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Study of Acamprosate in Driving Under the Influence (DUI) Court Participants

Primary Purpose

Alcohol Dependence

Status
Terminated
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Acamprosate
Sponsored by
University of Oklahoma
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alcohol Dependence focused on measuring Acamprosate, Alcohol Dependence, Driving Under the Influence, Drug Court, DUI Court

Eligibility Criteria

18 Years - 64 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Adult males and females age 18 - 64 years of age
  2. District Attorney-approved DUI Court participants within 3 months of enrollment into DUI Court
  3. Currently meets DSM-IV criteria for alcohol dependence
  4. Subject agrees to alcohol abstinence as a goal
  5. Women must agree to use an approved method of birth control (tubal ligation, birth control pills, IUD)
  6. Negative UCG (females only)
  7. Treatment with an MAOI, other antidepressants, antipsychotics, anticonvulsants, mood stabilizers, or Saint John's Wort are permissible if subject has been on a stable dose for 3 months
  8. Must have the ability to comprehend key components of the informed consent and provide consent
  9. Current score of 15 or less on the Beck Depression Inventory II
  10. Subject has undergone detoxification and is currently abstinent from alcohol

Exclusion Criteria:

  1. History of allergy to acamprosate
  2. Previously failed trial of acamprosate
  3. Pregnancy, lactation, or unprotected intercourse during study period
  4. Lifetime diagnosis of schizophrenia or schizoaffective disorder
  5. Creatinine clearance <30 mL/minute. If serum creatinine is greater than 1.4 mg/dL then the Cockcroft-Gault equation will be used to estimate creatinine clearance
  6. Active suicidality, a Beck Depression Inventory II suicide item score of > 2, or a Beck Depression Inventory II total score > 15
  7. Any unstable medical condition which, in the opinion of the investigator, is considered clinically significant or could affect the subject's safety or ability to complete the study
  8. Use of a benzodiazepine or other sedative-hypnotic agent (including kava kava or valerian), except for eszopiclone, zaleplon, or zolpidem < 3 times weekly over the last 4 weeks

Sites / Locations

  • The University of Oklahoma, Tulsa

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

DUI Court Participants

Arm Description

Individuals enrolled in the DUI Court treatment site will be recruited for the 13 week open-label trial of acamprosate.

Outcomes

Primary Outcome Measures

time until relapse, i.e. any alcohol consumption

Secondary Outcome Measures

Admission to residential treatment or jail
Depressive symptoms as measured by the Beck Depression Inventory II
Anxiety symptoms as measured by the Beck Anxiety Inventory
Penn Alcohol Craving Scale scores
Obsessive Compulsive Drinking Scale scores
Adverse events
Proportion of days on which alcohol was consumed

Full Information

First Posted
January 22, 2007
Last Updated
July 26, 2012
Sponsor
University of Oklahoma
Collaborators
Forest Laboratories
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1. Study Identification

Unique Protocol Identification Number
NCT00425711
Brief Title
Study of Acamprosate in Driving Under the Influence (DUI) Court Participants
Official Title
An Open-Label Study of Acamprosate in DUI Court Participants
Study Type
Interventional

2. Study Status

Record Verification Date
July 2012
Overall Recruitment Status
Terminated
Why Stopped
Recruitment barriers.
Study Start Date
February 2007 (undefined)
Primary Completion Date
December 2009 (Actual)
Study Completion Date
December 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of Oklahoma
Collaborators
Forest Laboratories

