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| Name | Class |
|---|---|
| University of Massachusetts, Worcester | OTHER |
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The purpose of this research is to observe the efficacy of Naltrexone and Bupropion combination on weight loss and smoking cessation from baseline to week 24 compare to placebo.
This is a randomized, double-blind, and placebo-controlled study. Subjects with evaluation and confirmation that inclusion and exclusion criteria are met, will be treated with naltrexone sustained release 15mg once per day and bupropion sustained release 150mg once per day in the first two weeks, and naltrexone 25mg once per day and bupropion 300mg once per day during the rest of the study.The purpose of this research is to observe the efficacy of Naltrexone and Bupropion on weight loss and smoking cessation compared to placebo.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Naltrexone and Bupropion | Experimental | Naltrexone 3 tablets(15mg) once per day and Bupropion 1 capsule(150mg) once per day in the first two weeks. Then Naltrexone 5 tablets(25mg) once per day and Bupropion 2 capsules(300mg) once per day during the rest of the study. |
|
| Placebo Naltrexone and Bupropion | Placebo Comparator | Placebo Naltrexone 3 tablets+Placebo Bupropion 1 capsule once per day in the first two weeks. Then Placebo Naltrexone 5 tablets+Placebo Bupropion 2 capsule once per day during the rest of the study. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Naltrexone | Drug | 3 tablets(15mg) once per day in the first two weeks,then Naltrexone 5 tablets(25mg) once per day during the rest of the study. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Weight at 24 Weeks | evaluate all participants' weight ,weight in kilograms | baseline and 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Numbers of Participants Who Quit Smoking | 24 weeks | |
| Changes From Baseline Craving for Nicotine Assessed by Visual Analog Scales (VAS) at 24 Weeks | The visual analogue scale is a scale that is used to gauge smoking craving. Patients can choose a number from 0 to 10 to show their smoking craving, in which "0" represents "no craving" and "10" represents "intense urge". |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jiang Du, PhD | Chief Physician | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29563871 | Derived | Lyu X, Du J, Zhan G, Wu Y, Su H, Zhu Y, Jarskog F, Zhao M, Fan X. Naltrexone and Bupropion Combination Treatment for Smoking Cessation and Weight Loss in Patients With Schizophrenia. Front Pharmacol. 2018 Mar 5;9:181. doi: 10.3389/fphar.2018.00181. eCollection 2018. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Naltrexone and Bupropion | Naltrexone 3 tablets(15mg) once per day and Bupropion 1 capsule(150mg) once per day in the first two weeks. Then Naltrexone 5 tablets(25mg) once per day and Bupropion 2 capsules(300mg) once per day during the rest of the study. Naltrexone: 3 tablets(15mg) once per day in the first two weeks,then Naltrexone 5 tablets(25mg) once per day during the rest of the study. Bupropion: 1 capsule(150mg) once per day in the first two weeks,then 2 capsules(300mg) once per day during the rest of the study. |
| FG001 | Placebo Naltrexone and Bupropion | Placebo Naltrexone 3 tablets+Placebo Bupropion 1 capsule once per day in the first two weeks. Then Placebo Naltrexone 5 tablets+Placebo Bupropion 2 capsule once per day during the rest of the study. Placebo Naltrexone: Placebo Naltrexone created and masked by the pharmacy to be used as a control. Placebo Bupropion: Placebo Bupropion created and masked by the pharmacy to be used as a control. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Naltrexone and Bupropion | Naltrexone 3 tablets(15mg) once per day and Bupropion 1 capsule(150mg) once per day in the first two weeks. Then Naltrexone 5 tablets(25mg) once per day and Bupropion 2 capsules(300mg) once per day during the rest of the study. Naltrexone: 3 tablets(15mg) once per day in the first two weeks,then Naltrexone 5 tablets(25mg) once per day during the rest of the study. Bupropion: 1 capsule(150mg) once per day in the first two weeks,then 2 capsules(300mg) once per day during the rest of the study. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| 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 | Change From Baseline in Weight at 24 Weeks | evaluate all participants' weight ,weight in kilograms | Posted | Mean | Standard Deviation | kilogram | baseline and 24 weeks |
|
The 24-week study time period
