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CompletedNCT03097874Updated Oct 10, 2023

Adaptive Treatment for Adolescent Anorexia Nervosa

An interventional study of Family Based Treatment and Family Based Treatment + Intensive Parental Coaching in Eating Disorder, Anorexia and Anorexia Nervosa, sponsored by Stanford University. Completed at 2 sites in United States. Open to participants aged 12 Years to 18 Years. Per ClinicalTrials.gov, last updated 2023-10-10.

Sponsored by Stanford University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
130
Allocation
Randomized
Ages
12 Years to 18 Years
Sex
All
01

Study summary

The investigators are conducting a randomized controlled trial using an adaptive design for adolescents (ages 12-18) with anorexia nervosa to compare standard Family Based Treatment (FBT) to adaptive FBT with an Intensive Parental Coaching (IPC) component. If participants do not reach expected milestones by session 4 of treatment, participants may be randomized to receive additional IPC or continue treatment as usual with regular FBT.

Read the detailed description

Potential subjects aged 12 to 18 with anorexia nervosa (AN) will be recruited from Stanford University, University of California, San Francisco, other bay-area medical programs and clinics, and online advertisement to the population at large. If participants are deemed eligible, participants will be invited for a baseline interview (about 2 hours in duration) during which the investigators will conduct interviews and collect questionnaire measures. Then, participants and participants' families will begin Family Based Treatment (FBT) with a study therapist at Stanford University or University of California, San Francisco, respectively. All assessments and treatments are conducted through tele-health.

At session 4, if participants have not gained 2.4kg, an indicator of early treatment response, participants and participants' families will be randomized to receive either treatment as usual (FBT) or an adaptive form of FBT, during which families will receive additional Intensive Parental Coaching (IPC). If participants have reached weight milestones (i.e., 2.4kg at session 4), participants will continue FBT as usual.

At 3 months of treatment and end of treatment, the investigators will collect the same measures taken at baseline. The investigators also ask that families participate in 6- and 12-month follow-up, respectively.

02

Conditions studied

  • Eating Disorder
  • Anorexia
  • Anorexia Nervosa
  • Anorexia in Adolescence
  • Anorexia in Children
  • Anorexia Nervosa Restricting Type
  • Anorexia Nervosa, Atypical
  • Eating Disorders in Adolescence

Keywords

  • anorexia
  • anorexia nervosa
  • eating disorder
  • weight
  • eating
  • weight loss
  • family based treatment
  • FBT
  • family treatment
  • therapy
  • Maudsley method
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In context

Anorexia

411 studies on the registry are indexed under Anorexia; 67 are open to participants now.

This study's enrollment of 130 is above the median of 41 across 287 interventional studies indexed under Anorexia.

Browse Anorexia studies →

Lead sponsor

Stanford University is the lead sponsor of 2,117 studies on the registry; 425 are open to participants now.

Of its 259 completed or terminated interventional studies of FDA-regulated products, 197 (76%) have results posted.

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

04

Who can participate

Ages eligible
12 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • 12-18 years of age and living with participants' families
  • meeting DSM-5 criteria for AN (both subtypes) except for the amenorrhea requirement
  • medically stable for outpatient treatment according to the recommended thresholds of the American Academy of Pediatrics and the Society of Adolescent Medicine.

Exclusion criteria

Exclusion Criteria:

  • associated physical illness that necessitates hospitalization
  • psychotic illness, mental retardation, or any other mental illnesses that would prohibit the use of psychotherapy
  • current dependence on drugs or alcohol
  • physical conditions (e.g. diabetes mellitus, pregnancy) known to influence eating or weight
  • previous FBT
  • currently taking medication for co-morbid disorders that cannot be safely discontinued on a stable dose for less than 2 months
  • in the case of patients with current, or a history of sexual or physical abuse by family members, perpetrators of the abuse will be excluded from treatment.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
130 participants (actual)

Study arms

  • Experimental
    Family Based Treatment

    Family Based Treatment of adolescent Anorexia Nervosa

    Behavioral: Family Based Treatment

  • Experimental
    Family Based Treatment + Intensive Parental Coaching

    Family Based Treatment plus Intensive Parental Coaching if weight milestones are not met by session 4.

    Behavioral: Family Based Treatment + Intensive Parental Coaching

Interventions

  • BehavioralFamily Based Treatment

    Family Based Treatment of adolescent Anorexia Nervosa

    Also known as: Maudsley Method

  • BehavioralFamily Based Treatment + Intensive Parental Coaching

    Family Based Treatment of adolescent Anorexia Nervosa plus an Intensive Parental Coaching component.

    Also known as: FBT + IPC

06

What researchers measure

Primary outcomes

  1. Estimated Body Weight (EBW)

    individual with anorexia nervosa's body weight at end of treatment

    Time frame: following 9 months of treatment

07

Study locations

2 sites
  • University of California, San Francisco
    San Francisco, California 94143, United States
  • Stanford University School of Medicine
    Stanford, California 94305-5723, United States
08

References and documents

Publications

  • L'Insalata A, Trainor C, Bohon C, Mondal S, Le Grange D, Lock J. Confirming the Efficacy of an Adaptive Component to Family-Based Treatment for Adolescent Anorexia Nervosa: Study Protocol for a Randomized Controlled Trial. Front Psychiatry. 2020 Feb 12;11:41. doi: 10.3389/fpsyt.2020.00041. eCollection 2020. PubMed 32116856 ↗

Study documents

  • Informed consent form · Mar 24, 2021

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 10, 2023, 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
NCT03097874
Lead sponsor
Stanford University
Collaborators
University of California, San Francisco, National Institutes of Health (NIH), National Institute of Mental Health (NIMH)
Responsible party
James Dale Lock (MD, PhD, Stanford University) — Principal investigator
First posted
Mar 31, 2017
Start date
Sep 1, 2017
Primary completion
Oct 5, 2022
Completion
Oct 5, 2022
Last update
Oct 10, 2023

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2023. You cannot join it, but the record below documents what was studied.

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