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Alcohol Use DisorderPhase 2DUALPSYCHIATRYNCT06939088

Effects of Tirzepatide on Alcohol Intake in Patients Diagnosed With Schizophrenia and Alcohol Use Disorder

A Phase 2 study testing Tirzepatide in people with Alcohol Use Disorder and Alcohol Abuse/Dependence, run by Anders Fink-Jensen, MD, DMSci at 2 sites in Denmark.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Glucagon-like peptide-1 receptor agonists (GLP-1RAs), approved for the treatment of type 2 diabetes and obesity, have shown promise as a novel treatment for alcohol use disorder (AUD). Read more about this study

Who is it for?
Ages 18 to 70 years
What is being tested?
Tirzepatide
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
108 participants
Where
2 sitesDenmark
Study dates
5 May 2025to 31 Dec 2028
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Informed Consent: The patient must provide both oral and written informed consent.
  • Diagnosis:
  • Diagnosed with alcohol dependence according to the International Classification of Diseases, 10th Edition (ICD-10), and alcohol use disorder as per the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5).
  • Diagnosed with schizophrenia spectrum disorder according to ICD-10 and DSM-5
  • AUDIT Score: Alcohol Use Disorder Identification Test (AUDIT) score greater than 15.
  • Body Mass Index (BMI): BMI of 23 kg/m² or higher.
  • Age Range: Between 18 and 70 years old (inclusive).
  • Heavy Alcohol Consumption: Defined as 4 or more heavy drinking days within a consecutive 21-day period during the 28 days preceding the baseline evaluation. The 21-day period will be selected based on the largest total alcohol consumption and the greatest number of heavy drinking days within the 28-day timeframe. This will be assessed using the Timeline Followback (TLFB) method. Heavy drinking days are defined as days with an alcohol intake of 4 or more units (48 g of alcohol) for women and 5 or more units (60 g of alcohol) for men.

Who cannot join

  • Intellectual Disability: individuals with a diagnosis of intellectual disability.
  • Acute Psychosis: Acute exacerbation of psychosis, as indicated by a score of 6 or 7 on the Clinical Global Impression-Severity (CGI-S) scale.
  • Coercive Measures: Current use of coercive measures, which includes individuals sentenced to treatment ('dom til behandling').
  • Suicidal Behaviour: Evidence of current severe suicidal behaviour, as assessed by the investigator during clinical evaluation.
  • History of Severe Alcohol Withdrawal: History of delirium tremens or alcohol withdrawal seizures.
  • Severe Withdrawal Symptoms: Clinical Institute Withdrawal Assessment of Alcohol Scale, revised (CIWA-Ar) score greater than 9 at baseline examination.
Show all 24Show fewer
  • Severe Neurological Conditions: Presence of severe neurological diseases, including severe traumatic brain injury.
  • Diabetes: Type 1 or 2 diabetes
  • Pregnant or Potentially Pregnant Women: WOCBP who are pregnant, breastfeeding, intend to become pregnant within the next 6 months (including 16 weeks of treatment plus two months after discontinuation of semaglutide), or are not using a highly effective contraceptive method throughout the study period. Highly effective methods include combined hormonal contraception (oral, intravaginal, transdermal), progestogen-only hormonal contraception (oral, injectable, implantable), intrauterine device (IUD), intrauterine system (IUS), bilateral tubal occlusion, vasectomised partner, or sexual abstinence. WOCBP with a measured serum human chorionic gonadotropin (hCG) level greater than 3 U/L at inclusion will also be excluded.
  • Liver Function: Impaired hepatic function, defined as liver transaminases greater than three times the upper limit of normal.
  • Renal Function: Impaired renal function, indicated by an estimated glomerular filtration rate (eGFR) below 50 mL/min and/or plasma creatinine above 150 μmol/L.
  • Pancreatic Function: History of acute or chronic pancreatitis or amylase levels more than twice the upper limit of normal.
  • Thyroid Conditions: Previous medullary thyroid carcinoma (MTC) or a family history of MTC and/or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).
  • Cardiac Issues: Decompensated heart failure (NYHA class III or IV), unstable angina pectoris, or myocardial infarction within the past 12 months.
  • Uncontrolled Hypertension: Systolic blood pressure above 180 mmHg or diastolic blood pressure above 110 mmHg.
  • Alcohol Use Disorder Medication: Use of medications for alcohol use disorder (e.g., disulfiram, naltrexone, acamprosate, nalmefene) within the 28 days prior to inclusion as recorded in the Timeline Followback (TLFB) schedule.
  • Investigational Drugs: Receipt of any investigational drug within the past three months.
  • Weight-Lowering Medications: Use of other weight-lowering pharmacotherapy in the past three months.
  • Allergic Reactions: Hypersensitivity to the active substance or any of the excipients.
  • Language Barriers: Inability to speak and/or understand Danish.
  • Other Conditions: Any other condition that, in the investigator\'s opinion, may interfere with participation in the trial.
  • For the subgroup of participants undergoing brain scans:
  • MRI Contraindications: any contraindications for MRI (e.g., magnetic implants, pacemaker, claustrophobia).
  • Benzodiazepine Use: Intermittent use of benzodiazepines within 12 days prior to the scanning session is not allowed. However, regular use of a stable dose of benzodiazepines is permitted.

