Trial Outcomes & Findings for Efficacy and Mechanisms of Naltrexone+Bupropion for Binge Eating Disorder (NCT NCT03539900)

NCT ID: NCT03539900

Last Updated: 2024-04-03

Results Overview

Binge eating will be assessed by interview (Eating Disorder Examination) and the primary outcome is frequency of binge episodes in the past month, comparing baseline and post-treatment. Change is defined as the change in frequency from baseline to post-treatment."

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

89 participants

Primary outcome timeframe

Post-treatment (3 months)

Results posted on

2024-04-03

Participant Flow

Participant milestones

Participant milestones
Measure
NB Medication
Naltrexone Hydrochoride, Bupropion Hydrochloride Drug Combination (NB Medication) Bupropion Hydrochloride, Naltrexone Hydrochoride Drug Combination: NB medication will combine BUPROPION HYDROCHLORIDE (360 mg/day) and NALTREXONE HYDROCHLORIDE (32 mg/day). Taken daily in pill form.
Placebo
Placebo will be inactive and taken daily in pill form. Placebo: Placebo will be inactive and taken daily in pill form.
Overall Study
STARTED
43
46
Overall Study
COMPLETED
38
44
Overall Study
NOT COMPLETED
5
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Efficacy and Mechanisms of Naltrexone+Bupropion for Binge Eating Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
NB Medication
n=43 Participants
Naltrexone Hydrochoride, Bupropion Hydrochloride Drug Combination (NB Medication) Bupropion Hydrochloride, Naltrexone Hydrochoride Drug Combination: NB medication will combine BUPROPION HYDROCHLORIDE (360 mg/day) and NALTREXONE HYDROCHLORIDE (32 mg/day). Taken daily in pill form.
Placebo
n=46 Participants
Placebo will be inactive and taken daily in pill form. Placebo: Placebo will be inactive and taken daily in pill form.
Total
n=89 Participants
Total of all reporting groups
Age, Continuous
45.3 years
STANDARD_DEVIATION 14.0 • n=5 Participants
46.0 years
STANDARD_DEVIATION 13.2 • n=7 Participants
45.7 years
STANDARD_DEVIATION 13.5 • n=5 Participants
Sex/Gender, Customized
Men
11 Participants
n=5 Participants
13 Participants
n=7 Participants
24 Participants
n=5 Participants
Sex/Gender, Customized
Women
30 Participants
n=5 Participants
33 Participants
n=7 Participants
63 Participants
n=5 Participants
Sex/Gender, Customized
Another gender
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
40 Participants
n=5 Participants
43 Participants
n=7 Participants
83 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
7 Participants
n=5 Participants
10 Participants
n=7 Participants
17 Participants
n=5 Participants
Race (NIH/OMB)
White
31 Participants
n=5 Participants
31 Participants
n=7 Participants
62 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
43 participants
n=5 Participants
46 participants
n=7 Participants
89 participants
n=5 Participants
Sexual Orientation
Heterosexual
38 Participants
n=5 Participants
42 Participants
n=7 Participants
80 Participants
n=5 Participants
Sexual Orientation
Homosexual
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Sexual Orientation
Bisexual
3 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
Education
High School
8 Participants
n=5 Participants
8 Participants
n=7 Participants
16 Participants
n=5 Participants
Education
Some College
14 Participants
n=5 Participants
20 Participants
n=7 Participants
34 Participants
n=5 Participants
Education
College
12 Participants
n=5 Participants
4 Participants
n=7 Participants
16 Participants
n=5 Participants
Education
More than College
9 Participants
n=5 Participants
14 Participants
n=7 Participants
23 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Post-treatment (3 months)

Binge eating will be assessed by interview (Eating Disorder Examination) and the primary outcome is frequency of binge episodes in the past month, comparing baseline and post-treatment. Change is defined as the change in frequency from baseline to post-treatment."

