An interventional study of Retrieval-extinction and Alcohol-related cues in Alcohol Drinking and Alcohol Drinking Related Problems, sponsored by National Institute on Drug Abuse (NIDA). Completed at 1 site in United States. Open to participants aged 21 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-01-16.
Sponsored by National Institute on Drug Abuse (NIDA) · Not applicable, Interventional, and Treatment
Background:
Sights, sounds, and smells can be associated with alcohol and tempt people to drink. The connection between encountering cues and wanting to drink might be reduced by behavioral techniques, like giving the cues at certain times, in certain circumstances.
Objective:
To see if visual imagery and behavioral techniques can reduce alcohol craving and drinking.
Eligibility:
Healthy people ages 21 to 65 years old who are mildly concerned about their drinking and have had these habits in the past 3 months:
Design:
There will be six (6) study visits approximately over four (4) weeks. Visits will last up to four (4) hours, but the final visit may last up to seven (7) hours. Visits include the following:
Objective: To evaluate alcohol memory retrieval-extinction, a novel behavioral procedure for reduction of craving and drinking, in problem drinkers.
Study population: We will collect evaluable data from up to 75 participants. Participants are evaluable if they complete ecological momentary assessment (EMA, described below). All participants will be adult alcohol drinkers (men: > 14 drinks/week or > 4 drinks/day; women: > 7 drinks/week or > 3 drinks/day) whose drinking scores as hazardous on the Alcohol Use Disorders Identification Test. Participants will not be seeking treatment for an alcohol-use disorder, be physiologically dependent on alcohol, or have other drug use disorders. Participants can have nicotine use disorder.
Design: A randomized study with three groups. Participants will use smartphones to provide geotagged reports of alcohol craving and drinking in daily life (EMA reports) before, between, and after a series of laboratory sessions. During sessions, participants will drink an alcoholic beverage (individualized to produce a 0.06 g/dL blood alcohol content) or a soft drink. Participants will then be repeatedly presented with alcohol or soft drink-associated cues without further drinking. These are the memory retrieval and extinction portions, respectively, of memory retrieval-extinction. Previous studies suggest this procedure can robustly reduce Pavlovian associations between cues and responses such as craving. The mechanism seems to involve memory reconsolidation, in which freshly retrieved associations (e.g. drink cues and consumption - pleasant effects) become more vulnerable to disruption by extinction.
Three groups will be tested: (1) alcohol retrieval / alcohol extinction will be compared to (2) soft-drink retrieval / alcohol extinction and (3) alcohol retrieval / soft-drink extinction. Before and after retrieval-extinction, participants will be tested for alcohol craving and cue-induced physiological responses in laboratory sessions. Retrieval-extinction will be followed by approximately one week of follow-up EMA reporting, with telephone contact approximately 30 days thereafter.
Outcome parameters:
925 studies on the registry are indexed under Alcohol Drinking; 172 are open to participants now.
This study's enrollment of 23 is below the median of 108 across 802 interventional studies indexed under Alcohol Drinking.
Browse Alcohol Drinking studies →National Institute on Drug Abuse (NIDA) is the lead sponsor of 388 studies on the registry; 19 are open to participants now.
Of its 12 completed or terminated interventional studies of FDA-regulated products, 5 (42%) have results posted.
Counted across the registry records on this site, refreshed daily.
Drinking at high levels for at least 10 different weeks during the last 90 days. High-level drinking for a given week can be either of the following:
For women,
EXCLUSION CRITERIA:
Risk of alcohol withdrawal, as determined by any of the following:
Participant drinks an alcoholic beverage (individualized to produce a 0.06 g/dL blood alcohol content). Participant is then repeatedly presented with alcohol-associated cues without further drinking. Participant completes four sessions of memory retrieval and extinction portions, a novel behavioral procedure for reduction of craving and drinking, in problem drinkers.
Behavioral: Retrieval-extinction · Behavioral: Alcohol-related cues
Participant undergoes retrieval with with soft drink cues followed by extinction with alcohol-related cues without further drinking. Participant completes four sessions of memory retrieval and extinction portions, a novel behavioral procedure for reduction of craving and drinking, in problem drinkers.
Behavioral: Retrieval-extinction · Behavioral: Alcohol-related cues
Participant drinks an alcoholic beverage (individualized to produce a 0.06 g/dL blood alcohol content). Participant is then repeatedly presented with soft drink-associated cues without further drinking. Participant completes four sessions of memory retrieval and extinction portions, a novel behavioral procedure for reduction of craving and drinking, in problem drinkers.
Behavioral: Retrieval-extinction · Behavioral: Soft-drink related cues
Memory retrieval-extinction is a novel behavioral procedure for reduction of craving and drinking in problem drinkers.
