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AlcoholismNCT00612352

Intravenous Alcohol Administration Using BrAc Method in Healthy Subjects With and Without a Family History of Alcoholism

A study of Alcoholism, run by Yale University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The proposed study is the first to explore the contribution of brain glutamate systems, a major target of ethanol in the brain, to the vulnerability to develop alcoholism. This study may lead to an enhanced understanding of the underlying neurobiological mechanism in high risk individuals that may lead to the… Read more about this study

Who is it for?
Ages 21 to 30 yearsHealthy volunteers can take part
Conditions the study is for
Alcoholism
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
180 participants
Where
1 siteUnited States
Study dates
Mar 2001to Jun 2015
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 to 30 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Male and female between the ages of 21 and 30 years;
  • medically and neurologically healthy on the basis of history, physical examination, EKG, Screening laboratories absence of current and/or past substance abuse on the basis of history and urine toxicology and breath alcohol levels at screening and on each test day.
  • For Family History Positive (FHP) Subjects: 1) Biological father and another first or second-degree biological relative with history of alcoholism by Family History Assessment Module (FHAM) developed by COGA.

Who cannot join

  • DSM-IV psychiatric and substance abuse (excluding alcohol abuse) diagnosis by history on psychiatric evaluation that includes a structured diagnostic interview (Structured Clinical Interview for Diagnostic and Statistical Manual (DSM)-IV Axis I Disorders (SCID))
  • Subjects who meet criteria for alcohol abuse and express an interest in stopping alcohol use and/or express an interest in treatment or are currently enrolled in treatment for alcoholism, or have sought treatment in the last 6 months.
  • history of counseling or psychotherapy; except family therapy centered around another family member
  • extended unwillingness to remain alcohol-free for 48 hours prior to test days;
  • for women: positive pregnancy test at screening or intention to engage in unprotected sex during the study
  • alcohol naïve
  • Adoptee and no contact with family members.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • VA Connecticut Healthcare System

    West Haven, Connecticut, 06516

Other trials in United States

About this study

The proposed study is the first to explore the contribution of brain glutamate systems, a major target of ethanol in the brain, to the vulnerability to develop alcoholism. This study may lead to an enhanced understanding of the underlying neurobiological mechanism in high risk individuals that may lead to the transition from moderate to excessive use of alcohol.

Read the detailed description

Males and females with a paternal family history of alcoholism have a high risk for developing alcoholism. These individuals have been shown to have decreased dysphoric responses to alcohol self-administration that may promote the excessive use of alcohol. Ethanol has been shown to be an antagonist at the N-methyl-D-aspartate (NMDA) glutamate receptor. We have recently shown that sober alcoholics have decreased dysphoric response to the NMDA antagonist, ketamine. We propose to test the hypothesis that this characteristic exists as a vulnerability factor in those individuals susceptible to develop alcoholism. Specifically, the objective is to determine whether individuals with a family history positive (FHP) for alcoholism will experience less dysphoric, anxiogenic, and psychotogenic effects to alcohol infusion when compared to family history negative (FHN) control subjects.

Male and female subjects, FHP (biological father and one other first degree relative) between the ages of 21-30, and matched controls (FHN) will complete 3 test days in a randomized balanced order under double-blind conditions. Test days will involve administration of placebo or one of two ethanol doses (target BrAc=40mg%, or target BrAc=100mg%) intravenously for 20 minutes, until the target BrAc is achieved. Once BrAc is achieved (40mg% or 100mg%) it will be maintained using a clamp procedure for over 60 minutes. Outcome measures include the Positive and Negative Symptom Scale, visual analog scales of mood state, (i.e. anxiety) and the Clinician-Administered Dissociative States Scale (CADSS) to measure perceptual responses to alcohol. Secondary measures include visual analog scales for high, similarity to ethanol, Mini Mental Status Examination (MMSE), Placement of electrodes, Biphasic Alcohol Effects Scale, Hopkins Verbal Learning, and number of drinks scale, aspects of craving for alcohol and tests of cognitive impairment.

