Status:

COMPLETED

Acamprosate in Alcoholics With Comorbid Anxiety or Depression

Lead Sponsor:

Medical University of South Carolina

Collaborating Sponsors:

Mclean Hospital

Columbia University

Conditions:

Alcohol Dependence

Major Depression

Eligibility:

All Genders

18-60 years

Phase:

PHASE4

Brief Summary

STUDY OBJECTIVES: The primary objective of this study is to compare the safety and efficacy of acamprosate versus placebo in the treatment of alcohol dependence in adults with co-occurring mood or an...

Detailed Description

Participants who meet all inclusion criteria and none of the exclusion criteria will be randomized to receive either acamprosate or placebo in a 1:1 ratio. Participants will be instructed to take (2) ...

Eligibility Criteria

Inclusion

  • Adults ages 18-60
  • Meet DSM-IV criteria for current (past 90 days) alcohol dependence
  • Must identify alcohol as the primary substance of abuse
  • Meet DSM-IV criteria for a current major depressive episode, GAD and/or social anxiety disorder
  • Have a stable psychiatric condition, as evidenced by a baseline CGI change score of 4 or below between the time of initial screening and the baseline visit, and if receiving psychotropic medication, must have a stable dose of medication for at least one month prior to baseline.
  • Must have a negative urine drug screen at the baseline visit; UDS may be repeated no more that twice to obtain an negative UDS
  • May be receiving medication treatment for anxiety/mood disorder as long as the dosage has been stable for 4 weeks prior to randomization.
  • May be engaged in psychosocial treatment for alcohol dependence or for mood/anxiety disorders.
  • Must abstain from alcohol for at least 3 consecutive days but no more than 21 days prior to medication initiation
  • Subjects must be able to adequately provide informed consent and function at an intellectual level sufficient to allow the accurate completion of all assessment instruments
  • Subjects must consent to random assignment, be willing to commit to medication treatment and follow-up assessments
  • CIWA-Ar scale is 8 or less at the baseline visit

Exclusion

  • Individuals with a primary psychotic disorder or bipolar disorder
  • Individuals who meet DSM-IV criteria for current (past 90 days) dependence on substances other than alcohol, caffeine or nicotine
  • Individuals with an uncontrolled neurologic condition that could confound the results of the study
  • Individuals with an uncontrolled medical condition that may adversely affect the conduct of this trial or jeopardize the subject's safety
  • Regular use of benzodiazepines for the treatment of psychiatric symptoms (as defined as more than 12 times in the month prior to the screening visit)
  • Individuals receiving pharmacotherapy (e.g. disulfiram or naltrexone) for prevention of alcohol relapse
  • Women of childbearing potential who are lactating or refuse to use adequate forms of birth control
  • Current suicidal or homicidal risk

Key Trial Info

Start Date :

April 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 1 2010

Estimated Enrollment :

90 Patients enrolled

Trial Details

Trial ID

NCT00330174

Start Date

April 1 2006

End Date

September 1 2010

Last Update

April 13 2015

Active Locations (3)

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Page 1 of 1 (3 locations)

1

McLean Hospital

Belmont, Massachusetts, United States, 02478

2

Columbia University College of Physicians & Surgeons

New York, New York, United States, 10025

3

Behavioral Health Services of Pickens County

Pickens, South Carolina, United States, 29671

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