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Alcohol Use DisorderEarly Phase 1NCT05305404

Dexamethasone to Target Stress and Immune System Mechanisms Underlying Alcohol Craving

A Early Phase 1 study testing Dexamethasone Oral in people with Alcohol Use Disorder, run by Stony Brook 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

This is a double-blind, placebo-controlled, proof of concept laboratory study to recruit N=70 (35 Males / 35 Females) non-treatment seeking, heavy drinkers with alcohol use disorder (AUD). Read more about this study

Who is it for?
Ages 18 to 55 years
Conditions the study is for
Alcohol Use Disorder
What is being tested?
Dexamethasone Oral
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
27 participants
Where
1 siteUnited States
Study dates
11 Mar 2022to 30 Jun 2024
Phase
Early Phase 1
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 55 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Non-treatment seeking heavy drinking men and women with AUD
  • Age range 18-55,
  • Body Mass Index (BMI) of 18-35
  • Positive ethylglucuronide (EtG) urine toxicology screen for alcohol
  • Able to provide informed written and verbal consent
  • Able to read English and complete study evaluations
  • Good health as verified by screening examination.

Who cannot join

  • Meet criteria for Substance Use Disorder (SUD) or other psychoactive substances, excluding nicotine
  • Unable to remain abstinent for five days
  • Need for a medically assisted detoxification
  • Regular use of steroids, anticonvulsants, sedatives/hypnotics, prescription analgesics, other anti-hypertensives, anti-arrythmics, antiretroviral medications, tricyclic antidepressants, naltrexone, disulfiram, and any other psychoactive medications with the exception of stabilization on Selective Serotonin Re-uptake Inhibitors (SSRIs)
  • Psychotic or severely psychiatrically disabled
  • Significant underlying medical conditions which would be of potential harm
Show all 9Show fewer
  • Pregnancy or breast feeding women;
  • Women using monophasic contraceptives
  • Electrocardiogram (EKG) evidence of clinically significant conduction abnormalities, (Bazlett's corrected QT (QTc) interval of >450 msec for men and QTc>470 msec for women).

Trial locations and contacts

1 site in 1 country.

United States1 site
  • The Health Sciences Center

    Stony Brook, New York, 11794

Other trials in United States

About this study

Official title: Dexamethasone to Target Stress and Immune System Changes During Early Abstinence in Individuals With Alcohol Use Disorder (AUD)

This is a double-blind, placebo-controlled, proof of concept laboratory study to recruit N=70 (35 Males / 35 Females) non-treatment seeking, heavy drinkers with alcohol use disorder (AUD). It is hypothesized that randomization to 1.5mgs dexamethasone versus placebo will decrease alcohol craving during stress by decreasing basal cortisol, increasing anti-inflammatory cytokine levels and potentially normalizing the immune response to stress.

Being tested
Dexamethasone Oral, Placebo
Keywords
Stress, Dexamethasone, Immune system, Cortisol
Medical subject headings
Alcoholism

What participants receive

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

  • Dexamethasone OralDrug

    Also called Decadron, Dexamethasone Intensol, Dexasone, Solurex, and Baycadron.

    1.5mg oral dexamethasone to be administered once at 11:00PM

  • PlaceboDrug

    oral placebo to be administered once at 11:00PM

Study groups in NCT05305404
Study groupRoleWhat they receive
GuanfacineActive comparatorsingle dose of dexamethasone (1.5mg) administered orally
Receives: Drug: Dexamethasone Oral
PlaceboPlacebo comparatorsingle dose of placebo administered orally
Receives: Drug: Placebo

What is being measured

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

  1. Alcohol craving as assessed using subjective report following stress exposure

    The 8-item Alcohol Urges Questionnaire (AUQ) will be used to measure alcohol craving. There are 8 items, each with a Likert scale response from 1 to 7 (1: Strongly Disagree, 7: Strongly Agree). Total possible score of 56. The higher the score the higher the alcohol craving

    Measured: Change from baseline to +5 minutes following stress exposure

  2. Alcohol craving as assessed using subjective report following stress exposure

    The 8-item Alcohol Urges Questionnaire (AUQ) will be used to measure alcohol craving. There are 8 items, each with a Likert scale response from 1 to 7 (1: Strongly Disagree, 7: Strongly Agree). Total possible score of 56. The higher the score the higher the alcohol craving

