A Phase 3, Double-blind/Double-dummy, Safety/Efficacy/Superiority of Sibutramine/Topiramate XR in Adults With Overweight

Studies

Study First Submitted Date 2022-01-14
Study First Posted Date 2022-01-27
Last Update Posted Date 2023-05-06
Start Month Year June 30, 2024
Primary Completion Month Year November 30, 2026
Verification Month Year October 2022
Verification Date 2022-10-31
Last Update Posted Date 2023-05-06

Detailed Descriptions

Sequence: 20718411
Description A phase 3, multicenter, national, randomized, double-blind, double-dummy, parallel-group, active-drug and placebo-controlled, superiority clinical trial. Individuals of both sexes aged ≥18 years and ≤60 years, overweight (BMI ≥ 27kg/m2) in the presence of comorbidities (dyslipidemia, systemic arterial hypertension [SAH], pre-diabetes and/or sleep apnea) or obese (BMI ≥ 30kg/m2 and < 45kg/m2).

Facilities

Sequence: 200071867 Sequence: 200071868
Name HC-FMUSP Name Eurofarma Laboratórios S.A
City São Paulo City São Paulo
State SP
Zip 06696-000
Country Brazil Country Brazil

Facility Contacts

Sequence: 28099681 Sequence: 28099682
Facility Id 200071867 Facility Id 200071868
Contact Type primary Contact Type primary
Name Márcio Mancini, Dr. Name Edilene Macedo
Email edilene.macedo@eurofarma.com
Phone 55 11 50908600
Phone Extension 8422

Browse Interventions

Sequence: 96036489 Sequence: 96036490 Sequence: 96036491 Sequence: 96036492 Sequence: 96036493 Sequence: 96036494 Sequence: 96036495 Sequence: 96036496 Sequence: 96036497
Mesh Term Topiramate Mesh Term Sibutramine Mesh Term Anticonvulsants Mesh Term Hypoglycemic Agents Mesh Term Physiological Effects of Drugs Mesh Term Antidepressive Agents Mesh Term Psychotropic Drugs Mesh Term Appetite Depressants Mesh Term Anti-Obesity Agents
Downcase Mesh Term topiramate Downcase Mesh Term sibutramine Downcase Mesh Term anticonvulsants Downcase Mesh Term hypoglycemic agents Downcase Mesh Term physiological effects of drugs Downcase Mesh Term antidepressive agents Downcase Mesh Term psychotropic drugs Downcase Mesh Term appetite depressants Downcase Mesh Term anti-obesity agents
Mesh Type mesh-list Mesh Type mesh-list Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor

Conditions

Sequence: 52162016 Sequence: 52162017
Name Overweight Name Obesity
Downcase Name overweight Downcase Name obesity

Id Information

Sequence: 40152275
Id Source org_study_id
Id Value EF178

Countries

Sequence: 42561578
Name Brazil
Removed False

Design Groups

Sequence: 55584149 Sequence: 55584150 Sequence: 55584151 Sequence: 55584152
Group Type Experimental Group Type Experimental Group Type Active Comparator Group Type Placebo Comparator
Title Experimental drug (Sibutramine IR 15mg / Topiramate XR 75mg) Title Experimental drug (Sibutramine IR 15mg / Topiramate XR 100mg) Title Sibus (Sibutramine 15mg) Title Placebo Group
Description ADF1 Group Eurofarma drug association of sibutramine IR 15mg / topiramate XR 75mg Description ADF2 Group Eurofarma drug association of sibutramine IR 15mg (Sibus®) Topiramate XR 100mg from Eurofarma Laboratórios S.A.. Description SIB Group Sibutramine 15mg Description Placebo Group

