight Concern Subscale of the EDE-Q v6 from 0-6, with higher score indicating worse health outcomes

    Measured: At 4 Weeks

  39. Weight Concern Subscale

    Weight Concern Subscale of the EDE-Q v6 from 0-6, with higher score indicating worse health outcomes

    Measured: At 8 Weeks

  40. Weight Concern Subscale

    Weight Concern Subscale of the EDE-Q v6 from 0-6, with higher score indicating worse health outcomes

    Measured: At 12 Weeks

  41. Weight Concern Subscale

    Weight Concern Subscale of the EDE-Q v6 from 0-6, with higher score indicating worse health outcomes

    Measured: At 26 Weeks

  42. Weight Concern Subscale

    Weight Concern Subscale of the EDE-Q v6 from 0-6, with higher score indicating worse health outcomes

    Measured: At 52 Weeks

  43. Global Eating Disorder Subscale

    Global Eating Disorder Subscale of the EDE-Q v6 from 0-6, with higher score indicating worse health outcomes

    Measured: At 0 week

  44. Global Eating Disorder Subscale

    Global Eating Disorder Subscale of the EDE-Q v6 from 0-6, with higher score indicating worse health outcomes

    Measured: At 4 weeks

  45. Global Eating Disorder Subscale

    Global Eating Disorder Subscale of the EDE-Q v6 from 0-6, with higher score indicating worse health outcomes

    Measured: At 8 weeks

  46. Global Eating Disorder Subscale

    Global Eating Disorder Subscale of the EDE-Q v6 from 0-6, with higher score indicating worse health outcomes

    Measured: At 12 weeks

  47. Global Eating Disorder Subscale

    Global Eating Disorder Subscale of the EDE-Q v6 from 0-6, with higher score indicating worse health outcomes

    Measured: At 26 weeks

  48. Global Eating Disorder Subscale

    Global Eating Disorder Subscale of the EDE-Q v6 from 0-6, with higher score indicating worse health outcomes

    Measured: At 52 weeks

Timeline

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

  1. First posted21 Sep 2015 (estimated)
  2. Study startApr 2016
  3. Primary completion1 May 2018
  4. Study completion1 May 2018

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 N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
225 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02555553
Sponsor's protocol ID
GCO 14-1335
Status last verified
Sep 2019
First submitted
17 Sep 2015
Last updated
27 Sep 2019
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Hildebrandt T, Michaeledes A, Mayhew M, Greif R, Sysko R, Toro-Ramos T, DeBar L. Randomized Controlled Trial Comparing Health Coach-Delivered Smartphone-Guided Self-Help With Standard Care for Adults With Binge Eating. Am J Psychiatry. 2020 Feb 1;177(2):134-142. doi: 10.1176/appi.ajp.2019.19020184.

    PubMed 32008396

Questions about this trial

What is this clinical trial studying?

A study testing CBT-GSH with Noom Monitor in people with Binge Eating Disorder, run by Icahn School of Medicine at Mount Sinai at 1 site in United States.

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 7 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 27 Sep 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Objective Binge Days (time frame: At 0 week). The study lists 12 primary outcomes in all. 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 NCT02555553, which also lists 1 linked publication.

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 27 Sep 2019.

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