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Effects of Levetiracetam (Keppra) on Alcohol Consumption

Primary Purpose

Alcohol Abuse, Drug Abuse

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Levetiracetam (Keppra)
Placebo
Sponsored by
University of California, San Francisco
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alcohol Abuse focused on measuring keppra, levetiracetam, alcoholism, genetics, subjective report

Eligibility Criteria

21 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy adults who are social drinkers 21 and 50 years of age.
  2. Moderate to heavy social drinkers (women=7-21 drinks/week, men=7-25 drinks/week).
  3. Body Mass Index (BMI)>18 and <30.
  4. If female, must be non-lactating, not pregnant, and using a reliable contraception method (i.e. abstinence, intrauterine device [IUD], hormonal birth control, or double barrier method [male condom, female condom, or diaphragm plus a spermicidal agent such as contraceptive foam, jelly or cream]).
  5. Able and willing to provide written informed consent.
  6. Able to understand and follow the instructions of the investigator, and understand all rating scales.
  7. Have a negative urine drug screen at all visits, with the exception of cannabinoids.

Exclusion Criteria:

  1. Positive urine drug screen, except cannabinoids. Occasional cannabinoid use is allowed, however daily use, dependence, or if considered more than a casual user by study physician, subject will be excluded.
  2. Use of cocaine, amphetamines or other stimulants, hallucinogens, ecstasy or other psychoactive drugs, greater than 10 times in the last 24 months or at anytime in the past 60 days.
  3. Lifetime use of PCP or ketamine greater than 10 times, or at any time in the last 24 months.
  4. History of abusing inhalants (such as glue, toluene or other volatile substances).
  5. Current or past dependence on, or addiction to any psychoactive drug (except nicotine or caffeine) including alcohol, as determined by the study physician's assessment.
  6. Current or prior enrollment in an alcohol or other drug treatment program, or current legal problems relating to alcohol or other drug use, including awaiting trial or supervision by a parole or probation officer.
  7. Binge drinking more than three times per week (binge defined as >5 standard drinks in one session).
  8. Alcohol consumption >21 drinks/week for women and >25 drinks/week for men.
  9. Currently trying to quit alcohol and/or recreational drug use.
  10. Positive for lifetime abnormal opioid use or prescription drug abuse.
  11. Clinically significant medical or psychiatric illness (including anxiety or panic disorders) as determined by screening blood tests, medical history, and physical exam performed or reviewed by the study physician.
  12. Bilirubin more than 2 times the normal upper limit.
  13. AST (SGOT), ALT (SGPT), or alkaline phosphatase more than 2 times the normal upper limit.
  14. Body Mass Index >30 or <18
  15. Pregnancy or a woman of child bearing potential not currently using an adequate means of contraception.
  16. Currently taking any medication other than over-the-counter nonsteroidal anti-inflammatories, acetaminophen, inhaled asthma therapy, contraceptives, nicotine patches, and over-the-counter non-sedating antihistamines.NSAIDs, acetaminophen, or any other OTC (including herbal) medication (unless cleared by study physician).
  17. BAC level greater than 0.02% at the beginning of visits 1, 7, or 8 (within margin of error for detection).
  18. Estimated creatinine clearance < 50 ml/min.
  19. Chronic pain condition requiring regular physician visits and treatment under a physician's supervision.
  20. Neurological dysfunction or psychiatric disorder severe enough to interfere with assessment of outcome measures as defined above.
  21. Allergy to levetiracetam.
  22. Significant cardiac pathology or abnormal initial EKG with QT/QTc interval prolongation > 480 m secs at baseline.
  23. Has received an investigational drug within 30 days prior to Study Visit 2 (after screening visit).
  24. Subjects who are unable to read or speak English.
  25. Those, in the opinion of the investigator, who are considered unable to adhere to scheduled appointments, unlikely to comply with the study protocol, or who are unsuitable for any other reason.