Conditions
Alcoholism
Being tested
Ethanol High Dose, Ethanol Low Dose, and Placebo
Medical subject headings
Alcoholism

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Ethanol High Dose, Ethanol Low Dose, and PlaceboDrug

    Also called intravenous

    Three test days will involve administration of placebo, ethanol high dose (BrAc=100mg%) or ethanol low dose (BrAc=40mg%)intravenously for approximately 20 minutes, until the target BrAc is achieved. Once BrAc is achieved (40mg% or 100mg%) it will be maintained using a clamp procedure for 60 minutes.

Study groups in NCT00612352
Study groupRoleWhat they receive
Family HIstory PositiveActive comparatorSubjects with a positive family history of alcoholism.
Receives: Drug: Ethanol High Dose, Ethanol Low Dose, and Placebo
Family History NegativeActive comparatorSubjects with a negative family history of alcoholism.
Receives: Drug: Ethanol High Dose, Ethanol Low Dose, and Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Drinks Felt Consumed at Baseline

    The Number of Drinks Scale asks Subjects to report on the number of alcoholic drinks they felt they had consumed.

    Measured: Baseline

  2. Number of Drinks Felt Consumed at 10 Minutes

    The Number of Drinks Scale asks Subjects to report on the number of alcoholic drinks they felt they had consumed.

    Measured: 10 minutes

  3. Number of Drinks Felt Consumed at 30 Minutes

    The Number of Drinks Scale asks Subjects to report on the number of alcoholic drinks they felt they had consumed.

    Measured: 30 minutes

  4. Number of Drinks Felt Consumed at 110 Minutes

    The Number of Drinks Scale asks Subjects to report on the number of alcoholic drinks they felt they had consumed.

    Measured: 110 minutes

  5. Number of Drinks Felt Consumed at 140 Minutes

    The Number of Drinks Scale asks Subjects to report on the number of alcoholic drinks they felt they had consumed.

    Measured: 140 minutes

  6. Number of Drinks Felt Consumed at 170 Minutes

    The Number of Drinks Scale asks Subjects to report on the number of alcoholic drinks they felt they had consumed.

    Measured: 170 minutes

  7. Number of Drinks Felt Consumed at 230 Minutes

    The Number of Drinks Scale asks Subjects to report on the number of alcoholic drinks they felt they had consumed.

    Measured: 230 minutes

  8. Visual Analog Scale of Similarity to Alcohol - Baseline

    Visual Analog Scale of Similarity to Alcohol data using the Likert scale (0 Not at all similar to alcohol - 7 Extremely similar to alcohol) evaluating the similarity of drug effects to alcohol

    Measured: Baseline

  9. Visual Analog Scale of Similarity to Alcohol -10 Minutes

    Visual Analog Scale of Similarity to Alcohol data using the Likert scale (0 Not at all similar to alcohol - 7 Extremely similar to alcohol) evaluating the similarity of drug effects to alcohol

    Measured: 10 minutes

  10. Visual Analog Scale of Similarity to Alcohol - 30 Minutes

    Visual Analog Scale of Similarity to Alcohol data using the Likert scale (0 Not at all similar to alcohol - 7 Extremely similar to alcohol) evaluating the similarity of drug effects to alcohol

    Measured: 30 minutes

  11. Visual Analog Scale of Similarity to Alcohol - 60 Minutes

    Visual Analog Scale of Similarity to Alcohol data using the Likert scale (0 Not at all similar to alcohol - 7 Extremely similar to alcohol) evaluating the similarity of drug effects to alcohol

    Measured: 60 minutes

  12. Visual Analog Scale of Similarity to Alcohol - 110 Minutes

    Visual Analog Scale of Similarity to Alcohol data using the Likert scale (0 Not at all similar to alcohol - 7 Extremely similar to alcohol) evaluating the similarity of drug effects to alcohol

    Measured: 110 minutes

  13. Visual Analog Scale of Similarity to Alcohol - 140 Minutes

    Visual Analog Scale of Similarity to Alcohol data using the Likert scale (0 Not at all similar to alcohol - 7 Extremely similar to alcohol) evaluating the similarity of drug effects to alcohol

