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临床试验/NCT04831684
NCT04831684已完成1 期

Effects of a Novel mGluR5 Negative Allosteric Modulator on Alcohol Drinking, Neurochemistry, and Brain Reactivity to Alcohol Cues in Alcohol Use Disorder

Medical University of South Carolina1 个研究点 分布在 1 个国家目标入组 79 人开始时间: 2021年9月15日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
已完成
入组人数
79
试验地点
1
主要终点
Levels of cortical activation to visual cues of alcohol

研究概览

简要总结

This study evaluates the effects of the medication GET73 among non-treatment-seeking individuals who regularly drink alcohol. Participants in the study will take GET73 or placebo for an 8-day study. There are 4 study visits including 2 MRI scans.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Basic Science
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
21 Years 至 40 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • Age 21-40 (to focus on an age group still on a trajectory of increasing alcohol consumption, consistent with our pilot data and past iterations of the ARC).
  • Meets Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) criteria for current Alcohol Use Disorder, with at least Moderate severity.
  • Reports drinking, on average, at least 20 standard alcoholic drinks per week for at least the past 3 months.
  • Currently not engaged in, and does not want treatment for, alcohol-related problems.
  • Able to read and understand questionnaires and informed consent.
  • Lives within 50 miles of the study site.
  • Able to maintain abstinence from alcohol the evening prior to appointments (without the aid of detoxification medications), as determined by self-report and breathalyzer measurements.
  • Amenable to drinking liquor in fruit juice.

排除标准

  • Current DSM-5 diagnosis of any other substance use disorder except Nicotine Use Disorder.
  • Any psychoactive substance use (except marijuana and nicotine) within the last 30 days, as indicated by self-report and urine drug screen. For marijuana, no use within the last seven days by verbal report and negative (or decreasing) urine THC levels.
  • Current DSM-5 Axis I diagnosis, including major depression, panic disorder, obsessive-compulsive disorder, post-traumatic stress disorder, bipolar affective disorder, schizophrenia, dissociative disorders, eating disorders, or any other psychotic or organic mental disorder.
  • Current suicidal ideation or homicidal ideation.
  • Using CYP2C19 and/or CYP3A4 inhibitors or inducers in the 14 days before dosing or during the study.
  • Need for maintenance or acute treatment with any psychoactive medication, including antiepileptic medications.
  • Currently taking medication known to affect alcohol intake (e.g., disulfiram, naltrexone, acamprosate, topiramate).
  • History of severe alcohol withdrawal (e.g., tremor, sweating, anxiety, seizure, delirium tremens), as evidenced by self-report and assessment with Clinical Institute Withdrawal Assessment for Alcohol-Revised (CIWA-Ar).
  • Clinically significant medical problems such as cardiovascular, renal, gastrointestinal, or endocrine problems that would impair participation or limit medication ingestion.
  • Past alcohol-related medical illness, such as gastrointestinal bleeding, pancreatitis, or peptic ulcer.
  • Has hepatocellular disease indicated by elevations of SGPT (ALT) or SGOT (AST) greater than 2.5 times normal at screening.
  • Females of childbearing potential who are pregnant (by urine HCG), nursing, or who are not using a reliable form of birth control.
  • Current charges pending for a violent crime (not including DUI-related offenses).
  • Lack of a stable living situation.
  • Presence of ferrous metal in the body, as evidenced by metal screening and self-report.
  • Severe claustrophobia or extreme obesity that preclude placement in the MRI scanner.
  • Neurological disease or history of head injury with > 2 minutes of unconsciousness.

研究组 & 干预措施

Group A

Placebo Comparator

干预措施: Placebo (Drug)

Group B

Experimental

干预措施: GET73 (Drug)

结局指标

主要结局

Levels of cortical activation to visual cues of alcohol

时间窗: baseline to day 7

Acquired via functional magnetic resonance imaging completed at baseline and day 7 scans

Number of drinks consumed during bar-lab paradigm (free drinking period)

时间窗: 165 minutes

Change in Gamma aminobutyric acid (GABA) and glutamate levels

时间窗: baseline to day 7

Acquired via spectroscopy sequence completed at baseline and day 7 scans

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

James Prisciandaro

Associate Professor

Medical University of South Carolina

研究点 (1)

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