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ObesityPhase 4INFORMUSNCT06098079

Effect of Naltrexone Hydrochloride ER and Bupropion Hydrochloride ER Combination (Contrave®/Mysimba®) on Major Adverse Cardiovascular Events (MACE)

A Phase 4 study testing Naltrexone-Bupropion (NB) Combination in people with Obesity, run by Currax Pharmaceuticals at 140 sites in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

A randomized, double-blinded, placebo controlled study intended to capture cardiovascular outcomes during real-world use of naltrexone/bupropion (NB). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Obesity
What is being tested?
Naltrexone-Bupropion (NB) Combination
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
8,600 participants
Where
140 sitesUnited States
Study dates
3 Jan 2024to Jul 2029
Phase
Phase 4
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient age ≥18 years at screening
  • Able to understand the key components of the study, as described in the written informed consent document, and willing and able to provide written informed consent
  • BMI ≥30 kg/m2 (obese) or ≥27 kg/m2 (overweight) in the presence of at least 1 weight-related comorbidity (eg, hypertension, type 2 diabetes mellitus, or dyslipidemia)
  • At increased risk of adverse cardiovascular outcomes:
  • In the opinion of the investigator, has a high likelihood of cardiovascular disease with at least 1 of the following:
  • History of documented MI >90 days prior to screening
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  • History of coronary revascularization (ie, coronary artery bypass graft surgery, stent placement, percutaneous transluminal coronary angioplasty, or laser atherectomy) >90 days prior to screening
  • History of carotid or peripheral revascularization (ie, carotid endarterectomy, lower extremity atherosclerotic disease atherectomy, repair of abdominal aorta aneurysm, femoral or popliteal bypass) >90 days prior to screening
  • Angina with ischemic changes (resting echocardiogram (ECHO), ECG changes on a graded exercise test (GXT), or positive cardiac imaging study)
  • Ankle brachial index <0.9 (by simple palpation) within prior 2 years or
  • Type 2 diabetes mellitus with at least 2 of the following:
  • Hypertension (controlled with or without pharmacotherapy at <145/95 mmHg)
  • Dyslipidemia requiring pharmacotherapy
  • Documented low HDL cholesterol (<50 mg/dL in women or <40 mg/dL in men) within the prior 12 months
  • Current tobacco smoker
  • Patients who have completed a washout (2-weeks or 5 half-lives, whichever is longer) of the prohibited concomitant medication(s) at screening
  • Subject willing to comply with daily completion of an eDiary using a mobile smartphone application

Who cannot join

  • Using prescription medications, other than Contrave/Mysimba, or surgical or medical device interventions for weight loss
  • History of MI or stroke within 90 days prior to screening
  • Uncontrolled hypertension, defined as systolic BP ≥160 mmHg and/or >100 mmHg diastolic BP on the average of 3 seated BP measurements after the patient has been at rest for at least 5 minutes
  • Meets any of the following criteria:
  • Confirmed end-stage renal disease (ie, a degree of kidney failure severe enough to require dialysis or kidney transplantation for survival characterized by a severe reduction in glomerular filtration rate [<15 mL/minute/1.73 m2] and other manifestations including increased serum creatinine),
  • Severe hepatic impairment (Child-Pugh score 10 to 15 [Class C]),
Show all 18Show fewer
  • Hemodynamic instability, including patients with severe heart failure (New York Heart Association Class IV)
  • Seizure disorders or history of seizures, not including subjects with a history of pediatric febrile seizures
  • Use of other bupropion-containing products (including but not limited to Wellbutrin, Wellbutrin SR, Wellbutrin XL, and Aplenzin)
  • Active anorexia nervosa or bulimia
  • Chronic opioid or opiate agonist (eg, methadone) or partial agonists (eg, buprenorphine) use, or acute opioid withdrawal or has a positive urine drug result for opioids at screening
  • Undergoing abrupt discontinuation of alcohol, benzodiazepines, barbiturates, and antiepileptic drugs
  • Concomitant administration of MAOIs. This also includes use of reversible MAOIs, such as linezolid or intravenous methylene blue. At least 14 days should elapse between discontinuation of MAOIs and initiation of treatment with Contrave/Mysimba.
  • Subject has any disease or condition, or use of any pharmacological agent to treat the disease/condition, that, in the opinion of the investigator, would contraindicate study participation
  • Known allergy to bupropion, naltrexone, or any other component of Contrave/Mysimba
  • Pregnant or nursing
  • Known life-threatening arrythmias, including Brugada syndrome
  • Participation in any other concurrent investigational trial

