Clinical trial • Phase IV • Psychiatry
donepezil hydrochloride for Anorexia nervosa
Phase IV trial of donepezil hydrochloride for Anorexia nervosa.
Overview
- Trial Therapeutic Area
- Psychiatry
- Trial Disease
- Anorexia nervosa
- Trial Stage
- Phase IV
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 11-03-2024
- First CTIS Authorization Date
- 14-06-2024
Trial design
Randomised, placebo (the placebo has the same container composition as the investigational medicinal product; active substance: lactose monohydrate) versus donepezil active arms (donepezil hydrochloride 2.5 mg capsule and donepezil hydrochloride 5 mg film-coated tablet); oral administration. specific dosing schedule/frequency not stated in ctis record.-controlled Phase IV trial in France.
- Randomised
- Yes
- Comparator
- Placebo (the placebo has the same container composition as the investigational medicinal product; active substance: lactose monohydrate) versus Donepezil active arms (donepezil hydrochloride 2.5 mg capsule and donepezil hydrochloride 5 mg film-coated tablet); oral administration. Specific dosing schedule/frequency not stated in CTIS record.
- Target Sample Size
- 147
- Trial Duration For Participant
- 180
Eligibility
Recruits 147 No vulnerable population selected; participants are adults aged between 18 and 65. Subject information and informed consent form documents are listed in CTIS..
- Pregnancy Exclusion
- Pregnant or breast-feeding women
- Vulnerable Population
- No vulnerable population selected; participants are adults aged between 18 and 65. Subject information and informed consent form documents are listed in CTIS.
Inclusion criteria
- {"criterion_text":"- female"}
- {"criterion_text":"- Presence of 3 DSM V criteria for anorexia nervosa"}
- {"criterion_text":"- Restrictive subtype of anorexia nervosa"}
- {"criterion_text":"- Body Mass Index between 14 and 18.5 kg/m2"}
- {"criterion_text":"- Aged between 18 and 65"}
- {"criterion_text":"- Resting heart rate greater than or equal to 40 bpm"}
Exclusion criteria
- {"criterion_text":"- Past diagnosis of anorexia nervosa in the form of hyperphagia/purgation"}
- {"criterion_text":"- Pregnant or breast-feeding women"}
- {"criterion_text":"- Past diagnosis of bulimia nervosa"}
- {"criterion_text":"- Past diagnosis of binge eating disorder"}
- {"criterion_text":"- Comorbid diagnosis of psychotic disorder and/or bipolar disorder"}
- {"criterion_text":"- Renal impairment (glomerular filtration rate less than 60 mL/min according to the MDRD formula)"}
- {"criterion_text":"- Liver failure or transaminase elevation greater than 5N"}
- {"criterion_text":"- Electrocardiogram of conduction disorder"}
- {"criterion_text":"- Taking a psychotropic drug now or in the three weeks prior to inclusion (including antidepressants, to avoid interaction/potentiation in this population)"}
- {"criterion_text":"- Taking a treatment involving the following cytochromes : P450, P3A4, P2D6"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Absolute intra-individual difference in the total EDE-Q score obtained between inclusion D0 and D90, i.e. (EDE-Qd90 - EDE-Qd0)","definition_or_measurement_approach":"Difference in total EDE-Q score between baseline (D0) and day 90 (D90) measured by the EDE-Q questionnaire (intra-individual change: EDE-Qd90 - EDE-Qd0)."}
Secondary endpoints
- {"endpoint_text":"- Intra-individual difference in body mass index between inclusion D0 and D90, and between D0 and D180","definition_or_measurement_approach":"Change in BMI from baseline (D0) to D90 and from D0 to D180 measured in kg/m2."}
- {"endpoint_text":"- Difference in intra-individual response rates (rate of responses) in the devalued condition of phase 3 \"slip of action\" of the HABITS neurocognitive test between D0 and D90.","definition_or_measurement_approach":"Within-subject change in response rates in the devalued condition of phase 3 of the HABITS test between D0 and D90."}
- {"endpoint_text":"- Intra-individual difference in Self-Report Habit Index (SRHI) scores at D0 and D90 (Davis et al IJED 2020).","definition_or_measurement_approach":"Change in SRHI score from baseline (D0) to D90 using the SRHI instrument."}
- {"endpoint_text":"- Intra-individual difference between scores at D0 and D90 in the Wisconsin Card Sorting Test (WSCT), Trail Making Test B-A and Brixton test.","definition_or_measurement_approach":"Within-subject changes in neuropsychological test scores (WCST, Trail Making Test B-A, Brixton) between D0 and D90."}
- {"endpoint_text":"- Intra-individual difference in Yale-Brown Obsessive Compulsive Scale (Y-BOCS) scores at D0 and D90","definition_or_measurement_approach":"Change in Y-BOCS score from baseline to D90."}
