Alcohol Dependence
Conditions
Brief summary
To determine the reduction in alcohol consumption in patients with alcohol dependence treated with 18 mg Selincro® as-needed use, in conjunction with continuous psychosocial support in primary care
Detailed description
635 patients are planned (total number of patients) with 475 patients treated with Selincro® (Cohort A) and 160 patients not treated with Selincro® (Cohort B) to determine the reduction in alcohol consumption in patients with alcohol dependence. Cohort A will comprise patients who maintain a high drinking risk level (DRL, defined by World Health Organization (WHO) as \>60g alcohol/day for a man or \>40g alcohol/day for a woman), or above, in the period between the Screening and Inclusion Visits. Cohort B will comprise patients who reduce their alcohol consumption in the period between the Screening and Inclusion visits, that is, patients who do not maintain at least a high DRL at the Inclusion Visit (and are therefore not eligible for treatment with nalmefene according to the SmPC).
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
To ensure the study is broadly representative of primary care clinical practice, minimal inclusion and
Exclusion criteria
are imposed with the main
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the number of Heavy Drinking Days (HDDs) (days/month) | Baseline to Month 3 | Cohort A |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Clinical Global Impression - Severity of Illness (CGI-S) score | Baseline to Week 12 | Cohort A |
| Change in Total Alcohol Consumption (TAC) (g/day) | Baseline to Month 3 | Cohort A |
| Drinking Risk Level response (RSDRL); defined as a downward shift in Drinking Risk Level (DRL); for patients with a very high DRL at baseline, a shift to medium DRL or below; for patients with a high DRL at baseline, a shift to low DRL or below | Baseline to Month 3 | Cohort A |
| RLDRL response; defined as a downward shift in DRL to low DRL or below | Baseline to Month 3 | Cohort A |
| Response defined as ≥70% reduction in TAC | Baseline to Month 3 | Cohort A |
| Response defined as 0 to 4 HDDs (days/month) | Month 3 | Cohort A |
| y-glutamyl transferase (y-GT) | Week 12 | Cohort A |
| Alanine aminotransferase (ALT) | Week 12 | Cohort A |
| Aspartate aminotransferase (AST) | Week 12 | Cohort A |
| Change in 36-item Short-form Health Survey version 2 (SF-36) (only for patients in France and the United Kingdom) | Baseline to Week 12 | Cohort A |
| Clinical Global Impression - Global Improvement (CGI-I) | Week 12 | Cohort A |
Countries
France, Germany, Spain, United Kingdom