Treatment for Alcoholism and Post-Traumatic Stress Disorder (Naltrexone) - Full Text View

Purpose

This study will evaluate naltrexone and cognitive-behavioral therapy treatments for alcohol dependence and post-traumatic stress disorder (PTSD). Subjects will be randomly assigned a 6-month treatment of either: 1) naltrexone alone, 2) naltrexone with PTSD psychosocial therapy, 3) a placebo with PTSD psychosocial therapy, or 4) placebo alone. An enhanced medication management intervention will accompany all treatment conditions. Followup assessments will be completed at 9 and 12 months after treatment.

Condition	Intervention	Phase
Alcoholism Alcohol Dependence Post-Traumatic Stress Disorder	Behavioral: Cognitive-Behavioral Therapy Drug: Naltrexone Drug: Placebo	Phase IV

MedlinePlus related topics:

Alcoholism Post-Traumatic Stress Disorder Stress

Drug Information available for:

Naltrexone Naltrexone hydrochloride Ethanol

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Treatment, Randomized, Double Blind (Subject, Caregiver, Outcomes Assessor), Placebo Control, Factorial Assignment, Efficacy Study

Official Title:	Naltrexone and Cognitive-Behavioral Therapy for Patients With Alcoholism and Post-Traumatic Stress Disorder

Further study details as provided by National Institute on Alcohol Abuse and Alcoholism (NIAAA):

Primary Outcome Measures:

PTSD Symptom Scale - Interview [ Time Frame: 9 and 12 months ] [ Designated as safety issue: No ]
Drinking Time Line Follow-back [ Time Frame: 9 and 12 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

Beck Depression Inventory [ Time Frame: 9 and 12 months ] [ Designated as safety issue: No ]
Penn Alcohol Cravings Scale [ Time Frame: 9 and 12 months ] [ Designated as safety issue: No ]
Sheehan Disability Scale [ Time Frame: 9 and 12 months ] [ Designated as safety issue: No ]

Estimated Enrollment:	180
Study Start Date:	December 2000
Estimated Study Completion Date:	January 2009
Estimated Primary Completion Date:	January 2009 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
1: Active Comparator Naltrexone alone	Drug: Naltrexone Daily dosing 100 mg for 24 weeks
2: Active Comparator Naltrexone with CBT for PTSD	Behavioral: Cognitive-Behavioral Therapy Twelve weekly 90-minute individual therapy sessions followed by 6 90-minute sessions every other week Drug: Naltrexone Daily dosing 100 mg for 24 weeks
3: Active Comparator Placebo with CBT for PTSD	Behavioral: Cognitive-Behavioral Therapy Twelve weekly 90-minute individual therapy sessions followed by 6 90-minute sessions every other week
4: Placebo Comparator Placebo alone	Drug: Placebo Pill Placebo daily dosing 24 weeks

Eligibility

Ages Eligible for Study:	18 Years to 65 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Meets criteria for alcohol dependence and post-traumatic stress disorder.
Heavy drinking in the past 30 days (an average of more than 12 alcohol drinks per week with at least 1 day of 4 or more drinks).
Successfully complete medical detoxification.
Exhibit clinically significant trauma-related symptoms.
Live in a commutable distance to the University of Pennsylvania and agree to followup visits.
Aged between 18 and 65 years old
Able to provide an informed consent.
Speak and read English.

Exclusion Criteria:

Current diagnosis of any substance dependence other than alcohol, nicotine, or cannabis.
Evidence of opiate use in the past 30 days.
Significant risk of violence or history of serious violent behavior during the past year.
Continued contact with an intimate partner if assault by the partner is the index trauma
Changes in dosage or medication for any SSRI treatment in the three months prior to entering the study
Unstable or serious medical illness.
Current severe psychiatric symptoms.
Mental retardation or another pervasive developmental disorder.
Use of an investigational medication in the past 30 days.
Pregnant, nursing or not using reliable contraception.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00006489

Contacts


Contact: Edna B. Foa, PhD	215-746-3327	foa@mail.med.upenn.edu

Locations


United States, Pennsylvania
	Center for Anxiety, University of Pennsylvania	Recruiting
	Philadelphia, Pennsylvania, United States, 19104
	Contact: Edna B. Foa, PhD 215-746-3327
	Principal Investigator: Edna B. Foa, PhD

Sponsors and Collaborators

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Investigators


Principal Investigator:	Edna B. Foa, PhD	University of Pennsylvania

More Information

Responsible Party:	University of Pennsylvania ( Edna B. Foa )
Study ID Numbers:	NIAAAFOA12428, NIH grant R01-AA-012428
First Received:	November 8, 2000
Last Updated:	November 4, 2008
ClinicalTrials.gov Identifier:	NCT00006489
Health Authority:	United States: Federal Government

Keywords provided by National Institute on Alcohol Abuse and Alcoholism (NIAAA):

Alcoholism

Alcohol Dependence

Post-Traumatic Stress Disorder

Naltrexone

Cognitive Behavior Therapy

Study placed in the following topic categories:

Anxiety Disorders

Mental Disorders

Naltrexone

Alcoholism

Substance-Related Disorders

Disorders of Environmental Origin

Stress Disorders, Post-Traumatic

Stress

Alcohol-Related Disorders

Stress Disorders, Traumatic

Ethanol

Additional relevant MeSH terms:

Pathologic Processes

Disease

Sensory System Agents

Therapeutic Uses

Physiological Effects of Drugs

Narcotic Antagonists

Peripheral Nervous System Agents

Central Nervous System Agents

Pharmacologic Actions

ClinicalTrials.gov processed this record on December 03, 2008

Sponsored by:	National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Information provided by:	National Institute on Alcohol Abuse and Alcoholism (NIAAA)
ClinicalTrials.gov Identifier:	NCT00006489