Cannabidiol for Reducing Drinking in Alcohol Use Disorder
Cannabidiol for Reducing Drinking in Alcohol Use Disorder and Modifying the Effects of Alcohol on the Brain and the Liver: a Phase 2 Clinical Trial.-The CARAMEL Study
Hôpital le Vinatier
76 participants
Oct 25, 2024
INTERVENTIONAL
Conditions
Summary
The non-psychotomimetic cannabis compound cannabidiol (CBD) has been found effective for reducing alcohol drinking in mice. Moreover, other experimental studies have found that CBD reduced alcohol-induced steatosis in the liver, and reduced alcohol-related injury in the brain. Despite these promising results from animal data, no human study has been conducted yet in alcohol use disorder (AUD).
Eligibility
Inclusion Criteria6
- Being aged 18 - 65 years
- Being fluent in French
- Having read the information procedure and signed the informed consent sheet.
- Being affiliated with health insurance.
- DSM-5 criteria for AUD (all stages) (American Psychiatric Association, 2013)
- Average drinking level of at least 12 standard-drinks (120g of ethanol) per day over the month prior to inclusion (i.e., a total alcohol consumption of 336 standard-drinks during the 28-day assessment period prior to inclusion), using the A-TLFB.
Exclusion Criteria16
- At least one day of abstinence (no alcohol drinking) during the month prior to inclusion
- Criteria for liver cirrhosis (Child-Pugh B or C)
- DSM-5 criteria for schizophrenia, schizoaffective disorder, or bipolar disorder, using the MINI 7.0.2.
- Current suicidality, using the MNI 7.0.2
- Lifelong history of suicide attempts
- Lifelong history or current DSM-5 criteria for substance use disorder (other than alcohol or nicotine) using the MINI 7.0.2.
- Any detected use of cannabis or any other cannabinoid within 60 days prior to screen
- Patients with transaminase elevations greater than 3 times upper the limit of normal and bilirubin greater than 2 times upper the limit of normal.
- Impaired medical condition (investigator's decision)
- Pregnancy, lactation, or insufficient contraceptive measure (precautionary measure) (See 5.2 for acceptable birth control methods)
- Patients with cancer, HIV, pulmonary arterial hypertension, epilepsy and with rifampicin, St. John's wort, Mammalian target of rapamycin (mTOR), calcineurin inhibitors or triazole antifungal agents like posaconazole, fluconazole… .
- History of vascular accident and/or cardiac arrhythmias and/or myocardial infarction
- Patients receiving acamprosate, naltrexone, disulfiram, nalmefene, topiramate, baclofen for AUD within 30 days prior to screening.
- MRI contraindication: pacemaker, insulin pump, heart metal valve, cochlear implant…
- Known hypersensitivity to the active principle (cannabidiol) or excipients (sucralose, menthol, mannitol).
- Person under tutorship or curatorship.
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Interventions
The CBD dosing used in the CARAMEL study will start at 40mg/d up to 600 mg/d. Oral oil contain 20 mg of CBD. 20 mg because our supplier does not have a more highly dosed oral oil.
Placebo of similar cannabidiol galenic form
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT05159830