Outcome measures

Outcome measures
Measure
Placebo
n=46 Participants
Placebo will be inactive and taken daily in pill form. Placebo: Placebo will be inactive and taken daily in pill form.
NB Medication
n=43 Participants
Naltrexone Hydrochoride, Bupropion Hydrochloride Drug Combination (NB Medication) Bupropion Hydrochloride, Naltrexone Hydrochoride Drug Combination: NB medication will combine BUPROPION HYDROCHLORIDE (360 mg/day) and NALTREXONE HYDROCHLORIDE (32 mg/day). Taken daily in pill form.
Change in Binge Eating Frequency
5.4 binge-eating episodes per month
Standard Deviation 9.6
6.4 binge-eating episodes per month
Standard Deviation 10.6

PRIMARY outcome

Timeframe: Post-treatment (3 months)

BMI was calculated using measured height and weight. We report percent BMI change using the following formula: (\[BMI at posttreatment\] - \[BMI at baseline\])/\[BMI at baseline\]. Negative values indicate loss.

Outcome measures

Outcome measures
Measure
Placebo
n=46 Participants
Placebo will be inactive and taken daily in pill form. Placebo: Placebo will be inactive and taken daily in pill form.
NB Medication
n=43 Participants
Naltrexone Hydrochoride, Bupropion Hydrochloride Drug Combination (NB Medication) Bupropion Hydrochloride, Naltrexone Hydrochoride Drug Combination: NB medication will combine BUPROPION HYDROCHLORIDE (360 mg/day) and NALTREXONE HYDROCHLORIDE (32 mg/day). Taken daily in pill form.
Percent BMI Change
-0.5 percent BMI change
Standard Deviation 8.9
-8.0 percent BMI change
Standard Deviation 11.3

SECONDARY outcome

Timeframe: 6 months post-treatment

Binge eating will be assessed by interview (Eating Disorder Examination) and the primary outcome is frequency of binge episodes in the past month, comparing post-treatment and 6 month post-treatment follow up. Change is defined as the change in frequency from post-treatment to 6 months post-treatment.

Outcome measures

Outcome measures
Measure
Placebo
n=23 Participants
Placebo will be inactive and taken daily in pill form. Placebo: Placebo will be inactive and taken daily in pill form.
NB Medication
n=24 Participants
Naltrexone Hydrochoride, Bupropion Hydrochloride Drug Combination (NB Medication) Bupropion Hydrochloride, Naltrexone Hydrochoride Drug Combination: NB medication will combine BUPROPION HYDROCHLORIDE (360 mg/day) and NALTREXONE HYDROCHLORIDE (32 mg/day). Taken daily in pill form.
Change in Binge Eating Frequency
6.00 binge-eating episodes per month
Standard Deviation 9.54
4.67 binge-eating episodes per month
Standard Deviation 6.29

SECONDARY outcome

Timeframe: 12 months post-treatment

Binge eating will be assessed by interview (Eating Disorder Examination) and the primary outcome is frequency of binge episodes in the past month, comparing post-treatment and 12 month post-treatment follow up. Change is defined as the change in frequency from post-treatment to 12 months post-treatment.

Outcome measures

Outcome measures
Measure
Placebo
n=24 Participants
Placebo will be inactive and taken daily in pill form. Placebo: Placebo will be inactive and taken daily in pill form.
NB Medication
n=22 Participants
Naltrexone Hydrochoride, Bupropion Hydrochloride Drug Combination (NB Medication) Bupropion Hydrochloride, Naltrexone Hydrochoride Drug Combination: NB medication will combine BUPROPION HYDROCHLORIDE (360 mg/day) and NALTREXONE HYDROCHLORIDE (32 mg/day). Taken daily in pill form.
Change in Binge Eating Frequency
5.33 binge-eating episodes per month
Standard Deviation 6.82
6.36 binge-eating episodes per month
Standard Deviation 14.87

SECONDARY outcome

Timeframe: 6 months post-treatment

BMI was calculated using measured height and weight. We report percent BMI change using the following formula: (\[BMI at 6 month followup\] - \[BMI at posttreatment\])/\[BMI at posttreatment\]. Negative values indicate loss.

