ClinicalTrials.gg
Not yet recruitingNCT07452146Updated Aug 28, 2026

Endotoxin Exposure to Examine the Role of Inflammation in Alcohol Use

A Phase 2 interventional study of Endotoxin and Placebo saline in Alcohol Use Disorder, Inflammatory Response and Craving, sponsored by University of California, Los Angeles. Not yet recruiting. Open to participants aged 21 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-28.

Sponsored by University of California, Los Angeles · Phase 2, Interventional, and Diagnostic

Phase
Phase 2
Study type
Interventional
Enrollment
64
Allocation
Randomized
Ages
21 Years to 65 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 19 studies in Alcoholism by University of California, Los Angeles — 3 open to participants now, 5 under way, 1 of them phase 3. Alcoholism · University of California, Los Angeles.

Planned enrollment
8th of 17
64 · median 56
Started
2026
the only one that year
Phase 2
9 of 19
2 open now
Registered
19th of 19
by date

Among the 19 studies in Alcoholism by University of California, Los Angeles, this one is the 8th largest by planned enrollment of the 17 interventional ones that give a count, is the only one that started in 2026, is one of 9 in phase 2, and was the 19th registered.

Alcoholism

1,676 studies on the registry are indexed under Alcoholism; 331 are open to participants now.

Browse Alcoholism studies →

Open to participants now

3 of the 19 studies in Alcoholism by University of California, Los Angeles are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

Where they have run

Who these studies take

Of the 237 Alcoholism studies recruiting now, 84 (35%) set no upper age limit and 131 (55%) stop at 75 or younger; 9 take children under 18; 64 take healthy volunteers.

This study: 21 Years to 65 Years · all sexes · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 19 studies in Alcoholism by University of California, Los Angeles, or all of them as a file.
02

Study summary

The study design consists of a randomized, double-blind, placebo-controlled study of low dose endotoxin. Individuals with current AUD (n=32) and matched controls without AUD (n=32) will be randomly assigned to receive a single intravenous (I.V.) infusion of either low dose endotoxin (0.8 ng/kg of body weight) or placebo (same volume of 0.9% saline solution) to determine the acute and protracted role of inflammation in alcohol use.

Read the detailed description

Participants will be recruited from the community through campaigns in radio, buses, social media, and print publications. After a telephone interview, eligible individuals will complete in-person screening to assess for presence of DSM-5 alcohol use disorder and additional inclusion/exclusion criteria. Eligible participants will complete a physical exam to assess medical safety, including EKG and laboratory tests. Participants who pass the physical exam will then be randomized to an experimental condition (i.e., endotoxin vs. placebo). Randomization will be stratified by sex (male versus female) and AUD (moderate versus severe). Participants will complete an alcohol cue-exposure paradigm in the lab 2 hours post infusion, the time of peak cytokine response. Plasma levels of inflammatory cytokines (i.e., interleukin-6 (IL-6) and tumor necrosis factor-α (TNF- α)), mood, and alcohol craving, will be assessed at baseline and then hourly for four hours post infusion. Following the infusion, all participants will complete a 14-day follow-up phase consisting of daily diary surveys of mood, alcohol craving, and alcohol consumption. The adverse events will be managed by study nurse practitioners during the endotoxin challenge.

03

Conditions studied

  • Alcohol Use Disorder
  • Inflammatory Response
  • Craving

Browse trials for

Keywords

  • Endotoxin
04

Who can participate

Ages eligible
21 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria (AUD Group):

  1. Be between the ages of 21 and 65
  2. Meet current (i.e., past month) diagnostic criteria for moderate to severe AUD
  3. Alcohol use disorder identification test (AUDIT) score \<20
  4. Be non-treatment seeking for AUD
  5. Report drinking more than 14 drinks per week if male (more than 7 drinks per week if female) in the 30 days prior to consent.
  6. Must agree to one of the following methods of (if female), unless she or partner are surgically sterile:

