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A Study to Evaluate a Drug (Dasotraline) on the Safety, Effectiveness and How Well the Body Tolerates it, in Adults With Moderate to Severe Binge Eating Disorder

A 12-week, Randomized, Double-blind, Parallel-group, Placebo-controlled, Fixed-dosed, Multicenter Study to Evaluate the Efficacy, Safety, and Tolerability of Dasotraline in Adults With Moderate to Severe Binge Eating Disorder

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03107026
Enrollment
491
Registered
2017-04-11
Start date
2017-03-31
Completion date
2018-05-16
Last updated
2020-07-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Binge Eating Disorder

Keywords

Binge eating Disorder, dasotraline

Brief summary

A study to evaluate a drug (dasotraline) on the safety, effectiveness and how well the body tolerates it, in adults with moderate to severe binge eating disorder

Detailed description

This is a randomized, double-blind, parallel-group, multicenter, outpatient study evaluating the efficacy and safety of 2 doses of dasotraline (4 and 6 mg/day) versus placebo over a 12-week treatment period in adults with BED. This study is projected to randomize approximately 480 subjects to 3 treatment groups in a 1:1:1 ratio (4 mg/day dasotraline, 6 mg/day dasotraline, and placebo). Subjects randomized to placebo will receive placebo for the duration of the treatment period. Subjects randomized to 4 mg/day dasotraline will receive 4 mg/day for the duration of the treatment period. Subjects randomized to 6 mg/day dasotraline will be dosed with 4 mg/day dasotraline for the first 2 weeks of the treatment period and will be increased to 6 mg/day at Week 2. If, in the judgment of the Investigator, the subject does not tolerate the assigned dose, he or she will be discontinued from the study. The study will consist of 3 periods: Screening (up to 3 weeks), 12-weeks of treatment, and a 3-week study drug withdrawal period. Subjects who complete the 12-week double-blind treatment period in this study may be eligible to enroll and continue treatment for an additional 12 months in an open-label extension study (Study SEP360-322). Subjects who do not enter the extension study will complete the study drug withdrawal period in this study.

Interventions

dasotraline 4mg tablet once daily

DRUGdasotraline 6mg

dasotraline 6mg tablet once daily

DRUGPlacebo

Placebo tablet once daily

Sponsors

Sumitomo Pharma America, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Masking description

Double Blind

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
No

Inclusion criteria

\- 1. Male or female subject between 18-55 years of age, inclusive, at time of informed consent. 2\. Subject meets the following DSM-5 criteria for a diagnosis of BED. An episode of binge eating is characterized by both: * Eating an amount of food larger than what most people would eat, in a discrete period of time (eg, 2 hours) * Sense of lack of control over eating episode Binge eating episodes are associated with ≥ 3 of the following: * Eating much more rapidly than normal * Eating until uncomfortably full * Eating large amounts when not feeling hungry * Eating alone because of embarrassment * Feeling disgusted with oneself, guilty afterward Binge eating episodes are also associated with marked distress regarding the episode and not associated with recurrent use of compensatory behavior (eg, bulimia nervosa). Note: A subject using compensatory behavior less than 1 time every 2 weeks over the 3 months prior to screening may be permitted to enroll in the study. 3\. Diagnosis is confirmed based on the Structured Clinical Interview for DSM-IV Axis I Disorders, Module H (SCID-I Module H), clinician review of subject diaries, and the EDE-Q. 4\. Subject has a BED diagnosis or is diagnosed at screening and has a history of at least 2 binge eating days a week for at least 6 months prior to screening. 5\. Subject's BED is of at least moderate severity with subject reporting at least 3 binge eating days for each of the 2 weeks prior to baseline as documented in the subject's binge diary. A binge eating day is defined as having at least one binge eating episode 6. Subject has a BE- CGI-S score ≥ 4 at screening and baseline. 7. Subject has a negative breath alcohol test and a negative UDS for any illicit drug. 8\. Female subject must have a negative serum pregnancy test at screening; females who are post-menopausal (defined as at least 12 months of spontaneous amenorrhea) and those who have undergone hysterectomy or bilateral oophorectomy will be exempted from the pregnancy test. 9\. Female subject of childbearing potential and male subject with female partner of childbearing potential must agree to use an effective and medically acceptable form of birth control throughout the study period. Note: Continued use of an effective and medically acceptable form of birth control is recommended for 30 days after study completion. 10\. Subject must be able to comply with study drug administration and adhere to protocol requirements including all study assessments. 11\. Subject can read well enough to understand the informed consent form and other subject materials

