Pharmacological Treatment for Alcoholism

Alcohol Dependence Clinical Trial

Official title:

Pharmacological Treatment for Alcoholism

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00382642
• Other study ID #: R01AA010522-11
• Secondary ID: R01AA010522
• Status: Completed
• Phase: Phase 3
• First received: September 28, 2006
• Last updated: February 3, 2012
• Start date: June 2006
• Est. completion date: December 2009

Study information

• Verified date: February 2012
• Source: University of Virginia
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Food and Drug Administration
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to learn whether ondansetron is safe and effective in the treatment of alcohol dependence. We also want to learn whether the study drug ondansetron combined with Cognitive Behavioral Therapy will assist researchers to determine whether having a certain gene is responsible for determining how a person benefits or does not benefit from the use of ondansetron for alcohol dependence.

Description:

This is a 13 week outpatient clinical trial. Participants will either receive ondansetron or placebo and behavioral therapy. There is a 1, 2, and 3 month post-study follow up visit.Screening for this study is initially done over the telephone and takes 15-20 minutes. If participants are eligible after the initial screen, they will be invited to come in for a more thorough in house screen which takes about 5 to 6 hours. The screening will include a physical exam, review of medical, alcohol and drug histories and blood collection. If participants are found to be eligible after the in house screen, they will be enrolled in the 13 week outpatient clinical trial.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 283
• Est. completion date: December 2009
• Est. primary completion date: March 2009
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Males and females who have given written informed consent.

• Ages 18 years and above and, must weigh at least 40 Kg and no more than 140 Kg

• Good physical health as determined by a complete physical examination, an EKG within normal limits, and laboratory screening tests within acceptable parameters.

• Audit score equal or more than 8

• Current DSM-IV diagnosis of alcohol dependence

• Currently drinking equal or more than 14 alcohol units/week for women and equal or more than 21 alcohol units/week for men in the last 30 days.

• Provide evidence of stable residence in the last month prior to enrollment in the study, and have no plans to move in the next three months.

• The pregnancy test for females at intake must be negative. Additionally, women of childbearing potential must be using an acceptable form of contraception. These include: oral contraceptives, hormonal (levonorgestrel) or surgical implants, or barrier plus spermicide.

• Literate in English and able to read, understand, and complete the ratings scales and questionnaires accurately, follow instructions, and make use of the behavioral treatments.

• Answer an advertisement in the newspaper/radio/television, and express a wish to stop drinking.

• Willingness to participate in behavioral treatments for alcoholism.

Exclusion Criteria:

• Subjects who are legally mandated to participate in an alcohol treatment program.

• Any current axis I DSM IV psychiatric disorder other than alcohol or nicotine dependence

• Elevation of liver enzymes - (SGOT), serum glutamic pyruvic transaminase (SGPT), blood urea nitrogen (BUN), or lactate dehydrogenase (LDH) greater than four times the normal range, or clinically significant elevated direct bilirubin as deemed by the principal investigator.

• Severe alcohol withdrawal symptoms which in the physicians opinion requires inpatient treatment.

• Serious medical co-morbidity requiring medical intervention or close supervision, or any condition, which can interfere with the receipt of ondansetron.

• Severe or life-threatening adverse reactions to ondansetron or similar medication either in the past or during this clinical trial.

• Female patients who are pregnant, lactating, or not adhering to an acceptable form of contraception at any time during the study.

• Received inpatient or outpatient treatment for alcohol dependence within the last 30 days (support groups such as AA are not exclusionary).

• Compelled to participate in an alcohol treatment program to maintain their liberty.

• Members of the same household.

• Treated with any medications having a potential effect on alcohol consumption and related behaviors, or mood. These include: opiate antagonist (e.g. naltrexone), glutamate antagonists (e.g., acamprosate), serotonin re-uptake inhibitors (e.g. fluoxetine), serotonin antagonists (e.g. ritanserin or buspirone), other antidepressants (e.g. tricyclic antidepressants or monoamine oxidase inhibitors), dopamine antagonists (e.g. haloperidol), calcium channel antagonists (e.g. isradipine), or compounds with actions similar to disulfiram (antabuse) or nicotine.

• Before double-blind randomization, urine must be free of opiates, cocaine, amphetamines, barbiturates, benzodiazepines, prescription and non-prescription drugs.

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Alcohol Dependence
• Alcoholism

Intervention

Drug:
• Ondansetron + Cognitive Behavioral Therapy
13 week outpatient trial
• Placebo + Cognitive Behavioral Therapy
13 week outpatient trial

Locations

Country	Name	City	State
United States	UVA Center for Addiction Research and Education	Charlottesville	Virginia

Sponsors (2)

Lead Sponsor	Collaborator
Bankole Johnson	National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Self-reported measure of alcohol consumption (Drinks per Day, Drinks per Drinking Day, Percent Days Abstinent), CDT (ondansetron level), GGT, BAC		Throughout the study	Yes
Secondary	Pill count, CIWA-Ar, OCDS, Age of onset, SFQ, AASE, ADBS, CGI, TCI, MAC, attendace at psychosocial services	medication compliance, withdrawal, alcohol craving, social functioning and motivation	Throughout the study	Yes

External Links

•   (UVA CARE Website)