    Measured: Change from baseline to +15 minutes following stress exposure

  3. Alcohol craving as assessed using subjective report following stress exposure

    The 8-item Alcohol Urges Questionnaire (AUQ) will be used to measure alcohol craving. There are 8 items, each with a Likert scale response from 1 to 7 (1: Strongly Disagree, 7: Strongly Agree). Total possible score of 56. The higher the score the higher the alcohol craving

    Measured: Change from baseline to +30 minutes following stress exposure

  4. Alcohol craving as assessed using subjective report following stress exposure

    A visual analog scale will be used to measure alcohol craving. Participants will be required to rate "how much they are craving alcohol right at this moment". The scale will be anchored from 1 to 10 (1: Not at all, 10: Extremely)

    Measured: Change from baseline to +5 minutes following stress exposure

  5. Alcohol craving as assessed using subjective report following stress exposure

    A visual analog scale will be used to measure alcohol craving. Participants will be required to rate "how much they are craving alcohol right at this moment". The scale will be anchored from 1 to 10 (1: Not at all, 10: Extremely)

    Measured: Change from baseline to +15 minutes following stress exposure

  6. Alcohol craving as assessed using subjective report following stress exposure

    A visual analog scale will be used to measure alcohol craving. Participants will be required to rate "how much they are craving alcohol right at this moment". The scale will be anchored from 1 to 10 (1: Not at all, 10: Extremely)

    Measured: Change from baseline to +30 minutes following stress exposure

  7. Hypothalamic-Pituitary-Adrenal (HPA)-axis response to stress exposure as assessed by cortisol

    4mls of plasma cortisol will be collected following exposure to stress

    Measured: Change from baseline to +5 minutes following stress exposure

  8. HPA axis response to stress exposure as assessed by cortisol

    4mls of plasma cortisol will be collected following exposure to stress

    Measured: Change from baseline to +15 minutes following stress exposure

  9. HPA axis response to stress exposure as assessed by cortisol

    4mls of plasma cortisol will be collected following exposure to stress

    Measured: Change from baseline to +30 minutes following stress exposure

  10. HPA axis response to stress exposure as assessed by Adrenocorticotropic Hormone (ACTH)

    4mls of plasma ACTH will be collected following exposure to stress

    Measured: Change from baseline to +5 minutes following stress exposure

  11. HPA axis response to stress exposure as assessed by ACTH

    4mls of plasma ACTH will be collected following exposure to stress

    Measured: Change from baseline to +15 minutes following stress exposure

  12. HPA axis response to stress exposure as assessed by ACTH

    4mls of plasma ACTH will be collected following exposure to stress

    Measured: Change from baseline to +30 minutes following stress exposure

  13. Immune system response to stress exposure as assessed by peripheral cytokines

    4mls of plasma Interleukin (IL)-10 will be collected following exposure to stress

    Measured: Change from baseline to +5 minutes following stress exposure

  14. Immune system response to stress exposure as assessed by peripheral cytokines

    4mls of plasma IL-10 will be collected following exposure to stress

    Measured: Change from baseline to +15 minutes following stress exposure

  15. Immune system response to stress exposure as assessed by peripheral cytokines

    4mls of plasma IL-10 will be collected following exposure to stress

    Measured: Change from baseline to +30 minutes following stress exposure

  16. Immune system response to stress exposure as assessed by peripheral cytokines

    4mls of plasma Interleukin 1 receptor antagonist (IL1-ra) will be collected following exposure to stress

    Measured: Change from baseline to +5 minutes following stress exposure

  17. Immune system response to stress exposure as assessed by peripheral cytokines

    4mls of plasma IL1-ra will be collected following exposure to stress

    Measured: Change from baseline to +15 minutes following stress exposure

  18. Immune system response to stress exposure as assessed by peripheral cytokines

    4mls of plasma IL1-ra will be collected following exposure to stress

    Measured: Change from baseline to +30 minutes following stress exposure

  19. Immune system response to stress exposure as assessed by peripheral cytokines

    4mls of plasma IL-6 will be collected following exposure to stress

    Measured: Change from baseline to +5 minutes following stress exposure

  20. Immune system response to stress exposure as assessed by peripheral cytokines

    4mls of plasma IL-6 will be collected following exposure to stress

    Measured: Change from baseline to +15 minutes following stress exposure

  21. Immune system response to stress exposure as assessed by peripheral cytokines

    4mls of plasma IL-6 will be collected following exposure to stress

    Measured: Change from baseline to +30 minutes following stress exposure

  22. Immune system response to stress exposure as assessed by peripheral cytokines

    4mls of plasma Tumor Necrosis Factor alpha (TNFa) will be collected following exposure to stress

