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| ID | Type | Description | Link |
|---|---|---|---|
| LXP-MD-128A |
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| Name | Class |
|---|---|
| St. Louis University | OTHER |
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Night-Eating Syndrome (NES) is an eating disorder characterised by excessive eating at night, sleep disturbance and morning anorexia. This 12-week study examines the effect of escitalopram on symptoms of NES.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A | Experimental | Escitalopram |
|
| B | Placebo Comparator | Placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Escitalopram | Drug | 10-20 mg |
| |
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Night Eating Questionnaire | The Night Eating Questionnaire (NEQ) is a 14-item self-report scale designed to assess the symptoms of NES including nocturnal ingestions, evening hyperphagia, morning anorexia, and mood/sleep. Scores range from 0-56, with higher scores indicative of greater severity. The NEQ has an acceptable internal consistency reliability (.70). A cut-score of 25 has been shown to yield a positive predictive value of .62. | baseline, 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Beck Depression Inventory II (BDI-II) Score | The BDI-II is a 21-item self-report questionnaire designed to measure cognitive, somatic, and behavioral aspects of depression. Scores range from 0 to 63, with higher scores indicating a higher level of depressive symptoms. | Baseline, 12 weeks |
| Change in Coping Inventory for Stressful Situations (CISS) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kishore Gadde, MD | Duke University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Saint Louis University | St Louis | Missouri | 63103 | United States | ||
| Duke University Medical Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22544016 | Background | Vander Wal JS, Gang CH, Griffing GT, Gadde KM. Escitalopram for treatment of night eating syndrome: a 12-week, randomized, placebo-controlled trial. J Clin Psychopharmacol. 2012 Jun;32(3):341-5. doi: 10.1097/JCP.0b013e318254239b. |
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This study was conducted at Duke University Medical Center and Saint Louis University between 2008 and 2010.
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| ID | Title | Description |
|---|---|---|
| FG000 | Escitalopram | Escitalopram was started at 10 mg/d and the dose was increased to 20 mg/d after 4 weeks. |
| FG001 | Placebo | Dosing of matching placebo was identical. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Escitalopram | |
| BG001 | Placebo | |
| BG002 | Total |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Night Eating Questionnaire | The Night Eating Questionnaire (NEQ) is a 14-item self-report scale designed to assess the symptoms of NES including nocturnal ingestions, evening hyperphagia, morning anorexia, and mood/sleep. Scores range from 0-56, with higher scores indicative of greater severity. The NEQ has an acceptable internal consistency reliability (.70). A cut-score of 25 has been shown to yield a positive predictive value of .62. | Data were analyzed as intent-to-treat with all 40 patients included in the analysis. Primary endpoint was change in the NEQ total score, i.e., difference between values between Week 12 (study exit) and baseline. Analysis of covariance was the primary statistical procedure with baseline NEQ score and baseline BMI as covariates. | Posted | Mean | Standard Error | units on a scale | baseline, 12 weeks |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Escitalopram |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| headache | Nervous system disorders | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Kishore Gadde | Duke University Medical Center | 919-668-0208 | kishore.gadde@duke.edu |
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| ID | Term |
|---|---|
| D000074043 | Night Eating Syndrome |
| D001068 | Feeding and Eating Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D000089983 | Escitalopram |
| ID | Term |
|---|---|
| D011437 | Propylamines |
| D000588 | Amines |
| D009930 | Organic Chemicals |
| D009570 | Nitriles |
| D001572 |
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| Drug |
Placebo |
|
TASK = task-oriented coping; EMOT = emotion-oriented coping; AVD = avoidance-focused coping; Avoidance-focused coping may be divided into two subtypes: DIS = distraction-oriented coping; SOC = social diversion-oriented coping. CISS is a 48 item self-report measure used to measure responses to stressful situations rated for frequency on a 5 point Likert scales ranging from1, not at all to 5, very much. This measure assesses three coping styles: Task-Oriented, Emotion-Oriented, and two types of Avoidance-Oriented coping (Social Diversion and Distraction). There are 16 items on each of the primary scales (task, emotion, avoidance) and 5 on social diversion and 8 on distraction. Scores are summed for each subscale and then converted to gender-corrected t-scores with a mean of 50 and a standard deviation of 10. T-scores on the CISS range from a low of 25 (1st percentile) to 75 (99th percentile). Higher scores indicate more adaptive levels of coping. |
