CClinicalTrials.gg
CompletedNCT04019093Updated Jul 27, 2023Results posted

Acute Effects of Alcohol Use on Chronic Orofacial Pain

An interventional study of Ethanol and Placebo in Temporomandibular Joint Disorders, sponsored by University of Florida. Completed at 1 site in United States. Open to participants aged 21 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-07-27.

Sponsored by University of Florida · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
48
Allocation
Randomized
Ages
21 Years to 45 Years
Sex
All
01

Study summary

Self-medication of pain with alcohol is a common, yet risky, behavior among individuals with chronic orofacial pain. Chronic pain status may affect the degree to which alcohol use relieves pain, but the independent contributions of pain chronification and alcohol-related expectations and conditioning have not been previously studied. This project addresses this gap in knowledge and will inform further research and clinical/translational efforts for reducing risk associated with these behaviors.

02

Conditions studied

  • Temporomandibular Joint Disorders

Keywords

  • alcohol effects
03

In context

Temporomandibular Joint Disorders

609 studies on the registry are indexed under Temporomandibular Joint Disorders; 160 are open to participants now.

This study's enrollment of 48 is close to the median of 46 across 434 interventional studies indexed under Temporomandibular Joint Disorders.

Browse Temporomandibular Joint Disorders studies →

Lead sponsor

University of Florida is the lead sponsor of 1,254 studies on the registry; 201 are open to participants now.

Of its 170 completed or terminated interventional studies of FDA-regulated products, 136 (80%) have results posted.

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

04

Who can participate

Ages eligible
21 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Positive diagnosis of jaw pain, including temporomandibular joint and muscle disorder (TMD) (jaw pain group only)
  • Consume at least 1 drink/month over the past 6 months

Exclusion criteria

Exclusion Criteria:

  • History of chronic pain other than jaw pain or TMD
  • Current use of opioids
  • Current major depression
  • History of any psychotic disorder
  • Undercontrolled hypertension or diabetes
  • History of neurologic disease
  • History of serious medical illness
  • History of drug or alcohol dependence, including nicotine, or a pattern of hazardous alcohol use
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Investigator)
Enrollment
48 participants (actual)

Study arms

  • Experimental
    Jaw pain patients

    Individuals seeking care for jaw pain, including temporomandibular joint and muscle disorder (TMD).

    Drug: Ethanol · Other: Placebo

  • Experimental
    Healthy controls

    Healthy social drinkers without jaw pain recruited as a comparison group.

    Drug: Ethanol · Other: Placebo

Interventions

  • DrugEthanol

    A beverage containing dose of ethanol individually determined to raise a participant's breath alcohol concentration up to approximately 0.08 g/dL.

  • OtherPlacebo

    A beverage that does not meaningfully increase breath alcohol concentration.

06

What researchers measure

Primary outcomes

  1. Pressure Pain Threshold

    Pressure at which stimulation at the masseter insertion becomes painful, in lbf. Positive values represent higher pain thresholds.

    Time frame: Day 1; Day 2 (Laboratory sessions will be separated by at least 48 hours.)

  2. Pressure Pain Intensity

    Pain ratings associated with 4, 5, or 6 pound-feet (lbf) of pressure applied to the insertion of the masseter. VAS (visual analogue scale) pain intensity ratings anchored from 0 ("no pain at all") to 100 ("most intense imaginable") were collected. Higher values represent higher pain intensity.

    Time frame: Day 1; Day 2 (Laboratory sessions will be separated by at least 48 hours.)

  3. Perceived Relief

    Ratings of relief from pain associated with consumption of the study beverage following application of 4, 5, or 6 lbf stimuli. VAS (visual analogue scale) assessing perceived relief anchored from 0 ("No relief at all") to 100 ("Most profound relief imaginable"). Higher values represent greater perceived relief.

    Time frame: Day 1; Day 2 (Laboratory sessions will be separated by at least 48 hours.)