    Measured: Change from baseline to +5 minutes following stress exposure

  23. Immune system response to stress exposure as assessed by peripheral cytokines

    4mls of plasma TNFa will be collected following exposure to stress

    Measured: Change from baseline to +15 minutes following stress exposure

  24. Immune system response to stress exposure as assessed by peripheral cytokines

    4mls of plasma TNFa will be collected following exposure to stress

    Measured: Change from baseline to +30 minutes following stress exposure

  25. Immune system response to stress exposure as assessed by peripheral cytokines

    4mls of plasma Tumor Necrosis Factor Receptor 1 (TNFR1) will be collected following exposure to stress

    Measured: Change from baseline to +5 minutes following stress exposure

  26. Immune system response to stress exposure as assessed by peripheral cytokines

    4mls of plasma TNFR1 will be collected following exposure to stress

    Measured: Change from baseline to +15 minutes following stress exposure

  27. Immune system response to stress exposure as assessed by peripheral cytokines

    4mls of plasma TNFR1 will be collected following exposure to stress

    Measured: Change from baseline to +30 minutes following stress exposure

Secondary outcomes (6)
  1. Anxiety as assessed using subjective report following stress exposure

    A visual analog scale will be used to measure anxiety. Participants will be required to rate "how nervous, anxious or jittery they are feeling at this moment". The scale will be anchored from 1 to 10 (1: Not at all, 10: Extremely)

    Measured: Change from baseline to +5 minutes following stress exposure

  2. Anxiety as assessed using subjective report following stress exposure

    A visual analog scale will be used to measure anxiety. Participants will be required to rate "how nervous, anxious or jittery they are feeling at this moment". The scale will be anchored from 1 to 10 (1: Not at all, 10: Extremely)

    Measured: Change from baseline to +15 minutes following stress exposure

  3. Anxiety as assessed using subjective report following stress exposure

    A visual analog scale will be used to measure anxiety. Participants will be required to rate "how nervous, anxious or jittery they are feeling at this moment". The scale will be anchored from 1 to 10 (1: Not at all, 10: Extremely)

    Measured: Change from baseline to +30 minutes following stress exposure

  4. Negative Mood as assessed using subjective report following stress exposure

    The Differential Emotion Scale will be used to measure negative mood. Participants will be required to rate on a 5-point scale the extent to which an emotional word describes the way they feel at the current time. 1: not at all, 5: Extremely

    Measured: Change from baseline to +5 minutes following stress exposure

  5. Negative Mood as assessed using subjective report following stress exposure

    The Differential Emotion Scale will be used to measure negative mood. Participants will be required to rate on a 5-point scale the extent to which an emotional word describes the way they feel at the current time. 1: not at all, 5: Extremely

    Measured: Change from baseline to +15 minutes following stress exposure

  6. Negative Mood as assessed using subjective report following stress exposure

    The Differential Emotion Scale will be used to measure negative mood. Participants will be required to rate on a 5-point scale the extent to which an emotional word describes the way they feel at the current time. 1: not at all, 5: Extremely

    Measured: Change from baseline to +30 minutes following stress exposure

Timeline

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

  1. First posted31 Mar 2022
  2. Study start11 Mar 2022
  3. Primary completion23 Jun 2024
  4. Study completion30 Jun 2024

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
Early Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This is a two arm assignment where participants are randomized to a single dose dexamethasone (1.5mg) or placebo
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
27 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05305404
Sponsor's protocol ID
R21AA029735
Status last verified
Sep 2026
First submitted
22 Mar 2022
Last updated
2 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing Dexamethasone Oral in people with Alcohol Use Disorder, run by Stony Brook 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 7 inclusion and 9 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 2 Oct 2026. 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. 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?

Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.

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?

Alcohol craving as assessed using subjective report following stress exposure (time frame: Change from baseline to +5 minutes following stress exposure). The study lists 27 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 2 Oct 2026.

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