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Alcohol DependencePhase 3NCT03663374

Efficacy and Safety Evaluating Study of Odelepran for the Use in Patient With Alcohol Dependence

A Phase 3 study testing Odelepan in people with Alcohol Dependence, run by R-Pharm at 22 sites in 2 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this study was to assess efficacy and safety of the study drug Odelepran, 125 mg as compared to placebo in the treatment of alcohol dependence in adult outpatients. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Alcohol Dependence
What is being tested?
Odelepan
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
644 participants
Where
22 sitesin 2 countries
Study dates
18 Nov 2014to 14 May 2016
Phase
Phase 3
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 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Signed and dated informed consent.
  • Outpatients (not hospitalized by the moment of randomization).
  • Average alcohol consumption during 30 days prior to screening higher than a medium drinking risk level (men: > 4 drinks/day or 14 drinks/week; women > 3 drinks/day or 7 drinks/week) according to the National Institute on Alcohol Abuse and Alcoholism (NIAAA) criteria.
  • Patients diagnosed with alcohol dependence according to the International Classification of Diseases (ICD)-10, assessed with the Mini-International Neuropsychiatric Interview (MINI).
  • Abstaining from alcohol during 3 days prior to screening and 3 days before randomization confirmed by the test for alcohol in exhaled air (less than 0,02 %).
  • For women retaining childbearing potential - negative pregnancy test and consent to use reliable contraception methods (as well as for men) throughout the study period, including the study follow up period.
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  • Patients able to comply with study protocol as per investigator's opinion.
  • Availability of a patient's trustee who reside with the patient. A trustee is defined here as a person who spends with the patient at least 4 hours a day. The trustee must give his/her consent for participation in the study as the patient's representative.
  • Study drug monotherapy must be acceptable for the patient as per investigator's opinion.

Who cannot join

  • Hypersensitivity to Odelepran or to any excipient of the study drug (including lactose intolerance).
  • Binge drinking (more than 5 day consecutive days of heavy drinking) during 30 days prior to screening. Heavy drinking is considered as 5 or more drinks per day for men and 4 or more drinks per day for women.
  • Ever diagnosed schizophrenia, schizoaffective disorder, bipolar mood disorder or any other psychiatric disorder, except for alcohol dependence. History of alcohol induced psychosis.
  • Anxiety or depressive disorder present at enrollment into the study. Montgomery-Asberg Depression Rating Scale (MADRS) score higher than 15.
  • High suicidal risk confirmed by MINI.
  • Previous use of opioid antagonists implants less than 3 months prior to screening; use of long-acting naltrexone injections (e,g, Vivitrol) less than 4 weeks after the first injection and 3 months after the second and the following injections; use of cyanamide (Kolme) less than 2 weeks prior to screening, use of oral opioid antagonists or disulfiram during 2 weeks prior to screening.
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  • Psychotherapeutic "coding" (a method when the patient is induced a misbelief that alcohol consumption would lead to death, expected to result from undisclosed pharmacological manipulation) that took place during less than 3 months prior to screening.
  • Use of psychotropic medication less than 3 weeks before the screening (for long-acting and 'depot' formulations) or 1 week before the screening (for other formulations) except for those used to treat alcohol withdrawal syndrome.
  • Severe alcohol withdrawal syndrome (severity of alcohol withdrawal more than 10 on Clinical Institute Withdrawal Assessment of Alcohol (CIWA-Ar) scale).
  • History of seizures (excepting febrile seizers). Severe brain injury, history of intracranial neoplasms and/or intracranial haemorrhages or any conditions that impose the risk of seizures. History of anticonvulsive therapy.
  • Any clinical condition affecting cognitive or other psychoneurological functioning (verified for head injury with the loss of consciousness that lasted more than 1 hour, or resulted in cognitive or behavioral impairment, stroke, encephalopathy, dementia, neurodegenerative disorder, etc). Except for mild cognitive impairment.
  • Mental retardation of syndromes of severe organic brain injury.
  • Use of drugs of abuse (opioids, cannabinoids, amphetamines, etc.) or diagnoses of substance addiction/dependence at the moment of screening or positive urine drug screen test.
  • Significant liver function impairment (aspartate aminotransferase (AST) and alanine aminotransferase (ALT) higher than 3 upper limits of normal range or diagnosis of hepatic failure, class B or C by Child Pugh).
  • Severe renal failure (creatinine clearance calculated at the screening less than 30 ml/min or renal replacement therapy).
  • Severe cardiovascular system disorders: unstable angina, poorly controlled arrhythmia, cardiac failure of III or IV class by New-York Heart Association (NYHA), acute myocardial infarction within the past 6 months.
  • HIV-infection, hepatitis B or C.
  • Decompensated diabetes mellitus (determined glycated hemoglobin HbAc1 level more than 7,5%)
  • Other concomitant disorders and conditions that, as per investigator's opinion, put the patient's safety under risk or that could affect the analysis of safety data.
  • Any diagnosed or suspected malignancy.
  • Pregnancy, breast feeding.
  • Participation in any other clinical study during 30 days or 6 periods of half life (depending on what is longer) prior to screening.
  • Patients that need treatment with drugs prohibited by the study protocol (opioid antagonists, psychotropic medications, opioid analgesics, anticonvulsants, central muscle relaxants, antineoplastic drugs, glucocorticoids).