    Measured: 140 minutes

  14. Visual Analog Scale of Similarity to Alcohol - 170 Minutes

    Visual Analog Scale of Similarity to Alcohol data using the Likert scale (0 Not at all similar to alcohol - 7 Extremely similar to alcohol) evaluating the similarity of drug effects to alcohol

    Measured: 170 minutes

  15. Visual Analog Scale of Similarity to Alcohol - 230 Minutes

    Visual Analog Scale of Similarity to Alcohol data using the Likert scale (0 Not at all similar to alcohol - 7 Extremely similar to alcohol) evaluating the similarity of drug effects to alcohol

    Measured: 230 minutes

Secondary outcomes (40)
  1. Biphasic Alcohol Effects Scale (BAES) - Subscale Sedative Baseline

    Self-report rating scale used to measure sedative effects (0 not at all sedated - 70 extremely sedated)

    Measured: Baseline

  2. Biphasic Alcohol Effects Scale (BAES) - Subscale Sedative - 10 Minutes

    Self-report rating scale used to measure sedative effects (0 not at all sedated - 70 extremely sedated)

    Measured: 10 minutes

  3. Biphasic Alcohol Effects Scale (BAES) - Subscale Sedative - 30 Minutes

    Self-report rating scale used to measure sedative effects (0 not at all sedated - 70 extremely sedated)

    Measured: 30 minutes

  4. Biphasic Alcohol Effects Scale (BAES) - Subscale Sedative - 60 Minutes

    Self-report rating scale used to measure sedative effects (0 not at all sedated - 70 extremely sedated)

    Measured: 60 minutes

  5. Biphasic Alcohol Effects Scale (BAES) - Subscale Sedative - 110 Minutes

    Self-report rating scale used to measure sedative effects (0 not at all sedated - 70 extremely sedated)

    Measured: 110 minutes

  6. Biphasic Alcohol Effects Scale (BAES) - Subscale Sedative - 140 Minutes

    Self-report rating scale used to measure sedative effects (0 not at all sedated - 70 extremely sedated)

    Measured: 140 minutes

  7. Biphasic Alcohol Effects Scale (BAES) - Subscale Sedative - 170 Minutes

    Self-report rating scale used to measure sedative effects (0 not at all sedated - 70 extremely sedated)

    Measured: 170 minutes

  8. Biphasic Alcohol Effects Scale (BAES) - Subscale Sedative - 230 Minutes

    Self-report rating scale used to measure sedative effects (0 not at all sedated - 70 extremely sedated)

    Measured: 230 minutes

  9. Biphasic Alcohol Effects Scale (BAES) - Subscale Stimulant - Baseline

    Self-report rating scale used to measure stimulant effects (0 not at all stimulated - 70 extremely stimulated)

    Measured: Baseline

  10. Biphasic Alcohol Effects Scale (BAES) - Subscale Stimulant - 10 Minutes

    Self-report rating scale used to measure stimulant effects (0 not at all stimulated - 70 extremely stimulated)

    Measured: 10 minutes

  11. Biphasic Alcohol Effects Scale (BAES) - Subscale Stimulant - 30 Minutes

    Self-report rating scale used to measure stimulant effects (0 not at all stimulated - 70 extremely stimulated)

    Measured: 30 minutes

  12. Biphasic Alcohol Effects Scale (BAES) - Subscale Stimulant - 60 Minutes

    Self-report rating scale used to measure stimulant effects (0 not at all stimulated - 70 extremely stimulated)

    Measured: 60 minutes

  13. Biphasic Alcohol Effects Scale (BAES) - Subscale Stimulant - 110 Minutes

    Self-report rating scale used to measure stimulant effects (0 not at all stimulated - 70 extremely stimulated)

    Measured: 110 minutes

  14. Biphasic Alcohol Effects Scale (BAES) - Subscale Stimulant - 140 Minutes

    Self-report rating scale used to measure stimulant effects (0 not at all stimulated - 70 extremely stimulated)