Sites / Locations

  • Children's Hospital Oakland Research Institute- CRC

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Group A

Group B

Arm Description

Twenty moderate to heavy social alcohol users will receive 250 mg of levetiracetam BID (500 mg/day) or placebo x 7 days and will be titrated to a maximum dose of 500 mg of levetiracetam BID (1,000 mg/day) x 7 days.

Twenty moderate to heavy social alcohol users will receive 500 mg levetiracetam BID (1000 mg/day) or placebo x 7 days and will be titrated to a maximum dose of 1000 mg levetiracetam BID (2,000 mg per day) x 7 days.

Outcomes

Primary Outcome Measures

Standard Alcoholic Drinks Per Treatment Period
The primary outcome of this study is to determine the effect of levetiracetam on alcohol consumption as measured by change in # of drinks during each treatment period.

Secondary Outcome Measures

Full Information

First Posted
October 6, 2008
Last Updated
August 12, 2020
Sponsor
University of California, San Francisco
Collaborators
United States Department of Defense, University of California
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1. Study Identification

Unique Protocol Identification Number
NCT01168687
Brief Title
Effects of Levetiracetam (Keppra) on Alcohol Consumption
Official Title
Placebo-Controlled Crossover Trial of Levetiracetam on Ethanol Intake
Study Type
Interventional

2. Study Status

Record Verification Date
August 2020
Overall Recruitment Status
Completed
Study Start Date
November 2008 (undefined)
Primary Completion Date
November 2009 (Actual)
Study Completion Date
November 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of California, San Francisco
Collaborators
United States Department of Defense, University of California

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The overall goals of this study are to (1) expand knowledge about interactions of levetiracetam with alcohol by assessing the effects of levetiracetam compared to placebo in moderate and heavy social alcohol users and (2) to test the AccuswayTM platform as a tool to measure postural control (which has been used as a marker of intoxication) and the effects of levetiracetam on postural control.
Detailed Description
The investigators propose a 42-day, double-blind, placebo-controlled crossover study in light to moderate and heavy alcohol users who are social drinkers. The specific aims are to: Determine if levetiracetam alters daily alcohol consumption by comparing the mean drinks consumed per day during levetiracetam administration compared with the mean drinks per day consumed during placebo administration. Obtain blood that will be banked for future genetic analysis of polymorphisms in genes that may predict the level of response to alcohol or effects of levetiracetam on alcohol consumption. Test whether the AccuswayTM platform can detect changes in body sway in light to moderate or heavy social drinkers and in subjects taking levetiracetam versus placebo.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alcohol Abuse, Drug Abuse
Keywords
keppra, levetiracetam, alcoholism, genetics, subjective report

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
46 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group A
Arm Type
Experimental
Arm Description
Twenty moderate to heavy social alcohol users will receive 250 mg of levetiracetam BID (500 mg/day) or placebo x 7 days and will be titrated to a maximum dose of 500 mg of levetiracetam BID (1,000 mg/day) x 7 days.
Arm Title
Group B
Arm Type
Experimental
Arm Description
Twenty moderate to heavy social alcohol users will receive 500 mg levetiracetam BID (1000 mg/day) or placebo x 7 days and will be titrated to a maximum dose of 1000 mg levetiracetam BID (2,000 mg per day) x 7 days.
Intervention Type
Drug
Intervention Name(s)
Levetiracetam (Keppra)
Other Intervention Name(s)
Keppra
Intervention Description
Group A: Twenty moderate to heavy social alcohol users will receive 250 mg of levetiracetam BID (500 mg/day) or placebo x 7 days and will be titrated to a maximum dose of 500 mg of levetiracetam BID (1,000 mg/day) x 7 days. Group B: Twenty moderate to heavy social alcohol users will receive 500 mg levetiracetam BID (1000 mg/day) or placebo x 7 days and will be titrated to a maximum dose of 1000 mg levetiracetam BID (2,000 mg per day) x 7 days.
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Standard Alcoholic Drinks Per Treatment Period
Description
The primary outcome of this study is to determine the effect of levetiracetam on alcohol consumption as measured by change in # of drinks during each treatment period.
Time Frame
During each 14 day treatment period