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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 | Naltrexone and Bupropion | Naltrexone 3 tablets(15mg) once per day and Bupropion 1 capsule(150mg) once per day in the first two weeks. Then Naltrexone 5 tablets(25mg) once per day and Bupropion 2 capsules(300mg) once per day during the rest of the study. Naltrexone: 3 tablets(15mg) once per day in the first two weeks,then Naltrexone 5 tablets(25mg) once per day during the rest of the study. Bupropion: 1 capsule(150mg) once per day in the first two weeks,then 2 capsules(300mg) once per day during the rest of the study. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| dry mouth | Gastrointestinal disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Chief Physician Dr Du. Jiang Du | Shanghai Mental Health Center | 86-21-64387250 | dujiangdou@163.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Dec 30, 2015 | Jan 13, 2020 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Dec 30, 2015 | Jan 13, 2020 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| D000073865 | Cigarette Smoking |
| D012559 | Schizophrenia |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D009271 | Naltrexone |
| D016642 | Bupropion |
| ID | Term |
|---|---|
| D009270 | Naloxone |
| D009019 | Morphinans |
| D053610 | Opiate Alkaloids |
| D000470 | Alkaloids |
| D006571 |
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| Placebo Naltrexone | Drug | Placebo Naltrexone created and masked by the pharmacy to be used as a control. |
|
| Bupropion | Drug | 1 capsule(150mg) once per day in the first two weeks,then 2 capsules(300mg) once per day during the rest of the study. |
|
| Placebo Bupropion | Drug | Placebo Bupropion created and masked by the pharmacy to be used as a control. |
|
| baseline and 24 weeks |
| Depression Status Assessed by Self-rating Depression Scale(SDS) | evaluate all participants' depression status by Self-rating depression scale(SDS),which has a theoretical value range of 20-80. The SDS total score ranges, with the higher the score representing the higher level of severity of depression. | 24 weeks |
| Anxiety Status Assessed by Self-Rating Anxiety Scale(SAS) | evaluate all participants' depression status by Self-Rating Anxiety Scale,which has a theoretical value range of 20-80. The SAS total score ranges, with the higher the score representing the higher level of severity of anxiety. | 24 weeks |
| Clinical Symptoms Assessed by the Positive and Negative Syndrome Scale (PANSS) | Through a simple 40 to 50 minute talk with the patient, the physician scored 30 different symptoms on a scale of 1-7 to get their PANSS score. The total score range from 30-210. The PANSS total score ranges, with the higher the score representing the higher level of severity of clinical symptoms. | 24 weeks |
| Waist Circumference | evaluate all participants' waist circumference,waist circumference in centimeters | 24 weeks |
| Change in Fasting Blood Glucose Levels | baseline and 24 weeks |
| Change in Fasting Insulin Levels | baseline and 24 weeks |
| Change in Glycosylated Hemoglobin | baseline and 24 weeks |
| Change in Fasting Triglycerides Levels | baseline and 24 weeks |
| Change in Fasting HDL Cholesterol Levels | baseline and 24 weeks |
| Change in Fasting LDL Cholesterol | baseline and 24 weeks |
| Change in Leptin | baseline and 24 weeks |
| Change in Ghrelin | baseline and 24 weeks |
| BG001 | Placebo Naltrexone and Bupropion | Placebo Naltrexone 3 tablets+Placebo Bupropion 1 capsule once per day in the first two weeks. Then Placebo Naltrexone 5 tablets+Placebo Bupropion 2 capsule once per day during the rest of the study. Placebo Naltrexone: Placebo Naltrexone created and masked by the pharmacy to be used as a control. Placebo Bupropion: Placebo Bupropion created and masked by the pharmacy to be used as a control. |
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex/Gender, Customized | Number | participants |
|
| Race/Ethnicity, Customized | Number | participants |
|
| Region of Enrollment | Number | participants |
|
| illness time duration | Mean | Standard Deviation | years |
|
| smoking time duration | Mean | Standard Deviation | years |
|
| breath CO level | Mean | Standard Deviation | ppm |
|
| number of cigarettes smoked per week | Mean | Standard Deviation | cigarettes per week |
|
| smoking craving | The visual analogue scale is a scale that is used to gauge smoking craving. Patients can choose a number from 0 to 10 to show their smoking craving, in which "0" represents "no craving" and "10" represents "intense urge". | Mean | Standard Deviation | units on a scale |
|
| body weight | Mean | Standard Deviation | kg |
|
| BMI | Mean | Standard Deviation | kg/m^2 |
|
| waist circumference | Mean | Standard Deviation | cm |
|
| HbA1c | Mean | Standard Deviation | percentage of HbA1c |
|
| fasting glucose | Mean | Standard Deviation | mmol/l |
|
| HDL | Mean | Standard Deviation | mmol/l |
|
| LDL | Mean | Standard Deviation | mmol/l |
|
| insulin | Mean | Standard Deviation | pmol/l |
|
| Triglyceride | Mean | Standard Deviation | mmol/l |
|
Placebo Naltrexone 3 tablets+Placebo Bupropion 1 capsule once per day in the first two weeks. Then Placebo Naltrexone 5 tablets+Placebo Bupropion 2 capsule once per day during the rest of the study.
