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CompletedNCT00537810Updated Aug 18, 2021Results posted

Treatment of Binge Eating in Obese Patients in Primary Care

A Phase 4 interventional study of Sibutramine and Placebo in Obesity and Binge Eating, sponsored by Yale University. Completed at 3 sites in United States. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-08-18.

Sponsored by Yale University · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
104
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
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Study summary

This study will test the effectiveness of two empirically-supported but distinct treatments for recurrent binge eating in obese patients: 1) Cognitive Behavior Therapy, using a pure self-help approach and 2) sibutramine, an anti-obesity medication also found to have efficacy for binge eating. Self-help Cognitive Behavior Therapy and sibutramine will be administered alone and in combination in a primary care setting.

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Conditions studied

  • Obesity
  • Binge Eating

Keywords

  • Obesity
  • Binge eating
  • Sibutramine
  • Self-help
  • Primary care
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In context

Bulimia

319 studies on the registry are indexed under Bulimia; 53 are open to participants now.

This study's enrollment of 104 is above the median of 61 across 249 interventional studies indexed under Bulimia.

Browse Bulimia studies →

Lead sponsor

Yale University is the lead sponsor of 1,724 studies on the registry; 298 are open to participants now.

Of its 210 completed or terminated interventional studies of FDA-regulated products, 126 (60%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Obese (BMI >= 30)

Exclusion criteria

Exclusion Criteria:

  • Medication regimen that represents medical contraindication to sibutramine
  • Serious unstable or uncontrolled medical conditions that represent contraindication to sibutramine
  • Pregnancy
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Factorial assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
104 participants (actual)

Study arms

  • Experimental
    Sibutramine

    Sibutramine 15 mg daily

    Drug: Sibutramine

  • Placebo comparator
    Placebo

    Placebo Daily

    Drug: Placebo

  • Experimental
    Placebo/CBTsh

    Placebo and Self-help CBT Placebo daily, Cognitive behavioral self-help manual for binge eating

    Behavioral: Self-help CBT + Sibutramine

  • Experimental
    Sibutramine/CBTsh

    Sibutramine and Self-help CBT 15 mg daily Cognitive behavioral treatment manual for binge eating

    Behavioral: Self-help CBT + Placebo

Interventions

  • DrugSibutramine

    15 mg daily

    Also known as: Meridia

  • DrugPlacebo

    Daily

  • BehavioralSelf-help CBT + Sibutramine

    Cognitive behavioral treatment manual for binge eating Sibutramine 15 mg daily

  • BehavioralSelf-help CBT + Placebo

    Cognitive behavioral treatment manual for binge eating Placebo daily

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What researchers measure

Primary outcomes

  1. Binge Eating (Remission)

    Remission from binge eating (zero binge episodes during previous 28 days)

    Time frame: 4 months treatment; 6 and 12 month follow up post treatment

  2. BMI

    BMI (kg/m\^2) was measured 4 months after treatment.

    Time frame: 4 months

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Results

Posted Dec 12, 2014

Participant flow

Participant flow — Overall Study
MilestoneSibutraminePlaceboPlacebo/CBTshSibutramine/CBTsh
Started26272526
Completed20142122
Not completed61344
Withdrew: Withdrawal by subject41143
Withdrew: Medically withdrawn2201

Outcome measures

PrimaryBinge Eating (Remission)

Remission from binge eating (zero binge episodes during previous 28 days)

Time frame:
4 months treatment; 6 and 12 month follow up post treatment
Reported as:
Number · participants
Binge Eating (Remission)
participantsSibutraminePlaceboPlacebo/CBTshSibutramine/CBTsh
Remission at Post-treatment10 ± 11.48 ± 9.96 ± 7.66 ± 8.0
Remission at 6 month follow up5111013
Remission at 12 month follow up5101011
Statistical analysis
  • Sibutramine vs Placebo vs Placebo/CBTsh vs Sibutramine/CBTsh · Chi-squared · p = 0.60df=3
  • Sibutramine vs Placebo vs Placebo/CBTsh vs Sibutramine/CBTsh · Chi-squared · p = 0.13df=3
  • Sibutramine vs Placebo vs Placebo/CBTsh vs Sibutramine/CBTsh · Chi-squared · p = 0.29df=3
PrimaryBMI

BMI (kg/m\^2) was measured 4 months after treatment.