Exclusion criteria

1. Subject has BMI of 18 kg/m2or less, or greater than 45 kg/m2. 2. Subject has a lifetime history or current symptoms consistent with bulimia nervosa or anorexia nervosa. 3. Subject has started psychotherapy (eg, supportive psychotherapy, cognitive behavior therapy, interpersonal therapy) within 3 months prior to screening. Note: Subjects receiving stable ongoing psychotherapy for longer than 3 months are permitted to enroll. 4. Subject has participated in a formal weight loss program (eg, Weight Watchers®) within 3 months prior to screening. 5. Subject has used a psychostimulant or mood stabilizer within the 3 months prior to screening. 6. Subject has used any medications for the treatment of binge eating, other eating disorders, obesity, or weight gain or any other medication that could result in weight gain or weight loss including over-the-counter and herbal products within the 3 months prior to screening. 7. Subject has received lisdexamfetamine dimesylate (Vyvanse®) for any reason, including but not limited to participation in any Phase 2 or 3 trial. 8. Subject has a lifetime history of psychotic disorder, bipolar disorder, hypomania, dementia, or ADHD as defined by the DSM-5 criteria. 9. Subject has a history of moderate to severe depression based on Investigator's judgment within the 6 months prior to screening or is currently taking or has taken any medication for depression during the 3 months prior to screening. 10. Subject has MADRS score ≥ 18 at screening and Baseline visit. 11. Subject has a history of substance use disorder including alcohol use disorder (excluding nicotine and caffeine) within the 12 months prior to screening, as defined by the DSM-5 criteria. 12. Subject is considered a suicide risk in the investigator's opinion or has any previous history of suicide attempt within the past 12 months. 13. Subject answers yes to suicidal ideation item 4 (active suicidal ideation with some intent to act, without specific plan) or item 5 (active suicidal ideation with specific plan and intent) on the C-SSRS assessment at screening (in the past month). Subjects who answer yes to this question must be referred to the Investigator for follow-up evaluation. 14. Subject has type I diabetes mellitus or insulin-dependent diabetes mellitus. 15. Subject with type II diabetes mellitus, has hemoglobin A1c ≥ 6.5% at screening, or has initiated treatment with or changed the dose of a glucose-lowering agent within 3 months prior to screening. 16. Subject has known history of symptomatic cardiovascular disease, advanced arteriosclerosis, structural cardiac abnormality, cardiomyopathy, documented heart rhythm abnormalities, coronary artery disease, or other serious cardiac problems. 17. Subject has initiated treatment with or changed the dose of a lipid-lowering medication within the 3 months prior to screening. 18. Subject has a history of moderate or severe hypertension that in the Investigator's opinion has not been medically stable or has required a change in dosage and/or medication during the 3 months prior to screening. 19. Subject has a history of focal or diffuse brain disorder including but not limited to epilepsy, seizures (except childhood febrile seizures),stroke, benign or malignant tumors, or head trauma with loss of consciousness lasting more than 5 minutes; unexplained syncope or other unexplained blackouts (except single incident); or a history of clinically significant repeated head-traumas without loss of consciousness. 20. Subject has had polycystic ovarian syndrome (PCOS) in the previous 12 months, even if no treatment was provided. 21. Subject is female and pregnant or nursing. 22. Subject has had major bariatric surgery, eg, gastric jejunal bypass,Roux-en-Y gastric bypass, sleeve gastrectomy, duodenal switch with biliopancreatic diversion for weight loss at any time. 23. Minor bariatric surgey (eg, lap bands) within 3 years of screening. Note: Surgeries for cosmetic reasons are not exclusionary but should be discussed with the medical monitor. 24. Subject has a history of positive test for either Hepatitis B surface antigen or Hepatitis C antibody, and has liver function test results at screening above the upper limit of normal (ULN) for the reference laboratory. 25. Subject without a history of positive test for Hepatitis B surface antigen or Hepatitis C antibody has alanine aminotransferase (ALT) or aspartate aminotransferase (AST) value ≥ 2 times the ULN at screening. 26. Subject has a blood urea nitrogen (BUN) value ≥ 1.5 times the ULN for the reference range, serum creatinine \> 1.5 times the ULN for the reference range, fasting blood glucose ≥ 126 mg/dL (7.0 mmol/L), or hemoglobin A1c ≥ 6.5% at screening. 27. Subject is known to have tested positive for human immunodeficiency virus (HIV). 28. Subject has a clinically significant abnormality on screening evaluation including physical examination, vital signs, ECG, or laboratory tests that the Investigator considers to be inappropriate to allow participation in the study. 29. The subject's screening ECG shows a corrected QT interval using Fridericia's formula (QTcF) of ≥ 450 msec for male subjects or ≥ 470 msec for female subjects. Eligibility will be based on the core laboratory ECG interpretation report. 30. Subject has any life-time history of abuse or diversion of stimulants. 31. Subject has a history of allergic reaction or has a known or suspected sensitivity to any substance that is contained in the study drug formulation. 32. Subject who in the opinion of the Sponsor and Investigator has any other psychiatric or medical condition or disorder or any other psychosocial or work-related issue not previously listed that could interfere with the diagnosis of BED at screening or subsequent evaluations during the course of the study. 33. Subject who may experience or who is currently experiencing significant psychosocial or environmental stressors (eg, loss of employment, loss of housing, financial hardship, divorce) that could impede their ability to adhere to protocol requirements, as judged by the Investigator. 34. Subject is currently participating in or has participated in any clinical trial within the last 90 days or has participated in more than 2 clinical trials within the past year. This includes studies using marketed compounds or devices. 35. Subject has previously been enrolled in a clinical trial of dasotraline (SEP-225289). 36. Subject is an investigational site staff member or the relative of an investigational site staff member. 37. Subject has started a new physical training/exercise program for the purpose of managing his or her weight or binge eating within 3 months prior to screening. Note: Subjects participating in a stable physical training/exercise program for longer than 3 months are permitted to enroll. 38. Subject has a history of malignancy within 5 years prior to the Screening visit, except for adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer. History of pituitary tumor, whether benign or malignant, is exclusionary.

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Number of Binge Daysbaseline and 12 WeeksChange from baseline in number of binge days (defined as days during which at least 1 binge episode occurs) per week at Week 12

Secondary

MeasureTime frameDescription
Percent of Subjects With a 4-week Cessation From Binge Eatingup to 12 WeeksPercent of subjects with a 4-week cessation from binge eating (defined as a 100% reduction for at least 28 consecutive days in the number of binge eating episodes prior to Week 12/end of treatment \[EOT\])
Change From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Scorebaseline and 12 WeeksYale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Y-BOCS-BE total scores range from 0 to 40. Y-BOCS-BE obsessions subscale ranges from 0 to 20. Y-BOCS-BE compulsions subscale ranges from 0 to 20. Higher values of Y-BOCS-BE score and subscale scores represent greater severity of illness
Change From Baseline in Number of Binge Days Per Week at Weeks 1, 2, 3, 4, 6, 8, and 10baseline and up to 10 WeeksChange from baseline in number of binge days per week at Weeks 1, 2, 3, 4, 6, 8, and 10
Change From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12baseline and up to 12 WeeksChange from baseline in number of binge episodes per week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12
Change From Baseline in Binge-eating Clinical Global Impression-Severity (BE-CGI-S) Score at Weeks 2, 4, 6, 8, and 10baseline and up to 10 WeeksBinge-eating Clinical Global Impression-Severity (BE-CGI-S) The BE-CGI-S is a single value, clinician-rated assessment of illness severity, and 7-point scale with range from 1 = normal, not at all ill; 2 = borderline mentally ill; 3 = mildly ill; 4 = moderately ill; 5 = markedly ill; 6 = severely ill; 7 = among the most extremely ill subjects. A higher score is associated with greater illness severity.
Change From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Score at Weeks 2, 4, 6, 8, and 10baseline and up to 10 WeeksYale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Y-BOCS-BE total scores range from 0 to 40. Y-BOCS-BE obsessions subscale ranges from 0 to 20. Y-BOCS-BE compulsions subscale ranges from 0 to 20. Higher values of Y-BOCS-BE score and subscale scores represent greater severity of illness.
Change From Baseline in Binge Eating Clinical Global Impression-Severity( BE-CGI-S )Scorebaseline and 12 WeeksBinge-eating Clinical Global Impression-Severity (BE-CGI-S) The BE-CGI-S is a single value, clinician-rated assessment of illness severity, and 7-point scale with range from 1 = normal, not at all ill; 2 = borderline mentally ill; 3 = mildly ill; 4 = moderately ill; 5 = markedly ill; 6 = severely ill; 7 = among the most extremely ill subjects. A higher score is associated with greater illness severity.
Change From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12baseline and 6 Weeks and 12 WeeksSheehan Disability Scale (SDS) total and subscale scores The Sheehan Disability Scale (SDS) 3 subscales (work/school, social life, home life) are rated on the following scale: 0 = not at all; 1-3 = mildly; 4-6 = moderately; 7-9 =markedly; 10 = extremely. The 3 items can be combined into a single global measure of impairment (SDS total score) that ranges from 0 (unimpaired) to 30 (highly impaired). A higher subscale score and total score are associated with greater illness severity
Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score at Week 12baseline and 12 WeeksMontgomery-Asberg Depression Rating Scale (MADRS) total score The MADRS total score ranges from 0 to 60, with higher scores indicating increased depressive symptoms
Change From Baseline in Hamilton Anxiety Rating Scale (HAM-A) Total Score at Week 12baseline and 12 WeeksHamilton Anxiety Rating Scale (HAM-A) total score HAM-A total score ranges from 0 to 56. A higher score is associated with a greater degree of anxiety.
Proportion of Binge Eating Responders Who Have ≥ 75% Reduction in the Number of Binge Eating Episodes From Baseline at Week 1212 WeeksProportion of binge eating responders who have ≥ 75% reduction in the number of binge eating episodes from Baseline at Week 12
Change From Baseline in Eating Disorder Examination Questionnaire (EDE-Q) Modified Including EDE-Q7 Global Score and 3 Subscale Scores (Dietary Restraint, Shape/Weight Overvaluation, and Body Dissatisfaction) at Week 12baseline and 2 WeeksEating Disorder Examination Questionnaire (EDE-Q) Modified global and subscale scores 4 subscale scores (Restraint, Eating Concern, Shape Concern, and Weight Concern) range from 0- 6, where 0 represents absence of the feature and 6 represents an extreme degree. An EDE-Q global score is calculated as average of 4 EDE-Q subscale scores.
Change From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12baseline and up to 12 weeksYale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Y-BOCS-BE total scores range from 0 to 40. Y-BOCS-BE obsessions subscale ranges from 0 to 20. Y-BOCS-BE compulsions subscale ranges from 0 to 20. Higher values of Y-BOCS-BE score and subscale scores represent greater severity of illness.