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Anders Fink-Jensen, MD, DMSc contact

+45 22755843

anders.fink-jensen@regionh.dk

Denmark2 sites, 2 recruiting
  • Department of Psychiatry, Aalborg University Hospital

    Aalborg, Denmark, 9000

    René E Nielsen, Chief Physician, Professor, +45 28 72 29 62, ren@rn.dk

    Recruiting
  • Psychiatric Center Copenhagen, Frederiksberg Hospital

    Frederiksberg, Denmark, 2100

    Søren B Jensen, MD, ph.d.-student, +45 60294963, soeren.broegger.jensen@regionh.dk

    Anders Fink-Jensen, MD, DMSc, +45 22755843, anders.fink-jensen@regionh.dk

    Recruiting

Other trials in Denmark

About this study

Official title: Effect of Tirzepatide on Alcohol Intake and Reward Processing in Patients Diagnosed With Schizophrenia and Alcohol Use Disorder

Glucagon-like peptide-1 receptor agonists (GLP-1RAs), approved for the treatment of type 2 diabetes and obesity, have shown promise as a novel treatment for alcohol use disorder (AUD). This study aims to investigate whether the Glucose-dependent Insulinotropic Polypeptide/GLP-1RA tirzepatide will reduce alcohol consumption in patients with a dual diagnosis of AUD and schizophrenia, a population in dire need of improved treatment options. To further investigate the neurobiological underpinnings of a potential dampening effect on alcohol consumption, functional magnetic resonance imaging (fMRI) brain scans will be applied.

The key anticipated outcomes include:

  • decreased alcohol consumption and
  • reduced alcohol cue-induced brain activity in the GIP/GLP-1-treated patient group compared with the placebo group. To the best of the investigators knowledge, this has never been examined before.
Read the detailed description

The study is a randomised (1:1), double-blinded, placebo-controlled clinical trial including 26 weeks of treatment investigating whether tirzepatide vs placebo can reduce the number of heavy drinking days in patients with comorbid diagnoses of schizophrenia and AUD. The primary endpoint will be evaluated after 16 weeks of treatment. The study will conclude after a post-intervention follow-up 14 weeks after last treatment at week 40 of the study.

108 participants will be included. Alcohol consumption and secondary endpoints will be assessed at weeks 0, 4, 8, 12, 16, 20, 26, and 40, and all patients will be offered 6 sessions of supportive therapy, while participating in the study.

The randomisation and administration of the weekly injections (tirzepatide/placebo) will be administered by an unblinded staff not involved in other trial activities. All patients will be blindfolded when receiving the injections. Eligible patients (n=50) will have an fMRI brain scan performed at baseline and in week 16. Blood tests for safety measures and secondary endpoint-measures will be performed at weeks 0, 16, 26, and 40.

