Naltrexone in AUD Reward Drinkers

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18-65
SponsorUniversity of Pennsylvania

About this trial

This study is a phase IV, two-arm, randomized, double-blind, placebo-controlled study to assess whether individuals identified as primarily reward drinkers are significantly more likely to reduce heavy drinking if they receive XR-NTX than a matching placebo injection.

Study subjects will receive monthly injections of long-acting injectable naltrexone 380 mg (4 mL) or matching placebo. All subjects will also receive 4 sessions of Medical Management (MM). Post-treatment follow-up visits will be conducted at 4 weeks after the scheduled completion of treatment.

Eligibility criteria

Qualifiers

Age 18-65 years old

Willing to provide signed, informed consent and commit to completing the study procedures

Able to read at an 8th grade or higher level

Current DSM-5 diagnosis of AUD

Disqualifiers

Planned surgery within the timeframe of the study

A current, clinically significant physical disease or abnormality on the basis of medical history, physical examination, or routine laboratory evaluation that could interfere with study participation or make it hazardous for the subject to do so (e.g., bleeding disorder, pancreatitis, epilepsy, diabetes, liver disease, kidney disease, or cardiomyopathy as determined by history and clinical exam); ALAT or ASAT concentration greater than 3 times the upper limit of normal (ULN), or direct bilirubin above the ULN. (Note-abnormal laboratory tests during screening may be repeated once).

Chronic or episodic painful conditions that could require opioid medications for pain control

History of seizure disorder (excluding childhood febrile seizures)

Trial design

Treatments tested in this trial

  • XR-NTX 380 mg, intramuscular injection
  • Medical Management
  • Placebo intramuscular injection

Treatment groups

60 Participants
are divided into 2 treatment groups

Sponsors and collaborators

University of Pennsylvania

Lead sponsor

Alkermes, Inc.

Collaborator