Trial locations and contacts

140 sites in 1 country.

140 sites in 1 country

United States140 sites
  • Velocity Clinical Research, Abilene

    Abilene, Texas, 79606

  • Velocity Clinical Research

    Albuquerque, New Mexico, 87107

  • Velocity Clinical Research, Gardena

    Anderson, California, 90247

  • Velocity Clinical Research

    Anderson, South Carolina, 29621

  • Advanced Clinical Research Atlanta

    Atlanta, Georgia, 30309

  • Optimal Research, LLC. - Austin

    Austin, Texas, 78705

  • Velocity Clinical Research

    Austin, Texas, 78759

  • Velocity Clinical Research

    Baton Rouge, Louisiana, 70809

  • Velocity Clinical Research

    Beachwood, Ohio, 44122

  • Advanced Cardiovascular Specialists/NextStage Clinical Research

    Beaumont, Texas, 77702

  • Velocity Clinical Research

    Binghamton, New York, 13905

  • TrialMed Birmingham (DRS)

    Birmingham, Alabama, 35211

  • Accel Research Sites Network

    Birmingham, Alabama, 35216

  • ABMED Clinical Research

    Cape Coral, Florida, 33914

  • Velocity Clinical Research

    Charleston, South Carolina, 29414

  • Charlottesville Medical Research

    Charlottesville, Virginia, 22911

  • Velocity Clinical Research

    Chula Vista, California, 91911

  • Velocity Clinical Research, Mt. Auburn

    Cincinnati, Ohio, 45219

  • Velocity Clinical Research, Cincinnati

    Cincinnati, Ohio, 45242

  • Velocity Clinical Research

    Cincinnati, Ohio, 45246

  • Velocity Clinical Research

    Columbia, South Carolina, 29204

  • Clincept Clinical Research

    Columbus, Georgia, 31904

  • LMG Research

    Coral Gables, Florida, 33134

  • Velocity Clinical Research

    Covington, Louisiana, 70433

  • Cullman Clinical Trials

    Cullman, Alabama, 35055

  • JY Research Institute

    Cutler Bay, Florida, 33189

  • Dearborn Cardiology

    Dearborn, Michigan, 48126

  • Accel Research Sites (ARSN) - Neurostudies

    Decatur, Georgia, 30030

  • Delray Physician Center

    Delray Beach, Florida, 33445

  • D&H Doral Research Center

    Doral, Florida, 33122

  • Velocity Clinical Research, Durham

    Durham, North Carolina, 27701

  • Velocity Clinical Research (Providence)

    East Greenwich, Rhode Island, 02818

  • Evergreen Surgical

    Eau Claire, Wisconsin, 54701

  • Accel Research Sites Network - Edgewater

    Edgewater, Florida, 32132

  • Velocity Clinical Research (New Smyrna Beach)

