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The Tolerability and Effects of AZD0530 in Individuals With or Without a Family History of Alcoholism

Primary Purpose

Alcoholism

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
125 mg AZD0530
50 mg AZD0530
Placebo
Sponsored by
Yale University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alcoholism

Eligibility Criteria

18 Years - 40 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Clear History of a father having a history of alcoholism, OR a mother AND another 1st or 2nd degree relative having a history of alcoholism, OR no 1st or 2nd degree relatives with alcoholism or substance abuse

Exclusion Criteria:

  1. Current diagnosis of DSM-IV-TR Axis I disorder, or past diagnosis of any substance use disorder or moderate alcohol use disorder
  2. Report of psychotic disorder in a 1º relative
  3. Auditory or visual impairment that interferes with test taking
  4. History of prenatal exposure to alcohol plus currently meeting criteria for features of fetal alcohol syndrome
  5. Not speaking English fluently or being a non-native English speaker, or being educated in a primary language other than English >grade 1
  6. Mental retardation (Full Scale IQ<70) using 2 WASI subtests for IQ estimate
  7. Traumatic brain injury with loss of consciousness > 30 minutes, or concussion in last 30 days
  8. Presence or history of any medical/neurologic illness that may affect brain physiology (e.g., epilepsy, Multiple Sclerosis), including focal brain lesion seen on structural MRI (all structural scans are read by a licensed radiologist)
  9. Current pregnancy (all females will be tested with urine screens on the day of MRI and prior to each phase of drug treatment)
  10. Positive urine screen for the presence of marijuana, cocaine, opiates or breath screen to detect the presence of alcohol, administered at each lab visit.
  11. Inability to comprehend the consent form appropriately
  12. Ferromagnetic metal devices, clips or fragments in body (orbital x-ray performed if needed).
  13. Current use (within 30 days of screening) of specific psychoactive medications (e.g., typical neuroleptics, narcotic analgesics, antiparkinsonian medications, systemic corticosteroids, or medications with significant central anticholinergic activity, etc.). Current use of warfarin.
  14. Current use of the following medications (CYP3A4 substrates whose metabolism may be slowed by AZD0530): carbamazepine, colchicine, cyclosporine, disopyramide, fluticasone, quinidine, vinblastine, vincristine, nifedipine. Patients taking sildenafil, tadalafil, and vardenafil will be advised to stop taking these medications for the duration of the trial. Patients cannot take the following drugs which inhibit the CYP3A4 isoenzyme: cimetidine, cyclosporine, danazol, fluconazole, grapefruit juice, HIV protease inhibitors, itraconazole, ketoconazole, macrolides, miconazole, nefazodone, omeprazole, ritonavir, and verapamil, aromatase inhibitors, docetaxel
  15. Neutropenia defined as absolute neutrophils count of <1,500/microliter.
  16. Thrombocytopenia defined as platelet count <100x103/microliter.
  17. AST, ALT, total bilirubin >1.5 times upper normal; serum creatinine, >2 time upper normal limit, total bilirubin>1.5 times ULN; Serum creatinine >2.0 times ULN.
  18. History of interstitial lung disease.

Sites / Locations

  • Hartford Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm 10

Arm 11

Arm 12

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Arm Label

FHP; 125mg AZD0530, then 50mg AZD0530, then placebo

FHP; 125mg AZD0530, then placebo, then 50mg AZD0530

FHP; 50mg AZD0530, then 125mg AZD0530, then placebo

FHP; 50mg AZD0530, then placebo, then 125mg AZD0530

FHP; placebo, then 50mg AZD0530, then 125mg AZD0530

FHP; placebo, then 125mg AZD0530,then 50mg AZD0530

FHN; 125mg AZD0530, then 50mg AZD0530, then placebo

FHN; 125mg AZD0530, then placebo, then 50mg AZD0530

FHN; 50mg AZD0530, then 125mg AZD0530, then placebo

FHN; 50mg AZD0530, then placebo, then 125mg AZD0530

FHN; placebo, then 50mg AZD0530, then 125mg AZD0530

FHN; placebo, then 125mg AZD0530, then 50mg AZD0530

Arm Description

Family History positive for alcoholism will take place in blinded testing of 125 mg, then 50 mg, then placebo separated by 1 week for each test

Family History positive for alcoholism will take place in blinded testing of 125 mg, then placebo, then 50mg separated by 1 week for each test

Family History positive for alcoholism will take place in blinded testing of 50mg, then 125mg, then placebo separated by 1 week for each test

Family History positive for alcoholism will take place in blinded testing of 50mg, then placebo, then 125mg separated by 1 week for each test

Family History positive for alcoholism will take place in blinded testing of placebo, then 50 mg, then 125 mg separated by 1 week for each test