| Baseline, 12 weeks |
| Change in Perceived Stress Scale (PSS) | The Perceived Stress Scale (PSS) measures the overall level of stress. This instrument contains 14 items accessing overall appraisals of stress in the past month. Minimum score (best value)=0. Maximum score (worst value)=56. A higher score indicates greater stress. | 12 weeks |
| Change in Three Factor Eating Questionnaire (TFEQ) | The TFEQ (also known as the Eating Inventory) measures dimensions of eating behavior including cognitive restraint of eating, disinhibition, and hunger using a combination of dichotomous questions, 4-point likert scales, and one 5-point likert scale. Restraint is comprised of the responses to 21 questions with possible scores ranging from 0 to 21 (Low scores for all scales indicate an uninhibited eating behavior.). Disinhibition is comprised of the responses to 16 questions with possible scores ranging from 0 to 16 (High scores indicate an uninhibited eating behavior strongly depending on external cues). Hunger is comprised of the responses to 14 questions with possible scores ranging from 0 to 14 ( Low scores indicate an eating behavior strongly depending on feelings of hunger.). RES = Restraint Subscale; DIS = Disinhibition Subscale; HUN = Hunger Subscale | Baseline, 12 weeks |
| Number of Participants With a Clinical Global Impression - Improvement (CGI-I) Score ≤ 2 | The CGI-I scale is a clinician rating of overall therapeutic effect ranging from 1 (very much improved) to 7 (very much worse) since commencing treatment. | 12 weeks |
| Change in Lipid Panel | Baseline,12 weeks |
| Change in Beck Anxiety Inventory (BAI) Score | The Beck Anxiety Inventory (BAI) is a 21-item self-report measure of anxiety. Scores range from 0 to 63, with higher scores indicative of higher levels of anxiety. | Baseline, 12 weeks |
| Change in Glucose | Baseline, 12 Week |
| Change in Weight | Baseline, 12 week |
| Number of Participants Who no Longer Meet the NESHI Criteria | The Night Eating Syndrome History and Inventory (NESHI) is an unpublished, semistructured interview used to confirm a diagnosis of NES. It assesses a typical 24-hour food intake, including a recall of all meals and snacks, and sleeping patterns. Based on the recall of all meals and snacks, the interviewer judged whether ≥25% of the daily caloric intake was eaten after the evening meal and how often nocturnal ingestions occurred. The NEQ items were reviewed and informed by the dietary recall during the interview, and a new total score was tallied. A final score of ≥25 for the NEQ items, as reviewed during the NESHI, was used as the criterion for NES. | Week 12 |
| Number of Participants Who Had a 50% Reduction in NEQ Scores | The Night Eating Questionnaire (NEQ) is a 14 item self-report scale designed to assess the symptoms of NES including nocturnal ingestions, evening hypcrphagia, morning anorexia, and mood/slccp. Scores range from 0 to 56, with higher scores indicative of greater severity. | Week 12 |
| Durham |
| North Carolina |
| 27710 |
| United States |
Total of all reporting groups
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| OG001 |
| Placebo |
|
|
| Secondary | Change in Beck Depression Inventory II (BDI-II) Score | The BDI-II is a 21-item self-report questionnaire designed to measure cognitive, somatic, and behavioral aspects of depression. Scores range from 0 to 63, with higher scores indicating a higher level of depressive symptoms. | Posted | Mean | Standard Error | units on a scale | Baseline, 12 weeks |
|
|
|
| Secondary | Change in Coping Inventory for Stressful Situations (CISS) | TASK = task-oriented coping; EMOT = emotion-oriented coping; AVD = avoidance-focused coping; Avoidance-focused coping may be divided into two subtypes: DIS = distraction-oriented coping; SOC = social diversion-oriented coping. CISS is a 48 item self-report measure used to measure responses to stressful situations rated for frequency on a 5 point Likert scales ranging from1, not at all to 5, very much. This measure assesses three coping styles: Task-Oriented, Emotion-Oriented, and two types of Avoidance-Oriented coping (Social Diversion and Distraction). There are 16 items on each of the primary scales (task, emotion, avoidance) and 5 on social diversion and 8 on distraction. Scores are summed for each subscale and then converted to gender-corrected t-scores with a mean of 50 and a standard deviation of 10. T-scores on the CISS range from a low of 25 (1st percentile) to 75 (99th percentile). Higher scores indicate more adaptive levels of coping. | Posted | Mean | Standard Error | t-scores | Baseline, 12 weeks |
