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Not yet recruitingNCT06687993ANAChUpdated Nov 14, 2024

Acetylcholinesterase Inhibitor in Anorexia Nervosa: Multicenter, Double-Blind, Placebo-Controlled Trial

A Phase 2 interventional study of Donepezil 2.5 mg and Donepezil 5 mg in Anorexia Nervosa Restricting Type, sponsored by Centre Hospitalier St Anne. Not yet recruiting. Open to female participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2024-11-14.

Sponsored by Centre Hospitalier St Anne · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
147
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
Female
01

Study summary

The goal of this clinical trial is to learn if the daily take of donepezil can treat adult patient suffering from anorexia nervosa. The main question it aims to answer is : do daily donepezil intake permit weight gain and reduction of food restriction rituals ? The treatment is a capsule comprising a drug limiting the degradation of a neurotransmitter called acetylcholine. This treatment has long been used to treat certain cognitive disorders. Researchers will compare two drug dosage and a look-alike capsule that contains no drug to see if the dose has an impact on the effect. Participants will take one capsule per day for three months will have regular hospital visits for cognitive and metabolic tests.

02

Conditions studied

  • Anorexia Nervosa Restricting Type

Keywords

  • anorexia nervosa
  • eating disorders
  • donepezil
  • habits
03

In context

Anorexia Nervosa

469 studies on the registry are indexed under Anorexia Nervosa; 127 are open to participants now.

This study's planned enrollment of 147 is above the median of 46 across 313 interventional studies indexed under Anorexia Nervosa.

Browse Anorexia Nervosa studies →

Lead sponsor

Centre Hospitalier St Anne is the lead sponsor of 101 studies on the registry; 55 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Female
  • Presence of the 3 criteria for Anorexia Nervosa
  • Restrictive subtype of Anorexia Nervosa according to DSM-5
  • between 15 and 18.5 kg/m²
  • Aged 18 to 65 years
  • Resting heart rate > or = 40 bpm
  • Use of a highly effective method
  • Affiliation or entitlement to a Health Insurance scheme
  • Prior free, informed, and written consent

Exclusion criteria

Exclusion Criteria:

  • Presence of one or more somatic criteria for hospitalization according to french HAS 2010 guidelines
  • Past diagnosis of anorexia nervosa with binge-eating/purging type
  • Past diagnosis of bulimia nervosa
  • Past diagnosis of binge-eating disorder
  • Associated diagnosis of schizophrenia and/or persistent delusional disorder and/or bipolar disorder
  • History of asthma or obstructive bronchopulmonary disease
  • History of peptic ulcer disease or concurrent treatment with non-steroidal anti-inflammatory drugs
  • History of epileptic disorders
  • Renal insufficiency ( less than 60 mL/min according to the MDRD formula)
  • Hepatic insufficiency or transaminase levels greater than 5 times the normal upper limit
  • Conductance disorder characterized by
  • according to Bazett's formula greater than 480 ms on electrocardiogram
  • Current or recent (within three weeks prior to inclusion) psychotropic treatment (including antidepressants, to avoid interaction/potentiation in this population)
  • Treatment involving the following cytochromes: P450, P3A4, P2D6
  • Known to donepezil hydrochloride, piperidine derivatives, or any of the drug
  • Pregnant or breastfeeding woman
  • Person under legal protection measures
  • Person under guardianship measures
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
147 participants (estimated)

Study arms

  • Experimental
    donepezil 2.5 mg

    donepezil 2.5 mg daily for 90 days

    Drug: Donepezil 2.5 mg

  • Experimental
    donepezil 5 mg

    donepezil 5 mg daily for 90 days

    Drug: Donepezil 5 mg

  • Placebo comparator
    placebo

    placebo daily for 90 days

    Drug: Placebo Comparator

Interventions

  • 2.5 mg daily oral intake for 90 days

    Also known as: Donepezil chlorhydrate

  • 5 mg daily oral intake for 90 days

    Also known as: Donepezil chlorhydrate

  • DrugPlacebo Comparator

    daily oral intake for 90 days

    Also known as: Placebo

06

What researchers measure

Primary outcomes

  1. Effect on Body Mass Index in adult women suffering from anorexia nervosa

    Difference of Body Masse Index between inclusion (D0) and the end of treatment (D90)

    Time frame: Before (D0) and after 90 days of treatment

Secondary outcomes

  1. Effect on eating disorder symptomatology in adult women suffering from anorexia nervosa: difference of Eating Disorder Examination Questionnaire (EDE-Q) score

    The Eating Disorder Examination Questionnaire (EDE-Q) is a self-report measure used to assess the severity of eating disorder symptoms. The scale consists of four subscales: Restraint, Eating Concern, Shape Concern, and Weight Concern, along with a Global score. Scale Range: Each subscale score and the Global score range from 0 to 6. Score Interpretation: Higher scores indicate greater severity of eating disorder symptoms. A higher score reflects a worse outcome in terms of eating disorder symptom severity.

    Time frame: Before (D0) and after 90 days of treatment

  2. Effects on habits learning in adult women suffering from anorexia nervosa: difference of phase 3 of slips-of-action neurocognitive test

    The Slips-of-Action Neurocognitive Test is a measure designed to assess cognitive control, focusing on the ability to inhibit responses that are no longer contextually appropriate. In Phase 3 of this test, participants must withhold previously learned responses as the rules change, evaluating their inhibitory control capacity. Scale Range: Scores in Phase 3 range from 0 to 20, representing the number of errors (or "slips") made during the test. Score Interpretation: Higher scores reflect a greater number of inhibitory errors, indicating reduced cognitive control. Thus, a higher score represents a worse outcome in terms of inhibitory control performance.

