Acetylcholinesterase Inhibitor in Anorexia Nervosa: Multicenter, Double-Blind, Placebo-Controlled Trial

NCT ID: NCT06687993

Last Updated: 2024-11-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

147 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-11-30

Study Completion Date

2030-05-31

Brief Summary

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The goal of this clinical trial is to learn if the daily take of donepezil can treat adult patient suffering from anorexia nervosa. The main question it aims to answer is : do daily donepezil intake permit weight gain and reduction of food restriction rituals ? The treatment is a capsule comprising a drug limiting the degradation of a neurotransmitter called acetylcholine. This treatment has long been used to treat certain cognitive disorders. Researchers will compare two drug dosage and a look-alike capsule that contains no drug to see if the dose has an impact on the effect. Participants will take one capsule per day for three months will have regular hospital visits for cognitive and metabolic tests.

Detailed Description

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Conditions

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Anorexia Nervosa Restricting Type

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Multicenter, superiority study, in double-blind, randomized, parallel groups, controlled versus placebo, in using a sequential adaptive design by band.
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Double-blind design. Comparative analyzes will be carried out blindly

Study Groups

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donepezil 2.5 mg

donepezil 2.5 mg daily for 90 days

Group Type EXPERIMENTAL

Donepezil 2.5 mg

Intervention Type DRUG

2.5 mg daily oral intake for 90 days

donepezil 5 mg

donepezil 5 mg daily for 90 days

Group Type EXPERIMENTAL

Donepezil 5 mg

Intervention Type DRUG

5 mg daily oral intake for 90 days

placebo

placebo daily for 90 days

Group Type PLACEBO_COMPARATOR

Placebo Comparator

Intervention Type DRUG

daily oral intake for 90 days

Interventions

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Donepezil 2.5 mg

2.5 mg daily oral intake for 90 days

Intervention Type DRUG

Donepezil 5 mg

5 mg daily oral intake for 90 days

Intervention Type DRUG

Placebo Comparator

daily oral intake for 90 days

Intervention Type DRUG

Other Intervention Names

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Donepezil chlorhydrate Donepezil chlorhydrate Placebo

Eligibility Criteria

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Inclusion Criteria

* Female
* Presence of the 3 DSM-V criteria for Anorexia Nervosa
* Restrictive subtype of Anorexia Nervosa according to DSM-5
* Body Mass Index between 15 and 18.5 kg/m²
* Aged 18 to 65 years
* Resting heart rate \> or = 40 bpm
* Use of a highly effective contraceptive method
* Affiliation or entitlement to a Health Insurance scheme
* Prior free, informed, and written consent

Exclusion Criteria

* Presence of one or more somatic criteria for hospitalization according to french HAS 2010 guidelines
* Past diagnosis of anorexia nervosa with binge-eating/purging type
* Past diagnosis of bulimia nervosa
* Past diagnosis of binge-eating disorder
* Associated diagnosis of schizophrenia and/or persistent delusional disorder and/or bipolar disorder
* History of asthma or obstructive bronchopulmonary disease
* History of peptic ulcer disease or concurrent treatment with non-steroidal anti-inflammatory drugs
* History of epileptic disorders
* Renal insufficiency (glomerular filtration rate less than 60 mL/min according to the MDRD formula)
* Hepatic insufficiency or transaminase levels greater than 5 times the normal upper limit
* Conductance disorder characterized by electrocardiogram
* QTc according to Bazett's formula greater than 480 ms on electrocardiogram
* Current or recent (within three weeks prior to inclusion) psychotropic treatment (including antidepressants, to avoid interaction/potentiation in this population)
* Treatment involving the following cytochromes: P450, P3A4, P2D6
* Known hypersensitivity to donepezil hydrochloride, piperidine derivatives, or any excipients of the investigational drug
* Pregnant or breastfeeding woman
* Person under legal protection measures
* Person under guardianship measures
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Université Paris Cité

OTHER

Sponsor Role collaborator

Institut National de la Santé Et de la Recherche Médicale, France

OTHER_GOV

Sponsor Role collaborator

Centre Hospitalier St Anne

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Central Contacts

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Philibert Duriez, MD, PhD

Role: CONTACT

0145658345 ext. +33

Other Identifiers

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2024-511681-37-00

Identifier Type: CTIS

Identifier Source: secondary_id

D22-P020

Identifier Type: -

Identifier Source: org_study_id

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