    • Oral contraceptives
    • Contraceptive sponge
    • Patch
    • Double barrier
    • Intrauterine contraceptive device
    • Etonogestrel implant
    • Medroxyprogesterone acetate contraceptive injection
    • Complete abstinence from sexual intercourse
    • Hormonal vaginal contraceptive ring

Inclusion Criteria (Control Group):

  1. Be between the ages of 21 and 65
  2. No lifetime history (i.e., past year) DSM-5 diagnostic criteria for AUD
  3. Alcohol use disorder identification test (AUDIT) score \<8
  4. Report drinking at or below moderate drinking levels (≤7 drinks/week for females, ≤14 drinks/week for males) in the 30 days prior to consent.
  5. Must agree to one of the following methods of birth control (if female), unless she or partner are surgically sterile:

    • Oral contraceptives
    • Contraceptive sponge
    • Patch
    • Double barrier
    • Intrauterine contraceptive device
    • Etonogestrel implant
    • Medroxyprogesterone acetate contraceptive injection
    • Complete abstinence from sexual intercourse
    • Hormonal vaginal contraceptive ring

Exclusion Criteria (All Groups):

  1. Have a current (last 12 months) DSM-5 diagnosis of substance use disorder for any psychoactive substances other than alcohol and nicotine
  2. Have a lifetime DSM-5 diagnosis of schizophrenia, bipolar disorder, major depressive disorder, or any psychotic disorder
  3. Have current moderate to severe depression as indicated by a score of ≥ 21 on the Beck Depression Inventory - II (BDI-II)
  4. Have current suicidal ideation or lifetime history of suicide attempt as reported onvthe Columbia-Suicide Severity Rating Scale (C-SSRS)
  5. Have a positive urine screen for drugs other than cannabis;
  6. Have alcohol withdrawal symptoms as indicated by a score ≥ 8 on the Clinical Institute Withdrawal Assessment for Alcohol-Revised (CIWA-R)
  7. Have an intense fear of needles or have had any adverse reactions to needle puncture
  8. Be pregnant, nursing, or planning to become pregnant while taking part in the study
  9. Have a (BMI) greater than 30
  10. Have a medical condition that may interfere with safe study participation (e.g., unstable cardiac, renal, or liver disease, uncontrolled hypertension or diabetes, or inflammatory disease)
  11. Have clinically significant abnormal
  12. Have > Grade 2 laboratory abnormalities, based on FDA Guidance Document "Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials"
  13. Have any other circumstances that, in the opinion of the investigators, compromises participant safety

To participate in the inflammatory challenge, participants must not show any of the following upon arrival to the inflammatory challenge study visit:

  1. BrAC > 0.000 g/dl
  2. clinical withdrawal (CIWA-R) score ≥ 8
  3. blood pressure ≤ 90/60 or ≥ 160/120
  4. resting pulse ≤ 50 beats/minute or > 100 beats/minute
  5. temperature ≥ 99.5°F
  6. recent (past 2 weeks) acute illness or vaccination
  7. score of 10+ on Physical Sickness Symptoms Assessment
Terms in these criteria, in plain language(6)

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.

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.

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.

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

05

Study design

Phase
Phase 2
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
64 participants (estimated)

Study arms

  • Experimental
    Endotoxin

    Individuals with alcohol use disorder vs. control who receive a bolus dose of endotoxin (0.8 ng/kg of body weight).

    Drug: Endotoxin

  • Placebo comparator
    Placebo

    Individuals with alcohol use disorder vs. control matched to endotoxin at same volume of 0.9% saline solution.

    Other: Placebo saline

Interventions

  • Bolus dose of 0.8 ng/kg

    Also known as: Lipopolysaccharide

  • OtherPlacebo saline

    Matched to endotoxin

06

What researchers measure

Primary outcomes

  1. Acute Phase: To determine the effect of acute inflammation on mood in AUD versus controls.

    The Profile of Mood States (POMS) is a self-report questionnaire that measures dimensions of mood. Four items from the POMS were summed to calculate the negative mood subscale. The items included "discouraged," downhearted," "uneasy," and "anxious." Participants rated the extent that they felt items "right now" on a scale from 0-4, with higher scores indicating more endorsement of the items. Items were summed to calculate negative mood subscale with the score ranging from 0-16, with higher scores indicating higher negative mood. The investigators were interested in whether low dose endotoxin would increase negative mood as compared to placebo in AUD vs control.

