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

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