Skip to content

Sex Differences in Risk for Alcohol Abuse

Neurobiological Factors Underlying Sex Differences in Risk for Alcohol Abuse

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04543942
Enrollment
28
Registered
2020-09-10
Start date
2019-11-01
Completion date
2023-05-24
Last updated
2024-09-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Alcohol Abuse

Keywords

brain activation during response inhibition, BARI, fMRI, stop signal task, sex difference, menstrual, inhibitory control

Brief summary

This study will determine the neural and hormonal mechanisms underlying sex differences in sensitivity to the disinhibiting effects of alcohol in heavy drinkers.

Detailed description

Alcohol abuse inflicts enormous physical, emotional, and financial burdens on the individual and society at large. Knowing who is at risk for alcohol abuse, and why, is crucial for the development of effective prevention and treatment strategies. Alcohol abuse has been traditionally considered a male-oriented problem and as a consequence research on risk factors specific to women has been minimal. However, the sex gap in substance abuse is closing rapidly, and findings from both animal and human studies suggest that females are actually more vulnerable to drug use than males. As such, there is an urgent need to identify sex differences in risk factors for alcohol abuse in order to develop sex-specific prevention and treatment efforts. One clear candidate risk factor is poor inhibitory control, both in terms of baseline levels of inhibition and sensitivity to the disinhibiting effects of alcohol. Recent studies suggest that sex hormones affect inhibitory control in drug-free individuals, potentially contributing to sex differences in baseline levels of inhibition. However, the degree to which fluctuations in sex hormones influence sex differences in inhibition-related brain function in sober and intoxicated individuals is not known. The proposed project will determine the neural and hormonal mechanisms underlying sex differences in sensitivity to the disinhibiting effects of alcohol in heavy drinkers. The overall objective of the research is to identify hormonal determinants of alcohol effects on brain activation during response inhibition (BARI) in young adult female and male drinkers. BARI will be assessed using functional magnetic resonance imaging (fMRI) during performance of the stop signal task. This task reliably activates right-lateralized prefrontal regions implicated in inhibitory control. This study will assess BARI during IV alcohol (60mg%) and saline infusion in women during the early follicular and mid-luteal phases and in men at matched intervals.

Interventions

DRUGAlcohol

Alcohol will be administered by IV infusion (60mg%).

DRUGSaline

Saline is administered as the placebo

Sponsors

National Institute on Alcohol Abuse and Alcoholism (NIAAA)
CollaboratorNIH
Mark Fillmore
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Age
21 Years to 29 Years
Healthy volunteers
Yes

Inclusion criteria

* heavy drinking * Alcohol Use Disorder Identification Test score above 7 * right-handed * BMI between 19 and 26 * high school education * fluent in English * women must have regular menstrual cycles * not using hormonal contraceptives

Exclusion criteria

* drug use disorder (SCID, DSM-5), other than nicotine or caffeine * meets withdrawal criteria * history of physical or psychiatric disease * contraindication for fMRI * pregnant or breastfeeding * smoking more than 5 cigarettes per day

Design outcomes

Primary

MeasureTime frameDescription
Brain Activation During Response Inhibition (BARI) - Alcohol InfusionDuring two alcohol sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two alcohol sessions are averaged togetherBrain activation during response inhibition (BARI) was assessed using blood oxygenation level dependent (BOLD) fMRI during performance of the stop signal task during alcohol (60mg%) infusion. Values were determined by the contrast of BOLD activation during successful inhibition trials relative to go trials.
Brain Activation During Response Inhibition (BARI) - Saline InfusionDuring two saline (placebo) sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two saline sessions are averaged togetherBrain activation during response inhibition (BARI) was assessed using blood oxygenation level dependent (BOLD) fMRI during performance of the stop signal task during saline infusion. Values were determined by the contrast of BOLD activation during successful inhibition trials relative to go trials.