Family History positive for alcoholism will take place in blinded testing of placebo, then 125 mg, then 50 mg separated by 1 week for each test

Family History negative for alcoholism will take place in blinded testing of 125 mg, then 50 mg, then placebo separated by 1 week for each test

Family History negative for alcoholism will take place in blinded testing of 125 mg, then placebo, then 50mg separated by 1 week for each test

Family History negative for alcoholism will take place in blinded testing of 50mg, then 125mg, then placebo separated by 1 week for each test

Family History negative for alcoholism will take place in blinded testing of 50mg, then placebo, then 125mg separated by 1 week for each test

Family History negative for alcoholism will take place in blinded testing of placebo, then 50 mg, then 125 mg separated by 1 week for each test

Family History negative for alcoholism will take place in blinded testing of placebo, then 125 mg, then 50 mg separated by 1 week for each test

Outcomes

Primary Outcome Measures

BOLD activation during A1 phase
BOLD activation during the A1 phase of the MRI Monetary Incentive Delay task

Secondary Outcome Measures

BOLD signal activation in the anterior cingulate cortex(ACC)
BOLD signal activation in the anterior cingulate cortex (ACC) observed during False Alarms of the GoNoGo Task

Full Information

First Posted
October 1, 2014
Last Updated
February 22, 2023
Sponsor
Yale University
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1. Study Identification

Unique Protocol Identification Number
NCT02262026
Brief Title
The Tolerability and Effects of AZD0530 in Individuals With or Without a Family History of Alcoholism
Official Title
A Phase One Study Investigating the Tolerability and Effects of AZD0530 on Functional Neuroimaging Responses in Individuals With or Without a Family History of Alcoholism
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Completed
Study Start Date
November 1, 2014 (Actual)
Primary Completion Date
April 26, 2019 (Actual)
Study Completion Date
April 26, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Yale University

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Functional neuroimaging of alcoholism vulnerability: glutamate, reward, impulsivity, and Pavlovian-to-instrumental transfer (PIT), part II Saracatinib
Detailed Description
To assess the effect of oral AZ D0530 at various doses on neuroimaging parameters associated with various forms of impulsivity mediated through glutamate-dopamine interactions, as ascertained through functional magnetic resonance imaging. -- --NOTE-- AZD0530 dosage of 50mg was discontinued by manufacturer. Adjustments were made to account for the removal of the 50mg dosage in all arms of the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alcoholism

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
Participant
Allocation
Randomized
Enrollment
49 (Actual)

8. Arms, Groups, and Interventions

Arm Title
FHP; 125mg AZD0530, then 50mg AZD0530, then placebo
Arm Type
Experimental
Arm Description
Family History positive for alcoholism will take place in blinded testing of 125 mg, then 50 mg, then placebo separated by 1 week for each test
Arm Title
FHP; 125mg AZD0530, then placebo, then 50mg AZD0530
Arm Type
Experimental
Arm Description
Family History positive for alcoholism will take place in blinded testing of 125 mg, then placebo, then 50mg separated by 1 week for each test
Arm Title
FHP; 50mg AZD0530, then 125mg AZD0530, then placebo
Arm Type
Experimental
Arm Description
Family History positive for alcoholism will take place in blinded testing of 50mg, then 125mg, then placebo separated by 1 week for each test
Arm Title
FHP; 50mg AZD0530, then placebo, then 125mg AZD0530
Arm Type
Experimental
Arm Description
Family History positive for alcoholism will take place in blinded testing of 50mg, then placebo, then 125mg separated by 1 week for each test
Arm Title
FHP; placebo, then 50mg AZD0530, then 125mg AZD0530
Arm Type
Experimental
Arm Description
Family History positive for alcoholism will take place in blinded testing of placebo, then 50 mg, then 125 mg separated by 1 week for each test
Arm Title
FHP; placebo, then 125mg AZD0530,then 50mg AZD0530
Arm Type
Experimental
Arm Description
Family History positive for alcoholism will take place in blinded testing of placebo, then 125 mg, then 50 mg separated by 1 week for each test
Arm Title
FHN; 125mg AZD0530, then 50mg AZD0530, then placebo
Arm Type
Active Comparator
Arm Description
Family History negative for alcoholism will take place in blinded testing of 125 mg, then 50 mg, then placebo separated by 1 week for each test
Arm Title
FHN; 125mg AZD0530, then placebo, then 50mg AZD0530
Arm Type
Active Comparator
Arm Description
Family History negative for alcoholism will take place in blinded testing of 125 mg, then placebo, then 50mg separated by 1 week for each test
Arm Title
FHN; 50mg AZD0530, then 125mg AZD0530, then placebo
Arm Type
Active Comparator
Arm Description
Family History negative for alcoholism will take place in blinded testing of 50mg, then 125mg, then placebo separated by 1 week for each test
Arm Title
FHN; 50mg AZD0530, then placebo, then 125mg AZD0530
Arm Type
Active Comparator
Arm Description
Family History negative for alcoholism will take place in blinded testing of 50mg, then placebo, then 125mg separated by 1 week for each test
Arm Title
FHN; placebo, then 50mg AZD0530, then 125mg AZD0530
Arm Type
Active Comparator
Arm Description
Family History negative for alcoholism will take place in blinded testing of placebo, then 50 mg, then 125 mg separated by 1 week for each test
Arm Title
FHN; placebo, then 125mg AZD0530, then 50mg AZD0530
Arm Type
Active Comparator
Arm Description
Family History negative for alcoholism will take place in blinded testing of placebo, then 125 mg, then 50 mg separated by 1 week for each test
Intervention Type
Drug
Intervention Name(s)
125 mg AZD0530
Other Intervention Name(s)
saracatinib, AZD0530
Intervention Description
Randomized to receive 125 mg of AZD0530
Intervention Type
Drug
Intervention Name(s)
50 mg AZD0530
Other Intervention Name(s)
saracatinib, AZD0530
Intervention Description
Randomized to receive 50 mg of AZD0530
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
BOLD activation during A1 phase
Description
BOLD activation during the A1 phase of the MRI Monetary Incentive Delay task
Time Frame
4 Hours post medication administration
Secondary Outcome Measure Information:
Title
BOLD signal activation in the anterior cingulate cortex(ACC)
Description
BOLD signal activation in the anterior cingulate cortex (ACC) observed during False Alarms of the GoNoGo Task
Time Frame
4 Hours post medication administration

