Imaging CRF X NOP Interactions in Alcohol Use Disorder

Trial statusRecruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexAll
Age18-55
SponsorRajesh Narendran

About this trial

This positron emission tomography imaging study uses \[C-11\]NOP-1A and hydrocortisone to image stress-modulating proteins in heavy drinking alcohol use disorder (AUD) subjects and healthy controls (HC). It will also characterize the role of these stress-regulating proteins in a relapse to alcohol.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Males or females between 18 and 55 years old

fulfill DSM-5 criteria for moderate or severe ( > or = 4 criteria) alcohol use disorder

fulfill both NIAAA heavy drinking91 (consuming for males > or = 5 drinks on any day; for females > or = 4 drinks on any day) and WHO high-risk/very high-risk drinking level criteria66 (for males > or = 30 drinks/week; for females > or = 20 drinks/week) in the past four weeks prior to enrollment

No lifetime DSM-5 psychiatric disorders, including schizophrenia, schizoaffective disorder, bipolar disorder, or developmental disorders.

Disqualifiers

None

Trial design

Design model

Single group

Treatments tested in this trial

  • Baseline [C-11]NOP-1A PET scan

    Radiation

    Radiotracer

  • Hydrocortisone

    Drug

    Intravenous, 1 mg/Kg

  • Post-hydrocortisone [C-11]NOP-1A PET scan

    Radiation

    Radiotracer

Treatment groups

90 Participants
are divided into 1 treatment group
Group A: PETExperimental treatment 3 interventions

Trial outcomes

Primary outcomes

1

Amygdala DELTA VT

VT is the volume of distribution expressed relative to total plasma radioligand concentration; DELTA VT is the change from baseline to post-hydrocortisone

Time frame
Baseline/pre hydrocortisone, and 3-hours post hydrocortisone
2

Total number of negative ETG tests

Represents level of abstinence in contingency management

Time frame
over 8-week follow-up

Secondary outcomes

1

Midbrain DELTA VT

VT is the volume of distribution expressed relative to total plasma radioligand

Time frame
Baseline/pre hydrocortisone and 3-hours post hydrocortisone
2

Ventral striatum DELTA VT

VT is the volume of distribution expressed relative to total plasma radioligand

Time frame
Baseline/pre hydrocortisone and 3-hours post hydrocortisone
3

Orbitofrontal Cortex DELTA VT

VT is the volume of distribution expressed relative to total plasma radioligand

Time frame
Baseline/pre hydrocortisone and 3-hours post hydrocortisone
4

Relapse to alcohol

Abstained; Relapsed; Drop-out

Time frame
over 8-weeks follow up

Other outcomes

1

Perceived Stress Scale

mean and peak scores during follow-up

Time frame
over 8-week follow up
2

Penn Alcohol Craving Scale

mean and peak score during follow up

Time frame
over 8-week follow up
3

Plasma cortisol

Plasma cortisol measured in blood

Time frame
Baseline/pre hydrocortisone and post-hydrocortisone

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Rajesh Narendran

Lead sponsor

University of Pittsburgh

Sponsor institution

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Collaborator