CClinicalTrials.gg
CompletedNCT01168687Updated Aug 28, 2020Results posted

Effects of Levetiracetam (Keppra) on Alcohol Consumption

An interventional study of Levetiracetam (Keppra) and Placebo in Alcohol Abuse and Drug Abuse, sponsored by University of California, San Francisco. Completed at 1 site in United States. Open to participants aged 21 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-08-28.

Sponsored by University of California, San Francisco · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
46
Allocation
Randomized
Ages
21 Years to 50 Years
Sex
All
01

Study summary

The overall goals of this study are to (1) expand knowledge about interactions of levetiracetam with alcohol by assessing the effects of levetiracetam compared to placebo in moderate and heavy social alcohol users and (2) to test the AccuswayTM platform as a tool to measure postural control (which has been used as a marker of intoxication) and the effects of levetiracetam on postural control.

Read the detailed description

The investigators propose a 42-day, double-blind, placebo-controlled crossover study in light to moderate and heavy alcohol users who are social drinkers.

The specific aims are to:

  1. Determine if levetiracetam alters daily alcohol consumption by comparing the mean drinks consumed per day during levetiracetam administration compared with the mean drinks per day consumed during placebo administration.
  2. Obtain blood that will be banked for future genetic analysis of polymorphisms in genes that may predict the level of response to alcohol or effects of levetiracetam on alcohol consumption.
  3. Test whether the AccuswayTM platform can detect changes in body sway in light to moderate or heavy social drinkers and in subjects taking levetiracetam versus placebo.
02

Conditions studied

  • Alcohol Abuse
  • Drug Abuse

Keywords

  • keppra
  • levetiracetam
  • alcoholism
  • genetics
  • subjective report
03

In context

Alcoholism

1,606 studies on the registry are indexed under Alcoholism; 329 are open to participants now.

This study's enrollment of 46 is below the median of 87 across 1,371 interventional studies indexed under Alcoholism.

Browse Alcoholism studies →

Lead sponsor

University of California, San Francisco is the lead sponsor of 2,132 studies on the registry; 375 are open to participants now.

Of its 262 completed or terminated interventional studies of FDA-regulated products, 196 (75%) have results posted.

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

04

Who can participate

Ages eligible
21 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Healthy adults who are social drinkers 21 and 50 years of age.
  2. Moderate to heavy social drinkers (women=7-21 drinks/week, men=7-25 drinks/week).
  3. Body Mass Index (BMI)>18 and \<30.
  4. If female, must be non-lactating, not pregnant, and using a reliable contraception method (i.e. abstinence, intrauterine device [IUD], hormonal birth control, or double barrier method [male condom, female condom, or diaphragm plus a spermicidal agent such as contraceptive foam, jelly or cream]).
  5. Able and willing to provide written informed consent.
  6. Able to understand and follow the instructions of the investigator, and understand all rating scales.
  7. Have a negative urine drug screen at all visits, with the exception of cannabinoids.

Exclusion criteria

Exclusion Criteria:

  1. Positive urine drug screen, except cannabinoids. Occasional cannabinoid use is allowed, however daily use, dependence, or if considered more than a casual user by study physician, subject will be excluded.
  2. Use of cocaine, amphetamines or other stimulants, hallucinogens, ecstasy or other psychoactive drugs, greater than 10 times in the last 24 months or at anytime in the past 60 days.
  3. Lifetime use of PCP or ketamine greater than 10 times, or at any time in the last 24 months.
  4. History of abusing inhalants (such as glue, toluene or other volatile substances).
  5. Current or past dependence on, or addiction to any psychoactive drug (except nicotine or caffeine) including alcohol, as determined by the study physician's assessment.
  6. Current or prior enrollment in an alcohol or other drug treatment program, or current legal problems relating to alcohol or other drug use, including awaiting trial or supervision by a parole or probation officer.
  7. Binge drinking more than three times per week (binge defined as >5 standard drinks in one session).
  8. Alcohol consumption >21 drinks/week for women and >25 drinks/week for men.
  9. Currently trying to quit alcohol and/or recreational drug use.
  10. Positive for lifetime abnormal opioid use or prescription drug abuse.
  11. Clinically significant medical or psychiatric illness (including anxiety or panic disorders) as determined by screening blood tests, medical history, and physical exam performed or reviewed by the study physician.
  12. Bilirubin more than 2 times the normal upper limit.
  13. AST (SGOT), ALT (SGPT), or alkaline phosphatase more than 2 times the normal upper limit.
  14. Body Mass Index >30 or \<18
  15. Pregnancy or a woman of child bearing potential not currently using an adequate means of contraception.
  16. Currently taking any medication other than over-the-counter nonsteroidal anti-inflammatories, acetaminophen, inhaled asthma therapy, contraceptives, nicotine patches, and over-the-counter non-sedating antihistamines.NSAIDs, acetaminophen, or any other OTC (including herbal) medication (unless cleared by study physician).
  17. BAC level greater than 0.02% at the beginning of visits 1, 7, or 8 (within margin of error for detection).
  18. Estimated creatinine clearance \< 50 ml/min.
  19. Chronic pain condition requiring regular physician visits and treatment under a physician's supervision.
  20. Neurological dysfunction or psychiatric disorder severe enough to interfere with assessment of outcome measures as defined above.
  21. Allergy to levetiracetam.
  22. Significant cardiac pathology or abnormal initial EKG with QT/QTc interval prolongation > 480 m secs at baseline.
  23. Has received an investigational drug within 30 days prior to Study Visit 2 (after screening visit).
  24. Subjects who are unable to read or speak English.
  25. Those, in the opinion of the investigator, who are considered unable to adhere to scheduled appointments, unlikely to comply with the study protocol, or who are unsuitable for any other reason.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Investigator)
Enrollment
46 participants (actual)

