ClinicalTrials.gg
CompletedNCT03418623Updated Oct 8, 2020

Effect of GET73 on MRS Measures of Central Glutamate and GABA in Individuals With Alcohol Use Disorder

A Phase 2 interventional study of GET73 and Placebo in Alcohol Use Disorder, sponsored by Laboratorio Farmaceutico Ct S.r.l.. Completed at 1 site in United States. Open to participants aged 21 Years to 40 Years. Per ClinicalTrials.gov, last updated 2020-10-08.

Sponsored by Laboratorio Farmaceutico Ct S.r.l. · Phase 2, Interventional, and Basic science

From the registry’s dates

  • Primary completion was Mar 2020, 6 years 7 months ago, and no results have been posted to the registry.
Phase
Phase 2
Study type
Interventional
Enrollment
24
Allocation
Randomized
Ages
21 Years to 40 Years
Sex
All
01

Study summary

This study is aimed at examining whether GET73 modulates the indices of central glutamate and γ-aminobutyric acid (GABA) levels in recently abstinent subjects that meet Alcohol Use Disorder (AUD) criteria, as measured by proton nuclear magnetic resonance spectroscopy (¹H-MRS), in order to provide a human translation of the findings demonstrated in different preclinical models, both in vitro and in vivo. In addition, the study will examine the effects of GET73 on alcohol cue induced brain activation by using a well-established blood-oxygen-level-dependent (BOLD) functional magnetic resonance (fMRI) paradigm in the same individuals. In summary, the study should provide important information on (i) the potential mechanism of action of GET73, (ii) on the brain mechanisms that would support its potential use for reduction in craving and drinking in AUD patients, and (iii) expand data on its safe use as a medication in heavy drinking individuals.

Read the detailed description

This study is aimed at examining whether GET73 modulates the indices of central glutamate and γ-aminobutyric acid (GABA) levels in recently abstinent subjects that meet Alcohol Use Disorder (AUD) criteria, as measured by proton nuclear magnetic resonance spectroscopy (¹H-MRS), in order to provide a human translation of the findings demonstrated in different preclinical models, both in vitro and in vivo. In addition, the study will examine the effects of GET73 on alcohol cue induced brain activation by using a well-established blood-oxygen-level-dependent (BOLD) functional magnetic resonance (fMRI) paradigm in the same individuals. In summary, the study should provide important information on (i) the potential mechanism of action of GET73, (ii) on the brain mechanisms that would support its potential use for reduction in craving and drinking in AUD patients, and (iii) expand data on its safe use as a medication in heavy drinking individuals.

The enrolment period will last approximately 18 to 21 months. For each subject the study will last 25 to 45 days.

The primary objective of the study is to evaluate whether GET73 modulates central glutamate levels in recently abstinent individuals with AUD, using proton nuclear magnetic resonance spectroscopy (¹H-MRS).

The secondary objectives of the study are:

  1. To evaluate whether GET73 modulates central GABA levels in recently abstinent individuals with AUD, using proton nuclear magnetic resonance spectroscopy (¹H-MRS)
  2. To evaluate whether GET73 affects alcohol cue induced brain activity in reward areas of brain.
  3. To explore whether the effects of GET73 on glutamate and GABA levels are related to its effects on alcohol cue induced brain activity.

Safety Objective To evaluate the safety profile of GET73 in individuals with AUD, comparing Adverse Events (AEs) occurrence during GET73 treatment period vs placebo treatment period.

This is a within-subject cross-over, randomized, double-blind, placebo-controlled study.

Being a double blinded study, GET73 and placebo will be packaged identically. Both the Investigator and the study participant will be unaware of the treatment administered.

The investigational product will be supplied to the Center packaged in "patient kits". Each "patient kit" will be made of 2 bottles (bottle A and bottle B) each containing 20 capsules of either GET73 or placebo.

Being a cross-over design, all participants will receive both placebo and active treatment. The sequential order in which they will be administered to each participant will be defined by the randomization list. The participant will always receive bottle A in the phase A of the study and bottle B in phase B, but the content of the two bottles varies according to the randomization list. Research personnel will be blind to the content of the bottles, i.e. what study medication the subject is taking.

02

Conditions studied

  • Alcohol Use Disorder

Keywords

  • Glutamate
  • Alcohol use
  • GABA
  • GET73
  • Non-treatment seeking
03

In context

Alcoholism

1,674 studies on the registry are indexed under Alcoholism; 331 are open to participants now.

This study's enrollment of 24 is below the median of 88 across 1,428 interventional studies indexed under Alcoholism.

Browse Alcoholism studies →

Lead sponsor

Laboratorio Farmaceutico Ct S.r.l. is the lead sponsor of 3 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
21 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  1. Male participants, or females who are or surgically sterile.
  2. Age between 21 and 40 years old (inclusive).
  3. Meets , 5th edition (DSM-5) criteria for current Alcohol Use Disorder, moderate severity (4 or more criteria met) as indicated by the Structured Clinical Interview for DSM-5 (SCID-5-RV).
  4. Reports drinking, on average, > 20 standard drinks per week in the 90 days prior to screening evaluation, and in the last week prior to screening.
  5. Must report drinking within the 48 hours prior to the first dose of medication in each study medication period.
  6. Positive for Ethyl Glucuronide (EtG) in urine (> 100 ng/ml) at screening and prior to the first dose of medication in each study medication period.
  7. Currently not engaged in, and does not want treatment for, alcohol related problems.
  8. Able to read and understand questionnaires and .

