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RecruitingNCT04084860Updated Nov 7, 2023

The Role of Brief Potent Glutamatergic Modulation in Addressing Problem Drinking

A Phase 2 interventional study of CI-581a and CI-581b in Alcohol Use Disorder, sponsored by New York State Psychiatric Institute. Recruiting at 1 site in United States. Open to participants aged 21 Years to 70 Years. Per ClinicalTrials.gov, last updated 2023-11-07.

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

From the registry’s dates

  • Primary completion was expected by Aug 2024, 2 years 1 month ago, but the record still lists the study as recruiting.
  • Started Nov 2019; still recruiting 6 years 11 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
21 Years to 70 Years
Sex
All
01

Study summary

The proposed project tests the efficacy of glutamate modulators in non-depressed individuals with alcohol use disorder (AUD); the primary hypothesis is that the glutamate modulator being tested reduces heavy drinking days compared to the active control. It also aims to investigate, using a 2 by 2 factorial (2x2) design, the hypothesis that the effects of the glutamate modulator are enhanced when combined with behavioral treatment.

Read the detailed description

Alterations in glutamate neurotransmission are an important target of pharmacotherapy for alcohol use disorder. Our investigations with glutamate modulators in drug and alcohol dependent individuals suggest that they may exert unique therapeutic effects on dependence-related vulnerabilities and may also address problem drinking in alcohol dependent individuals. The proposed project will expand on our prior research by testing the efficacy of glutamate modulators in a larger population of non-depressed individuals with alcohol use disorder (AUD); it also aims to investigate, using a 2 by 2 factorial (2x2) design, the hypothesis that the effects of the glutamate modulator are enhanced when combined with behavioral treatment. It, therefore, has the potential to deepen our understanding of the therapeutic role of glutamate modulators in AUD treatment, as well as to provide further evidence for the efficacy of this novel pharmacotherapy strategy in addressing problem use

02

Conditions studied

  • Alcohol Use Disorder

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03

In context

Alcoholism

1,606 studies on the registry are indexed under Alcoholism; 329 are open to participants now.

This study's planned enrollment of 120 is above the median of 87 across 1,371 interventional studies indexed under Alcoholism.

Browse Alcoholism studies →

Lead sponsor

New York State Psychiatric Institute is the lead sponsor of 425 studies on the registry; 26 are open to participants now.

Of its 50 completed or terminated interventional studies of FDA-regulated products, 45 (90%) have results posted.

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

04

Who can participate

Ages eligible
21 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Active alcohol use disorder, with at least 4 heavy drinking day over the past 7 days (greater than 4 drinks a day for males, greater than 3 drinks for females). In the case of the use of other drugs, alcohol is designated as the primary drug
  2. Physically healthy
  3. No adverse reactions to study medications
  4. 21-70 years of age
  5. Capacity to consent and comply with study procedures, including sufficient proficiency in English
  6. Seeking to reduce or stop alcohol use

Exclusion criteria

Exclusion Criteria:

  1. Meets DSM IV criteria for current major depression, bipolar disorder, schizophrenia, or any psychotic illness, including substance-induced psychosis
  2. Physiological dependence on another substance, such as opioids or benzodiazepines, excluding caffeine, nicotine, and cannabis
  3. Delirium, Dementia, Amnesia, Cognitive Disorders, or Dissociative disorders
  4. Current suicide risk or a history of suicide attempt within the past year
  5. Inability to safely initiate 24 hours of abstinence from alcohol, as evidenced by CIWA greater than 10 during screening; history of severe withdrawal phenomena over the past 6 months (e.g., inpatient stabilization, withdrawal-related seizure); or self-reported inability to maintain abstinence for 24 hours.
  6. Pregnant or interested in becoming pregnant during the study period
  7. Any of the following cardiac conditions: clinically significant left ventricular hypertrophy, angina, clinically significant arrhythmia, or mitral valve prolapse
  8. Unstable physical disorders which might make participation hazardous such as hypertension (>160/90), anemia, active hepatitis or other liver disease (transaminase levels \< 2-3 X the upper limit of normal will be considered acceptable), epilepsy, or untreated diabetes. Participants reporting HIV+ status will be asked to provide information about their current treatment, including all medications. Participants who are on the antiretroviral ritonavir (Norvir) will be excluded due to the possibility that study medications in combination with this medication may increase the risk of drug-induced hepatitis.
  9. Previous history of misuse or abuse of study medications, and a history of an adverse reaction/experience with prior exposure to study medications
  10. Recent history of significant violance
  11. On psychotropic or other medications whose effect could be disrupted by participation in the study
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Factorial assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
120 participants (estimated)

