Trial Outcomes & Findings for Human Laboratory Study of Varenicline for Alcohol Use Disorder (NCT NCT03035708)

NCT ID: NCT03035708

Last Updated: 2019-10-23

Results Overview

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).

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

47 participants

Primary outcome timeframe

Study Week 3

Results posted on

2019-10-23

Participant Flow

Participant milestones

Participant milestones
Measure
Varenicline
1 mg BID (2 capsules BID) Varenicline: 1 mg BID
Placebo
1 mg BID (2 capsules BID) Placebo oral capsule: 1 mg BID
Overall Study
STARTED
23
24
Overall Study
COMPLETED
19
13
Overall Study
NOT COMPLETED
4
11

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Human Laboratory Study of Varenicline for Alcohol Use Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Varenicline
n=23 Participants
1 mg BID (2 capsules BID) Varenicline: 1 mg BID
Placebo
n=24 Participants
1 mg BID (2 capsules BID) Placebo oral capsule: 1 mg BID
Total
n=47 Participants
Total of all reporting groups
Age, Continuous
44.4 years
STANDARD_DEVIATION 11.0 • n=5 Participants
43.1 years
STANDARD_DEVIATION 12.1 • n=7 Participants
43.7 years
STANDARD_DEVIATION 11.5 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
9 Participants
n=7 Participants
18 Participants
n=5 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
15 Participants
n=7 Participants
29 Participants
n=5 Participants
Race/Ethnicity, Customized
Race/ethnicity · White
16 Participants
n=5 Participants
19 Participants
n=7 Participants
35 Participants
n=5 Participants
Race/Ethnicity, Customized
Race/ethnicity · Black
6 Participants
n=5 Participants
2 Participants
n=7 Participants
8 Participants
n=5 Participants
Race/Ethnicity, Customized
Race/ethnicity · Hispanic
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Race/Ethnicity, Customized
Race/ethnicity · Other
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
23 participants
n=5 Participants
24 participants
n=7 Participants
47 participants
n=5 Participants
Drinks per day
6.9 drinks/day
STANDARD_DEVIATION 2.4 • n=5 Participants
7.6 drinks/day
STANDARD_DEVIATION 2.7 • n=7 Participants
7.3 drinks/day
STANDARD_DEVIATION 2.6 • n=5 Participants
Drinking per drinking day
8.5 drinks/drinking day
STANDARD_DEVIATION 4.1 • n=5 Participants
9.3 drinks/drinking day
STANDARD_DEVIATION 5.2 • n=7 Participants
8.9 drinks/drinking day
STANDARD_DEVIATION 4.7 • n=5 Participants
Percent days abstinent
15.1 percent days abstinent
STANDARD_DEVIATION 16.9 • n=5 Participants
11.8 percent days abstinent
STANDARD_DEVIATION 15.9 • n=7 Participants
13.4 percent days abstinent
STANDARD_DEVIATION 16.3 • n=5 Participants
Percent heavy drinking days
66.3 percent heavy drinking days
STANDARD_DEVIATION 26.5 • n=5 Participants
71.9 percent heavy drinking days
STANDARD_DEVIATION 24.3 • n=7 Participants
69.2 percent heavy drinking days
STANDARD_DEVIATION 25.3 • n=5 Participants
Penn Alcohol Craving Scale (PACS) score
18.0 units on a scale
STANDARD_DEVIATION 4.5 • n=5 Participants
17.7 units on a scale
STANDARD_DEVIATION 3.8 • n=7 Participants
17.8 units on a scale
STANDARD_DEVIATION 4.1 • n=5 Participants
Current smoker (past week)
11 Participants
n=5 Participants
11 Participants
n=7 Participants
22 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Study Week 3

Population: mITT

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).

Outcome measures

Outcome measures
Measure
Varenicline
n=22 Participants
1 mg BID (2 capsules BID) Varenicline: 1 mg BID
Placebo
n=22 Participants
1 mg BID (2 capsules BID) Placebo oral capsule: 1 mg BID
Cue-elicited Craving
2.1 units on a scale
Standard Error 0.4
2.2 units on a scale
Standard Error 0.4

SECONDARY outcome

Timeframe: Weeks 3-6

Population: mITT

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.

Outcome measures

Outcome measures
Measure
Varenicline
n=22 Participants
1 mg BID (2 capsules BID) Varenicline: 1 mg BID
Placebo
n=23 Participants
1 mg BID (2 capsules BID) Placebo oral capsule: 1 mg BID
Percent Heavy Drinking Days
30.7 percentage of heavy drinking days
Standard Error 4.9
21.0 percentage of heavy drinking days
Standard Error 5.0

SECONDARY outcome

Timeframe: Weeks 3-6

Population: mITT

The percentage of subjects abstinent from alcohol during the last month of treatment (weeks 3-6).

Outcome measures

Outcome measures
Measure
Varenicline
n=22 Participants
1 mg BID (2 capsules BID) Varenicline: 1 mg BID
Placebo
n=23 Participants
1 mg BID (2 capsules BID) Placebo oral capsule: 1 mg BID
The Percentage of Subjects Abstinent During the Last Month of Treatment (Weeks 3-6).
2 Participants
4 Participants

SECONDARY outcome

Timeframe: Weeks 3-6

Population: mITT

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.