    Edgewater, Florida, 32132

  • AMR - El Dorado

    El Dorado, Kansas, 67042

  • Velocity Clinical Research, Denver

    Englewood, Colorado, 80110

  • IMRC Fort Lauderdale

    Fort Lauderdale, Florida, 33316

  • Southwest General Healthcare Center

    Fort Myers, Florida, 33907

  • Velocity Clinical Research

    Gaffney, South Carolina, 29340

  • NextStage Clinical Research-Chicago

    Glen Ellyn, Illinois, 60137

  • Sun City Research

    Glendale, Arizona, 85304

  • Cardiovascular Consultants/NextStage Clinical Research

    Glendale, Arizona, 85306

  • Velocity Clinical Research, Grand Island

    Grand Island, Nebraska, 68803

  • Velocity Clinical Research, Grants Pass

    Grants Pass, Oregon, 97527

  • Velocity Clinical Research

    Greenville, South Carolina, 29615

  • Velocity Clinical Research

    Gulfport, Mississippi, 39503

  • Velocity Clinical Research, Hampton

    Hampton, Virginia, 23666

  • G+C Research Group

    Hialeah, Florida, 33010

  • Qway Research

    Hialeah, Florida, 33010

  • Conveinent Medical Research

    Hialeah, Florida, 33013

  • Hatboro Medical Associates/Avacare Research

    Horsham, Pennsylvania, 19044

  • HDH Research

    Houston, Texas, 77022

  • All-American Orthopedics-NextStage Clinical Research

    Houston, Texas, 77058

  • Velocity Clinical Research, Huntington Park

    Huntington Park, California, 90255

  • Velocity Clinical Research, Kansas City

    Kansas City, Kansas, 66210

  • Clay Platte Family Medicine

    Kansas City, Missouri, 64151

  • Ilumina Medical Research

    Kissimmee, Florida, 34744

  • Velocity Clinical Research, San Diego

    La Mesa, California, 91942

  • Velocity Clinical Research

    Lafayette, Louisiana, 70508

  • Altus Research

    Lake Worth, Florida, 33461

  • Chemidox Clinical Trials Inc.

    Lancaster, California, 93534

  • Avacare

    Las Vegas, Nevada, 89102

  • Santa Rosa Urgent Care Primary Care/CCT Research

    Las Vegas, Nevada, 89119

  • NexGen Research

    Lima, Ohio, 45801

  • Velocity Clinical Research at Pioneer Heart Institute

    Lincoln, Nebraska, 68506

  • Velocity Clinical Research

    Lincoln, Nebraska, 68510

  • Long Beach Clinical Trials

    Long Beach, California, 90806

  • Velocity Clinical Research

    Los Angeles, California, 90057

  • NextStage Clinical Research-Lubbock/SWAT Surgical Associates-NextStage Clinical Research