Time frame:
4 months
Reported as:
Mean · BMI (kg/m^2)
BMI
BMI (kg/m^2)SibutraminePlaceboPlacebo/CBTshSibutramine/CBTsh
BMI38.4 ± 7.239.6 ± 5.735.9 ± 5.635.6 ± 4.6

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Sibutramine—0/26 (0%)1/26 (3.8%)
Placebo—0/27 (0%)2/27 (7.4%)
Placebo/CBTsh—0/25 (0%)0/25 (0%)
Sibutramine/CBTsh—0/26 (0%)1/26 (3.8%)
Most frequent other events
Most frequent other events
EventSibutraminePlaceboPlacebo/CBTshSibutramine/CBTsh
Elevated blood pressureVascular disorders1/262/270/251/26

Baseline characteristics

Age, Continuous
Age, Continuous(years)SibutraminePlaceboPlacebo/CBTshSibutramine/CBTshTotal
Mean41.2 ± 10.343.2 ± 12.445.7 ± 12.445.6 ± 9.444.2 ± 11.1
Sex: Female, Male
Sex: Female, Male(Participants)SibutraminePlaceboPlacebo/CBTshSibutramine/CBTshTotal
Female1918201673
Male7951031
Race/Ethnicity, Customized
Race/Ethnicity, Customized(participants)SibutraminePlaceboPlacebo/CBTshSibutramine/CBTshTotal
Caucasian1312121047
African-American81261036
Hispanic-American424414
Other11327
Age at onset of Binge Eating Disorder (BED)
Age at onset of Binge Eating Disorder (BED)(years)SibutraminePlaceboPlacebo/CBTshSibutramine/CBTshTotal
Mean25.7 ± 11.225.5 ± 11.125.7 ± 15.129.1 ± 13.126.2 ± 12.5
08

Study locations

3 sites
  • Yale Internal Medicine Associates (YIMA)
    New Haven, Connecticut 06510, United States
  • Yale-New Haven Hospital (YNHH) Primary Care Center (PCC)
    New Haven, Connecticut 06510, United States
  • Yale Psychiatric Research at Congress Place
    New Haven, Connecticut 06519, United States
09

References and documents

Publications

  • Grilo CM, Masheb RM, White MA, Gueorguieva R, Barnes RD, Walsh BT, McKenzie KC, Genao I, Garcia R. Treatment of binge eating disorder in racially and ethnically diverse obese patients in primary care: randomized placebo-controlled clinical trial of self-help and medication. Behav Res Ther. 2014 Jul;58:1-9. doi: 10.1016/j.brat.2014.04.002. Epub 2014 May 2. PubMed 24857821 ↗
  • Correction to Grilo et al. (2015). J Consult Clin Psychol. 2015 Aug;83(4):747. doi: 10.1037/ccp0000043. PubMed 26214545 ↗
  • Grilo CM, White MA, Masheb RM, Gueorguieva R. Predicting meaningful outcomes to medication and self-help treatments for binge-eating disorder in primary care: The significance of early rapid response. J Consult Clin Psychol. 2015 Apr;83(2):387-94. doi: 10.1037/a0038635. Epub 2015 Jan 26. Erratum In: J Consult Clin Psychol. 2015 Aug;83(4):747. doi: 10.1037/ccp0000043. PubMed 25622201 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 18, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00537810
Lead sponsor
Yale University
Collaborators
National Institutes of Health (NIH), National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Responsible party
Carlos Grilo (Professor of Psychiatry, Yale University) — Principal investigator
First posted
Oct 1, 2007
Start date
Sep 2007
Primary completion
Oct 2012
Completion
Oct 2012
Results posted
Dec 12, 2014
Last update
Aug 18, 2021

Study contacts

Carlos M. Grilo, PhD
principal investigator · Yale University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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