Eating Disorders Clinical Trial
Official title:
Effects of Baclofen on Binge Eating in Bulimia Nervosa and Binge Eating Disorder
This study will evaluate the effectiveness of the drug baclofen in reducing binge eating and associated food cravings in people with bulimia nervosa or binge eating disorder.
Bulimia nervosa (BN) and binge eating disorder (BED) are serious eating disorders that are
characterized by frequent uncontrolled eating binges. Binge eating is associated with both
psychological and physical health problems, such as depression, obesity, stomach problems,
and heart problems. Treatment options for binge eating, however, are limited. Baclofen, a
drug that enhances the GABA-B neurotransmitter's ability to inhibit neuronal activity in the
brain, is commonly used as a muscle relaxant. It has also been shown, however, to have
positive effects on binge eating when used in animals and on substance abuse when used in
humans. This study will evaluate the effectiveness of baclofen in reducing binge eating and
associated food cravings in people with BN or BED.
People interested in participating in this study will first report to the study site for two
initial visits, which will involve blood tests and interviews regarding medical history. If
eligible, participants will take part in this 13-week open-label study. Participants will
take baclofen 3 times a day, before meals, for 10 weeks. Baclofen dosages will be low to
begin, followed by a gradual increase over a 2-week period. Upon reaching the maximum
tolerated dose of baclofen, participants will continue at this dosage level until Week 11,
at which time the dose will be gradually decreased. If any serious side effects occur,
baclofen dosage will be decreased to the previous tolerated dosage level. Participants will
also keep a daily record of any episodes of binge eating. Study visits will be held
biweekly. At each visit, participants will be interviewed by a psychiatrist about their
mental health history and eating patterns, and will fill out questionnaires about their
eating habits, emotional states, and any side effects. Phone interviews will be conducted
during the weeks in between study visits.
;
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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