Study arms

  • Experimental
    Group A

    Twenty moderate to heavy social alcohol users will receive 250 mg of levetiracetam BID (500 mg/day) or placebo x 7 days and will be titrated to a maximum dose of 500 mg of levetiracetam BID (1,000 mg/day) x 7 days.

    Drug: Levetiracetam (Keppra) · Drug: Placebo

  • Experimental
    Group B

    Twenty moderate to heavy social alcohol users will receive 500 mg levetiracetam BID (1000 mg/day) or placebo x 7 days and will be titrated to a maximum dose of 1000 mg levetiracetam BID (2,000 mg per day) x 7 days.

    Drug: Levetiracetam (Keppra) · Drug: Placebo

Interventions

  • DrugLevetiracetam (Keppra)

    Group A: Twenty moderate to heavy social alcohol users will receive 250 mg of levetiracetam BID (500 mg/day) or placebo x 7 days and will be titrated to a maximum dose of 500 mg of levetiracetam BID (1,000 mg/day) x 7 days. Group B: Twenty moderate to heavy social alcohol users will receive 500 mg levetiracetam BID (1000 mg/day) or placebo x 7 days and will be titrated to a maximum dose of 1000 mg levetiracetam BID (2,000 mg per day) x 7 days.

    Also known as: Keppra

  • DrugPlacebo
06

What researchers measure

Primary outcomes

  1. Standard Alcoholic Drinks Per Treatment Period

    The primary outcome of this study is to determine the effect of levetiracetam on alcohol consumption as measured by change in # of drinks during each treatment period.

    Time frame: During each 14 day treatment period

07

Results

Posted Feb 25, 2013

Participant flow

Recruitment was conducted online (Craigslist) and from publicly posted flyers.

Participant flow — Overall Study
MilestoneGroup A: Crossover Between Low Dose Keppra and PlaceboGroup B: Crossover Between High Dose Keppra and Placebo
Started2323
Completed2323
Not completed00

Outcome measures

PrimaryStandard Alcoholic Drinks Per Treatment Period

The primary outcome of this study is to determine the effect of levetiracetam on alcohol consumption as measured by change in # of drinks during each treatment period.

Time frame:
During each 14 day treatment period
Reported as:
Mean · number of drinks per treatment period
Standard Alcoholic Drinks Per Treatment Period
number of drinks per treatment periodAll Subjects (n = 46) PlaceboAll Subjects (n = 46) Levetiracetam
Standard Alcoholic Drinks Per Treatment Period41.2 ± 2.845.4 ± 3.6

Adverse events

Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
All Subjects (n = 46) Placebo—0/46 (0%)0/46 (0%)
All Subjects (n = 46) Levetiracetam—0/46 (0%)0/46 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Group A: Crossover Between Low Dose Keppra and PlaceboGroup B: Crossover Between High Dose Keppra and PlaceboTotal
<=18 years000
Between 18 and 65 years232346
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)Group A: Crossover Between Low Dose Keppra and PlaceboGroup B: Crossover Between High Dose Keppra and PlaceboTotal
Female121224
Male111122
Region of Enrollment
Region of Enrollment(participants)Group A: Crossover Between Low Dose Keppra and PlaceboGroup B: Crossover Between High Dose Keppra and PlaceboTotal
United States232346
08

