About this trial
This study proposes a 16-week, between-subject, double-blind, randomized controlled trial (RCT) with probenecid (2g /day) compared to placebo in individuals with AUD to test if reduces craving and alcohol consumption.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
• Male or female, ≥18 years.
women >7 drinks/week; men >14 drinks/week.
meet moderate to severe AUD score for DSM-5 criteria.
Breath Alcohol Content (BrAC)=0.00 at each visit.
Disqualifiers
• Women who are breastfeeding or positive urine test for pregnancy.
clinically significant medical abnormalities: unstable hypertension, clinically significant abnormal EKG, bilirubin >150% of the upper normal limit, ALT/AST >300% the UNL, creatinine clearance ≤60 dl/min
meet DSM-5 criteria for a diagnosis of schizophrenia, bipolar disorder, or other psychoses
medications that reduce alcohol consumption (naltrexone, disulfiram).
Trial design
Parallel
Treatments tested in this trial
Probenecid Oral Tablet
Drug2gr daily
Placebo Oral Tablet
DrugInactive compound
Treatment groups
Trial outcomes
Primary outcomes
Acute Alcohol Craving
Acute alcohol craving during an alcohol cue-reactivity procedure assessed using change in the alcohol urge questionnaire (AUQ). AUQ consists of eight statements about the respondent's feelings and thoughts about drinking as they are completing the questionnaire (i.e., right now). Drinking refers to various types of alcohol, including beer, wine and liquor. The respondent is asked to respond to each statement about alcohol craving via a 7-item Likert scale ranging from "strongly disagree" to "strongly agree." Each item is scored on a 1 to 7 scale (Strongly Disagree = 1 and Strongly Agree = 7). Items 2 and 7 are reverse scored. A total score is computed by averaging the item scores. Minimum score is 7, maximum score is 48. Higher scores reflect greater alcohol craving (worse outcome)
Secondary outcomes
Alcohol craving
Alcohol craving in naturalistic condition will be measured using craving the Obsessive Compulsive Drinking Scale (OCDS). The OCDS is a 14-item questionnaire, each rated on a scale from 0 to 4 that measures individuals' alcohol use and their attempts to control their drinking. Range Min score 0; max score. OCDS can also divided into two subscales: Obsessive subscale (items 1-6): max score = 24; Compulsive subscale (items 7-14): max score = 32. Higher scores reflect greater alcohol craving (worse outcome). Each item contributes equally to the total, and higher scores reflect greater obsessive and compulsive thoughts and behaviors related to alcohol use.
Other outcomes
Alcohol consumption
Number of standard drinks per week (DPW) in naturalistic condition as measured by the timeline follow-back (TLFB)
Sponsors and contacts
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