Being tested
Tirzepatide, Placebo
Keywords
GLP-1, Glucagon-like peptide 1, fMRI, GIP, Glucose-dependent Insulinotropic Polypeptide, Tirzepatide, Mounjaro(R), schizophrenia, alcohol, alcohol use disorder, dual diagnosis
Medical subject headings
Alcoholism, Schizophrenia, Schizophrenia Spectrum and Other Psychotic Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TirzepatideDrug

    Also called Mounjaro

    Once weekly injections s.c. with tirzepatide (Mounjaro(R))

  • PlaceboDrug

    Also called BD Posiflush (saline)

    Once weekly injections s.c. with placebo (BD Posiflush)

Study groups in NCT06939088
Study groupRoleWhat they receive
TirzepatideExperimentalTirzepatide once-weekly s.c.titrated to a maximum dose of 15 mg
Receives: Drug: Tirzepatide
PlaceboPlacebo comparatorSaline s.c. once-weekly
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in heavy drinking days

    The primary endpoint will be a change in alcohol consumption, measured as a per cent change in heavy drinking days after 16 weeks of treatment with tirzepatide or placebo, adjusted for the value at baseline (percentage points). Heavy drinking days will be registered using the Timeline-Follow-Back (TLFB) method including the last 21 consecutive days with the largest total alcohol intake and the greatest number of heavy drinking days within the 28 days preceding the evaluation. A heavy drinking day is defined as more than 60/48 grams (men/women) of alcohol in one day.

    Measured: From baseline to 16 weeks of treatment

Secondary outcomes (28)
  1. Heavy drinking days

    Change in heavy drinking days measured using the TLFB method.

    Measured: From baseline to 26 weeks of treatment and 14 weeks post-intervention

  2. Total alcohol consumption

    Change in total alcohol consumption measured using the TLFB method.

    Measured: From baseline to 16 and 26 weeks of treatment and 14 weeks post-intervention

  3. Days without alcohol consumption

    Change in number of days without alcohol measured using the TLFB method.

    Measured: From baseline to 16 and 26 weeks of treatment and 14 weeks post-intervention

  4. World Health Organization (WHO) Risk Levels of Alcohol Consumption

    Change in WHO alcohol risk level measured using the TLFB method.

    Measured: From baseline to 16 and 26 weeks of treatment and 14 weeks post-intervention

  5. Penn Alcohol Craving Scale (PACS) score

    Change in Penn Alcohol Craving Scale (PACS) score. Minimum score = 0, maximum score =30. A high score means a worse outcome.

    Measured: From baseline to 16 and 26 weeks of treatment

  6. Alcohol Use Disorder Identification Test (AUDIT) score

    Change in AUDIT score. Minimum score = 0, maximum score =40. A high score means a worse outcome.

    Measured: From baseline to 16 and 26 weeks of treatment

  7. Drug Use Disorders Identification Test (DUDIT) score

    Change in DUDIT score. Minimum score = 0, maximum score =44. A high score means a worse outcome.

    Measured: From baseline to 16 and 26 weeks of treatment

  8. Drug use frequency

    Change in drug use frequency measured using the drug use frequency section of the DUDIT-extended

    Measured: From baseline to 16 and 26 weeks of treatment

  9. Preferred substance of use

    Change in preferred substance of use

    Measured: From baseline to 16 and 26 weeks of treatment

  10. Biomarkers of cannabis exposure

    Changes in biomarkers of recent cannabis exposure (blood 11-hydroxy-delta 9-tetrahydrocannabinol (11-OH-THC) and 11-nor-9-carboxy-delta 9-tetrahydrocannabinol (THCCOOH) levels)

    Measured: From baseline to 16 and 26 weeks of treatment

  11. The Patient Health Questionnaire (PHQ-9)

    Changes in PHQ-9

    Measured: From baseline to 16 and 26 weeks of treatment

  12. Fagerströms Test for Nicotine Dependence score

    Changes in smoking habits using the Fagerströms Test for Nicotine Dependence score