Countries

United States

Participant flow

Pre-assignment details

A total 491 subjects were randomized in this study. Five subjects were randomized but never received any dose of study medication.

Participants by arm

ArmCount
Placebo
Placebo, once daily
163
Dasotraline 4mg
Dasotraline 4mg once daily
161
Dasotraline 6mg
Dasotraline 6mg once daily
162
Total486

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event21423
Overall StudyLost to Follow-up121213
Overall Studynon-compliance with study drug223
Overall Studynon compliance with study visits120
Overall StudyPhysician Decision010
Overall StudyPregnancy100
Overall StudyProtocol Violation120
Overall StudyWithdrawal by Subject13517

Baseline characteristics

CharacteristicPlaceboDasotraline 4mgDasotraline 6mgTotal
Age, Categorical
<=18 years
1 Participants1 Participants2 Participants4 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
162 Participants160 Participants160 Participants482 Participants
Age, Continuous37.2 Years
STANDARD_DEVIATION 10.26
36.9 Years
STANDARD_DEVIATION 9.55
38.9 Years
STANDARD_DEVIATION 9.7
37.7 Years
STANDARD_DEVIATION 9.86
Binge-eating Clinical Global Impression-Severity (BE-CGI-S) score at Baseline4.4 units on a scale
STANDARD_DEVIATION 0.51
4.5 units on a scale
STANDARD_DEVIATION 0.51
4.4 units on a scale
STANDARD_DEVIATION 0.51
4.4 units on a scale
STANDARD_DEVIATION 0.51
BMI category
Obesity Class I (30 to <35)
43 Participants41 Participants48 Participants132 Participants
BMI category
Obesity Class II (35 to <40)
46 Participants46 Participants45 Participants137 Participants
BMI category
Obesity Class III (>=40)
34 Participants33 Participants31 Participants98 Participants
BMI category
Overweight (25 to <30)
28 Participants32 Participants30 Participants90 Participants
BMI category
Underweight/Normal (<25)
12 Participants9 Participants8 Participants29 Participants
BMI (kg/m^2)34.46 kg/m^2
STANDARD_DEVIATION 6.283
34.76 kg/m^2
STANDARD_DEVIATION 6.073
34.27 kg/m^2
STANDARD_DEVIATION 5.743
34.5 kg/m^2
STANDARD_DEVIATION 6.028
Ethnicity (NIH/OMB)
Hispanic or Latino
28 Participants31 Participants26 Participants85 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
135 Participants130 Participants136 Participants401 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Height (cm)167.4 cm
STANDARD_DEVIATION 8.64
166.8 cm
STANDARD_DEVIATION 8.33
167.3 cm
STANDARD_DEVIATION 8.22
167.2 cm
STANDARD_DEVIATION 8.38
Number of Binge Eating Days per Week at Baseline4.26 binge eating days/week
STANDARD_DEVIATION 0.994
4.22 binge eating days/week
STANDARD_DEVIATION 1.115
4.19 binge eating days/week
STANDARD_DEVIATION 1.069
4.22 binge eating days/week
STANDARD_DEVIATION 1.058
Number of Binge Eating Episodes per Week at Baseline5.59 Binge eating episodes/week
STANDARD_DEVIATION 2.803
5.42 Binge eating episodes/week
STANDARD_DEVIATION 3.546
5.35 Binge eating episodes/week
STANDARD_DEVIATION 2.992
5.45 Binge eating episodes/week
STANDARD_DEVIATION 3.123
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants2 Participants2 Participants4 Participants
Race (NIH/OMB)
Asian
1 Participants7 Participants4 Participants12 Participants
Race (NIH/OMB)
Black or African American
29 Participants25 Participants32 Participants86 Participants
Race (NIH/OMB)
More than one race
2 Participants8 Participants3 Participants13 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
131 Participants119 Participants121 Participants371 Participants
Sex: Female, Male
Female
137 Participants138 Participants133 Participants408 Participants
Sex: Female, Male
Male
26 Participants23 Participants29 Participants78 Participants
Weight (kg)96.9 kg
STANDARD_DEVIATION 20.79
96.9 kg
STANDARD_DEVIATION 19.69
96.1 kg
STANDARD_DEVIATION 17.97
96.6 kg
STANDARD_DEVIATION 19.48
Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) total score at Baseline21.9 units on a scale
STANDARD_DEVIATION 3.66
21.6 units on a scale
STANDARD_DEVIATION 3.71
21.6 units on a scale
STANDARD_DEVIATION 4.29
21.7 units on a scale
STANDARD_DEVIATION 3.89

