Trial Outcomes & Findings for Alcohol and Neural Cardiovascular Control in Binge Drinkers (NCT NCT03567434)

NCT ID: NCT03567434

Last Updated: 2024-09-24

Results Overview

Direct recordings of muscle sympathetic nerve activity (MSNA) from the peroneal nerve using a microelectrode.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

69 participants

Primary outcome timeframe

1 month

Results posted on

2024-09-24

Participant Flow

Participants were recruited by word-of-mouth and advertisements. 169 participants were screened for eligibility.

38/169 participants were randomized. Of the 131 that were not randomized 100 did not meet inclusion criteria or did not consent and 31 were lost to follow-up/drop out.

Participant milestones

Participant milestones
Measure
Fluid Control, Then Alcohol
Participants first received a fluid control drink (i.e., juice) of the same volume of fluid as the alcohol condition. After at least a one-month washout period, they then received the alcohol condition. Alcohol vs. Placebo: Using a randomized, cross-over design, all subjects will consume evening alcohol (and a fluid-control placebo) in a dose that mimics binge drinking.
Alcohol, Then Fluid Control
Participants first received the alcohol condition with 95% ethanol and fruit juice (1:3 ratio). After at least a one-month washout period, they then received the fluid control condition with a volume fluid match. Alcohol vs. Placebo: Using a randomized, cross-over design, all subjects will consume evening alcohol (and a fluid-control placebo) in a dose that mimics binge drinking.
Overall Study
STARTED
16
22
Overall Study
Completed Test 1
16
22
Overall Study
Completed Test 2
15
19
Overall Study
COMPLETED
15
19
Overall Study
NOT COMPLETED
1
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Fluid Control, Then Alcohol
Participants first received a fluid control drink (i.e., juice) of the same volume of fluid as the alcohol condition. After at least a one-month washout period, they then received the alcohol condition. Alcohol vs. Placebo: Using a randomized, cross-over design, all subjects will consume evening alcohol (and a fluid-control placebo) in a dose that mimics binge drinking.
Alcohol, Then Fluid Control
Participants first received the alcohol condition with 95% ethanol and fruit juice (1:3 ratio). After at least a one-month washout period, they then received the fluid control condition with a volume fluid match. Alcohol vs. Placebo: Using a randomized, cross-over design, all subjects will consume evening alcohol (and a fluid-control placebo) in a dose that mimics binge drinking.
Overall Study
Lost to Follow-up
1
3

Baseline Characteristics

Alcohol and Neural Cardiovascular Control in Binge Drinkers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Fluid Control, Then Alcohol
n=16 Participants
Participants first received a fluid control drink (i.e., juice) of the same volume of fluid as the alcohol condition. After at least a one-month washout period, they then received the alcohol condition. Alcohol vs. Placebo: Using a randomized, cross-over design, all subjects will consume evening alcohol (and a fluid-control placebo) in a dose that mimics binge drinking.
Alcohol, Then Fluid Control
n=22 Participants
Participants first received the alcohol condition with 95% ethanol and fruit juice (1:3 ratio). After at least a one-month washout period, they then received the fluid control condition with a volume fluid match. Alcohol vs. Placebo: Using a randomized, cross-over design, all subjects will consume evening alcohol (and a fluid-control placebo) in a dose that mimics binge drinking.
Total
n=38 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
16 Participants
n=93 Participants
22 Participants
n=4 Participants
38 Participants
n=27 Participants
Age, Categorical
>=65 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Sex: Female, Male
Female
9 Participants
n=93 Participants
12 Participants
n=4 Participants
21 Participants
n=27 Participants
Sex: Female, Male
Male
7 Participants
n=93 Participants
10 Participants
n=4 Participants
17 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=93 Participants
3 Participants
n=4 Participants
4 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
13 Participants
n=93 Participants
19 Participants
n=4 Participants
32 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=93 Participants
0 Participants
n=4 Participants
2 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Asian
1 Participants
n=93 Participants
3 Participants
n=4 Participants
4 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
White
13 Participants
n=93 Participants
19 Participants
n=4 Participants
32 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=93 Participants
0 Participants
n=4 Participants
2 Participants
n=27 Participants
Region of Enrollment
United States
16 participants
n=93 Participants
22 participants
n=4 Participants
38 participants
n=27 Participants

PRIMARY outcome

Timeframe: 1 month

Population: 26 total participants were analyzed for primary outcome measures that completed both arms (fluid control vs. alcohol) of the study, using a randomized crossover design.

Direct recordings of muscle sympathetic nerve activity (MSNA) from the peroneal nerve using a microelectrode.

Outcome measures

Outcome measures
Measure
Fluid Control
n=26 Participants
All participants received both a binge alcohol dose (0.85g/kg for females, 1.0g/kg for males) and a fluid control drink (i.e., juice) of the same volume of fluid as the alcohol condition. These conditions were provided in a randomized, crossover design, and were separated by 1-month washout.
Alcohol
n=26 Participants
All participants received both a binge alcohol dose (0.85g/kg for females, 1.0g/kg for males) and a fluid control drink (i.e., juice) of the same volume of fluid as the alcohol condition. These conditions were provided in a randomized, crossover design, and were separated by 1-month washout.
Sympathetic Nerve Activity Burst Frequency
18 Burst/Min
Standard Deviation 9
20 Burst/Min
Standard Deviation 8

PRIMARY outcome

Timeframe: 1 month

Population: 26 total participants were analyzed for primary outcome measures that completed both arms (fluid control vs. alcohol) of the study, using a randomized crossover design.