Secondary

MeasureTime frameDescription
Progesterone Levels - Alcohol InfusionDuring two alcohol sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two alcohol sessions are averaged togetherProgesterone levels (ng/mL) were measured from blood samples prior to alcohol infusion.
Progesterone Levels - Saline InfusionDuring two saline (placebo) sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two saline sessions are averaged togetherProgesterone levels (ng/mL) were measured from blood samples following saline infusion.
Testosterone Levels - Alcohol InfusionDuring two alcohol sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two alcohol sessions are averaged togetherTestosterone levels (ng/dL) were measured from blood samples following alcohol infusion.
Testosterone Levels - Saline InfusionDuring two saline (placebo) sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two saline sessions are averaged togetherTestosterone levels (ng/dL) were measured from blood samples following saline infusion.
Biphasic Alcohol Effects Score - Stimulation - Alcohol InfusionDuring two alcohol sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two alcohol sessions are averaged togetherThe Biphasic Alcohol Effects Scale (BAES) is a 14-point self-reporting, unipolar adjective rating scale designed to measure both stimulant and sedative effects of alcohol. Scores range from 0-10 for each of the 7 Stimulation sub-scale questions, for a total Stimulation score range of 0-70. Higher scores indicate increased stimulation. This outcome measure was collected during alcohol (60mg%) infusion.
Biphasic Alcohol Effects Score - Sedation - Alcohol InfusionDuring two alcohol sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two alcohol sessions are averaged togetherThe Biphasic Alcohol Effects Scale (BAES) is a 14-point self-reporting, unipolar adjective rating scale designed to measure both stimulant and sedative effects of alcohol. Scores range from 0-10 for each of the 7 Sedation sub-scale questions, for a total Sedation score range of 0-70. Higher scores indicate increased sedation. This outcome measure was collected during alcohol (60mg%) infusion.
Estradiol Levels - Alcohol InfusionDuring two alcohol sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two alcohol sessions are averaged togetherEstradiol levels (pg/mL) were measured from blood samples following alcohol infusion.
Biphasic Alcohol Effects Scale (BAES) - Sedation - SalineDuring two saline (placebo) sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two saline sessions are averaged togetherThe Biphasic Alcohol Effects Scale (BAES) is a 14-point self-reporting, unipolar adjective rating scale designed to measure both stimulant and sedative effects of alcohol. Scores range from 0-10 for each of the 7 Sedation sub-scale questions, for a total Sedation score range of 0-70. Higher scores indicate increased stimulation. This outcome measure was collected during saline infusion.
Drug Effects Questionnaire Score - Feel - Alcohol InfusionDuring two alcohol sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two alcohol sessions are averaged togetherThe Drug Effects Questionnaire (DEQ) consists of four questions to assess acute subjective response to alcohol intake. This measure captures the amount someone feels the effects of alcohol, on a scale from 0 to 100. Higher scores indicate greater levels of 'feel alcohol'. Scores were obtained during alcohol (60mg%) infusion.
Drug Effects Questionnaire Score - Like - Alcohol InfusionDuring two alcohol sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two alcohol sessions are averaged togetherThe Drug Effects Questionnaire (DEQ) consists of four questions to assess acute subjective response to alcohol intake. This measure captures the amount someone likes the effects of alcohol, on a scale from 0 to 100. Higher scores indicate greater levels of 'like alcohol'. Scores were obtained during alcohol (60mg%) infusion.
Drug Effects Questionnaire (DEQ) - Feel - Saline InfusionDuring two saline (placebo) sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two saline sessions are averaged togetherThe Drug Effects Questionnaire (DEQ) consists of four questions to assess acute subjective response to alcohol intake. This measure captures the amount someone feels the effects of alcohol, on a scale from 0 to 100. Higher scores indicate greater levels of 'feel alcohol'. Scores were obtained during saline infusion.
Drug Effects Questionnaire (DEQ) - Like - Saline InfusionDuring two saline (placebo) sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two saline sessions are averaged togetherThe Drug Effects Questionnaire (DEQ) consists of four questions to assess acute subjective response to alcohol intake. This measure captures the amount someone likes the effects of alcohol, on a scale from 0 to 100. Higher scores indicate greater levels of 'like alcohol'. Scores were obtained during saline infusion.
Biphasic Alcohol Effects Scale (BAES) - Stimulation - Saline InfusionDuring two saline (placebo) sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two saline sessions are averaged togetherThe Biphasic Alcohol Effects Scale (BAES) is a 14-point self-reporting, unipolar adjective rating scale designed to measure both stimulant and sedative effects of alcohol. Scores range from 0-10 for each of the 7 Stimulation sub-scale questions, for a total Stimulation score range of 0-70. Higher scores indicate increased stimulation. This outcome measure was collected during saline infusion.
Estradiol Levels - Saline InfusionDuring two saline (placebo) sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two saline sessions are averaged togetherEstradiol levels (pg/mL) were measured from blood samples following saline infusion.