07

Results

Posted Jul 27, 2023

Participant flow

Participant flow — Overall Study
MilestoneJaw Pain Patients: Ethanol First, Then PlaceboHealthy Controls: Ethanol First, Then PlaceboJaw Pain Patients: Placebo First, Then EthanolHealthy Controls: Placebo First, Then Ethanol
Started9161013
Completed9161013
Not completed0000

Outcome measures

PrimaryPressure Pain Threshold

Pressure at which stimulation at the masseter insertion becomes painful, in lbf. Positive values represent higher pain thresholds.

Time frame:
Day 1; Day 2 (Laboratory sessions will be separated by at least 48 hours.)
Reported as:
Mean · lbf
Pressure Pain Threshold
lbfJaw Pain Patients: EthanolHealthy Controls: EthanolJaw Pain Patients: PlaceboHealthy Controls: Placebo
Pressure Pain Threshold4.56 ± 1.085.27 ± 1.373.81 ± 0.844.51 ± 1.21
Statistical analysis
  • Jaw Pain Patients: Ethanol vs Healthy Controls: Ethanol vs Jaw Pain Patients: Placebo vs Healthy Controls: Placebo · ANOVA · p = .99F(1,46) = .001
  • Jaw Pain Patients: Ethanol vs Healthy Controls: Ethanol vs Jaw Pain Patients: Placebo vs Healthy Controls: Placebo · ANOVA · p = <.0001F(1,46)=12.55
  • Jaw Pain Patients: Ethanol vs Healthy Controls: Ethanol vs Jaw Pain Patients: Placebo vs Healthy Controls: Placebo · ANOVA · p = .015F(1,46)=6.32
PrimaryPressure Pain Intensity

Pain ratings associated with 4, 5, or 6 pound-feet (lbf) of pressure applied to the insertion of the masseter. VAS (visual analogue scale) pain intensity ratings anchored from 0 ("no pain at all") to 100 ("most intense imaginable") were collected. Higher values represent higher pain intensity.

