Alcohol AbuseCaesarNCT02822911
Benefit of Carbohydrate Deficient Transferrin to Detect Chronic Alcohol Abuse in the Elderly
A study testing Alcohol Used Disorders Identification Test (AUDIT C), Carbohydrate deficient transferrin and Gamma glutamyl transpeptidase in people with Alcohol Abuse, run by Groupe Hospitalier de la Region de Mulhouse et Sud Alsace at 2 sites in France.
Trial summary
Alcohol misuse affects 5 million people in France. Even though the elderly are also concerned by this pathology, there is not much information about chronic alcohol misuse of this population in particular. Read more about this study
- Who is it for?
- Ages 60 years and older
- Conditions the study is for
- Alcohol Abuse
- What is being tested?
- Alcohol Used Disorders Identification Test (AUDIT C), Carbohydrate deficient transferrin and Gamma glutamyl transpeptidase
- Type of treatment
- Surgery or procedure, Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 194 participants
- Where
- 2 sitesFrance
- Study dates
- Mar 2016to Oct 2016
- Phase
- Interventional
- Are there results?
- None posted in the registry
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 60 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- At least 60 years old
- Patients hospitalized for a day or more in the Geriatrics Department of Mulhouse, GHRMSA :
- Coming from home within 48 hours after admission to the GHRMSA
- Study procedures performed within 72 hours after admission to the GHRMSA
- Or new members of the General Practitioner Support Association of Alsace, France (translated in French as the "RAG") living in Mulhouse, Thann and Saint Louis cities (France) :
- Living at home and joining the RAG between the 1st of March and the 31st of October 2016
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- Study Procedures performed within 3 days after enrollment in the study
- Relative or helper available who usually visits the patient at home at least once a week
- Absence of alcoholic excipient in the concomitant medication
Who cannot join
- Age < 60 years old
- Admitted in the Geriatrics Department of Mulhouse after more than 48hours after admission to the GHRMSA
- Presence of the following symptoms :
- Hepatobiliary deficiency related to a primary biliary cirrhosis
- Autoimmune or viral cirrhosis
- Hepatocellular carcinoma
Show all 10Show fewer
- Congenital metabolic disorder in protein glycosylation
- Known genetics variance in Tf B or D transferrin
- Living in an elderly care institution
- Already enrolled in this study
Trial locations and contacts
2 sites in 1 country.
France2 sites
Reseau d'Appui aux Generalistes (RAG)
Colmar, 68000
GHRMSA
Mulhouse, 68100
About this study
Official title: Benefit of Carbohydrate Deficient Transferrin to Detect Chronic Alcohol Abuse in the Elderly. A French Multicentered Prospective Interventional Study.
Alcohol misuse affects 5 million people in France. Even though the elderly are also concerned by this pathology, there is not much information about chronic alcohol misuse of this population in particular.
Biological markers like gamma-glutamyltranspeptidase (GGT), mean corpuscular volume (MCV) and carbohydrate deficient transferrin (CDT) are usually used to detect alcohol abuse. As a biological marker of alcohol misuse, the specificity of the CDT is known to be superior to the GGT as well.
Read more
However, when it comes to the elderly, alcoholism diagnosis tools are based on research of younger populations.
This study aims to evaluate the benefit of the CDT to detect chronic alcohol use in the elderly.
Read the detailed description
Problematic alcohol misuse is frequent but tends to decrease with age. According to the French Alcohology Society, 10% of the adult population is alcohol abstinent and after 65 years old, they are 40% to abstain from alcohol.
On the other hand, the French Alcohology Society also reports that a regular or daily alcohol consumption for older people increases the risk of dependence on alcohol.
For the elderly, biological disorders can be related to polymedication or other conditions related to the aging process, making it difficult to diagnose alcoholism for aged people.
For the study, the three-item Alcohol Use Disorders Identification Test (AUDIT-C) will be submitted to :
- every patient admitted in the Hospital of Mulhouse (France) for at least a day in the Geriatrics Department
- every patient entering the General Practitioner Support Association of Alsace, France (translated in French as the "RAG").
When the score of the AUDIT-C reaches at least 1 point, the study will collect results of the GGT and MCV performed as routine practice and add the CDT in the blood tests.
