Page last updated: 2024-10-17

bupropion and Diabetes Mellitus, Type 2

bupropion has been researched along with Diabetes Mellitus, Type 2 in 14 studies

Bupropion: A propiophenone-derived antidepressant and antismoking agent that inhibits the uptake of DOPAMINE.
bupropion : An aromatic ketone that is propiophenone carrying a tert-butylamino group at position 2 and a chloro substituent at position 3 on the phenyl ring.

Diabetes Mellitus, Type 2: A subclass of DIABETES MELLITUS that is not INSULIN-responsive or dependent (NIDDM). It is characterized initially by INSULIN RESISTANCE and HYPERINSULINEMIA; and eventually by GLUCOSE INTOLERANCE; HYPERGLYCEMIA; and overt diabetes. Type II diabetes mellitus is no longer considered a disease exclusively found in adults. Patients seldom develop KETOSIS but often exhibit OBESITY.

Research Excerpts

ExcerptRelevanceReference
"To assess the efficacy and safety of 32 mg naltrexone sustained-release (SR)/360 mg bupropion SR (NB) in overweight/obese individuals with type 2 diabetes with or without background oral antidiabetes drugs."9.17Effects of naltrexone sustained-release/bupropion sustained-release combination therapy on body weight and glycemic parameters in overweight and obese patients with type 2 diabetes. ( Bays, H; Burns, C; Fujioka, K; Greenway, F; Gupta, AK; Hollander, P; Klassen, P; Plodkowski, R, 2013)
"Contrave(®) is a combination of naltrexone hydrochloride extended release and bupropion hydrochloride extended release for the treatment of obesity, and is used with lifestyle modification."8.93Naltrexone/bupropion for the treatment of obesity and obesity with Type 2 diabetes. ( Apovian, CM, 2016)
"Ninety-three patients with type 2 diabetes and major depressive disorder (MDD) received bupropion hydrochloride in a two-phase, open-label treatment trial."7.74Factors influencing glycemic control in type 2 diabetes during acute- and maintenance-phase treatment of major depressive disorder with bupropion. ( Clouse, RE; Lustman, PJ; Nix, BD; Sayuk, GS; Williams, MM, 2007)
"The prevalence of obesity is growing rapidly worldwide, and therefore there is a need for effective treatment strategies."6.47Naltrexone sustained-release (SR) + bupropion SR combination therapy for the treatment of obesity: 'a new kid on the block'? ( Hatzitolios, AI; Katsiki, N; Mikhailidis, DP, 2011)
"To assess the efficacy and safety of 32 mg naltrexone sustained-release (SR)/360 mg bupropion SR (NB) in overweight/obese individuals with type 2 diabetes with or without background oral antidiabetes drugs."5.17Effects of naltrexone sustained-release/bupropion sustained-release combination therapy on body weight and glycemic parameters in overweight and obese patients with type 2 diabetes. ( Bays, H; Burns, C; Fujioka, K; Greenway, F; Gupta, AK; Hollander, P; Klassen, P; Plodkowski, R, 2013)
"Contrave(®) is a combination of naltrexone hydrochloride extended release and bupropion hydrochloride extended release for the treatment of obesity, and is used with lifestyle modification."4.93Naltrexone/bupropion for the treatment of obesity and obesity with Type 2 diabetes. ( Apovian, CM, 2016)
" This analysis looked at the add-on of NB to incretins to see if weight loss could occur in patients already stabilized on incretin agents."4.02Extended-release naltrexone/bupropion is safe and effective among subjects with type 2 diabetes already taking incretin agents: a post-hoc analysis of the LIGHT trial. ( Barakat, M; Blavignac, J; Burrows, M; Camacho, F; Christensen, RAG; Gould, E; Kamran, E; Wharton, S; Yin, P, 2021)
"Ninety-three patients with type 2 diabetes and major depressive disorder (MDD) received bupropion hydrochloride in a two-phase, open-label treatment trial."3.74Factors influencing glycemic control in type 2 diabetes during acute- and maintenance-phase treatment of major depressive disorder with bupropion. ( Clouse, RE; Lustman, PJ; Nix, BD; Sayuk, GS; Williams, MM, 2007)
"Cigarette smokers with diabetes have poor uptake, awareness and knowledge of NRT and bupropion as aids to smoking cessation."3.73Awareness and use of smoking cessation treatments among diabetic patients. ( Gill, GV; MacFarlane, IA; Morgan, C, 2005)
"Obesity is a major cause of type 2 diabetes and may complicate type 1 diabetes."2.58Medication use for the treatment of diabetes in obese individuals. ( Wilding, JPH, 2018)
"The prevalence of obesity is growing rapidly worldwide, and therefore there is a need for effective treatment strategies."2.47Naltrexone sustained-release (SR) + bupropion SR combination therapy for the treatment of obesity: 'a new kid on the block'? ( Hatzitolios, AI; Katsiki, N; Mikhailidis, DP, 2011)
"Major depressive disorder (MDD) and type 2 diabetes have independent adverse effects on sexual functioning (SF)."1.37Improvement in sexual functioning in patients with type 2 diabetes and depression treated with bupropion. ( Gott, BM; Lustman, PJ; Nix, BD; Sayuk, GS, 2011)
"CONCLUSIONS In patients with type 2 diabetes, poor initial response to antidepressant medication is predicted by multiple factors."1.36Antidepressant pharmacotherapy in adults with type 2 diabetes: rates and predictors of initial response. ( Anderson, RJ; Freedland, KE; Gott, BM; Lustman, PJ; Sayuk, GS, 2010)

