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Alcohol Use Disorder, SevereW3-AUDNCT05899660

Impact of Omega 3 in Alcohol Use Disorder

A study testing Active Comparator: Omega-3 in people with Alcohol Use Disorder, Severe, run by Université Catholique de Louvain at 1 site in Belgium.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to investigate the biological pathways underlying the beneficial effect of omega-3 polyunsaturated fatty acids (n-3 PUFA) on mental health in patients with alcohol use disorder. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Alcohol Use Disorder, Severe
What is being tested?
Active Comparator: Omega-3
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
100 participants
Where
1 siteBelgium
Study dates
19 Jun 2023to 31 Dec 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of alcohol use disorder (≥ 4 DSM-5 criteria)
  • Patient at the hospital for a 3 week alcohol withdrawal program
  • Gender : male and female
  • Age : between 18 and 70 years old
  • Language : french
  • Alcohol consumption less than 48 jours before admission

Who cannot join

  • Presence of another addiction, except for smoking and cannabis use
  • Presence of a psychiatric comorbidity (axis 1 DSM-5)
  • Current or recent use (< 2 months) of antibiotics, probiotics, fibre supplements
  • Current or recent (< 2 months) use of omega-3 supplements
  • Current or recent (< 2 months) use of oral anti-coagulants drugs
  • Current or recent (< 2 months) double anti-platelet therapy
Show all 16Show fewer
  • Coagulation disorders
  • Current or recent (< 1 month) use of non-steroidal anti-inflammatory drugs and glucocorticoids
  • Morbid obesity : body mass index > 35 kg.m-2
  • Bariatric surgery
  • Type I diabetes and type II diabetes not stabilised (i.e. glycated haemoglobin > 7.2 and unstable drug treatments)
  • Chronic inflammatory diseases
  • Cancer (less than 5 years before admission)
  • Presence of cirrhosis (Fibroscan® = F4 and echodoppler performed as part of clinical routine on patient admission)
  • Known allergy to fish and seafood
  • Any other comorbidity that would be a contraindication to the study in the judgement of the principal investigator

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Sophie Leclercq, PhD contact

+3224361023

sophie.leclercq@uclouvain.be

Marie Mornard contact

marie.mornard@uclouvain.be

Belgium1 site, 1 recruiting
  • Cliniques universitaires Saint Luc

    Brussels, 1200

    Sophie Leclercq, sophie.leclercq@uclouvain.be

    Marie Mornard, marie.mornard@uclouvain.be

    Recruiting

Other trials in Belgium

About this study

Official title: Impact of Omega-3 Polyunsaturated Fatty Acids on Emotional, Cognitive and Biological Alterations in Alcohol Use Disorder

The goal of this clinical trial is to investigate the biological pathways underlying the beneficial effect of omega-3 polyunsaturated fatty acids (n-3 PUFA) on mental health in patients with alcohol use disorder. The main questions this study aims to answer are:

  • Can n-3 PUFA improve mood disorders (depression, anxiety), craving for alcohol, cognitive impairments and sociability disorders ?
  • Are the beneficial effects of n-3 PUFAs due to a modification of the gut microbiota and/or the inflammatory status?
Read more

Participants will :

  • take a supplementation of omega-3 or placebo during 3 months
  • do a brain MRI
  • be interviewed for a dietary anamnesis
  • provide blood, stool and saliva samples
  • perform psychological tests and neuropsychological tasks

Researchers will compare active comparator (omega-3) with placebo comparator (olive oil) to see if omega-3 can have a beneficial effect on AUD patients.

Read the detailed description

Alcohol use disorder (AUD) is the most widespread addiction in Belgium and Europe and constitutes a major public health problem with important physical, psychological and economic consequences for the consumer and his family, friends, co-workers.

For several years, the intestinal microbiota has been increasingly studied because it seems to play an indispensable role in the proper functioning of the body. Indeed, it is involved in the regulation of the immune system, metabolic reactions and the nervous system and therefore influences behaviour. The composition of the microbiota is specific to everyone and is influenced by many factors, such as diet, medication and lifestyle.