Alcohol related cues
Soft drink related cues
Change in Self-reported Alcohol Craving in the Laboratory Sessions
Participants were presented with alcohol cues and an alcohol-containing beverage in the laboratory sessions then cue-elicited craving was measured on a visual analogue scale using the question, "How much do want a drink right now?" on a scale of 0 = "I don't want a drink at all," to 100 = "I really want a drink". Higher score indicates more alcohol craving. The procedure was done in four intervention sessions, called retrieval-extinction sessions, and then in a test session as follows: Tests of renewal (control context was extinction context; challenge context was novel context) and reinstatement (by a priming dose of alcohol) were used to assess the success of the retrieval-extinction intervention. The outcome measure in the final session was changes in craving before versus after renewal, and again after reinstatement. Results are expressed as the estimated mean change in scores (after cues minus before cues).
Time frame: Up to 75 minutes during trial sessions
Self-reported Alcohol Craving in the Laboratory Sessions - Reinstatement Trial
Participants were presented with soft drink to drink, then craving was measured. Next participants were presented with alcohol to drink followed by craving measurement. Cue-elicited craving was measured on a visual analogue scale using the question, "How much do want a drink right now?" on a scale of 0 = "I don't want a drink at all," to 100 = "I really want a drink". Higher score indicates more alcohol craving. This outcome used a reinstatement procedure in which, instead of alcohol-related cues, the unconditioned stimulus (alcohol) is presented (participants are provided with an alcoholic beverage), to determine whether the extinguished response (craving) reappears (a "priming" effect). Results are expressed as the estimated mean change scores (after cues minus before cues).
Time frame: Up to 90 minutes during reinstatement trials in a single day visit
Drinking in Daily Life Assessed With the Ecological Momentary Assessment (EMA)
Participants drinking over the course of the study was assessed through ecological momentary assessment (EMA), based on self-reports provided through random-prompt and event-contingent entries. Participants reported drinking or not report drinking on each day. EMA uses real-time assessments of behavior and emotion on mobile electronic devices. Results are expressed as the estimated probability of reporting drinking within a day.
Time frame: 22-37 days
Craving in Daily Life Assessed With Event-contingent Ecological Momentary Assessment (EMA)
Participants craving over the course of the study was assessed through ecological momentary assessment (EMA), based on self-reports provided through event-contingent entries initiated by the participant whenever they feel a craving, urge, or temptation to drink, in response to the question on a visual analogue scale, "How much do want a drink right now?" on a scale of 0 = "I don't want a drink at all," to 100 = "I really want a drink". Higher score indicates more alcohol craving. Results are expressed as the estimated mean of level of craving
Time frame: 22-37 days
Craving in Daily Life Assessed With Random-prompt Ecological Momentary Assessment (EMA)
Participant craving over the course of the study was assessed through ecological momentary assessment , based on self-reports provided through random-prompt entries in response to the question on a visual analogue scale, "How much do want a drink right now?" on a scale of 0 = "I don't want a drink at all," to 100 = "I really want a drink". Higher score indicates more alcohol craving. Results are expressed as the estimated mean of level of craving.
Time frame: 22-37 days
Change in Alcohol Craving Assessed Using the Penn Alcohol Craving Scale
Penn Alcohol Craving Scale (PACS) is a self-reported measure that inquires about the frequency, intensity, and duration of craving, the ability to resist drinking, and overall rating of craving for alcohol on a week's timescale, providing a retrospective measure of craving. PACS is a five item questionnaire with each item scored from 0 to 6. Total score range from 0 to 30. Higher score indicates more frequent craving. Craving was measured in once on the first day of treatment and again in a phone call 30 days after last laboratory session. Outcome was analyzed as the change in score (day 30 score minus day 1 score).
Time frame: Day 1 of study and 30 days after the final laboratory session
| Milestone | Experimental Group: Alcohol Retrieval / Alcohol Extinction (A/A) | Control Group A: Soft-drink Retrieval / Alcohol Extinction (S/A) | Control Group B: Alcohol Retrieval / Soft-drink Extinction (A/S) |
|---|---|---|---|
| Started | 7 | 8 | 8 |
| Completed | 6 | 7 | 6 |
| Not completed | 1 | 1 | 2 |
| Withdrew: Lost to follow-up | 0 | 0 | 1 |
| Withdrew: Withdrawal by subject | 0 | 1 | 1 |
| Withdrew: Pandemic shutdown | 1 | 0 | 0 |
Participants were presented with alcohol cues and an alcohol-containing beverage in the laboratory sessions then cue-elicited craving was measured on a visual analogue scale using the question, "How much do want a drink right now?" on a scale of 0 = "I don't want a drink at all," to 100 = "I really want a drink". Higher score indicates more alcohol craving. The procedure was done in four intervention sessions, called retrieval-extinction sessions, and then in a test session as follows: Tests of renewal (control context was extinction context; challenge context was novel context) and reinstatement (by a priming dose of alcohol) were used to assess the success of the retrieval-extinction intervention. The outcome measure in the final session was changes in craving before versus after renewal, and again after reinstatement. Results are expressed as the estimated mean change in scores (after cues minus before cues).
