The purpose of this study is to determine the effect of naltrexone hydrochloride(HCL) and bupropion hydrochloride extended release combination (NB) compared with placebo on weight loss in obese participants post bariatric surgery.
The drug being tested in this study is called naltrexone hydrochloride/bupropion hydrochloride (NB). NB is being tested to determine its effect on weight loss in obese participants post bariatric surgery. The study will enroll approximately 60 participants. Participants will be randomly assigned to one of the two treatment groups-which will remain undisclosed to the participant and study doctor during the study (unless there is an urgent medical need): * Naltrexone HCl 32 mg/bupropion HCl 360 mg extended-release tablet * Placebo (dummy inactive pill) - this is a tablet that looks like the study drug but has no active ingredient All participants will start on 1 tablet a day and will increase their dose by 1 tablet per week for 4 weeks to reach the optimal dose. This multi-center trial will be conducted in the United States. The overall time to participate in this study is 59 weeks maximum. Participants will make multiple visits to the clinic, plus a final visit 4 weeks after last dose of study drug for a follow-up assessment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Naltrexone/bupropion placebo-matching tablets
Naltrexone HCl 8 mg/bupropion HCl 90 mg tablets
Unnamed facility
Chicago, Illinois, United States
Unnamed facility
Boston, Massachusetts, United States
Percent Change from Baseline in Body Weight at Week 26
Time frame: Baseline and Week 26
Percent Change from Baseline in Body Weight at Week 52
Time frame: Baseline and Week 52
Percentage of Participants Achieving a Loss of at Least 2%, 5%, or 10% of Baseline Body Weight at Weeks 26 and 52
Time frame: Baseline and Weeks 26 and 52
Changes from Baseline on Obesity-Associated Cardiovascular Risk Factors at Weeks 26 and 52
Obesity-associated cardiovascular risk factors, including serum triglycerides, high density lipoprotein (HDL), and low density lipoprotein (LDL) cholesterol, and waist circumference.
Time frame: Baseline and Weeks 26 and 52
Change from Baseline in Fasting Glucose Levels at Weeks 26 and 52
Time frame: Baseline and Weeks 26 and 52
Change from Baseline in and Glycosylated Hemoglobin (HbA1c) Levels at Weeks 26 and 52
Time frame: Baseline and Weeks 26 and 52
Change from Baseline in Vital Signs at Weeks 26 and 52
Vital signs include systolic and diastolic blood pressure \[BP\] and heart rate.
Time frame: Baseline and Weeks 26 and 52
Change from Baseline in Quality of Life as Measured by the Impact of Weight on Quality of Life Questionnaire - Lite Version (IWQOL-Lite) at Weeks 26 and 52
The IWQOL-Lite, is a validated 31-item, self -reported, obesity-specific measure of health-related quality of life that consists of a total score and scores on each of 5 scales (physical function, self-esteem, sexual life, public distress, and work) that exhibits strong psychometric properties. Participants rate items within the scales as: 5=always true, 4=usually true, 3=sometimes true, 2=rarely true, or 1=never true. Scale scores are obtained by adding item scores, and the total score is obtained by adding scale scores. Higher scores indicate poorer quality of life.
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Time frame: Baseline and Weeks 26 and 52