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Clear History of a father having a history of alcoholism, OR a mother AND another 1st or 2nd degree relative having a history of alcoholism, OR no 1st or 2nd degree relatives with alcoholism or substance abuse Exclusion Criteria: Current diagnosis of DSM-IV-TR Axis I disorder, or past diagnosis of any substance use disorder or moderate alcohol use disorder Report of psychotic disorder in a 1º relative Auditory or visual impairment that interferes with test taking History of prenatal exposure to alcohol plus currently meeting criteria for features of fetal alcohol syndrome Not speaking English fluently or being a non-native English speaker, or being educated in a primary language other than English >grade 1 Mental retardation (Full Scale IQ<70) using 2 WASI subtests for IQ estimate Traumatic brain injury with loss of consciousness > 30 minutes, or concussion in last 30 days Presence or history of any medical/neurologic illness that may affect brain physiology (e.g., epilepsy, Multiple Sclerosis), including focal brain lesion seen on structural MRI (all structural scans are read by a licensed radiologist) Current pregnancy (all females will be tested with urine screens on the day of MRI and prior to each phase of drug treatment) Positive urine screen for the presence of marijuana, cocaine, opiates or breath screen to detect the presence of alcohol, administered at each lab visit. Inability to comprehend the consent form appropriately Ferromagnetic metal devices, clips or fragments in body (orbital x-ray performed if needed). Current use (within 30 days of screening) of specific psychoactive medications (e.g., typical neuroleptics, narcotic analgesics, antiparkinsonian medications, systemic corticosteroids, or medications with significant central anticholinergic activity, etc.). Current use of warfarin. Current use of the following medications (CYP3A4 substrates whose metabolism may be slowed by AZD0530): carbamazepine, colchicine, cyclosporine, disopyramide, fluticasone, quinidine, vinblastine, vincristine, nifedipine. Patients taking sildenafil, tadalafil, and vardenafil will be advised to stop taking these medications for the duration of the trial. Patients cannot take the following drugs which inhibit the CYP3A4 isoenzyme: cimetidine, cyclosporine, danazol, fluconazole, grapefruit juice, HIV protease inhibitors, itraconazole, ketoconazole, macrolides, miconazole, nefazodone, omeprazole, ritonavir, and verapamil, aromatase inhibitors, docetaxel Neutropenia defined as absolute neutrophils count of <1,500/microliter. Thrombocytopenia defined as platelet count <100x103/microliter. AST, ALT, total bilirubin >1.5 times upper normal; serum creatinine, >2 time upper normal limit, total bilirubin>1.5 times ULN; Serum creatinine >2.0 times ULN. History of interstitial lung disease.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Godfrey D Pearlson, MD
Organizational Affiliation
Yale University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hartford Hospital
City
Hartford
State/Province
Connecticut
ZIP/Postal Code
06102
Country
United States

12. IPD Sharing Statement

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The Tolerability and Effects of AZD0530 in Individuals With or Without a Family History of Alcoholism

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