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CompletedNCT00537745Updated Aug 27, 2012Results posted

Vivitrol for Reducing Driving While Impaired Behavior Among Repeat Offenders

A Phase 4 interventional study of Vivitrol (Medication Therapy) and Medication Management Therapy in Alcohol Consumption, sponsored by Pacific Institute for Research and Evaluation. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2012-08-27.

Sponsored by Pacific Institute for Research and Evaluation · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
14
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine whether Vivitrol is effective at reducing attempts to drive after drinking among repeat driving while intoxicated (DWI) offenders with Ignition Interlock devices.

Read the detailed description

We propose to conduct an open label trial of Vivitrol in combination with an individual compliance enhancement therapy known as Medication Management Therapy (MMT) as an adjunct to Ignition Interlock in the management and treatment of DWI. Subjects will be recruited from a local Interlock provider. This program of research will collect pilot data for a study to determine whether pharmacotherapy, previously recognized as effective, can be successfully combined with existing counseling treatments and sanctions for persons convicted of a repeat DWI alcohol offense. We will investigate the extent to which this combination of sanctions and treatment will significantly decrease attempts to drive after drinking among offenders, and whether the effect persists following discontinuation of Vivitrol.

02

Conditions studied

  • Alcohol Consumption

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03

In context

Alcohol Drinking

940 studies on the registry are indexed under Alcohol Drinking; 169 are open to participants now.

This study's enrollment of 14 is below the median of 108 across 813 interventional studies indexed under Alcohol Drinking.

Browse Alcohol Drinking studies →

Lead sponsor

Pacific Institute for Research and Evaluation is the lead sponsor of 14 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥ 18
  • Capable of understanding and complying with the protocol, and has signed the informed consent document
  • Been convicted of a DWI offense, have at least one additional arrest for DWI, and be entering an ignition interlock program
  • They must be able to participate in a 6 month outpatient study; and reside within a one-hour commute to the research site
  • Women of childbearing potential must have a negative pregnancy test, use contraceptive methods, and not be breastfeeding
  • Negative urine toxicological screen for opiates at screening and randomization
  • Has a non-custodial stable residence and telephone

Exclusion criteria

Exclusion Criteria

  • Is pregnant and/or currently breastfeeding
  • Has a clinically significant medical condition or observed abnormality that is contraindicated for Vivitrol treatment
  • Is taking an excluded medication, including but not limited to benzodiazepines, anticonvulsants, opiates, or alcohol treatment medication
  • Not stable on current anti-depressant, as evidenced by less than 3 months at current dosage, plans to discontinue, or plans to change the dosage
  • Has been hospitalized for medical detoxification within 30 days of screening
  • Has evidence of severe kidney, heart, or lung disease
  • Has evidence of severe hepatic disease (as evidence by BUN > 10% above ULN, AST, ALT > 3x ULN, and GGT > 5x ULN at randomization)
  • Known or suspected hypersensitivity to naltrexone and/or Vivitrol in particular
  • Current diagnosis and symptoms of major depression, anxiety disorder, mania or psychosis (subjects with their illness in remission for 3 months may be included)
  • Opioid use within the past 14 days and/or current or recent (within the past year) diagnosis of dependence or abuse of opiates, benzodiazepines, or cocaine.
  • Current or anticipated need for prescribed opiate medication during the study period
  • Medication with naltrexone, disulfiram, acamprosate or other medication used to treat alcoholism within the past 30 days
  • Impending incarceration or other known situation that would preclude participation in the study
  • Other non-alcohol Axis I substance dependence diagnosis in the past 12 months, excluding nicotine, marijuana, and caffeine
  • Has participated in a clinical trial of a pharmacological agent within 30 days of screening
  • Has any finding that in the view of the principal investigator would compromise the subject's ability to fulfill the protocol visit schedule, and/or visit requirements or would affect subject safety during participation
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
14 participants (actual)

Study arms

  • Experimental
    Vivitrol

    Vivitrol 380 mg/monthly, plus individual compliance enhancement therapy (Medication Management Therapy).

    Drug: Vivitrol (Medication Therapy) · Other: Medication Management Therapy

Interventions

06

What researchers measure

Primary outcomes

  1. Evidence of Attempts to Drive After Drinking

    This was measured as Percent of days with an Interlock report of "Failure to Start" due to alcohol pre/on medication and 6 months post medication.

    Time frame: 6 months

  2. % Days w/1+Interlock Test Failures

    This describes the percent of days in past month where the subject at least 1 interlock test failure.

    Time frame: One month post treatment

07

Results

Posted Aug 27, 2012
Limitations and caveats
Fourteen subjects were consented, and began the screening process. Two subjects did not meet entry criteria and 1 withdrew consent prior to injection. Of the remaining 11 subjects, 7 received 3, 2 received 2, and 2 received 1 injection(s).

Participant flow

Subjects were initially recruited from only two local Ignition Interlock providers. Recruitment was expanded by placing advertisements in local free press venues and flyers at all local Ignition Interlock providers.

Participant flow — Overall Study
MilestoneVivitrol
Started14
Began intervention11
Completed9
Not completed5
Withdrew: Did not meet eligibility criteria2
Withdrew: Withdrawal by subject2
Withdrew: Subject unable to provide interlock info1

Outcome measures

PrimaryEvidence of Attempts to Drive After Drinking

This was measured as Percent of days with an Interlock report of "Failure to Start" due to alcohol pre/on medication and 6 months post medication.

Time frame:
6 months
Reported as:
Mean · percent of days
Evidence of Attempts to Drive After Drinking
percent of daysParticipants
Percent Days Interlock Fail Pre/on Medication-1.29 (-6.41 to 2.16)
Percent Days Interlock Fail Post Medication-0.30 (-3.23 to 2.13)
Primary% Days w/1+Interlock Test Failures

This describes the percent of days in past month where the subject at least 1 interlock test failure.

Time frame:
One month post treatment
Reported as:
Mean · percent of days
% Days w/1+Interlock Test Failures
percent of daysVivitrol
% Days w/1+Interlock Test Failures-.30 (-3.23 to 2.13)

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Vivitrol—0/12 (0%)1/12 (8.3%)
Most frequent other events
Most frequent other events
EventVivitrol
Induration at Injection siteSkin and subcutaneous tissue disorders1/10
NauseaGastrointestinal disorders1/10

Baseline characteristics

Age Continuous
Age Continuous(years)Vivitrol
Mean43.14 ± 11.08
Sex: Female, Male
Sex: Female, Male(Participants)Vivitrol
Female7
Male7
Average Drinks/day
Average Drinks/day(Standard Drinks)Vivitrol
Mean3.0 ± 1.8
% days w/1+Interlock test failures
% days w/1+Interlock test failures(percent of days)Vivitrol
Mean3.1 ± 4.4
08

Study locations

1 site
  • Behavioral Health Research Center of the Southwest
    Albuquerque, New Mexico 87102, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 27, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00537745
Lead sponsor
Pacific Institute for Research and Evaluation
Collaborators
Cephalon
Responsible party
Sandra Lapham (Center Director, Pacific Institute for Research and Evaluation) — Principal investigator
First posted
Oct 1, 2007
Start date
Apr 2007
Primary completion
May 2009
Completion
May 2009
Results posted
Aug 27, 2012
Last update
Aug 27, 2012

Study contacts

Sandra Lapham, MD, MPH
principal investigator · Pacific Institute for Research and Evaluation

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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