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Sponsors and Collaborators: |
Medical University of South Carolina Mclean Hospital Columbia University |
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Information provided by: | Medical University of South Carolina |
ClinicalTrials.gov Identifier: | NCT00330174 |
STUDY OBJECTIVES:
The primary objective of this study is to compare the safety and efficacy of acamprosate versus placebo in the treatment of alcohol dependence in adults with co-occurring mood or anxiety disorders (specifically, depression (MDE), generalized anxiety disorder (GAD) or social anxiety disorder). Secondary objectives are to evaluate the effect of acamprosate treatment on mood and anxiety disorders.
STUDY DESIGN:
This is a randomized, double-blind, placebo-controlled trial evaluating acamprosate in the treatment of alcohol dependence in adult outpatients with concurrent mood and/or anxiety disorders. The active study phase will be 12 weeks in duration. There will be a two-week screening period, followed by 12 weeks of study medication and a follow-up assessment at 14 weeks from randomization.
STUDY POPULATION:
A total of 90 (30 per site) men and women aged 18-60 years who have a current diagnosis of alcohol dependence as well as a current DSM-IV diagnosis of either MDE, GAD and/or social anxiety will be recruited to participate in this study. Only those individuals whose psychiatric disorders are stable will be randomized to acamprosate or placebo. Three sites will participate in this trial.
TREATMENTS:
Eligible participants will be randomly assigned to receive either acamprosate or matching placebo for 12 weeks.
EFFICACY ASSESSEMENTS:
The primary efficacy outcome measure will be cumulative days abstinent as measured by self-report.
Condition | Intervention | Phase |
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Alcohol Dependence Major Depression Social Anxiety Disorder Generalized Anxiety Disorder |
Drug: Acamprosate |
Phase IV |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Double Blind (Subject, Investigator), Placebo Control, Parallel Assignment, Safety/Efficacy Study |
Official Title: | The Use of Acamprosate in Individuals With Alcohol Dependence and Comorbid Anxiety or Depression |
Estimated Enrollment: | 90 |
Study Start Date: | April 2006 |
Estimated Study Completion Date: | December 2008 |
Estimated Primary Completion Date: | September 2008 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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1: Experimental
Acamprosate tablets
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Drug: Acamprosate
2 333mg tablets three times daily
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2: Placebo Comparator
Matching placebo tablets
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Drug: Acamprosate
2 333mg tablets three times daily
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Participants who meet all inclusion criteria and none of the exclusion criteria will be randomized to receive either acamprosate or placebo in a 1:1 ratio. Participants will be instructed to take (2) 333 mg tablets three times a day. Participants will be seen weekly for 12 weeks an again 14 weeks from randomization. At each weekly visit, participants will be asked about substance use and possible adverse events. They will also have their vital signs and weight measured at each visit. Psychiatric assessments, including the MADRS,HAM-A, Liebowitz Social Anxiety Scale, and Hospital Anxiety and Depression Scale will be performed at weeks 2, 4, 8, and 12. Alcohol craving will be assessed using the Obsessive Compulsive Drinking Scale at baseline and monthly. A urine drug screen will also be performed monthly. A clinical global impressions scale will be completed for both psychiatric and alcohol abuse symptoms at every visit. A breath alcohol test will be performed at every visit, and a urine drug screen will be performed at baseline and monthly during the trial.
Ages Eligible for Study: | 18 Years to 60 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Susan C Sonne, PharmD, BCPP | 843.792.5221 | sonnesc@musc.edu |
Contact: Clare Tyson, MS | 843.792.1534 | tysonc@musc.edu |
United States, Massachusetts | |
McLean Hospital | Not yet recruiting |
Belmont, Massachusetts, United States, 02478 | |
Principal Investigator: Jennifer S Potter, PhD, MPH | |
United States, New York | |
Columbia University College of Physicians & Surgeons | Not yet recruiting |
New York, New York, United States, 10025 | |
Contact: Eva M Kourniotis, MS 718-470-8893 kournio@pi.cpmc.columbia.edu | |
Principal Investigator: Richard Rosenthal, MD | |
United States, South Carolina | |
Behavioral Health Services of Pickens County | Recruiting |
Pickens, South Carolina, United States, 29671 | |
Contact: Elizabeth Chapman 864-898-5800 becbhspc@bellsouth.net | |
Sub-Investigator: Robert Hiott, MEd |
Principal Investigator: | Susan C Sonne, PharmD, BCPP | Medical University of South Carolina |
Principal Investigator: | Jennifer S Potter, PhD | Mclean Hospital |
Principal Investigator: | Richard Rosenthal, MD | Columbia University College of Physicians & Surgeons |
Study ID Numbers: | CMP-MD-04 |
Study First Received: | May 25, 2006 |
Last Updated: | July 18, 2008 |
ClinicalTrials.gov Identifier: | NCT00330174 |
Health Authority: | United States: Food and Drug Administration |
Alcoholism Mood Anxiety Acamprosate |
Depression Disorders of Environmental Origin Depressive Disorder, Major Depressive Disorder Phobic Disorders Acamprosate Behavioral Symptoms |
Anxiety Disorders Mental Disorders Alcoholism Substance-Related Disorders Mood Disorders Alcohol-Related Disorders Ethanol |
Pathologic Processes Disease Therapeutic Uses |
Central Nervous System Agents Pharmacologic Actions Alcohol Deterrents |