Riboflavin for Glutamate Reduction in Alcohol Withdrawal (RGRAW)

September 27, 2021 updated by: Andrew Hughes, Oregon Health and Science University
This RCT intends to investigate the use of oral Riboflavin (Vitamin B2) for reduction of blood glutamate levels in the setting of acute alcohol withdrawal. Participants will be patients admitted to an inpatient hospital unit diagnosed with acute alcohol withdrawal. In addition to receiving care as usual, they will be randomized to receive either 100mg TID riboflavin or an identically dosed placebo. The primary outcome measure will be blood glutamate levels. Secondary outcomes will include measures of alcohol withdrawal and alcohol craving. The investigators hypothesize that those in the riboflavin group will have lower blood levels of glutamate, as well as decreased symptoms of alcohol withdrawal.

Study Overview

Status

Not yet recruiting

Intervention / Treatment

Detailed Description

General Investigational Plan

Hypotheses:

  1. Aim 1: Measure the impact of daily oral riboflavin supplementation on blood Glu levels.

    Hypothesis 1: Patients receiving riboflavin will have significant reductions in blood Glu levels, as compared to placebo.

  2. Aim 2: Observe the impact of oral riboflavin on CIWA-AR scale scoring. Hypothesis 2: Riboflavin will significantly reduce the active group's CIWA-AR scores, and will result in fewer symptom triggered benzodiazepine doses, as compared to placebo.

Plan: The proposed study would apply a recently identified method using vitamin B2 (riboflavin) to reduce excess brain Glu activity in veterans in acute alcohol withdrawal. This method of "glutamate scavenging", was identified in a 2018 as a way to reduce glutamate associated brain damage which typically occurs after stroke. When tested in human patients immediately following stroke, the intervention demonstrated efficacy through better structural and functional outcomes when compared to placebo. Improvements persisted at 3 months after the initial stroke, and were not associated with any known side effects. Administration of riboflavin quickly decreases Glu levels in both the blood and brain, as measured using chromatography and Magnetic Resonance Imaging (MRI), respectively. As riboflavin's Glu reducing properties have just been discovered, this method has only been applied to the treatment of stroke, and has yet to be studied outside of the field of neurology. Further, oral riboflavin has not been investigated as a method of glutamate reduction. The hyperglutamatergic state in patients with alcohol withdrawal provides one opportunity for such an investigation, one that may lead to future studies improving treatments of alcohol withdrawal. Chronic, as well as acute alcohol users have both elevated extracellular glutamate as well as changes to glutamate receptors and transporters. These changes appear play a role in the rewarding effects of alcohol, and contribute to the symptoms of withdrawal. A positive correlation exists between CSF levels of glutamate and the severity of alcohol dependence, and patients in acute withdrawal have measurably increased levels of glutamate in their peripheral blood. During early withdrawal, elevated glutamate levels have been observed in the hippocampus and anterior cingulate cortex, returning to normal 3 days after symptom resolution. Given this information, riboflavin may provide a safe, effective, and affordable intervention to normalize the hyperglutamatergic state associated with alcohol withdrawal. The proposed study would investigate this hypothesis in patients admitted to the inpatient psychiatry unit in acute alcohol withdrawal.

Methods: Participants would be recruited on the inpatient psychiatry unit as they were admitted. The primary teams/on call residents would be asked to page a study member if a patient was admitted on the standard protocol for alcohol withdrawal: the Clinical Institute Withdrawal Assessment for Alcohol-Revised (CIWA-Ar). The study coordinator would consent the patient, and they would be randomized to either the placebo or riboflavin group. They would then receive TID oral dosing of either 100mg riboflavin or placebo, in addition to treatment as usual. The primary outcome would be daily blood glutamate levels, obtained with the normal morning labs. Secondary outcomes would CIWA scores, number of symptom-triggered benzodiazepines given, anxiety, and alcohol craving scores (using standardized measures).

