Alcohol Dependence Clinical Trial
Official title:
A Randomised Controlled Trial of Cannabidiol (CBD) for the Treatment of Alcohol Withdrawal
This study will explore the effectiveness and tolerability of Cannabidiol (CBD) in the treatment of alcohol withdrawal symptoms in an inpatient setting, in a double-blind randomised placebo-controlled trial.
New treatment strategies for treating symptoms of alcohol dependence are urgently needed.
Although alcohol related disorders are a leading cause of preventable death in Australia,
their treatment is generally not evidence-based. Contemporary treatment for managing alcohol
withdrawal in Australia involves administration of benzodiazepines that, while often
effective for managing withdrawal symptoms, have concerns regarding their use including: a
major abuse liability potential in this population; their sedating effects and potential for
adverse events (e.g. falls, overdose, cognitive impairment) if used in combination with other
sedatives; and an increased risk of relapse due to symptoms of alcohol dependence that return
after cessation of treatment (e.g. increased sleep problems and anxiety). However, no other
safe and effective alternatives to benzodiazepines in treating alcohol withdrawal have yet
been demonstrated.
This project will pilot the clinical efficacy and tolerability of Cannabidiol (CBD) relative
to placebo in the treatment of alcohol withdrawal in an inpatient setting across two study
sites.
This is a double-blind, randomised controlled design. The trial will recruit 52 participants
undergoing alcohol withdrawal, using a 1:1 random allocation into one of two treatment groups
as follows: (1) CBD (Day 1: 1200 mg/day; Day 2-4: 800 mg/day; Day 5: placebo washout; n =
26), or (2) matched placebo (n = 26). All participants will be administered a symptom
triggered diazepam medication regimen, as per conventional best-practice management of
alcohol withdrawal.
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