Time frame:
Day 1; Day 2 (Laboratory sessions will be separated by at least 48 hours.)
Reported as:
Mean · VAS units
Pressure Pain Intensity
VAS unitsJaw Pain Patients: Ethanol, 4lbfHealthy Controls: Ethanol, 4lbfJaw Pain Patients: Placebo, 4lbfHealthy Controls: Placebo, 4lbfJaw Pain Patients: Ethanol, 5lbfHealthy Controls: Ethanol, 5lbfJaw Pain Patients: Placebo, 5lbfHealthy Controls: Placebo, 5lbfJaw Pain Patients: Ethanol, 6lbfHealthy Controls: Ethanol, 6lbfJaw Pain Patients: Placebo, 6lbfHealthy Controls: Placebo, 6lbf
Pressure Pain Intensity23.96 ± 28.0312.76 ± 13.4432.39 ± 19.9522.05 ± 17.7235.43 ± 19.6720.92 ± 17.0241.81 ± 20.2829.98 ± 23.8937.19 ± 23.9026.95 ± 23.0646.10 ± 22.9734.03 ± 22.94
Statistical analysis
  • Jaw Pain Patients: Ethanol, 4lbf vs Healthy Controls: Ethanol, 4lbf vs Jaw Pain Patients: Placebo, 4lbf vs Healthy Controls: Placebo, 4lbf vs Jaw Pain Patients: Ethanol, 5lbf vs Healthy Controls: Ethanol, 5lbf vs Jaw Pain Patients: Placebo, 5lbf vs Healthy Controls: Placebo, 5lbf vs Jaw Pain Patients: Ethanol, 6lbf vs Healthy Controls: Ethanol, 6lbf vs Jaw Pain Patients: Placebo, 6lbf vs Healthy Controls: Placebo, 6lbf · ANOVA · p = .76F(2,82)=.20
  • Jaw Pain Patients: Ethanol, 4lbf vs Healthy Controls: Ethanol, 4lbf vs Jaw Pain Patients: Placebo, 4lbf vs Healthy Controls: Placebo, 4lbf vs Jaw Pain Patients: Ethanol, 5lbf vs Healthy Controls: Ethanol, 5lbf vs Jaw Pain Patients: Placebo, 5lbf vs Healthy Controls: Placebo, 5lbf vs Jaw Pain Patients: Ethanol, 6lbf vs Healthy Controls: Ethanol, 6lbf vs Jaw Pain Patients: Placebo, 6lbf vs Healthy Controls: Placebo, 6lbf · ANCOVA · p = .52F(2,82)=.66
  • Jaw Pain Patients: Ethanol, 4lbf vs Healthy Controls: Ethanol, 4lbf vs Jaw Pain Patients: Placebo, 4lbf vs Healthy Controls: Placebo, 4lbf vs Jaw Pain Patients: Ethanol, 5lbf vs Healthy Controls: Ethanol, 5lbf vs Jaw Pain Patients: Placebo, 5lbf vs Healthy Controls: Placebo, 5lbf vs Jaw Pain Patients: Ethanol, 6lbf vs Healthy Controls: Ethanol, 6lbf vs Jaw Pain Patients: Placebo, 6lbf vs Healthy Controls: Placebo, 6lbf · ANOVA · p = .04F(1,41)=4.53, p=.04
  • Jaw Pain Patients: Ethanol, 4lbf vs Healthy Controls: Ethanol, 4lbf vs Jaw Pain Patients: Placebo, 4lbf vs Healthy Controls: Placebo, 4lbf vs Jaw Pain Patients: Ethanol, 5lbf vs Healthy Controls: Ethanol, 5lbf vs Jaw Pain Patients: Placebo, 5lbf vs Healthy Controls: Placebo, 5lbf vs Jaw Pain Patients: Ethanol, 6lbf vs Healthy Controls: Ethanol, 6lbf vs Jaw Pain Patients: Placebo, 6lbf vs Healthy Controls: Placebo, 6lbf · ANOVA · p = .017F(1,41)=6.24
  • Jaw Pain Patients: Ethanol, 4lbf vs Healthy Controls: Ethanol, 4lbf vs Jaw Pain Patients: Placebo, 4lbf vs Healthy Controls: Placebo, 4lbf vs Jaw Pain Patients: Ethanol, 5lbf vs Healthy Controls: Ethanol, 5lbf vs Jaw Pain Patients: Placebo, 5lbf vs Healthy Controls: Placebo, 5lbf vs Jaw Pain Patients: Ethanol, 6lbf vs Healthy Controls: Ethanol, 6lbf vs Jaw Pain Patients: Placebo, 6lbf vs Healthy Controls: Placebo, 6lbf · ANOVA · p = <.0001F(2,82)=48.41
PrimaryPerceived Relief

Ratings of relief from pain associated with consumption of the study beverage following application of 4, 5, or 6 lbf stimuli. VAS (visual analogue scale) assessing perceived relief anchored from 0 ("No relief at all") to 100 ("Most profound relief imaginable"). Higher values represent greater perceived relief.