Study Type

Interventional

Enrollment (Anticipated)

40

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

16 years to 63 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Adult veterans ages 18-65
  • Admitted to the inpatient psychiatric unit at the Portland VA
  • Determine by admitting physician to be currently in or at risk of alcohol withdrawal during admission
  • Placed on the CIWA-AR protocol
  • Willing to provide informed consent/HIPAA authorization and accept randomization
  • Willing to ingest three capsules/day
  • Willing to provide daily blood samples H) Fluent in English

Exclusion Criteria:

  • Known allergy to ingredients of riboflavin, capsules, or placebo ingredients
  • Taking any medication acting primarily on Glu receptors (e.g. memantine) or GABA receptors (benzodiazepines) at baseline
  • Unable to swallow capsules
  • Actively in withdrawal from substances other than alcohol
  • Unable to provide full informed consent/HIPAA authorization

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Basic Science
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Quadruple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Riboflavin
Participants in this group will receive 100mg riboflavin TID during study participation.
The intervention will consist of 100mg riboflavin (vitamin B2) given in three time daily dosing.
Other Names:
  • Vitamin B2
Placebo Comparator: Placebo
Participants in this group will receive inert placebo capsules TID during study participation.
An inert, standard placebo in identical capsules to primary intervention.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Peripheral blood glutamate level at baseline
Time Frame: Will occur on the day of enrollment in the study
measured using high performance liquid chromatography (HPLC)
Will occur on the day of enrollment in the study
Peripheral blood glutamate level, day 2
Time Frame: Will occur on day 2 of the study
measured using high performance liquid chromatography (HPLC)
Will occur on day 2 of the study
Peripheral blood glutamate level, day 4
Time Frame: Will occur on day 4 of the study
measured using high performance liquid chromatography (HPLC)
Will occur on day 4 of the study
Peripheral blood glutamate level, day 6
Time Frame: Will occur on day 6 of the study
measured using high performance liquid chromatography (HPLC)
Will occur on day 6 of the study
Peripheral blood glutamate level, day 8
Time Frame: Will occur on day 8 of the study
measured using high performance liquid chromatography (HPLC)
Will occur on day 8 of the study
Peripheral blood glutamate level, day 10
Time Frame: Will occur on day 10 of the study
measured using high performance liquid chromatography (HPLC)
Will occur on day 10 of the study