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 1630 / 1610 / 162
other
Total, other adverse events
70 / 163105 / 161113 / 162
serious
Total, serious adverse events
1 / 1633 / 1611 / 162

Outcome results

Primary

Change From Baseline in Number of Binge Days

Change from baseline in number of binge days (defined as days during which at least 1 binge episode occurs) per week at Week 12

Time frame: baseline and 12 Weeks

Population: ITT

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Number of Binge Days-2.92 binge days/weekStandard Error 0.134
Dasotraline 4mgChange From Baseline in Number of Binge Days-3.21 binge days/weekStandard Error 0.135
Dasotraline 6mgChange From Baseline in Number of Binge Days-3.47 binge days/weekStandard Error 0.14
p-value: 0.118795% CI: [-0.66, 0.08]Mixed Models Analysis
p-value: 0.004595% CI: [-0.93, -0.17]Mixed Models Analysis
Secondary

Change From Baseline in Binge Eating Clinical Global Impression-Severity( BE-CGI-S )Score

Binge-eating Clinical Global Impression-Severity (BE-CGI-S) The BE-CGI-S is a single value, clinician-rated assessment of illness severity, and 7-point scale with range from 1 = normal, not at all ill; 2 = borderline mentally ill; 3 = mildly ill; 4 = moderately ill; 5 = markedly ill; 6 = severely ill; 7 = among the most extremely ill subjects. A higher score is associated with greater illness severity.

Time frame: baseline and 12 Weeks

Population: ITT

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Binge Eating Clinical Global Impression-Severity( BE-CGI-S )Score-1.77 units on a scaleStandard Error 0.114
Dasotraline 4mgChange From Baseline in Binge Eating Clinical Global Impression-Severity( BE-CGI-S )Score-2.13 units on a scaleStandard Error 0.117
Dasotraline 6mgChange From Baseline in Binge Eating Clinical Global Impression-Severity( BE-CGI-S )Score-2.27 units on a scaleStandard Error 0.121
p-value: 0.025695% CI: [-0.68, -0.04]Mixed Models Analysis
p-value: 0.002595% CI: [-0.83, -0.18]Mixed Models Analysis
Secondary

Change From Baseline in Binge-eating Clinical Global Impression-Severity (BE-CGI-S) Score at Weeks 2, 4, 6, 8, and 10

Binge-eating Clinical Global Impression-Severity (BE-CGI-S) The BE-CGI-S is a single value, clinician-rated assessment of illness severity, and 7-point scale with range from 1 = normal, not at all ill; 2 = borderline mentally ill; 3 = mildly ill; 4 = moderately ill; 5 = markedly ill; 6 = severely ill; 7 = among the most extremely ill subjects. A higher score is associated with greater illness severity.

Time frame: baseline and up to 10 Weeks

Population: ITT

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Binge-eating Clinical Global Impression-Severity (BE-CGI-S) Score at Weeks 2, 4, 6, 8, and 10Week 8-1.55 units on a scaleStandard Error 0.108
PlaceboChange From Baseline in Binge-eating Clinical Global Impression-Severity (BE-CGI-S) Score at Weeks 2, 4, 6, 8, and 10Week 6-1.37 units on a scaleStandard Error 0.105
PlaceboChange From Baseline in Binge-eating Clinical Global Impression-Severity (BE-CGI-S) Score at Weeks 2, 4, 6, 8, and 10Week 2-0.82 units on a scaleStandard Error 0.09
PlaceboChange From Baseline in Binge-eating Clinical Global Impression-Severity (BE-CGI-S) Score at Weeks 2, 4, 6, 8, and 10Week 4-1.21 units on a scaleStandard Error 0.102
PlaceboChange From Baseline in Binge-eating Clinical Global Impression-Severity (BE-CGI-S) Score at Weeks 2, 4, 6, 8, and 10Week 10-1.59 units on a scaleStandard Error 0.112
Dasotraline 4mgChange From Baseline in Binge-eating Clinical Global Impression-Severity (BE-CGI-S) Score at Weeks 2, 4, 6, 8, and 10Week 6-1.83 units on a scaleStandard Error 0.107
Dasotraline 4mgChange From Baseline in Binge-eating Clinical Global Impression-Severity (BE-CGI-S) Score at Weeks 2, 4, 6, 8, and 10Week 2-1.37 units on a scaleStandard Error 0.091
Dasotraline 4mgChange From Baseline in Binge-eating Clinical Global Impression-Severity (BE-CGI-S) Score at Weeks 2, 4, 6, 8, and 10Week 4-1.89 units on a scaleStandard Error 0.104
Dasotraline 4mgChange From Baseline in Binge-eating Clinical Global Impression-Severity (BE-CGI-S) Score at Weeks 2, 4, 6, 8, and 10Week 8-1.91 units on a scaleStandard Error 0.11
Dasotraline 4mgChange From Baseline in Binge-eating Clinical Global Impression-Severity (BE-CGI-S) Score at Weeks 2, 4, 6, 8, and 10Week 10-1.95 units on a scaleStandard Error 0.115
Dasotraline 6mgChange From Baseline in Binge-eating Clinical Global Impression-Severity (BE-CGI-S) Score at Weeks 2, 4, 6, 8, and 10Week 10-2.07 units on a scaleStandard Error 0.119
Dasotraline 6mgChange From Baseline in Binge-eating Clinical Global Impression-Severity (BE-CGI-S) Score at Weeks 2, 4, 6, 8, and 10Week 8-2.04 units on a scaleStandard Error 0.113
Dasotraline 6mgChange From Baseline in Binge-eating Clinical Global Impression-Severity (BE-CGI-S) Score at Weeks 2, 4, 6, 8, and 10Week 2-1.20 units on a scaleStandard Error 0.09
Dasotraline 6mgChange From Baseline in Binge-eating Clinical Global Impression-Severity (BE-CGI-S) Score at Weeks 2, 4, 6, 8, and 10Week 6-1.90 units on a scaleStandard Error 0.108
Dasotraline 6mgChange From Baseline in Binge-eating Clinical Global Impression-Severity (BE-CGI-S) Score at Weeks 2, 4, 6, 8, and 10Week 4-1.79 units on a scaleStandard Error 0.102
Secondary

Change From Baseline in Eating Disorder Examination Questionnaire (EDE-Q) Modified Including EDE-Q7 Global Score and 3 Subscale Scores (Dietary Restraint, Shape/Weight Overvaluation, and Body Dissatisfaction) at Week 12

Eating Disorder Examination Questionnaire (EDE-Q) Modified global and subscale scores 4 subscale scores (Restraint, Eating Concern, Shape Concern, and Weight Concern) range from 0- 6, where 0 represents absence of the feature and 6 represents an extreme degree. An EDE-Q global score is calculated as average of 4 EDE-Q subscale scores.

