ClinicalTrials.gg
RecruitingNCT06847399LIBERATEUpdated Sep 9, 2026

Efficacy and Safety of Tirzepatide Versus Placebo or Lisdexamfetamine Dimesylate for Binge-Eating Disorder

A Phase 2 interventional study of Tirzepatide and Lisdexamfetamine Dimesylate in Obesity and Overweight and Binge Eating Disorder, sponsored by Johns Hopkins University. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-09.

Sponsored by Johns Hopkins University · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2025; still recruiting 1 year 1 month later.
Phase
Phase 2
Study type
Interventional
Enrollment
105
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 104 studies testing tirzepatide in Obesity — 60 open to participants now, 79 under way, 14 of them phase 3. Tirzepatide · Obesity.

Planned enrollment
48th of 104
105 · median 69
Started
2025
with 33 others
Phase 2
22 of 104
14 open now
Primary completion
2027-12
later than 45 of 78 live
Registered
42nd of 104
by date

Among the 104 studies testing tirzepatide in Obesity, this one is the 48th largest by planned enrollment, is one of 34 that started in 2025, is one of 22 in phase 2, reaches primary completion later than 45 of the 78 other live ones, and was the 42nd registered.

Obesity

11,522 studies on the registry are indexed under Obesity; 2,033 are open to participants now.

Browse Obesity studies →

Open to participants now

60 of the 104 studies testing tirzepatide in Obesity are open now, in 12 countries. Recruiting first, the newest first:

55 more — sign in →

By country, each count listing its studies:

All 60 open studies →

About tirzepatide

Tirzepatide: first FDA approval 2022 (MOUNJARO), first EMA approval 2022. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 1,336 Obesity studies recruiting now, 377 (28%) set no upper age limit and 856 (64%) stop at 75 or younger; 168 take children under 18; 491 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 104 studies testing tirzepatide in Obesity, or all of them as a file.
02

Study summary

The purpose of this study is to assess the efficacy and safety of tirzepatide in adults with obesity and binge-eating disorder, comparing tirzepatide against placebo and lisdexamfetamine dimesylate. All participants will receive guided self-help cognitive behavioral therapy.

03

Conditions studied

  • Obesity and Overweight
  • Binge Eating Disorder

Keywords

  • obesity
  • binge eating disorder
  • tirzepatide
  • Lisdexamfetamine
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
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

Disease Characteristics

  1. Have a ≥30 kg/m2 or ≥27 kg/m2

    • previously diagnosed with at least one obesity-related comorbidity:
  2. Have at least one self-reported unsuccessful dietary effort to lose body weight
  3. Meet Diagnostic and Statistical Manual (DSM)-5 criteria for Binge Eating Disorder (BED) as diagnosed by the Eating Disorder Examination interview and confirmed by binge-eating diaries that is moderate or greater in severity (4 or more episodes per week)

    Participant Characteristics

  4. Are 18 years of age or older
  5. Participants assigned female at birth: (participants assigned female at birth who are not of may participate and include those who are:

    • infertile due to surgical sterilization (hysterectomy, bilateral oophorectomy or tubal ligation), congenital anomaly such as Mullerian agenesis
    • , defined as either
    • a female at least 40 years of age with an intact uterus, not on hormone therapy and who has cessation of menses for at least 1 year without an alternative medical cause; women in this category must test negative in pregnancy test prior to study entry OR
    • a female 55 or older not on hormone therapy, who has had at least 12 months of spontaneous amenorrhea OR
    • a female at least 55 years of age with a diagnosis of menopause prior to starting hormone replacement therapy

    Participants assigned female at birth of child-bearing potential (not surgically sterilized and between menarche and 1-year postmenopausal) must:

    • test negative for pregnancy at Visit 1 based on a serum pregnancy test
    • and if sexually active, agree in writing to use 2 forms of effective , where at least 1 form is highly effective, for the duration of the trial
    • not be breastfeeding

  6. Understand and be willing to comply with all study-related procedures and agree to participate in the study by giving written informed consent in accordance with local regulations
  7. In the investigator's opinion, are well-motivated, capable, and willing to:

    • Learn how to self-inject study drug, as required for this protocol (persons with visual impairments or physical limitations who are not able to perform the injections must have the assistance of an individual trained to inject study drug)
    • Inject study drug (or receive an injection from a trained individual if visually impaired or with physical limitations)
    • Learn how to take oral capsules, be consistently able to swallow capsules, and willing to take oral capsules daily as required for this protocol
    • Follow study procedures for the duration of the study

Exclusion criteria

Exclusion Criteria:

Medical Conditions

Eating disorder-related

  1. Current diagnosis of bulimia nervosa or anorexia nervosa

    Diabetes-related

  2. Have type 1 diabetes mellitus (T1DM) or Type 2 diabetes mellitus (T2DM), history of ketoacidosis, or hyperosmolar state/coma
  3. Have laboratory evidence diagnostic of diabetes mellitus during screening, including an ≥6.5% or fasting glucose >126 mg/dL

    Obesity-related:

  4. Have a self-reported change in body weight >5 kg within 3 months prior to screening
  5. Have a prior or planned surgical treatment for obesity (excluding lap-band if removed >6 months prior to screening or liposuction or abdominoplasty if performed >1 year prior to screening)
  6. Have or plan to have endoscopic and/or device-based therapy for obesity or have had device removal within the last 6 months prior to screening (for example, mucosal ablation, gastric artery embolization, intragastric balloon and duodenal-jejunal bypass sleeve)

Other medical

  • Have a family or personal history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia (MEN) Syndrome type 2
  • Known serious to tirzepatide or lisdexamfetamine dimesylate or any of the in the medications
  • Have severe gastrointestinal disease
  • Have known renal impairment
  • Have uncontrolled medical conditions or to tirzepatide or lisdexamfetamine dimesylate
  • Have personal or family history of cardiovascular disease that could increase vulnerability to sympathomimetic effects of psychostimulants
  • Have a history of suspected substance abuse within the past 5 years
  • Have a lifetime history of psychostimulant abuse and/or dependence
  • Have glaucoma
  • Have had a history of chronic or acute pancreatitis
  • Have obesity induced by other endocrinologic disorders (for example, Cushing Syndrome) or diagnosed monogenetic or syndromic forms of obesity (for example, Melanocortin 4 Receptor deficiency or Prader Willi Syndrome)
  • Have a current diagnosis of attention-deficit/hyperactivity disorder
  • Have a history of significant active or unstable Major Depressive Disorder (MDD; within the last 2 years) or other severe psychiatric disorder (for example, schizophrenia, bipolar disorder, psychosis, mania, hypomania, or other serious mood or anxiety disorder) Note: Patients with MDD or generalized anxiety disorder whose disease state is considered stable and expected to remain stable throughout the course of the study, in the opinion of the investigator, may be considered for inclusion if not on excluded medications
  • Have a Patient Health Questionnaire-9 (PHQ-9) score of 15 or more at Visit 1 or 2, prior to randomization
  • Have any lifetime history of a suicide attempt
  • Individual is considered a suicide risk in the opinion of the investigator; or endorsement of current, active suicidal ideation at screening or randomization. On the Columbia-Suicide Severity Rating Scale (C-SSRS) at Visits 1 or 2, prior to randomization:

    • a "yes" answer to either Question 4 (Active Suicidal Ideation with Some Intent to Act, Without Specific Plan) or
    • a "yes" answer to Question 5 (Active Suicidal Ideation with Specific Plan and Intent) on the "Suicidal Ideation" portion of the C-SSRS or
    • a "yes" answer to any of the suicide-related behaviors (Actual Attempt, Interrupted Attempt, Aborted Attempt, Preparatory Act or Behavior) on the "Suicidal Behavior" portion of the C-SSRS and
    • the ideation or behavior occurred within the past month
  • Have taken monoamine oxidate inhibitors (MAOI), or within 14 days of stopping MAOIs
  • Have uncontrolled hypertension (SBP above or equal to 160 mmHg and/or diastolic blood pressure above or equal to 100 mmHg)
  • Have any of the following cardiovascular conditions within 3 months prior to randomization: acute myocardial infarction (MI), cerebrovascular accident (stroke), unstable angina
  • Have a history of an active or untreated or are in remission from a clinically significant malignancy (other than basal- or squamous-cell skin cancer, in situ carcinomas of the cervix, or in situ prostate cancer) for less than 5 years
  • History of seizures (other than infantile febrile seizures), any tic disorder, or a current diagnosis and/or known family history of Tourette's Disorder, serious neurological disease, history of significant head trauma, dementia, Parkinson's disease, or intracranial lesions
  • Participant has known history of symptomatic cardiovascular disease, advanced arteriosclerosis, structural cardiac abnormality, cardiomyopathy, serious heart rhythm abnormalities, coronary artery disease, or other serious cardiac problems that may place the participant at increased vulnerability to the sympathomimetic effects of a stimulant medication
  • Have a history of any other condition that, in the opinion of the investigator, may preclude the participant from following and completing the protocol

Prior/Concomitant Therapy

  • Are receiving concurrent treatment for eating or weight disorders
  • Use of a psychostimulant within the past 6 months
  • Have taken within 3 months prior to screening, medications (prescribed or over-the counter) intended to promote weight loss. Examples include, but are not limited to

    • Saxenda® (liraglutide 3.0 mg)
    • Xenical®/Alli® (orlistat)
    • Meridia® (sibutramine)
    • Adipex® (phentermine)
    • BELVIQ® (lorcaserin)
    • Qsymia® (phentermine/topiramate combination)
    • Contrave® (naltrexone/bupropion)
    • Ozempic or Wegovy (semaglutide)
    • Mounjaro or Zepbound (tirzepatide)
    • Rybelsus (semaglutide)

Prior/Concurrent Clinical Study Experience

  • Are currently enrolled in any other clinical study involving an product (IP) or any other type of medical research judged not to be scientifically or medically compatible with this study
Terms in these criteria, in plain language(12)

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.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
105 participants (estimated)