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Baseline Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale scores
Time Frame: Will occur on the day of enrollment in the study
The CIWA-Ar scale is a measure used in standard of care treatment of alcohol withdrawal. It assesses severity of symptoms, and can be used to determine the need for supportive therapy (e.g. benzodiazepines).It will be collected as standard of care, and will be analyzed as a secondary outcome measure.Scores range from 0-67, with a higher number indicating increased symptoms of alcohol withdrawal.
Will occur on the day of enrollment in the study
Day 2: Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale scores
Time Frame: Will occur on the day 2 after randomization (if participant has not yet discharged from the hospital)
The CIWA-Ar scale is a measure used in standard of care treatment of alcohol withdrawal. It assesses severity of symptoms, and can be used to determine the need for supportive therapy (e.g. benzodiazepines).It will be collected as standard of care, and will be analyzed as a secondary outcome measure.Scores range from 0-67, with a higher number indicating increased symptoms of alcohol withdrawal.
Will occur on the day 2 after randomization (if participant has not yet discharged from the hospital)
Day 3: Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale scores
Time Frame: Will occur on the day 3 after randomization (if participant has not yet discharged from the hospital)
The CIWA-Ar scale is a measure used in standard of care treatment of alcohol withdrawal. It assesses severity of symptoms, and can be used to determine the need for supportive therapy (e.g. benzodiazepines).It will be collected as standard of care, and will be analyzed as a secondary outcome measure.Scores range from 0-67, with a higher number indicating increased symptoms of alcohol withdrawal.
Will occur on the day 3 after randomization (if participant has not yet discharged from the hospital)
Day 4: Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale scores
Time Frame: Will occur on the day 4 after randomization (if participant has not yet discharged from the hospital)
The CIWA-Ar scale is a measure used in standard of care treatment of alcohol withdrawal. It assesses severity of symptoms, and can be used to determine the need for supportive therapy (e.g. benzodiazepines).It will be collected as standard of care, and will be analyzed as a secondary outcome measure.Scores range from 0-67, with a higher number indicating increased symptoms of alcohol withdrawal.
Will occur on the day 4 after randomization (if participant has not yet discharged from the hospital)
Day 5: Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale scores
Time Frame: Will occur on the day 5 after randomization (if participant has not yet discharged from the hospital)
The CIWA-Ar scale is a measure used in standard of care treatment of alcohol withdrawal. It assesses severity of symptoms, and can be used to determine the need for supportive therapy (e.g. benzodiazepines).It will be collected as standard of care, and will be analyzed as a secondary outcome measure.Scores range from 0-67, with a higher number indicating increased symptoms of alcohol withdrawal.
Will occur on the day 5 after randomization (if participant has not yet discharged from the hospital)
Day 6: Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale scores
Time Frame: Will occur on the day 6 after randomization (if participant has not yet discharged from the hospital)
The CIWA-Ar scale is a measure used in standard of care treatment of alcohol withdrawal. It assesses severity of symptoms, and can be used to determine the need for supportive therapy (e.g. benzodiazepines).It will be collected as standard of care, and will be analyzed as a secondary outcome measure.Scores range from 0-67, with a higher number indicating increased symptoms of alcohol withdrawal.
Will occur on the day 6 after randomization (if participant has not yet discharged from the hospital)
Day 7: Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale scores
Time Frame: Will occur on the day 7 after randomization (if participant has not yet discharged from the hospital)
The CIWA-Ar scale is a measure used in standard of care treatment of alcohol withdrawal. It assesses severity of symptoms, and can be used to determine the need for supportive therapy (e.g. benzodiazepines).It will be collected as standard of care, and will be analyzed as a secondary outcome measure.Scores range from 0-67, with a higher number indicating increased symptoms of alcohol withdrawal.
Will occur on the day 7 after randomization (if participant has not yet discharged from the hospital)
Day 8: Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale scores
Time Frame: Will occur on the day 8 after randomization (if participant has not yet discharged from the hospital)
The CIWA-Ar scale is a measure used in standard of care treatment of alcohol withdrawal. It assesses severity of symptoms, and can be used to determine the need for supportive therapy (e.g. benzodiazepines).It will be collected as standard of care, and will be analyzed as a secondary outcome measure.Scores range from 0-67, with a higher number indicating increased symptoms of alcohol withdrawal.
Will occur on the day 8 after randomization (if participant has not yet discharged from the hospital)
