Acamprosate in the Treatment of Binge-Eating Disorder

Binge Eating Disorder Clinical Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00511940
• Other study ID #: CMP-MD-20
• Status: Completed
• Phase: Phase 2/Phase 3
• First received: August 3, 2007
• Last updated: June 21, 2011
• Start date: April 2007
• Est. completion date: January 2011

Study information

• Verified date: June 2011
• Source: Lindner Center of HOPE
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

The purpose of this research study is to determine the efficacy (how well it works), tolerability and safety of acomprosate compared with placebo in patients with binge eating disorder.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: January 2011
• Est. primary completion date: January 2011
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• Subjects will meet the DSM-IV (1) criteria for a diagnosis of binge eating disorder (BED) for at least the last 6 months. The DSM-IV criteria are as follows:

• 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 any two 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 eating during the episode (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 three 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 two days a week for six months.

• The episodes of binge eating do not occur exclusively during the course of bulimia nervosa or anorexia nervosa.

• In addition, subjects will report at least 3 binge eating episodes per week for the last 6 months prior to randomization

• Weight > 85% of the midpoint of ideal body weight for their height. (According to the Metropolitan Height/Weight table.) The subject population is expected to include both normal weight and obese individuals (although the majority of subjects are expected to be overweight).

• Men or women, between the ages of 18 and 65. The subject population is expected to be predominantly made up of women.

Exclusion Criteria:

• Have concurrent symptoms of bulimia nervosa or anorexia nervosa, including weight loss to at least 15% below the Metropolitan Height/Weight tables.

• Women who are pregnant, lactating, or of childbearing potential who are not using adequate contraceptive measures. (All women of childbearing potential will have a negative pregnancy test before entering the study).

• Patients who are displaying clinically significant suicidality or homicidality.

• Patients who have received psychotherapy or behavioral therapy from a mental health professional as a part of previous treatment for BED for at least 3 months prior to randomization.

• A DSM-IV diagnosis of substance abuse or dependence (except nicotine abuse or dependence) within the 6 months prior to randomization.

• A lifetime DSM-IV history of psychosis, mania or hypomania, or dementia.

• History of any psychiatric and personality disorder (eg, schizotypal and borderline) which might interfere with a diagnostic assessment, treatment, or compliance.

• Clinically unstable medical disease, including cardiovascular, hepatic, renal, gastrointestinal, pulmonary, metabolic, endocrine or other systemic disease which could interfere with diagnosis, treatment, or assessment of BED. Patients should be biochemically euthyroid to enter the study.

• History of seizures, including febrile seizures in childhood.

• Patients requiring treatment with any drug which might interact adversely with or obscure the action of the study medication.

• Clinically relevant abnormal laboratory results, specifically including hypokalemia.

• Patients who have received monoamine oxidase inhibitors, antipsychotics, lithium, or fluoxetine within four weeks prior to randomization.

• Patients who have received other psychoactive medications (other than hypnotics) within one week prior to randomization.

• Patients who have received investigational medications or depot neuroleptics within three months prior to randomization.

• Patients previously enrolled in this study or have previously been treated with acamprosate.

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Binge Eating Disorder
• Binge-Eating Disorder
• Bulimia
• Bulimia Nervosa
• Eating Disorders

Intervention

Drug:
• acamprosate
999 mg/day - 2997 mg/day, oral

Other:
• placebo
oral, placebo

Locations

Country	Name	City	State
United States	Lindner Center of HOPE	Mason	Ohio

Sponsors (3)

Lead Sponsor	Collaborator
Lindner Center of HOPE	Forest Laboratories, University of Cincinnati

Country where clinical trial is conducted

United States, 

References & Publications (1)

McElroy SL, Guerdjikova AI, Winstanley EL, O'Melia AM, Mori N, McCoy J, Keck PE Jr, Hudson JI. Acamprosate in the treatment of binge eating disorder: a placebo-controlled trial. Int J Eat Disord. 2011 Jan;44(1):81-90. doi: 10.1002/eat.20876. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	The primary efficacy variable will be change in weekly binge frequency		10 weeks	No
Secondary	Secondary efficacy variables will include change in binge day frequency (days during which at least one binge occurs), obsessive-compulsive symptoms of BED, craving for food, depressive symptoms, weight, and BMI		10 weeks	No