Research

Studies (14)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's3 (21.43)29.6817
2010's9 (64.29)24.3611
2020's2 (14.29)2.80

Authors

AuthorsStudies
BouSaba, J1
Vosoughi, K1
Dilmaghani, S1
Prokop, LJ1
Camilleri, M1
Wharton, S1
Yin, P1
Burrows, M1
Gould, E1
Blavignac, J1
Christensen, RAG1
Kamran, E1
Camacho, F1
Barakat, M1
Wilding, JPH1
Xing, S1
Kim, S1
Schumock, GT1
Touchette, DR1
Calip, GS1
Leow, AD1
Lee, TA1
Gravel, S1
Chiasson, JL1
Turgeon, J1
Grangeon, A1
Michaud, V1
Hollander, P1
Gupta, AK1
Plodkowski, R1
Greenway, F1
Bays, H1
Burns, C1
Klassen, P1
Fujioka, K1
Yang, M1
Chen, H1
Johnson, ML1
Essien, EJ1
Peters, RJ1
Wu, IH1
Abughosh, SM1
Apovian, CM1
Anderson, RJ1
Gott, BM2
Sayuk, GS3
Freedland, KE1
Lustman, PJ3
Katsiki, N1
Hatzitolios, AI1
Mikhailidis, DP1
Nix, BD2
Gill, GV1
Morgan, C1
MacFarlane, IA1
Williams, MM1
Clouse, RE1
Aylwin, S1
Al-Zaman, Y1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Effects of Type 2 Diabetes on CYP450s Activities; Intersubject Variability in Drug Metabolism.[NCT02291666]Phase 473 participants (Actual)Interventional2015-04-30Completed
A Multicenter, Randomized, Double Blind, Placebo Controlled Study Comparing the Safety and Efficacy of Naltrexone 32 mg Sustained Release (SR)/Bupropion 360 mg Sustained Release (SR) and Placebo in Obese Subjects With Type 2 Diabetes Mellitus[NCT00474630]Phase 3505 participants (Actual)Interventional2007-05-31Completed
Care Management Technology to Facilitate Depression Care in Safety Net Diabetes Clinics[NCT01781013]1,485 participants (Actual)Interventional2010-06-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Body Weight- Proportion of Subjects With ≥10% Decrease

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercentage of participants (Number)
NB3218.49
Placebo5.66

Change in Diastolic Blood Pressure

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionmm Hg (Least Squares Mean)
NB32-1.06
Placebo-1.47

Change in Fasting Blood Glucose Levels

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionmg/dL (Least Squares Mean)
NB32-11.87
Placebo-4.02

Change in Fasting HDL Cholesterol Levels

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionmg/dL (Least Squares Mean)
NB323.03
Placebo-0.29

Change in Fasting Insulin Levels, Using Log-transformed Data

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercent change (Least Squares Mean)
NB32-13.48
Placebo-10.35

Change in Fasting LDL Cholesterol Levels

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionmg/dL (Least Squares Mean)
NB32-1.44
Placebo-0.01

Change in Fasting Triglycerides Levels, Using Log-transformed Data

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercent change (Least Squares Mean)
NB32-11.20
Placebo-0.80

