Suvorexant for Treatment of AUD and PTSD

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age21-65
SponsorPharmacotherapies for Alcohol and Substance Use Disorders Alliance

About this trial

This study is to determine if suvorexant (SUV) will reduce insomnia in 76 men and women veteran and non-veterans between the ages 21-65 with posttraumatic stress disorder (PTSD) symptoms and alcohol use disorder (AUD). All participants will have a 7-day placebo run-in period, followed by a random assignment to receive placebo or suvorexant for an additonal 14 days. Post-randomization, participants will attempt to stop drinking for two weeks and will complete daily virtual diaries and study outcome assessments via in-person clinic visits on days 7 and 14.

Eligibility criteria

Qualifiers

Age between 21 and 65.

Meet current (i.e., past 12-month at Day -7/-6) DSM-5 diagnostic criteria for moderate or severe AUD as determined by the MINI.

Currently experiencing PTSD symptoms at screening (Day -7/-6) as indicated by PCL-5 cut-score > 30.

Intrinsic motivation to reduce or quit drinking (defined as self-reported intention at screening to reduce or quit drinking within the next 6 months) and to receive PTSD treatment.

Disqualifiers

A current (past 12-month at Day -7/-6) DSM-5 diagnosis via the MINI of substance use disorder for any substances other than alcohol, nicotine, or marijuana (< moderate level on DSM 5).

A lifetime DSM-5 diagnosis via the MINI of schizophrenia, bipolar disorder, or psychotic disorder.

Positive urine test for any recreational drugs other than marijuana at screening (Day -7/-6).

Current clinically significant alcohol withdrawal (i.e., score ≥ 10 on the CIWA-Ar).

Trial design

Treatments tested in this trial

  • Suvorexant
  • Placebo

Treatment groups

76 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Pharmacotherapies for Alcohol and Substance Use Disorders Alliance

Lead sponsor

University of California, Los Angeles

Collaborator

The University of Texas Health Science Center, Houston

Collaborator