Evidence map›Paper›PMID 32423512›Full record

Trial reportCNS spectrums2021

Efficacy and safety of dasotraline in adults with binge-eating disorder: a randomized, placebo-controlled, fixed-dose clinical trial.

Carlos M Grilo, Susan L McElroy, James I Hudson, Joyce Tsai, Bradford Navia, Robert Goldman, Ling Deng, Justine Kent, Antony Loebel

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in CNS spectrums, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Binge eating disorder.Nature reviews. Disease primers · 2022
    Article
  13. A literature review of dopamine in binge eating.Journal of eating disorders · 2022
    Review
  14. Review
  15. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Carlos M GriloDepartment of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
Susan L McElroyLindner Center of HOPE, Mason, Ohio, USA.
James I HudsonBiological Psychiatry Laboratory McLean Hospital, Belmont, Massachusetts, USA.
Joyce TsaiGlobal Clinical Research, Sunovion Pharmaceuticals Inc., Marlborough, Massachusetts, USA.
Bradford NaviaGlobal Clinical Research, Sunovion Pharmaceuticals Inc., Marlborough, Massachusetts, USA.
Robert GoldmanGlobal Clinical Research, Sunovion Pharmaceuticals Inc., Marlborough, Massachusetts, USA.
Ling DengBiostatistics, Sunovion Pharmaceuticals Inc., Marlborough, Massachusetts, USA.
Justine KentGlobal Clinical Research, Sunovion Pharmaceuticals Inc., Marlborough, Massachusetts, USA.
Antony LoebelSunovion Pharmaceuticals Inc., Marlborough, Massachusetts, USA.
Sunovion (United States) · USLindner Center of HOPE · USMcLean Hospital · USVion Pharmaceuticals (United States) · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

objectiveThe aim of this fixed-dose study was to evaluate the efficacy and safety of dasotraline in the treatment of patients with binge-eating disorder (BED).

methodsPatients meeting Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition criteria for BED were randomized to 12 weeks of double-blind treatment with fixed doses of dasotraline (4 and 6 mg/d), or placebo. The primary efficacy endpoint was change in number of binge-eating (BE) days per week at week 12. Secondary efficacy endpoints included week 12 change on the BE CGI-Severity Scale (BE-CGI-S) and the Yale-Brown Obsessive-Compulsive Scale Modified for BE (YBOCS-BE).

resultsAt week 12, treatment with dasotraline was associated with significant improvement in number of BE days per week on the dose of 6 mg/d (N = 162) vs placebo (N = 162; -3.47 vs -2.92; P = .0045), but not 4 mg/d (N = 161; -3.21). Improvement vs placebo was observed for dasotraline 6 and 4 mg/d, respectively, on the BE-CGI-S (effect size [ES]: 0.37 and 0.27) and on the YBOCS-BE total score (ES: 0.43 and 0.29). The most common adverse events on dasotraline were insomnia, dry mouth, headache, decreased appetite, nausea, and anxiety. Changes in blood pressure and pulse were minimal.

conclusionTreatment with dasotraline 6 mg/d (but not 4 mg/d) was associated with significantly greater reduction in BE days per week. Both doses of dasotraline were generally safe and well-tolerated and resulted in global improvement on the BE-CGI-S, as well as improvement in BE related obsessional thoughts and compulsive behaviors on the YBOCS-BE. These results confirm the findings of a previous flexible dose study.

Indexed as

1-NaphthylamineAdultBulimiaFemaleHumansMaleMiddle Aged1-Naphthylamine4-(3,4-dichlorophenyl)-1,2,3,4-tetrahydronaphthalen-1-amineBinge-Eating Disorderdasotralinedopamine transporterinhibitornorepinephrine transporterobesityrandomized controlled trialweight loss

Identifiers

PMID32423512
PMCPMC8524666
OpenAlexW3028324000

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.