ClinicalTrials.gg
CompletedNCT01641445IMPACTUpdated Oct 20, 2020Results posted

Effects of Topiramate on Adolescent Alcohol Use: Efficacy and Mechanisms

A Phase 1/2 interventional study of Topiramate and Placebo in Alcohol Drinking, sponsored by Brown University. Completed at 1 site in United States. Open to participants aged 14 Years to 24 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-10-20.

Sponsored by Brown University · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
82
Allocation
Randomized
Ages
14 Years to 24 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 22 studies in Alcohol Drinking by Brown University — 3 open to participants now, 3 under way, none of them phase 3. Alcohol Drinking · Brown University.

Enrollment
13th of 22
82 · median 117
Started
2012
with 1 other
Phase 1/2
Only one
of the 22
Registered
5th of 22
by date

Among the 22 studies in Alcohol Drinking by Brown University, this one is the 13th largest by enrollment, is one of 2 that started in 2012, is the only one in phase 1/2, and was the 5th registered.

By phase

22 studies; the count open now beside each. This study's row is marked.

No phase13 · 1 open
Phase 25 · 2 open
Phase 13 · 0 open
Phase 1/2this study1 · 0 open

By the year they started

First in 2009; this study’s year is marked. 2 started in 2012.

Size and results

Median enrollment 117 across the 22 interventional studies. Of the 18 that completed or were terminated, 11 (61%) have results posted.

Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 22 studies in Alcohol Drinking by Brown University, or all of them as a file.
02

Study summary

This study will help to determine whether the medication, topiramate, reduces alcohol use among adolescents with alcohol dependence. It will also help answer the question, "How does topiramate reduce drinking in teenagers?" Understanding how topiramate may reduce drinking in adolescents would allow for a more targeted pharmacotherapeutic approach to treatment and help to identify additional medications that may hold promise for improving treatment outcomes for youth.

Read the detailed description

Adolescent alcohol use is associated with myriad adverse legal, health, and educational consequences and contributes to the leading causes of mortality among youth. Yet despite the magnitude of this public health problem, treatment initiatives for youth remain inadequate. Given these data, the National Institute on Alcohol Abuse and Alcoholism identified the critical need for medications development research for youth with the goal of identifying promising agents for which large-scale clinical trials are justified. The long-term goal of this research program is to improve pharmacotherapy for alcoholism. The major objective of this project is to address the urgent need for empirical data on medications that may benefit youth. For the past 10 years our research program has successfully paired human laboratory paradigms with ecological momentary assessment (EMA), whereby research participants use handheld electronic diaries to monitor their drinking, craving, and sensitivity to alcohol in real time in their natural environment. Using this approach, we identified mechanisms by which medications act and patient characteristics that moderate these effects. The proposed study will test if and how topiramate (TPM), an anticonvulsant shown to be efficacious for treating adults, reduces drinking in youth. To this end, we will randomize adolescent problem drinkers to TPM or placebo for 8 weeks, in combination with biweekly motivational enhancement therapy sessions, using a two-group, double-blind design. While at the target dose (200 mg/day) youth will complete EMA in their natural environment. In addition, youth will complete alcohol cue reactivity assessments in the laboratory to test the effects of TPM on cue-elicited craving and physiological reactivity in a controlled environment. Youth will complete 6- and 12-month follow-up assessments to determine whether any benefits are sustained. This study will provide much needed data on the tolerability and efficacy of TPM with adolescents, while adding important new information about the biobehavioral mechanisms of TPM action in youth.

03

Conditions studied

  • Alcohol Drinking

Browse trials for

04

Who can participate

Ages eligible
14 Years to 24 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • 14-24 years old (inclusive)
  • Non-treatment seeking for alcohol abuse or dependence
  • Interest in reducing alcohol use
  • Self-reported alcohol use at least 2 days/week during prior 28 days
  • Able to read simple English

Exclusion criteria

Exclusion Criteria:

  • Alcohol or substance abuse treatment in the past 30 days
  • medical abnormalities
  • History of renal impairment, renal stones, or unstable hypertension
  • History of progressive neurodegenerative disorders or clinical significant neurological disorders
  • lower than 18
  • Pregnant, nursing, or refusal to use reliable , if female
  • Non-stabilized psychotropic medication and/or taking medication that is for use with topiramate
  • Medications that may effect alcohol use or a carbonic anhydrase inhibitor
  • Suicidal or psychotic
  • Current coexisting substance use disorders other than alcohol, caffeine, cannabis, or nicotine use disorders
  • Clinically significant alcohol withdrawal symptoms
  • Impaired cognitive functioning
  • Living with an active study participant
  • Compelled to treatment by the juvenile justice system
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
82 participants (actual)

