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Human Laboratory Study of Varenicline for Alcohol Use Disorder

2019年10月22日 更新者：National Institute on Alcohol Abuse and Alcoholism (NIAAA)
This study is a double-blind, randomized, placebo-controlled, parallel group, two-site study designed to assess the effects of varenicline as compared with placebo on responses to in vivo alcohol cue exposure in the human laboratory setting.

研究概览

地位

完全的

条件

干预/治疗

详细说明

This study is a double-blind, randomized, placebo-controlled, parallel group, two-site study designed to assess the effects of varenicline as compared with placebo on responses to in vivo alcohol cue exposure in the human laboratory setting. After signing informed consent, subjects will be screened for eligibility including medical history, physical examination, vital signs, electrocardiogram (ECG), drinking history by the timeline follow-back (TLFB) method, alcohol breathalyzer test, Clinical Institute Withdrawal Assessment for Alcohol-revised (CIWA), medication use, MINI neuropsychiatric interview, urine toxicology screen, clinical chemistry, response to cue reactivity, and Columbia Suicide Severity Rating Scale (CSSR-S). Women of child-bearting potential will have a pregnancy test. If eligible for the study, subjects will be randomized using a stratified permuted block randomization procedure in an approximate 1:1 ratio (targeting 24 subjects per group - 12 subjects per group per site) to receive either varenicline or placebo for 6 weeks. Any nicotine use versus no use (cigarettes, cigars, chewing tobacco, electronic cigarettes, etc.) in the week before randomization is the stratification variable.

Varenicline or matched placebo will be titrated over the first week of the study up the maintenance dose of 1 mg (active) or two capsules (placebo) taken orally BID for an additional 5 weeks. Subjects will be seen in the clinic at screening, at randomization and 6 other times during the study. A final follow-up telephone interview will occur during Week 9 (2 weeks after the end of study visit).

After the first two weeks and after five weeks of investigational product administration at Study Week 3 and Study Week 6, respectively, subjects will undergo a cue reactivity paradigm session (HLAB) including 4 individual visual analog scale (VAS) items assessing alcohol craving, 2 VAS items assessing emotional reactivity to picture stimuli, and 2 items assessing emotional manipulation. Immediately after the HLAB session, subjects will view each picture again and record the emotion felt using the Self-Manikin Assessment (SAM).

研究类型

介入性

注册 (实际的)

47

阶段

  • 阶段2
  • 阶段1

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

  • 美国
    • Connecticut
      • New Haven、Connecticut、美国、06511
        • Yale University School Of Medicine
    • Rhode Island
      • Providence、Rhode Island、美国、02912
        • Brown University

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

21年 及以上 (成人、年长者)

接受健康志愿者

不

有资格学习的性别

全部

描述

Inclusion Criteria:

To be eligible, the subject must:

  • Be at least 21 years of age.
  • Meet the DSM 5 criteria for alcohol use disorder of a least moderate severity (AUD-MS).
  • Be seeking treatment for AUD and desire a reduction or cessation of drinking.
  • Be able to verbalize an understanding of the consent form, able to provide written informed consent, verbalize willingness to complete study procedures, able to understand written and oral instructions in English and able to complete the questionnaires required by the protocol.

  • Agree (if the subject is female and of child bearing potential) to use at least one of the following methods of birth control, unless she is surgically sterile, partner is surgically sterile or she is postmenopausal:

    1. oral contraceptives,
    2. contraceptive sponge,
    3. patch,
    4. double barrier (diaphragm/spermicidal or condom/spermicidal),
    5. intrauterine contraceptive system,
    6. levonorgestrel implant,
    7. medroxyprogesterone acetate contraceptive injection,
    8. complete abstinence from sexual intercourse, and/or
    9. hormonal vaginal contraceptive ring.
  • Be able to take oral medication and be willing to adhere to the medication regimen.
  • Complete all assessments required at screening and baseline.
  • Have a place to live in the 2 weeks prior to randomization and not be at risk that s/he will lose his/her housing in the next 2 months.
  • Not anticipate any significant problems with transportation arrangements or available time to travel to the study site over the next 2 months.
  • Not have any unresolved legal problems that could jeopardize continuation or completion of the study.
  • And others.

Exclusion Criteria:

  • Contact site for additional information

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：治疗
  • 分配：随机化
  • 介入模型：并行分配
  • 屏蔽：双倍的

武器和干预

参与者组/臂
干预/治疗
实验性的：varenicline
1 mg BID (2 capsules BID)
药品：Varenicline
1 mg BID
其他名称：
  • 尚蒂克斯
安慰剂比较：Placebo
1 mg BID (2 capsules BID)
药品：Placebo oral capsule
1 mg BID

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
Cue-elicited Craving
大体时间：Study Week 3
The primary outcome is cue-elicited alcohol craving, operationalized as the difference in Visual Analog Scale (VAS) craving for alcohol when exposed to an alcohol cue minus the VAS craving for alcohol when exposed to a water cue. The VAS has a minimum value of 0 and maximum value of 20; higher scores indicate more craving (a worse outcome).
Study Week 3