Time frame: baseline and 2 Weeks

Population: ITT

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Eating Disorder Examination Questionnaire (EDE-Q) Modified Including EDE-Q7 Global Score and 3 Subscale Scores (Dietary Restraint, Shape/Weight Overvaluation, and Body Dissatisfaction) at Week 12EDE-QM Global Score Week 12 LOCF-0.54 units on a scaleStandard Error 0.116
PlaceboChange From Baseline in Eating Disorder Examination Questionnaire (EDE-Q) Modified Including EDE-Q7 Global Score and 3 Subscale Scores (Dietary Restraint, Shape/Weight Overvaluation, and Body Dissatisfaction) at Week 12EDE-QM Restraint Week 12 LOCF-0.23 units on a scaleStandard Error 0.149
PlaceboChange From Baseline in Eating Disorder Examination Questionnaire (EDE-Q) Modified Including EDE-Q7 Global Score and 3 Subscale Scores (Dietary Restraint, Shape/Weight Overvaluation, and Body Dissatisfaction) at Week 12EDE-QM Shape Concern Week 12 LOCF-0.74 units on a scaleStandard Error 0.132
PlaceboChange From Baseline in Eating Disorder Examination Questionnaire (EDE-Q) Modified Including EDE-Q7 Global Score and 3 Subscale Scores (Dietary Restraint, Shape/Weight Overvaluation, and Body Dissatisfaction) at Week 12EDE-QM Weight Concern Week 12 LOCF-0.62 units on a scaleStandard Error 0.129
Dasotraline 4mgChange From Baseline in Eating Disorder Examination Questionnaire (EDE-Q) Modified Including EDE-Q7 Global Score and 3 Subscale Scores (Dietary Restraint, Shape/Weight Overvaluation, and Body Dissatisfaction) at Week 12EDE-QM Weight Concern Week 12 LOCF-1.38 units on a scaleStandard Error 0.13
Dasotraline 4mgChange From Baseline in Eating Disorder Examination Questionnaire (EDE-Q) Modified Including EDE-Q7 Global Score and 3 Subscale Scores (Dietary Restraint, Shape/Weight Overvaluation, and Body Dissatisfaction) at Week 12EDE-QM Global Score Week 12 LOCF-1.20 units on a scaleStandard Error 0.116
Dasotraline 4mgChange From Baseline in Eating Disorder Examination Questionnaire (EDE-Q) Modified Including EDE-Q7 Global Score and 3 Subscale Scores (Dietary Restraint, Shape/Weight Overvaluation, and Body Dissatisfaction) at Week 12EDE-QM Shape Concern Week 12 LOCF-1.36 units on a scaleStandard Error 0.132
Dasotraline 4mgChange From Baseline in Eating Disorder Examination Questionnaire (EDE-Q) Modified Including EDE-Q7 Global Score and 3 Subscale Scores (Dietary Restraint, Shape/Weight Overvaluation, and Body Dissatisfaction) at Week 12EDE-QM Restraint Week 12 LOCF-0.85 units on a scaleStandard Error 0.149
Dasotraline 6mgChange From Baseline in Eating Disorder Examination Questionnaire (EDE-Q) Modified Including EDE-Q7 Global Score and 3 Subscale Scores (Dietary Restraint, Shape/Weight Overvaluation, and Body Dissatisfaction) at Week 12EDE-QM Weight Concern Week 12 LOCF-1.46 units on a scaleStandard Error 0.132
Dasotraline 6mgChange From Baseline in Eating Disorder Examination Questionnaire (EDE-Q) Modified Including EDE-Q7 Global Score and 3 Subscale Scores (Dietary Restraint, Shape/Weight Overvaluation, and Body Dissatisfaction) at Week 12EDE-QM Restraint Week 12 LOCF-1.14 units on a scaleStandard Error 0.152
Dasotraline 6mgChange From Baseline in Eating Disorder Examination Questionnaire (EDE-Q) Modified Including EDE-Q7 Global Score and 3 Subscale Scores (Dietary Restraint, Shape/Weight Overvaluation, and Body Dissatisfaction) at Week 12EDE-QM Shape Concern Week 12 LOCF-1.43 units on a scaleStandard Error 0.135
Dasotraline 6mgChange From Baseline in Eating Disorder Examination Questionnaire (EDE-Q) Modified Including EDE-Q7 Global Score and 3 Subscale Scores (Dietary Restraint, Shape/Weight Overvaluation, and Body Dissatisfaction) at Week 12EDE-QM Global Score Week 12 LOCF-1.35 units on a scaleStandard Error 0.118
Secondary

Change From Baseline in Hamilton Anxiety Rating Scale (HAM-A) Total Score at Week 12

Hamilton Anxiety Rating Scale (HAM-A) total score HAM-A total score ranges from 0 to 56. A higher score is associated with a greater degree of anxiety.

Time frame: baseline and 12 Weeks

Population: ITT

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Hamilton Anxiety Rating Scale (HAM-A) Total Score at Week 12-0.4 units on a scaleStandard Error 0.37
Dasotraline 4mgChange From Baseline in Hamilton Anxiety Rating Scale (HAM-A) Total Score at Week 120.3 units on a scaleStandard Error 0.37
Dasotraline 6mgChange From Baseline in Hamilton Anxiety Rating Scale (HAM-A) Total Score at Week 121.8 units on a scaleStandard Error 0.37
Secondary

Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score at Week 12

Montgomery-Asberg Depression Rating Scale (MADRS) total score The MADRS total score ranges from 0 to 60, with higher scores indicating increased depressive symptoms

Time frame: baseline and 12 Weeks

Population: ITT

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score at Week 12-1.1 units on a scaleStandard Error 0.36
Dasotraline 4mgChange From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score at Week 12-0.9 units on a scaleStandard Error 0.36
Dasotraline 6mgChange From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score at Week 120.6 units on a scaleStandard Error 0.36
Secondary

Change From Baseline in Number of Binge Days Per Week at Weeks 1, 2, 3, 4, 6, 8, and 10

Change from baseline in number of binge days per week at Weeks 1, 2, 3, 4, 6, 8, and 10