Direct recordings of muscle sympathetic nerve activity (MSNA) from the peroneal nerve using a microelectrode. Burst incidence is calculated as the number of sympathetic bursts per 100 heartbeats. This measure takes into account varying heart rates on sympathetic activity by normalizing to each individual's heartbeat. Higher calculated number equates to higher sympathetic activity.

Outcome measures

Outcome measures
Measure
Fluid Control
n=26 Participants
All participants received both a binge alcohol dose (0.85g/kg for females, 1.0g/kg for males) and a fluid control drink (i.e., juice) of the same volume of fluid as the alcohol condition. These conditions were provided in a randomized, crossover design, and were separated by 1-month washout.
Alcohol
n=26 Participants
All participants received both a binge alcohol dose (0.85g/kg for females, 1.0g/kg for males) and a fluid control drink (i.e., juice) of the same volume of fluid as the alcohol condition. These conditions were provided in a randomized, crossover design, and were separated by 1-month washout.
Sympathetic Nerve Activity Burst Incidence
31 burst/100 heart beats
Standard Deviation 16
31 burst/100 heart beats
Standard Deviation 12

SECONDARY outcome

Timeframe: 1 month

Population: 11 total participants were analyzed for the secondary outcome measure that completed both arms of the study (fluid control vs. alcohol), with a randomized crossover design.

The linear relationship between beat-to-beat blood pressure and sympathetic nerve activity expressed as bursts/100 heart beats. Sympathetic baroreflex sensitivity is determined using the slope of the weighted linear regression of diastolic blood pressure and MSNA burst incidence. Diastolic blood pressure values of individual cardiac cycles were binned into 3 mmHg intervals, and the MSNA burst incidence was determined and subsequently plotted against corresponding diastolic blood pressure bins.

Outcome measures

Outcome measures
Measure
Fluid Control
n=11 Participants
All participants received both a binge alcohol dose (0.85g/kg for females, 1.0g/kg for males) and a fluid control drink (i.e., juice) of the same volume of fluid as the alcohol condition. These conditions were provided in a randomized, crossover design, and were separated by 1-month washout.
Alcohol
n=11 Participants
All participants received both a binge alcohol dose (0.85g/kg for females, 1.0g/kg for males) and a fluid control drink (i.e., juice) of the same volume of fluid as the alcohol condition. These conditions were provided in a randomized, crossover design, and were separated by 1-month washout.
Spontaneous Sympathetic Baroreflex Sensitivity
-2 MSNA Bursts/100 heart beats/mmHg
Standard Deviation 1
-2 MSNA Bursts/100 heart beats/mmHg
Standard Deviation 1

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 month

Change in nocturnal blood pressure during sleep when compared to evening/morning wakefulness.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 month

Polysomnography will be used to determine the quality of sleep, with a primary focus on the apnea-hypopnea index.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 month

The change in muscle sympathetic nerve activity during an acute laboratory stressor.

Outcome measures

Outcome data not reported

Adverse Events

Fluid Control

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Alcohol

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Fluid Control
n=38 participants at risk
All participants received both a binge alcohol dose (0.85g/kg for females, 1.0g/kg for males) and a fluid control drink (i.e., juice) of the same volume of fluid as the alcohol condition. These conditions were provided in a randomized, crossover design, and were separated by 1-month washout.
Alcohol
n=38 participants at risk
All participants received both a binge alcohol dose (0.85g/kg for females, 1.0g/kg for males) and a fluid control drink (i.e., juice) of the same volume of fluid as the alcohol condition. These conditions were provided in a randomized, crossover design, and were separated by 1-month washout.
Gastrointestinal disorders
Nausea
0.00%
0/38 • On average 1 to 2 months following initial laboratory testing session
Participants were monitored for minor and serious adverse events throughout the protocol. Participants were not at risk for all-cause mortality and were not monitored for all-cause mortality. All participants were young healthy (male/female) adults and were screened for serious disorders that may predispose them towards unanticipated adverse events.
2.6%
1/38 • On average 1 to 2 months following initial laboratory testing session
Participants were monitored for minor and serious adverse events throughout the protocol. Participants were not at risk for all-cause mortality and were not monitored for all-cause mortality. All participants were young healthy (male/female) adults and were screened for serious disorders that may predispose them towards unanticipated adverse events.
Nervous system disorders
Presyncope in response to venipuncture
5.3%
2/38 • On average 1 to 2 months following initial laboratory testing session
Participants were monitored for minor and serious adverse events throughout the protocol. Participants were not at risk for all-cause mortality and were not monitored for all-cause mortality. All participants were young healthy (male/female) adults and were screened for serious disorders that may predispose them towards unanticipated adverse events.
0.00%
0/38 • On average 1 to 2 months following initial laboratory testing session
Participants were monitored for minor and serious adverse events throughout the protocol. Participants were not at risk for all-cause mortality and were not monitored for all-cause mortality. All participants were young healthy (male/female) adults and were screened for serious disorders that may predispose them towards unanticipated adverse events.

Additional Information

Dr. Jason Carter

Baylor University

Phone: 254-710-4499

Results disclosure agreements

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