Glucocorticoid enhancement of food exposure therapy in Binge Eating Disorder

2024-515475-35-00 Protocol 2020-01131 Therapeutic exploratory (Phase II) Ended

Start 20 Mar 2023 · End 4 Mar 2026 · Status Ended · 1 EU/EEA countries · 1 sites · Protocol 2020-01131

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ended
Participants planned 50
Countries 1
Sites 1

Binge Eating Disorder

The central research question of this project is whether a combination of (food) exposure with response prevention (ERP) and cortisol is superior to ERP under placebo in terms of the reduction of craving for food in Binge Eating Disorder (BED).

Key facts

Sponsor
Universitaetsmedizin Goettingen
Participant type
Patients
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Psychiatry and Psychology [F] - Mental Disorders [F03]
Trial duration
20 Mar 2023 → 4 Mar 2026
Decision date (initial)
2024-07-23
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-515475-35-00
EudraCT number
2021-000133-13

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

The central research question of this project is whether a combination of (food) exposure with response prevention (ERP) and cortisol is superior to ERP under placebo in terms of the reduction of craving for food in Binge Eating Disorder (BED).

Secondary objectives 1

  1. Secondary research questions encompass whether ERP and cortisol is superior to ERP and placebo in terms of the reduction of fear of loss of control over eating, food- induced distress, food intake, and episodes of binge eating.

Conditions and MedDRA coding

Binge Eating Disorder

VersionLevelCodeTermSystem organ class
24.0 PT 10004716 Binge eating 100000004873

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 Trial phase
Randomisation into experimental treatment or control treatment.
Randomised Controlled Double [{"id":69847,"code":2,"name":"Investigator"},{"id":69848,"code":1,"name":"Subject"}] Experimental Treatment: ERP plus 20 mg Hydrocortison, 3 sessions (approx. 40 min each) on 3 separate days within 7 days (± 3 days), outpatient setting
Control treatment: ERP plus placebo, 3 sessions (approx. 40 min each) on 3
separate days within 7 days (± 3 days), outpatient setting

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Patients with BED according to DSM-5
  2. Male or female patients aged between 18 and 40 (the upper age limit was chosen to minimise potential confounding effects by hormonal changes related to menopause)
  3. Written informed consent obtained according to international guidelines and local laws
  4. Ability to understand the nature of the trial and the trial related procedures and to comply with them.

Exclusion criteria 12

  1. systemic (i.v. or oral) glucocorticoid treatment within the last 3 months
  2. current diagnosis of a psychotic, bipolar, or substance use disorder
  3. severe somatic illness (e.g. cancer, cardiovascular disease, instable diabetes mellitus; blood pressure ≥ 160/100 mmHg at rest and/or current treatment of hypertensive crisis within last 6 months)
  4. current or planned use of psychotropic medication (during the period of the study)
  5. current or planned psychotherapy (during the period of the study)
  6. known hypersensitivity to hydrocortisone
  7. known hereditary galactose intolerance
  8. known lactase deficiency
  9. known glucose-galactose malabsorption
  10. known pheochromocytoma
  11. Simultaneous participation in another interventional trial
  12. Pregnant or breastfeeding females

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. decrease of food craving in response to real food 3-7 days after treatment

Secondary endpoints 7

  1. decrease in fear of loss of control over eating and arousal/distress in response to real food
  2. food craving in response to visual food cues
  3. amount of food intake
  4. trait level food craving 3-7 days after treatment and 1 month after treatment
  5. decrease in number of days and episodes of binge eating and overeating 1 month after treatment
  6. continuous decrease in food craving
  7. fear of loss of control over eating and arousal/distress during intervention sessions

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Hydrocortison 10 mg JENAPHARM® Tabletten

PRD937240 · Product

Active substance
Hydrocortisone
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
20 mg milligram(s)
Max total dose
60 mg milligram(s)
Max treatment duration
10 Day(s)
Authorisation status
Authorised
ATC code
H02AB09 — HYDROCORTISONE
Marketing authorisation
3000401.00.00
MA holder
MIBE GMBH ARZNEIMITTEL
MA country
Germany
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

Füllstoff DAC in hard gelatine capsules is used as placebo. Füllstoff DAC consists of mannitol 99.5 % and colloidal Silicon Dioxide 0.5 %.

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Universitaetsmedizin Goettingen

Sponsor organisation
Universitaetsmedizin Goettingen
Address
Robert-Koch-Strasse 40, Weende Weende
City
Goettingen
Postcode
37075
Country
Germany

Scientific contact point

Organisation
Universitaetsmedizin Goettingen
Contact name
Florian Walker

Public contact point

Organisation
Universitaetsmedizin Goettingen
Contact name
Florian Walker

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Germany Ended 50 1
Rest of world 0

Investigational sites

Germany

1 site · Ended
Universitaetsmedizin Goettingen
Psychosomatische Medizin und Psychotherapie, Von-Siebold-Strasse 5, 37075, Goettingen

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Germany 2023-03-20 2026-03-04 2024-03-03 2025-10-24

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 5 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024-575475-35-00_forpub 5.0
Recruitment arrangements (for publication) GEAR_Document not applicable acc to EMA Guideline on CTIS transition 1
Subject information and informed consent form (for publication) L1_GEAR_SIS and ICF_for pub 3.0
Summary of Product Characteristics (SmPC) (for publication) G1_Fachinfo_Hydrocortison_10_Jenapharm 1
Synopsis of the protocol (for publication) GEAR_Document not applicable acc to EMA Guideline on CTIS transition 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-07-02 Germany Acceptable
2024-07-18
2024-07-23