Study arms

  • Experimental
    Tirzepatide

    Tirzepatide injection + placebo oral capsule

    Drug: Tirzepatide · Behavioral: Guided self-help cognitive behavioral therapy · Drug: Placebo (oral)

  • Active comparator
    Lisdexamfetamine dimesylate

    Placebo injection + lisdexamfetamine dimesylate

    Drug: Lisdexamfetamine Dimesylate · Behavioral: Guided self-help cognitive behavioral therapy · Drug: Placebo (injection)

  • Placebo comparator
    Placebo

    Placebo injection + placebo oral capsule

    Behavioral: Guided self-help cognitive behavioral therapy · Drug: Placebo (oral) · Drug: Placebo (injection)

Interventions

  • Tirzepatide

  • Lisdexamfetamine dimesylate

  • BehavioralGuided self-help cognitive behavioral therapy

    Guided self-help cognitive behavioral therapy

  • DrugPlacebo (oral)

    Placebo (oral)

  • DrugPlacebo (injection)

    Placebo (injection)

06

What researchers measure

Primary outcomes

  1. Percent initial weight loss

    To compare tirzepatide maximum tolerated dose (MTD) versus placebo from randomization to week 52 for percent initial weight loss

    Time frame: Baseline to 52 weeks

  2. Change in the Number of Binge-eating episodes

    To compare tirzepatide MTD versus placebo from randomization to week 52 for reduction in the number of binge-eating episodes defined as change in the number of binge-eating episodes in the past 28 days measured via clinician interview

    Time frame: Baseline to 52 weeks

Secondary outcomes

  1. Number of Binge-eating episodes

    To assess the non-inferiority of tirzepatide MTD versus lisdexamfetamine dimesylate MTD from randomization to week 52 for reduction in the number of binge-eating episodes defined as change in the number of binge-eating episodes in the past 28 days measured via clinician interview

    Time frame: Baseline to 52 weeks

  2. Percentage of Participants Achieving Binge-eating abstinence

    To compare tirzepatide MTD versus placebo from randomization to week 52 for binge-eating abstinence, defined as percent of study participants who achieve 0 episodes of binge eating in the past 28 days via clinician interview

    Time frame: Baseline to 52 weeks

  3. Number of Participants who achieve ≥5% body weight reduction

    To compare tirzepatide MTD versus placebo from randomization to week 52 for percent of study participants who achieve ≥5% body weight reduction. Categorical achievement of weight reduction threshold (≥5% initial weight loss).

    Time frame: Baseline to 52 weeks

  4. Number of Participants who achieve ≥10% body weight reduction

    To compare tirzepatide MTD versus placebo from randomization to week 52 for percent of study participants who achieve ≥10% body weight reduction. Categorical achievement of weight reduction threshold (≥10% initial weight loss)

    Time frame: Baseline to 52 weeks

  5. Number of Participants who achieve ≥15% body weight reduction

    To compare tirzepatide MTD versus placebo from randomization to week 52 for percent of study participants who achieve ≥15% body weight reduction. Categorical achievement of weight reduction threshold (≥15% initial weight loss)

    Time frame: Baseline to 52 weeks

  6. Number of Participants who achieve ≥20% body weight reduction

    To compare tirzepatide MTD versus placebo from randomization to week 52 for percent of study participants who achieve ≥20% body weight reduction. Categorical achievement of weight reduction threshold (≥20% initial weight loss).

    Time frame: Baseline to 52 weeks

  7. Clinical global functioning as assessed by the Clinical Global Impressions Scale (CGI) score

    To compare tirzepatide MTD versus placebo from randomization to week 52 for clinical global functioning using change in Clinical Global Impressions Scale (CGI) score. The CGI severity scale rates the severity of a participant's condition (range: 1 \[normal, not at all ill\] to 7 \[among the most extremely ill\]). The CGI improvement scale rates overall symptom improvement in the participant's condition relative to baseline (range: 1 \[very much improved\] to 7 \[very much worse\]). Score range 0-21. Higher score worse outcome.

    Time frame: Baseline to 52 weeks

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2025 (actual). Primary completion is estimated for Dec 2027, 26 months after the start.

Of 132 non-industry phase 2 interventional studies under Obesity, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 57. This study's planned 26 months is below that.

Counting every sponsor, half of 308 studies reached it within 16 months; a quarter within 10 and three quarters within 35.

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

Registered
Feb 24, 2025
First posted
Feb 26, 2025
StartActual
Sep 17, 2025
Primary completionEst.
Dec 1, 2027
CompletionEst.
Dec 1, 2027
Last update
Sep 9, 2026
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 Sep 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06847399
Responsible party
Sponsor
First posted
Feb 26, 2025
Start date
Sep 17, 2025
Primary completion
Dec 1, 2027 (estimated)
Completion
Dec 1, 2027 (estimated)
Last update
Sep 9, 2026

Study contacts

Abigail Bisson, BS
Contact
abisson2@jh.edu
667-306-9366
Ariana M Chao, PhD, CRNP, FNP-BC
principal investigator · Johns Hopkins University

Oversight

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

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