Day 9: Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale scores
Time Frame: Will occur on the day 9 after randomization (if participant has not yet discharged from the hospital)
The CIWA-Ar scale is a measure used in standard of care treatment of alcohol withdrawal. It assesses severity of symptoms, and can be used to determine the need for supportive therapy (e.g. benzodiazepines).It will be collected as standard of care, and will be analyzed as a secondary outcome measure.Scores range from 0-67, with a higher number indicating increased symptoms of alcohol withdrawal.
Will occur on the day 9 after randomization (if participant has not yet discharged from the hospital)
Day 10: Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale scores
Time Frame: Will occur on the day 10 after randomization (if participant has not yet discharged from the hospital)
The CIWA-Ar scale is a measure used in standard of care treatment of alcohol withdrawal. It assesses severity of symptoms, and can be used to determine the need for supportive therapy (e.g. benzodiazepines).It will be collected as standard of care, and will be analyzed as a secondary outcome measure.Scores range from 0-67, with a higher number indicating increased symptoms of alcohol withdrawal.
Will occur on the day 10 after randomization (if participant has not yet discharged from the hospital)
Baseline: # of Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale triggered benzodiazepine administration
Time Frame: Will occur on the day of enrollment in the study
As part of standard of care for acute alcohol withdrawal, patients are administered benzodiazepines for symptoms if a clinician-determined threshold is met. That is, patients who are more symptomatic (higher CIWA-Ar) scores, receive more benzodiazepines. This data is collected as standard of care, but will be used as a secondary outcome for this study.
Will occur on the day of enrollment in the study
Day 2: # of Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale triggered benzodiazepine administration
Time Frame: Will occur on the day 2 after randomization (if participant has not yet discharged from the hospital)
As part of standard of care for acute alcohol withdrawal, patients are administered benzodiazepines for symptoms if a clinician-determined threshold is met. That is, patients who are more symptomatic (higher CIWA-Ar) scores, receive more benzodiazepines. This data is collected as standard of care, but will be used as a secondary outcome for this study.
Will occur on the day 2 after randomization (if participant has not yet discharged from the hospital)
Day 3: # of Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale triggered benzodiazepine administration
Time Frame: Will occur on the day 3 after randomization (if participant has not yet discharged from the hospital)
As part of standard of care for acute alcohol withdrawal, patients are administered benzodiazepines for symptoms if a clinician-determined threshold is met. That is, patients who are more symptomatic (higher CIWA-Ar) scores, receive more benzodiazepines. This data is collected as standard of care, but will be used as a secondary outcome for this study.
Will occur on the day 3 after randomization (if participant has not yet discharged from the hospital)
Day 4: # of Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale triggered benzodiazepine administration
Time Frame: Will occur on the day 4 after randomization (if participant has not yet discharged from the hospital)
As part of standard of care for acute alcohol withdrawal, patients are administered benzodiazepines for symptoms if a clinician-determined threshold is met. That is, patients who are more symptomatic (higher CIWA-Ar) scores, receive more benzodiazepines. This data is collected as standard of care, but will be used as a secondary outcome for this study.
Will occur on the day 4 after randomization (if participant has not yet discharged from the hospital)
Day 5: # of Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale triggered benzodiazepine administration
Time Frame: Will occur on the day 5 after randomization (if participant has not yet discharged from the hospital)
As part of standard of care for acute alcohol withdrawal, patients are administered benzodiazepines for symptoms if a clinician-determined threshold is met. That is, patients who are more symptomatic (higher CIWA-Ar) scores, receive more benzodiazepines. This data is collected as standard of care, but will be used as a secondary outcome for this study.
Will occur on the day 5 after randomization (if participant has not yet discharged from the hospital)
Day 6: # of Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale triggered benzodiazepine administration
Time Frame: Will occur on the day 6 after randomization (if participant has not yet discharged from the hospital)
As part of standard of care for acute alcohol withdrawal, patients are administered benzodiazepines for symptoms if a clinician-determined threshold is met. That is, patients who are more symptomatic (higher CIWA-Ar) scores, receive more benzodiazepines. This data is collected as standard of care, but will be used as a secondary outcome for this study.
Will occur on the day 6 after randomization (if participant has not yet discharged from the hospital)