Change in Food Craving Inventory Carbohydrates Subscale Score

The Food Craving Inventory is a 33-item self-report measure designed to assess specific food cravings and is organized into 4 subscales (high fats, sweets, carbohydrates/starches, and fast-food fats). A craving was defined as an intense desire to consume a particular food (or food type) that was difficult to resist over the past month. Subjects rated their frequency of cravings for each of the 33 items using a 5-point scale, where 1=never, 2=rarely, 3=sometimes, 4=often, and 5=always. The carbohydrates subscale consisted of 8 items and the score ranges from 8 (better outcome) to 40 (worse outcome). (NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionunits on a scale (Least Squares Mean)
NB32-1.48
Placebo-1.52

Change in Food Craving Inventory Sweets Subscale Score

The Food Craving Inventory is a 33-item self-report measure designed to assess specific food cravings and is organized into 4 subscales (high fats, sweets, carbohydrates/starches, and fast-food fats). A craving was defined as an intense desire to consume a particular food (or food type) that was difficult to resist over the past month. Subjects rated their frequency of cravings for each of the 33 items using a 5-point scale, where 1=never, 2=rarely, 3=sometimes, 4=often, and 5=always. The sweets subscale consisted of 8 items and the score ranges from 8 (better outcome) to 40 (worse outcome). (NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionunits on a scale (Least Squares Mean)
NB32-1.97
Placebo-2.40

Change in HbA1c Levels

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercent (Least Squares Mean)
NB32-0.63
Placebo-0.14

Change in High-sensitivity C Reactive Protein (Hs-CRP) Levels, Using Log-transformed Data

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercent change (Least Squares Mean)
NB32-20.91
Placebo-13.29

Change in HOMA-IR Levels, Using Log-transformed Data

HOMA-IR= Homeostasis Model Assessment-Insulin Resistance (NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercent change (Least Squares Mean)
NB32-20.56
Placebo-14.67

Change in IDS-SR Total Scores

IDS-SR= Inventory of Depressive Symptoms-Subject Rated IDS-SR total score is based on 30 items. The total score can range from 0-84, with 0 being no depressive symptoms and 84 being very severe depressive symptoms. A total score ≤ 13 indicates no depression. (NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionunits on a scale (Least Squares Mean)
NB320.01
Placebo-1.60

Change in IWQOL-Lite Total Scores

IWQOL-Lite= Impact of Weight on Quality of Life-Lite Questionnaire Total score is based on a scale from 0 to 100, with 0 representing the poorest and 100 the best quality of life and where a score of 71-79 indicates moderate impairment (NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionunits on a scale (Least Squares Mean)
NB329.27
Placebo7.90

Change in Question 19 From 21-Item COE (Control of Eating) Questionnaire

Question 19: Generally, how difficult has it been to control your eating? Scoring: 0=not at all difficult; 100=extremely difficult (NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionunits on a scale (Least Squares Mean)
NB32-11.89
Placebo-6.91

Change in Systolic Blood Pressure

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionmm Hg (Least Squares Mean)
NB320.03
Placebo-1.12

Change in Waist Circumference

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventioncm (Least Squares Mean)
NB32-4.97
Placebo-2.89

Co-primary: Body Weight- Mean Percent Change

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercentage of body weight (Least Squares Mean)
NB32-5.03
Placebo-1.75

Co-primary: Body Weight- Proportion of Subjects With ≥5% Decrease

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercentage of participants (Number)
NB3244.53
Placebo18.87

HbA1c- Proportion of Subjects With HbA1c <6.5% at Endpoint

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercentage of participants (Number)
NB3220.72
Placebo10.22

HbA1c- Proportion of Subjects With HbA1c <7% at Endpoint

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercentage of participants (Number)
NB3244.14
Placebo26.28

Percent of Subjects Discontinuing Due to Poor Glycemic Control

Due to pre-specified hypothesis testing design, no formal statistical inference testing was performed. Odds ratio not calculated as there were no subjects in the NB32 group that discontinued due to poor glycemic control. (NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercentage of participants (Number)
NB320
Placebo1.89

Percent of Subjects Requiring Rescue Medications for Diabetes

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercentage of participants (Number)
NB3222.26
Placebo35.22

Percent of Subjects With Dose Increase in Oral Antidiabetes Medications

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercentage of participants (Number)
NB323.02
Placebo1.26

Percent of Subjects With Dose Reduction in Oral Antidiabetes Medications

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercentage of participants (Number)
NB321.89
Placebo1.26

Reviews

5 reviews available for bupropion and Diabetes Mellitus, Type 2

ArticleYear
Pharmacogenetic interactions of medications administered for weight loss in adults: a systematic review and meta-analysis.
    Pharmacogenomics, 2023, Volume: 24, Issue:5

