Intranasal Insulin for Treatment of Alcohol Use Disorder

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age21+
SponsorBrown University

About this trial

This is a randomized controlled trial (RCT), within-subject, crossover, double-blind, placebo-controlled in non-treatment-seeking individuals with Alcohol Use Disorder (AUD) (N=40, 50% female) randomized to IN insulin or placebo. In a bar laboratory setting, randomized participants will receive a single dose of IN insulin (80IU) or an IN matched placebo (0.9% Saline). Participants will undergo a cue-reactivity paradigm followed by an alcohol challenge that includes an alcohol drink designed to raise the breath alcohol content (BrAC) to 0.08g/dL.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

≥21 years

meet any DSM-5 criteria score for AUD

Individuals who, in the last month, have consumed at least the same amount of alcohol that will be administered in the laboratory procedure (i.e. to reach BrAC levels of 0.08g/dl, ~two drinks in one occasion)

BrAC=0.00g/dL at each visit

Disqualifiers

• female identifying who are breastfeeding or pregnant (assessed by a urine screen)

individuals with diabetes

history of suicide attempts in the last three years

current diagnosis of other substance use disorder (other than nicotine or cannabis)

Trial design

Design model

Crossover

Treatments tested in this trial

  • Regular Human Insulin then Placebo

    Drug

    Insulin: 80 IU (administered intranasally) THEN Placebo: 0.9% saline solution (administered intranasally)

  • Placebo then Regular Human Insulin

    Drug

    Placebo: 0.9% saline solution (administered intranasally) THEN Insulin: 80 IU (administered intranasally)

Treatment groups

40 Participants
are divided into 2 treatment groups
Group A: Insulin, Then PlaceboExperimental treatment 1 intervention
Group B: Placebo, Then InsulinExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

intranasal adverse events

Adverse event reported during the drug administration

Time frame
From baseline to post-treatment (1 day)

Secondary outcomes

1

insulin alcohol interaction

Adverse event reported during the alcohol administration

Time frame
From baseline to post-treatment (1 day)

Other outcomes

Sponsors and contacts

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