    Time frame: Before (D0) and after 90 days of treatment

  3. Effect on balance between goal-directed behaviors and habits in adult women suffering from anorexia nervosa: difference of total score in Self-Report Habit Index

    The Self-Report Habit Index (SRHI) is a tool used to measure the strength of habitual behaviors. It assesses habits across various domains, providing a total score that reflects the extent to which a behavior has become automatic. Scale Range: The total score ranges from 0 to 42, with higher scores indicating stronger habitual behavior. Score Interpretation: A higher score suggests a more entrenched habit, reflecting a stronger habitual response. Thus, higher scores indicate a worse outcome if the goal is to reduce the habitual behavior.

    Time frame: Before (D0) and after 90 days of treatment

  4. Effect on cognitive flexibility in adult women suffering from anorexia nervosa: difference in Wisconsin Card Sorting Test

    The Wisconsin Card Sorting Test (WCST) assesses cognitive flexibility and executive function by measuring an individual's ability to adapt to changing rules and shift cognitive strategies. Scale Range: Scores are typically reported as the number of perseverative errors, ranging from 0 to a maximum depending on the number of trials (typically 128). Score Interpretation: Higher scores indicate more errors and reflect poorer cognitive flexibility. Therefore, a higher score represents a worse outcome in terms of executive functioning.

    Time frame: Before (D0) and after 90 days of treatment

  5. Effect on cognitive flexibility in adult women suffering from anorexia nervosa: difference in Trail Making Test B-A, Brixton Test

    The Trail Making Test (TMT) is used to assess cognitive processing speed, flexibility, and task-switching abilities. TMT B-A represents the difference in time taken to complete Part B (which involves both numbers and letters) compared to Part A (numbers only). Scale Range: The B-A score is expressed in seconds, typically ranging from 0 to several hundred seconds depending on the individual's performance. Score Interpretation: Higher scores indicate slower processing and greater difficulty with task switching, representing a worse outcome for cognitive flexibility and processing speed.

    Time frame: Before (D0) and after 90 days of treatment

  6. Effect on compulsive and obsessive in adult women suffering from anorexia nervosa: difference in Yale-Brown Obsessive Compulsive Scale

    The Yale-Brown Obsessive Compulsive Scale (Y-BOCS) is a clinician-administered tool used to assess the severity of obsessive-compulsive symptoms, measuring both obsessions and compulsions. Scale Range: The total score ranges from 0 to 40, with subscales for obsessions and compulsions each ranging from 0 to 20. Score Interpretation: Higher scores indicate greater severity of OCD symptoms. Thus, a higher total score reflects a worse outcome in terms of obsessive-compulsive symptom severity.

    Time frame: Before (D0) and after 90 days of treatment

  7. Effect on main eating disorder dimensions in adult suffering from anorexia nervosa: difference in subdimensions on EDE-Q and Eating Disorder Iventory 3

    Eating Disorder Inventory-3 (EDI-3) Subdimensions The EDI-3 measures psychological traits associated with eating disorders through 12 subscales, including Drive for Thinness, Bulimia, Body Dissatisfaction, Low Self-Esteem, Personal Alienation, Interpersonal Insecurity, Interpersonal Alienation, Interoceptive Deficits, Emotional Dysregulation, Perfectionism, Asceticism, and Maturity Fears. Scale Range: Each subscale has a score range of 0 to 16, though the maximum score can vary slightly depending on the specific items within each subscale. Score Interpretation: Higher scores indicate greater severity of the particular trait or symptom associated with eating disorders. Therefore, higher scores across subscales reflect a worse outcome regarding eating disorder psychopathology.

    Time frame: Before (D0) after 90 days of treatment and 90 days after stopping treatment

  8. Effect on depressive and anxious symptoms in adult women suffering from anorexia nervosa: difference on Hospital Anxiety and Depression Scale (HADS)

    The Hospital Anxiety and Depression Scale (HADS) is a self-report measure designed to assess levels of anxiety and depression in patients, particularly in hospital settings. The scale consists of two subscales: Anxiety (HADS-A) and Depression (HADS-D). Scale Range: Each subscale (HADS-A and HADS-D) has a score range from 0 to 21, with the total score ranging from 0 to 42. Score Interpretation: Higher scores indicate more severe symptoms of anxiety or depression. Thus, higher scores on each subscale, or the total score, represent worse outcomes in terms of anxiety and depression severity.

    Time frame: Before (D0) and after 90 days of treatment

  9. Measure the toxicity and tolerance of donepezil in adult women suffering from anorexia nervosa

    Difference of frequency of adverse effects

    Time frame: D3, D5, D30, D90

  10. Biological factors associated with response to treatment

    Gut microbiome diversity (Simpson, Shannon and Chao1) and nutritional plasmatic biomarkers

    Time frame: Before (D0) and after 90 days of treatment

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Nov 2024; primary completion for Feb 2030, 63 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 30, 2024
First posted
Nov 14, 2024
StartEst.
Nov 2024
Primary completionEst.
Feb 2030
CompletionEst.
May 2030
Last update
Nov 14, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 14, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06687993
Responsible party
Sponsor
First posted
Nov 14, 2024
Start date
Nov 2024 (estimated)
Primary completion
Feb 2030 (estimated)
Completion
May 2030 (estimated)
Last update
Nov 14, 2024

Study contacts

Philibert Duriez, MD, PhD
Contact
p.duriez@ghu-paris.fr
0145658345 ext. +33

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 not yet recruiting, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Donepezil

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