Actively Recruiting

Phase 2
Age: 18Years - 70Years
All Genders
ID06845124

ICONICplus - Effects of Cannabidiol Plus Naltrexone on Alcohol Craving in Alcohol Dependence

Led by Central Institute of Mental Health, Mannheim · Updated on 2026-02-03

150

Participants Needed

2

Research Sites

26 weeks

Total Duration

On this page

Sponsors

C

Central Institute of Mental Health, Mannheim

Lead Sponsor

H

Heidelberg University

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are investigating the effects of combining Cannabidiol (CBD) with Naltrexone (NTX) on alcohol craving in people with alcohol dependence, a chronic condition with limited treatment options. This phase II, randomized, double-blind, placebo-controlled trial aims to evaluate whether two different doses of CBD (800mg and 1200mg), when added to standard NTX treatment (50mg daily), reduce alcohol craving more than NTX alone over a 14-day treatment period. The study focuses on patients who experience high alcohol craving and includes assessments of quality of life and biological markers related to craving as secondary outcomes. Participants will be randomly assigned to one of three groups: one receiving 800mg CBD plus 50mg NTX daily, another receiving 1200mg CBD plus 50mg NTX daily, and a third receiving placebo capsules plus 50mg NTX daily. All treatments are given orally during an inpatient addiction treatment program following current guidelines. The 14-day treatment period is part of a standardized care program, designed to evaluate the added effect of CBD on top of NTX. During the study, participants will be assessed at multiple visits including baseline, during treatment (days 1, 7, and 14), and follow-up visits at days 28, 42, 105, and 196. Researchers will measure alcohol craving using the Obsessive Compulsive Drinking Scale, along with quality of life, depression, anxiety, patient-reported outcomes, blood CBD levels, brain imaging, and drinking behavior. Safety is monitored through reports of adverse events. These evaluations aim to understand the treatment impact on craving and long-term outcomes over about seven months.

CONDITIONS

Brief Title

A Trial to Investigate the Effects of Cannabidiol Plus Naltrexone on Alcohol Craving in Patients With Alcohol Dependence

Who Can Participate

Age: 18Years - 70Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age between 18 and 70 years
  • Diagnosis of alcohol dependence according to ICD-10
  • Reported alcohol craving as a symptom of alcohol dependence
  • Ability to understand the study and its consequences
  • Written informed consent before enrollment
  • Consent to random assignment
  • For women of childbearing potential and males with partners of childbearing potential, use of effective birth control until one month after last study medication and negative pregnancy test
Not Eligible

You will not qualify if you...

  • Current psychotic or bipolar disorder or severe depressive episode with suicidal thoughts
  • Current treatment with certain medications including investigational drugs, opioid-containing analgesics, anticonvulsants, most antipsychotics, some antidepressants, opioid cough/cold agents, steroids, anti-craving or aversive medications, THC or CBD medications, antiretroviral drugs, xanthines, general anesthetics, Hypericum perforatum, and some antibiotics
  • Positive drug screening for amphetamines, opiates, cocaine, or barbiturates
  • Pregnancy, lactation, or breastfeeding
  • Severe liver cirrhosis (CHILD B or C) or epilepsy
  • Elevated liver enzymes with high bilirubin
  • Known allergy to cannabidiol, naltrexone, or similar drugs
  • Participation in other competing clinical trials
  • Acute suicidal risk or danger to self or others

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.

1 visit (in-person)

Treatment

Duration - 14 days

Participants receive daily oral treatment with 50mg Naltrexone combined with either 800mg or 1200mg Cannabidiol capsules or matching placebo capsules during in-patient treatment.

3 visits during treatment (day 1, day 7, and day 14)

Follow-up

Duration - Up to 182 days after treatment

Participants are monitored for alcohol craving, quality of life, depressive symptoms, adverse events, and alcohol consumption after treatment ends.

4 follow-up visits (day 28, day 42, day 105, and day 196) and weekly assessments during this period

Trial Site Locations

Total: 2 locations

1

Psychiatric Centre North Baden (PZN)

Wiesloch, Baden-Wurttemberg, Germany, 69168

Not Yet Recruiting

2

Central Institute of Mental Health

Mannheim, Germany, 68159

Actively Recruiting

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Research Team

P

Patrick Bach, Prof. Dr. Dr.

S

Sina Vetter, M.Sc.

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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Frequently Asked Questions

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Published Research Related To This Trial

Investigation of the combined effects of cannabidiol plus naltrexone on alcohol craving in alcohol dependence: study protocol of a phase II randomised, double-blind, placebo-controlled, parallel-group trial - ICONICplus Trial.

Sina Vetter, Julia Weinberg, Bettina C Thomas...

https://pubmed.ncbi.nlm.nih.gov/40803733