PMID- 30938842 OWN - NLM STAT- MEDLINE DCOM- 20191211 LR - 20210109 IS - 1098-108X (Electronic) IS - 0276-3478 (Print) IS - 0276-3478 (Linking) VI - 52 IP - 7 DP - 2019 Jul TI - A double-blind, placebo-controlled study of vortioxetine in the treatment of binge-eating disorder. PG - 786-794 LID - 10.1002/eat.23078 [doi] AB - BACKGROUND: Binge-eating disorder (BED) is associated with impaired quality of life and has a number of untoward public health associations. There are few established pharmacological treatments for BED, and available options are not suitable for all individuals. Vortioxetine is a recently developed pharmacological agent with effects on the serotonergic but also other neurochemical systems, which has yet to be evaluated in this context. METHOD: Eighty adults with BED were recruited for a double-blind, placebo-controlled study. Participants received 12-week treatment with vortioxetine (10 mg/day for 1 week, then increasing to 20 mg/day) or placebo in a parallel design. The primary efficacy outcome measures were binge-eating frequency and weight. Safety data were collected. Effects of active versus placebo treatment were characterized using linear repeated measures models. RESULTS: Both vortioxetine and placebo treatment were associated with significant reductions in binge-eating frequency. Vortioxetine did not differentiate significantly from placebo on any efficacy measure. Frequency of adverse events did not differ between groups. DISCUSSION: Vortioxetine was not more effective than placebo in the treatment of BED. The ability to detect pharmacological treatment benefit may have been hindered by the relatively high placebo response and drop out. Future work should seek to better understand and predict placebo response in BED, with a view to more targeted treatment interventions and, potentially, sample enrichment. CI - (c) 2019 Wiley Periodicals, Inc. FAU - Grant, Jon E AU - Grant JE AUID- ORCID: 0000-0001-7784-7021 AD - Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, Illinois. FAU - Valle, Stephanie AU - Valle S AD - Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, Illinois. FAU - Cavic, Elizabeth AU - Cavic E AD - Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, Illinois. FAU - Redden, Sarah A AU - Redden SA AD - Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, Illinois. FAU - Chamberlain, Samuel R AU - Chamberlain SR AUID- ORCID: 0000-0001-7014-8121 AD - Department of Psychiatry, University of Cambridge; Cambridge and Peterborough NHS Foundation Trust (CPFT), UK. LA - eng GR - WT_/Wellcome Trust/United Kingdom GR - 110049/WT_/Wellcome Trust/United Kingdom GR - 110,049/Z/15/Z/WT_/Wellcome Trust/United Kingdom PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20190402 PL - United States TA - Int J Eat Disord JT - The International journal of eating disorders JID - 8111226 RN - 0 (Antidepressive Agents) RN - 3O2K1S3WQV (Vortioxetine) SB - IM MH - Adult MH - Antidepressive Agents/pharmacology/*therapeutic use MH - Binge-Eating Disorder/drug therapy MH - Double-Blind Method MH - Female MH - Humans MH - Male MH - Quality of Life/*psychology MH - Treatment Outcome MH - Vortioxetine/pharmacology/*therapeutic use PMC - PMC7102903 MID - EMS86095 OTO - NOTNLM OT - antidepressant OT - binge eating OT - obesity OT - pharmacology OT - treatment COIS- Conflicts of Interest and Disclosures This study was funded by an investigator-initiated research grant from Takeda Pharmaceuticals to Dr. Grant. Dr. Grant receives yearly compensation from Springer Publishing for acting as Editor-in-Chief of the Journal of Gambling Studies and has received royalties from Oxford University Press, American Psychiatric Publishing, Inc., Norton Press, and McGraw Hill. Dr. Chamberlain consults for Cambridge Cognition, Shire and Promentis. Ms. Redden report no financial relationships with commercial interests. Dr. Chamberlain's involvement in this study was supported by a Wellcome Trust Clinical Fellowship (110049/Z/15/Z). EDAT- 2019/04/03 06:00 MHDA- 2019/12/18 06:00 PMCR- 2020/03/28 CRDT- 2019/04/03 06:00 PHST- 2019/01/21 00:00 [received] PHST- 2019/03/13 00:00 [revised] PHST- 2019/03/13 00:00 [accepted] PHST- 2019/04/03 06:00 [pubmed] PHST- 2019/12/18 06:00 [medline] PHST- 2019/04/03 06:00 [entrez] PHST- 2020/03/28 00:00 [pmc-release] AID - 10.1002/eat.23078 [doi] PST - ppublish SO - Int J Eat Disord. 2019 Jul;52(7):786-794. doi: 10.1002/eat.23078. Epub 2019 Apr 2.