The purpose of this research study is to test the safety of duloxetine and see what effects
(good and bad) it has on you and your binge eating disorder and comorbid depressive disorder
(depression occurring with binge eating disorder) compared to placebo (inactive pill).
- Subjects must provide written informed consent of their own free will.
- Male or female outpatients.
- Age 18-65 years, inclusive.
- Subject must meet the DSM-IV criteria for a diagnosis of a depressive disorder (major
depression, dysthymia, minor depression, or brief recurrent depression) for a
duration of at least 1 month preceding and during the screening period.
- Subjects will meet the DSM-IV criteria for a diagnosis of binge eating disorder (BED)
for at least the last 6 months. The DSM-IV criteria are as follows:
1. Recurrent episodes of binge eating. An episode of binge eating is characterized
by both of the following: eating, in a discrete period of time (eg, within any
two hour period), an amount of food that is definitely larger than most people
would eat in a similar period of time under similar conditions; and a sense of
lack of control over eating during the episode (eg, a feeling that one cannot
stop eating or control what or how much one is eating).
2. The binge eating episodes are associated with at least three of the following:
eating much more rapidly than normal; eating until uncomfortably full; eating
large amounts of food when not feeling physically hungry; eating alone because
of being embarrassed by how much one is eating; feeling disgusted with oneself,
depressed, or feeling very guilty after overeating.
3. Marked distress regarding binge eating.
4. The binge eating occurs, on average, at least two days a week for the past six
5. The episodes of binge eating do not occur exclusively during the course of
bulimia nervosa or anorexia nervosa.
- Subjects will have an IDS score of at least 25 at the baseline visit.
- Women who are pregnant, breastfeeding, or of childbearing potential who are not using
a medically acceptable, effective method of birth control. Women of childbearing
potential include all pre-menopausal women biologically capable of becoming pregnant
or contributing a fertilizable ovum. Medically acceptable methods of birth control
include oral contraceptives, an intrauterine device, use of two combined barrier
methods, or surgical sterilization.
- Patients who display significant risk for suicide.
- Patients who have received psychotherapy or behavioral therapy from a mental health
professional as a part of previous treatment for MDD or obesity for at least 3 months
prior to randomization.
- A DSM-IV diagnosis of alcohol or substance abuse or dependence, bulimia nervosa, or
anorexia nervosa within the 6 months prior to randomization.
- Patients with a lifetime DSM-IV history of a psychotic disorder, a bipolar disorder,
- Patients with a history of psychosurgery
- Patients with an Axis II disorder (personality disorders such as schizotypal,
borderline, or antisocial), which might interfere with a diagnostic assessment,
treatment, or compliance.
- Patients with clinically unstable medical disease, including cardiovascular,
gastrointestinal, pulmonary, metabolic, endocrine or other systemic disease which
could interfere with diagnosis, treatment, or assessment of MDD or obesity. Patients
should be euthyroid to enter the study.
- Patients with hepatic insufficiency
- Patients with end-stage renal disease or severe renal impairment
- Patients with a history of seizures, including febrile seizures in childhood.
- Patients requiring treatment with any drug which might interact adversely with or
obscure the action of the study medication.
- Patients with a known hypersensitivity to duloxetine or any of the inactive
ingredients of duloxetine (Cymbalta).
- Patients with uncontrolled narrow-angle glaucoma.
- Patients with clinically relevant abnormal laboratory results, specifically including
- Patients who have received monoamine oxidase inhibitors, tricyclics, antipsychotics,
lithium, or fluoxetine within four weeks prior to randomization.
- Patients who have received other psychoactive medications (including appetite
suppressants) or any anti-obesity medications within one week prior to randomization.
- Patients who have received investigational medications or depot neuroleptics within
three months prior to randomization.
- Patients previously enrolled in this study or who have previously been treated with
- Subject considered by the investigator as unable to be followed up throughout the
entire duration of the study.
- Patients taking medications that inhibit the P450-2D6 hepatic isoenzyme