Trial Outcomes & Findings for Multicenter Study to Evaluate the Efficacy and Safety of Oral ACT-539313 in the Treatment of Adults With Moderate to Severe Binge Eating Disorder (NCT NCT04753164)

NCT ID: NCT04753164

Last Updated: 2023-03-31

Results Overview

BE days per week is defined as the number of diary days with at least one confirmed BE episode during the applicable 14-day time interval divided by the total number of diary days, times 7.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

136 participants

Primary outcome timeframe

From baseline to Week 12; duration approx. 3.5 months

Results posted on

2023-03-31

Participant Flow

The study was conducted at 26 sites in the USA; all 26 sites randomized subjects.

In total, 259 subjects were screened, of which 123 discontinued during the screening period.

Participant milestones

Participant milestones
Measure
100 mg Twice Daily (b.i.d.) ACT-539313
ACT-539313: ACT-539313 as capsules at a strength of 100 mg, taken orally, b.i.d. in the morning at breakfast and in the evening at dinner, with a glass of water during the treatment period.
Placebo
Placebo: Matching placebo as identical capsules indistinguishable from ACT-539313, taken orally, b.i.d. in the morning at breakfast and in the evening at dinner, with a glass of water during the treatment period.
Overall Study
STARTED
68
68
Overall Study
COMPLETED
41
48
Overall Study
NOT COMPLETED
27
20

Reasons for withdrawal

Reasons for withdrawal
Measure
100 mg Twice Daily (b.i.d.) ACT-539313
ACT-539313: ACT-539313 as capsules at a strength of 100 mg, taken orally, b.i.d. in the morning at breakfast and in the evening at dinner, with a glass of water during the treatment period.
Placebo
Placebo: Matching placebo as identical capsules indistinguishable from ACT-539313, taken orally, b.i.d. in the morning at breakfast and in the evening at dinner, with a glass of water during the treatment period.
Overall Study
Adverse Event
0
2
Overall Study
Withdrawal by Subject
9
7
Overall Study
Lost to Follow-up
6
6
Overall Study
Other
12
5

Baseline Characteristics

Randomized population

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
100 mg Twice Daily (b.i.d.) ACT-539313
n=68 Participants
ACT-539313: ACT-539313 as capsules at a strength of 100 mg, taken orally, b.i.d. in the morning at breakfast and in the evening at dinner, with a glass of water during the treatment period.
Placebo
n=68 Participants
Placebo: Matching placebo as identical capsules indistinguishable from ACT-539313, taken orally, b.i.d. in the morning at breakfast and in the evening at dinner, with a glass of water during the treatment period.
Total
n=136 Participants
Total of all reporting groups
Age, Continuous
37 years
n=68 Participants • Randomized population
42 years
n=68 Participants • Randomized population
39 years
n=136 Participants • Randomized population
Sex: Female, Male
Female
55 Participants
n=68 Participants • Randomized population
50 Participants
n=68 Participants • Randomized population
105 Participants
n=136 Participants • Randomized population
Sex: Female, Male
Male
13 Participants
n=68 Participants • Randomized population
18 Participants
n=68 Participants • Randomized population
31 Participants
n=136 Participants • Randomized population
Ethnicity (NIH/OMB)
Hispanic or Latino
14 Participants
n=68 Participants • Randomized population
16 Participants
n=68 Participants • Randomized population
30 Participants
n=136 Participants • Randomized population
Ethnicity (NIH/OMB)
Not Hispanic or Latino
53 Participants
n=68 Participants • Randomized population
51 Participants
n=68 Participants • Randomized population
104 Participants
n=136 Participants • Randomized population
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=68 Participants • Randomized population
1 Participants
n=68 Participants • Randomized population
2 Participants
n=136 Participants • Randomized population
Body mass index (kg/m^2) at screening
35.03 kg/m2
STANDARD_DEVIATION 6.99 • n=68 Participants • Randomized population; Number analyzed in the "Placebo" group n = 67; missing: n = 1
34.93 kg/m2
STANDARD_DEVIATION 6.01 • n=67 Participants • Randomized population; Number analyzed in the "Placebo" group n = 67; missing: n = 1
34.98 kg/m2
STANDARD_DEVIATION 6.50 • n=135 Participants • Randomized population; Number analyzed in the "Placebo" group n = 67; missing: n = 1

PRIMARY outcome

Timeframe: From baseline to Week 12; duration approx. 3.5 months

Population: Full Analysis Set; subjects with available data for calculation of the change from baseline at Week 12.