    Time frame: Mood will be collected at baseline (prior to infusion) and hourly for 4 hours post-infusion.

  2. Acute Phase: To determine the effect of acute inflammation on cue-reactivity in AUD versus controls.

    Alcohol Urge Questionnaire (AUQ) score is the primary outcome for the cue-reactivity paradigm. The AUQ is comprised of eight items rated on a 7-point Likert scale with items related to the subjective experience of alcohol craving. The minimum value is 8 and the maximum value is 56 with a higher score indicating greater subjective alcohol craving. Phasic craving for alcohol following alcohol cue exposure was assessed using the first and last items from the AUQ during an alcohol cue reactivity paradigm at baseline and at time of expected peak cytokine response (T2). This subscale of 2 items about desire to drink rated on a 7-point Likert scale provided a minimum possible value of 2 and a maximum value of 14, with higher values indicating a higher craving to drink alcohol. The investigators are primarily interested in whether low dose endotoxin increases cue-induced craving for alcohol relative to placebo in AUD vs control.

    Time frame: The cue-reactivity paradigm is conducted at baseline and at 2 hours post-infusion during the experimental visit.

  3. Acute Phase: To determine the effect of acute inflammation on biomarkers in AUD versus controls.

    Plasma levels of inflammatory cytokines Interleukin-6 (IL-6), IL-8, and tumor necrosis factor-α (TNF- α) will be collected at baseline and hourly timepoints post-infusion for 6 hours. The investigators are primarily interested in whether low dose endotoxin increases peripheral cytokines relative to placebo in AUD vs control.

    Time frame: Blood samples will be collected at baseline (prior to infusion) and hourly for 4 hours post-infusion.

  4. Follow-up Phase: To determine the protracted effects of acute inflammation on self-reported craving and alcohol use in AUD versus controls.

    Individuals will complete a 14-day follow-up after the infusion visit consisting of daily diary online questionnaires to assess protracted endotoxin-induced effects on alcohol craving (Alcohol Urge Questionnaire (AUQ)) and alcohol consumption.

    Time frame: 14-day follow-up phase after acute infusion visit.

  5. Follow-up Phase: To determine the protracted effects of acute inflammation on mood in AUD versus controls.

    Individuals will complete a 14-day follow-up after the infusion visit consisting of daily diary online questionnaires to assess protracted endotoxin-induced effects on mood symptoms (Profile of Mood States).

    Time frame: 14-day follow-up phase after acute infusion visit.

07

Study locations

No study locations are listed for this record.

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

Start is estimated for Sep 2026; primary completion for Sep 2028, 24 months later.

Of 122 non-industry phase 2 interventional studies under Alcoholism, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 23 and three quarters within 59. This study's planned 24 months is below that.

Counting every sponsor, half of 134 studies reached it within 33 months; a quarter within 21 and three quarters within 59.

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

Registered
Feb 27, 2026
First posted
Mar 5, 2026
StartEst.
Sep 2026
Primary completionEst.
Sep 2028
CompletionEst.
Oct 2028
Last update
Aug 28, 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 Aug 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07452146
Responsible party
Lara Ray, PhD (Professor, University of California, Los Angeles) — Principal investigator
First posted
Mar 5, 2026
Start date
Sep 2026 (estimated)
Primary completion
Sep 2028 (estimated)
Completion
Oct 2028 (estimated)
Last update
Aug 28, 2026

Study contacts

Lara Ray, PhD
Contact
lararay@psych.ucla.edu
(310) 794-5383
Jessica Jenkins, MS
Contact
jenkinsj@ucla.edu
310-206-6756
Lara Ray, PhD
principal investigator · University of California, Los Angeles

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Endotoxins

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