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Sibutramine

Phase 4FDA approved

Binge Eating Disorder | Small molecule | Metabolic |Abbott Laboratories|Trials Updated: May 11, 2010

Sibutramine development status

FDA approval on record Feb 16, 2001 as Meridia
Approval holderAbbott
ApplicationNDA020632
Highest phase Phase 4 (NCT00234988)
Phase scored for ABTPhase 3
Registered trials 11 across 6 sponsors since Aug 2002

Sibutramine target and mechanism

Molecular targetSLC6A4, SLC6A3, SLC6A2
Target classInhibitor
ModalitySmall molecule

Also known as Sibutramine hydrochloride, ABT-991, Meridia, Reductil, sibutramine hydochloride monohydrate, ABT-911

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindUNCONTROLLED
Total Trials5
Total Enrollment11,853

FDA Designations

No designations recorded

Sibutramine clinical trials

Sibutramine · 5 trials · 3 indications

Phase 3 5
NCT00234832A Long Term Study of Sibutramine and the Role of Obesity Management in Relation to Cardiovascular Disease in Overweight and Obese PatientsObesity
COMPLETED10,777 Analytics
NCT00677391Efficacy and Safety Study of Sibutramine in Overweight Non-Diabetic Malaysian PopulationObesity
COMPLETED103 Analytics
NCT00679653Blood Pressure and Weight Trajectory on a Dual Antihypertensive Combination Plus Sibutramine Versus Placebo in Obese HypertensivesObesity
COMPLETED171 Analytics
NCT00402584A Study to Examine the Efficacy and Safety of Meridia® (Sibutramine Hydrochloride) in Binge-Eating DisorderBinge Eating Disorder
COMPLETED304 Analytics
NCT00261911A Study of Sibutramine in Overweight Adolescents to Assess Weight Loss and Safety.Obesity
COMPLETED498 Analytics
PHASE3COMPLETED
A Long Term Study of Sibutramine and the Role of Obesity Management in Relation to Cardiovascular Disease in Overweight and Obese Patients
ObesityUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety Study of Sibutramine in Overweight Non-Diabetic Malaysian Population
ObesityUnlock trial analytics
PHASE3COMPLETED
Blood Pressure and Weight Trajectory on a Dual Antihypertensive Combination Plus Sibutramine Versus Placebo in Obese Hypertensives
ObesityUnlock trial analytics
PHASE3COMPLETED
A Study to Examine the Efficacy and Safety of Meridia® (Sibutramine Hydrochloride) in Binge-Eating Disorder
Binge Eating DisorderUnlock trial analytics
PHASE3COMPLETED
A Study of Sibutramine in Overweight Adolescents to Assess Weight Loss and Safety.
ObesityUnlock trial analytics

Study Endpoints

Primary Endpoints

Risk of Experiencing a Primary Outcome Event (POE) (i.e., Nonfatal Myocardial Infarction [MI], Nonfatal Stroke, Resuscitated Cardiac Arrest, Cardiovascular [CV] Death)
From randomization up to 6 years

For each subject, POE status (with/without an event) and time to first occurrence of a POE using time-to-event analysis were evaluated. All POE confirmed by an independent adjudication committee were included in the analysis.

Change in bodyweight from baseline to final evaluation
Wk 0, then, bi-weekly through duration of study
Systolic Blood Pressure
Duration of Study
Diastolic Blood Pressure
Duration of Study
The frequency of binge eating episodes (binges/week), defined as the mean number of binges per week in 2-week intervals
6 months
Absolute change in body mass index (BMI) from baseline to endpoint.
12 months

Secondary Endpoints

Risk of Death From Any Cause (All-cause Mortality)
From randomization up to 6 years
Risk of Experiencing a POE or a Revascularization Procedure
From randomization up to 6 years
Risk of Experiencing a Nonfatal MI Included in the POE
From randomization up to 6 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
SibutramineEXPERIMENTALSubjects were randomized to receive sibutramine 10 mg once daily (QD) during the Treatment Period after a 6-week Lead-in Period
PlaceboPLACEBO_COMPARATORSubjects were randomized to receive placebo QD during the Treatment Period after a 6-week Lead-in Period
Lead-in sibutramineEXPERIMENTALAll subjects received 10 mg sibutramine QD during a 6-week Lead-in Period
1ACTIVE_COMPARATOR -
2PLACEBO_COMPARATOR -
3ACTIVE_COMPARATORfelodipine/ramipril

Interventions

NameTypeDescription
Sibutramine hydrochlorideDRUGOne 10 mg tablet QD plus country-specific standard care for weight management. (During the Treatment Period, the dose could have been titrated up to 15 mg at the investigator's discretion.)
PlaceboDRUG1 tablet QD plus country-specific standard care for weight management (During the Treatment Period, the dose could have been titrated up to 15 mg at the investigator's discretion.)
SibutramineDRUGCapsules, Wk 0: 10mg, once daily; Wks 4-24: 10mg or 15mg, once daily, dosage escalation based upon investigator's assessment.
verapamil/trandolaprilDRUG2 wk Run-in phase, antihypertensive therapy only
metoprolol/HCTDRUG2 wk Run-in phase, antihypertensive therapy only
felodipine/ramiprilDRUG2 wk Run-in phase, antihypertensive therapy only
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Eligibility Criteria

Age Range55 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Subject's body mass index (BMI) was \>= 27 kg/m(2) and \<= 45 kg/m(2) or their BMI was \>= 25 kg/m(2) and \< 27 kg/m(2) with waist circumference of \>= 102 cm in males or \>= 88 cm in females. * Medical history positive for: * Preexisting cardiovascular disease (i.e., coron...

Countries:United States
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Frequently asked questions about Sibutramine

What is sibutramine used for?

Sibutramine is a small molecule developed for the treatment of obesity and binge eating disorder. It has been studied in overweight and obese adults, including those with hypertension, and in overweight adolescents. Clinical development reached Phase 3, and the program includes four completed trials with a combined enrollment of 11,549 participants.

What does sibutramine target?

Sibutramine targets SLC6A4, SLC6A3, and SLC6A2. It acts as an inhibitor of these transporters, which are involved in serotonin, dopamine, and norepinephrine signaling. This target profile underlies its activity in the metabolic therapeutic area and its study in obesity and binge eating disorder.

Who makes sibutramine?

Sibutramine is developed by Abbott Laboratories, which trades under the ticker ABT. Abbott is the company associated with the clinical development program for the drug, including the Phase 3 trials conducted in obesity and binge eating disorder.

What phase is sibutramine in?

Sibutramine is in Phase 3 clinical development. All four of its recorded trials are completed, and none are currently active. The program has studied the drug in obesity, binge eating disorder, and related conditions, with a total enrollment of 11,549 participants across randomized, double-blind studies.

What clinical trials is sibutramine in?

Sibutramine has been evaluated in four completed Phase 3 trials: NCT00679653 in obese hypertensives, NCT00677391 in an overweight non-diabetic Malaysian population, NCT00402584 in binge eating disorder with obesity, and NCT00261911 in overweight adolescents. Enrollment across these studies totaled 11,549 participants.

Is sibutramine the same as sibutramine hydrochloride?

Yes, sibutramine hydrochloride is another name for sibutramine. The hydrochloride form is the salt used in the clinical program, including the Phase 3 study of Meridia (sibutramine hydrochloride) in binge eating disorder and obesity. Searches for either name refer to the same drug developed by Abbott Laboratories.