Outcome measures

Outcome measures
Measure
Placebo
n=13 Participants
Placebo will be inactive and taken daily in pill form. Placebo: Placebo will be inactive and taken daily in pill form.
NB Medication
n=13 Participants
Naltrexone Hydrochoride, Bupropion Hydrochloride Drug Combination (NB Medication) Bupropion Hydrochloride, Naltrexone Hydrochoride Drug Combination: NB medication will combine BUPROPION HYDROCHLORIDE (360 mg/day) and NALTREXONE HYDROCHLORIDE (32 mg/day). Taken daily in pill form.
Body Mass Index
0.05 percent BMI change
Standard Deviation 4.28
0.04 percent BMI change
Standard Deviation 10.51

SECONDARY outcome

Timeframe: 12 months post-treatment

BMI was calculated using measured height and weight. We report percent BMI change using the following formula: (\[BMI at 12 month followup\] - \[BMI at posttreatment\])/\[BMI at posttreatment\]. Negative values indicate loss.

Outcome measures

Outcome measures
Measure
Placebo
n=13 Participants
Placebo will be inactive and taken daily in pill form. Placebo: Placebo will be inactive and taken daily in pill form.
NB Medication
n=10 Participants
Naltrexone Hydrochoride, Bupropion Hydrochloride Drug Combination (NB Medication) Bupropion Hydrochloride, Naltrexone Hydrochoride Drug Combination: NB medication will combine BUPROPION HYDROCHLORIDE (360 mg/day) and NALTREXONE HYDROCHLORIDE (32 mg/day). Taken daily in pill form.
Body Mass Index
3.43 percent BMI change
Standard Deviation 7.86
-0.20 percent BMI change
Standard Deviation 12.18