Countries

United States

Participant flow

Participants by arm

ArmCount
Alcohol, Then Saline, Then Alcohol, Then Saline
Participants first received alcohol (60mg%) intravenously and then 24-48 hours later they received saline intravenously. Two weeks later, they again received alcohol (60mg%) intravenously and then 24 - 48 hours later they received saline intravenously.
13
Saline, Then Alcohol, Then Saline, Then Alcohol
Participants first received saline intravenously and then 24-48 hours later they received alcohol (60mg%) intravenously. Two weeks later, they again received saline intravenously and then 24 - 48 hours later they received alcohol (60mg%) intravenously.
15
Total28

Withdrawals & dropouts

PeriodReasonFG000FG001
First Intervention (2-3 Days)Scheduling conflict22
Interval Period (2 Weeks)scheduling conflict11

Baseline characteristics

CharacteristicAlcohol, Then Saline, Then Alcohol, Then SalineTotalSaline, Then Alcohol, Then Saline, Then Alcohol
Age, Continuous23.7 years
STANDARD_DEVIATION 1.8
23.4 years
STANDARD_DEVIATION 2.1
23.1 years
STANDARD_DEVIATION 2.3
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants2 Participants2 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
13 Participants26 Participants13 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants1 Participants1 Participants
Race (NIH/OMB)
Asian
0 Participants1 Participants1 Participants
Race (NIH/OMB)
Black or African American
3 Participants4 Participants1 Participants
Race (NIH/OMB)
More than one race
0 Participants2 Participants2 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants2 Participants2 Participants
Race (NIH/OMB)
White
10 Participants18 Participants8 Participants
Region of Enrollment
United States
13 participants28 participants15 participants
Sex: Female, Male
Female
7 Participants15 Participants8 Participants
Sex: Female, Male
Male
6 Participants13 Participants7 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 130 / 15
other
Total, other adverse events
0 / 130 / 15
serious
Total, serious adverse events
0 / 130 / 15

Outcome results

Primary

Brain Activation During Response Inhibition (BARI) - Alcohol Infusion

Brain activation during response inhibition (BARI) was assessed using blood oxygenation level dependent (BOLD) fMRI during performance of the stop signal task during alcohol (60mg%) infusion. Values were determined by the contrast of BOLD activation during successful inhibition trials relative to go trials.

Time frame: During two alcohol sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two alcohol sessions are averaged together

ArmMeasureValue (MEAN)Dispersion
MalesBrain Activation During Response Inhibition (BARI) - Alcohol Infusion1.83 BOLD activationStandard Deviation 1.11
FemalesBrain Activation During Response Inhibition (BARI) - Alcohol Infusion2.41 BOLD activationStandard Deviation 1.35
Primary

Brain Activation During Response Inhibition (BARI) - Saline Infusion

Brain activation during response inhibition (BARI) was assessed using blood oxygenation level dependent (BOLD) fMRI during performance of the stop signal task during saline infusion. Values were determined by the contrast of BOLD activation during successful inhibition trials relative to go trials.

