RECRUITING

Prazosin for Alcohol Use Disorder With Withdrawal Symptoms

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

This is a Phase 2 single site randomized clinical trial (RCT) to be supported by a new NIH-NIAAA grant, R01-AA029113-01, to assess the efficacy of Prazosin (16mg/day) versus Placebo over a 12 week treatment period, followed by a 1- and 3- month assessments post-treatment for individuals with Alcohol Use Disorder (AUD) and history of past or current evidence of alcohol withdrawal symptoms. If medical detoxification is required for any patient, patients would be enrolled after medical detoxification. for those not requiring detoxification, they will be enrolled directly without any requirement of alcohol abstinence. All patients will be provided behavioral counseling weekly with a trained counselor to support recovery during the trial. Primary outcome will be percent of any heavy drinking days and secondary drinking outcomes will be percent of subjects with no heavy drinking days (PSNHDD), avg drinks per drinking day and %of any drinking drinking days as well as additional secondary outcomes of craving, mood and anxiety problems.

Official Title

Prazosin Treatment for Alcohol Use Disorder With Alcohol Withdrawal Symptoms

Quick Facts

Study Start:2021-07-01
Study Completion:2027-06-30
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT04793685

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years to 70 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Alcohol Withdrawal (AW) scores of 3 or more on the CIWA-Ar at treatment entry OR 2 or more Alcohol Withdrawal Syndrome (AWS) symptoms and regular weekly heavy drinking at treatment entry;
  2. * Must meet current DSM-5 criteria for moderate to severe Alcohol Use Disorder (AUD) using SCID-I for DSM-5;
  3. * No health conditions that would impact trial participation as verified by screening and physical examination;
  4. * Able to read English and complete study evaluations
  5. * Able to provide informed written and verbal consent.
  1. * Meet current criteria for moderate to severe substance use disorders from use of any another psychoactive substance, excluding nicotine, cocaine and cannabis;
  2. * Current use of illicit /non-prescribed opioids more than 2X/month;
  3. * Regular use of anticonvulsants, sedatives/hypnotics, oral prescription analgesics (other than non-steroidal anti-inflammatory drugs), antiretroviral medications, tricyclic antidepressants, topiramate, baclofen, and regular weekly use of benzodiazepines, as defined by use of three or more times per week;
  4. * Prescribed use of antihypertensive medications that duplicate the mechanism of action at the alpha1 receptor as prazosin or are contraindicated, such as those medications that are also alpha1-adrenergic antagonists (i.e., doxazosin, tamsulosin, terazosin) or are beta-blockers (e.g., propranolol); Potential participants who are prescribed cardiovascular/antihypertensive medications will undergo clinical review by the study PIs and team. Individuals who are prescribed anti-hypertensives that do not duplicate the action of prazosin and are not contraindicated, including ACE inhibitors, angiotensin receptor blockers (ARBs), diuretics, and calcium channel blockers, may be allowed to participate after review from the study physician and principal investigators, with careful monitoring of these individuals' blood pressure at all in-person appointments.
  5. * Psychotic or otherwise severely psychiatrically disabled (i.e., suicidal, homicidal, current mania);
  6. * Significant underlying medical conditions such as cerebral, renal, thyroid or cardiac pathology which in the opinion of study physician would preclude patient from fully cooperating or be of potential harm during the course of the study;
  7. * Any psychotic disorder or current Axis I psychiatric disorders requiring specific attention, including need for psychiatric medications;
  8. * Hypotensive individuals with sitting blood pressure below 100/50 mmHG;
  9. * Women who are pregnant, nursing or refuse to use a reliable form of birth control (as assessed by pregnancy tests during initial medical evaluation, and assessed every two weeks during the course of the study).

Contacts and Locations

Study Contact

RAJITA SINHA, PhD
CONTACT
12038592840
rajita.sinha@yale.edu
Rachel Hart, MA
CONTACT
203-641-4922
rachel.hart@yale.edu

Principal Investigator

David Fiellin, MD
STUDY_DIRECTOR
Yale University
Gretchen Hermes, MD
STUDY_DIRECTOR
Yale University

Study Locations (Sites)

The Yale Stress Center: Yale University
New Haven, Connecticut, 06519
United States
The Yale Stress Center: Yale University
New Haven, Connecticut, 06519
United States

Collaborators and Investigators

Sponsor: Yale University

  • David Fiellin, MD, STUDY_DIRECTOR, Yale University
  • Gretchen Hermes, MD, STUDY_DIRECTOR, Yale University

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2021-07-01
Study Completion Date2027-06-30

Study Record Updates

Study Start Date2021-07-01
Study Completion Date2027-06-30

Terms related to this study

Additional Relevant MeSH Terms

  • Alcohol Withdrawal