Vivitrol for Reducing Driving While Impaired Behavior Among Repeat Offenders

NCT ID: NCT00537745

Last Updated: 2012-08-27

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE4
• Total Enrollment: 14 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2007-04-30
• Study Completion Date: 2009-05-31

Brief Summary

The purpose of this study is to determine whether Vivitrol is effective at reducing attempts to drive after drinking among repeat driving while intoxicated (DWI) offenders with Ignition Interlock devices.

Detailed Description

We propose to conduct an open label trial of Vivitrol in combination with an individual compliance enhancement therapy known as Medication Management Therapy (MMT) as an adjunct to Ignition Interlock in the management and treatment of DWI. Subjects will be recruited from a local Interlock provider. This program of research will collect pilot data for a study to determine whether pharmacotherapy, previously recognized as effective, can be successfully combined with existing counseling treatments and sanctions for persons convicted of a repeat DWI alcohol offense. We will investigate the extent to which this combination of sanctions and treatment will significantly decrease attempts to drive after drinking among offenders, and whether the effect persists following discontinuation of Vivitrol.

Conditions

Alcohol Consumption

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Vivitrol

Vivitrol 380 mg/monthly, plus individual compliance enhancement therapy (Medication Management Therapy).

Group Type: EXPERIMENTAL

Vivitrol (Medication Therapy)

Intervention Type: DRUG

Vivitrol 380 mg/monthly

Medication Management Therapy

Intervention Type: OTHER

Medication Management Therapy once a month.

Interventions

Vivitrol (Medication Therapy)

Vivitrol 380 mg/monthly

Intervention Type: DRUG

Medication Management Therapy

Medication Management Therapy once a month.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Age ≥ 18
• Capable of understanding and complying with the protocol, and has signed the informed consent document
• Been convicted of a DWI offense, have at least one additional arrest for DWI, and be entering an ignition interlock program
• They must be able to participate in a 6 month outpatient study; and reside within a one-hour commute to the research site
• Women of childbearing potential must have a negative pregnancy test, use contraceptive methods, and not be breastfeeding
• Negative urine toxicological screen for opiates at screening and randomization
• Has a non-custodial stable residence and telephone

Exclusion Criteria

• Is pregnant and/or currently breastfeeding
• Has a clinically significant medical condition or observed abnormality that is contraindicated for Vivitrol treatment
• Is taking an excluded medication, including but not limited to benzodiazepines, anticonvulsants, opiates, or alcohol treatment medication
• Not stable on current anti-depressant, as evidenced by less than 3 months at current dosage, plans to discontinue, or plans to change the dosage
• Has been hospitalized for medical detoxification within 30 days of screening
• Has evidence of severe kidney, heart, or lung disease
• Has evidence of severe hepatic disease (as evidence by BUN > 10% above ULN, AST, ALT > 3x ULN, and GGT > 5x ULN at randomization)
• Known or suspected hypersensitivity to naltrexone and/or Vivitrol in particular
• Current diagnosis and symptoms of major depression, anxiety disorder, mania or psychosis (subjects with their illness in remission for 3 months may be included)
• Opioid use within the past 14 days and/or current or recent (within the past year) diagnosis of dependence or abuse of opiates, benzodiazepines, or cocaine.
• Current or anticipated need for prescribed opiate medication during the study period
• Medication with naltrexone, disulfiram, acamprosate or other medication used to treat alcoholism within the past 30 days
• Impending incarceration or other known situation that would preclude participation in the study
• Other non-alcohol Axis I substance dependence diagnosis in the past 12 months, excluding nicotine, marijuana, and caffeine
• Has participated in a clinical trial of a pharmacological agent within 30 days of screening
• Has any finding that in the view of the principal investigator would compromise the subject's ability to fulfill the protocol visit schedule, and/or visit requirements or would affect subject safety during participation

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Cephalon

INDUSTRY

Sponsor Role: collaborator

Pacific Institute for Research and Evaluation

OTHER

Sponsor Role: lead

Responsible Party

Sandra Lapham

Center Director

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Sandra Lapham, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Pacific Institute for Research and Evaluation

Locations

Behavioral Health Research Center of the Southwest

Albuquerque, New Mexico, United States

Countries

United States

Other Identifiers

0328.01.01

Identifier Type: -

Identifier Source: secondary_id

C18816/6075/DP/US

Identifier Type: -

Identifier Source: org_study_id