    Lubbock, Texas, 79410

  • Valley Vitality Ventures

    Manteca, California, 95350

  • D&H Pompano Research Center, LLC

    Margate, Florida, 33063

  • Velocity Clinical Research, Medford

    Medford, Oregon, 97504

  • Optimal Research, LLC. - Melbourne

    Melbourne, Florida, 32934

  • Indiana Medical Research Institute

    Merriville, Indiana, 46410

  • Desert Clinical Research

    Mesa, Arizona, 85213

  • Activmed Practices and Research, Inc

    Methuen, Massachusetts, 01844

  • Advanced Clinical Research

    Miami, Florida, 33156

  • Medical Research Center Westchester

    Miami, Florida, 33165

  • Century Research

    Miami, Florida, 33173

  • ITB Research

    Miami, Florida, 33173

  • Entrust Clinical Research

    Miami, Florida, 33176

  • Janus Clinical Research

    Miami, Florida, 33186

  • Miami Beach Clinical Research

    Miami Beach, Florida, 33141

  • Innovia Research Center

    Miramar, Florida, 33027

  • AMR Mobile

    Mobile, Alabama, 36608

  • Velocity Clinical Research, Mobile

    Mobile, Alabama, 36608

  • AMR New Orleans

    New Orleans, Louisiana, 70119

  • Velocity Clinical Research, New Orleans

    New Orleans, Louisiana, 70119

  • Healix Clinical Research

    New Smyrna Beach, Florida, 32168

  • Synexus Clinical Research US, Inc. - New York

    New York, New York, 10017

  • Velocity Clinical Research, Norfolk

    Norfolk, Nebraska, 68701

  • AMR Norfolk

    Norfolk, Virginia, 23502

  • Regenerative Orthopedics and Sports Medicine- NextStage Clinical Research

    North Bethesda, Maryland, 20852

  • Coastal Carolina Research Center

    North Charleston, South Carolina, 29405

  • Las Vegas Clinical Trials

    North Las Vegas, Nevada, 89119

  • Biscayne Clinical Research Inc

    North Miami, Florida, 33169

  • Meridian Clinical Research - Velocity

    Omaha, Nebraska, 68134

  • Midwest Regional Health Services

    Omaha, Nebraska, 68144

  • IMRC At Palmetto Bay

    Palmetto Bay, Florida, 33157

  • New Horizons Research

    Palmetto Bay, Florida, 33176

  • Best Choice Medical and Research Services

    Pembroke Pines, Florida, 33024

  • Bolanos Clnical Research

    Pembroke Pines, Florida, 33028

  • Mercado Medical Practice/CCT Research

    Philadelphia, Pennsylvania, 19111

  • Velocity Clinical Research, Phoenix

    Phoenix, Arizona, 85006

  • National Institute of Clinical Research, Inc.

    Pomona, California, 91768

  • NextStage Clinical Research-Port Arthur/Gulf Coast Cardiology

    Port Arthur, Texas, 77642

  • ActivMed Practices and Research

    Portsmouth, New Hampshire, 03801

  • Praveen K Gupta, MD/Avacare

    Rockville, Maryland, 20852

  • Velocity Clinical Research, Rockville

    Rockville, Maryland, 20854

  • JAELEX Research

    Round Lake Beach, Illinois, 60073

  • Synexus Clinical Research US; Inc.

    San Antonio, Texas, 78229

  • Velocity Clinical Research, San Bernardino

    San Bernardino, California, 92408

  • Velocity Clinical Research at Coastal Heart Medical Group

    Santa Ana, California, 92704

  • Velocity Clinical Research of Santa Ana

    Santa Ana, California, 92704

  • Axces Research Group

    Santa Fe, New Mexico, 87505

  • Velocity Clinical Research, Savannah

    Savannah, Georgia, 31406

  • Velocity Clinical Research

    Sioux City, Iowa, 51106

  • Velocity Clinical Research

    Slidell, Louisiana, 70458

  • Velocity Clinical Research, Spartanburg

    Spartanburg, South Carolina, 29303

  • St. Louis Medical Professionals/CCT Research

    St Louis, Missouri, 63119

  • Velocity Clinical Research (St. Louis)

    St Louis, Missouri, 63131

  • Velocity Clinical Research, Suffolk, VA

    Suffolk, Virginia, 23435

  • Olympus Clinical Research

    Sugarland, Texas, 77479

  • Cordova Research Institute

    Sweetwater, Florida, 33182

  • D&H Tamarac Research Center, LLC

    Tamarac, Florida, 33321

  • Fiel Family & Sports Medicine CCT Research

    Tempe, Arizona, 85283

  • Synexus Clinical Research US, Inc. - The Villages

    The Villages, Florida, 32162

  • Synexus Clinical Research US; Inc.

    Tucson, Arizona, 85741

  • NextStage Clinical Research - Tulsa

    Tulsa, Oklahoma, 74136

  • Velocity Clinical Research, Union

    Union, South Carolina, 29379

  • Velocity Clinical Research

    Valparaiso, Indiana, 46383

  • Velocity Clinical Research, Van Nuys

    Van Nuys, California, 91405

  • Velocity Clinical Research

    Vestal, New York, 13850

  • Waco Cardiology Consultants

    Waco, Texas, 76712

  • Providere Research

    West Covina, California, 91790

  • Velocity Clinical Research, Salt Lake City

    West Jordan, Utah, 84088

  • AMR Wichita West

    Wichita, Kansas, 67205

  • AMR Wichita East

    Wichita, Kansas, 67207

  • Wichita Surgical Specialists

    Wichita, Kansas, 67214

Other trials in United States

About this study

Official title: A Phase IV Study to Assess the Effect of Naltrexone Hydrochloride Extended Release (ER) and Bupropion Hydrochloride ER Combination (Contrave®/Mysimba®) on the Occurrence of Major Adverse Cardiovascular Events

A randomized, double-blinded, placebo controlled study intended to capture cardiovascular outcomes during real-world use of naltrexone/bupropion (NB).