Study arms

  • Experimental
    CI-581a + MET/MBRP

    Administration of CI-581a during weeks 1 and 6 at 0.71 mg/kg in the context of a 12 wk outpatient treatment (behavioral treatment combination of MET/MBRP will be provided)

    Drug: CI-581a · Behavioral: MBRP · Behavioral: MET

  • Experimental
    CI-581a + Medication Management

    Administration of CI-581a during weeks 1 and 6 at 0.71 mg/kg in the context of a 12 wk outpatient treatment ( no MET/MBRP sessions will be provided, only general check-ins and psychiatrist visits)

    Drug: CI-581a

  • Active comparator
    CI-581b + MET/MBRP

    Administration of CI-581b during weeks 1 and 6 at 0.0125 mg/kg in the context of a 12 wk outpatient treatment (behavioral treatment combination of MET/MBRP will be provided)

    Drug: CI-581b · Behavioral: MBRP · Behavioral: MET

  • Active comparator
    CI-581b + Medication Management

    Administration of CI-581b during weeks 1 and 6 at 0.0125 mg/kg in the context of a 12 wk outpatient treatment (no MET/MBRP sessions will be provided, only general check-ins and psychiatrist visits)

    Drug: CI-581b

Interventions

  • DrugCI-581a

    CI-581a during weeks 1 and 6 at 0.71 mg/kg

  • DrugCI-581b

    CI-581b during weeks 1 and 6 at 0.0125 mg/kg

  • BehavioralMBRP

    MBRP will help with maintaining use reduction/abstinence.In this trial, 3 sessions will occur in the first 2 weeks following the second infusion (weeks 6 and 7), while one session a week will be administered in the latter 5 weeks (weeks 8 through 12).

    Also known as: Mindfulness Based Relapse Prevention (MBRP)

  • BehavioralMET

    MET may help with goal setting and enhancing engagement with MBRP. In this trial, a standard 5-week MET platform will be provided to individuals randomized to receive behavioral treatment, with an additional session after each infusion (7 sessions total).

    Also known as: Motivational Enhancement Therapy (MET)

06

What researchers measure

Primary outcomes

  1. Daily occurrence of Heavy Drinking Days (HDD)

    Defined as \>4 drinks/day for men; \>3 drinks for women. Comparing this outcome between groups that receive CI-581a versus CI-581b, as well as between CI-581a groups.

    Time frame: 12 weeks

Secondary outcomes

  1. Daily occurrence of drinking days

    Comparing this outcome in between group that received CI-581a versus CI-581b, as well as between CI-581a groups.

    Time frame: 12 weeks

07

Study locations

1 of 1 sites recruiting
  • NYSPI
    New York, New York 10032, United States
    • H.O.P.E. Clinic · Contact · 888-497-8427
    • Elias Dakwar, MD · Principal investigator
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 7, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04084860
Lead sponsor
New York State Psychiatric Institute
Collaborators
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Responsible party
Elias Dakwar (Assistant Professor of Clinical Psychiatry, New York State Psychiatric Institute) — Principal investigator
First posted
Sep 10, 2019
Start date
Nov 8, 2019
Primary completion
Aug 31, 2024 (estimated)
Completion
Aug 31, 2024 (estimated)
Last update
Nov 7, 2023

Study contacts

Kate O'Malley
Contact
kate.omalley@nyspi.columbia.edu
6467746103 ext. 6103
Elias Dakwar, MD
Contact
6467748728 ext. 8728
Elias Dakwar, MD
principal investigator · NYSPI/Columbia

Oversight

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

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