Baclofen for Anxiety and Alcohol Use Disorder (AUD): an Open Label Study (BAC2)
Investigating the Efficacy of Baclofen in Patients with Alcohol Use Disorder (AUD) and Comorbid Anxiety Symptoms
The goal of this clinical trial is to determine the efficacy of baclofen for the treatment of alcohol use disorder (AUD) in patients with or without comorbid anxiety symptoms. The main questions it aims to answer are:
- Do we see more abstinent days after the study period in patients with high anxiety symptoms compared to low anxiety symptoms?
- Do we observe additional differences between patients with high- and low anxiety symptoms in: any drinking at the end of treatment (yes/no), number of patients who respond to treatment, anxiety score reduction, autonomic responses, craving scores, drinking motives and side effects?
Participants already taking baclofen as part of routine clinical care for treatment of AUD will be asked to answer several questionnaires over a 6 week study period.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Cleo L Crunelle
- Phone Number: +32 477 77 22
- Email: cleo.crunelle@vub.be
Study Locations
-
-
Brussel
-
Jette, Brussel, Belgium, 1090
- Recruiting
- Universitair Ziekenhuis Brussel
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Meeting DSM-5 criteria for AUD
- Able to understand and provide written consent
- Already receiving baclofen or started with baclofen at start of hospitalization
- Therapeutic desire towards alcohol abstinence
Exclusion Criteria:
- Concurrent substance use disorder other than nicotine or cannabis
- Clinically significant psychiatric illness that requires pharmacotherapy, unless stable and no changes in medication has been made in the last 30 days
- Clinically significant medical diseases that may pose a risk to continuing baclofen use
- Pregnant or currently breastfeeding women
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Baclofen
SIngle arm study, investigating baclofen as standard care uptitrated to maximal tolerated dosage upon clinical judgment and not part of the trial.
The active intervention involves questionnaires.
|
Questionnaires include: the Alcohol Use Disorder Identification Test (AUDIT), Composite Autonomic Symptom Score (COMPASS-31), Depression Anxiety Stress Scale (DASS-21), Drug Desire Questionnaire (DDQ), Drinking Motives Questionnaire short form (DMQ-SF), Mini International Neuropsychiatric Interview (MINI), PROMIS-alcohol, Timeline Follow Back (TLFB) and Visual Analog Scale for craving (VAS).
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of days abstinent
Time Frame: Weekly during 6 week study period
|
Number of days abstinent during baclofen treatment between AUD patients with and without comorbid anxiety, as measured by the TLFB.
|
Weekly during 6 week study period
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Any drinking
Time Frame: After 6 week study period
|
Any drinking (i.e.
drinking yes or no at the end of treatment) between AUD patients with and without comorbid anxiety, as measured by the TLFB.
|
After 6 week study period
|
|
Treatment response
Time Frame: After 6 week study period
|
Number of individuals who respond to baclofen treatment, defined as reducing their alcohol use by more than 30% over the 6 week study period, as measured by the TLFB.
|
After 6 week study period
|
|
Autonomic symptom responses
Time Frame: At start and after 6 week study period
|
Autonomic symptom responses measured by the COMPASS-31 assessing 6 domains of autonomic symptoms: orthostatic intolerance, vasomotor, secretomotor, gastro-intestinal, bladder and pupillomotor.
|
At start and after 6 week study period
|
|
Craving scores
Time Frame: Weekly for the VAS and bi-weekly for the DDQ during the 6 week study period
|
Craving scores measured by self-report VAS for craving and the DDQ.
|
Weekly for the VAS and bi-weekly for the DDQ during the 6 week study period
|
|
Anxiety score reduction
Time Frame: At start and after 6 week study period
|
Reduction in anxiety score measured using the DASS-21.
|
At start and after 6 week study period
|
|
Drinking motives
Time Frame: At start of 6 week study period
|
Drinking motives measured using the DMQ-SF.
|
At start of 6 week study period
|
|
Side effects
Time Frame: Weekly during 6 week study period
|
Side effects assessed by open end questions
|
Weekly during 6 week study period
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Cleo L Crunelle, Universitair Ziekenhuis Brussel
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 1432024000205
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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