Time frame:
Day 1; Day 2 (Laboratory sessions will be separated by at least 48 hours.)
Reported as:
Mean · VAS units
Perceived Relief
VAS unitsJaw Pain Patients: Ethanol, 4lbfHealthy Controls: Ethanol, 4lbfJaw Pain Patients: Placebo, 4lbfHealthy Controls: Placebo, 4lbfJaw Pain Patients: Ethanol, 5lbfHealthy Controls: Ethanol, 5lbfJaw Pain Patients: Placebo, 5lbfHealthy Controls: Placebo, 5lbfJaw Pain Patients: Ethanol, 6lbfHealthy Controls: Ethanol, 6lbfJaw Pain Patients: Placebo, 6lbfHealthy Controls: Placebo, 6lbf
Perceived Relief40.58 ± 31.3139.79 ± 30.587.91 ± 13.715.51 ± 11.3641.00 ± 28.2742.75 ± 30.147.20 ± 13.015.57 ± 11.1339.72 ± 30.0543.65 ± 29.617.20 ± 13.415.89 ± 13.11
Statistical analysis
  • Jaw Pain Patients: Ethanol, 4lbf vs Healthy Controls: Ethanol, 4lbf vs Jaw Pain Patients: Placebo, 4lbf vs Healthy Controls: Placebo, 4lbf vs Jaw Pain Patients: Ethanol, 5lbf vs Healthy Controls: Ethanol, 5lbf vs Jaw Pain Patients: Placebo, 5lbf vs Healthy Controls: Placebo, 5lbf vs Jaw Pain Patients: Ethanol, 6lbf vs Healthy Controls: Ethanol, 6lbf vs Jaw Pain Patients: Placebo, 6lbf vs Healthy Controls: Placebo, 6lbf · ANOVA · p = .50F (2, 82) = 0.69
  • Jaw Pain Patients: Ethanol, 4lbf vs Healthy Controls: Ethanol, 4lbf vs Jaw Pain Patients: Placebo, 4lbf vs Healthy Controls: Placebo, 4lbf vs Jaw Pain Patients: Ethanol, 5lbf vs Healthy Controls: Ethanol, 5lbf vs Jaw Pain Patients: Placebo, 5lbf vs Healthy Controls: Placebo, 5lbf vs Jaw Pain Patients: Ethanol, 6lbf vs Healthy Controls: Ethanol, 6lbf vs Jaw Pain Patients: Placebo, 6lbf vs Healthy Controls: Placebo, 6lbf · ANOVA · p = .21F(2,82)=1.58
  • Jaw Pain Patients: Ethanol, 4lbf vs Healthy Controls: Ethanol, 4lbf vs Jaw Pain Patients: Placebo, 4lbf vs Healthy Controls: Placebo, 4lbf vs Jaw Pain Patients: Ethanol, 5lbf vs Healthy Controls: Ethanol, 5lbf vs Jaw Pain Patients: Placebo, 5lbf vs Healthy Controls: Placebo, 5lbf vs Jaw Pain Patients: Ethanol, 6lbf vs Healthy Controls: Ethanol, 6lbf vs Jaw Pain Patients: Placebo, 6lbf vs Healthy Controls: Placebo, 6lbf · ANOVA · p = .053F(2,82)=3.06
  • Jaw Pain Patients: Ethanol, 4lbf vs Healthy Controls: Ethanol, 4lbf vs Jaw Pain Patients: Placebo, 4lbf vs Healthy Controls: Placebo, 4lbf vs Jaw Pain Patients: Ethanol, 5lbf vs Healthy Controls: Ethanol, 5lbf vs Jaw Pain Patients: Placebo, 5lbf vs Healthy Controls: Placebo, 5lbf vs Jaw Pain Patients: Ethanol, 6lbf vs Healthy Controls: Ethanol, 6lbf vs Jaw Pain Patients: Placebo, 6lbf vs Healthy Controls: Placebo, 6lbf · ANOVA · p = .98F(1,41)=.001
  • Jaw Pain Patients: Ethanol, 4lbf vs Healthy Controls: Ethanol, 4lbf vs Jaw Pain Patients: Placebo, 4lbf vs Healthy Controls: Placebo, 4lbf vs Jaw Pain Patients: Ethanol, 5lbf vs Healthy Controls: Ethanol, 5lbf vs Jaw Pain Patients: Placebo, 5lbf vs Healthy Controls: Placebo, 5lbf vs Jaw Pain Patients: Ethanol, 6lbf vs Healthy Controls: Ethanol, 6lbf vs Jaw Pain Patients: Placebo, 6lbf vs Healthy Controls: Placebo, 6lbf · ANOVA · p = .71F(2,82)=.34
  • Jaw Pain Patients: Ethanol, 4lbf vs Healthy Controls: Ethanol, 4lbf vs Jaw Pain Patients: Placebo, 4lbf vs Healthy Controls: Placebo, 4lbf vs Jaw Pain Patients: Ethanol, 5lbf vs Healthy Controls: Ethanol, 5lbf vs Jaw Pain Patients: Placebo, 5lbf vs Healthy Controls: Placebo, 5lbf vs Jaw Pain Patients: Ethanol, 6lbf vs Healthy Controls: Ethanol, 6lbf vs Jaw Pain Patients: Placebo, 6lbf vs Healthy Controls: Placebo, 6lbf · ANOVA · p = .71F(1,41)=.14
  • Jaw Pain Patients: Ethanol, 4lbf vs Healthy Controls: Ethanol, 4lbf vs Jaw Pain Patients: Placebo, 4lbf vs Healthy Controls: Placebo, 4lbf vs Jaw Pain Patients: Ethanol, 5lbf vs Healthy Controls: Ethanol, 5lbf vs Jaw Pain Patients: Placebo, 5lbf vs Healthy Controls: Placebo, 5lbf vs Jaw Pain Patients: Ethanol, 6lbf vs Healthy Controls: Ethanol, 6lbf vs Jaw Pain Patients: Placebo, 6lbf vs Healthy Controls: Placebo, 6lbf · ANOVA · p = <.0001F(1,41)=55.02