Trial locations and contacts

22 sites in 2 countries.

22 sites in 2 countries

Russia21 sites
  • Republican clinical mental hospital n.a. V.M. Bekhterev

    Kazan'

  • First Moscow State Medical University named after I.M.Sechenov

    Moscow

  • Institute of mental health and addictology, LCC

    Moscow

  • Murmansk regional narcological dispensary

    Murmansk

  • Clinical mental hospital #1, Dispensery department

    Nizhny Novgorod

  • Clinical mental hospital #1,Medico-rehabilitational department

    Nizhny Novgorod

  • Research center Feniks, LLC

    Rostov-on-Don

  • Baltic Medicine LLC

    Saint Petersburg

  • City addiction clinic, 2nd department

    Saint Petersburg

  • City addiction clinic, Petrogradsky region

    Saint Petersburg

  • City addiction clinic, Vasileostrovsky region

    Saint Petersburg

  • Doctor SAN, LLC

    Saint Petersburg

  • Eco-Safety Research Center

    Saint Petersburg

  • Pavlov First Saint Petersburg State

    Saint Petersburg

  • Saint Petersburg regional narcological dispensary

    Saint Petersburg

  • St.Petersburg V.M. Bekhterev Psychoneurological Research Institute, addictive pathology department

    Saint Petersburg

  • St.Petersburg V.M. Bekhterev Psychoneurological Research Institute, alcohol dependance department

    Saint Petersburg

  • Clinical city hospital #2 n.a. V.I. Razumovsky

    Saratov

  • Mental Health Research Institute

    Tomsk

  • Lion-Med, LLC

    Voronezh

  • Yaroslavl Region Clinical Mental Hospital

    Yaroslavl

Other trials in Russia

Kazakhstan1 site
  • Republican Research center of psychiatry, psychotherapy and addictology

    Almaty

Other trials in Kazakhstan

About this study

Official title: International Multicentre Randomized Double-blind Placebo Controlled Phase III Clinical Study to Assess Efficacy and Safety of Odelepran, 125 mg, for the Use in Patient With Alcohol Dependence

The purpose of this study was to assess efficacy and safety of the study drug Odelepran, 125 mg as compared to placebo in the treatment of alcohol dependence in adult outpatients.

Read the detailed description

Patients for this study were recruited in specialized psychiatric and addictology clinical sites in Russia and Kazakhstan. Eligible patients were randomly allocated in one of the following treatment groups in 1:1 ratio:

  • The main group was taking the study drug Odelepran, one 125 mg tablet per day;
  • The comparison group was taking the comparison drug (Placebo) orally, one tablet per day.

Duration of the study treatment period was 24 weeks (starting from the Day 1). Patients were keeping a diary to register their drug taking and amount and kind of alcohol beverages consumed.

Patients were not allowed to participate in psychotherapy or take any psychotropic drugs except for short-acting benzodiazepines for insomnia. However benzodiazepines were not allowed for taking less than 24 before any study visit.