Exclusion criteria

Exclusion Criteria:

  1. Current diagnosis of any other substance use disorder except Nicotine Use Disorder.
  2. Any psychoactive substance use (except marijuana and nicotine) within the last 30 days before the screening visit, as indicated by self-report and/or urine drug screen.
  3. No marijuana use within the last seven days before the screening visit, by verbal report and negative urine drug test (\< 50 ng/mL); if positive at screening, must be negative or decreasing urine Delta9-Tetrahydrocannabinol (THC) levels (corrected for urine creatinine level) at the second test (Day1 A-1).
  4. Current DSM-5 Axis I diagnosis, including major depression, panic disorder, obsessive-compulsive disorder, post-traumatic stress disorder, bipolar affective disorder, schizophrenia, dissociative disorders, eating disorders, or any other psychotic or organic mental disorder.
  5. Current suicidal or homicidal ideation.
  6. Need for maintenance or acute treatment with any psychoactive medication, including antiepileptic medications.
  7. Current use, or use in the past 30 days, of any medication known to affect alcohol intake (e.g., disulfiram, naltrexone, acamprosate, topiramate).
  8. History of severe alcohol withdrawal (e.g., seizure, delirium tremens), as evidenced by self-report or a Clinical Institute Withdrawal Assessment for Alcohol-Revised (CIWA-Ar) score > 10.
  9. medical problems (e.g., unstable hypertension, neurological, cardiovascular, renal, gastrointestinal, or endocrine problems) that would impair participation or limit medication ingestion.
  10. Current or past hepatocellular disease, as indicated by verbal report or elevations of (ALT) or aspartate aminotransferase (AST) > 300% the , or > 150% the upper limit of the normal range.
  11. Lack of a stable living situation.
  12. Presence of ferrous metal in the body, as evidenced by metal screening and self-report.
  13. Severe claustrophobia or weight > 300 pounds that preclude placement in the MRI scanner.
  14. History of head injury with > 2 minutes of unconsciousness.
  15. Participation in any behavioral and/or pharmacological study within the past 30 days;
  16. Concomitant use of CYP2C19 substrates; use of CYP2C19 and inhibitors or inducers in the 14 days before dosing.
Terms in these criteria, in plain language(8)

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.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

05

Study design

Phase
Phase 2
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
24 participants (actual)

Study arms

  • Experimental
    GET73

    GET73 is administered at the dose of 300 mg t.i.d. per day, with a minimum gap of 4 hours between administrations and a maximum gap of 9 hours. Each subject ingests a total of 5 capsules of GET73: 3 capsules of GET73 on the first day of the related phase, according to randomization, and 2 capsules on the second day of each phase.

    Drug: GET73

  • Placebo comparator
    Placebo

    Placebo is administered t.i.d. per day, with a minimum gap of 4 hours between administrations and a maximum gap of 9 hours. Each subject ingests a total of 5 capsules of Placebo: 3 capsules of Placebo on the first day of the related phase, according to randomization, and 2 capsules on the second day.

    Other: Placebo

Interventions

  • DrugGET73

    GET73 300 mg oral capsules, administered three times a day on Visit 2 and 4, and twice a day on Visit 3 and 5.

  • OtherPlacebo

    Placebo oral capsules, administered three times a day on Visit 2 and 4, and twice a day on Visit 3 and 5.

06

What researchers measure

Primary outcomes

  1. Concentrations of glutamate in dorsal anterior cingulate measured via Proton Magnetic Resonance Spectroscopy

    The presence of water and glutamate will be quantified through ¹H-MRS and the change in glutamate/water concentration between baseline and end of treatment will be assessed

    Time frame: After 5 doses of medication administered over 2 days, repeated after a wash-out period of 7 to 21 days (crossover design)

Secondary outcomes

  1. Concentrations of GABA in dorsal anterior cingulate measured via Proton Magnetic Resonance Spectroscopy

    The presence of water and GABA will be quantified through ¹H-MRS and the change in GABA/water concentration between baseline and end of treatment will be assessed

    Time frame: After 5 doses of medication administered over 2 days, repeated after a wash-out period of 7 to 21 days (crossover design)

  2. Change in the blood oxygenation level dependent (BOLD) signal to alcohol cues

    Magnitude of change in the blood oxygenation level dependent (BOLD) signal to alcohol cues, relative to neutral beverage cues, in the ventral striatum and dorsal anterior cingulate cortex (alcohol cue reactivity task described in Schacht et al., 2013)

    Time frame: After 5 doses of medication administered over 2 days, repeated after a wash-out period of 7 to 21 days (crossover design)

07

Study locations

1 site
  • Department of Psychiatry and Behavioral Sciences - Medical University of South Carolina
    Charleston, South Carolina 29425, United States
08

References and documents

Publications

  • Schacht JP, Anton RF, Voronin KE, Randall PK, Li X, Henderson S, Myrick H. Interacting effects of naltrexone and OPRM1 and DAT1 variation on the neural response to alcohol cues. Neuropsychopharmacology. 2013 Feb;38(3):414-22. doi: 10.1038/npp.2012.195. Epub 2012 Oct 3. PubMed 23032071 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 8, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03418623
Lead sponsor
Laboratorio Farmaceutico Ct S.r.l.
Collaborators
Latis S.r.l.
Responsible party
Sponsor
First posted
Feb 1, 2018
Start date
Mar 8, 2018
Primary completion
Mar 13, 2020
Completion
Mar 13, 2020
Last update
Oct 8, 2020

Study contacts

Raymond F Anton, MD
principal investigator · Department of Psychiatry and Behavioral Sciences - Medical University of South Carolina

Oversight

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

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Studies of the drug tested here: GET-73

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