Oxytocin, Alcohol Craving, and Intimate Partner Aggression

NCT ID: NCT03046836

Last Updated: 2022-05-09

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-07-01

Study Completion Date

2021-04-11

Brief Summary

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Alcohol use disorders (AUD) and intimate partner aggression (IPA) frequently co-occur. There are significant health and economic burdens associated with AUD and co-occurring IPA, and little empirical data to guide treatment efforts. The neuropeptide oxytocin may help mitigate both AUD and IPA. However, clinical data examining oxytocin's effects on human aggression is scant. The proposed study is designed to address these gaps in the literature by utilizing a human laboratory paradigm to test the effects of oxytocin on craving and aggression among couples with AUD and co-occurring IPA.

Detailed Description

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Conditions

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Alcohol Use

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Oxytocin

Each participant will self-administer 40 international units (IU) intranasal Oxytocin

Group Type EXPERIMENTAL

Oxytocin

Intervention Type DRUG

40 IU oxytocin nasal spray

Control

Each participant will self-administer matching saline placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Saline

Interventions

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Oxytocin

40 IU oxytocin nasal spray

Intervention Type DRUG

Placebo

Saline

Intervention Type DRUG

Other Intervention Names

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Pitocin

Eligibility Criteria

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Inclusion Criteria

* aged 18 or over
* fluent in English
* endorse at least one instance of mild or moderate physical IPA with their partner in the past 6 months as defined by the Revised Conflict Tactics Scale (CTS-2)
* both partners must be willing to participate
* one or both partners must meet Diagnostic and Statistical Manual of Mental Disorders (DSM-V) criteria for an alcohol use disorder (AUD). Concurrent substance use disorders (e.g., marijuana) is acceptable provided alcohol is the participant's primary substance of choice.

Exclusion Criteria

* pregnancy or breastfeeding
* current or history of psychiatric or medical condition that could interfere with neuroendocrine function (e.g., hematological, endocrine, renal, or pulmonary disease; synthetic glucocorticoid or exogenous steroid therapy; psychotic, bipolar, eating disorders)
* Body Max Index (BMI) ≥ 39
* current suicidal ideation and intent
* severe physical or sexual IPA in the past six months as defined by the Conflict Tactics Scale (CTS-2)
* initiation of psychotropic medication in the past 4 weeks
* acute alcohol withdrawal as indicated by a score of 8 or greater on the Clinical Institute Withdrawal Assessment of Alcohol Scale (CIWA-Ar).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical University of South Carolina

OTHER

Sponsor Role lead

Responsible Party

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Julianne Flanagan

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Julianne C Flanagan, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Medical University of South Carolina

Locations

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Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Countries

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United States

References

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Forkus SR, Baer MM, Giff ST, Hall E, Miles SR, Flanagan JC. The role of cognitive emotion regulation strategies on posttraumatic stress symptoms and alcohol use problems among individuals experiencing intimate partner violence. Psychol Trauma. 2025 Oct 23. doi: 10.1037/tra0002057. Online ahead of print.

Reference Type DERIVED
PMID: 41129363 (View on PubMed)

Flanagan JC, Nietert PJ, McCrady BS, Sellers S, Yates-Johnson A, Giff ST, Forkus SR. Results of a Randomized Controlled Trial Examining the Efficacy of Intranasal Oxytocin to Enhance Alcohol Behavioral Couple Therapy. J Clin Psychiatry. 2025 May 12;86(2):24m15627. doi: 10.4088/JCP.24m15627.

Reference Type DERIVED
PMID: 40392716 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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54689

Identifier Type: -

Identifier Source: org_study_id

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