Pharmacological Treatment for Alcoholism
Information source: University of Virginia
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.
Condition(s) targeted: Alcohol Dependence
Intervention: Ondansetron + Cognitive Behavioral Therapy (Drug); Placebo + Cognitive Behavioral Therapy (Drug)
Phase: Phase 3
Sponsored by: Bankole Johnson
Official(s) and/or principal investigator(s):
Bankole Johnson, M.D., Ph.D., Principal Investigator, Affiliation: University of Virginia
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.
Official title: Pharmacological Treatment for Alcoholism
Study design: Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
Primary outcome: Self-reported measure of alcohol consumption (Drinks per Day, Drinks per Drinking Day, Percent Days Abstinent), CDT (ondansetron level), GGT, BAC
Secondary outcome: Pill count, CIWA-Ar, OCDS, Age of onset, SFQ, AASE, ADBS, CGI, TCI, MAC, attendace at psychosocial services
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.
Minimum age: 18 Years.
Maximum age: N/A.
- 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
- Answer an advertisement in the newspaper/radio/television, and express a wish to stop
- Willingness to participate in behavioral treatments for alcoholism.
- 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
- 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
- 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.
Locations and Contacts
UVA Center for Addiction Research and Education, Charlottesville, Virginia 22911, United States
(UVA CARE Website)
Starting date: June 2006
Last updated: February 3, 2012