Placebo Response in Binge Eating Disorder: A Pooled Analysis of 10 Clinical Trials from One Research Group

ABSTRACT Objective The aim of this study was to gain further understanding of placebo response in binge eating disorder. Method We pooled participant‐level data from 10 double‐blind, placebo‐controlled, randomized trials of medications for binge eating disorder. The primary outcomes were response (7...

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Veröffentlicht in:European eating disorders review 2014-03, Vol.22 (2), p.140-146
Hauptverfasser: Blom, Thomas J., Mingione, Carolyn J., Guerdjikova, Anna I., Keck Jr, Paul E., Welge, Jeffrey A., McElroy, Susan L.
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container_end_page 146
container_issue 2
container_start_page 140
container_title European eating disorders review
container_volume 22
creator Blom, Thomas J.
Mingione, Carolyn J.
Guerdjikova, Anna I.
Keck Jr, Paul E.
Welge, Jeffrey A.
McElroy, Susan L.
description ABSTRACT Objective The aim of this study was to gain further understanding of placebo response in binge eating disorder. Method We pooled participant‐level data from 10 double‐blind, placebo‐controlled, randomized trials of medications for binge eating disorder. The primary outcomes were response (75% reduction in binge eating episodes), cessation of binge eating episodes, change in mean weekly binge eating episodes and binge eating episodes per week. Results Of 234 participants receiving placebo, 89 (38%) were responders and 59 (26%) attained cessation. Placebo‐treated participants significantly reduced their binge eating. The mean (SD) binge eating episodes per week at baseline was 5.2 (3.2) and at endpoint was 2.2 (2.6). Lower baseline binge eating episode frequency and longer study participation were significantly associated with response and cessation. Discussion Less severe eating pathology at baseline was associated with higher placebo response and cessation rates. Future clinical trials may want to stipulate that participants exceed a threshold of illness severity, which may lead to better placebo and drug separation. Copyright © 2014 John Wiley & Sons, Ltd and Eating Disorders Association.
doi_str_mv 10.1002/erv.2277
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Method We pooled participant‐level data from 10 double‐blind, placebo‐controlled, randomized trials of medications for binge eating disorder. The primary outcomes were response (75% reduction in binge eating episodes), cessation of binge eating episodes, change in mean weekly binge eating episodes and binge eating episodes per week. Results Of 234 participants receiving placebo, 89 (38%) were responders and 59 (26%) attained cessation. Placebo‐treated participants significantly reduced their binge eating. The mean (SD) binge eating episodes per week at baseline was 5.2 (3.2) and at endpoint was 2.2 (2.6). Lower baseline binge eating episode frequency and longer study participation were significantly associated with response and cessation. Discussion Less severe eating pathology at baseline was associated with higher placebo response and cessation rates. Future clinical trials may want to stipulate that participants exceed a threshold of illness severity, which may lead to better placebo and drug separation. Copyright © 2014 John Wiley &amp; Sons, Ltd and Eating Disorders Association.</description><identifier>ISSN: 1072-4133</identifier><identifier>EISSN: 1099-0968</identifier><identifier>DOI: 10.1002/erv.2277</identifier><identifier>PMID: 24399652</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adult ; binge eating disorder ; Binge-Eating Disorder - diagnosis ; Binge-Eating Disorder - drug therapy ; Binge-Eating Disorder - psychology ; Body Mass Index ; Bulimia ; clinical ; Clinical trials ; Diagnostic and Statistical Manual of Mental Disorders ; Double-Blind Method ; Humans ; Logistic Models ; Medical treatment ; Middle Aged ; Multivariate Analysis ; Odds Ratio ; placebo response ; pooled analysis ; Serotonin Uptake Inhibitors - administration &amp; dosage ; Treatment Outcome ; trial</subject><ispartof>European eating disorders review, 2014-03, Vol.22 (2), p.140-146</ispartof><rights>Copyright © 2014 John Wiley &amp; Sons, Ltd and Eating Disorders Association.</rights><rights>Copyright John Wiley and Sons, Limited Mar 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3877-342e8f12d620b1b2ba664b3499911e52e6e06cae6d515a56d322313702abd8fc3</citedby><cites>FETCH-LOGICAL-c3877-342e8f12d620b1b2ba664b3499911e52e6e06cae6d515a56d322313702abd8fc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Ferv.2277$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Ferv.2277$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24399652$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Blom, Thomas J.</creatorcontrib><creatorcontrib>Mingione, Carolyn J.</creatorcontrib><creatorcontrib>Guerdjikova, Anna I.</creatorcontrib><creatorcontrib>Keck Jr, Paul E.</creatorcontrib><creatorcontrib>Welge, Jeffrey A.</creatorcontrib><creatorcontrib>McElroy, Susan L.</creatorcontrib><title>Placebo Response in Binge Eating Disorder: A Pooled Analysis of 10 Clinical Trials from One Research Group</title><title>European eating disorders review</title><addtitle>Eur. Eat. Disorders Rev</addtitle><description>ABSTRACT Objective The aim of this study was to gain further understanding of placebo response in binge eating disorder. Method We pooled participant‐level data from 10 double‐blind, placebo‐controlled, randomized trials of medications for binge eating disorder. The primary outcomes were response (75% reduction in binge eating episodes), cessation of binge eating episodes, change in mean weekly binge eating episodes and binge eating episodes per week. Results Of 234 participants receiving placebo, 89 (38%) were responders and 59 (26%) attained cessation. Placebo‐treated participants significantly reduced their binge eating. The mean (SD) binge eating episodes per week at baseline was 5.2 (3.2) and at endpoint was 2.2 (2.6). Lower baseline binge eating episode frequency and longer study participation were significantly associated with response and cessation. Discussion Less severe eating pathology at baseline was associated with higher placebo response and cessation rates. Future clinical trials may want to stipulate that participants exceed a threshold of illness severity, which may lead to better placebo and drug separation. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
binge eating disorder
Binge-Eating Disorder - diagnosis
Binge-Eating Disorder - drug therapy
Binge-Eating Disorder - psychology
Body Mass Index
Bulimia
clinical
Clinical trials
Diagnostic and Statistical Manual of Mental Disorders
Double-Blind Method
Humans
Logistic Models
Medical treatment
Middle Aged
Multivariate Analysis
Odds Ratio
placebo response
pooled analysis
Serotonin Uptake Inhibitors - administration & dosage
Treatment Outcome
trial
title Placebo Response in Binge Eating Disorder: A Pooled Analysis of 10 Clinical Trials from One Research Group
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