A Phase 3 interventional study of NB and CLI in Obesity and Overweight, sponsored by Orexigen Therapeutics, Inc. Completed at 15 sites in United States. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2015-12-29.
Sponsored by Orexigen Therapeutics, Inc · Phase 3, Interventional, and Treatment
The purpose of this Phase 3b study is to assess the effects of combination therapy with naltrexone SR/bupropion SR (NB) used in conjunction with a comprehensive lifestyle intervention (CLI) and in a manner consistent with its intended use after marketing approval, on body weight and cardiovascular risk factors compared to the effects of Usual Care in subjects who are overweight with dyslipidemia and/or controlled hypertension or obese. Subjects in the NB and CLI group are required to undergo an evaluation to continue treatment at Week 16. Subjects are to be discontinued from full participation if they do not lose at least 5% of their body weight relative to baseline and/or are experiencing sustained increases in blood pressure (systolic or diastolic) of ≥10 mmHg above baseline. At Week 26, subjects originally assigned to Usual Care switch to treatment with NB and CLI, and subjects assigned to NB and CLI continue treatment for the duration of the study (78-weeks treatment period).
3,670 studies on the registry are indexed under Overweight; 849 are open to participants now.
This study's enrollment of 242 is above the median of 73 across 3,175 interventional studies indexed under Overweight.
Browse Overweight studies →Orexigen Therapeutics, Inc is the lead sponsor of 18 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Naltrexone SR 32 mg/Bupropion SR 360 mg/day (NB) with comprehensive lifestyle intervention (CLI)
Drug: NB · Behavioral: CLI
Usual Care (self-directed lifestyle intervention) Usual Care: Usual Care was a self-directed lifestyle intervention in which subjects were given calorie targets, instructions to increase exercise, and a pamphlet about weight loss by study site staff.
Behavioral: Usual Care
Naltrexone SR 32 mg/Bupropion SR 360 mg (NB) in combination tablets (daily dosage)
The Comprehensive Lifestyle Intervention (CLI) program includes telephone counseling, internet education, goal setting, and online tracking tools.
Usual Care is a self-directed lifestyle intervention program
Percent Change in Body Weight From Baseline (Day 1) to Week 26
Time frame: Baseline to Week 26
Percentage of Subjects Achieving a Loss of at Least 5% of Baseline Body Weight at Week 26
Time frame: Baseline to Week 26
Percentage of Subjects Achieving a Loss of at Least 10% of Baseline Body Weight at Week 26
Time frame: Baseline to Week 26
Percentage of Subjects Achieving a Loss of at Least 15% of Baseline Body Weight at Week 26
Time frame: Baseline to Week 26
Absolute Change in Body Weight From Baseline to Week 26
Time frame: Baseline to Week 26
Change in Waist Circumference From Baseline to Week 26
Time frame: Baseline to Week 26
Change in Fasting Triglycerides From Baseline to Week 26
Time frame: Baseline to Week 26
Change in Fasting Low-density Lipoprotein Cholesterol From Baseline to Week 26
Time frame: Baseline to Week 26
Change in Fasting High-density Lipoprotein Cholesterol From Baseline to Week 26
Time frame: Baseline to Week 26
Change in Systolic Blood Pressure From Baseline to Week 26
Time frame: Baseline to Week 26
Change in Diastolic Blood Pressure From Baseline to Week 26
Time frame: Baseline to Week 26
Change in Heart Rate From Baseline to Week 26
Time frame: Baseline to Week 26
Change in Fasting Plasma Glucose From Baseline to Week 26
Time frame: Baseline to Week 26
Change Fasting Insulin From Baseline to Week 26
Time frame: Baseline to Week 26
Change in Homeostasis Model Assessment-insulin Resistance (HOMA-IR) From Baseline to Week 26
HOMA-IR is an insulin sensitivity index that is calculated as HOMA-IR = (Glucose \* Insulin) / 405, where glucose is in mass units (mg/dL) and insulin is in µIU/mL. Higher values indicate lower insulin sensitivity.
Time frame: Baseline to Week 26
Change in Patient-reported Binge Eating Scale (BES) Total Scores From Baseline to Week 26
The BES is a 16-item questionnaire that identifies different levels of binge-eating severity, with total scores ranging between 0-46. BES scores were categorized as follows: None = Scores ≤17 indicated no significant binge eating, Moderate = scores from 18 to 26 (inclusive), Severe = scores ≥27 indicated severe levels of binge eating.
Time frame: Baseline to Week 26
Change in Patient-reported Arizona Sexual Experiences Scale (ASEX) Total Scores From Baseline to Week 26
Arizona Sexual Experiences (ASEX) scale is a 5-item rating scale that quantifies sex drive, arousal, vaginal lubrication/penile erection, ability to reach orgasm, and satisfaction from orgasm. Possible total scores range from 5 to 30, with the higher scores indicating more sexual dysfunction.