Time frame: During two saline (placebo) sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two saline sessions are averaged together

ArmMeasureValue (MEAN)Dispersion
MalesBrain Activation During Response Inhibition (BARI) - Saline Infusion1.32 BOLD activationStandard Deviation 1.44
FemalesBrain Activation During Response Inhibition (BARI) - Saline Infusion2.64 BOLD activationStandard Deviation 1.9
Secondary

Biphasic Alcohol Effects Scale (BAES) - Sedation - Saline

The Biphasic Alcohol Effects Scale (BAES) is a 14-point self-reporting, unipolar adjective rating scale designed to measure both stimulant and sedative effects of alcohol. Scores range from 0-10 for each of the 7 Sedation sub-scale questions, for a total Sedation score range of 0-70. Higher scores indicate increased stimulation. This outcome measure was collected during saline infusion.

Time frame: During two saline (placebo) sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two saline sessions are averaged together

ArmMeasureValue (MEAN)Dispersion
MalesBiphasic Alcohol Effects Scale (BAES) - Sedation - Saline7.7 score on a scaleStandard Deviation 9.5
FemalesBiphasic Alcohol Effects Scale (BAES) - Sedation - Saline8.9 score on a scaleStandard Deviation 10.1
Secondary

Biphasic Alcohol Effects Scale (BAES) - Stimulation - Saline Infusion

The Biphasic Alcohol Effects Scale (BAES) is a 14-point self-reporting, unipolar adjective rating scale designed to measure both stimulant and sedative effects of alcohol. Scores range from 0-10 for each of the 7 Stimulation sub-scale questions, for a total Stimulation score range of 0-70. Higher scores indicate increased stimulation. This outcome measure was collected during saline infusion.

Time frame: During two saline (placebo) sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two saline sessions are averaged together

ArmMeasureValue (MEAN)Dispersion
MalesBiphasic Alcohol Effects Scale (BAES) - Stimulation - Saline Infusion25.1 score on a scaleStandard Deviation 13.1
FemalesBiphasic Alcohol Effects Scale (BAES) - Stimulation - Saline Infusion16.9 score on a scaleStandard Deviation 11.3
Secondary

Biphasic Alcohol Effects Score - Sedation - Alcohol Infusion

The Biphasic Alcohol Effects Scale (BAES) is a 14-point self-reporting, unipolar adjective rating scale designed to measure both stimulant and sedative effects of alcohol. Scores range from 0-10 for each of the 7 Sedation sub-scale questions, for a total Sedation score range of 0-70. Higher scores indicate increased sedation. This outcome measure was collected during alcohol (60mg%) infusion.

Time frame: During two alcohol sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two alcohol sessions are averaged together

ArmMeasureValue (MEAN)Dispersion
MalesBiphasic Alcohol Effects Score - Sedation - Alcohol Infusion13.8 score on a scaleStandard Deviation 4.7
FemalesBiphasic Alcohol Effects Score - Sedation - Alcohol Infusion16.3 score on a scaleStandard Deviation 15.3
Secondary

Biphasic Alcohol Effects Score - Stimulation - Alcohol Infusion

The Biphasic Alcohol Effects Scale (BAES) is a 14-point self-reporting, unipolar adjective rating scale designed to measure both stimulant and sedative effects of alcohol. Scores range from 0-10 for each of the 7 Stimulation sub-scale questions, for a total Stimulation score range of 0-70. Higher scores indicate increased stimulation. This outcome measure was collected during alcohol (60mg%) infusion.

Time frame: During two alcohol sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two alcohol sessions are averaged together

ArmMeasureValue (MEAN)Dispersion
MalesBiphasic Alcohol Effects Score - Stimulation - Alcohol Infusion32.2 score on a scaleStandard Deviation 11.5
FemalesBiphasic Alcohol Effects Score - Stimulation - Alcohol Infusion23.8 score on a scaleStandard Deviation 13.3
Secondary

Drug Effects Questionnaire (DEQ) - Feel - Saline Infusion

The Drug Effects Questionnaire (DEQ) consists of four questions to assess acute subjective response to alcohol intake. This measure captures the amount someone feels the effects of alcohol, on a scale from 0 to 100. Higher scores indicate greater levels of 'feel alcohol'. Scores were obtained during saline infusion.