Time frame: baseline and up to 10 Weeks

Population: ITT

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Number of Binge Days Per Week at Weeks 1, 2, 3, 4, 6, 8, and 10Week 2-1.74 binge days/weekStandard Error 0.137
PlaceboChange From Baseline in Number of Binge Days Per Week at Weeks 1, 2, 3, 4, 6, 8, and 10Week 6-2.61 binge days/weekStandard Error 0.126
PlaceboChange From Baseline in Number of Binge Days Per Week at Weeks 1, 2, 3, 4, 6, 8, and 10Week 4-2.27 binge days/weekStandard Error 0.143
PlaceboChange From Baseline in Number of Binge Days Per Week at Weeks 1, 2, 3, 4, 6, 8, and 10Week 1-1.16 binge days/weekStandard Error 0.137
PlaceboChange From Baseline in Number of Binge Days Per Week at Weeks 1, 2, 3, 4, 6, 8, and 10Week 10-2.87 binge days/weekStandard Error 0.128
PlaceboChange From Baseline in Number of Binge Days Per Week at Weeks 1, 2, 3, 4, 6, 8, and 10Week 8-2.80 binge days/weekStandard Error 0.127
PlaceboChange From Baseline in Number of Binge Days Per Week at Weeks 1, 2, 3, 4, 6, 8, and 10Week 3-2.23 binge days/weekStandard Error 0.135
Dasotraline 4mgChange From Baseline in Number of Binge Days Per Week at Weeks 1, 2, 3, 4, 6, 8, and 10Week 4-2.85 binge days/weekStandard Error 0.144
Dasotraline 4mgChange From Baseline in Number of Binge Days Per Week at Weeks 1, 2, 3, 4, 6, 8, and 10Week 1-1.82 binge days/weekStandard Error 0.137
Dasotraline 4mgChange From Baseline in Number of Binge Days Per Week at Weeks 1, 2, 3, 4, 6, 8, and 10Week 2-2.36 binge days/weekStandard Error 0.138
Dasotraline 4mgChange From Baseline in Number of Binge Days Per Week at Weeks 1, 2, 3, 4, 6, 8, and 10Week 3-2.74 binge days/weekStandard Error 0.136
Dasotraline 4mgChange From Baseline in Number of Binge Days Per Week at Weeks 1, 2, 3, 4, 6, 8, and 10Week 6-2.97 binge days/weekStandard Error 0.127
Dasotraline 4mgChange From Baseline in Number of Binge Days Per Week at Weeks 1, 2, 3, 4, 6, 8, and 10Week 8-3.15 binge days/weekStandard Error 0.127
Dasotraline 4mgChange From Baseline in Number of Binge Days Per Week at Weeks 1, 2, 3, 4, 6, 8, and 10Week 10-3.12 binge days/weekStandard Error 0.129
Dasotraline 6mgChange From Baseline in Number of Binge Days Per Week at Weeks 1, 2, 3, 4, 6, 8, and 10Week 6-3.24 binge days/weekStandard Error 0.13
Dasotraline 6mgChange From Baseline in Number of Binge Days Per Week at Weeks 1, 2, 3, 4, 6, 8, and 10Week 2-2.27 binge days/weekStandard Error 0.136
Dasotraline 6mgChange From Baseline in Number of Binge Days Per Week at Weeks 1, 2, 3, 4, 6, 8, and 10Week 10-3.31 binge days/weekStandard Error 0.134
Dasotraline 6mgChange From Baseline in Number of Binge Days Per Week at Weeks 1, 2, 3, 4, 6, 8, and 10Week 8-3.31 binge days/weekStandard Error 0.132
Dasotraline 6mgChange From Baseline in Number of Binge Days Per Week at Weeks 1, 2, 3, 4, 6, 8, and 10Week 4-2.98 binge days/weekStandard Error 0.145
Dasotraline 6mgChange From Baseline in Number of Binge Days Per Week at Weeks 1, 2, 3, 4, 6, 8, and 10Week 3-2.70 binge days/weekStandard Error 0.135
Dasotraline 6mgChange From Baseline in Number of Binge Days Per Week at Weeks 1, 2, 3, 4, 6, 8, and 10Week 1-1.51 binge days/weekStandard Error 0.136
Secondary

Change From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12

Change from baseline in number of binge episodes per week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12

Time frame: baseline and up to 12 Weeks

Population: ITT

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12Week 1-1.53 binge episodesStandard Error 0.23
PlaceboChange From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12Week 2-2.48 binge episodesStandard Error 0.235
PlaceboChange From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12Week 3-3.06 binge episodesStandard Error 0.226
PlaceboChange From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12Week 4-2.95 binge episodesStandard Error 0.254
PlaceboChange From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12Week 6-3.43 binge episodesStandard Error 0.231
PlaceboChange From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12Week 8-3.64 binge episodesStandard Error 0.216
PlaceboChange From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12Week 10-3.67 binge episodesStandard Error 0.213
PlaceboChange From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12week 12-3.70 binge episodesStandard Error 0.227
Dasotraline 4mgChange From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12Week 3-3.69 binge episodesStandard Error 0.228
Dasotraline 4mgChange From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12Week 10-4.17 binge episodesStandard Error 0.215
Dasotraline 4mgChange From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12Week 4-3.72 binge episodesStandard Error 0.256
Dasotraline 4mgChange From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12Week 6-3.90 binge episodesStandard Error 0.234
Dasotraline 4mgChange From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12Week 8-4.20 binge episodesStandard Error 0.218
Dasotraline 4mgChange From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12Week 1-2.43 binge episodesStandard Error 0.231
Dasotraline 4mgChange From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12Week 2-3.20 binge episodesStandard Error 0.237
Dasotraline 4mgChange From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12week 12-4.32 binge episodesStandard Error 0.23
Dasotraline 6mgChange From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12Week 3-3.46 binge episodesStandard Error 0.226
Dasotraline 6mgChange From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12Week 2-2.88 binge episodesStandard Error 0.234
Dasotraline 6mgChange From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12Week 1-2.21 binge episodesStandard Error 0.23
Dasotraline 6mgChange From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12Week 4-3.77 binge episodesStandard Error 0.257
Dasotraline 6mgChange From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12Week 10-4.25 binge episodesStandard Error 0.221
Dasotraline 6mgChange From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12Week 8-4.19 binge episodesStandard Error 0.223
Dasotraline 6mgChange From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12Week 6-4.06 binge episodesStandard Error 0.236
Dasotraline 6mgChange From Baseline in Number of Binge Episodes Per Week at Weeks 1, 2, 3, 4, 6, 8, 10, and 12week 12-4.38 binge episodesStandard Error 0.237
Secondary