次要结果测量

结果测量
措施说明
大体时间
Percent Heavy Drinking Days
大体时间：Weeks 3-6
The percentage of heavy drinking days during the last month of treatment (weeks 3-6). A heavy drinking day is defined as 4 or more drinks on a single day for females and 5 or more drinks on a single day for males.
Weeks 3-6
The Percentage of Subjects Abstinent During the Last Month of Treatment (Weeks 3-6).
大体时间：Weeks 3-6
The percentage of subjects abstinent from alcohol during the last month of treatment (weeks 3-6).
Weeks 3-6
Cigarettes Smoked Per Week
大体时间：Weeks 3-6
The number of cigarettes smoked per week during the last month of treatment (weeks 3-6) computed only among participants who were smokers at baseline (varenicline n=11; placebo n=11). Note: cigarettes smoked per week outcome data was missing for two of the varenicline participants resulting in n=9 available for analysis.
Weeks 3-6
Penn Alcohol Craving Scale
大体时间：Study Weeks 3, 4, 5, 6 (assessed weekly during this period)
Penn Alcohol Craving Scale (higher numbers are indicative of more craving for alcohol); min = 0, max = 30. The measure was assessed at Study Weeks 3, 4, 5, and 6. The reported outcome is the adjusted mean total score across weeks 3-6.
Study Weeks 3, 4, 5, 6 (assessed weekly during this period)

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

调查人员

  • 研究主任：Raye Litten, PhD、National Institute on Alcohol Abuse and Alcoholism (NIAAA)

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2017年5月1日

初级完成 (实际的)

2018年7月1日

研究完成 (实际的)

2018年7月7日

研究注册日期

首次提交

2017年1月26日

首先提交符合 QC 标准的

2017年1月26日

首次发布 (估计)

2017年1月30日

研究记录更新

最后更新发布 (实际的)

2019年10月23日

上次提交的符合 QC 标准的更新

2019年10月22日

最后验证

2019年10月1日

更多信息

与本研究相关的术语

其他相关的 MeSH 术语

其他研究编号

  • HLAB 001

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)？

不

药物和器械信息、研究文件

研究美国 FDA 监管的药品

是的

研究美国 FDA 监管的设备产品

不

在美国制造并从美国出口的产品

不

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

酒精使用障碍的临床试验

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    Instituto de Salud Carlos III
    完全的
    肠动力障碍：分钟节律
    小肠运动障碍 (Disorder)
    西班牙
  • Dren Bio
    Novotech
    招聘中
    DR-01 在大颗粒淋巴细胞白血病或细胞毒性淋巴瘤患者中的研究
    侵袭性 NK 细胞白血病 | 肝脾T细胞淋巴瘤 | 肠病相关的T细胞淋巴瘤 | 皮下脂膜炎样 T 细胞淋巴瘤 | 单形性趋上皮性肠 T 细胞淋巴瘤 | LGLL - 大颗粒淋巴细胞白血病 | 原发性皮肤 T 细胞淋巴瘤 - 类别 | 原发性皮肤 CD8 阳性侵袭性嗜表皮 T 细胞淋巴瘤 | 系统性 EBV1 T 细胞淋巴瘤，如果 CD8 阳性 | Hydroa Vacciniforme-Like Lymphoproliferative Disorder | 结外 NK/T 细胞淋巴瘤，鼻型 | 胃肠道惰性慢性淋巴增生性疾病 (CLPD)（CD8+ 或 NK 衍生） | 上面未列出的其他 CD8+/NK 细胞驱动的淋巴瘤
    美国, 澳大利亚, 法国, 西班牙
  • Memorial Sloan Kettering Cancer Center
    招聘中
    T 细胞淋巴瘤患者登记处
    蕈样肉芽肿 | 塞扎里综合症 | 血管免疫母细胞性T细胞淋巴瘤 | 肝脾T细胞淋巴瘤 | 间变性大细胞淋巴瘤，ALK 阳性 | 结外 NK/T 细胞淋巴瘤，鼻型 | T细胞淋巴瘤 | 未特指的外周 T 细胞淋巴瘤 | 原发性皮肤间变性大细胞淋巴瘤 | 皮下脂膜炎样 T 细胞淋巴瘤 | 肠病相关的T细胞淋巴瘤 | 间变性大细胞淋巴瘤，ALK 阴性 | 单形性趋上皮性肠 T 细胞淋巴瘤 | T 细胞幼淋巴细胞白血病 | T 细胞大颗粒淋巴细胞白血病 | 原发性皮肤 CD8 阳性侵袭性嗜表皮 T 细胞淋巴瘤 | Hydroa Vacciniforme-Like Lymphoproliferative Disorder | NK细胞淋巴瘤 | 侵袭性 NK 细胞白血病 | 成人 T 细胞白血病/淋巴瘤 及其他条件
    美国

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