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Trial registered on ANZCTR
Registration number
ACTRN12625000764437p
Ethics application status
Submitted, not yet approved
Date submitted
12/06/2025
Date registered
18/07/2025
Date last updated
18/07/2025
Date data sharing statement initially provided
18/07/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Can Dexamphetamine Help with Weight Loss? A Study in Primary Care
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Scientific title
A double blinded randomised controlled trial to compare the efficacy of dexamphetamine versus placebo on weight loss for adults with obesity
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Secondary ID [1]
314639
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
This study is a follow up study to ACTRN12614000654651.
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Health condition
Health condition(s) or problem(s) studied:
Obesity
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Condition category
Condition code
Diet and Nutrition
334138
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0
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Obesity
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Dexamphetamine will be administered orally at a starting dose of 5 mg twice daily, with weekly titration over a six-week period to a maximum dose of 60 mg twice daily, based on adverse events and individual tolerance. The medication will be prescribed in tablet form, and any unused tablets will be returned. The general practitioner (GP) will be responsible for reviewing dosing and overseeing the titration process. Participants will be monitored at 3 months post-treatment, and subsequently at 6, 12, 18, and 24 months post-treatment, through in-person clinic visits conducted by the GP.
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Intervention code [1]
331268
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Treatment: Drugs
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Comparator / control treatment
Placebo - glucose capsule
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Change in weight
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Assessment method [1]
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Weight (in kilograms) measured by digital scales in doctor practice.
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Timepoint [1]
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Baseline and end of treatment (6 months) and further follow up at 24 months after treatment ended
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Secondary outcome [1]
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Depression
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Assessment method [1]
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Public health question 9 (PHQ-9) questionnaire
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Timepoint [1]
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baseline and end of treatment (6 months)
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Secondary outcome [2]
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Cardiac function
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Assessment method [2]
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echocardiogram, electrocardiogram
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Timepoint [2]
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baseline and end of treatment (6 months)
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Secondary outcome [3]
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Heart rate
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Assessment method [3]
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Blood pressure measuring equipment
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Timepoint [3]
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Weekly for first 6 weeks, then monthly during treatment period and then at 3, 6, 12, 18 and 24 months post treatment cessation
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Secondary outcome [4]
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Blood pressure
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Assessment method [4]
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Sphygomanometer
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Timepoint [4]
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Weekly for first 6 weeks, then monthly during treatment period and then at 3, 6, 12, 18 and 24 months post treatment cessation
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Eligibility
Key inclusion criteria
a) Adults aged 18-70 years
b) BMI 25-70
c) Medically stable
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
a) Significant cardiac valve disease, cardiomyopathy, or arrhythmia
b) Symptomatic ischemic heart disease
c) History of addiction to illicit drugs
d) Uncontrolled hypertension >140/90
e) Significant kidney or liver disease
f) Uncontrolled epilepsy
g) Breastfeeding, pregnant, or planning pregnancy
i) Current depression or other psychiatric illness
j) Current or recent treatment (past 12 months) with psychotropic medication, systemic glucocorticoids, or weight loss medication (e.g., orlistat, phentermine)
k) Family history of sudden death from cardiac causes
l) Hypersensitivity to DEX or any components of the DEX or placebo tablet
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
central randomisation by computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
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Intervention assignment
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Other design features
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Phase
Phase 3
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/01/2026
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Actual
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Date of last participant enrolment
Anticipated
31/12/2026
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Actual
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Date of last data collection
Anticipated
30/06/2029
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Actual
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Sample size
Target
44
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
319202
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Primary sponsor type
Hospital
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Name
Nepean Hospital
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Address
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
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Nepean Blue Mountains Local Health District
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Ethics committee address [1]
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https://www.nbmlhd.health.nsw.gov.au/researchoffice
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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09/07/2025
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Approval date [1]
317782
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Ethics approval number [1]
317782
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Summary
Brief summary
Obesity is a growing health issue, and current treatments are often expensive or not widely available. This study is testing whether dexamphetamine, an older and affordable medication, can safely and effectively help people lose weight when combined with diet and lifestyle changes. Participants in the study will either receive dexamphetamine or a lookalike placebo for six months, with regular check-ins to monitor health and support lifestyle habits. The medication dose will be carefully adjusted based on individual response and safety, and participants will be followed for two years after treatment ends. If successful, this research could lead to a more accessible and cost-effective way to manage obesity in everyday healthcare settings.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Mr Alison Poulton
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Address
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Nepean Clinical School, 62 Derby St, Kingswood NSW 2747
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Country
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Australia
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Phone
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+61 414281284
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Natalie Gauci
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Address
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Nepean Lung and Sleep, 28 Derby St, Kinsgwood NSW 2747
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Country
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Australia
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Phone
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+61 247223001
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Natalie Gauci
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Address
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Nepean Lung and Sleep, 28 Derby St, Kinsgwood NSW 2747
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Country
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Australia
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Phone
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+61 247223001
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Fax
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Email
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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