ClinicalTrials.gg
RecruitingNCT04929288Updated May 22, 2026

Neural and Hormonal Influences on Sex Differences in Risk for AUD

An interventional study of Alcohol in Alcohol Use Disorder, sponsored by Jessica Weafer. Recruiting at 1 site in United States. Open to participants aged 21 Years to 26 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-05-22.

Sponsored by Jessica Weafer · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Started May 2021; still recruiting 5 years 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Non-randomized
Ages
21 Years to 26 Years
Sex
All
01

Study summary

The sex gap in alcohol consumption is closing rapidly, due to alarming increases among women. From 2002-2013, Alcohol Use Disorder (AUD) increased 84% for women, compared to 35% for men. As such, there is an urgent need to determine the factors underlying sex differences in risk for AUD. Current addiction models propose three domains that drive problematic alcohol use and serve as candidate sex-specific risk factors: executive function, negative emotionality, and incentive salience. Data suggest that poor inhibitory control, a key component of executive function, is a stronger risk factor for women than for men. Moreover, there is have preliminary evidence that female drinkers show less engagement of neural inhibitory circuitry, and that this sex difference is influenced by estradiol. However, the degree to which hormonally-moderated sex differences in executive function extend to the negative emotionality and incentive salience domains, and how these sex differences influence current and future drinking is unknown.

The goal of this study is to identify the mechanisms underlying sex-specific risk for AUD, and ultimately to help develop sex-specific prevention and treatment efforts. The overall objective of this trial is to determine the neural and hormonal factors contributing to sex-specific risk for AUD in three addiction domains: inhibitory control (executive function), negative emotionality, and alcohol cue reactivity (incentive salience).

02

Conditions studied

  • Alcohol Use Disorder

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Keywords

  • sex
  • inhibitory control
  • risk factor
  • hormone
  • fMRI
  • menstrual cycle
03

In context

Alcoholism

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

This study's planned enrollment of 100 is above the median of 88 across 1,428 interventional studies indexed under Alcoholism.

Browse Alcoholism studies →

Lead sponsor

Jessica Weafer is the lead sponsor of 4 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
21 Years to 26 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • consume 4/5 drinks per week
  • fluent in English
  • high school education
  • right-handed
  • regular menstrual cycles (women)

Exclusion criteria

Exclusion Criteria:

  • serious medical problems
  • body weight \<110 or >210 lbs
  • current medical or psychiatric conditions requiring medication for which alcohol is
  • substance use disorder other than alcohol
  • current or recent history of inpatient/intensive treatment for addictive behaviors
  • pregnant, nursing, on hormonal
  • contraindications for fMRI
  • smoking > 5 cigarettes per day
Terms in these criteria, in plain language(2)

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Males

    Participants in this group will be adult male drinkers.

    Drug: Alcohol

  • Experimental
    Females

    Participants in this group will be adult female drinkers. Data will be segregated by menstrual cycle phase.

    Drug: Alcohol

Interventions

  • Participants will complete three experimental sessions. In each session, participants will provide detailed reports of their alcohol consumption over the past five days, and they will provide a blood sample for hormone assays. They will perform tasks during fMRI to assess each of the neurofunctional addiction domains: inhibitory control, negative emotionality, and cue reactivity. Following the fMRI scan, subjects will self-administer intravenous alcohol to provide a controlled assessment of pharmacologically-driven alcohol consumption.

06

What researchers measure

Primary outcomes

  1. Neural inhibitory function

    One measure of neural inhibitory function during performance of the stop signal task will be activity (as measured by BOLD % signal change)

    Time frame: 13 minutes

  2. Neural inhibitory function

    The other measure of neural inhibitory function during performance of the stop signal task will be functional connectivity for the StopInh\>Go contrast.

    Time frame: 13 minutes

  3. Neural negative emotionality

    One measure of neural negative emotionality during performance of the Emotional Pictures Task will be activity (as measured by BOLD % signal change)

    Time frame: 14 minutes

  4. Neural negative emotionality

    The other measure of neural negative emotionality during performance of the Emotional Pictures Task will be functional connectivity for the Negative\>Neutral contrast.

    Time frame: 14 minutes

  5. Neural alcohol cue reactivity

    One measure of neural alcohol cue reactivity during performance of the Alcohol Cue Reactivity Task will be activity (as measured by BOLD % signal change)

    Time frame: 12 minutes

  6. Neural alcohol cue reactivity

    The other measure of neural alcohol cue reactivity during performance of the Alcohol Cue Reactivity Task will be functional connectivity for the Alcohol\>Neutral contrast.

    Time frame: 12 minutes

  7. Intravenous alcohol self-administration (IV-ASA)

    One measure of IV-ASA will be peak BrAC (mg%; highest BrAC obtained during the IV-ASA period)

    Time frame: 60 minutes

  8. Intravenous alcohol self-administration (IV-ASA)

    Another measure of IV-ASA will be whether or not a participant reached binge level of alcohol exposure (80mg%)

    Time frame: 60 minutes

  9. Intravenous alcohol self-administration (IV-ASA)

    The final measure of IV-ASA will be time to reach binge level of alcohol exposure (80mg%)

    Time frame: 60 minutes

  10. Self-reported current alcohol consumption

    One measure of current alcohol consumption will be number of binge days (4/5 or more drinks in a sitting for women/men) as determined by responses on the Timeline Followback.

    Time frame: 20 minutes

  11. Self-reported current alcohol consumption

    The other measure of current alcohol consumption will be average peak BrAC obtained on drinking days over the past 5 days, as determined by responses on the Timeline Followback.

    Time frame: 20 minutes

  12. Prospective alcohol consumption

    One measure of prospective alcohol consumption will be number of binge episodes as determined by responses on the 90-day Timeline Followback.

    Time frame: 18 months

  13. Prospective alcohol consumption

    The other measure of prospective alcohol consumption will be drinking days per month, as determined by responses on the 90-day Timeline Followback.

    Time frame: 18 months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started May 2021 (actual). Primary completion is estimated for Jun 2027, 73 months after the start.

Of 470 non-industry interventional studies with no phase under Alcoholism, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 55. This study's planned 73 months is above that.

Counting every sponsor, half of 493 studies reached it within 33 months; a quarter within 17 and three quarters within 53.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 11, 2020
First posted
Jun 18, 2021
StartActual
May 11, 2021
Primary completionEst.
Jun 30, 2027
CompletionEst.
Jun 30, 2027
Last update
May 22, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04929288
Lead sponsor
Jessica Weafer
Responsible party
Jessica Weafer (Associate Professor, Ohio State University) — Sponsor-investigator
First posted
Jun 18, 2021
Start date
May 11, 2021
Primary completion
Jun 30, 2027 (estimated)
Completion
Jun 30, 2027 (estimated)
Last update
May 22, 2026

Study contacts

Jessica Weafer, PhD
Contact
Jessica.Weafer@osumc.edu
614-366-0163
Jessica Weafer, PhD
principal investigator · Ohio State University

Oversight

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

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Studies of the drug tested here: Ethanol

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