    Measured: From baseline to 16 and 26 weeks of treatment

  13. Number of cigarettes smoked per day

    Changes in average number of cigarettes smoked per day

    Measured: From baseline to 16 and 26 weeks of treatment

  14. Cotinine levels

    Change in blood cotinine levels

    Measured: From baseline to 16 and 26 weeks of treatment

  15. Blood parameters

    Changes in blood parameters (GGT, ALAT, MCV)

    Measured: From baseline to 16 and 26 weeks of treatment

  16. Liver fibrosis (FIB-4 score)

    Changes in FIB-4 score

    Measured: From baseline to 26 weeks of treatment

  17. Blood phosphatidyl ethanol (PEth) levels

    Changes in PEth levels

    Measured: From baseline to 16 and 26 weeks of treatment and 14 weeks post-intervention

  18. Glycaemic control parameters

    Changes in HbA1c levels

    Measured: From baseline to 16 and 26 weeks of treatment and 14 weeks post-intervention

  19. Blood pressure

    Change in blood pressure

    Measured: From baseline to 16 and 26 weeks of treatment

  20. Body weight

    Change in body weight

    Measured: From baseline to 16 and 26 weeks of treatment and 14 weeks post-intervention

  21. Waist circumference

    Change in waist circumference

    Measured: From baseline to 16 and 26 weeks of treatment

  22. fMRI alcohol cue-reactivity

    Changes in fMRI BOLD signals in response to alcohol cues in brain regions related to reward in a subgroup (n=50) of participants

    Measured: From baseline to 16 weeks of treatment

  23. WHO-5 Subjective Well-Being Index

    Changes in quality of life measured using the World Health Organization-Five Well-Being Index (WHO-5)

    Measured: From baseline to 26 weeks of treatment

  24. Global Assessment of Psychosocial Disability (GAPD)

    Changes in GAPD score

    Measured: From baseline to 26 weeks of treatment

  25. Positive and Negative Syndrome Scale (PANSS-6)

    Changes in symptom severity of schizophrenia measured using PANSS-6

    Measured: From baseline to 26 weeks of treatment

  26. Clinical Global Impression Severity Scale (CGI-S)

    Changes in CGI-S score

    Measured: From baseline to 26 weeks of treatment

  27. Proteomics

    Change in proteomics

    Measured: From baseline to 16 and 26 weeks of treatment

  28. Qualitative experience

    For a subgroup of participants (n=20), qualitative interviews will be performed after 16 weeks of treatment to evaluate qualitative differences in trial participation experiences between the intervention and placebo groups, which will be assessed as a secondary outcome.

    Measured: From baseline to 16 weeks of treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Apr 2025
  2. Study start5 May 2025
  3. Primary completion1 Aug 2028 (estimated)
  4. Study completion31 Dec 2028 (estimated)

Resources

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
108 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06939088
Sponsor's protocol ID
The DUALPSYCHIATRY study
Other IDs
U1111-1312-8134, 2024-518608-28-00
Acronym
DUALPSYCHIATRY
Status last verified
Feb 2026
First submitted
14 Apr 2025
Last updated
10 Feb 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: IPD will be shared upon reasonable relevant requests, e.g. for meta-analyses or independent validations. IPD will be shared anonymized or de-identified to protect participants' privacy and in accordance with relevant regulations (GDPR).

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Tirzepatide in people with Alcohol Use Disorder and Alcohol Abuse/Dependence, run by Anders Fink-Jensen, MD, DMSci at 2 sites in Denmark.

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 8 inclusion and 24 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: looking for participants now, as of the sponsor's last update on 10 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Denmark. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Søren B Jensen, MD (+45 60294963, soeren.broegger.jensen@regionh.dk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in heavy drinking days (time frame: From baseline to 16 weeks of treatment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 10 Feb 2026.

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