Alcohol DependencePhase 3ALPADIRNCT01738282
Efficacy and Safety of Baclofen for Maintenance of Abstinence in Alcohol Dependent Patients
A Phase 3 study testing Baclofen in people with Alcohol Dependence, run by Ethypharm at 38 sites in France.
Trial summary
The purpose of the study is to assess the efficacy of Xylka® (baclofen) compared to placebo on continuous abstinence rate during 20 weeks of treatment, after withdrawal, in alcohol dependent patients receiving Brenda therapy sessions. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Alcohol Dependence
- What is being tested?
- Baclofen
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 316 participants
- Where
- 38 sitesFrance
- Study dates
- Dec 2012to Jul 2014
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adult patients meeting DSM IV(Diagnosis and Statistical Manual of Mental Disorders, 4th edition) criteria for alcohol dependence
- Willing to participate in the study and express a desire to achieve the objective of continuous and long term abstinence after withdrawal
- Abstinent (last drinking) for a minimum of 3 days and maximum of 14 days
- At least one previous abstinence attempt
Who cannot join
- Need for a stay at the end of the withdrawal period in a health care and rehabilitation institution specialized in addiction
- Need for a heavy psychosocial out of hospital care
- History of baclofen intake, by prescription or self medication
- Porphyria
- Concomitant treatment with one or several drugs for the maintenance of abstinence
- Severe renal, cardiac or pulmonary disorder
Show all 13Show fewer
- Epilepsy or history of epilepsy
- Concomitant treatment with psychotropic drugs, except antidepressants at stable dose for 2 months, diazepam and oxazepam
- Severe psychiatric disease (schizophrenia and bipolar disorder)
- Suicidal risk or history of suicide
- Clinically significant cognitive disorders
- Hepatic encephalopathy
- Ongoing dependence or within the last 12 months on other addictive substances (opioid, cocaine, cannabis, other substances or drugs…), excepted tobacco
Trial locations and contacts
38 sites in 1 country.
38 sites in 1 country
France38 sites
Study site
Angers
Study site
Bron
Study site
Clermont de l'Oise
CHU
Clermont-Ferrand
Hopital Beaujon
Clichy
Study site
Dax
Centre hospitalier
Dijon
Centre hospitalier
Erstein
Centre hospitalier
La Membrolle-sur-Choisille
Hopital Michallon
La Tronche
Study site
LArbresle
Centre hospitalier
Le Mans
CHRU
Lille
CSAPA
Lille
Study site
Limoges
Hopital de la Croix Rousse
Lyon
Hopital Sainte Marguerite
Marseille
Centre hospitalier
Montauban
Study site
Morlaix
Hopital Villemin
Nancy
CHU
Nantes
Centre hospitalier
Nice
CHRU
Nîmes
Hopital Bichat Claude Bernard
Paris
Hopital Cochin
Paris
Hopital Fernand Widal
Paris
Hopital Saint Anne
Paris
Centre hospitalier
Perpignan
Centre hospitalier
Pont-du-Casse
Study site
Reims
Hopital Pontchaillou
Rennes
Hopital de la Fraternité
Roubaix
Study site
Saint-Égrève
Hopital René Muret
Sevran
CSAPA
Seynod
Centre hospitalier intercommunal
Toulon
Hopital Brabois
Vandœuvre-lès-Nancy
Hopital Paul Brousse
Villejuif
About this study
Official title: A Randomized, Multicentric, Double Blind Study to Assess the Efficacy of Xylka® (Baclofen) at the Target Dosage of 180mg/Day Compared to Placebo, for Maintenance of Abstinence in Alcohol Dependent Patients
The purpose of the study is to assess the efficacy of Xylka® (baclofen) compared to placebo on continuous abstinence rate during 20 weeks of treatment, after withdrawal, in alcohol dependent patients receiving Brenda therapy sessions.