Study locations

1 site
  • Children's Hospital Oakland Research Institute- CRC
    Berkeley, California 94705, United States
09

References and documents

Publications

  • Angehagen M, Margineanu DG, Ben-Menachem E, Ronnback L, Hansson E, Klitgaard H. Levetiracetam reduces caffeine-induced Ca2+ transients and epileptiform potentials in hippocampal neurons. Neuroreport. 2003 Mar 3;14(3):471-5. doi: 10.1097/00001756-200303030-00035. PubMed 12634506 ↗
  • Ardid D, Lamberty Y, Alloui A, Coudore-Civiale MA, Klitgaard H, Eschalier A. Antihyperalgesic effect of levetiracetam in neuropathic pain models in rats. Eur J Pharmacol. 2003 Jul 18;473(1):27-33. doi: 10.1016/s0014-2999(03)01933-2. PubMed 12877934 ↗
  • Brockmoller J, Thomsen T, Wittstock M, Coupez R, Lochs H, Roots I. Pharmacokinetics of levetiracetam in patients with moderate to severe liver cirrhosis (Child-Pugh classes A, B, and C): characterization by dynamic liver function tests. Clin Pharmacol Ther. 2005 Jun;77(6):529-41. doi: 10.1016/j.clpt.2005.02.003. PubMed 15961984 ↗
  • Cataldi M, Lariccia V, Secondo A, di Renzo G, Annunziato L. The antiepileptic drug levetiracetam decreases the inositol 1,4,5-trisphosphate-dependent [Ca2+]I increase induced by ATP and bradykinin in PC12 cells. J Pharmacol Exp Ther. 2005 May;313(2):720-30. doi: 10.1124/jpet.104.079327. Epub 2005 Jan 11. PubMed 15644427 ↗
  • Dong M, Yeh F, Tepp WH, Dean C, Johnson EA, Janz R, Chapman ER. SV2 is the protein receptor for botulinum neurotoxin A. Science. 2006 Apr 28;312(5773):592-6. doi: 10.1126/science.1123654. Epub 2006 Mar 16. PubMed 16543415 ↗
  • Grunewald R. Levetiracetam in the treatment of idiopathic generalized epilepsies. Epilepsia. 2005;46 Suppl 9:154-60. doi: 10.1111/j.1528-1167.2005.00329.x. PubMed 16302890 ↗
  • Kim C, Jun K, Lee T, Kim SS, McEnery MW, Chin H, Kim HL, Park JM, Kim DK, Jung SJ, Kim J, Shin HS. Altered nociceptive response in mice deficient in the alpha(1B) subunit of the voltage-dependent calcium channel. Mol Cell Neurosci. 2001 Aug;18(2):235-45. doi: 10.1006/mcne.2001.1013. PubMed 11520183 ↗
  • Krebs M, Leopold K, Richter C, Kienast T, Hinzpeter A, Heinz A, Schaefer M. Levetiracetam for the treatment of alcohol withdrawal syndrome: an open-label pilot trial. J Clin Psychopharmacol. 2006 Jun;26(3):347-9. doi: 10.1097/01.jcp.0000219926.49799.89. No abstract available. PubMed 16702910 ↗
  • LaMotte RH, Lundberg LE, Torebjork HE. Pain, hyperalgesia and activity in nociceptive C units in humans after intradermal injection of capsaicin. J Physiol. 1992 Mar;448:749-64. doi: 10.1113/jphysiol.1992.sp019068. PubMed 1593488 ↗
  • Lipscomb TR, Carpenter JA, Nathan PE. Static ataxia: a predictor of alcoholism? Br J Addict Alcohol Other Drugs. 1979 Sep;74(3):289-94. doi: 10.1111/j.1360-0443.1979.tb01350.x. No abstract available. PubMed 290377 ↗
  • Lipscomb TR, Nathan PE. Blood alcohol level discrimination. The effects of family history of alcoholism, drinking pattern, and tolerance. Arch Gen Psychiatry. 1980 May;37(5):571-6. doi: 10.1001/archpsyc.1980.01780180085010. PubMed 7377914 ↗
  • Lukyanetz EA, Shkryl VM, Kostyuk PG. Selective blockade of N-type calcium channels by levetiracetam. Epilepsia. 2002 Jan;43(1):9-18. doi: 10.1046/j.1528-1157.2002.24501.x. PubMed 11879381 ↗
  • Lynch BA, Lambeng N, Nocka K, Kensel-Hammes P, Bajjalieh SM, Matagne A, Fuks B. The synaptic vesicle protein SV2A is the binding site for the antiepileptic drug levetiracetam. Proc Natl Acad Sci U S A. 2004 Jun 29;101(26):9861-6. doi: 10.1073/pnas.0308208101. Epub 2004 Jun 21. PubMed 15210974 ↗