Interventions

Sequence: 52477339 Sequence: 52477340 Sequence: 52477341 Sequence: 52477342
Intervention Type Drug Intervention Type Drug Intervention Type Drug Intervention Type Drug
Name ADF1 Group Eurofarma drug association of Sibutramine IR 15mg / Topiramate XR 75mg Name ADF2 Group Eurofarma drug association of Sibutramine IR 15mg / Topiramate XR 100mg Name SIB Group Sibus (Sibutramine) 15mg Name Placebo Group
Description Participant will receive for two (2) weeks one (01) ADF sibutramine IR/topiramate XR 5mg/25mg placebo capsule once daily + one (01) sibutramine placebo capsule 10mg; after that 2 weeks, participants will receive one (01) placebo capsule of ADF sibutramine IR/ topiramate XR 5mg/25mg once daily + one (01) capsule of ADF sibutramine IR/ topiramate XR 5mg/25mg once daily + one (01) 10mg sibutramine placebo capsule; after this period, they will receive two (02) capsules of ADF sibutramine IR/topiramate XR 5mg/25mg (totaling 10mg of sibutramine and 50mg of topiramate) + a placebo capsule of ADF sibutramine IR/topiramate XR 5mg/25mg once a day + one (one) 10mg sibutramine placebo capsule, taken once daily, for two (02) additional weeks, on the titration scheme. On the treatment period, will receive one (01) ADF Sibutramine IR/Topiramate XR 15mg/75mg capsule + one (01) Sibutramine IR 15mg placebo capsule (Sibus®) + one (01) Topiramate XR 100mg placebo capsule, once daily, for 52 weeks. Description Participant will receive for two (02) weeks one (01) capsule of ADF sibutramine IR/topiramate XR 5mg/25mg once daily + one (01) capsule of placebo sibutramine 10mg; after this initial period of 2 weeks, participants will receive (02) ADF sibutramine IR/topiramate XR 5mg/25mg capsules (totaling 10mg of sibutramine and 50mg of topiramate) + one (01) 10mg sibutramine placebo capsule, taken once daily, for two (02) weeks; after this period, they will receive three (03) capsules of ADF sibutramine IR/topiramate XR 5mg/25mg (totaling 15mg of sibutramine and 75mg of topiramate) + one (01) capsule of 10mg sibutramine placebo, taken once daily, for two ( 02) additional weeks, on titration scheme. On the treatment period, will receive one (01) Sibutramine IR 15mg capsule (Sibus®) + one (01) Topiramate XR 100mg capsule + one (01) ADF placebo capsule sibutramine IR/topiramate XR 15mg/75mg, taken once daily, taken once daily, for 52 weeks. Description Participant will receive for two (02) weeks one (01) 10mg sibutramine placebo capsule + one (01) 5mg/25mg sibutramine ADF placebo capsule IR/topiramate XR; after this initial period, they will receive for two (02) weeks one (01) 10mg sibutramine capsule + two (02) placebo capsules of ADF sibutramine IR/topiramate XR 5mg/25mg; after this 4-week period, participants will receive one (01) 10mg sibutramine capsule and three (03) ADF sibutramine IR/topiramate XR 5mg/25mg placebo capsules, taken once daily, for two (02) additional weeks. This corresponds to the titration scheme.On the treatment period, patient will receive one (01) Sibutramine 15mg capsule + one (01) Sibutramine IR/topiramate XR 15mg/75mg placebo capsule + one (01) placebo capsule of Topiramate XR 100mg, taken once daily, for 52 weeks. Description participants randomized to the Placebo Group will receive for two (02) weeks one (01) 10mg sibutramine placebo capsule + one (01) sibutramine IR/ topiramate XR 5mg/25mg placebo capsule; after this initial period, they will receive one (01) sibutramine 10mg placebo capsule + two (02) sibutramine IR/ topiramate XR 5mg/25mg placebo capsules, taken once daily, for two (02) weeks; after this 4-week period, participants will receive one (01) 10mg sibutramine placebo capsule + three (03) ADF placebo capsules, taken once daily, for two (02) weeks.On the treatment period, patient will receive one (01) Sibutramine 15mg placebo capsule + one (01) ADF sibutramine IR/Topiramate XR 15mg/75mg placebo capsule + one (01) Topiramate XR 100mg placebo capsule, in once daily intake for 52 weeks.

Design Outcomes

Sequence: 177347454 Sequence: 177347449 Sequence: 177347450 Sequence: 177347451 Sequence: 177347452 Sequence: 177347453
Outcome Type secondary Outcome Type primary Outcome Type primary Outcome Type secondary Outcome Type secondary Outcome Type secondary
Measure Abdominal circumference Measure Change in weight Measure The mean percentage loss of body weight Measure Proportion of participants with weight reduction ≥ 5% Measure Proportion of participants with weight reduction ≥ 10% Measure Proportion of participants with weight reduction ≥ 15%
Time Frame 58 weeks Time Frame 58 weeks Time Frame 58 weeks Time Frame 58 weeks Time Frame 58 weeks Time Frame 58 weeks
Description The measurement of abdominal circumference Description The difference in mean percent body weight loss between the ADF sibutramine IR/topiramate XR group and the placebo-treated group is ≥5% in favor of ADF. Description The mean percentage loss of body weight in the ADF sibutramine IR/topiramate XR group was greater than that observed in the group treated with sibutramine IR Description Proportion of participants with weight reduction ≥ 5% at the end of treatment in relation to baseline weight; Description Proportion of participants with weight reduction ≥ 10% at the end of treatment in relation to baseline weight Description Proportion of participants with weight reduction ≥ 15% at the end of treatment in relation to baseline weight;

Browse Conditions

Sequence: 193453448 Sequence: 193453449 Sequence: 193453450 Sequence: 193453451 Sequence: 193453452
Mesh Term Obesity Mesh Term Overweight Mesh Term Overnutrition Mesh Term Nutrition Disorders Mesh Term Body Weight
Downcase Mesh Term obesity Downcase Mesh Term overweight Downcase Mesh Term overnutrition Downcase Mesh Term nutrition disorders Downcase Mesh Term body weight
Mesh Type mesh-list Mesh Type mesh-list Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor

Sponsors

Sequence: 48311289
Agency Class INDUSTRY
Lead Or Collaborator lead
Name Eurofarma Laboratorios S.A.