Patients visited clinical sites regularly as per the Schedule for visits and procedures. During the visits to the site the patient's mental state examination with the use of psychometric scales was conducted and the study drug was provided.

Starting at randomization and subsequently at all scheduled visits investigators conducted a brief (15 minutes or less) psychotherapeutic intervention (individual counseling) during which patients were asked to provide information on aspects of alcohol consumption and emotional states experienced while abstaining from alcohol. Such individual counseling was aimed to reinforce lifestyle changes, motivate sobriety and enhance protocol adherence. All clinical sites performed such counseling in standardized manner in accordance with protocol-specific Guideline developed at St. Petersburg Psychoneurological Research Institute named after V.M. Bekhterev for the purposes of this study.28 days after the last dose of study drug patients were asked to come for a follow up visit to assess adverse events.

Patients were not paid for participation in the study.

Assessments of efficacy and safety were performed monthly. Assessments of drinking behavior were based on the Time Line Follow-Back (TLFB) method used to provide information of daily number of standard drinks. At every visit patients reported about dynamics of drinking (frequency and amount of consumed alcohol) since the previous visit.

For all assessed variables, the baseline was defined as an assessment at the screening visit.

Being tested
Odelepan, Placebo
Keywords
alcohol dependence, abstinence, alcohol abuse, LY2196044, ondelopran
Medical subject headings
Alcoholism

What participants receive

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

  • OdelepanDrug

    Also called Ondelopran, LY2196044

    Tablets, 125 mg

  • PlaceboDrug

    Contains the same excipients as Odelepran but it does not contain the active agent. Placebo is identical to Odelepran in terms of drug form and external characteristics (colour, smell, etc). Doses and route of administration are identical to those for Odelepran.

Study groups in NCT03663374
Study groupRoleWhat they receive
OdelepanExperimentalOne tablet once daily
Receives: Drug: Odelepan
PlaceboPlacebo comparatorOne tablet once daily
Receives: Drug: Placebo

What is being measured

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

  1. Change from baseline in the mean daily alcohol consumption

    Calculated as total number of drinks in month divided by number of days in month.

    Measured: Baseline and Week 1, 2, 3, 4, 6, 8, 10, 12, 16, 20, and 24 of treatment

Secondary outcomes (15)
  1. Change in the number of days of abstinence per month as compared to the baseline

    Measured: Baseline and Week 24 of treatment

  2. Change in the percentage of days of heavy drinking per month as compared to the baseline

    Heavy drinking to be considered as 5 or more drinks per day for men and 4 or more drinks per day for women.

    Measured: Baseline and Week 24 of treatment

  3. Time to the first day of drinking

    Full abstinence period duration.

    Measured: From baseline till the first day of alcohol consumption

  4. Time to the first day of heavy drinking

    Heavy drinking to be considered as 5 or more drinks per day for men and 4 or more drinks per day for women.

    Measured: From baseline till the first day of heavy drinking

  5. Change from baseline in alcohol consumption per drinking day

    Calculated as total number of drinks in month divided by number of drinking days in month.

    Measured: Baseline and Week Week 1, 2, 3, 4, 6, 8, 10, 12, 16, 20 and 24 of treatment

  6. Change in alcohol craving from the baseline (based on Obsessive-Compulsive Drinking Scale (OCDS) score)

    The OCDS is a validated scale consisted of 14 items for patient self-assessment of alcohol craving. Scoring by simple addition. Higher scores indicate greater level of craving (Anton R.F., Moak D.H., Latham P.K., 1996).

    Measured: Baseline and Week 1, 2, 3, 4, 6, 8, 10, 12, 16, 20, and 24 of treatment

  7. Change in alcohol craving (based on completed VIsual Analogue Scale)

    VIsual Analogue Scale (VAS) ranged from 0 to 100, where 0 corresponds to "no craving at all" and 100 corresponds to "maximal craving"

    Measured: Baseline and Week 1, 2, 3, 4, 6, 8, 10, 12, 16, 20, and 24 of treatment