    Measured: 140 minutes

  15. Biphasic Alcohol Effects Scale (BAES) - Subscale Stimulant - 170 Minutes

    Self-report rating scale used to measure stimulant effects (0 not at all stimulated - 70 extremely stimulated)

    Measured: 170 minutes

  16. Biphasic Alcohol Effects Scale (BAES) - Subscale Stimulant - 240 Minutes

    Self-report rating scale used to measure stimulant effects (0 not at all stimulated - 70 extremely stimulated)

    Measured: 240 minutes

  17. Visual Analog Scale (VAS) HIGH - Baseline

    visual analog scale (VAS): self-report scale used to measure high (0 not at all High - 7 extremely High)

    Measured: Baseline

  18. Visual Analog Scale (VAS) HIGH - 10 Minutes

    visual analog scale (VAS): self-report scale used to measure high (0 not at all High - 7 extremely High)

    Measured: 10 minutes

  19. Visual Analog Scale (VAS) HIGH - 30 Minutes

    visual analog scale (VAS): self-report scale used to measure high (0 not at all High - 7 extremely High)

    Measured: 30 minutes

  20. Visual Analog Scale (VAS) HIGH - 60 Minutes

    visual analog scale (VAS): self-report scale used to measure high (0 not at all High - 7 extremely High)

    Measured: 60 minutes

  21. Visual Analog Scale (VAS) HIGH - 110 Minutes

    visual analog scale (VAS): self-report scale used to measure high (0 not at all High - 7 extremely High)

    Measured: 110 minutes

  22. Visual Analog Scale (VAS) HIGH - 140 Minutes

    visual analog scale (VAS): self-report scale used to measure high (0 not at all High - 7 extremely High)

    Measured: 140 minutes

  23. Visual Analog Scale (VAS) HIGH - 170 Minutes

    visual analog scale (VAS): self-report scale used to measure high (0 not at all High - 7 extremely High)

    Measured: 170 minutes

  24. Visual Analog Scale (VAS) HIGH - 240 Minutes

    visual analog scale (VAS): self-report scale used to measure high (0 not at all High - 7 extremely High)

    Measured: 240 minutes

  25. Visual Analog Scale (VAS) Drowsy - Baseline

    visual analog scale (VAS): self-report scale used to measure Drowsy (0 not at all drowsy - 7 extremely drowsy)

    Measured: Baseline

  26. Visual Analog Scale (VAS) Drowsy - 10 Minutes

    visual analog scale (VAS): self-report scale used to measure Drowsy (0 not at all drowsy - 7 extremely drowsy)

    Measured: 10 minutes

  27. Visual Analog Scale (VAS) Drowsy - 30 Minutes

    visual analog scale (VAS): self-report scale used to measure Drowsy (0 not at all drowsy - 7 extremely drowsy)

    Measured: 30 minutes

  28. Visual Analog Scale (VAS) Drowsy - 60 Minutes

    visual analog scale (VAS): self-report scale used to measure Drowsy (0 not at all drowsy - 7 extremely drowsy)

    Measured: 60 minutes

  29. Visual Analog Scale (VAS) Drowsy - 110 Minutes

    visual analog scale (VAS): self-report scale used to measure Drowsy (0 not at all drowsy - 7 extremely drowsy)

    Measured: 110 minutes

  30. Visual Analog Scale (VAS) Drowsy - 140 Minutes

    visual analog scale (VAS): self-report scale used to measure Drowsy (0 not at all drowsy - 7 extremely drowsy)

    Measured: 140 minutes

  31. Visual Analog Scale (VAS) Drowsy - 170 Minutes

    visual analog scale (VAS): self-report scale used to measure Drowsy (0 not at all drowsy - 7 extremely drowsy)

    Measured: 170 minutes

  32. Visual Analog Scale (VAS) Drowsy - 230 Minutes

    visual analog scale (VAS): self-report scale used to measure Drowsy (0 not at all drowsy - 7 extremely drowsy)