- Conditions
- Alcohol Abuse
- Being tested
- Alcohol Used Disorders Identification Test (AUDIT C), Carbohydrate deficient transferrin, Gamma glutamyl transpeptidase, Mean Corpuscular Volume
- Keywords
- elderly, chronic alcoholism, Carbohydrate Deficient Transferrin, Biological Detection / Diagnosis
- Medical subject headings
- Alcoholism, Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Alcohol Used Disorders Identification Test (AUDIT C)Behavioural
Also called Audit-C questionnaire
The Audit-C questionnaire is a three item alcohol screen that can help identify persons who are hazardous drinkers or have active alcohol abuse disorders (including alcohol abuse or dependence). The AUDIT-C is a modified version of the 10 question AUDIT instrument.
Score from 0 to 12. Each Audit-C question has a 5 answer choice, allotted points are from 0 to 4 points. In men, a score of 4 is considered as positive, optimal for identifying hazardous users or active alcohol abuse disorders. The same for 3 points in women.
Carbohydrate deficient transferrinProcedure or surgery
Also called CDT
Blood sample to collect carbohydrate deficient transferrin (CDT) only if the Alcohol Used Disorders Identification Test (AUDIT C) reports at least 1 point.
Gamma glutamyl transpeptidaseProcedure or surgery
Also called GGT
Results of Gamma glutamyl transpeptidase (GGT) performed as routine practice collected only if the Alcohol Used Disorders Identification Test (AUDIT C) reaches at least 1 point.
Mean Corpuscular VolumeProcedure or surgery
Also called MCV
Results of Mean Corpuscular Volume (MCV) performed as routine practice collected only if the Alcohol Used Disorders Identification Test (AUDIT C) reports at least 1 point.
| Study group | Role | What they receive |
|---|---|---|
| Alcohol Used Disorders Identification Test (AUDIT C) | Other | Submission of Audit-C questionnaire to all the patients of the study. When the result to the AUDIT-C questionnaire reaches at least 1 point, the analysis of the Carbohydrate deficient transferrin (CDT) is performed within 3 days after the beginning of the study. Results of Gamma glutamyl transpeptidase (GGT) and Mean Corpuscular Volume (MCV) performed as routine practice collected at the same time as the CDT analysis. Receives: Behavioral: Alcohol Used Disorders Identification Test (AUDIT C); Procedure: Carbohydrate deficient transferrin; Procedure: Gamma glutamyl transpeptidase; Procedure: Mean Corpuscular Volume |
What is being measured
The primary outcome is the main question the study is designed to answer.
Benefit of Carbohydrate Deficient Transferrin to detect chronic alcohol abuse in the elderly compared to usual clinical detection tools
Analysis performed when at least 1 point at the AUDIT-C questionnaire, confirming presence of alcohol consumption
Measured: Within 3 days after enrollment in the study
Secondary outcomes (5)
Sensitivity and specificity of the disturbance of Gamma-glutamyltranspeptidase when presence of alcohol consumption, with at least 1 point in the AUDIT-C questionnaire
If collected as routine practice : at the same time as Carbohydrate Deficient Transferrin analysis when Audit-C questionnaire reports at least 1 point
Measured: Within 3 days after enrollment in the study
Sensitivity and specificity of the disturbance of Mean Corpuscular Volume when presence of alcohol consumption, with at least 1 point in the AUDIT-C questionnaire
If collected as routine practice : at the same time as Carbohydrate Deficient Transferrin analysis when Audit-C questionnaire reports at least 1 point
Measured: Within 3 days after enrollment in the study
Socio-economic characteristics of alcohol abusers : Socioprofessional category
Classification of professions and socioprofessional categories of the French National institute of Statistics and economics. 9 types of working classes.
