Vivitrol for Reducing Driving While Impaired Behavior Among Repeat Offenders

Alcohol Consumption Clinical Trial

Official title:

Vivitrol for Reducing Driving While Impaired Behavior Among Repeat Offenders-a Pilot Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00537745
• Other study ID #: C18816/6075/DP/US
• Secondary ID: 0328.01.01
• Status: Completed
• Phase: Phase 4
• First received: September 28, 2007
• Last updated: August 23, 2012
• Start date: April 2007
• Est. completion date: May 2009

Study information

• Verified date: August 2012
• Source: Pacific Institute for Research and Evaluation
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to determine whether Vivitrol is effective at reducing attempts to drive after drinking among repeat driving while intoxicated (DWI) offenders with Ignition Interlock devices.

Description:

We propose to conduct an open label trial of Vivitrol in combination with an individual compliance enhancement therapy known as Medication Management Therapy (MMT) as an adjunct to Ignition Interlock in the management and treatment of DWI. Subjects will be recruited from a local Interlock provider. This program of research will collect pilot data for a study to determine whether pharmacotherapy, previously recognized as effective, can be successfully combined with existing counseling treatments and sanctions for persons convicted of a repeat DWI alcohol offense. We will investigate the extent to which this combination of sanctions and treatment will significantly decrease attempts to drive after drinking among offenders, and whether the effect persists following discontinuation of Vivitrol.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 14
• Est. completion date: May 2009
• Est. primary completion date: May 2009
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria

• Age = 18

• Capable of understanding and complying with the protocol, and has signed the informed consent document

• Been convicted of a DWI offense, have at least one additional arrest for DWI, and be entering an ignition interlock program

• They must be able to participate in a 6 month outpatient study; and reside within a one-hour commute to the research site

• Women of childbearing potential must have a negative pregnancy test, use contraceptive methods, and not be breastfeeding

• Negative urine toxicological screen for opiates at screening and randomization

• Has a non-custodial stable residence and telephone

Exclusion Criteria

• Is pregnant and/or currently breastfeeding

• Has a clinically significant medical condition or observed abnormality that is contraindicated for Vivitrol treatment

• Is taking an excluded medication, including but not limited to benzodiazepines, anticonvulsants, opiates, or alcohol treatment medication

• Not stable on current anti-depressant, as evidenced by less than 3 months at current dosage, plans to discontinue, or plans to change the dosage

• Has been hospitalized for medical detoxification within 30 days of screening

• Has evidence of severe kidney, heart, or lung disease

• Has evidence of severe hepatic disease (as evidence by BUN > 10% above ULN, AST, ALT > 3x ULN, and GGT > 5x ULN at randomization)

• Known or suspected hypersensitivity to naltrexone and/or Vivitrol in particular

• Current diagnosis and symptoms of major depression, anxiety disorder, mania or psychosis (subjects with their illness in remission for 3 months may be included)

• Opioid use within the past 14 days and/or current or recent (within the past year) diagnosis of dependence or abuse of opiates, benzodiazepines, or cocaine.

• Current or anticipated need for prescribed opiate medication during the study period

• Medication with naltrexone, disulfiram, acamprosate or other medication used to treat alcoholism within the past 30 days

• Impending incarceration or other known situation that would preclude participation in the study

• Other non-alcohol Axis I substance dependence diagnosis in the past 12 months, excluding nicotine, marijuana, and caffeine

• Has participated in a clinical trial of a pharmacological agent within 30 days of screening

• Has any finding that in the view of the principal investigator would compromise the subject's ability to fulfill the protocol visit schedule, and/or visit requirements or would affect subject safety during participation

Study Design

Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Alcohol Consumption
• Alcohol Drinking

Intervention

Drug:
• Vivitrol (Medication Therapy)
Vivitrol 380 mg/monthly

Other:
• Medication Management Therapy
Medication Management Therapy once a month.

Locations

Country	Name	City	State
United States	Behavioral Health Research Center of the Southwest	Albuquerque	New Mexico

Sponsors (2)

Lead Sponsor	Collaborator
Pacific Institute for Research and Evaluation	Cephalon

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Evidence of Attempts to Drive After Drinking	This was measured as Percent of days with an Interlock report of "Failure to Start" due to alcohol pre/on medication and 6 months post medication.	6 months	No
Primary	% Days w/1+Interlock Test Failures	This describes the percent of days in past month where the subject at least 1 interlock test failure.	One month post treatment	No