Day 7: # of Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale triggered benzodiazepine administration
Time Frame: Will occur on the day 7 after randomization (if participant has not yet discharged from the hospital)
As part of standard of care for acute alcohol withdrawal, patients are administered benzodiazepines for symptoms if a clinician-determined threshold is met. That is, patients who are more symptomatic (higher CIWA-Ar) scores, receive more benzodiazepines. This data is collected as standard of care, but will be used as a secondary outcome for this study.
Will occur on the day 7 after randomization (if participant has not yet discharged from the hospital)
Day 8: # of Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale triggered benzodiazepine administration
Time Frame: Will occur on the day 8 after randomization (if participant has not yet discharged from the hospital)
As part of standard of care for acute alcohol withdrawal, patients are administered benzodiazepines for symptoms if a clinician-determined threshold is met. That is, patients who are more symptomatic (higher CIWA-Ar) scores, receive more benzodiazepines. This data is collected as standard of care, but will be used as a secondary outcome for this study.
Will occur on the day 8 after randomization (if participant has not yet discharged from the hospital)
Day 9: # of Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale triggered benzodiazepine administration
Time Frame: Will occur on the day 9 after randomization (if participant has not yet discharged from the hospital)
As part of standard of care for acute alcohol withdrawal, patients are administered benzodiazepines for symptoms if a clinician-determined threshold is met. That is, patients who are more symptomatic (higher CIWA-Ar) scores, receive more benzodiazepines. This data is collected as standard of care, but will be used as a secondary outcome for this study.
Will occur on the day 9 after randomization (if participant has not yet discharged from the hospital)
Day 10: # of Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale triggered benzodiazepine administration
Time Frame: Will occur on the day 10 after randomization (if participant has not yet discharged from the hospital)
As part of standard of care for acute alcohol withdrawal, patients are administered benzodiazepines for symptoms if a clinician-determined threshold is met. That is, patients who are more symptomatic (higher CIWA-Ar) scores, receive more benzodiazepines. This data is collected as standard of care, but will be used as a secondary outcome for this study.
Will occur on the day 10 after randomization (if participant has not yet discharged from the hospital)
Baseline: Generalized Anxiety Disorder - 7 (GAD7) scale
Time Frame: Will occur on the day of enrollment in the study
A standardized measure of anxiety over the previous 2 weeks. Scores range from 0-21, with a higher score indicating more symptoms of anxiety.
Will occur on the day of enrollment in the study
Day 2: Generalized Anxiety Disorder - 7 (GAD7) scale
Time Frame: Will occur on the day 2 after randomization (if participant has not yet discharged from the hospital)
A standardized measure of anxiety over the previous 2 weeks. Scores range from 0-21, with a higher score indicating more symptoms of anxiety.
Will occur on the day 2 after randomization (if participant has not yet discharged from the hospital)
Day 3: Generalized Anxiety Disorder - 7 (GAD7) scale
Time Frame: Will occur on the day 3 after randomization (if participant has not yet discharged from the hospital)
A standardized measure of anxiety over the previous 2 weeks. Scores range from 0-21, with a higher score indicating more symptoms of anxiety.
Will occur on the day 3 after randomization (if participant has not yet discharged from the hospital)
Day 4: Generalized Anxiety Disorder - 7 (GAD7) scale
Time Frame: Will occur on the day 4 after randomization (if participant has not yet discharged from the hospital)
A standardized measure of anxiety over the previous 2 weeks. Scores range from 0-21, with a higher score indicating more symptoms of anxiety.
Will occur on the day 4 after randomization (if participant has not yet discharged from the hospital)
Day 5: Generalized Anxiety Disorder - 7 (GAD7) scale
Time Frame: Will occur on the day 5 after randomization (if participant has not yet discharged from the hospital)
A standardized measure of anxiety over the previous 2 weeks. Scores range from 0-21, with a higher score indicating more symptoms of anxiety.
Will occur on the day 5 after randomization (if participant has not yet discharged from the hospital)
Day 6: Generalized Anxiety Disorder - 7 (GAD7) scale
Time Frame: Will occur on the day 6 after randomization (if participant has not yet discharged from the hospital)
A standardized measure of anxiety over the previous 2 weeks. Scores range from 0-21, with a higher score indicating more symptoms of anxiety.
Will occur on the day 6 after randomization (if participant has not yet discharged from the hospital)
Day 7: Generalized Anxiety Disorder - 7 (GAD7) scale
Time Frame: Will occur on the day 7 after randomization (if participant has not yet discharged from the hospital)
A standardized measure of anxiety over the previous 2 weeks. Scores range from 0-21, with a higher score indicating more symptoms of anxiety.
