About this trial
This study evaluates the impact of intranasal oxytocin vs placebo in patients with binge eating disorder or episodes of binging. We hypothesize that 8 weeks of intranasal oxytocin vs placebo will improve clinical outcomes \[reduction in bingeing frequency\], and have a satisfactory safety and tolerability profile. We will also explore the predictive value of changes in homeostatic appetite, reward sensitivity, and impulse control, the identified underlying mediators, as assessed 4 weeks into the intervention, for treatment success after 8 weeks of the intervention.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Males and females, 18-70 years old
BMI greater than or equal to 18.5
BED as assessed by Structured Clinical Interview for DSM-5 Disorders (SCID-5-RV) OR Other Specified Feeding or Eating Disorder (OSFED) - Binge-eating disorder (of low frequency and/or limited duration) (SCID-5-RV) OR Bulimia Nervosa (BN) through excessive exercise and/or fasting to avoid gaining weight after episodes of binge eating. For individuals with OSFED-BED, the frequency of subjective and objective binge eating episodes will meet the frequency (Criterion D) for BED.
Disqualifiers
Substance use disorder active within the last 6 months, or clinical suspicion of ongoing substance use disorder at the discretion of the study clinician at the time of screening based on history and/or laboratory results
Medication changes that have not reached steady state concentration, measured by the equivalent of 5 half-lives of that medication
Use of medications for binge eating disorder or weight loss unless at a stable dose for at least 12 weeks
History of any of the following medical conditions: inflammatory bowel disease or untreated thyroid disease
Trial design
Parallel
Treatments tested in this trial
TNX-1900 (Tonix Pharmaceuticals)
Drugoxytocin nasal spray
Placebo
DrugNasal solution without oxytocin
Treatment groups
Trial outcomes
Primary outcomes
Binge Frequency
Change in binge frequency as assessed by the Eating Disorder Examination clinical interview
Secondary outcomes
Reward sensitivity
Predictive value of 4-week change in reward sensitivity per the Temporal Experience of Pleasure Scale (TEPS) Anticipatory Experience of Pleasure subscale score for 8-week change in binge episodes. Higher scores=greater anticipatory pleasuure/less anhedonia. Minimum/Maximum: 10-60
Impulse control
Predictive value of 4 week change in impulse control per Stop-Signal Reaction time in a Stop-Signal Task for 8 week change in binge frequency
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