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CompletedNCT02074735Updated Jul 24, 2018Results posted

Citicoline for Alcohol Dependence

A Phase 4 interventional study of Placebo and Citicoline in Alcohol Dependence, sponsored by University of Texas Southwestern Medical Center. Completed at 1 site in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2018-07-24.

Sponsored by University of Texas Southwestern Medical Center · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
62
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The purpose of this study is to determine if citicoline, as an add-on therapy, will help reduce alcohol use in outpatients with alcohol dependence.

Read the detailed description

A total of 62 outpatients with alcohol dependence will be enrolled in a 12-week, randomized, placebo-controlled trial. Participants will be randomized to receive either placebo or citicoline.

Throughout the study, participants will be asked about their alcohol use and any withdrawal or craving symptoms. Depressive symptoms will be measured as well. Cognition and memory will be measured as well with a neurocognitive battery. Blood will be drawn at study start and week 12 to measure liver enzyme levels.

Appointments will be weekly for the entire study. Participants will have a physician follow-up at every study appointment.

02

Conditions studied

  • Alcohol Dependence

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Keywords

  • alcohol dependence
  • alcohol abuse
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

University of Texas Southwestern Medical Center is the lead sponsor of 990 studies on the registry; 201 are open to participants now.

Of its 135 completed or terminated interventional studies of FDA-regulated products, 100 (74%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Men and women age 18-75 years old with diagnosis of alcohol dependence
  • Average alcohol use of at least 28 drinks per week and at least 7 heavy drinking days (defined as 4 or more drinks/day for women, 5 or more drinks/day for men) in the past 28 days
  • No alcohol use within 72 hours of randomization (maximum abstinence 7 days)
  • CIWA-Ar (withdrawal scale) score less than or equal to 8 at randomization (consistent with minimal or no withdrawal symptoms and medication probably not needed)

Exclusion criteria

Exclusion Criteria:

  • Vulnerable populations including individuals with intellectual disability or dementia, prison or jail inmates, pregnant or nursing women, or women of childbearing age who will not use acceptable forms of birth control
  • History of arrhythmias
  • Myocardial infarction or coronary artery bypass graft surgery in the past 6 months
  • Active angina or blood pressure >170/105
  • High risk for suicide (defined as suicide attempt in past 6 months, or current suicidal ideation with plan and intent)
  • High risk of violence toward others (defined as assault in past 6 months, or violent thoughts with evidence of plan and intent)
  • Intensive outpatient treatment for substance abuse (AA, NA meetings or weekly therapy/counseling for substance use for at least 28 days prior to randomization will be allowed)
  • Dependence (not just abuse) on substances other than alcohol or nicotine
  • History of delirium tremens or other sever alcohol withdrawal symptoms, history of cirrhosis or AST or ALT >3 times normal, or other unstable medical condition (e.g. uncontrolled diabetes)
  • History of bipolar disorder or schizophrenia
  • Current major depressive episode (past episodes and current milder depressive symptoms allowed) or other psychiatric disorder that should be a major focus of treatment
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
62 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Placebo schedule will mimic the schedule of the active comparator citicoline. Placebo will be started at the randomization visit (week 0, mimicking 500 mg/day of citicoline), then increased at week 2 to mimic 1000 mg/day citicoline, then increased to mimic 1500 mg/day of citicoline at week 4, and then increased to mimic 2000 mg/day of citicoline at week 6 until the end of week 12.

    Drug: Placebo

  • Active comparator
    Citicoline

    Citicoline will be started at 500 mg/day at the randomization visit (week 0), then increased to 1000 mg/day at week 2, then 1500 mg/day at week 4, and then 2000 mg/day at week 6 until the end of week 12.

    Drug: Citicoline

Interventions

  • DrugPlacebo

    Inactive ingredient matching the active comparator in appearance

    Also known as: Sugar pill

  • DrugCiticoline

    Citicoline is an over-the-counter nutritional supplement that is used for neuroprotective effects. It is a naturally occurring neurochemical in the human body.

    Also known as: CDP-choline, cytidine diphosphate-choline

06

What researchers measure

Primary outcomes

  1. Heavy Drinking Days Per Week

    Heavy drinking days are defined as "4 or more drinks for women, 5 or more drinks for men in a single day". Participants self-reported the type and amount of alcohol consumed during each assessment period. From this information, number of standard drinks per day was calculated using the following formula: "(number of drinks) x (oz per drink) x (alcohol by volume or ABV)". The average number of heavy drinking days was calculated by dividing the number of heavy drinking days per week by the number of days in the assessment period.

    Time frame: 12 weeks

07

Results

Posted Jul 24, 2018

Participant flow

Participant flow — Overall Study
MilestonePlaceboCiticoline
Started2933
Completed2629
Not completed34

Outcome measures

PrimaryHeavy Drinking Days Per Week

Heavy drinking days are defined as "4 or more drinks for women, 5 or more drinks for men in a single day". Participants self-reported the type and amount of alcohol consumed during each assessment period. From this information, number of standard drinks per day was calculated using the following formula: "(number of drinks) x (oz per drink) x (alcohol by volume or ABV)". The average number of heavy drinking days was calculated by dividing the number of heavy drinking days per week by the number of days in the assessment period.

Time frame:
12 weeks
Reported as:
Mean · days/week
Heavy Drinking Days Per Week
days/weekPlaceboCiticoline
Heavy Drinking Days Per Week0.23 ± 0.300.33 ± 0.38

Adverse events

Collected over 12 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/26 (0%)0/26 (0%)15/26 (57.7%)
Citicoline0/29 (0%)0/29 (0%)22/29 (75.9%)
Most frequent other events
Showing 10 of 13
Most frequent other events
EventPlaceboCiticoline
DrowsinessVascular disorders4/265/29
Dry mouthGeneral disorders1/264/29
NauseaGastrointestinal disorders2/264/29
StomachacheGastrointestinal disorders3/260/29
DiarrheaGastrointestinal disorders1/263/29
HeadacheVascular disorders0/262/29
RashSkin and subcutaneous tissue disorders1/261/29
FatigueGeneral disorders1/260/29
Increased appetiteGeneral disorders1/260/29
TremorNervous system disorders1/260/29

Baseline characteristics

Age, Continuous
Age, Continuous(years)PlaceboCiticolineTotal
Mean44.79 ± 9.5148.70 ± 8.9246.87 ± 9.33
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboCiticolineTotal
Female5813
Male242549
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)PlaceboCiticolineTotal
African American171633
Caucasian91423
Hispanic325
Other011
Region of Enrollment
Region of Enrollment(Participants)PlaceboCiticolineTotal
United States293362
08

Study locations

1 site
  • The University of Texas Southwestern Medical CEnter
    Dallas, Texas 75390, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 24, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02074735
Lead sponsor
University of Texas Southwestern Medical Center
Responsible party
Sherwood Brown (Professor, University of Texas Southwestern Medical Center) — Principal investigator
First posted
Feb 28, 2014
Start date
Apr 2014
Primary completion
Oct 2016
Completion
Nov 2016
Results posted
Jul 24, 2018
Last update
Jul 24, 2018

Study contacts

Sherwood Brown, M.D., Ph.D.
principal investigator · UT Southwestern Medical Center

Oversight

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

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