Adverse Events

NB Medication

Serious events: 0 serious events
Other events: 26 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 26 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
NB Medication
n=43 participants at risk
Naltrexone Hydrochoride, Bupropion Hydrochloride Drug Combination (NB Medication) Bupropion Hydrochloride, Naltrexone Hydrochoride Drug Combination: NB medication will combine BUPROPION HYDROCHLORIDE (360 mg/day) and NALTREXONE HYDROCHLORIDE (32 mg/day). Taken daily in pill form.
Placebo
n=46 participants at risk
Placebo will be inactive and taken daily in pill form. Placebo: Placebo will be inactive and taken daily in pill form.
Psychiatric disorders
Anxiety
7.0%
3/43 • Month 1
Participants were interviewed by research clinicians. For non-serious adverse events that were listed as \>5% on the package insert for "Contrave" (naltrexone HCl/ bupropion HCl), we provide the total participants \[all available data\] who reported the adverse event at month 1.
0.00%
0/46 • Month 1
Participants were interviewed by research clinicians. For non-serious adverse events that were listed as \>5% on the package insert for "Contrave" (naltrexone HCl/ bupropion HCl), we provide the total participants \[all available data\] who reported the adverse event at month 1.
Gastrointestinal disorders
Constipation
23.3%
10/43 • Month 1
Participants were interviewed by research clinicians. For non-serious adverse events that were listed as \>5% on the package insert for "Contrave" (naltrexone HCl/ bupropion HCl), we provide the total participants \[all available data\] who reported the adverse event at month 1.
6.5%
3/46 • Month 1
Participants were interviewed by research clinicians. For non-serious adverse events that were listed as \>5% on the package insert for "Contrave" (naltrexone HCl/ bupropion HCl), we provide the total participants \[all available data\] who reported the adverse event at month 1.
Gastrointestinal disorders
Diarrhea
2.3%
1/43 • Month 1
Participants were interviewed by research clinicians. For non-serious adverse events that were listed as \>5% on the package insert for "Contrave" (naltrexone HCl/ bupropion HCl), we provide the total participants \[all available data\] who reported the adverse event at month 1.
10.9%
5/46 • Month 1
Participants were interviewed by research clinicians. For non-serious adverse events that were listed as \>5% on the package insert for "Contrave" (naltrexone HCl/ bupropion HCl), we provide the total participants \[all available data\] who reported the adverse event at month 1.
General disorders
Dizziness
16.3%
7/43 • Month 1
Participants were interviewed by research clinicians. For non-serious adverse events that were listed as \>5% on the package insert for "Contrave" (naltrexone HCl/ bupropion HCl), we provide the total participants \[all available data\] who reported the adverse event at month 1.
8.7%
4/46 • Month 1
Participants were interviewed by research clinicians. For non-serious adverse events that were listed as \>5% on the package insert for "Contrave" (naltrexone HCl/ bupropion HCl), we provide the total participants \[all available data\] who reported the adverse event at month 1.
Gastrointestinal disorders
Dry Mouth
32.6%
14/43 • Month 1
Participants were interviewed by research clinicians. For non-serious adverse events that were listed as \>5% on the package insert for "Contrave" (naltrexone HCl/ bupropion HCl), we provide the total participants \[all available data\] who reported the adverse event at month 1.
8.7%
4/46 • Month 1
Participants were interviewed by research clinicians. For non-serious adverse events that were listed as \>5% on the package insert for "Contrave" (naltrexone HCl/ bupropion HCl), we provide the total participants \[all available data\] who reported the adverse event at month 1.
General disorders
Headache
4.7%
2/43 • Month 1
Participants were interviewed by research clinicians. For non-serious adverse events that were listed as \>5% on the package insert for "Contrave" (naltrexone HCl/ bupropion HCl), we provide the total participants \[all available data\] who reported the adverse event at month 1.
19.6%
9/46 • Month 1
Participants were interviewed by research clinicians. For non-serious adverse events that were listed as \>5% on the package insert for "Contrave" (naltrexone HCl/ bupropion HCl), we provide the total participants \[all available data\] who reported the adverse event at month 1.
General disorders
Insomnia
4.7%
2/43 • Month 1
Participants were interviewed by research clinicians. For non-serious adverse events that were listed as \>5% on the package insert for "Contrave" (naltrexone HCl/ bupropion HCl), we provide the total participants \[all available data\] who reported the adverse event at month 1.
13.0%
6/46 • Month 1
Participants were interviewed by research clinicians. For non-serious adverse events that were listed as \>5% on the package insert for "Contrave" (naltrexone HCl/ bupropion HCl), we provide the total participants \[all available data\] who reported the adverse event at month 1.
Gastrointestinal disorders
Nausea
14.0%
6/43 • Month 1
Participants were interviewed by research clinicians. For non-serious adverse events that were listed as \>5% on the package insert for "Contrave" (naltrexone HCl/ bupropion HCl), we provide the total participants \[all available data\] who reported the adverse event at month 1.
8.7%
4/46 • Month 1
Participants were interviewed by research clinicians. For non-serious adverse events that were listed as \>5% on the package insert for "Contrave" (naltrexone HCl/ bupropion HCl), we provide the total participants \[all available data\] who reported the adverse event at month 1.
Gastrointestinal disorders
Vomiting
7.0%
3/43 • Month 1
Participants were interviewed by research clinicians. For non-serious adverse events that were listed as \>5% on the package insert for "Contrave" (naltrexone HCl/ bupropion HCl), we provide the total participants \[all available data\] who reported the adverse event at month 1.
8.7%
4/46 • Month 1
Participants were interviewed by research clinicians. For non-serious adverse events that were listed as \>5% on the package insert for "Contrave" (naltrexone HCl/ bupropion HCl), we provide the total participants \[all available data\] who reported the adverse event at month 1.

Additional Information

Dr Carlos Grilo

Yale University

Phone: 203 785 7210

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place