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Pharmacological Treatment for Alcoholism

Information source: National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Information obtained from ClinicalTrials.gov on August 08, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Alcohol Dependence

Intervention: Ondansetron (Drug); Group behavioral therapy (Behavioral)

Phase: Phase 3

Status: Recruiting

Sponsored by: National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Official(s) and/or principal investigator(s):
Bankole Johnson, M.D., Ph.D., Principal Investigator, Affiliation: University of Virginia

Overall contact:
Eva M Jenkins-Mendoza, B.S., Phone: (434)243-0562, Email: emj9c@virginia.edu

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.

Clinical Details

Official title: Pharmacological Treatment for Alcoholism

Study design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator), Placebo Control, Parallel Assignment, Safety/Efficacy Study

Primary outcome: Self-reported measure of alcohol consumption (Drinks per Day, Drinks per Drinking Day, Percent Days Abstinent)

Detailed description: This is a 13 week outpatient clinical trial. Participants will either receive ondansetron or placebo and group 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.

Eligibility

Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

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.

Locations and Contacts

Eva M Jenkins-Mendoza, B.S., Phone: (434)243-0562, Email: emj9c@virginia.edu

UVA Center for Addiction Research and Education, Charlottesville, Virginia 22911, United States; Recruiting
Additional Information

(UVA CARE Website)

Starting date: June 2006
Ending date: September 2008
Last updated: December 26, 2007

Page last updated: August 08, 2008

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