Read the detailed description

This multi-center, prospective, randomized, pragmatic, double-blinded study has been designed to capture cardiovascular (CV) outcomes during the real-world use of NB after initial randomization. The aim of the study is to assess whether patients receiving treatment with NB are at an elevated risk of experiencing MACE compared with patients receiving placebo. Both patient groups will also be counselled to lose weight via a reduced-calorie diet and increased physical activity.

Conditions
Obesity
Being tested
Naltrexone-Bupropion (NB) Combination, Placebo
Medical subject headings
Obesity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Naltrexone-Bupropion (NB) CombinationDrug

    A total daily dosage of two NB 8 mg/90 mg tablets twice daily (32 mg/360 mg) is reached at the start of Week 4.

  • PlaceboDrug

    A total daily dosage of two placebo tablets twice daily (in an identical, non-medicine containing tablet) is reached at the start of Week 4.

Study groups in NCT06098079
Study groupRoleWhat they receive
Naltrexone/Bupropion (NB)Active comparatorPatients will be randomly assigned to NB (naltrexone 8 mg and bupropion 90 mg) extended-release oral tablet.
Receives: Drug: Naltrexone-Bupropion (NB) Combination
PlaceboPlacebo comparatorPatients will be randomly assigned to placebo.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Occurrence of Cardiovascular Death

    Occurrence of cardiovascular death in number of study patients receiving NB compared with number of study patients receiving placebo.

    Measured: Treatment initiation through 1 year following treatment termination.

  2. Occurrence of Non-fatal Myocardial Infarction (MI)

    Occurrence of MI in number of study patients receiving NB compared with number of study patients receiving placebo. MI will be identified using current standard diagnostic criteria, such as the 2017 Cardiovascular and Stroke Endpoints Definitions for Clinical Trials.

    Measured: Treatment initiation through 1 year following treatment termination.

  3. Occurrence of Non-fatal Stroke

    Occurrence of non-fatal stroke in number of study patients receiving NB compared with number of study patients receiving placebo. Stroke will be identified using current standard diagnostic criteria, such as the 2017 Cardiovascular and Stroke Endpoints Definitions for Clinical Trials.

    Measured: Treatment initiation through 1 year following treatment termination.

Secondary outcomes (3)
  1. Comparative Rates of Cardiovascular Death

    Comparative rates of cardiovascular death between number of study patients receiving NB compared to number of study patients receiving placebo.

    Measured: Treatment initiation through 1 year following treatment termination.

  2. Comparative Rates of Non-fatal Myocardial Infarction (MI)

    Comparative rates of non-fatal MI between number of study patients receiving NB compared to number of study patients receiving placebo.

    Measured: Treatment initiation through 1 year following treatment termination.

  3. Comparative Rates of Non-fatal Stroke

    Comparative rates of non-fatal stroke between number of study patients receiving NB compared to number of study patients receiving placebo.

    Measured: Treatment initiation through 1 year following treatment termination.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Oct 2023
  2. Study start3 Jan 2024
  3. Primary completionJan 2029 (estimated)
  4. Study completionJul 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
8,600 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06098079
Sponsor's protocol ID
NB-CVOT3
Acronym
INFORMUS
Status last verified
Mar 2026
First submitted
13 Oct 2023
Last updated
31 Mar 2026
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Naltrexone-Bupropion (NB) Combination in people with Obesity, run by Currax Pharmaceuticals at 140 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 17 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 31 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 140 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Occurrence of Cardiovascular Death (time frame: Treatment initiation through 1 year following treatment termination.). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Mar 2026.

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