  8. Change in patient's self-assessed quality of life (by the SF-36 Questionnaire) as compared to the baseline

    The Short Form Health Survey (SF-36) is a validated 36 item self-report Quality of Life Questionnaire that measures eight multi-item dimensions of health: physical functioning, social functioning, role limitations due to physical problems, role limitations due to emotional problems, mental health, energy/vitality, pain, and general health perception. Version 2 was used. (Ware J.E., 2000)

    Measured: Baseline and Week 8, 24 of treatment

  9. Proportion of patient with clinical improvement as assessed by Clinical Global Impression-improvement (CGI-I) scale

    CGI-I scale is a 7 point scale that requires the investigator to assess how much the patient's illness has improved or worsened relative to a baseline. Rated as: 1 - very much improved, 2 - much improved, 3 - minimally improved, 4 - no change, 5 - minimally worse, 6 - much worse, 7 - very much worse. (Guy W, 1970; 1976)

    Measured: Week 1, 2, 3, 4, 6, 8, 10, 12, 16, 20, and 24 of treatment

  10. Efficacy index of CGI

    Efficacy index is a 4×4 rating scale that assesses the therapeutic effect of treatment with psychiatric medication (with possible considerations: 1 - unchanged or worse; 2 - minimal - slight improvement which doesn't alter status of care of patient; 3 - moderate marked - decided improvement, partial remission of symptoms; 4 - marked - vast improvement, complete or nearly complete remission of all symptoms) and associated side effects (with possible considerations: 1 - none; 2 - do not significantly interfere with patient's functioning; 3 - significantly interfere with patient's functioning; 4 - outweigh therapeutic effect). Derived by dividing therapeutic effect score by side effects score. The lower efficacy index corresponds to the better result (Guy W, 1970; 1976)

    Measured: Week 12 and 24 of treatment

  11. Change from baseline in the Drinker Inventory of Consequences questionnaire (DrInC-2R) total score

    DrInC-2R is a validated self-report questionnaire consisted of 50 questions to measure adverse consequences of alcohol abuse in five areas: Interpersonal, Physical, Social, Impulsive, and Intrapersonal as well as frequency of these consequences (answers given on frequency scale grade from 0-3: 0 - never, 1 - once or a few times, 2 - once or twice a week 3 - daily or almost daily). Higher scores indicate greater levels of alcohol-related problems. (Miller W.R., 1995)

    Measured: 3 previous months, baseline and Week 4, 8, 12, 16, 20 and 24 of treatment

  12. Change in impulsivity (Barratt impulsivity scale by the subscales and by the total score) from the baseline

    Barratt impulsivity scale (BIS-11) is a validated self-report questionnaire composed of 30 items describing common impulsive or non-impulsive (for reverse scored items) behaviors and preferences. Items are scored on a 4-point scale: Rarely/Never = 1, Occasionally = 2, Often = 3, Almost Always/Always = 4. Total score is assessed. The higher total score corresponds to the more impulsive behavior (Patton et al., 1995)

    Measured: Baseline and Week 8, 16 and 24 of treatment

  13. Proportion of patients completed the trial

    Measured: Week 24 of treatment

  14. Time to untimely withdrawal from the study

    Measured: From baseline to Week 24 of treatment

  15. Number of the early dropouts from the study

    Per reasons

    Measured: Week 24 of treatment

Timeline

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

  1. First posted10 Sep 2018
  2. Study start18 Nov 2014
  3. Primary completion16 Apr 2016
  4. Study completion14 May 2016

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
All eligible patients were randomized into two groups to receive investigational drug or placebo at ratio 1:1
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
644 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03663374
Sponsor's protocol ID
CN07006005
Status last verified
May 2019
First submitted
4 Sep 2018
Last updated
22 May 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Sobell L.C., Sobell M.B. (1992) Timeline Follow-Back. In: Litten R.Z., Allen J.P. (eds) Measuring Alcohol Consumption. Humana Press, Totowa, NJ

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Odelepan in people with Alcohol Dependence, run by R-Pharm at 22 sites in 2 countries.

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 23 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 22 May 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 22 sites in Russia, Kazakhstan. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

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?

Change from baseline in the mean daily alcohol consumption (time frame: Baseline and Week 1, 2, 3, 4, 6, 8, 10, 12, 16, 20, and 24 of treatment). 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 NCT03663374, 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 22 May 2019.

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