- Conditions
- Alcohol Dependence
- Being tested
- Baclofen, Placebo (for baclofen)
- Keywords
- baclofene, Alcohol dependence, Maintenance of abstinence
- Medical subject headings
- Alcoholism
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BaclofenDrug
Placebo (for baclofen)Drug
| Study group | Role | What they receive |
|---|---|---|
| Baclofen | Experimental | Baclofen 20mg tablet. Titration:increasing dosage regimen to reach the target dosage of 180 mg (9 tablets)in 7 weeks Maintenance period with a constant dosage during 17 weeks Progressive decrease and stop of study treatment in 2 weeks Receives: Drug: Baclofen |
| Placebo | Placebo comparator | Placebo tablet Titration:increasing dosage regimen to reach the target dosage of 9 tablets in 7 weeks Maintenance period with a constant dosage during 17 weeks Progressive decrease and stop of study treatment in 2 weeks Receives: Drug: Placebo (for baclofen) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Continuous abstinence rate in each group (baclofen or placebo) during 20 weeks of treatment, from Day 29 to Day 168.
Measured: Day 168
Secondary outcomes (7)
Continuous abstinence rate from the first intake of study treatment (Day 1) to the end of the maintenance dose period (Day 168), i.e. 24 weeks
Measured: Day 168
Continuous abstinence rate from the first intake of study treatment (Day 1) to the end of 4-week post treatment follow up period (Day 210), i.e. 30 weeks
Measured: Day 210
Continuous abstinence rate during 20 weeks of treatment (Day 29 to Day 168), according to the severity of alcohol dependence
Measured: Day 168
Continuous abstinence rate during 20 weeks of treatment (Day 29 to Day 168), according to the level of drinking before withdrawal (Time Line Follow Back calendar/ World Health Organization criteria for risk of consumption)
Measured: Day 168
Drinking characteristics for patients having a relapse between Day 1 and Day 210
Time to relapse (Day 1 to first drinking day) Time to relapse to first high risk drinking day (>60g for a male, > 40g for a female) Percentage of drinking days from Day 1 to Day 210 Mean number of standard drinks per drinking day and classification according to World Health Organization criteria for the risk of consumption Percentage of high risk drinking days during the maintenance period at the target dosage (Day 50 to Day 168) compared to the percentage of high risk drinking days during the preceding 4 weeks of the withdrawal Percentage of drinking days during the maintenance period at the target dosage (Day 50 to Day 168) compared to the percentage of drinking days during the preceding 4 weeks of the withdrawal
Measured: Day 210
Change in craving, addiction and Quality of Life scales
Clinical Global Impression (CGI), Alcohol dependence Quality of Life (AlQoL9), Obsessive Compulsive Drinking Scale (OCDS), Hospital Anxiety and Depression Scale (HAD), Visual Analogue Scale (VAS) craving scores and liver biomarkers
Measured: Day 210
Recording of safety data
Adverse events, vital signs, biological parameters, ECG and urinary pregnancy test
Measured: Day 210
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Nov 2012 (estimated)
- Study startDec 2012
- Primary completionJul 2014
- Study completionJul 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Alcohol DependenceStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 316 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Ethypharm
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Michel REYNAUD, MD, Principal investigator, Villejuif, France
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01738282
- Sponsor's protocol ID
- ALP 2011007/002
- Acronym
- ALPADIR
- Status last verified
- Jul 2014
- First submitted
- 26 Nov 2012
- Last updated
- 30 Jul 2014
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Braillon A, Naudet F. Pharmacotherapies for Alcohol Use Disorder: Over Both Sides of the Atlantic Ocean. Mayo Clin Proc. 2020 Oct;95(10):2294-2295. doi: 10.1016/j.mayocp.2020.08.005. No abstract available.
