BACLAD: Baclofen for the Treatment of Alcohol Dependence
Study Details
Study Description
Brief Summary
There is first evidence from preclinical and clinical studies for the efficacy of the selective GABA-B receptor agonist baclofen in the treatment of alcohol dependence. The aim of this trial is to evaluate the efficacy and safety of individually titrated high-dose baclofen for relapse prevention in alcohol-dependent patients.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2/Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Baclofen
|
Drug: Baclofen
Baclofen will be administered orally for a maximum of 20 consecutive weeks. For the first 3 days, patients will receive baclofen in a dose of 5 milligrams t.i.d.; subsequently, the daily dose of baclofen will be increased to a maximum of 90 milligrams t.i.d. within 4 weeks. In case of intolerance, dosage can be decreased to a minimum of 10 mg t.i.d.. Patients will receive maximum tolerated dosage of baclofen for 12 weeks. Medication will then gradually be tapered over a maximum of 4 weeks.
|
Placebo Comparator: Placebo
|
Drug: Placebo
Placebo
|
Outcome Measures
Primary Outcome Measures
- Total abstinence from alcohol and cumulative abstinence duration [13-16 weeks (depending on the individually tolerated baclofen dose)]
Secondary Outcome Measures
- Number of adverse events [24 weeks]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Diagnosis of alcohol dependence according to ICD-10 (International Classification of Mental and Behavioural Disorders, 10th revision) and DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, 4th revision) criteria
-
An alcohol intake of at least two heavy drinking days per week on average (men ≥ 5 drinks per day; women ≥ 4 drinks per day) and an average overall consumption of 21 drinks per week or more for men and 14 drinks per week or more for women during the 4 weeks before detoxification (one standard drink is equal to 12 g absolute alcohol)
-
Last alcohol consumption within 7-21 days before randomisation
-
Sufficient German language capabilities
Exclusion Criteria:
-
Pregnancy and/or currently breastfeeding
-
Clinical significant medical conditions or observed abnormalities
-
Psychiatric illness undergoing treatment with psychoactive drugs
-
Epilepsy or epileptiform convulsions
-
Addiction to drugs other than nicotine
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Department of Psychiatry, Charité Campus Mitte, Charité - Universitätsmedizin Berlin | Berlin | Germany | 10117 |
Sponsors and Collaborators
- Charite University, Berlin, Germany
Investigators
- Principal Investigator: Andreas Heinz, Prof., M.D., Department of Psychiatry, Charité Campus Mitte, Charité - Universitätsmedizin Berlin, Germany
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- BACLAD