| units on a scale | Experimental Group: Alcohol Retrieval / Alcohol Extinction (A/A) | Control Group A: Soft-drink Retrieval / Alcohol Extinction (S/A) | Control Group B: Alcohol Retrieval / Soft-drink Extinction (A/S) |
|---|---|---|---|
| Extinction context | 11.7 (-1.3 to 24.0) | 20.1 (6.9 to 33.0) | 15.3 (1.1 to 29.1) |
| Novel context | 10.0 (-3.4 to 23.4) | 33.7 (19.4 to 48.2) | 16.1 (1.7 to 30.5) |
Participants were presented with soft drink to drink, then craving was measured. Next participants were presented with alcohol to drink followed by craving measurement. Cue-elicited craving was measured on a visual analogue scale using the question, "How much do want a drink right now?" on a scale of 0 = "I don't want a drink at all," to 100 = "I really want a drink". Higher score indicates more alcohol craving. This outcome used a reinstatement procedure in which, instead of alcohol-related cues, the unconditioned stimulus (alcohol) is presented (participants are provided with an alcoholic beverage), to determine whether the extinguished response (craving) reappears (a "priming" effect). Results are expressed as the estimated mean change scores (after cues minus before cues).
| units on a scale | Experimental Group: Alcohol Retrieval / Alcohol Extinction (A/A) | Control Group A: Soft-drink Retrieval / Alcohol Extinction (S/A) | Control Group B: Alcohol Retrieval / Soft-drink Extinction (A/S) |
|---|---|---|---|
| Self-reported Alcohol Craving in the Laboratory Sessions - Reinstatement Trial | 18.7 (11.6 to 28.3) | 24.7 (17.7 to 34.1) | 9.7 (5.7 to 16.4) |
Participants drinking over the course of the study was assessed through ecological momentary assessment (EMA), based on self-reports provided through random-prompt and event-contingent entries. Participants reported drinking or not report drinking on each day. EMA uses real-time assessments of behavior and emotion on mobile electronic devices. Results are expressed as the estimated probability of reporting drinking within a day.
| Probability of reported drinking/day | Experimental Group: Alcohol Retrieval / Alcohol Extinction (A/A) | Control Group A: Soft-drink Retrieval / Alcohol Extinction (S/A) | Control Group B: Alcohol Retrieval / Soft-drink Extinction (A/S) |
|---|---|---|---|
| Drinking in Daily Life Assessed With the Ecological Momentary Assessment (EMA) | 0.799 (0.616 to 0.906) | 0.549 (0.353 to 0.729) | 0.513 (0.285 to 0.733) |
Participants craving over the course of the study was assessed through ecological momentary assessment (EMA), based on self-reports provided through event-contingent entries initiated by the participant whenever they feel a craving, urge, or temptation to drink, in response to the question on a visual analogue scale, "How much do want a drink right now?" on a scale of 0 = "I don't want a drink at all," to 100 = "I really want a drink". Higher score indicates more alcohol craving. Results are expressed as the estimated mean of level of craving
| units on a scale | Experimental Group: Alcohol Retrieval / Alcohol Extinction (A/A) | Control Group A: Soft-drink Retrieval / Alcohol Extinction (S/A) | Control Group B: Alcohol Retrieval / Soft-drink Extinction (A/S) |
|---|---|---|---|
| Craving in Daily Life Assessed With Event-contingent Ecological Momentary Assessment (EMA) | 5.5 (0.8 to 20.6) | 7.1 (1.6 to 22.7) | 13.8 (3.5 to 40.2) |
Participant craving over the course of the study was assessed through ecological momentary assessment , based on self-reports provided through random-prompt entries in response to the question on a visual analogue scale, "How much do want a drink right now?" on a scale of 0 = "I don't want a drink at all," to 100 = "I really want a drink". Higher score indicates more alcohol craving. Results are expressed as the estimated mean of level of craving.
