Trial Outcomes & Findings for Topiramate Treatment of Alcohol Use Disorders in African Americans (NCT NCT03018704)

NCT ID: NCT03018704

Last Updated: 2023-03-23

Results Overview

Drinking was recorded using the timeline follow back methodology which is an interview based method to record drinking on each day during the trial. The summary measure (% days heavy drinking) counts the number of days of heavy drinking (\>4drinks per day) divided by the number of observation days to report the percent of observation days for which there is heavy drinking. For the the outcome measure the observation period is the last 42 days of the trial.

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

79 participants

Primary outcome timeframe

12 weeks

Results posted on

2023-03-23

Participant Flow

Subjects were recruited from VA outpatient and inpatient mental health and addiction programs. Recruitment occurred between October 2017 through May 2020

Prior to randomization, consented individuals (n=79) were assessed for participation. The majority of non randomized subjects (n=31) didn't meet inclusion criteria (not drinking) or exclusion criteria (other drugs). I addition 5 subjects withdrew consent before randomization and 6 were lost to follow up. That lead to 37 who were randomized.

Participant milestones

Participant milestones
Measure
Placebo
a placebo control arm placebo: inactive medication
Topiramate
Topiramate an FDA approved anticonvulsant has been shown effective in the treatment of alcohol use disorder but there is no data supporting use in minority patients. Topiramate: anticonvulsant medication
Overall Study
STARTED
19
18
Overall Study
COMPLETED
18
17
Overall Study
NOT COMPLETED
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
a placebo control arm placebo: inactive medication
Topiramate
Topiramate an FDA approved anticonvulsant has been shown effective in the treatment of alcohol use disorder but there is no data supporting use in minority patients. Topiramate: anticonvulsant medication
Overall Study
Lost to Follow-up
1
1

Baseline Characteristics

Topiramate Treatment of Alcohol Use Disorders in African Americans

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=19 Participants
a placebo control arm placebo: inactive medication
Topiramate
n=18 Participants
Topiramate an FDA approved anticonvulsant has been shown effective in the treatment of alcohol use disorder but there is no data supporting use in minority patients. Topiramate: anticonvulsant medication
Total
n=37 Participants
Total of all reporting groups
Age, Continuous
50.5 years
STANDARD_DEVIATION 10.2 • n=99 Participants
48 years
STANDARD_DEVIATION 11.6 • n=107 Participants
49.3 years
STANDARD_DEVIATION 10.8 • n=206 Participants
Sex: Female, Male
Female
1 Participants
n=99 Participants
4 Participants
n=107 Participants
5 Participants
n=206 Participants
Sex: Female, Male
Male
18 Participants
n=99 Participants
14 Participants
n=107 Participants
32 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
19 Participants
n=99 Participants
18 Participants
n=107 Participants
37 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
19 Participants
n=99 Participants
18 Participants
n=107 Participants
37 Participants
n=206 Participants
Race (NIH/OMB)
White
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
19 Participants
n=99 Participants
18 Participants
n=107 Participants
37 Participants
n=206 Participants
Percent Heavy Drinking days
70.8 percent of trial days of heavy drinking
STANDARD_DEVIATION 20.4 • n=99 Participants
62.8 percent of trial days of heavy drinking
STANDARD_DEVIATION 23.4 • n=107 Participants
67 percent of trial days of heavy drinking
STANDARD_DEVIATION 22 • n=206 Participants
Depression rating (PHQ9)
8.6 units on a scale
STANDARD_DEVIATION 7.6 • n=99 Participants
11.4 units on a scale
STANDARD_DEVIATION 7.0 • n=107 Participants
10. units on a scale
STANDARD_DEVIATION 7.4 • n=206 Participants

PRIMARY outcome

Timeframe: 12 weeks

Drinking was recorded using the timeline follow back methodology which is an interview based method to record drinking on each day during the trial. The summary measure (% days heavy drinking) counts the number of days of heavy drinking (\>4drinks per day) divided by the number of observation days to report the percent of observation days for which there is heavy drinking. For the the outcome measure the observation period is the last 42 days of the trial.

Outcome measures

Outcome measures
Measure
Placebo
n=18 Participants
a placebo control arm placebo: inactive medication
Topiramate
n=17 Participants
Topiramate an FDA approved anticonvulsant has been shown effective in the treatment of alcohol use disorder but there is no data supporting use in minority patients. Topiramate: anticonvulsant medication
Percent Days of Heavy Drinking
26.7 percentage of days of heavy drinking
Standard Deviation 24.9
14.8 percentage of days of heavy drinking
Standard Deviation 14.6

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Topiramate

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

David Oslin

Department of Veteran Affairs

Phone: 215-823-5894

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place