    Measured: 230 minutes

  33. Hopkins Verbal Learning Task - Immediate Recall - Trial 1

    Hopkins Verbal Learning Task (HVLT) - measures verbal memory and hippocampus function. (Three immediate recall trials) (0 no words recalled - 12 all words recalled)

    Measured: 30 minutes - Trial 1

  34. Hopkins Verbal Learning Task - Immediate Recall - Trial 2

    Hopkins Verbal Learning Task (HVLT) - measures verbal memory and hippocampus function. (Three immediate recall trials) (0 no words recalled - 12 all words recalled)

    Measured: 30 minutes - Trial 2

  35. Hopkins Verbal Learning Task - Immediate Recall - Trial 3

    Hopkins Verbal Learning Task (HVLT) - measures verbal memory and hippocampus function. (Three immediate recall trials) (0 no words recalled - 12 all words recalled)

    Measured: 30 minutes - Trial 3

  36. Hopkins Verbal Learning Task - Delay Recall

    Hopkins Verbal Learning Task (HVLT) - measures verbal memory and hippocampus function. (Delay Recall: 30 minutes after Trials 1-3 were given) (0 no words recalled - 12 all words recalled)

    Measured: 60 minutes

  37. Pegboard Task - Baseline (Dominant Hand)

    The pegboard task is a measure of coordination that measures reaction time; how long a subject takes to insert pegs into a pegboard puzzle, first using their dominant hand then using their non-dominant hand. A quicker time indicates greater coordination. Scores are timed in seconds

    Measured: Baseline

  38. Pegboard Task - 30 Minutes (Dominant Hand)

    The pegboard task is a measure of coordination that measures reaction time; how long a subject takes to insert pegs into a pegboard puzzle, first using their dominant hand then using their non-dominant hand. A quicker time indicates greater coordination. Scores are timed in seconds.

    Measured: 30 minutes

  39. Pegboard Task - Baseline (Non-Dominant Hand)

    The pegboard task is a measure of coordination that measures reaction time; how long a subject takes to insert pegs into a pegboard puzzle, first using their dominant hand then using their non-dominant hand. A quicker time indicates greater coordination. Scores are timed in seconds.

    Measured: Baseline

  40. Pegboard Task - 30 Minuites (Non-Dominant Hand)

    The pegboard task is a measure of coordination that measures reaction time; how long a subject takes to insert pegs into a pegboard puzzle, first using their dominant hand then using their non-dominant hand. A quicker time indicates greater coordination. Scores are timed in seconds.

    Measured: 30 minutes

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Feb 2008 (estimated)
  2. Study startMar 2001
  3. Primary completionJun 2015
  4. Study completionJun 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
180 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00612352
Sponsor's protocol ID
0304025194
Other IDs
VA Alcohol Research Center, P50AA012870
Status last verified
Oct 2021
First submitted
27 Dec 2007
Last updated
26 Oct 2021
Data monitoring committee
Yes

Publications

  • Ralevski E, Perrino A, Acampora G, Koretski J, Limoncelli D, Petrakis I. Analgesic effects of ethanol are influenced by family history of alcoholism and neuroticism. Alcohol Clin Exp Res. 2010 Aug;34(8):1433-41. doi: 10.1111/j.1530-0277.2010.01228.x. Epub 2010 May 21.

    PubMed 20497133
  • Perrino AC Jr, Ralevski E, Acampora G, Edgecombe J, Limoncelli D, Petrakis IL. Ethanol and pain sensitivity: effects in healthy subjects using an acute pain paradigm. Alcohol Clin Exp Res. 2008 Jun;32(6):952-8. doi: 10.1111/j.1530-0277.2008.00653.x. Epub 2008 Apr 26.

    PubMed 18445106

Questions about this trial

What is this clinical trial studying?

A study of Alcoholism, run by Yale University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Oct 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 24 Feb 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Drinks Felt Consumed at Baseline (time frame: Baseline). The study lists 15 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00612352, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Oct 2021.

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