Study arms

  • Active comparator
    Topiramate

    Topiramate (200 mg) taken orally daily

    Drug: Topiramate

  • Placebo comparator
    Sugar pill

    Placebo ("sugar pill") taken orally daily

    Drug: Placebo

Interventions

  • Topiramate (200 mg daily)

    Also known as: Topamax

  • DrugPlacebo

    Matching placebo capusules ("sugar pills"

    Also known as: "Sugar Pill"

06

What researchers measure

Primary outcomes

  1. Alcohol Use

    Percent drinking days at the target medication dose

    Time frame: Study Weeks 5-8

  2. Heavy Drinking Days

    Percent heavy drinking days at the target medication dose. Heavy drinking is defined as 4 or more standard alcoholic drinks per day for females and 5 or more standard drinks per day for males.

    Time frame: Study Weeks 5-8

Secondary outcomes

  1. Alcohol Use

    Percent drinking days at the 6-month follow-up assessment

    Time frame: 6-month follow-up assessment

  2. Alcohol Use

    Percent drinking days at the 12-month follow-up assessment

    Time frame: 12-month follow-up assessment

07

Results

Posted Sep 17, 2020

Participant flow

Participant flow — Overall Study
MilestoneTopiramateSugar Pill
Started4141
Completed3136
Not completed105

Outcome measures

PrimaryAlcohol Use

Percent drinking days at the target medication dose

Time frame:
Study Weeks 5-8
Reported as:
Mean · Percent of days
Alcohol Use
Percent of daysTopiramateSugar Pill
Alcohol Use29.59 ± 19.5527.08 ± 21.47
PrimaryHeavy Drinking Days

Percent heavy drinking days at the target medication dose. Heavy drinking is defined as 4 or more standard alcoholic drinks per day for females and 5 or more standard drinks per day for males.

Time frame:
Study Weeks 5-8
Reported as:
Mean · percentage of days
Heavy Drinking Days
percentage of daysTopiramateSugar Pill
Heavy Drinking Days9.34 ± 10.996.78 ± 11.44
SecondaryAlcohol Use

Percent drinking days at the 6-month follow-up assessment

Time frame:
6-month follow-up assessment
Reported as:
Mean · Percent of days
Alcohol Use
Percent of daysTopiramateSugar Pill
Alcohol Use23.56 ± 17.1121.75 ± 21.50
SecondaryAlcohol Use

Percent drinking days at the 12-month follow-up assessment

Time frame:
12-month follow-up assessment
Reported as:
Mean · Percent of days
Alcohol Use
Percent of daysTopiramateSugar Pill
Alcohol Use25.55 ± 22.0321.93 ± 21.73

Adverse events

Collected over Adverse events were collected during the 8-week active medication (or placebo pill) period.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Topiramate0/41 (0%)0/41 (0%)37/41 (90.2%)
Sugar Pill0/41 (0%)0/41 (0%)35/41 (85.4%)
Most frequent other events
Showing 10 of 27
Most frequent other events
EventTopiramateSugar Pill
ParesthesiasGeneral disorders22/412/41
Runny Nose, Sinus Problems, SneezingGeneral disorders14/4117/41
Drowsiness or SleepinessGeneral disorders16/4110/41
AnxietyPsychiatric disorders14/414/41
Word Finding DifficultiesPsychiatric disorders13/413/41
Difficulty with Concentration or AttentionPsychiatric disorders13/413/41
Weight LossGeneral disorders13/4111/41
Decrease in AppetiteGeneral disorders13/416/41
HeadacheGeneral disorders12/4113/41
Slow Thinking or ReactionsGeneral disorders12/413/41

Baseline characteristics

Age, Continuous
Age, Continuous(Years)TopiramateSugar PillTotal
Mean20.88 ± 2.0820.49 ± 2.0520.68 ± 2.06
Sex: Female, Male
Sex: Female, Male(Participants)TopiramateSugar PillTotal
Female202040
Male212142
Region of Enrollment
Region of Enrollment(Participants)TopiramateSugar PillTotal
United States414182
08

Study locations

1 site
  • Brown University, Center for Alcohol and Addiction Studies
    Providence, Rhode Island 02912, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 20, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01641445
Lead sponsor
Brown University
Responsible party
Robert Miranda (Associate Professor (Research), Brown University) — Principal investigator
First posted
Jul 16, 2012
Start date
Jul 2012
Primary completion
May 2016
Completion
Apr 12, 2017
Results posted
Sep 17, 2020
Last update
Oct 20, 2020

Study contacts

Robert Miranda, Ph.D.
principal investigator · Brown University

Oversight

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

Not currently enrolling

This study is completed, as verified in Sep 2020. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Topiramate

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