| units on a scale | Experimental Group: Alcohol Retrieval / Alcohol Extinction (A/A) | Control Group A: Soft-drink Retrieval / Alcohol Extinction (S/A) | Control Group B: Alcohol Retrieval / Soft-drink Extinction (A/S) |
|---|---|---|---|
| Craving in Daily Life Assessed With Random-prompt Ecological Momentary Assessment (EMA) | 24.8 (7.8 to 55.0) | 28.1 (10.2 to 55.7) | 7.2 (1.4 to 23.2) |
Penn Alcohol Craving Scale (PACS) is a self-reported measure that inquires about the frequency, intensity, and duration of craving, the ability to resist drinking, and overall rating of craving for alcohol on a week's timescale, providing a retrospective measure of craving. PACS is a five item questionnaire with each item scored from 0 to 6. Total score range from 0 to 30. Higher score indicates more frequent craving. Craving was measured in once on the first day of treatment and again in a phone call 30 days after last laboratory session. Outcome was analyzed as the change in score (day 30 score minus day 1 score).
| units on a scale | Experimental Group: Alcohol Retrieval / Alcohol Extinction (A/A) | Control Group A: Soft-drink Retrieval / Alcohol Extinction (S/A) | Control Group B: Alcohol Retrieval / Soft-drink Extinction (A/S) |
|---|---|---|---|
| Change in Alcohol Craving Assessed Using the Penn Alcohol Craving Scale | -0.3 (-4.1 to 3.5) | 0.4 (-3.1 to 3.9) | 1.6 (-2.6 to 5.7) |
Collected over Up to 3 months from start of study. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Experimental Group: Alcohol Retrieval / Alcohol Extinction (A/A) | 0/7 (0%) | 0/7 (0%) | 1/7 (14.3%) |
| Control Group A: Soft-drink Retrieval / Alcohol Extinction (S/A) | 0/8 (0%) | 0/8 (0%) | 1/8 (12.5%) |
| Control Group B: Alcohol Retrieval / Soft-drink Extinction (A/S) | 0/8 (0%) | 0/8 (0%) | 0/8 (0%) |
| Event | Experimental Group: Alcohol Retrieval / Alcohol Extinction (A/A) | Control Group A: Soft-drink Retrieval / Alcohol Extinction (S/A) | Control Group B: Alcohol Retrieval / Soft-drink Extinction (A/S) |
|---|---|---|---|
| Menstrual discomfortReproductive system and breast disorders | 1/7 | 0/8 | 0/8 |
| DiarrhoeaGastrointestinal disorders | 0/7 | 1/8 | 0/8 |
| Age, Categorical(Participants) | Experimental Group: Alcohol Retrieval / Alcohol Extinction (A/A) | Control Group A: Soft-drink Retrieval / Alcohol Extinction (S/A) | Control Group B: Alcohol Retrieval / Soft-drink Extinction (A/S) | Total |
|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 7 | 8 | 8 | 23 |
| >=65 years | 0 | 0 | 0 | 0 |
| Sex: Female, Male(Participants) | Experimental Group: Alcohol Retrieval / Alcohol Extinction (A/A) | Control Group A: Soft-drink Retrieval / Alcohol Extinction (S/A) | Control Group B: Alcohol Retrieval / Soft-drink Extinction (A/S) | Total |
|---|---|---|---|---|
| Female | 3 | 3 | 3 | 9 |
| Male | 4 | 5 | 5 | 14 |
| Ethnicity (NIH/OMB)(Participants) | Experimental Group: Alcohol Retrieval / Alcohol Extinction (A/A) | Control Group A: Soft-drink Retrieval / Alcohol Extinction (S/A) | Control Group B: Alcohol Retrieval / Soft-drink Extinction (A/S) | Total |
|---|---|---|---|---|
| Hispanic or Latino | 1 | 0 | 1 | 2 |
| Not Hispanic or Latino | 6 | 8 | 7 | 21 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Experimental Group: Alcohol Retrieval / Alcohol Extinction (A/A) | Control Group A: Soft-drink Retrieval / Alcohol Extinction (S/A) | Control Group B: Alcohol Retrieval / Soft-drink Extinction (A/S) | Total |
|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 |
| Asian | 1 | 0 | 0 | 1 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 4 | 4 | 8 |
| White | 6 | 2 | 4 | 12 |
| More than one race | 0 | 2 | 0 | 2 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 |
| Region of Enrollment(participants) | Experimental Group: Alcohol Retrieval / Alcohol Extinction (A/A) | Control Group A: Soft-drink Retrieval / Alcohol Extinction (S/A) | Control Group B: Alcohol Retrieval / Soft-drink Extinction (A/S) | Total |
|---|---|---|---|---|
| United States | 7 | 8 | 8 | 23 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: Yes — Some health information collected may be placed into one or more scientific databases after it has been stripped of identifiers such as name, address or account number, so that it may be used for future research on any topic and shared broadly for research purposes. A researcher who wants to study the information must apply to the database and be approved.
This study is completed, as verified in Oct 2024. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
National Institute on Drug Abuse (NIDA)