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Acamprosate will be given to approximately 30 DUI Court participants for 3 months and outcomes will be monitored. The hypothesis is that acamprosate will be safe and well-tolerated and that subjects' craving and other symptoms related to addiction will improve over time.
Detailed Description
Purpose: The study is a 13 week open-label study of the use of acamprosate in subjects who have elected to participate in the DUI Court program in Tulsa County. Admission to the DUI Court is completely voluntary. Participants must apply for admission, undergo an initial evaluation, and receive approval by the District Attorney's office and the presiding judge. The four-phase program requires a minimum of 1 year to complete. Each phase requires counseling, mandatory random urine drug screens, mandatory daily breathalyzer tests, a nightly curfew and that the participant be gainfully employed or in school. Currently, approximately 10% of the participants are able to complete the program in the minimum 12 month requirement. The main objective of the study is to evaluate the duration of alcohol abstinence in DUI Court participants receiving acamprosate. Design: Thirty subjects will be enrolled in the study. New DUI court participants, within 3 months of enrollment, will be invited to participate in the trial. Qualified subjects will receive, in addition to the required DUI court assessments and treatments, a physical examination, baseline safety laboratory, study drug, psychiatric evaluation, depressive and anxiety rating scales, a personality disorder questionnaire and vital signs taken at each visit. Alcohol and substance use will be assessed by self-report and validated with review of the court-ordered laboratory and breathalyzer tests.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alcohol Dependence
Keywords
Acamprosate, Alcohol Dependence, Driving Under the Influence, Drug Court, DUI Court

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
4 (Actual)

8. Arms, Groups, and Interventions

Arm Title
DUI Court Participants
Arm Type
Experimental
Arm Description
Individuals enrolled in the DUI Court treatment site will be recruited for the 13 week open-label trial of acamprosate.
Intervention Type
Drug
Intervention Name(s)
Acamprosate
Other Intervention Name(s)
Campral
Intervention Description
Acamprosate 666 mg tid, or 333 tid in renal impairment, for 12 weeks
Primary Outcome Measure Information:
Title
time until relapse, i.e. any alcohol consumption
Time Frame
Baseline and weeks 2, 4, 8, and 12
Secondary Outcome Measure Information:
Title
Admission to residential treatment or jail
Time Frame
baseline and weeks 2, 4, 8, and 12
Title
Depressive symptoms as measured by the Beck Depression Inventory II
Time Frame
baseline and weeks 2, 4, 8, and 12
Title
Anxiety symptoms as measured by the Beck Anxiety Inventory
Time Frame
baseline and weeks 2, 4, 8, and 12
Title
Penn Alcohol Craving Scale scores
Time Frame
baseline and weeks 2, 4, 8, and 12
Title
Obsessive Compulsive Drinking Scale scores
Time Frame
baseline and weeks 2, 4, 8, and 12
Title
Adverse events
Time Frame
baseline and weeks 2, 4, 8, and 12
Title
Proportion of days on which alcohol was consumed
Time Frame
baseline and weeks 2, 4, 8, and 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adult males and females age 18 - 64 years of age District Attorney-approved DUI Court participants within 3 months of enrollment into DUI Court Currently meets DSM-IV criteria for alcohol dependence Subject agrees to alcohol abstinence as a goal Women must agree to use an approved method of birth control (tubal ligation, birth control pills, IUD) Negative UCG (females only) Treatment with an MAOI, other antidepressants, antipsychotics, anticonvulsants, mood stabilizers, or Saint John's Wort are permissible if subject has been on a stable dose for 3 months Must have the ability to comprehend key components of the informed consent and provide consent Current score of 15 or less on the Beck Depression Inventory II Subject has undergone detoxification and is currently abstinent from alcohol Exclusion Criteria: History of allergy to acamprosate Previously failed trial of acamprosate Pregnancy, lactation, or unprotected intercourse during study period Lifetime diagnosis of schizophrenia or schizoaffective disorder Creatinine clearance <30 mL/minute. If serum creatinine is greater than 1.4 mg/dL then the Cockcroft-Gault equation will be used to estimate creatinine clearance Active suicidality, a Beck Depression Inventory II suicide item score of > 2, or a Beck Depression Inventory II total score > 15 Any unstable medical condition which, in the opinion of the investigator, is considered clinically significant or could affect the subject's safety or ability to complete the study Use of a benzodiazepine or other sedative-hypnotic agent (including kava kava or valerian), except for eszopiclone, zaleplon, or zolpidem < 3 times weekly over the last 4 weeks
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Julia K Warnock, M.D., Ph.D.
Organizational Affiliation
University of Oklahoma
Official's Role
Principal Investigator
Facility Information:
Facility Name
The University of Oklahoma, Tulsa
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74135
Country
United States

12. IPD Sharing Statement

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Study of Acamprosate in Driving Under the Influence (DUI) Court Participants

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