Placebo Naltrexone: Placebo Naltrexone created and masked by the pharmacy to be used as a control.
Placebo Bupropion: Placebo Bupropion created and masked by the pharmacy to be used as a control.
|
|
| Secondary | Numbers of Participants Who Quit Smoking | Posted | Number | participants | 24 weeks |
|
|
|
| Secondary | Changes From Baseline Craving for Nicotine Assessed by Visual Analog Scales (VAS) at 24 Weeks | The visual analogue scale is a scale that is used to gauge smoking craving. Patients can choose a number from 0 to 10 to show their smoking craving, in which "0" represents "no craving" and "10" represents "intense urge". | Posted | Mean | Standard Deviation | score on a scale | baseline and 24 weeks |
|
|
|
| Secondary | Depression Status Assessed by Self-rating Depression Scale(SDS) | evaluate all participants' depression status by Self-rating depression scale(SDS),which has a theoretical value range of 20-80. The SDS total score ranges, with the higher the score representing the higher level of severity of depression. | Posted | Mean | Standard Deviation | score on a scale | 24 weeks |
|
|
|
| Secondary | Anxiety Status Assessed by Self-Rating Anxiety Scale(SAS) | evaluate all participants' depression status by Self-Rating Anxiety Scale,which has a theoretical value range of 20-80. The SAS total score ranges, with the higher the score representing the higher level of severity of anxiety. | Posted | Mean | Standard Deviation | score on a scale | 24 weeks |
|
|
|
| Secondary | Clinical Symptoms Assessed by the Positive and Negative Syndrome Scale (PANSS) | Through a simple 40 to 50 minute talk with the patient, the physician scored 30 different symptoms on a scale of 1-7 to get their PANSS score. The total score range from 30-210. The PANSS total score ranges, with the higher the score representing the higher level of severity of clinical symptoms. | Posted | Mean | Standard Deviation | score on a scale | 24 weeks |
|
|
|
| Secondary | Waist Circumference | evaluate all participants' waist circumference,waist circumference in centimeters | Posted | Mean | Standard Deviation | cm | 24 weeks |
|
|
|
| Secondary | Change in Fasting Blood Glucose Levels | Posted | Mean | Standard Deviation | mmol/l | baseline and 24 weeks |
|
|
|
| Secondary | Change in Fasting Insulin Levels | Posted | Mean | Standard Deviation | pmol/l | baseline and 24 weeks |
|
|
|
| Secondary | Change in Glycosylated Hemoglobin | Posted | Mean | Standard Deviation | percentage of hemoglobin | baseline and 24 weeks |
|
|
|
| Secondary | Change in Fasting Triglycerides Levels | Posted | Mean | Standard Deviation | mmol/l | baseline and 24 weeks |
|
|
|
| Secondary | Change in Fasting HDL Cholesterol Levels | Posted | Mean | Standard Deviation | mmol/l | baseline and 24 weeks |
|
|
|
| Secondary | Change in Fasting LDL Cholesterol | Posted | Mean | Standard Deviation | mmol/l | baseline and 24 weeks |
|
|
|
| Secondary | Change in Leptin | Posted | Mean | Standard Deviation | ng/ml | baseline and 24 weeks |
|
|
|
| Secondary | Change in Ghrelin | Posted | Mean | Standard Deviation | pg/ml | baseline and 24 weeks |
|
|
|
| 0 |
| 11 |
| 0 |
| 11 |
| 6 |
| 11 |
| EG001 | Placebo Naltrexone and Bupropion | Placebo Naltrexone 3 tablets+Placebo Bupropion 1 capsule once per day in the first two weeks. Then Placebo Naltrexone 5 tablets+Placebo Bupropion 2 capsule once per day during the rest of the study. Placebo Naltrexone: Placebo Naltrexone created and masked by the pharmacy to be used as a control. Placebo Bupropion: Placebo Bupropion created and masked by the pharmacy to be used as a control. | 0 | 10 | 0 | 10 | 1 | 10 |
| mild abdominal discomfort | Gastrointestinal disorders | Systematic Assessment |
|
| tachycardia | Cardiac disorders | Systematic Assessment |
|
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| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000073869 | Tobacco Smoking |
| D012907 | Smoking |
| D001519 | Behavior |
| D064424 | Tobacco Use |
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
| Heterocyclic Compounds |
| D006572 | Heterocyclic Compounds, Bridged-Ring |
| D006576 | Heterocyclic Compounds, 4 or More Rings |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D010616 | Phenanthrenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D011083 | Polycyclic Compounds |
| D011427 | Propiophenones |
| D007659 | Ketones |
| D009930 | Organic Chemicals |