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CompletedNCT01342549AUDUpdated Jun 9, 2016Results posted

Treatment Strategy for Alcohol Use Disorders in Veterans With TBI

A Phase 3 interventional study of Valproate and Naltrexone in Alcohol Dependence, sponsored by VA Office of Research and Development. Completed at 2 sites in United States. Open to male participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2016-06-09.

Sponsored by VA Office of Research and Development · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
62
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
Male
01

Study summary

The purpose of this research study is to understand the effectiveness of valproate (a common mood stabilizer) to further reduce alcohol misuse when given in addition to attending an alcohol rehabilitation program as well as the treatment of mood disorders or PTSD. The main goal of this project is to understand if people receiving valproate will have a better recovery than people receiving the standard treatment for alcohol dependence: naltrexone.

Read the detailed description

Veterans are vulnerable to develop complex forms of addictive disorders characterized by the presence of traumatic brain injury and psychiatric conditions such as post-traumatic stress disorder and mood disturbances. Alcohol use disorders are frequently observed among veterans and exert a detrimental effect on community reintegration after deployment. Attending to this veteran health problem, the VA is devoting extraordinary efforts to develop adequate treatment strategies. In this study we will evaluate treatment outcomes and identify specific factors that influence alcohol use disorders treatment response in a VA Intensive Outpatient Program offering rehabilitation treatment to the growing number of veterans with alcohol use disorders. Cooperation between researchers and clinical staff will allow optimizing treatment strategies that enhance the recovery of veterans with alcohol use disorders.

02

Conditions studied

  • Alcohol Dependence

Keywords

  • Alcohol Use Disorders
  • Traumatic Brain Injury
  • Mood and Anxiety Disorders
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 62 is below the median of 87 across 1,371 interventional studies indexed under Alcoholism.

Browse Alcoholism studies →

Lead sponsor

VA Office of Research and Development is the lead sponsor of 1,733 studies on the registry; 396 are open to participants now.

Of its 206 completed or terminated interventional studies of FDA-regulated products, 180 (87%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • Veterans attending alcohol use disorders rehabilitation treatment within the VA
  • Presence of a diagnosis of alcohol dependence according to DSM-IV
  • A history of heavy drinking
  • Absence of withdrawal symptoms

Exclusion criteria

Exclusion Criteria:

  • Evidence of other substance abuse different from nicotine or cannabis (DSM-IV criteria) or by 2 consecutive positive urine drug screens
  • Unstable medical conditions such as severe heart disease, liver or renal failure or evidence of neoplasia.
  • Liver Enzymes (ALT, AST) serum levels >3 times the upper limit of normal
  • Unstable psychiatric conditions that requires treatment in a more structured setting (i.e. active SI, worsening psychotic symptoms or acute mania)
  • Diagnosis of schizophrenia or schizoaffective disorder
  • Requiring therapy with valproate or naltrexone or has a history of significant side effects from either study drug
  • Requiring therapy with topiramate, lamotrigine or carbamazepine
  • Requiring chronic treatment with opioid analgesics for refractory pain
  • Failed 3 previous intensive alcohol rehabilitation programs in the past 2 years
  • Females
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
62 participants (actual)

Study arms

  • Active comparator
    Arm 1

    sodium valproate

    Drug: Valproate

  • Active comparator
    Arm 2

    naltrexone

    Drug: Naltrexone

Interventions

  • DrugValproate

    250mg per day 30 minutes after a meal. Dosages will be increase as tolerated to a maximum recommended dosage of 60 mg per kg per day. Usual dosage is between 1250mg to 2000mg per day

    Also known as: Depakote ER

  • DrugNaltrexone

    25mg per day, taken by mouth for 7 days, then 50mg per day

    Also known as: Revia

06

What researchers measure

Primary outcomes

  1. Time to Relapse to Heavy Drinking as Defined by Having 5 or More Drinks in a Sitting for Men and Will be Assessed Using the Time Line Follow Back for Recent Drinking Method. A Structured Questionnaire Will Review Alcohol Consumed on the Previous Week.

    Time frame: 24 weeks

07

Results

Posted Jun 9, 2016

Participant flow

Participant flow — Overall Study
MilestoneArm 1Arm 2
Started3131
Completed3131
Not completed00

Outcome measures

PrimaryTime to Relapse to Heavy Drinking as Defined by Having 5 or More Drinks in a Sitting for Men and Will be Assessed Using the Time Line Follow Back for Recent Drinking Method. A Structured Questionnaire Will Review Alcohol Consumed on the Previous Week.
Time frame:
24 weeks
Reported as:
Mean · Weeks
Time to Relapse to Heavy Drinking as Defined by Having 5 or More Drinks in a Sitting for Men and Will be Assessed Using the Time Line Follow Back for Recent Drinking Method. A Structured Questionnaire Will Review Alcohol Consumed on the Previous Week.
WeeksArm 1Arm 2
Time to Relapse to Heavy Drinking as Defined by Having 5 or More Drinks in a Sitting for Men and Will be Assessed Using the Time Line Follow Back for Recent Drinking Method. A Structured Questionnaire Will Review Alcohol Consumed on the Previous Week.8.78 ± 0.9715.99 ± 1.36

Adverse events

Collected over 6 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Arm 1—0/31 (0%)12/31 (38.7%)
Arm 2—0/31 (0%)10/31 (32.3%)
Most frequent other events
Most frequent other events
EventArm 1Arm 2
DrowsinessNervous system disorders12/3110/31
DiarrheaGastrointestinal disorders10/319/31
SweatingSkin and subcutaneous tissue disorders5/3110/31
NauseaGastrointestinal disorders3/319/31
Abdominal PainGastrointestinal disorders3/315/31

Baseline characteristics

1. Veterans age 18 to 60 2. Presence of a diagnosis of alcohol dependence (DSM-IV criteria); 3. A recent history of heavy drinking defined as 5 or more drinks in a sitting at least twice in a week during the previous 2 months;4. Absence of withdrawal symptoms CIWA-Ar (94);5. Presence of a knowledgeable informant

Age, Categorical
Age, Categorical(Participants)Arm 1Arm 2Total
<=18 years000
Between 18 and 65 years313162
>=65 years000
Age, Continuous
Age, Continuous(years)Arm 1Arm 2Total
Mean46.71 ± 9.5248.13 ± 8.7947.42 ± 9.17
Sex: Female, Male
Sex: Female, Male(Participants)Arm 1Arm 2Total
Female000
Male313162
Region of Enrollment
Region of Enrollment(participants)Arm 1Arm 2Total
United States313162
08

Study locations

2 sites
  • Iowa City VA Health Care System, Iowa City, IA
    Iowa City, Iowa 52246-2208, United States
  • Michael E. DeBakey VA Medical Center, Houston, TX
    Houston, Texas 77030, United States
09

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 9, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01342549
Lead sponsor
VA Office of Research and Development
Responsible party
Sponsor
First posted
Apr 27, 2011
Start date
Sep 2011
Primary completion
Jun 2015
Completion
Jun 2015
Results posted
Jun 9, 2016
Last update
Jun 9, 2016

Study contacts

Ricardo E Jorge, MD
principal investigator · Michael E. DeBakey VA Medical Center, Houston, TX

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2016. You cannot join it, but the record below documents what was studied.

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