Status:

COMPLETED

An Inflammatory Challenge Using Endotoxin

Lead Sponsor:

University of California, Los Angeles

Conditions:

Alcohol Use Disorder

Inflammatory Response

Eligibility:

All Genders

21-45 years

Phase:

PHASE2

Brief Summary

The study design consists of a randomized, double-blind, placebo-controlled trial of low dose endotoxin. The low dose endotoxin challenge induces a transient systemic inflammatory response with normal...

Detailed Description

RECRUITMENT: Participants will be recruited from the community through online and newspaper advertisements. Campaigns in local buses and print publications (e.g., LA Weekly) will also be implemented. ...

Eligibility Criteria

Inclusion

  • Be between the ages of 21 and 45
  • Be non-treatment seeking for AUD
  • Have had at least one alcoholic beverage in the last 30 days
  • FOR HEAVY DRINKERS: Alcohol Use Disorder Identification Test (AUDIT) score between 8 - 15; FOR LIGHT DRINKERS: AUDIT score \< 4
  • FOR HEAVY DRINKERS: Report drinking at binge levels at least 1 time in the past month (5+ drinks/day for men, 4+ drinks/day for women); FOR LIGHT DRINKERS: report no occasions of binge drinking in the past month

Exclusion

  • Have a current (last 12 months) DSM-5 diagnosis of substance use disorder for any psychoactive substances other than alcohol and nicotine
  • Have a lifetime DSM-5 diagnosis of schizophrenia, bipolar disorder, or any psychotic disorder
  • Have current moderate to severe depression as indicated by a score of ≥ 21 on the Beck Depression Inventory - II (BDI-II)
  • Have current suicidal ideation or lifetime history of suicide attempt as reported on the Columbia-Suicide Severity Rating Scale (C-SSRS)
  • Have a positive urine screen for drugs other than cannabis;
  • Have clinically significant alcohol withdrawal symptoms as indicated by a score ≥ 8 on the Clinical Institute Withdrawal Assessment for Alcohol-Revised (CIWA-R)
  • Have an intense fear of needles or have had any adverse reactions to needle puncture
  • Be pregnant, nursing, or planning to become pregnant while taking part in the study; and 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
  • Have a medical condition that may interfere with safe study participation (e.g., unstable cardiac, renal, or liver disease, uncontrolled hypertension or diabetes, autoimmune or inflammatory disease)
  • Have clinically significant abnormal EKG
  • 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"
  • Have any other circumstances that, in the opinion of the investigators, compromises participant safety
  • Have non-removable ferromagnetic objects in body
  • Have claustrophobia
  • Have serious head injury or prolonged period of unconsciousness (\>30 minutes)
  • Exclusionary Criteria for Inflammatory Challenge Visits:
  • BrAC \> 0.000 g/dl
  • clinical withdrawal (CIWA-R) score ≥ 8
  • blood pressure ≤ 90/60 or ≥ 160/120
  • resting pulse ≤ 50 beats/minute or \> 100 beats/minute
  • temperature ≥ 99.5°F
  • recent (past 2 weeks) acute illness or vaccination
  • score of 10+ on Physical Sickness Symptoms Assessment

Key Trial Info

Start Date :

October 19 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 14 2023

Estimated Enrollment :

20 Patients enrolled

Trial Details

Trial ID

NCT04310423

Start Date

October 19 2021

End Date

November 14 2023

Last Update

May 1 2025

Active Locations (1)

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UCLA Addictions Laboratory

Los Angeles, California, United States, 90095