Health Condition 1: F102- Alcohol dependence
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18 to 60 years 2. Alcohol Dependence according to the DSM-5-TR 3.JELLINEK’s alcoholic type gamma, delta and epsilon e type 4.Adequate cognition and language skills to give valid consent and to complete research interviews 5.Written informed consent 6. Written informed consent for naltrexone, if applicable
Exclusion criteria
Exclusion criteria: 1.Active major psychiatric disorder except alcohol dependence 2.Pregnancy or lactating women 3.Dependence on other substances except alcohol and nicotine 4. Opioid abuse, opioid dependence or opioid agonist treatment, or likely need for opioid treatment 5. Any evidence of alcoholic cirrhosis or advanced fibrosis, either clinically or through relevant investigations including fibroscan 6.Lack of stable housing or contact phone number 7.Previous hypersensitivity to baclofen or naltrexone 8.Any pharmacotherapy related to alcohol dependence or ALD before enrolment 9.Contra-indications for baclofen treatment were uncontrolled epilepsy, patent hepatic encephalopathy, and renal failure 10. Contra-indication for naltrexone – Acute/ Fulminant liver failure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Efficacy – 1.Abstinence – Number of non drinking days 2.Time to lapse 3.Time to relapse (if present) 1-3 Assessed by TLFB scale 4.Craving Assessed by OCDS and VASC scale 5. Decreased CIWA-Ar score after lapse / relapse Safety – Hepatic impairment assessed by serial LFTsTimepoint: 1 month 2 months 3 months and 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Prognostic scoring of Alcoholic Liver Disease by Maddrey Discriminant function (MDf) Decreased alcohol related hospitalization Adverse events reported as per CDSCO Central Drugs Standard Control Organization reporting formTimepoint: Follow up assessment for secondary outcomes will be done at baseline 1 month 2 months 3 months 6 months | — |
Countries
India
Contacts
Baba Farid University of Health Sciences