Status:

COMPLETED

Pioglitazone for the Treatment of Alcohol Use Disorder

Lead Sponsor:

VA Office of Research and Development

Conditions:

Alcohol Use Disorder

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Alcohol Use Disorder (AUD) is common among Veterans but medication treatment is used infrequently and the impact of these treatments are small to moderate at best. Pioglitazone, a medication FDA appro...

Detailed Description

Background: Alcohol use disorder (AUD) and heavy drinking are common among Veterans with 42.2% of Veterans having a life-time history of AUD and 14.8% screening positive for past-year probable AUD. Al...

Eligibility Criteria

Inclusion

  • DSM-5 diagnosis of at least moderate alcohol use disorder using the SCID
  • A mean of six heavy drinking days per month for the 3-months prior to baseline.
  • Drinking at least 14 drinks for men or 7 drinks for women, or more per week for the 4 weeks preceding the screening visit.
  • Willingness to provide contact information to confirm study follow-up appointments
  • Ability to perform informed consent
  • Female subjects: a negative pregnancy test
  • Serum ALT \< 3 times reference range
  • Stable psychiatric medication doses the month prior to baseline visit (antidepressant, antipsychotic, subjects may have changes in trazodone for sleep)

Exclusion

  • Current DSM-5 diagnosis of moderate to severe psychoactive substance use disorder (i.e. cocaine, opiates, methamphetamine) other than cannabis or nicotine
  • Medical conditions contraindicating pioglitazone pharmacotherapy (e.g., congestive heart failure, clinically significant edema, clinically significant liver disease, hypoglycemia, diabetes, history of bladder cancer)
  • Taking medications known to have significant drug interactions with the study medication (CYP2C8 inhibitors or inducers, antihyperglycemic medications)
  • Cognitive or physical impairment that precludes study participation
  • Currently and seriously suicidal (i.e., plan and intent)
  • Currently being treated for AUD with a medication (naltrexone, naltrexone injectable, acamprosate, topiramate, disulfiram and gabapentin)
  • Impending incarceration
  • Pregnant or planning to become pregnant during the course of the trial or nursing for female patients
  • Unwillingness to sign a written informed consent form
  • Unwillingness to use a barrier method of birth control during the study for female patients

Key Trial Info

Start Date :

July 17 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 29 2024

Estimated Enrollment :

201 Patients enrolled

Trial Details

Trial ID

NCT03864146

Start Date

July 17 2019

End Date

March 29 2024

Last Update

June 13 2025

Active Locations (2)

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Page 1 of 1 (2 locations)

1

VA Long Beach Healthcare System, Long Beach, CA

Long Beach, California, United States, 90822

2

Minneapolis VA Health Care System, Minneapolis, MN

Minneapolis, Minnesota, United States, 55417-2309

Pioglitazone for the Treatment of Alcohol Use Disorder | DecenTrialz