- {"endpoint_text":"- Evolution of EDE-Q and EDI-3 sub-dimensions scores between inclusion D0 and D90","definition_or_measurement_approach":"Change in subscale scores of EDE-Q and EDI-3 between D0 and D90."}
- {"endpoint_text":"- Intra-individual difference in Hospital Anxiety and Depression Scale (HADS) scores between D0 and D90","definition_or_measurement_approach":"Change in HADS score from baseline to D90."}
- {"endpoint_text":"- Evolution of the total EDE-Q score between inclusion D0, D90 and D180.","definition_or_measurement_approach":"Trajectory of total EDE-Q scores measured at D0, D90 and D180."}
- {"endpoint_text":"- Occurrence of adverse events measured according to a standard CTCAE, number of treatment discontinuations due to poor tolerance and changes in biological profile (elevation of transaminases, decrease in PT, prolongation of APTT, increase in CPK, and a disturbance in the blood count formula) performed at D3, D5, D30 and D90","definition_or_measurement_approach":"Safety endpoints: AEs graded by CTCAE, discontinuations due to intolerance, and laboratory parameter changes measured at D3, D5, D30 and D90."}
- {"endpoint_text":"- Collection and storage of plasma and faeces at D1 and D90","definition_or_measurement_approach":"Biospecimen collection (plasma and faeces) at D1 and D90 for storage and future analyses."}
Recruitment
- Planned Sample Size
- 147
- Recruitment Window Months
- 54
- Consent Approach
- Informed consent is obtained from adult participants (participants aged between 18 and 65). Subject information and informed consent form documents are listed in CTIS (multiple versions of 'Subject information and informed consent form' and related documents). No assent process is indicated.
Geography
- Total Number Of Sites
- 3
- Total Number Of Participants
- 147
France
- Earliest CTIS Part Ii Submission Date
- 23-05-2024
- Latest Decision Or Authorization Date
- 11-04-2025
- Processing Time Days
- 323
- Number Of Sites
- 3
- Number Of Participants
- 147
Sites
- Site Name
- GHU St Anne Psychiatrie et Neurosciences
- Department Name
- Psychiatrie
- Principal Investigator Name
- Philibert DURIEZ
- Principal Investigator Email
- info-recherche@ghu-paris.fr
- Contact Person Name
- Philibert DURIEZ
- Contact Person Email
- info-recherche@ghu-paris.fr
- Site Name
- Hopital Paul Brousse
- Department Name
- Psychiatrie
- Principal Investigator Name
- Mouna HANACHI
- Principal Investigator Email
- mouna.hanachi@aphp.fr
- Contact Person Name
- Mouna HANACHI
- Contact Person Email
- mouna.hanachi@aphp.fr
- Site Name
- CHU de Montpellier
- Department Name
- Psychiatrie
- Principal Investigator Name
- Sebastien GUILLAUME
- Principal Investigator Email
- s-guillaume@chu-montpellier.fr
- Contact Person Name
- Sebastien GUILLAUME
- Contact Person Email
- s-guillaume@chu-montpellier.fr
Sponsor
Primary sponsor
- Full Name
- Centre Hospitalier Sainte Anne Paris
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- France
Investigational products
- Investigational Product Name
- DONEPEZIL ARROW 5 mg, comprimé pelliculé
- Active Substance
- donepezil hydrochloride
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- ORAL
- Authorisation Status
- Authorised
- Starting Dose
- 5 mg
- Dose Levels
- 5 mg
- Maximum Dose
- 5 mg
- Investigational Product Name
- donépézil 2.5 mg gélules
- Active Substance
- donepezil hydrochloride
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- ORAL
- Authorisation Status
- Not authorised
- Starting Dose
- 2.5 mg
- Dose Levels
- 2.5 mg
- Maximum Dose
- 2.5 mg
- Investigational Product Name
- ARICEPT 5 mg, comprimé pelliculé
- Active Substance
- donepezil hydrochloride
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- ORAL
- Authorisation Status
- Authorised
- Starting Dose
- 5 mg
- Dose Levels
- 5 mg
- Maximum Dose
- 5 mg
- Investigational Product Name
- DONEPEZIL BIOGARAN 5 mg, comprimé pelliculé
- Active Substance
- donepezil hydrochloride monohydrate
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- ORAL
- Authorisation Status
- Authorised
- Starting Dose
- 5 mg
- Dose Levels
- 5 mg
- Maximum Dose
- 5 mg
- Investigational Product Name
- The placebo has the same container composition as the investigational medicinal product (exception of the active substance) and is manufactured by the same manufacturer (pui of the brest university hospital) according to the same procedures as the investigational medicinal product. the active substance is lactose monohydrate
- Active Substance
- lactose monohydrate
- Modality
- Other
Related trials
Other published trials that may interest you.