In the case of AUD, numerous studies have shown that alcohol and its metabolites alter the intestinal microbiota, leading to an increase in inflammation and changes in behaviour.

Nutritional intervention is an encouraging and innovative approach to alcohol addiction therapy. The main aim of this research is to see how a nutritional intervention could improve mood, cognition and social behaviour in AUD patients. The interest will therefore focus on Omega-3. These polyunsaturated fatty acids are found in the diet, mainly in fish oils, and are constituents of the body's cell membranes and perform many physiological functions. They also play an important role in the regulation of inflammation. Studies have shown that Omega-3 supplementation can reduce symptoms of depression and have beneficial effects in autism spectrum disorders, schizophrenia, bipolar disorders and neurodegenerative diseases. They have therefore been widely studied, but their role in social interactions, which is an important factor in many mental illnesses including AUD, has not yet been studied.

The investigators will conduct a randomised, placebo-controlled, double-blind study, testing the impact of Omega-3 supplementation on AUD patients undergoing a detoxification program at the Saint-Luc University Hospital, Brussels, Belgium. 100 patients will be enrolled and the Omega 3/placebo supplementation will last for 3 months. The patients will be tested 3 times: T1 (2nd day of withdrawal), T2 (18th-19th day of withdrawal) and T3 (after 3 months of supplementation). The investigators hope to see a beneficial effect of omega-3 on social, emotional and cognitive deficits as well as brain functioning (fMRI). They will investigate the mechanisms involved, namely, changes in the composition of the gut microbiota, reduction of systemic inflammation, and production of bacterial metabolites with immune or neuroactive properties.

Being tested
Active Comparator: Omega-3, Placebo Comparator: olive oil
Keywords
gut microbiota, Omega 3, metabolomics, Depression, Anxiety, Alcohol craving, Sociability, Cognition, Inflammation, Brain imaging
Medical subject headings
Alcoholism, Depression, Anxiety Disorders, Inflammation

What participants receive

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

  • Active Comparator: Omega-3Dietary supplement

    It is a dietary supplement made of fish oil rich in n-3 PUFA.

  • Placebo Comparator: olive oilDietary supplement

    Refined olive oil is the usual placebo used in studies with n-3 PUFA.

Study groups in NCT05899660
Study groupRoleWhat they receive
Olive oilPlacebo comparatorDosage form : capsule Dosage : 1000 mg oleic acid (olive oil) + 3.6 mg D-α-tocopherol (vitamin E) Frequency : 4 capsules per day Duration : 3 months
Receives: Dietary Supplement: Placebo Comparator: olive oil
Omega-3Active comparatorDosage form : capsule Dosage : 330 mg EPA, 220 mg DHA, 100 mg other n-3 PUFA + 3.6 mg D-α-tocopherol (vitamin E) Frequency : 4 capsules per day Duration : 3 months
Receives: Dietary Supplement: Active Comparator: Omega-3

What is being measured

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

  1. Change in depression

    Beck Depression Inventory (BDI) (score 0-63) Higher score indicates higher depression level.

    Measured: On day 2, day 19 and day 90

  2. Change in anxiety

    State-Trait Anxiety Inventory (STAI) (score 20-80) Higher score indicates higher anxiety level.

    Measured: On day 2, day 19 and day 90

  3. Change in fatigue

    Multidimensional Fatigue Inventory (MFI) (score 20-140) Higher score indicates higher fatigue level.

    Measured: On day 2, day 19 and day 90

  4. Change in alcohol craving

    Obsessive Compulsive Drinking Scale (OCDS) (score 0-40) Higher score indicates higher craving level.

    Measured: On day 2, day 19 and day 90

  5. Change in impulsivity

    Urgency Premeditation Perseverance Sensation seeking impulsive behavior scale (UPPS) : score of different subscales are calculated : "ugency" (0-48), "lack of premeditation" (0-44), "lack of perseverance" (0-40), "sensation seeking) (0-48).

    Higher score in the different subscales indicates higher impulsivity level.

    Measured: On day 19 and day 90

  6. Change in social anxiety

    Liebowitz Scale of Social Anxiety (EASL) (score 0-144) Higher score indicates higher social anxiety level.