Change From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12

Sheehan Disability Scale (SDS) total and subscale scores The Sheehan Disability Scale (SDS) 3 subscales (work/school, social life, home life) are rated on the following scale: 0 = not at all; 1-3 = mildly; 4-6 = moderately; 7-9 =markedly; 10 = extremely. The 3 items can be combined into a single global measure of impairment (SDS total score) that ranges from 0 (unimpaired) to 30 (highly impaired). A higher subscale score and total score are associated with greater illness severity

Time frame: baseline and 6 Weeks and 12 Weeks

Population: ITT

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12SDS Work/School Week 12-1.33 units on a scaleStandard Error 0.189
PlaceboChange From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12SDS Total Score Week 6-5.73 units on a scaleStandard Error 0.551
PlaceboChange From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12SDS Total Score Week 12-6.14 units on a scaleStandard Error 0.547
PlaceboChange From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12SDS Work/School Week 6-1.20 units on a scaleStandard Error 0.185
PlaceboChange From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12SDS Social Life Week 6-2.26 units on a scaleStandard Error 0.199
PlaceboChange From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12SDS Social Life Week 12-2.38 units on a scaleStandard Error 0.195
PlaceboChange From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12SDS Family Life/Home Responsibilities Week 6-2.04 units on a scaleStandard Error 0.188
PlaceboChange From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12SDS Family Life/Home Responsibilities Week 12-2.39 units on a scaleStandard Error 0.177
Dasotraline 4mgChange From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12SDS Family Life/Home Responsibilities Week 6-2.59 units on a scaleStandard Error 0.188
Dasotraline 4mgChange From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12SDS Work/School Week 6-1.81 units on a scaleStandard Error 0.189
Dasotraline 4mgChange From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12SDS Social Life Week 6-3.06 units on a scaleStandard Error 0.199
Dasotraline 4mgChange From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12SDS Social Life Week 12-3.50 units on a scaleStandard Error 0.196
Dasotraline 4mgChange From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12SDS Work/School Week 12-1.93 units on a scaleStandard Error 0.19
Dasotraline 4mgChange From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12SDS Total Score Week 6-7.65 units on a scaleStandard Error 0.563
Dasotraline 4mgChange From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12SDS Family Life/Home Responsibilities Week 12-2.94 units on a scaleStandard Error 0.178
Dasotraline 4mgChange From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12SDS Total Score Week 12-8.56 units on a scaleStandard Error 0.551
Dasotraline 6mgChange From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12SDS Total Score Week 12-8.19 units on a scaleStandard Error 0.58
Dasotraline 6mgChange From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12SDS Total Score Week 6-6.88 units on a scaleStandard Error 0.566
Dasotraline 6mgChange From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12SDS Work/School Week 6-1.57 units on a scaleStandard Error 0.191
Dasotraline 6mgChange From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12SDS Work/School Week 12-1.84 units on a scaleStandard Error 0.201
Dasotraline 6mgChange From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12SDS Family Life/Home Responsibilities Week 6-2.40 units on a scaleStandard Error 0.192
Dasotraline 6mgChange From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12SDS Social Life Week 12-3.38 units on a scaleStandard Error 0.207
Dasotraline 6mgChange From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12SDS Social Life Week 6-2.82 units on a scaleStandard Error 0.203
Dasotraline 6mgChange From Baseline in Sheehan Disability Scale (SDS) Total Score and Subscale Scores (School/Work Disability, Social Life Disability, and Family Life Disability) at Weeks 6 and 12SDS Family Life/Home Responsibilities Week 12-3.00 units on a scaleStandard Error 0.189
Secondary

Change From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12

Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Y-BOCS-BE total scores range from 0 to 40. Y-BOCS-BE obsessions subscale ranges from 0 to 20. Y-BOCS-BE compulsions subscale ranges from 0 to 20. Higher values of Y-BOCS-BE score and subscale scores represent greater severity of illness.

Time frame: baseline and up to 12 weeks

Population: ITT

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Obsessions Subscale Score Week 2-3.14 units on a scaleStandard Error 0.297
PlaceboChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Obsessions Subscale Score Week 4-4.30 units on a scaleStandard Error 0.315
PlaceboChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Obsessions Subscale Score Week 6-4.65 units on a scaleStandard Error 0.326
PlaceboChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Obsessions Subscale Score Week 8-5.20 units on a scaleStandard Error 0.337
PlaceboChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Obsessions Subscale Score Week 10-4.94 units on a scaleStandard Error 0.335
PlaceboChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Obsessions Subscale Score Week 12-5.56 units on a scaleStandard Error 0.339
PlaceboChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Compulsions Subscale Score Week 2-3.32 units on a scaleStandard Error 0.303
PlaceboChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Compulsions Subscale Score Week 4-4.98 units on a scaleStandard Error 0.33
PlaceboChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Compulsions Subscale Score Week 6-5.08 units on a scaleStandard Error 0.337
PlaceboChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Compulsions Subscale Score Week 8-5.77 units on a scaleStandard Error 0.343
PlaceboChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Compulsions Subscale Score Week 10-5.85 units on a scaleStandard Error 0.344
PlaceboChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Compulsions Subscale Score Week 12-6.24 units on a scaleStandard Error 0.352
Dasotraline 4mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Compulsions Subscale Score Week 12-7.34 units on a scaleStandard Error 0.357
Dasotraline 4mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Obsessions Subscale Score Week 2-4.84 units on a scaleStandard Error 0.301
Dasotraline 4mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Compulsions Subscale Score Week 2-5.45 units on a scaleStandard Error 0.307
Dasotraline 4mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Compulsions Subscale Score Week 6-6.34 units on a scaleStandard Error 0.341
Dasotraline 4mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Obsessions Subscale Score Week 4-6.32 units on a scaleStandard Error 0.319
Dasotraline 4mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Obsessions Subscale Score Week 12-6.73 units on a scaleStandard Error 0.344
Dasotraline 4mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Compulsions Subscale Score Week 10-7.00 units on a scaleStandard Error 0.349
Dasotraline 4mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Obsessions Subscale Score Week 6-6.12 units on a scaleStandard Error 0.33
Dasotraline 4mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Compulsions Subscale Score Week 4-6.80 units on a scaleStandard Error 0.334
Dasotraline 4mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Obsessions Subscale Score Week 10-6.49 units on a scaleStandard Error 0.34
Dasotraline 4mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Obsessions Subscale Score Week 8-6.48 units on a scaleStandard Error 0.341
Dasotraline 4mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Compulsions Subscale Score Week 8-7.03 units on a scaleStandard Error 0.347
Dasotraline 6mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Obsessions Subscale Score Week 8-7.00 units on a scaleStandard Error 0.354
Dasotraline 6mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Obsessions Subscale Score Week 10-6.88 units on a scaleStandard Error 0.353
Dasotraline 6mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Compulsions Subscale Score Week 8-7.22 units on a scaleStandard Error 0.359
Dasotraline 6mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Obsessions Subscale Score Week 12-7.43 units on a scaleStandard Error 0.356
Dasotraline 6mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Compulsions Subscale Score Week 2-4.83 units on a scaleStandard Error 0.304
Dasotraline 6mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Compulsions Subscale Score Week 4-6.44 units on a scaleStandard Error 0.333
Dasotraline 6mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Compulsions Subscale Score Week 10-7.30 units on a scaleStandard Error 0.361
Dasotraline 6mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Obsessions Subscale Score Week 2-4.37 units on a scaleStandard Error 0.297
Dasotraline 6mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Obsessions Subscale Score Week 4-6.29 units on a scaleStandard Error 0.317
Dasotraline 6mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Compulsions Subscale Score Week 6-6.91 units on a scaleStandard Error 0.348
Dasotraline 6mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Obsessions Subscale Score Week 6-6.70 units on a scaleStandard Error 0.336
Dasotraline 6mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Subscale Scores (Obsessions and Compulsions) at Weeks 2, 4, 6, 8, 10, and 12Compulsions Subscale Score Week 12-7.78 units on a scaleStandard Error 0.37
Secondary

