Mushrooms and a repurposed antidepressant: a new recipe for weight loss?
NCT ID NCT07806279
First seen Sep 08, 2026 · Last updated Sep 09, 2026 · Updated 1 time
Summary
This 52-week trial tests whether combining a structured lifestyle program with a mushroom-based supplement and the drug bupropion helps overweight adults lose weight and lower cardiometabolic risk. About 250 adults aged 18 to 55 with a BMI between 25 and 35 will be randomly assigned to different combinations of these approaches. Researchers will measure changes in body weight and the proportion of participants who achieve at least a 5% weight reduction. The goal is to find a sustainable, primary-care-friendly strategy for obesity prevention.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- bupropion (an antidepressant that may aid weight loss) and a mushroom-based dietary supplement
- What this could lead to
- If it works, this could point toward a practical, long-term weight management strategy that combines lifestyle coaching, a natural supplement, and a repurposed drug to lower obesity-related health risks.
- What could go wrong
- The trial is still testing, and results may show no added benefit from the supplement or drug. Bupropion can cause side effects like insomnia, dry mouth, or increased blood pressure, and weight loss may not be sustained after treatment stops.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 250 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 55 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Men and women aged 18-55 years. * BMI of 25.0 - 34.9 kg/m2. * Signed informed consent. * Have a mobile phone, tablet, or computer with internet access. * Cardiometabolic risk factors: a) None of the following diagnoses: hypertension, hyperlipidemia, or prediabetes according to WHO classification (Stratum A); b) One or several of the following diagnoses: hypertension, hyperlipidemia, or prediabetes according to WHO classification (Stratum B). * For women of childbearing potential: use of a highly effective birth control method Exclusion Criteria: * Present food intolerances and/or allergies of relevance to the interventions, such as celiac disease and allergy to edible mushrooms or fungal spores. * Contraindication to bupropion, or any unacceptable risk with either treatment as assessed by the investigator. Specifically, and not covered elsewhere: 1. History of epilepsy or lowered seizure threshold; 2. History of bulimia or anorexia nervosa; 3. Central nervous system tumor; 4. Hypersensitivity to bupropion; 5. History of bipolar disorder; 6. Known or suspected Brugada syndrome; * Current or recent adherence to a low-calorie diet, receipt of pharmacological treatment for weight loss, and/or weight loss of \> 3 kg within the past 3 months. * Previous or planned bariatric surgery * Diagnosed diabetes, coronary heart disease, heart failure, stroke, liver failure or kidney disease (eGFR\<60 ml/min/1.73m2) as well as other ongoing serious conditions with short life expectancy or conditions affecting participation in the study. * Any condition, as judged by the investigator, that suggests that the participant will be non-compliant or otherwise unsuitable to study medication or study participation. For example, serious psychiatric, eating, alcohol or substance abuse disorders. * Use of the following medications within indicated time frames: 1. Other bupropion-containing products (last 2 weeks); 2. Other weight lowering-drugs: orlistat, phentermine-topiramate, sodium-glucose transporter 2 inhibitors (SGLT2i), GLP-1 receptor agonists (last 3 months); 3. Antipsychotics, mirtazapine, tricyclic antidepressants, serotonin-norepinephrine reuptake inhibitors (last 3 months); 4. MAOIs (last 2 weeks); 5. Systemic glucocorticoids (last 3 months); 6. Testosterone, anabolic steroids (last 6 months); 7. Medications not listed above that are metabolized by CYP2D6; 8. Medications that affect CYP2B6; * Be pregnant or intend to become pregnant during the study period. * Involvement in the planning and/or conduct of the study. * Ongoing participation in another interventional clinical trial.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
3 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Akademiskt Primärvårdscentrum, Samariterhemmets Vårdcentral
Uppsala, Sweden
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Uppsala University Hospital
Uppsala, Sweden
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Vårdcentralen Närhälsan Dalaberg
Uddevalla, Sweden
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