Adverse events

Collected over Duration of study participation (4-8 hours per study session, with at least 48 hours separating each session). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Jaw Pain Patients: Ethanol0/19 (0%)0/19 (0%)0/19 (0%)
Healthy Controls: Ethanol0/29 (0%)0/29 (0%)1/29 (3.4%)
Jaw Pain Patients: Placebo0/19 (0%)0/19 (0%)0/19 (0%)
Healthy Controls: Placebo0/29 (0%)0/29 (0%)0/29 (0%)
Most frequent other events
Most frequent other events
EventJaw Pain Patients: EthanolHealthy Controls: EthanolJaw Pain Patients: PlaceboHealthy Controls: Placebo
Nausea and vomitingGastrointestinal disorders0/191/290/190/29

Baseline characteristics

Age, Continuous
Age, Continuous(years)Jaw Pain PatientsHealthy ControlsTotal
Mean26.74 ± 525.72 ± 4.1226.13 ± 4.47
Sex: Female, Male
Sex: Female, Male(Participants)Jaw Pain PatientsHealthy ControlsTotal
Female171936
Male21012
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Jaw Pain PatientsHealthy ControlsTotal
Hispanic or Latino4913
Not Hispanic or Latino152035
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Jaw Pain PatientsHealthy ControlsTotal
American Indian or Alaska Native000
Asian246
Native Hawaiian or Other Pacific Islander000
Black or African American033
White121729
More than one race5510
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)Jaw Pain PatientsHealthy ControlsTotal
United States192948
Alcohol Use Disorders Identification Test (total score)
Alcohol Use Disorders Identification Test (total score)(units on a scale)Jaw Pain PatientsHealthy ControlsTotal
Mean4.37 ± 1.774.31 ± 1.674.33 ± 1.69
Quantity-Frequency Index
Quantity-Frequency Index(oz. absolute ethanol consumed per day)Jaw Pain PatientsHealthy ControlsTotal
Mean.426 ± .35.551 ± .39.48 ± .36
Max Quantity (oz. abs. EtOH)
Max Quantity (oz. abs. EtOH)(oz. absolute ethanol)Jaw Pain PatientsHealthy ControlsTotal
Mean4.29 ± 2.013.74 ± 1.413.96 ± 1.67

1 further baseline measures are reported on the registry.

08

Study locations

1 site
  • Center for Pain Research and Behavioral Health at UF Health
    Gainesville, Florida 32610, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Jul 2, 2021
  • Informed consent form · Feb 17, 2021

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

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 27, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04019093
Lead sponsor
University of Florida
Collaborators
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Responsible party
Sponsor
First posted
Jul 15, 2019
Start date
Nov 5, 2019
Primary completion
Apr 30, 2022
Completion
Apr 30, 2022
Results posted
Jul 27, 2023
Last update
Jul 27, 2023

Study contacts

Jeff Boissoneault, PhD
principal investigator · University of Florida

Oversight

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

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