CClinicalTrials.gg
CompletedNCT03256253Updated Aug 31, 2020Results posted

Pregabalin as Treatment for Alcohol Use Disorder

A Phase 2 interventional study of Pregabalin in Alcohol Use Disorder, sponsored by New York State Psychiatric Institute. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2020-08-31.

Sponsored by New York State Psychiatric Institute · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
18
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The proposed protocol is an 8 week open label outpatient pilot trial of the safety and efficacy of pregabalin (Lyrica) in the treatment of alcohol use disorder. The primary objective of the study is to determine the efficacy of pregabalin in promoting alcohol abstinence among individuals with an alcohol use disorder.

Read the detailed description

The proposed protocol is an open label outpatient pilot trial of the safety and efficacy of pregabalin (Lyrica) in the treatment of alcohol use disorder. Pregabalin is commonly used for the treatment of pain issues such as fibromyalgia (chronic pain in your body), diabetic nerve pain, spinal cord injury nerve, and pain after shingles. We plan to enroll 20 participants in an 8-week trial.The ideal dosing, tolerability, and safety of pregabalin will be tested in outpatients with Alcohol Use Disorder (AUD). The primary objective of the study is to determine the efficacy of pregabalin in promoting alcohol abstinence among individuals with an alcohol use disorder.

02

Conditions studied

  • Alcohol Use Disorder

Keywords

  • alcohol use disorder
  • alcohol abuse
  • treatment
  • lyrica
03

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Meets DSM-5 criteria for current alcohol use disorder
  • Reports drinking a minimum of 5 standard drinks for men or 4 standard drinks for women at least 4 days per week over the past 28 days
  • Between the ages of 18 and 65
  • Able to provide informed consent and comply with study procedures

Exclusion criteria

Exclusion Criteria:

  • Subjects with any current psychiatric disorder as defined by DSM-5, other than AUD, that in the investigator's judgment might require intervention over the course of the study.
  • Subjects receiving psychotropic medication treatment
  • Evidence of moderate-to-severe alcohol withdrawal (CIWA-Ar > 13)
  • History of alcohol withdrawal seizures or alcohol withdrawal delirium
  • History of allergic reaction to candidate medication (pregabalin)
  • Pregnancy, lactation, or failure in females patients to use adequate contraceptive methods
  • Unstable physical disorders which might make participation hazardous
  • Subjects who have a current DSM-5 diagnosis of moderate or severe substance use disorder, with the exception of alcohol, nicotine and caffeine use disorders. A diagnosis of a mild substance use disorder will not be exclusionary, as long as the current primary substance use disorder is alcohol.
  • Are legally mandated to participate in alcohol use disorder treatment program
  • Cognitively impaired
04

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
18 participants (actual)

Study arms

  • Experimental
    pregabalin

    pregabalin up to daily dose of 600 mg

    Drug: Pregabalin

Interventions

  • DrugPregabalin

    pregabalin up to 600 mg/day

    Also known as: lyrica

05

What researchers measure

Primary outcomes

  1. Maximum Dose of Pregabalin:

    Defined as the highest amount of medication per day maintained for a 7 day period.

    Time frame: over the course of the 8 week trial or participants' length of participation

06

Results

Posted Aug 13, 2020

Participant flow

Participant flow — Overall Study
MilestonePregabalin
Started18
Completed6
Not completed12

Outcome measures

PrimaryMaximum Dose of Pregabalin:

Defined as the highest amount of medication per day maintained for a 7 day period.

Time frame:
over the course of the 8 week trial or participants' length of participation
Reported as:
Mean · milligrams
Maximum Dose of Pregabalin:
milligramsPregabalin
Maximum Dose of Pregabalin:571.4 ± 80.2

Adverse events

Collected over Over the course of the 8 week trial or length of participant's participation. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Pregabalin0/15 (0%)0/15 (0%)12/15 (80%)
Most frequent other events
Showing 10 of 15
Most frequent other events
EventPregabalin
drowsinessGeneral disorders4/15
fogginessGeneral disorders3/15
dizzinessGeneral disorders3/15
insomniaGeneral disorders3/15
back painMusculoskeletal and connective tissue disorders2/15
blurred visionEye disorders2/15
vivid dreamsGeneral disorders2/15
dry mouthGeneral disorders2/15
fatigueGeneral disorders2/15
difficulty concentratingGeneral disorders1/15

Baseline characteristics

Age, Continuous
Age, Continuous(years)Pregabalin
Mean40.1 ± 9.0
Sex: Female, Male
Sex: Female, Male(Participants)Pregabalin
Female9
Male9
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Pregabalin
Hispanic or Latino9
Not Hispanic or Latino9
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Pregabalin
American Indian or Alaska Native0
Asian2
Native Hawaiian or Other Pacific Islander0
Black or African American2
White9
More than one race1
Unknown or Not Reported4
Education
Education(years)Pregabalin
Mean14.1 ± 2.5
07

Study locations

1 site
  • Columbia Univeristy-STARS
    New York, New York 10019, United States
08

References and documents

Publications

  • Mariani JJ, Pavlicova M, Choi CJ, Brooks DJ, Mahony AL, Kosoff Z, Naqvi N, Brezing C, Luo SX, Levin FR. An open-label pilot study of pregabalin pharmacotherapy for alcohol use disorder. Am J Drug Alcohol Abuse. 2021 Jul 4;47(4):467-475. doi: 10.1080/00952990.2021.1901105. Epub 2021 Jun 5. PubMed 34092158 ↗

Study documents

  • Statistical analysis plan · Jun 28, 2017
  • Study protocol · Jun 28, 2017

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

09

Registry details

Key details

Study ID
NCT03256253
Lead sponsor
New York State Psychiatric Institute
Responsible party
John Mariani MD (Research psychiatrist, New York State Psychiatric Institute) — Principal investigator
First posted
Aug 21, 2017
Start date
Feb 15, 2018
Primary completion
May 31, 2019
Completion
May 31, 2020
Results posted
Aug 13, 2020
Last update
Aug 31, 2020

Study contacts

john mariani, md
principal investigator · new york psychiatric institute

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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