PubMed 33012365
Study at a glance
From the registry record, last updated by the sponsor on 30 Jul 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Multicentric, Double Blind Study to Assess the Efficacy of Xylka® (Baclofen) at the Target Dosage of 180mg/Day Compared to Placebo, for Maintenance of Abstinence in Alcohol Dependent Patients
- ClinicalTrials.gov ID
- NCT01738282
- Acronym / sponsor ID
- ALPADIR / ALP 2011007/002
- Conditions
- Alcohol Dependence
- Keywords
- baclofene, Alcohol dependence, Maintenance of abstinence
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 316 participants (estimated)
- Lead sponsor
- EthypharmIndustry (pharma, biotech, devices)
- Study start
- Dec 2012
- Primary completion
- Jul 2014 (actual)
- Study completion
- Jul 2014 (actual)
- First posted
- 30 Nov 2012 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study is to assess the efficacy of Xylka® (baclofen) compared to placebo on continuous abstinence rate during 20 weeks of treatment, after withdrawal, in alcohol dependent patients receiving Brenda therapy sessions.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Baclofen | Experimental | Drug: BaclofenBaclofen 20mg tablet. Titration:increasing dosage regimen to reach the target dosage of 180 mg (9 tablets)in 7 weeks Maintenance period with a constant dosage during 17 weeks Progressive decrease and stop of study treatment in 2 weeks |
| Placebo | Placebo comparator | Drug: Placebo (for baclofen)Placebo tablet Titration:increasing dosage regimen to reach the target dosage of 9 tablets in 7 weeks Maintenance period with a constant dosage during 17 weeks Progressive decrease and stop of study treatment in 2 weeks |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Adult patients meeting DSM IV(Diagnosis and Statistical Manual of Mental Disorders, 4th edition) criteria for alcohol dependence
- Willing to participate in the study and express a desire to achieve the objective of continuous and long term abstinence after withdrawal
- Abstinent (last drinking) for a minimum of 3 days and maximum of 14 days
- At least one previous abstinence attempt
Key exclusion criteria (13 listed)
- Need for a stay at the end of the withdrawal period in a health care and rehabilitation institution specialized in addiction
- Need for a heavy psychosocial out of hospital care
- History of baclofen intake, by prescription or self medication
- Porphyria
- Concomitant treatment with one or several drugs for the maintenance of abstinence
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Baclofen | Drug | Baclofen |
| Placebo (for baclofen) | Drug | Placebo |
Primary outcome
Continuous abstinence rate in each group (baclofen or placebo) during 20 weeks of treatment, from Day 29 to Day 168.
Time frame: Day 168
7 secondary outcomes
Continuous abstinence rate from the first intake of study treatment (Day 1) to the end of the maintenance dose period (Day 168), i.e. 24 weeks
Time frame: Day 168
Continuous abstinence rate from the first intake of study treatment (Day 1) to the end of 4-week post treatment follow up period (Day 210), i.e. 30 weeks
Time frame: Day 210
Continuous abstinence rate during 20 weeks of treatment (Day 29 to Day 168), according to the severity of alcohol dependence
Time frame: Day 168
Continuous abstinence rate during 20 weeks of treatment (Day 29 to Day 168), according to the level of drinking before withdrawal (Time Line Follow Back calendar/ World Health Organization criteria for risk of consumption)
Time frame: Day 168
Drinking characteristics for patients having a relapse between Day 1 and Day 210
Time frame: Day 210
Change in craving, addiction and Quality of Life scales
Time frame: Day 210
Recording of safety data
Time frame: Day 210
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Jul 2014.
- Derived from this study: PubMed 33012365Braillon A, Naudet F. Pharmacotherapies for Alcohol Use Disorder: Over Both Sides of the Atlantic Ocean. Mayo Clin Proc. 2020 Oct;95(10):2294-2295. doi: 10.1016/j.mayocp.2020.08.005. No abstract available.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Michel REYNAUD, MD principal investigator
Villejuif, France
38 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Baclofen in people with Alcohol Dependence, run by Ethypharm at 38 sites in France.
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 4 inclusion and 13 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: finished, as of the sponsor's last update on 30 Jul 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 38 sites in France. 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.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Continuous abstinence rate in each group (baclofen or placebo) during 20 weeks of treatment, from Day 29 to Day 168. (time frame: Day 168). 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 NCT01738282, which also lists 1 linked publication.
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 30 Jul 2014.