Baclofen in Managing Acute Alcohol Withdrawal

NCT ID: NCT03293017

Last Updated: 2021-11-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-02-01

Study Completion Date

2022-02-01

Brief Summary

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The study goal is to investigate whether administration of oral baclofen forms an adequate treatment option in the management of acute alcohol withdrawal. The investigators will compare placebo with doses of baclofen 30 and 60 milligram per day (mg/day) in a randomized controlled trial including patients receiving symptom triggered diazepam.

Detailed Description

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The conducted study will be randomized and single-blind (patients). After signing informed consent, the participants will be randomized in one of three groups: - placebo - baclofen 30 mg/day - baclofen 60 mg/day. The participants will be given a first administration after which the participant can receive Clinical Institute Withdrawal Assessment (CIWA-ar) score triggered diazepam, frequently assessed for at least 7 days. The primary outcome measure is the number of participants who received additional diazepam during these 7 days. The secondary outcome measure is the amount of diazepam received per group.

Conditions

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Alcohol Use Disorder Alcohol Withdrawal

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Baclofen 30 mg/day

baclofen 30 mg/day

Group Type EXPERIMENTAL

Diazepam 10 MG

Intervention Type DRUG

If a patient's linical Institute Withdrawal Assessment (CIWA-ar) is more than 15 and did not decrease with 4 points compared to the previous score, they will be given oral diazepam to supress their symptoms, in a tablet of 10 mg.

Baclofen 30mg

Intervention Type DRUG

Baclofen 30 mg/day given over three gifts daily

Baclofen 60 mg/day

Group Type EXPERIMENTAL

Diazepam 10 MG

Intervention Type DRUG

If a patient's linical Institute Withdrawal Assessment (CIWA-ar) is more than 15 and did not decrease with 4 points compared to the previous score, they will be given oral diazepam to supress their symptoms, in a tablet of 10 mg.

Baclofen 60mg

Intervention Type DRUG

Baclofen 60 mg/day given over three gifts daily

Placebo

Group Type PLACEBO_COMPARATOR

Diazepam 10 MG

Intervention Type DRUG

If a patient's linical Institute Withdrawal Assessment (CIWA-ar) is more than 15 and did not decrease with 4 points compared to the previous score, they will be given oral diazepam to supress their symptoms, in a tablet of 10 mg.

Interventions

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Diazepam 10 MG

If a patient's linical Institute Withdrawal Assessment (CIWA-ar) is more than 15 and did not decrease with 4 points compared to the previous score, they will be given oral diazepam to supress their symptoms, in a tablet of 10 mg.

Intervention Type DRUG

Baclofen 30mg

Baclofen 30 mg/day given over three gifts daily

Intervention Type DRUG

Baclofen 60mg

Baclofen 60 mg/day given over three gifts daily

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Be an inpatient at the Psychiatry unit at UZBrussel at time of study enrollment.
* Be able to sign informed consent.
* Be male/female aged 18-60
* Primary diagnosis of alcohol use disorder.

Exclusion Criteria

* Pregnancy and breastfeeding.
* Benzodiazepine use of more than the equivalent of diazepam 25 mg /day.
* Psychosis, confusion and acute mania.
* Parkinson's disease.
* Use of tricyclic antidepressants.
* Use of opioids.
* Known baclofen or benzodiazepine sensitivity or allergy.
* Unable to take oral medication.
* epidermal growth factor receptor (EGFR) \< 60 (blood samples are routinely performed at intake).
* Prior diagnosis of epilepsy.
* Lactose intolerance.
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universitair Ziekenhuis Brussel

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Frieda Matthys, PhD

Role: PRINCIPAL_INVESTIGATOR

Universitair Ziekenhuis Brussel

Locations

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University Hospital Brussels

Brussels, , Belgium

Site Status RECRUITING

Countries

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Belgium

Central Contacts

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Cleo L Crunelle, PhD

Role: CONTACT

Email: [email protected]

Sami Jegham, MD

Role: CONTACT

Facility Contacts

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Cleo L Crunelle, PhD

Role: primary

Other Identifiers

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22112015

Identifier Type: -

Identifier Source: org_study_id