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Japanese

April. 20, 2026

April. 20, 2026

jRCT1040260010

Feasibility Study of a Digital Companion Treatment Program for Eating Disorders Added to Standard Outpatient Care (Spoon DTx Feasibility Trial)

Feasibility Study of a Digital Companion Treatment Program for Eating Disorders Added to Standard Outpatient Care (Spoon DTx Feasibility Study)

Kameya Masafumi

Kanazawa University Hospital

13-1 Takaramachi, Kanazawa, Ishikawa 920-8641

+81-76-265-2307

mkame@med.kanazawa-u.ac.jp

Kameya Masafumi

Kanazawa University Hospital

13-1 Takaramachi, Kanazawa, Ishikawa 920-8641

+81-76-265-2307

mkame@med.kanazawa-u.ac.jp

Recruiting

April. 20, 2026

20

Interventional

single arm study

open(masking not used)

uncontrolled control

single assignment

treatment purpose

1) Patients with DSM-5-TR diagnosis of bulimia nervosa or anorexia nervosa
2) Age 18 years or older
3) Any gender
4) Patients who have provided written informed consent voluntarily
5) Patients who have or can be provided smartphone access to use Spoon DTx throughout the study period
6) Patients whom the treating physician judges can be safely managed in an outpatient setting

1) BMI <16.5 kg/m2 or >40 kg/m2
2) Severe depressive episode per PHQ-9 and clinical examination
3) Imminent suicide risk per C-SSRS and clinical examination, or suicide attempt within the past 6 months
4) History of illicit drug use, or DSM-5-TR diagnosis of substance use disorder
5) Start, discontinuation, or dose change of antidepressants, antipsychotics, or anxiolytics within 4 weeks before study initiation
6) Currently receiving or planned for repetitive transcranial magnetic stimulation or electroconvulsive therapy
7) Currently receiving psychotherapy other than supportive psychotherapy
8) Pregnant or possibly pregnant
9) Patients deemed ineligible by the principal investigator or co-investigator

18age old over
No limit

Both

Eating Disorders (Bulimia Nervosa, Anorexia Nervosa)

Spoon DTx eating disorder treatment app (patient app + scaleless body weight scale) is used in addition to standard outpatient psychiatric care for 12 weeks. Patients use the app for educational material viewing, workbook exercises, and dietary behavior recording, while physicians review patient data via the physician app during clinic visits and provide feedback.

Eating disorders, Bulimia nervosa, Anorexia nervosa, Digital therapeutics, Feasibility

Digital therapeutics, Smartphone application, Cognitive behavioral therapy

12-week continuation rate (proportion of participants who complete the assessment visit at 12 weeks after registration date [Day 85, allowable window Day 71-99])

[Feasibility secondary indicators] Consent rate, enrollment rate, visit completion rate, questionnaire completion rate, missing data rate, app adherence indicators (weight measurement day rate, dietary behavior recording day rate, psychotherapy program completion rate), physician app viewing status, reasons for discontinuation
[Safety outcomes] Incidence of adverse events and serious adverse events
[Clinical outcomes] EDE-Q, weight, BMI, CIA, PHQ-9, GAD-7, EQ-5D-5L, frequency of binge eating episodes in the past 4 weeks
[Usability and acceptability] SUS, CSQ-8J, subjective change in eating behavior (single item), intention to continue (single item)

Department of Neuropsychiatry, Kanazawa University Hospital
Japan Agency for Medical Research and Development (AMED) Translational Research Program Seed A (Tohoku University Hospital Clinical Research Promotion Center [CRIETO], Grant Number JP25ym0126802); Kanazawa University Hospital 2025 Competitive Research Fund (Seed B)
Not applicable
Clinical Trial Review Board of Kanazawa University Hospital
13-1, Takara-machi, Kanazawa-city, Ishikawa, Ishikawa

+81-76-265-2048

hpsangak@adm.kanazawa-u.ac.jp
Approval

Mar. 23, 2026

No

none