Actively Recruiting

Phase 2
Phase 3
Age: 18Years - 65Years
All Genders
ID05935553

Baclofen for Improving Benzodiazepine Titration in Benzodiazepine Dependence

Led by Hospices Civils de Lyon · Updated on 2026-05-11

93

Participants Needed

2

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Benzodiazepine dependence is a common condition with widespread use of benzodiazepines, which can lead to chronic addiction and complications. This research aims to evaluate how baclofen, a drug acting on related brain receptors, compares to placebo in helping reduce benzodiazepine doses in people with benzodiazepine use disorder. Baclofen's potential to aid benzodiazepine withdrawal has been observed but needs confirmation through this study. Participants will be randomly assigned to one of three groups: baclofen 30 mg daily, baclofen 60 mg daily, or placebo. The treatment lasts 13 weeks, including one week of dose increase, 11 weeks at full dose, and one week of dose reduction. All treatments are taken orally as capsules. During the study, participants will have their benzodiazepine consumption measured before and after the treatment period. Researchers will monitor safety, adverse events, withdrawal symptoms, craving, anxiety, depression, sleep quality, and quality of life through questionnaires and urine tests. The study duration averages about four and a half months, with regular assessments to track progress and effects.

CONDITIONS

Brief Title

Baclofen for Improving Benzodiazepine Titration in Benzodiazepine Dependence

Who Can Participate

Age: 18Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients aged 18 to 65 years
  • Women of childbearing potential must have a negative pregnancy test at inclusion
  • Women must use effective contraception during the trial and agree to pregnancy tests throughout
  • Diagnosis of benzodiazepine use disorder (BUD) of any severity by DSM-5 criteria
  • Average daily benzodiazepine dose between 30 mg and 200 mg diazepam equivalent over 28 days before inclusion
  • Continued benzodiazepine use for more than 12 weeks
  • At least one previous unsuccessful attempt to stop benzodiazepines
  • Affiliated with a social security system
  • Patients with or without guardianship
  • Able to give free, informed, written consent
Not Eligible

You will not qualify if you...

  • Cirrhosis of the liver
  • Significant medical conditions such as cancer, HIV, epilepsy, chronic respiratory failure, or renal failure
  • Other health conditions deemed incompatible by the investigator
  • Certain psychiatric disorders per DSM-5 and MINI 7.0.2 (schizophrenia, bipolar disorder, autism spectrum disorder)
  • Suicidal state as identified by MINI 7.0.2
  • Dependence on substances other than benzodiazepines and nicotine
  • Previous use of baclofen for any indication
  • Use of unauthorized combination therapies (including pregabalin, topiramate, ketamine, gabapentin, valproic acid, neuroleptics, and others)
  • Pregnant or nursing women
  • Hypersensitivity to baclofen or microcrystalline cellulose
  • Participants under guardianship
  • Patients who need to drive or operate machines during the 1-week dose escalation phase

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Treatment

Duration - 13 weeks

Participants receive oral baclofen or placebo with dose escalation during the first week, maintenance at full dose for 11 weeks, and dose de-escalation during the last week.

Visits occur throughout the 13-week treatment period, including up to 6 visits assessing withdrawal symptoms, craving, anxiety, depression, sleep quality, and quality of life.

Trial Site Locations

Total: 2 locations

1

Centre Hospitalier le Vinatier

Bron, France, 69500

Not Yet Recruiting

2

Hôpital Edouard Herriot

Lyon, France, 69003

Actively Recruiting

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Research Team

B

Benjamin ROLLAND, PU, PH

S

Sonia Galletti

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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