Time frame: Baseline to Week 26
Change in Patient-reported Impact of Weight on Quality of Life-Lite Questionnaire (IWQOL-Lite) Total Score From Baseline to Week 26
Impact of Weight on Quality of Life-Lite Questionnaire (IWQOL-Lite) is a self-reported assessment of perceived effect of weight on quality of life. It consists of 31 items organized in 5 domains (physical function, self-esteem, sexual life, public distress and work). IWQOL-Lite total score is based on a scale from 0 to 100, with 0 representing the poorest and 100 the best quality of life and where a score of 71-79 indicates moderate impairment.
Time frame: Baseline to Week 26
| Milestone | NB + CLI | Usual Care |
|---|---|---|
| Started | 153 | 89 |
| Completed | 71 | 82 |
| Not completed | 82 | 7 |
| Withdrew: Adverse event | 35 | 0 |
| Withdrew: Wk 16 efficacy and bp criteria | 32 | 0 |
| Withdrew: Lost to follow-up | 9 | 5 |
| Withdrew: Withdrawal of consent,protocol deviation | 6 | 2 |
| Milestone | NB + CLI | Usual Care |
|---|---|---|
| Started | 71 | 81 |
| Completed 52 weeks | 61 | 35 |
| Completed | 55 | 28 |
| Not completed | 16 | 53 |
| Withdrew: Adverse event | 2 | 13 |
| Withdrew: Wk 42 efficacy and bp criteria | 0 | 26 |
| Withdrew: Lost to follow-up | 9 | 9 |
| Withdrew: Withdrawal of consent,protocol deviation | 5 | 5 |
| percent change in body weight | NB + CLI | Usual Care |
|---|---|---|
| Percent Change in Body Weight From Baseline (Day 1) to Week 26 | -9.46 ± 0.54 | -0.94 ± 0.49 |
| percentage of participants | NB + CLI | Usual Care |
|---|---|---|
| Percentage of Subjects Achieving a Loss of at Least 5% of Baseline Body Weight at Week 26 | 84.5 | 12.2 |
| percentage of participants | NB + CLI | Usual Care |
|---|---|---|
| Percentage of Subjects Achieving a Loss of at Least 10% of Baseline Body Weight at Week 26 | 42.3 | 3.7 |
| percentage of participants | NB + CLI | Usual Care |
|---|---|---|
| Percentage of Subjects Achieving a Loss of at Least 15% of Baseline Body Weight at Week 26 | 12.7 | 0.0 |
| kg | NB + CLI | Usual Care |
|---|---|---|
| Absolute Change in Body Weight From Baseline to Week 26 | -9.7 ± 0.56 | -1.0 ± 0.51 |
| cm | NB + CLI | Usual Care |
|---|---|---|
| Change in Waist Circumference From Baseline to Week 26 | -6.96 ± 0.705 | -1.64 ± 0.659 |
| mg/dL | NB + CLI | Usual Care |
|---|---|---|
| Change in Fasting Triglycerides From Baseline to Week 26 | -13.6 ± 4.96 | 2.8 ± 4.63 |
| mg/dL | NB + CLI | Usual Care |
|---|---|---|
| Change in Fasting Low-density Lipoprotein Cholesterol From Baseline to Week 26 | -2.0 ± 2.20 | -1.9 ± 2.11 |
| mg/dL | NB + CLI | Usual Care |
|---|---|---|
| Change in Fasting High-density Lipoprotein Cholesterol From Baseline to Week 26 | 4.1 ± 0.77 | 0.1 ± 0.73 |
| mm Hg | NB + CLI | Usual Care |
|---|---|---|
| Change in Systolic Blood Pressure From Baseline to Week 26 | -4.8 ± 1.10 | -2.8 ± 1.02 |
| mm Hg | NB + CLI | Usual Care |
|---|---|---|
| Change in Diastolic Blood Pressure From Baseline to Week 26 | -1.7 ± 0.83 | -1.3 ± 0.77 |
| bpm | NB + CLI | Usual Care |
|---|---|---|
| Change in Heart Rate From Baseline to Week 26 | 1.7 ± 0.88 | -0.3 ± 0.82 |
| mg/dL | NB + CLI | Usual Care |
|---|---|---|
| Change in Fasting Plasma Glucose From Baseline to Week 26 | -2.9 ± 1.04 | 1.6 ± 0.96 |
| uIU/mL | NB + CLI | Usual Care |
|---|---|---|
| Change Fasting Insulin From Baseline to Week 26 | -7.5 ± 0.79 | -3.4 ± 0.76 |
HOMA-IR is an insulin sensitivity index that is calculated as HOMA-IR = (Glucose \* Insulin) / 405, where glucose is in mass units (mg/dL) and insulin is in µIU/mL. Higher values indicate lower insulin sensitivity.