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy adults who are social drinkers 21 and 50 years of age. Moderate to heavy social drinkers (women=7-21 drinks/week, men=7-25 drinks/week). Body Mass Index (BMI)>18 and <30. If female, must be non-lactating, not pregnant, and using a reliable contraception method (i.e. abstinence, intrauterine device [IUD], hormonal birth control, or double barrier method [male condom, female condom, or diaphragm plus a spermicidal agent such as contraceptive foam, jelly or cream]). Able and willing to provide written informed consent. Able to understand and follow the instructions of the investigator, and understand all rating scales. Have a negative urine drug screen at all visits, with the exception of cannabinoids. Exclusion Criteria: Positive urine drug screen, except cannabinoids. Occasional cannabinoid use is allowed, however daily use, dependence, or if considered more than a casual user by study physician, subject will be excluded. Use of cocaine, amphetamines or other stimulants, hallucinogens, ecstasy or other psychoactive drugs, greater than 10 times in the last 24 months or at anytime in the past 60 days. Lifetime use of PCP or ketamine greater than 10 times, or at any time in the last 24 months. History of abusing inhalants (such as glue, toluene or other volatile substances). Current or past dependence on, or addiction to any psychoactive drug (except nicotine or caffeine) including alcohol, as determined by the study physician's assessment. Current or prior enrollment in an alcohol or other drug treatment program, or current legal problems relating to alcohol or other drug use, including awaiting trial or supervision by a parole or probation officer. Binge drinking more than three times per week (binge defined as >5 standard drinks in one session). Alcohol consumption >21 drinks/week for women and >25 drinks/week for men. Currently trying to quit alcohol and/or recreational drug use. Positive for lifetime abnormal opioid use or prescription drug abuse. Clinically significant medical or psychiatric illness (including anxiety or panic disorders) as determined by screening blood tests, medical history, and physical exam performed or reviewed by the study physician. Bilirubin more than 2 times the normal upper limit. AST (SGOT), ALT (SGPT), or alkaline phosphatase more than 2 times the normal upper limit. Body Mass Index >30 or <18 Pregnancy or a woman of child bearing potential not currently using an adequate means of contraception. Currently taking any medication other than over-the-counter nonsteroidal anti-inflammatories, acetaminophen, inhaled asthma therapy, contraceptives, nicotine patches, and over-the-counter non-sedating antihistamines.NSAIDs, acetaminophen, or any other OTC (including herbal) medication (unless cleared by study physician). BAC level greater than 0.02% at the beginning of visits 1, 7, or 8 (within margin of error for detection). Estimated creatinine clearance < 50 ml/min. Chronic pain condition requiring regular physician visits and treatment under a physician's supervision. Neurological dysfunction or psychiatric disorder severe enough to interfere with assessment of outcome measures as defined above. Allergy to levetiracetam. Significant cardiac pathology or abnormal initial EKG with QT/QTc interval prolongation > 480 m secs at baseline. Has received an investigational drug within 30 days prior to Study Visit 2 (after screening visit). Subjects who are unable to read or speak English. Those, in the opinion of the investigator, who are considered unable to adhere to scheduled appointments, unlikely to comply with the study protocol, or who are unsuitable for any other reason.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Robert O. Messing, M.D.
Organizational Affiliation
UCSF; Department of Neurology; Ernest Gallo Clinic and Research Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Jennifer M. Mitchell, Ph.D.
Organizational Affiliation
UCSF; Department of Neurology; Ernest Gallo Clinic and Research Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Children's Hospital Oakland Research Institute- CRC
City
Berkeley
State/Province
California
ZIP/Postal Code
94705
Country
United States

12. IPD Sharing Statement

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Effects of Levetiracetam (Keppra) on Alcohol Consumption

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