Will occur on the day 7 after randomization (if participant has not yet discharged from the hospital)
Day 8: Generalized Anxiety Disorder - 7 (GAD7) scale
Time Frame: Will occur on the day 8 after randomization (if participant has not yet discharged from the hospital)
A standardized measure of anxiety over the previous 2 weeks. Scores range from 0-21, with a higher score indicating more symptoms of anxiety.
Will occur on the day 8 after randomization (if participant has not yet discharged from the hospital)
Day 9: Generalized Anxiety Disorder - 7 (GAD7) scale
Time Frame: Will occur on the day 9 after randomization (if participant has not yet discharged from the hospital)
A standardized measure of anxiety over the previous 2 weeks. Scores range from 0-21, with a higher score indicating more symptoms of anxiety.
Will occur on the day 9 after randomization (if participant has not yet discharged from the hospital)
Day 10: Generalized Anxiety Disorder - 7 (GAD7) scale
Time Frame: Will occur on the day 10 after randomization (if participant has not yet discharged from the hospital)
A standardized measure of anxiety over the previous 2 weeks. Scores range from 0-21, with a higher score indicating more symptoms of anxiety.
Will occur on the day 10 after randomization (if participant has not yet discharged from the hospital)
Baseline: The Alcohol Craving Questionnaire-Revised (ACQ-R)
Time Frame: Will occur on the day of enrollment in the study
A brief, reliable, and validated measure of alcohol craving. Scores range from 1-7 with higher scores indicating stronger alcohol cravings
Will occur on the day of enrollment in the study
Day 2: The Alcohol Craving Questionnaire-Revised (ACQ-R)
Time Frame: Will occur on the day 2 after randomization (if participant has not yet discharged from the hospital)
A brief, reliable, and validated measure of alcohol craving. Scores range from 1-7 with higher scores indicating stronger alcohol cravings
Will occur on the day 2 after randomization (if participant has not yet discharged from the hospital)
Day 3: The Alcohol Craving Questionnaire-Revised (ACQ-R)
Time Frame: Will occur on the day 3 after randomization (if participant has not yet discharged from the hospital)
A brief, reliable, and validated measure of alcohol craving. Scores range from 1-7 with higher scores indicating stronger alcohol cravings
Will occur on the day 3 after randomization (if participant has not yet discharged from the hospital)
Day 4: The Alcohol Craving Questionnaire-Revised (ACQ-R)
Time Frame: Will occur on the day 4 after randomization (if participant has not yet discharged from the hospital)
A brief, reliable, and validated measure of alcohol craving. Scores range from 1-7 with higher scores indicating stronger alcohol cravings
Will occur on the day 4 after randomization (if participant has not yet discharged from the hospital)
Day 5: The Alcohol Craving Questionnaire-Revised (ACQ-R)
Time Frame: Will occur on the day 5 after randomization (if participant has not yet discharged from the hospital)
A brief, reliable, and validated measure of alcohol craving. Scores range from 1-7 with higher scores indicating stronger alcohol cravings
Will occur on the day 5 after randomization (if participant has not yet discharged from the hospital)
Day 6: The Alcohol Craving Questionnaire-Revised (ACQ-R)
Time Frame: Will occur on the day 6 after randomization (if participant has not yet discharged from the hospital)
A brief, reliable, and validated measure of alcohol craving. Scores range from 1-7 with higher scores indicating stronger alcohol cravings
Will occur on the day 6 after randomization (if participant has not yet discharged from the hospital)
Day 7: The Alcohol Craving Questionnaire-Revised (ACQ-R)
Time Frame: Will occur on the day 7 after randomization (if participant has not yet discharged from the hospital)
A brief, reliable, and validated measure of alcohol craving. Scores range from 1-7 with higher scores indicating stronger alcohol cravings
Will occur on the day 7 after randomization (if participant has not yet discharged from the hospital)
Day 8: The Alcohol Craving Questionnaire-Revised (ACQ-R)
Time Frame: Will occur on the day 8 after randomization (if participant has not yet discharged from the hospital)
A brief, reliable, and validated measure of alcohol craving. Scores range from 1-7 with higher scores indicating stronger alcohol cravings
Will occur on the day 8 after randomization (if participant has not yet discharged from the hospital)
Day 9: The Alcohol Craving Questionnaire-Revised (ACQ-R)
Time Frame: Will occur on the day 9 after randomization (if participant has not yet discharged from the hospital)
A brief, reliable, and validated measure of alcohol craving. Scores range from 1-7 with higher scores indicating stronger alcohol cravings
Will occur on the day 9 after randomization (if participant has not yet discharged from the hospital)
Day 10: The Alcohol Craving Questionnaire-Revised (ACQ-R)
Time Frame: Will occur on the day 10 after randomization (if participant has not yet discharged from the hospital)
A brief, reliable, and validated measure of alcohol craving. Scores range from 1-7 with higher scores indicating stronger alcohol cravings
Will occur on the day 10 after randomization (if participant has not yet discharged from the hospital)