Outcome measures

Outcome measures
Measure
Varenicline
n=9 Participants
1 mg BID (2 capsules BID) Varenicline: 1 mg BID
Placebo
n=11 Participants
1 mg BID (2 capsules BID) Placebo oral capsule: 1 mg BID
Cigarettes Smoked Per Week
47.0 cigarettes per week
Standard Error 7.7
64.0 cigarettes per week
Standard Error 7.6

SECONDARY outcome

Timeframe: Study Weeks 3, 4, 5, 6 (assessed weekly during this period)

Population: mITT

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.

Outcome measures

Outcome measures
Measure
Varenicline
n=22 Participants
1 mg BID (2 capsules BID) Varenicline: 1 mg BID
Placebo
n=23 Participants
1 mg BID (2 capsules BID) Placebo oral capsule: 1 mg BID
Penn Alcohol Craving Scale
10.8 units on a scale
Standard Error 1.1
10.9 units on a scale
Standard Error 1.1

Adverse Events

Varenicline

Serious events: 1 serious events
Other events: 19 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 20 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Varenicline
n=23 participants at risk
1 mg BID (2 capsules BID) Varenicline: 1 mg BID
Placebo
n=24 participants at risk
1 mg BID (2 capsules BID) Placebo oral capsule: 1 mg BID
Nervous system disorders
Seizure
4.3%
1/23 • Weeks 1 to 6
Definitions and descriptions are consistent with those in clinicaltrials.gov.
0.00%
0/24 • Weeks 1 to 6
Definitions and descriptions are consistent with those in clinicaltrials.gov.

Other adverse events

Other adverse events
Measure
Varenicline
n=23 participants at risk
1 mg BID (2 capsules BID) Varenicline: 1 mg BID
Placebo
n=24 participants at risk
1 mg BID (2 capsules BID) Placebo oral capsule: 1 mg BID
Gastrointestinal disorders
Nausea
43.5%
10/23 • Weeks 1 to 6
Definitions and descriptions are consistent with those in clinicaltrials.gov.
16.7%
4/24 • Weeks 1 to 6
Definitions and descriptions are consistent with those in clinicaltrials.gov.
Psychiatric disorders
Abnormal Dreams
30.4%
7/23 • Weeks 1 to 6
Definitions and descriptions are consistent with those in clinicaltrials.gov.
20.8%
5/24 • Weeks 1 to 6
Definitions and descriptions are consistent with those in clinicaltrials.gov.
General disorders
Nasopharyngitis
4.3%
1/23 • Weeks 1 to 6
Definitions and descriptions are consistent with those in clinicaltrials.gov.
25.0%
6/24 • Weeks 1 to 6
Definitions and descriptions are consistent with those in clinicaltrials.gov.
Renal and urinary disorders
Bright Urine
13.0%
3/23 • Weeks 1 to 6
Definitions and descriptions are consistent with those in clinicaltrials.gov.
4.2%
1/24 • Weeks 1 to 6
Definitions and descriptions are consistent with those in clinicaltrials.gov.
Psychiatric disorders
Agitation
0.00%
0/23 • Weeks 1 to 6
Definitions and descriptions are consistent with those in clinicaltrials.gov.
8.3%
2/24 • Weeks 1 to 6
Definitions and descriptions are consistent with those in clinicaltrials.gov.
Psychiatric disorders
Anxiety
8.7%
2/23 • Weeks 1 to 6
Definitions and descriptions are consistent with those in clinicaltrials.gov.
0.00%
0/24 • Weeks 1 to 6
Definitions and descriptions are consistent with those in clinicaltrials.gov.
Reproductive system and breast disorders
Gynecological bleeding
4.3%
1/23 • Weeks 1 to 6
Definitions and descriptions are consistent with those in clinicaltrials.gov.
8.3%
2/24 • Weeks 1 to 6
Definitions and descriptions are consistent with those in clinicaltrials.gov.
General disorders
Headache
8.7%
2/23 • Weeks 1 to 6
Definitions and descriptions are consistent with those in clinicaltrials.gov.
4.2%
1/24 • Weeks 1 to 6
Definitions and descriptions are consistent with those in clinicaltrials.gov.
Psychiatric disorders
Insomnia
8.7%
2/23 • Weeks 1 to 6
Definitions and descriptions are consistent with those in clinicaltrials.gov.
4.2%
1/24 • Weeks 1 to 6
Definitions and descriptions are consistent with those in clinicaltrials.gov.
Eye disorders
Blurred Vision
8.7%
2/23 • Weeks 1 to 6
Definitions and descriptions are consistent with those in clinicaltrials.gov.
4.2%
1/24 • Weeks 1 to 6
Definitions and descriptions are consistent with those in clinicaltrials.gov.

Additional Information

Health Scientist Administrator

National Institute on Alcohol Abuse and Alcoholism

Phone: 301-443-0788

Results disclosure agreements

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