  • Madeja M, Margineanu DG, Gorji A, Siep E, Boerrigter P, Klitgaard H, Speckmann EJ. Reduction of voltage-operated potassium currents by levetiracetam: a novel antiepileptic mechanism of action? Neuropharmacology. 2003 Oct;45(5):661-71. doi: 10.1016/s0028-3908(03)00248-x. PubMed 12941379 ↗
  • Newton PM, Orr CJ, Wallace MJ, Kim C, Shin HS, Messing RO. Deletion of N-type calcium channels alters ethanol reward and reduces ethanol consumption in mice. J Neurosci. 2004 Nov 3;24(44):9862-9. doi: 10.1523/JNEUROSCI.3446-04.2004. PubMed 15525770 ↗
  • Pisani A, Bonsi P, Martella G, De Persis C, Costa C, Pisani F, Bernardi G, Calabresi P. Intracellular calcium increase in epileptiform activity: modulation by levetiracetam and lamotrigine. Epilepsia. 2004 Jul;45(7):719-28. doi: 10.1111/j.0013-9580.2004.02204.x. PubMed 15230693 ↗
  • Rigo JM, Hans G, Nguyen L, Rocher V, Belachew S, Malgrange B, Leprince P, Moonen G, Selak I, Matagne A, Klitgaard H. The anti-epileptic drug levetiracetam reverses the inhibition by negative allosteric modulators of neuronal GABA- and glycine-gated currents. Br J Pharmacol. 2002 Jul;136(5):659-72. doi: 10.1038/sj.bjp.0704766. PubMed 12086975 ↗
  • Rowbotham MC, Manville NS, Ren J. Pilot tolerability and effectiveness study of levetiracetam for postherpetic neuralgia. Neurology. 2003 Sep 23;61(6):866-7. doi: 10.1212/01.wnl.0000079463.16377.07. No abstract available. PubMed 14504347 ↗
  • Schuckit MA, Smith TL, Kalmijn J. Findings across subgroups regarding the level of response to alcohol as a risk factor for alcohol use disorders: a college population of women and Latinos. Alcohol Clin Exp Res. 2004 Oct;28(10):1499-508. doi: 10.1097/01.alc.0000141814.80716.32. PubMed 15597082 ↗
  • Saegusa H, Kurihara T, Zong S, Kazuno A, Matsuda Y, Nonaka T, Han W, Toriyama H, Tanabe T. Suppression of inflammatory and neuropathic pain symptoms in mice lacking the N-type Ca2+ channel. EMBO J. 2001 May 15;20(10):2349-56. doi: 10.1093/emboj/20.10.2349. PubMed 11350923 ↗
  • Hatakeyama S, Wakamori M, Ino M, Miyamoto N, Takahashi E, Yoshinaga T, Sawada K, Imoto K, Tanaka I, Yoshizawa T, Nishizawa Y, Mori Y, Niidome T, Shoji S. Differential nociceptive responses in mice lacking the alpha(1B) subunit of N-type Ca(2+) channels. Neuroreport. 2001 Aug 8;12(11):2423-7. doi: 10.1097/00001756-200108080-00027. PubMed 11496122 ↗
  • Mitchell JM, Grossman LE, Coker AR, Messing RO. The anticonvulsant levetiracetam potentiates alcohol consumption in non-treatment seeking alcohol abusers. J Clin Psychopharmacol. 2012 Apr;32(2):269-72. doi: 10.1097/JCP.0b013e318248ba69. PubMed 22367657 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 28, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01168687
Lead sponsor
University of California, San Francisco
Collaborators
United States Department of Defense, University of California
Responsible party
Sponsor
First posted
Jul 23, 2010
Start date
Nov 2008
Primary completion
Nov 2009
Completion
Nov 2010
Results posted
Feb 25, 2013
Last update
Aug 28, 2020

Study contacts

Robert O. Messing, M.D.
principal investigator · UCSF; Department of Neurology; Ernest Gallo Clinic and Research Center
Jennifer M. Mitchell, Ph.D.
principal investigator · UCSF; Department of Neurology; Ernest Gallo Clinic and Research Center

Oversight

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

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