    Topics: Adult; Bupropion; Diabetes Mellitus, Type 2; Glucagon-Like Peptide 1; Glucagon-Like Peptide-1 Recept

2023
Medication use for the treatment of diabetes in obese individuals.
    Diabetologia, 2018, Volume: 61, Issue:2

    Topics: Animals; Benzazepines; Bupropion; Diabetes Mellitus, Type 2; Glucagon-Like Peptide 1; Humans; Lacton

2018
Naltrexone/bupropion for the treatment of obesity and obesity with Type 2 diabetes.
    Future cardiology, 2016, Volume: 12, Issue:2

    Topics: Adult; Anti-Obesity Agents; Bupropion; Diabetes Mellitus, Type 2; Drug Combinations; Humans; Naltrex

2016
Naltrexone sustained-release (SR) + bupropion SR combination therapy for the treatment of obesity: 'a new kid on the block'?
    Annals of medicine, 2011, Volume: 43, Issue:4

    Topics: Bupropion; Clinical Trials, Phase III as Topic; Delayed-Action Preparations; Diabetes Mellitus, Type

2011
Emerging concepts in the medical and surgical treatment of obesity.
    Frontiers of hormone research, 2008, Volume: 36

    Topics: Adipose Tissue; Amyloid; Anticonvulsants; Antidepressive Agents; Anxiety; Appetite Regulation; Baria

2008

Trials

1 trial available for bupropion and Diabetes Mellitus, Type 2

ArticleYear
Effects of naltrexone sustained-release/bupropion sustained-release combination therapy on body weight and glycemic parameters in overweight and obese patients with type 2 diabetes.
    Diabetes care, 2013, Volume: 36, Issue:12

    Topics: Adolescent; Adult; Aged; Antidepressive Agents, Second-Generation; Blood Glucose; Body Weight; Bupro

2013

Other Studies

8 other studies available for bupropion and Diabetes Mellitus, Type 2

ArticleYear
Extended-release naltrexone/bupropion is safe and effective among subjects with type 2 diabetes already taking incretin agents: a post-hoc analysis of the LIGHT trial.
    International journal of obesity (2005), 2021, Volume: 45, Issue:8

    Topics: Aged; Anti-Obesity Agents; Body Weight; Bupropion; Diabetes Mellitus, Type 2; Female; Humans; Hypogl

2021
Risk of Diabetes Hospitalization or Diabetes Drug Intensification in Patients With Depression and Diabetes Using Second-Generation Antipsychotics Compared to Other Depression Therapies.
    The primary care companion for CNS disorders, 2018, May-10, Volume: 20, Issue:3

    Topics: Adolescent; Adult; Antidepressive Agents, Second-Generation; Antidepressive Agents, Tricyclic; Antip

2018
Modulation of CYP450 Activities in Patients With Type 2 Diabetes.
    Clinical pharmacology and therapeutics, 2019, Volume: 106, Issue:6

    Topics: Adult; Aged; Bupropion; Caffeine; Case-Control Studies; Chlorzoxazone; Cytochrome P-450 CYP1A2; Cyto

2019
Comparison of Diabetes Risk Following Smoking Cessation Treatment Using Varenicline Versus Bupropion Among Obese Smokers.
    Substance use & misuse, 2015, Volume: 50, Issue:13

    Topics: Adolescent; Adult; Aged; Bupropion; Cohort Studies; Comorbidity; Diabetes Mellitus, Type 2; Dopamine

2015
Antidepressant pharmacotherapy in adults with type 2 diabetes: rates and predictors of initial response.
    Diabetes care, 2010, Volume: 33, Issue:3

    Topics: Adult; Aged; Antidepressive Agents; Biomarkers, Pharmacological; Bupropion; Depressive Disorder, Maj

2010
Improvement in sexual functioning in patients with type 2 diabetes and depression treated with bupropion.
    Diabetes care, 2011, Volume: 34, Issue:2

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Antidepressive Agents, Second-Generation; Bupropion; Dep

2011
Awareness and use of smoking cessation treatments among diabetic patients.
    Diabetic medicine : a journal of the British Diabetic Association, 2005, Volume: 22, Issue:5

    Topics: Aged; Antidepressive Agents, Second-Generation; Bupropion; Diabetes Mellitus, Type 2; Female; Health

2005
Factors influencing glycemic control in type 2 diabetes during acute- and maintenance-phase treatment of major depressive disorder with bupropion.
    Diabetes care, 2007, Volume: 30, Issue:3

    Topics: Absorptiometry, Photon; Adult; Age of Onset; Antidepressive Agents, Second-Generation; Blood Glucose

2007