Measured: Within 3 days after enrollment in the study
Socio-economic characteristics of alcohol abusers : Education Category
6 levels of education type, from no degree or 9th grade, to Doctor of Philosophy (PhD). Classification created by the French National institute of Statistics and economics
Measured: Within 3 days after enrollment in the study
Socio-economic characteristics of alcohol abusers : Way of life
Description of the patient's environment :
- married or not
- living alone or not
- professional help provided at home by either a nurse, or cleaning lady, or meal delivery, or senior helper
Measured: Within 3 days after enrollment in the study
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Jul 2016 (estimated)
- Study startMar 2016
- Primary completionOct 2016
- Study completionOct 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Alcohol AbuseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Diagnosis
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 194 participants (actual)
Sponsor and investigators
- Lead sponsor
- Groupe Hospitalier de la Region de Mulhouse et Sud Alsace
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Cecile Schnell, MD, Principal investigator, Groupe Hospitalier de la Region de Mulhouse et Sud Alsace
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02822911
- Sponsor's protocol ID
- GHRMSA 809
- Other IDs
- 2016-A00027-44
- Acronym
- Caesar
- Status last verified
- Nov 2016
- First submitted
- 30 Jun 2016
- Last updated
- 20 Nov 2025
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No
Publications
Schnell C (2016) Benefit of carbohydrate deficient transferrin in detecting chronic alcohol abuse in the elderly: study protocol for a multicentre, non-randomized, open-label study. Clin Transl Degener Dis 1(3):121-126.
Study at a glance
From the registry record, last updated by the sponsor on 20 Nov 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Benefit of Carbohydrate Deficient Transferrin to Detect Chronic Alcohol Abuse in the Elderly. A French Multicentered Prospective Interventional Study.
- ClinicalTrials.gov ID
- NCT02822911
- Acronym / sponsor ID
- Caesar / GHRMSA 809
- Conditions
- Alcohol Abuse
- Keywords
- elderly, chronic alcoholism, Carbohydrate Deficient Transferrin, Biological Detection / Diagnosis
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 194 participants (actual)
- Lead sponsor
- Groupe Hospitalier de la Region de Mulhouse et Sud AlsaceUniversity, hospital or other
- Study start
- Mar 2016
- Primary completion
- Oct 2016 (actual)
- Study completion
- Oct 2016 (actual)
- First posted
- 6 Jul 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Alcohol misuse affects 5 million people in France. Even though the elderly are also concerned by this pathology, there is not much information about chronic alcohol misuse of this population in particular.
Biological markers like gamma-glutamyltranspeptidase (GGT), mean corpuscular volume (MCV) and carbohydrate deficient transferrin (CDT) are usually used to detect alcohol abuse. As a biological marker of alcohol misuse, the specificity of the CDT is known to be superior to the GGT as well.
However, when it comes to the elderly, alcoholism diagnosis tools are based on research of younger populations.
This study aims to evaluate the benefit of the CDT to detect chronic alcohol use in the elderly.
Detailed description
Problematic alcohol misuse is frequent but tends to decrease with age. According to the French Alcohology Society, 10% of the adult population is alcohol abstinent and after 65 years old, they are 40% to abstain from alcohol.
On the other hand, the French Alcohology Society also reports that a regular or daily alcohol consumption for older people increases the risk of dependence on alcohol.
For the elderly, biological disorders can be related to polymedication or other conditions related to the aging process, making it difficult to diagnose alcoholism for aged people.
For the study, the three-item Alcohol Use Disorders Identification Test (AUDIT-C) will be submitted to :
- every patient admitted in the Hospital of Mulhouse (France) for at least a day in the Geriatrics Department
- every patient entering the General Practitioner Support Association of Alsace, France (translated in French as the "RAG").
When the score of the AUDIT-C reaches at least 1 point, the study will collect results of the GGT and MCV performed as routine practice and add the CDT in the blood tests.
