Pharmaceutically-Enhanced Reinforcement for Reduced Alcohol and Smoking

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorWashington State University

About this trial

Using a randomized controlled trial (RCT), the goal of this study is to evaluate the ability of evidence based behavioral treatment (contingency management: CM) to significantly decrease alcohol use and cigarette smoking among treatment-seeking smokers with an alcohol use disorder (AUD) who have initiated pharmacotherapy (varenicline; VC) for smoking cessation.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

4 or more standard drinks on the same occasion for women (5 or more standard drinks on the same occasion for men) on at least 4 occasions in the prior 30 days

Seeking AUD treatment

Seeking smoking cessation treatment

Aged 18+ years

Disqualifiers

Significant risk of dangerous alcohol withdrawal, defined as a history of alcohol detoxification or seizure in the last 12 months and expression of concern by the participant about dangerous withdrawal

Currently receiving any pharmacotherapy for alcohol

Currently receiving any pharmacotherapy for smoking

No suicide attempt in the last 20 years and

Trial design

Design model

Parallel

Treatments tested in this trial

  • Contingency Management

    Behavioral

    Incentives for submitting negative-alcohol urine samples

  • Non-contingent control

    Behavioral

    Incentives for submitting urine samples

Treatment groups

205 Participants
are divided into 2 treatment groups
Group A: (CM+TAU) Contingency Management + Treatment as UsualExperimental treatment 1 intervention
Group B: (NC+TAU) No Contingency + Treatment as UsualActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Change in Biochemically Verified Alcohol Use

Consumption of alcohol between participants randomized to CM+TAU vs NC+TAU assessed by alcohol EtG values (collected 3x weekly from weeks 1-14, and once at weeks 18, 30, 42).

Time frame
12-week treatment period and 7-month follow-up period
2

Change in Biochemically Verified Tobacco Use

Consumption of tobacco between participants randomized to CM+TAU vs NC+TAU assessed by tobacco CO and COT values (collected 3x weekly from weeks 1-14, and once at weeks 18, 30, 42).

Time frame
12-week treatment period and 7-month follow-up period

Secondary outcomes

1

Change in Self Reported Alcohol Use

Consumption of alcohol between participants randomized to CM+TAU vs NC+TAU assessed by participant self report (collected 3x weekly from weeks 1-14, and once at weeks 18, 30, 42).

Time frame
12-week treatment period and 7-month follow-up period
2

Change in Self Reported Tobacco Use

Consumption of tobacco between participants randomized to CM+TAU vs NC+TAU assessed by participant self report (collected 3x weekly from weeks 1-14, and once at weeks 18, 30, 42).

Time frame
12-week treatment period and 7-month follow-up period

Other outcomes

Sponsors and contacts

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