| units on a scale | NB + CLI | Usual Care |
|---|---|---|
| Change in Homeostasis Model Assessment-insulin Resistance (HOMA-IR) From Baseline to Week 26 | -2.0 ± 0.20 | -0.8 ± 0.19 |
The BES is a 16-item questionnaire that identifies different levels of binge-eating severity, with total scores ranging between 0-46. BES scores were categorized as follows: None = Scores ≤17 indicated no significant binge eating, Moderate = scores from 18 to 26 (inclusive), Severe = scores ≥27 indicated severe levels of binge eating.
| units on a scale | NB + CLI | Usual Care |
|---|---|---|
| Change in Patient-reported Binge Eating Scale (BES) Total Scores From Baseline to Week 26 | -6.8 ± 0.72 | 1.1 ± 0.67 |
Arizona Sexual Experiences (ASEX) scale is a 5-item rating scale that quantifies sex drive, arousal, vaginal lubrication/penile erection, ability to reach orgasm, and satisfaction from orgasm. Possible total scores range from 5 to 30, with the higher scores indicating more sexual dysfunction.
| units on a scale | NB + CLI | Usual Care |
|---|---|---|
| Change in Patient-reported Arizona Sexual Experiences Scale (ASEX) Total Scores From Baseline to Week 26 | -2.2 ± 0.36 | -0.1 ± 0.34 |
Impact of Weight on Quality of Life-Lite Questionnaire (IWQOL-Lite) is a self-reported assessment of perceived effect of weight on quality of life. It consists of 31 items organized in 5 domains (physical function, self-esteem, sexual life, public distress and work). IWQOL-Lite total score is based on a scale from 0 to 100, with 0 representing the poorest and 100 the best quality of life and where a score of 71-79 indicates moderate impairment.
| units on a scale | NB + CLI | Usual Care |
|---|---|---|
| Change in Patient-reported Impact of Weight on Quality of Life-Lite Questionnaire (IWQOL-Lite) Total Score From Baseline to Week 26 | 16.4 ± 1.50 | -1.0 ± 1.41 |
Collected over Day 1 through Week 78. Non-serious events are listed at a 1% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| NB + CLI (Controlled Treatment Period) | — | 1/153 (0.7%) | 26/153 (17%) |
| Usual Care (Controlled Treatment Period) | — | 0/89 (0%) | 0/89 (0%) |
| All Subjects (Entire Study) | — | 2/242 (0.8%) | 32/242 (13.2%) |
| Event | NB + CLI (Controlled Treatment Period) | Usual Care (Controlled Treatment Period) | All Subjects (Entire Study) |
|---|---|---|---|
| Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 1/153 | 0/89 | 2/242 |
| Event | NB + CLI (Controlled Treatment Period) | Usual Care (Controlled Treatment Period) | All Subjects (Entire Study) |
|---|---|---|---|
| NauseaGastrointestinal disorders | 16/153 | 0/89 | 17/242 |
| AnxietyPsychiatric disorders | 5/153 | 0/89 | 5/242 |
| HeadacheNervous system disorders | 2/153 | 0/89 | 4/242 |
| InsomniaPsychiatric disorders | 2/153 | 0/89 | 3/242 |
| DizzinessNervous system disorders | 1/153 | 0/89 | 3/242 |
| ConstipationGastrointestinal disorders | 0/153 | 0/89 | 3/242 |
Baseline analysis was based on the Intent-to-Treat (ITT) population which comprised all subjects randomized to NB + CLI who received at least 1 dose of study medication and all subjects randomly assigned to Usual Care who received their baseline lifestyle intervention program instruction.
| Age, Continuous(years) | NB + CLI | Usual Care | Total |
|---|---|---|---|
| Mean | 46.1 ± 9.66 | 47.0 ± 9.98 | 46.5 ± 9.77 |
| Sex: Female, Male(Participants) | NB + CLI | Usual Care | Total |
|---|---|---|---|
| Female | 125 | 77 | 202 |
| Male | 28 | 12 | 40 |
| Ethnicity (NIH/OMB)(Participants) | NB + CLI | Usual Care | Total |
|---|---|---|---|
| Hispanic or Latino | 4 | 5 | 9 |
| Not Hispanic or Latino | 149 | 84 | 233 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | NB + CLI | Usual Care | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 1 | 1 |
| Asian | 1 | 0 | 1 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 28 | 24 | 52 |
| White | 124 | 64 | 188 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Region of Enrollment(participants) | NB + CLI | Usual Care | Total |
|---|---|---|---|
| United States | 153 | 89 | 242 |
| Weight(kg) | NB + CLI | Usual Care | Total |
|---|---|---|---|
| Mean | 101.4 ± 15.09 | 100.2 ± 16.58 | 100.9 ± 15.63 |
| Baseline BMI(kg/m^2) | NB + CLI | Usual Care | Total |
|---|---|---|---|
| Mean | 36.33 ± 4.200 | 36.26 ± 4.369 | 36.31 ± 4.254 |
This study is completed, as verified in Nov 2015. You cannot join it, but the record below documents what was studied.
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Orexigen Therapeutics, Inc