Study design
- Primary purpose
- Diagnosis
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Alcohol Used Disorders Identification Test (AUDIT C) | Other | Behavioral: Alcohol Used Disorders Identification Test (AUDIT C), Procedure: Carbohydrate deficient transferrin, Procedure: Gamma glutamyl transpeptidase, Procedure: Mean Corpuscular VolumeSubmission of Audit-C questionnaire to all the patients of the study. When the result to the AUDIT-C questionnaire reaches at least 1 point, the analysis of the Carbohydrate deficient transferrin (CDT) is performed within 3 days after the beginning of the study. Results of Gamma glutamyl transpeptidase (GGT) and Mean Corpuscular Volume (MCV) performed as routine practice collected at the same time as the CDT analysis. |
Who may qualify
- Ages
- 60 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- At least 60 years old
- Patients hospitalized for a day or more in the Geriatrics Department of Mulhouse, GHRMSA :
- Or new members of the General Practitioner Support Association of Alsace, France (translated in French as the "RAG") living in Mulhouse, Thann and Saint Louis cities (France) :
- Relative or helper available who usually visits the patient at home at least once a week
- Absence of alcoholic excipient in the concomitant medication
Key exclusion criteria (10 listed)
- Age < 60 years old
- Admitted in the Geriatrics Department of Mulhouse after more than 48hours after admission to the GHRMSA
- Presence of the following symptoms :
- Known genetics variance in Tf B or D transferrin
- Living in an elderly care institution
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Alcohol Used Disorders Identification Test (AUDIT C)Also: Audit-C questionnaireThe Audit-C questionnaire is a three item alcohol screen that can help identify persons who are hazardous drinkers or have active alcohol abuse disorders (including alcohol abuse or dependence). The AUDIT-C is a modified version of the 10 question AUDIT instrument. Score from 0 to 12. Each Audit-C question has a 5 answer choice, allotted points are from 0 to 4 points. In men, a score of 4 is considered as positive, optimal for identifying hazardous users or active alcohol abuse disorders. The same for 3 points in women. | Behavioural | Alcohol Used Disorders Identification Test (AUDIT C) |
| Carbohydrate deficient transferrinAlso: CDTBlood sample to collect carbohydrate deficient transferrin (CDT) only if the Alcohol Used Disorders Identification Test (AUDIT C) reports at least 1 point. | Procedure or surgery | Alcohol Used Disorders Identification Test (AUDIT C) |
| Gamma glutamyl transpeptidaseAlso: GGTResults of Gamma glutamyl transpeptidase (GGT) performed as routine practice collected only if the Alcohol Used Disorders Identification Test (AUDIT C) reaches at least 1 point. | Procedure or surgery | Alcohol Used Disorders Identification Test (AUDIT C) |
| Mean Corpuscular VolumeAlso: MCVResults of Mean Corpuscular Volume (MCV) performed as routine practice collected only if the Alcohol Used Disorders Identification Test (AUDIT C) reports at least 1 point. | Procedure or surgery | Alcohol Used Disorders Identification Test (AUDIT C) |
Primary outcome
Benefit of Carbohydrate Deficient Transferrin to detect chronic alcohol abuse in the elderly compared to usual clinical detection tools
Time frame: Within 3 days after enrollment in the study
Analysis performed when at least 1 point at the AUDIT-C questionnaire, confirming presence of alcohol consumption
5 secondary outcomes
Sensitivity and specificity of the disturbance of Gamma-glutamyltranspeptidase when presence of alcohol consumption, with at least 1 point in the AUDIT-C questionnaire
Time frame: Within 3 days after enrollment in the study
Sensitivity and specificity of the disturbance of Mean Corpuscular Volume when presence of alcohol consumption, with at least 1 point in the AUDIT-C questionnaire
Time frame: Within 3 days after enrollment in the study
Socio-economic characteristics of alcohol abusers : Socioprofessional category
Time frame: Within 3 days after enrollment in the study
Socio-economic characteristics of alcohol abusers : Education Category
Time frame: Within 3 days after enrollment in the study
Socio-economic characteristics of alcohol abusers : Way of life
Time frame: Within 3 days after enrollment in the study
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Nov 2025.
- BackgroundSchnell C (2016) Benefit of carbohydrate deficient transferrin in detecting chronic alcohol abuse in the elderly: study protocol for a multicentre, non-randomized, open-label study. Clin Transl Degener Dis 1(3):121-126.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Cecile Schnell, MD principal investigator
Groupe Hospitalier de la Region de Mulhouse et Sud Alsace
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Alcohol Used Disorders Identification Test (AUDIT C), Carbohydrate deficient transferrin and Gamma glutamyl transpeptidase in people with Alcohol Abuse, run by Groupe Hospitalier de la Region de Mulhouse et Sud Alsace at 2 sites in France.
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 9 inclusion and 10 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 20 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in France. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Benefit of Carbohydrate Deficient Transferrin to detect chronic alcohol abuse in the elderly compared to usual clinical detection tools (time frame: Within 3 days after enrollment in the study). 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 NCT02822911, which also lists 1 linked publication.
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 20 Nov 2025.