|
|
|
|
| Secondary | Change in Perceived Stress Scale (PSS) | The Perceived Stress Scale (PSS) measures the overall level of stress. This instrument contains 14 items accessing overall appraisals of stress in the past month. Minimum score (best value)=0. Maximum score (worst value)=56. A higher score indicates greater stress. | Participants who completed PSS assessment at baseline and week 12. | Posted | Mean | Standard Error | units on a scale | 12 weeks |
|
|
|
|
| Secondary | Change in Three Factor Eating Questionnaire (TFEQ) | The TFEQ (also known as the Eating Inventory) measures dimensions of eating behavior including cognitive restraint of eating, disinhibition, and hunger using a combination of dichotomous questions, 4-point likert scales, and one 5-point likert scale. Restraint is comprised of the responses to 21 questions with possible scores ranging from 0 to 21 (Low scores for all scales indicate an uninhibited eating behavior.). Disinhibition is comprised of the responses to 16 questions with possible scores ranging from 0 to 16 (High scores indicate an uninhibited eating behavior strongly depending on external cues). Hunger is comprised of the responses to 14 questions with possible scores ranging from 0 to 14 ( Low scores indicate an eating behavior strongly depending on feelings of hunger.). RES = Restraint Subscale; DIS = Disinhibition Subscale; HUN = Hunger Subscale | Posted | Mean | Standard Error | units on a scale | Baseline, 12 weeks |
|
|
|
|
| Secondary | Number of Participants With a Clinical Global Impression - Improvement (CGI-I) Score ≤ 2 | The CGI-I scale is a clinician rating of overall therapeutic effect ranging from 1 (very much improved) to 7 (very much worse) since commencing treatment. | Posted | Number | participants | 12 weeks |
|
|
|
| Secondary | Change in Lipid Panel | Posted | Mean | Standard Error | mg/dL | Baseline,12 weeks |
|
|
|
| Secondary | Change in Beck Anxiety Inventory (BAI) Score | The Beck Anxiety Inventory (BAI) is a 21-item self-report measure of anxiety. Scores range from 0 to 63, with higher scores indicative of higher levels of anxiety. | Posted | Mean | Standard Error | units on a scale | Baseline, 12 weeks |
|
|
|
| Secondary | Change in Glucose | Posted | Mean | Standard Error | mg/dL | Baseline, 12 Week |
|
|
|
| Secondary | Change in Weight | Posted | Mean | Standard Error | kg | Baseline, 12 week |
|
|
|
| Secondary | Number of Participants Who no Longer Meet the NESHI Criteria | The Night Eating Syndrome History and Inventory (NESHI) is an unpublished, semistructured interview used to confirm a diagnosis of NES. It assesses a typical 24-hour food intake, including a recall of all meals and snacks, and sleeping patterns. Based on the recall of all meals and snacks, the interviewer judged whether ≥25% of the daily caloric intake was eaten after the evening meal and how often nocturnal ingestions occurred. The NEQ items were reviewed and informed by the dietary recall during the interview, and a new total score was tallied. A final score of ≥25 for the NEQ items, as reviewed during the NESHI, was used as the criterion for NES. | Posted | Number | participants | Week 12 |
|
|
|
| Secondary | Number of Participants Who Had a 50% Reduction in NEQ Scores | The Night Eating Questionnaire (NEQ) is a 14 item self-report scale designed to assess the symptoms of NES including nocturnal ingestions, evening hypcrphagia, morning anorexia, and mood/slccp. Scores range from 0 to 56, with higher scores indicative of greater severity. | Posted | Number | participants | Week 12 |
|
|
|
| 0 |
| 20 |
| 9 |
| 20 |
| EG001 | Placebo | 0 | 20 | 7 | 20 |
| drowsiness | Psychiatric disorders | Non-systematic Assessment |
|
| gastrointestinal symptoms | Gastrointestinal disorders | Non-systematic Assessment |
|
| upper respiratory infection / seasonal allergies | Immune system disorders | Non-systematic Assessment |
|
| fatigue | General disorders |
|
| Sexual Dysfunction | Reproductive system and breast disorders |
|
| cognitive symptoms | Nervous system disorders | difficulty concentrating, feeling spacey |
|
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| Benzofurans |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| CISS-AVD |
|
| CISS-DIS |
|
| CISS-SOC |
|
| No |
| Superiority or Other |
| CISS-DIS | ANCOVA | 0.196 | No | Superiority or Other |
| CISS-AVD | ANCOVA | 0.759 | No | Superiority or Other |
| CISS-SOC | ANCOVA | 0.396 | No | Superiority or Other |
| TFEQ-HUN |
|
| No |
| Superiority or Other |
| TFEQ-HUN | ANCOVA | 0.724 | No | Superiority or Other |
| Triglycerides |
|
| total cholesterol |
|