Central Contacts

Sequence: 12006281 Sequence: 12006282
Contact Type primary Contact Type backup
Name Edilene Macedo, Analyst Name Natalia Gianni, Analyst
Phone 5511 5090-8422 Phone 41449500
Email edilene.macedo@eurofarma.com Email natalia.gianni@eurofarma.com
Role Contact Role Contact

Design Group Interventions

Sequence: 68138075 Sequence: 68138076 Sequence: 68138077 Sequence: 68138078
Design Group Id 55584149 Design Group Id 55584150 Design Group Id 55584151 Design Group Id 55584152
Intervention Id 52477339 Intervention Id 52477340 Intervention Id 52477341 Intervention Id 52477342

Eligibilities

Sequence: 30760594
Gender All
Minimum Age 18 Years
Maximum Age 60 Years
Healthy Volunteers No
Criteria Inclusion Criteria: Male or female volunteers aged between 18 and 60 years (inclusive); BMI ≥ 27kg/m2 and < 45kg/m2. Patients with a BMI ≥ 27kg/m2 and < 30kg/m2 must have at least one of the following comorbidities to be included in the study: dyslipidemia, systemic arterial hypertension (SAH), pre-diabetes (fasting glucose ≥ 100mg/dL and < 126 mg/dL and/or HbA1c ≥ 5.7% and < 6.5%] and/or sleep apnea (confirmed by polysomnography performed up to three months before enrollment in the study); Women of childbearing age must use adequate contraceptive methods; Volunteers willing and able to comply with all aspects of the protocol; Signing the Informed Consent Form (ICF) before performing any study procedure. Exclusion Criteria: Participation in a lifestyle change program within the three months prior to the start of the study; Treatment with drugs (prescription or over-the-counter) or alternative drugs intended to promote weight loss within the three months prior to the start of the study. These medications include, among others: liraglutide, orlistat, sibutramine, topiramate, naltrexone, bupropion, sertraline, fluoxetine, duloxetine. Note: The use of metformin or other hypoglycemic drugs prescribed for the treatment of polycystic ovary syndrome or prevention of diabetes is not permitted; Treatment with drugs known to cause significant weight gain within three months of starting the study. These medications include, among others: corticosteroids, tricyclic antidepressants, atypical antipsychotics, and mood stabilizers (such as imipramine, amitriptyline, mirtazapine, paroxetine, phenelzine, chlorpromazine, thioridazine, clozapine, olanzapine, valproic acid and its derivatives, lithium). Presence of diabetes mellitus; History of coronary artery disease (angina, history of myocardial infarction); Congestive heart failure; History of tachycardia; History of peripheral obstructive arterial disease; History of arrhythmia; History of cerebrovascular disease (stroke or transient ischemic attack); Inadequately controlled systemic arterial hypertension (> 145/90 mmHg); History or active pulmonary arterial hypertension; History or presence of eating disorders such as bulimia and anorexia; Moderate or severe renal impairment (estimated creatinine clearance < 70 mL/min); Hepatic failure Child-Pugh categories B or C (Child-Pugh scale score ≥ 7 points); Current use of monoamine oxidase inhibitors (MAOIs) or any other drug treatment for psychiatric disorders; History of psychiatric disorder requiring previous drug treatment; Glaucoma or high intraocular pressure; Unstable thyroid disease or replacement therapy; Hypersensitivity to sibutramine, topiramate, or to any component of the investigational product formulation; Known hypersensitivity to any component of the investigational drug formulation; Urinary lithiasis; Pregnancy or lactation; Any medical or other condition that, in the opinion of the investigator(s), prevents the participant from participating in the clinical trial, such as significantly abnormal laboratory results or any physical or mental condition that prevents compliance with the protocol.
Adult True
Child False
Older Adult False

Calculated Values

Sequence: 254304202
Number Of Facilities 2
Registered In Calendar Year 2022
Were Results Reported False
Has Us Facility False
Has Single Facility False
Minimum Age Num 18
Maximum Age Num 60
Minimum Age Unit Years
Maximum Age Unit Years
Number Of Primary Outcomes To Measure 2
Number Of Secondary Outcomes To Measure 4

Designs

Sequence: 30506798
Allocation Randomized
Intervention Model Parallel Assignment
Observational Model
Primary Purpose Treatment
Time Perspective
Masking Quadruple
Subject Masked True
Caregiver Masked True
Investigator Masked True
Outcomes Assessor Masked True

Intervention Other Names

Sequence: 26668405 Sequence: 26668406 Sequence: 26668407 Sequence: 26668408
Intervention Id 52477339 Intervention Id 52477340 Intervention Id 52477341 Intervention Id 52477342
Name EF178 15/75mg Name EF178 15/100mg Name Sibutramine 15mg Name Ef178 Placebo

Responsible Parties

Sequence: 28873075
Responsible Party Type Sponsor