Study of the Effectiveness of Quetiapine for the Treatment of Alcohol Dependency
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Purpose
The purpose of this study is to determine whether quetiapine fumarate extended release is effective in the treatment of alcohol dependence in very heavy drinkers.
| Condition | Intervention | Phase |
|---|---|---|
|
Alcoholism Alcohol Abuse |
Drug: Quetiapine fumarate Other: Placebo |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Treatment |
| Official Title: | A Phase 2, Double-Blind, Placebo Controlled Trial to Assess the Efficacy of Quetiapine Fumarate Extended Release for the Treatment of Alcohol Dependence in Very Heavy Drinkers. |
- Percent Heavy Drinking Days [ Time Frame: Weeks 3 - 11 ] [ Designated as safety issue: No ]A heavy drinking day is defined as 5 or more drinks for men and 4 or more drinks for women during a 24 hour period.
- Percent Days Abstinent [ Time Frame: 3-11 ] [ Designated as safety issue: No ]
- Drinks Per Drinking Day [ Time Frame: 3-11 ] [ Designated as safety issue: No ]
- Drinks Per Day [ Time Frame: 3-11 ] [ Designated as safety issue: No ]
- Percent Very Heavy Drinking Day [ Time Frame: 3-11 ] [ Designated as safety issue: No ]
- Percent Subjects Abstinent [ Time Frame: 3-11 ] [ Designated as safety issue: No ]
- Percent Subjects With no Heavy Drinking Day [ Time Frame: 3-11 ] [ Designated as safety issue: No ]
- Drinking Consequences Score [ Time Frame: Weeks 6 and 12 ] [ Designated as safety issue: No ]DrInc Score
- Craving Score [ Time Frame: Week 4, 6, 8, 10, 12 ] [ Designated as safety issue: No ]PACS
- Depression Score [ Time Frame: Week 4, 6, 8, 10, and 12 ] [ Designated as safety issue: No ]MADRS
- Anxiety Score [ Time Frame: Weeks 4, 6, 8, 10 and 12 ] [ Designated as safety issue: No ]HAM-A
- Sleep Quality Score [ Time Frame: Weeks 4, 8 and 12 ] [ Designated as safety issue: No ]Pittsburgh Sleep Quality Index
- Quality of Life Score [ Time Frame: Week 12 ] [ Designated as safety issue: No ]Quality of Life SF - 12
| Enrollment: | 224 |
| Study Start Date: | December 2007 |
| Study Completion Date: | March 2010 |
| Primary Completion Date: | August 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Quetiapine fumarate plus medical management
|
Drug: Quetiapine fumarate
Quetiapine fumarate- taken daily, for 12 weeks
Other Name: SEROQUEL XR
|
|
Placebo Comparator: 2
Medical management plus placebo comparator
|
Other: Placebo
Placebo
|
Detailed Description:
This study will investigate quetiapine fumarate XR (SEROQUEL XR®), a dibenzothiazepine derivative, as a potential medication for treating alcohol dependence. The immediate release form of quetiapine fumarate, SEROQUEL XR®, is approved by the FDA for treatment of schizophrenia and acute manic episodes associated with bipolar disorder. The extended release formulation (SEROQUEL XR®) is also approved by the FDA and is undergoing clinical investigation for the treatment of major depressive disorders, schizophrenia, generalized anxiety disorder, and alcohol dependence.
Treatment with other atypical antipsychotics such as clozapine and olanzapine has resulted in decreases in alcohol use in alcohol dependent patients with and without comorbid psychiatric diagnoses. Quetiapine, like clozapine, appears to have efficacy in reducing drug and alcohol use among alcoholics and drug dependent patients with co-morbid psychiatric illness.
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Between the ages of 18 and 65 years old
- DSM-IV diagnosis of current alcohol dependence as supported by SCID Module E
- Report "very heavy" drinking (10 or more drinks per drinking day for men or 8 or more drinks per drinking day for women) at least 40% of the days during the interval from day 31 to 90 prior to the initial screening visit (i.e. a total of 24 days of this 60-day period), with at least one day of "very heavy" drinking occurring within the last 2 weeks before screening
- Seeking treatment for alcohol dependence and desire reduction or cessation of drinking
- Able to verbalize understanding of the consent form, able to provide written informed consent, and verbalize willingness to complete study procedures
- Females of child bearing potential must agree to use of at least one approved method of birth control, or must be surgically sterile or postmenopausal
- Able to take oral medication, willing to adhere to the medication regimen, and willing to return for regular visits
- Able to understand written and oral instructions in English and to complete the questionnaires required by the protocol
- Can complete all psychological assessments required at screening and baseline
- Able to provide evidence of stable residence in the last 2 months prior to randomization, have reasonable transportation arrangements to study site, and have no plans to move within the next 3 months or unresolved legal problems; must provide contact information of family member, spouse, or significant other who can contact subject in case of missed appointment
- Breath alcohol concentration (BAC) equal to 0.00 when s/he signed the informed consent document
- Must have an absolute neutrophil count of 1.5 x 109/L or greater.
Exclusion Criteria:
Please contact site for additional information.
Contacts and Locations| United States, Massachusetts | |
| Boston University School of Medicine, Psychiatry Clinical Studies Unit | |
| Boston, Massachusetts, United States, 02118 | |
| United States, New Hampshire | |
| Dartmouth Medical School, Dept. of Psychiatry | |
| Lebanon, New Hampshire, United States, 03755 | |
| United States, Pennsylvania | |
| University of Pennsylvania, Treatment Research Center | |
| Philadelphia, Pennsylvania, United States, 19104 | |
| United States, Rhode Island | |
| Brown University Center for Alcohol and Addiction Studies | |
| Providence, Rhode Island, United States, 12906 | |
| United States, Vermont | |
| White River Junction VA Medical Center | |
| White River Junction, Vermont, United States, 05009 | |
| United States, Virginia | |
| University of Virginia, Dept. of Psychiatric Medicine | |
| Charlottesville, Virginia, United States, 22908 | |
| University of Virginia | |
| Richmond, Virginia, United States, 23294 | |
| Study Director: | Raye Z. Litten, PhD | National Institute on Alcohol Abuse and Alcoholism (NIAAA) |
| Principal Investigator: | Margaret E. Mattson, PhD | National Institute on Alcohol Abuse and Alcoholism (NIAAA) |
| Principal Investigator: | Joanne Fertig, PhD | National Institute on Alcohol Abuse and Alcoholism (NIAAA) |
More Information
Publications:
| Responsible Party: | National Institute on Alcohol Abuse and Alcoholism (NIAAA) |
| ClinicalTrials.gov Identifier: | NCT00498628 History of Changes |
| Other Study ID Numbers: | NIAAA_DTRR-2007-LITTEN-01 |
| Study First Received: | July 6, 2007 |
| Results First Received: | April 25, 2012 |
| Last Updated: | May 30, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by National Institute on Alcohol Abuse and Alcoholism (NIAAA):
|
Alcoholism Alcohol dependence Quetiapine |
Additional relevant MeSH terms:
|
Alcoholism Alcohol-Related Disorders Substance-Related Disorders Mental Disorders Quetiapine Antipsychotic Agents Tranquilizing Agents |
Central Nervous System Depressants Physiological Effects of Drugs Pharmacologic Actions Central Nervous System Agents Therapeutic Uses Psychotropic Drugs |
ClinicalTrials.gov processed this record on May 16, 2013