Suvorexant and Alcohol

NCT ID: NCT06326684

Last Updated: 2025-12-23

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

RECRUITING

Clinical Phase

EARLY_PHASE1

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-07

Study Completion Date

2027-03-15

Brief Summary

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This research will translate findings from preclinical research and provide the initial clinical evidence that orexin antagonism reduces motivation for alcohol, as well as other alcohol-associated maladaptive behaviors in people with Alcohol Use Disorder. This study will also provide basic science information about the orexinergic mechanisms underlying the pharmacodynamic effects of alcohol in humans. As such, the outcomes will contribute to our understanding of the clinical neurobiology of Alcohol Use Disorder. Overall, the proposed work seeks to expand the scope of current clinical neuroscience research on alcohol addiction by focusing on orexin, which has strong preclinical evidence supporting its critical role in addiction but remains unstudied in humans.

Detailed Description

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Conditions

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Alcohol Use Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Placebo

Subjects will be treated daily with an oral placebo.

Group Type PLACEBO_COMPARATOR

Alcohol

Intervention Type DRUG

The pharmacodynamic effects of alcohol (0.2 and 0.4 g/kg) will be determined.

Placebo

Intervention Type DRUG

The effects of placebo will be determined.

Suvorexant Dose 1

Subjects will be treated daily with oral suvorexant (10 mg).

Group Type EXPERIMENTAL

Alcohol

Intervention Type DRUG

The pharmacodynamic effects of alcohol (0.2 and 0.4 g/kg) will be determined.

Suvorexant

Intervention Type DRUG

The effects of suvorexant dose 1 will be determined.

Suvorexant Dose 2

Subjects will be treated daily with oral suvorexant (20 mg).

Group Type EXPERIMENTAL

Alcohol

Intervention Type DRUG

The pharmacodynamic effects of alcohol (0.2 and 0.4 g/kg) will be determined.

Suvorexant

Intervention Type DRUG

The effects of suvorexant dose 2 will be determined.

Interventions

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Alcohol

The pharmacodynamic effects of alcohol (0.2 and 0.4 g/kg) will be determined.

Intervention Type DRUG

Placebo

The effects of placebo will be determined.

Intervention Type DRUG

Suvorexant

The effects of suvorexant dose 1 will be determined.

Intervention Type DRUG

Suvorexant

The effects of suvorexant dose 2 will be determined.

Intervention Type DRUG

Eligibility Criteria

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Exclusion Criteria

1. Able to speak and read English.
2. Not seeking treatment at the time of the study.
3. Between the ages of 21 and 55 years.
4. Engaging in at least one binge drinking episode, per the NIAAA definition, in the last 30 days.
5. Fulfillment of moderate or severe DSM-5 diagnostic criteria for AUD based on computerized SCID results reviewed by a psychiatrist or psychologist.
6. ECG, read by cardiologist, within normal limits.
7. Body mass index of 19 - 35.
8. Birthing individuals using an effective form of birth control and not pregnant or breast feeding.
9. Judged by the medical staff to be psychiatrically and physically healthy (i.e., no current severe SUD or psychiatric diagnoses other than AUD or Tobacco Use Disorder; no current physical diagnoses that would interfere with study participation according to study physician judgment).
10. Not currently physiologically dependent on any substances.
11. Able to abstain from alcohol during admission (i.e., not physically dependent on alcohol and scores less than 8 on Clinical Institute Withdrawal Assessment for Alcohol \[CIWA-Ar\] at screening).
12. Not currently taking any prescribed medications for a chronic condition (other than birth control).
13. No indication of sleep apnea on the STOP-Bang questionnaire (score of 5 or greater).
14. No contraindications/allergies to suvorexant.
Minimum Eligible Age

21 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute on Alcohol Abuse and Alcoholism (NIAAA)

NIH

Sponsor Role collaborator

William Stoops

OTHER

Sponsor Role lead

Responsible Party

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William Stoops

Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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William W Stoops, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Kentucky

Locations

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Psychopharmacology of Addiction Laboratory

Lexington, Kentucky, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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William W Stoops, PhD

Role: CONTACT

Phone: 8592575388

Email: [email protected]

Facility Contacts

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William Walton Stoops

Role: primary

Other Identifiers

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R01AA030775

Identifier Type: NIH

Identifier Source: secondary_id

View Link

88524

Identifier Type: -

Identifier Source: org_study_id