N-acetylcysteine Plus Naltrexone for the Treatment of Alcohol Dependence

NCT ID: NCT01214083

Last Updated: 2020-04-08

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

111 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-10-15

Study Completion Date

2016-10-30

Brief Summary

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The purpose of this study is to determine whether: (1) the combination of N-acetylcysteine + high-dose naltrexone (150 mg) works better than high-dose naltrexone (150 mg) alone in reducing alcohol drinking; and (2) high-dose naltrexone (150 mg) alone works better than low-dose naltrexone (50 mg) alone in reducing alcohol drinking.

Detailed Description

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The 3 groups (N-acetylcysteine plus naltrexone 150 mg, naltrexone 150 mg, and naltrexone 50 mg) will be compared in a 12-week randomized, double-blind clinical trial.

Conditions

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Alcoholism

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Arm 1

N-acetylcysteine + high-dose naltrexone (150 mg)

Group Type EXPERIMENTAL

N-acetylcysteine + high-dose naltrexone (150 mg)

Intervention Type DRUG

All subjects will be evaluated weekly for 12 weeks.

Arm 2

High-dose naltrexone (150 mg) alone

Group Type EXPERIMENTAL

High-dose naltrexone (150 mg) alone

Intervention Type DRUG

All subjects will be evaluated weekly for 12 weeks.

Arm 3

Low-dose naltrexone (50 mg) alone

Group Type ACTIVE_COMPARATOR

Low-dose naltrexone (50 mg) alone

Intervention Type DRUG

All subjects will be evaluated weekly for 12 weeks.

Interventions

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N-acetylcysteine + high-dose naltrexone (150 mg)

All subjects will be evaluated weekly for 12 weeks.

Intervention Type DRUG

High-dose naltrexone (150 mg) alone

All subjects will be evaluated weekly for 12 weeks.

Intervention Type DRUG

Low-dose naltrexone (50 mg) alone

All subjects will be evaluated weekly for 12 weeks.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* age 18-65 years
* alcohol dependence by DSM-IV criteria
* heavy drinking at least 6 times within the past month ('heavy drinking' defined as 5 or more standard drinks per day for men and 4 or more standard drinks for women)
* able to provide informed consent
* a score of 6 or more on the Penn Alcohol Craving Scale (PACS)
* subject agrees not to take over-the-counter analgesics during the study

Exclusion Criteria

* current drug abuse or dependence by DSM-IV criteria (except nicotine and marijuana)
* current psychotic disorders or bipolar disorders
* current suicidal or homicidal ideation
* positive illicit drug screen test (except marijuana)
* ongoing narcotic use or risks for narcotic use during the study
* increased risk for severe alcohol withdrawal by a score of 10 or more on the Clinical Institute Withdrawal Assessment for Alcohol, Revised (CIWA-Ar)
* clinically significant cardiac, hepatic, renal, neurologic, or pulmonary disease
* baseline aspartate aminotransferase (AST) or alanine aminotransferase (ALT) greater than 3 times normal
* current use of disulfiram, acamprosate or topiramate
* pregnant or nursing, or inadequate birth control methods in women of childbearing potential
* alcohol breathalyzer level 0.08 or more at the screening visit
* severe alcohol withdrawal (delirium tremens or withdrawal seizures) within the past year
* currently requiring inpatient treatment for treating alcohol dependence
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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VA Office of Research and Development

FED

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gihyun Yoon, MD

Role: PRINCIPAL_INVESTIGATOR

VA Connecticut Healthcare System West Haven Campus, West Haven, CT

Locations

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VA Connecticut Healthcare System West Haven Campus, West Haven, CT

West Haven, Connecticut, United States

Site Status

Minneapolis VA Health Care System, Minneapolis, MN

Minneapolis, Minnesota, United States

Site Status

Countries

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United States

Other Identifiers

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CDA-2-014-09F

Identifier Type: -

Identifier Source: org_study_id

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