Baseline: The Daily Assessment of Symptoms -Anxiety (DAS-A)
Time Frame: Will occur on the day of enrollment in the study
A reliable and valid measure of anxiety which has been shown to detect reduction of anxiety symptoms within 24 hours. Scores range from 0-80, with a higher score indicating more symptoms of anxiety
Will occur on the day of enrollment in the study
Day 2: The Daily Assessment of Symptoms -Anxiety (DAS-A)
Time Frame: Will occur on the day 2 after randomization (if participant has not yet discharged from the hospital)
A reliable and valid measure of anxiety which has been shown to detect reduction of anxiety symptoms within 24 hours. Scores range from 0-80, with a higher score indicating more symptoms of anxiety
Will occur on the day 2 after randomization (if participant has not yet discharged from the hospital)
Day 3: The Daily Assessment of Symptoms -Anxiety (DAS-A)
Time Frame: Will occur on the day 3 after randomization (if participant has not yet discharged from the hospital)
A reliable and valid measure of anxiety which has been shown to detect reduction of anxiety symptoms within 24 hours. Scores range from 0-80, with a higher score indicating more symptoms of anxiety
Will occur on the day 3 after randomization (if participant has not yet discharged from the hospital)
Day 4: The Daily Assessment of Symptoms -Anxiety (DAS-A)
Time Frame: Will occur on the day 4 after randomization (if participant has not yet discharged from the hospital)
A reliable and valid measure of anxiety which has been shown to detect reduction of anxiety symptoms within 24 hours. Scores range from 0-80, with a higher score indicating more symptoms of anxiety
Will occur on the day 4 after randomization (if participant has not yet discharged from the hospital)
Day 5: The Daily Assessment of Symptoms -Anxiety (DAS-A)
Time Frame: Will occur on the day 5 after randomization (if participant has not yet discharged from the hospital)
A reliable and valid measure of anxiety which has been shown to detect reduction of anxiety symptoms within 24 hours. Scores range from 0-80, with a higher score indicating more symptoms of anxiety
Will occur on the day 5 after randomization (if participant has not yet discharged from the hospital)
Day 6: The Daily Assessment of Symptoms -Anxiety (DAS-A)
Time Frame: Will occur on the day 6 after randomization (if participant has not yet discharged from the hospital)
A reliable and valid measure of anxiety which has been shown to detect reduction of anxiety symptoms within 24 hours. Scores range from 0-80, with a higher score indicating more symptoms of anxiety
Will occur on the day 6 after randomization (if participant has not yet discharged from the hospital)
Day 7: The Daily Assessment of Symptoms -Anxiety (DAS-A)
Time Frame: Will occur on the day 7 after randomization (if participant has not yet discharged from the hospital)
A reliable and valid measure of anxiety which has been shown to detect reduction of anxiety symptoms within 24 hours. Scores range from 0-80, with a higher score indicating more symptoms of anxiety
Will occur on the day 7 after randomization (if participant has not yet discharged from the hospital)
Day 8: The Daily Assessment of Symptoms -Anxiety (DAS-A)
Time Frame: Will occur on the day 8 after randomization (if participant has not yet discharged from the hospital)
A reliable and valid measure of anxiety which has been shown to detect reduction of anxiety symptoms within 24 hours. Scores range from 0-80, with a higher score indicating more symptoms of anxiety
Will occur on the day 8 after randomization (if participant has not yet discharged from the hospital)
Day 9: The Daily Assessment of Symptoms -Anxiety (DAS-A)
Time Frame: Will occur on the day 9 after randomization (if participant has not yet discharged from the hospital)
A reliable and valid measure of anxiety which has been shown to detect reduction of anxiety symptoms within 24 hours. Scores range from 0-80, with a higher score indicating more symptoms of anxiety
Will occur on the day 9 after randomization (if participant has not yet discharged from the hospital)
Day 10: The Daily Assessment of Symptoms -Anxiety (DAS-A)
Time Frame: Will occur on the day 10 after randomization (if participant has not yet discharged from the hospital)
A reliable and valid measure of anxiety which has been shown to detect reduction of anxiety symptoms within 24 hours. Scores range from 0-80, with a higher score indicating more symptoms of anxiety
Will occur on the day 10 after randomization (if participant has not yet discharged from the hospital)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Brandon Cornejo, MD, PhD, Oregon Health & Science University, Portland Veterans Health Administration

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Anticipated)

December 1, 2021

Primary Completion (Anticipated)

August 25, 2022

Study Completion (Anticipated)

October 25, 2022

Study Registration Dates

First Submitted

January 13, 2020

First Submitted That Met QC Criteria

January 16, 2020

First Posted (Actual)

January 18, 2020

Study Record Updates

Last Update Posted (Actual)

September 29, 2021

Last Update Submitted That Met QC Criteria

September 27, 2021

Last Verified

September 1, 2021

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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