Trial Outcomes & Findings for Optimizing Pharmacotherapy for Bipolar Alcoholics (NCT NCT00302133)

NCT ID: NCT00302133

Last Updated: 2016-05-17

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

88 participants

Primary outcome timeframe

12 weeks

Results posted on

2016-05-17

Participant Flow

Sample drawn from University-based mental health services, community treatment programs and advertisement

Total telephone screened included 696 inquiries: 517 excluded for not meeting initial screen criteria; 91 excluded for lost to follow-up with continuing screening; 88 enrolled into the study. Of the 88 enrolled, 35 excluded for not meeting the inclusion criteria; 35 were lost to follow-up before group assignment.

Participant milestones

Participant milestones
Measure
Naltrexone
Naltrexone add on to valproate open label Naltrexone Hydrochloride 50 mg daily for 12 weeks
Placebo
Placebo add on to valproate open label Placebo one capsule daily for 12 weeks
Overall Study
STARTED
9
9
Overall Study
COMPLETED
5
5
Overall Study
NOT COMPLETED
4
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Optimizing Pharmacotherapy for Bipolar Alcoholics

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Naltrexone
n=9 Participants
Naltrexone add on to valproate open label naltrexone add on to open label valproate: naltrexone 50 mg/day for 12 weeks add on to open label valproate
Placebo
n=9 Participants
Placebo add on to valproate open label Placebo add on to open label valproate for 12 weeks
Total
n=18 Participants
Total of all reporting groups
Age, Continuous
42.3 years
STANDARD_DEVIATION 9.5 • n=5 Participants
41.7 years
STANDARD_DEVIATION 12.7 • n=7 Participants
41.9 years
STANDARD_DEVIATION 10.9 • n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
7 Participants
n=7 Participants
14 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Race (NIH/OMB)
White
6 Participants
n=5 Participants
5 Participants
n=7 Participants
11 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
9 participants
n=5 Participants
9 participants
n=7 Participants
18 participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 weeks

Population: One subject in the naltrexone group was considered an outlier and excluded from the analysis as it will disproportionally skew the results of small sample size, and one subject in the placebo group was lost to follow-up immediately after group allocation and before any first post allocation assessment.

Outcome measures

Outcome measures
Measure
Naltrexone
n=8 Participants
Naltrexone add on to valproate open label naltrexone add on to open label valproate: naltrexone 50 mg/day for 12 weeks add on to open label valproate
Placebo
n=8 Participants
Placebo add on to valproate open label Placebo add on to open label valproate for 12 weeks
Mean Number of Standard Drinks Per Drinking Day During the Last 4 Weeks of the Trial
0.6 standard drinks/drinking day
Standard Deviation 1.8
3.8 standard drinks/drinking day
Standard Deviation 4.2

SECONDARY outcome

Timeframe: 12 weeks

Proportion of subjects abstinent during the last 4 weeks of the trial

Outcome measures

Outcome measures
Measure
Naltrexone
n=9 Participants
Naltrexone add on to valproate open label naltrexone add on to open label valproate: naltrexone 50 mg/day for 12 weeks add on to open label valproate
Placebo
n=9 Participants
Placebo add on to valproate open label Placebo add on to open label valproate for 12 weeks
% Subjects Abstinent
66 percentage of participants
33 percentage of participants

Adverse Events

Naltrexone

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Naltrexone
n=9 participants at risk
Naltrexone add on to valproate open label naltrexone add on to open label valproate: naltrexone 50 mg/day for 12 weeks add on to open label valproate
Placebo
n=9 participants at risk
Placebo add on to valproate open label Placebo add on to open label valproate for 12 weeks
Nervous system disorders
Headache
22.2%
2/9 • Number of events 2 • Adverse events reported by subjects during their participation in the study
33.3%
3/9 • Number of events 3 • Adverse events reported by subjects during their participation in the study
Cardiac disorders
Palpitation
0.00%
0/9 • Adverse events reported by subjects during their participation in the study
33.3%
3/9 • Number of events 3 • Adverse events reported by subjects during their participation in the study
Gastrointestinal disorders
Nausea/ diarrhea
22.2%
2/9 • Number of events 2 • Adverse events reported by subjects during their participation in the study
11.1%
1/9 • Number of events 1 • Adverse events reported by subjects during their participation in the study
Reproductive system and breast disorders
Abdominal cramps
0.00%
0/9 • Adverse events reported by subjects during their participation in the study
11.1%
1/9 • Number of events 1 • Adverse events reported by subjects during their participation in the study
Musculoskeletal and connective tissue disorders
back pain
11.1%
1/9 • Number of events 1 • Adverse events reported by subjects during their participation in the study
0.00%
0/9 • Adverse events reported by subjects during their participation in the study
Respiratory, thoracic and mediastinal disorders
Sore throat
0.00%
0/9 • Adverse events reported by subjects during their participation in the study
11.1%
1/9 • Number of events 1 • Adverse events reported by subjects during their participation in the study
Nervous system disorders
Insomnia
0.00%
0/9 • Adverse events reported by subjects during their participation in the study
22.2%
2/9 • Number of events 2 • Adverse events reported by subjects during their participation in the study
Injury, poisoning and procedural complications
Accident
11.1%
1/9 • Number of events 1 • Adverse events reported by subjects during their participation in the study
0.00%
0/9 • Adverse events reported by subjects during their participation in the study

Additional Information

Ihsan Salloum, MD, MPH

University of Miami Miller School of Medicine

Phone: 305 243-7931

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place