Change From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Score

Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Y-BOCS-BE total scores range from 0 to 40. Y-BOCS-BE obsessions subscale ranges from 0 to 20. Y-BOCS-BE compulsions subscale ranges from 0 to 20. Higher values of Y-BOCS-BE score and subscale scores represent greater severity of illness

Time frame: baseline and 12 Weeks

Population: ITT

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Score-11.83 units on a scaleStandard Error 0.67
Dasotraline 4mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Score-14.13 units on a scaleStandard Error 0.68
Dasotraline 6mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Score-15.23 units on a scaleStandard Error 0.703
p-value: 0.015495% CI: [-4.16, -0.44]Mixed Models Analysis
p-value: 0.000595% CI: [-5.31, -1.5]Mixed Models Analysis
Secondary

Change From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Score at Weeks 2, 4, 6, 8, and 10

Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Y-BOCS-BE total scores range from 0 to 40. Y-BOCS-BE obsessions subscale ranges from 0 to 20. Y-BOCS-BE compulsions subscale ranges from 0 to 20. Higher values of Y-BOCS-BE score and subscale scores represent greater severity of illness.

Time frame: baseline and up to 10 Weeks

Population: ITT

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Score at Weeks 2, 4, 6, 8, and 10Week 8-10.99 units on a scaleStandard Error 0.654
PlaceboChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Score at Weeks 2, 4, 6, 8, and 10Week 6-9.74 units on a scaleStandard Error 0.645
PlaceboChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Score at Weeks 2, 4, 6, 8, and 10Week 2-6.49 units on a scaleStandard Error 0.576
PlaceboChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Score at Weeks 2, 4, 6, 8, and 10Week 4-9.30 units on a scaleStandard Error 0.623
PlaceboChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Score at Weeks 2, 4, 6, 8, and 10Week 10-10.81 units on a scaleStandard Error 0.658
Dasotraline 4mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Score at Weeks 2, 4, 6, 8, and 10Week 6-12.50 units on a scaleStandard Error 0.653
Dasotraline 4mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Score at Weeks 2, 4, 6, 8, and 10Week 2-10.32 units on a scaleStandard Error 0.583
Dasotraline 4mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Score at Weeks 2, 4, 6, 8, and 10Week 4-13.15 units on a scaleStandard Error 0.631
Dasotraline 4mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Score at Weeks 2, 4, 6, 8, and 10Week 8-13.55 units on a scaleStandard Error 0.661
Dasotraline 4mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Score at Weeks 2, 4, 6, 8, and 10Week 10-13.54 units on a scaleStandard Error 0.668
Dasotraline 6mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Score at Weeks 2, 4, 6, 8, and 10Week 10-14.21 units on a scaleStandard Error 0.69
Dasotraline 6mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Score at Weeks 2, 4, 6, 8, and 10Week 8-14.25 units on a scaleStandard Error 0.681
Dasotraline 6mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Score at Weeks 2, 4, 6, 8, and 10Week 2-9.21 units on a scaleStandard Error 0.577
Dasotraline 6mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Score at Weeks 2, 4, 6, 8, and 10Week 6-13.65 units on a scaleStandard Error 0.663
Dasotraline 6mgChange From Baseline in Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating (Y-BOCS-BE) Total Score at Weeks 2, 4, 6, 8, and 10Week 4-12.77 units on a scaleStandard Error 0.627
Secondary

Percent of Subjects With a 4-week Cessation From Binge Eating

Percent of subjects with a 4-week cessation from binge eating (defined as a 100% reduction for at least 28 consecutive days in the number of binge eating episodes prior to Week 12/end of treatment \[EOT\])

Time frame: up to 12 Weeks

Population: ITT

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlaceboPercent of Subjects With a 4-week Cessation From Binge Eating49 Participants
Dasotraline 4mgPercent of Subjects With a 4-week Cessation From Binge Eating54 Participants
Dasotraline 6mgPercent of Subjects With a 4-week Cessation From Binge Eating55 Participants
p-value: 0.534295% CI: [0.726, 1.854]Regression, Logistic
p-value: 0.490595% CI: [0.738, 1.882]Regression, Logistic
Secondary

Proportion of Binge Eating Responders Who Have ≥ 75% Reduction in the Number of Binge Eating Episodes From Baseline at Week 12

Proportion of binge eating responders who have ≥ 75% reduction in the number of binge eating episodes from Baseline at Week 12

Time frame: 12 Weeks

Population: ITT

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlaceboProportion of Binge Eating Responders Who Have ≥ 75% Reduction in the Number of Binge Eating Episodes From Baseline at Week 1291 Participants
Dasotraline 4mgProportion of Binge Eating Responders Who Have ≥ 75% Reduction in the Number of Binge Eating Episodes From Baseline at Week 12112 Participants
Dasotraline 6mgProportion of Binge Eating Responders Who Have ≥ 75% Reduction in the Number of Binge Eating Episodes From Baseline at Week 12123 Participants

Source: ClinicalTrials.gov · Data processed: Feb 18, 2026