    Measured: On day 19 and day 90

  7. Change in trauma

    Post-traumatic diagnostic scale (PDS-F): calculation of score is complex and described in the related publication

    Measured: On day 19

  8. Childhood trauma

    Childhood Trauma Questionnaire (CTQ) (28-144) Higher score indicates higher childhood trauma level.

    Measured: On day 19

  9. Self-stigma

    Self-Stigma in Alcohol Dependence (SSAD) (16-80) Higher score indicates higher self-stigma level.

    Measured: On day 19

  10. Change in work memory

    Letter Memory Task

    Measured: On day 2, day 19 and day 90

  11. Change in inhibition

    Stop Signal Task

    Measured: On day 2, day 19 and day 90

  12. Change in decision making

    Fisher Task

    Measured: On day 19 and day 90

  13. Change in facial emotions recognition

    Facial Emotions Recognition Task (TREF)

    Measured: On day 19 and day 90

  14. Change in visual perspective taking

    Visual Perspective Taking Task

    Measured: On day 19 and day 90

  15. Sociability

    Sociogram

    Measured: On day 19

  16. Emotional intelligence

    Trait Emotional Intelligence Questionnaire (TEI Que-75) : calculation of score is complex and described in the related publication

    Measured: Day 19

  17. Change in social activity

    Social Activities Questionnaire (28-196)

    Measured: On day 2, day 19 and day 90

Secondary outcomes (7)
  1. Change in markers of microbial translocation

    measurement of sCD14, PGRP in blood sample using ELISA kits (pg/mL)

    Measured: On day 2, day 19 and day 90

  2. Change in inflammation

    Circulating pro- and anti-inflammatory cytokines (TNFa, IL-6, IL-1b, IL-8, IL-10) levels in blood sample Isolation of PBMC to study intracellular inflammatory pathways by RT-qPCR

    Measured: On day 2, day 19 and day 90

  3. Change in gut microbiota composition

    Analysis of gut microbiota (16S rDNA) by high-throughput sequencing (Illumina)

    Measured: On day 2, day 19 and day 90

  4. Intestinal permeability

    a duodenal biopsy will be collected and the expression of the tight junctions regulation the intestinal permeability will be analyzed by sectional immunofluorescence and quantitative polymerase chain reaction

    Measured: On day 19

  5. Change in omega-3 levels

    Omega-3 levels in plasma and red blood cells

    Measured: On day 2, day 19 and day 90

  6. Change in diet profile

    The dietary anamnesis will consist of a 24-hour recall over 3 days (2 weekdays and 1 weekend day)

    Measured: On day 2, day 19 and day 90

  7. Change in brain functioning

    Magnetic Resonance Imaging

    Measured: On day 2, day 19 and day 90

Timeline

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

  1. First posted12 Jun 2023
  2. Study start19 Jun 2023
  3. Primary completion1 Dec 2024 (estimated)
  4. Study completion31 Dec 2027 (estimated)

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
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05899660
Sponsor's protocol ID
2022/22DEC/502
Acronym
W3-AUD
Status last verified
Jun 2023
First submitted
15 May 2023
Last updated
22 Jun 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Hearn, M, Ceschi, G., Brillon, P, Fürst, G., & Van der Linden, M. (2012). A French adaptation of the Post-traumatic Diagnostic scale. Canadian Journal of Behavioural Science, 44, 16-28

  • Petrides KV (2009) Psychometric properties of the trait emotional intelligence questionnaire. In: Stough C, Saklofske DH, Parker JD (eds) Advances in the assessment of emotional intelligence. Springer, New York. 10.1007/978-0-387-88370-0_5

Questions about this trial

What is this clinical trial studying?

A study testing Active Comparator: Omega-3 in people with Alcohol Use Disorder, Severe, run by Université Catholique de Louvain at 1 site in Belgium.

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 6 inclusion and 16 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: looking for participants now, as of the sponsor's last update on 22 Jun 2023. 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 Belgium. 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.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Sophie Leclercq, PhD (+3224361023, sophie.leclercq@uclouvain.be), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in depression (time frame: On day 2, day 19 and day 90). The study lists 17 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 NCT05899660, 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 22 Jun 2023.

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