BE days per week is defined as the number of diary days with at least one confirmed BE episode during the applicable 14-day time interval divided by the total number of diary days, times 7.

Outcome measures

Outcome measures
Measure
100 mg Twice Daily (b.i.d.) ACT-539313
n=43 Participants
ACT-539313: ACT-539313 as capsules at a strength of 100 mg, taken orally, b.i.d. in the morning at breakfast and in the evening at dinner, with a glass of water during the treatment period.
Placebo
n=45 Participants
Placebo: Matching placebo as identical capsules indistinguishable from ACT-539313, taken orally, b.i.d. in the morning at breakfast and in the evening at dinner, with a glass of water during the treatment period.
Change From Baseline to Week 12 in the Number of Binge Eating (BE) Days Per Week
-2.93 BE days per week
Interval -3.46 to -2.4
-2.93 BE days per week
Interval -3.47 to -2.39

Adverse Events

100 mg Twice Daily (b.i.d.) ACT-539313

Serious events: 0 serious events
Other events: 31 other events
Deaths: 0 deaths

Placebo

Serious events: 1 serious events
Other events: 25 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
100 mg Twice Daily (b.i.d.) ACT-539313
n=68 participants at risk
ACT-539313: ACT-539313 as capsules at a strength of 100 mg, taken orally, b.i.d. in the morning at breakfast and in the evening at dinner, with a glass of water during the treatment period.
Placebo
n=68 participants at risk
Placebo: Matching placebo as identical capsules indistinguishable from ACT-539313, taken orally, b.i.d. in the morning at breakfast and in the evening at dinner, with a glass of water during the treatment period.
Respiratory, thoracic and mediastinal disorders
Pneumonia
0.00%
0/68 • AEs reported are AEs occurring or worsening during the treatment period; duration approx. 3 months.
1.5%
1/68 • Number of events 1 • AEs reported are AEs occurring or worsening during the treatment period; duration approx. 3 months.

Other adverse events

Other adverse events
Measure
100 mg Twice Daily (b.i.d.) ACT-539313
n=68 participants at risk
ACT-539313: ACT-539313 as capsules at a strength of 100 mg, taken orally, b.i.d. in the morning at breakfast and in the evening at dinner, with a glass of water during the treatment period.
Placebo
n=68 participants at risk
Placebo: Matching placebo as identical capsules indistinguishable from ACT-539313, taken orally, b.i.d. in the morning at breakfast and in the evening at dinner, with a glass of water during the treatment period.
Nervous system disorders
Somnolence
13.2%
9/68 • AEs reported are AEs occurring or worsening during the treatment period; duration approx. 3 months.
19.1%
13/68 • AEs reported are AEs occurring or worsening during the treatment period; duration approx. 3 months.
Injury, poisoning and procedural complications
Accidental overdose
11.8%
8/68 • AEs reported are AEs occurring or worsening during the treatment period; duration approx. 3 months.
10.3%
7/68 • AEs reported are AEs occurring or worsening during the treatment period; duration approx. 3 months.
General disorders
Fatigue
7.4%
5/68 • AEs reported are AEs occurring or worsening during the treatment period; duration approx. 3 months.
2.9%
2/68 • AEs reported are AEs occurring or worsening during the treatment period; duration approx. 3 months.
Gastrointestinal disorders
Nausea
7.4%
5/68 • AEs reported are AEs occurring or worsening during the treatment period; duration approx. 3 months.
1.5%
1/68 • AEs reported are AEs occurring or worsening during the treatment period; duration approx. 3 months.
Nervous system disorders
Headache
5.9%
4/68 • AEs reported are AEs occurring or worsening during the treatment period; duration approx. 3 months.
2.9%
2/68 • AEs reported are AEs occurring or worsening during the treatment period; duration approx. 3 months.

Additional Information

Idorsia Clinical Trial Information

Idorsia Pharmaceuticals Ltd

Phone: +18566613721

Results disclosure agreements

  • Principal investigator is a sponsor employee Any study-related publication written independently by investigators must be submitted to the sponsor for review at least 30 days prior to submission for publication or presentation at a congress. Upon review, the sponsor may provide comments, and may also request alterations and/or deletions for the sole purpose of protecting its confidential information and/or patent rights. Neither the institution nor the investigator should permit publication during such a review period.
  • Publication restrictions are in place

Restriction type: OTHER