Time frame: During two saline (placebo) sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two saline sessions are averaged together

ArmMeasureValue (MEAN)Dispersion
MalesDrug Effects Questionnaire (DEQ) - Feel - Saline Infusion11.8 score on a scaleStandard Deviation 15.3
FemalesDrug Effects Questionnaire (DEQ) - Feel - Saline Infusion8.3 score on a scaleStandard Deviation 14.2
Secondary

Drug Effects Questionnaire (DEQ) - Like - Saline Infusion

The Drug Effects Questionnaire (DEQ) consists of four questions to assess acute subjective response to alcohol intake. This measure captures the amount someone likes the effects of alcohol, on a scale from 0 to 100. Higher scores indicate greater levels of 'like alcohol'. Scores were obtained during saline infusion.

Time frame: During two saline (placebo) sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two saline sessions are averaged together

ArmMeasureValue (MEAN)Dispersion
MalesDrug Effects Questionnaire (DEQ) - Like - Saline Infusion50.5 score on a scaleStandard Deviation 7.4
FemalesDrug Effects Questionnaire (DEQ) - Like - Saline Infusion48.8 score on a scaleStandard Deviation 2.9
Secondary

Drug Effects Questionnaire Score - Feel - Alcohol Infusion

The Drug Effects Questionnaire (DEQ) consists of four questions to assess acute subjective response to alcohol intake. This measure captures the amount someone feels the effects of alcohol, on a scale from 0 to 100. Higher scores indicate greater levels of 'feel alcohol'. Scores were obtained during alcohol (60mg%) infusion.

Time frame: During two alcohol sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two alcohol sessions are averaged together

ArmMeasureValue (MEAN)Dispersion
MalesDrug Effects Questionnaire Score - Feel - Alcohol Infusion73.4 Score on a scaleStandard Deviation 7.6
FemalesDrug Effects Questionnaire Score - Feel - Alcohol Infusion61.7 Score on a scaleStandard Deviation 19.5
Secondary

Drug Effects Questionnaire Score - Like - Alcohol Infusion

The Drug Effects Questionnaire (DEQ) consists of four questions to assess acute subjective response to alcohol intake. This measure captures the amount someone likes the effects of alcohol, on a scale from 0 to 100. Higher scores indicate greater levels of 'like alcohol'. Scores were obtained during alcohol (60mg%) infusion.

Time frame: During two alcohol sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two alcohol sessions are averaged together

ArmMeasureValue (MEAN)Dispersion
MalesDrug Effects Questionnaire Score - Like - Alcohol Infusion83.4 Score on a scaleStandard Deviation 12.5
FemalesDrug Effects Questionnaire Score - Like - Alcohol Infusion65.4 Score on a scaleStandard Deviation 17
Secondary

Estradiol Levels - Alcohol Infusion

Estradiol levels (pg/mL) were measured from blood samples following alcohol infusion.

Time frame: During two alcohol sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two alcohol sessions are averaged together

ArmMeasureValue (MEAN)Dispersion
MalesEstradiol Levels - Alcohol Infusion21.5 pg/mLStandard Deviation 3.2
FemalesEstradiol Levels - Alcohol Infusion71.3 pg/mLStandard Deviation 28.8
Secondary

Estradiol Levels - Saline Infusion

Estradiol levels (pg/mL) were measured from blood samples following saline infusion.

Time frame: During two saline (placebo) sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two saline sessions are averaged together

ArmMeasureValue (MEAN)Dispersion
MalesEstradiol Levels - Saline Infusion23.5 pg/mLStandard Deviation 7
FemalesEstradiol Levels - Saline Infusion63.3 pg/mLStandard Deviation 34
Secondary

Progesterone Levels - Alcohol Infusion

Progesterone levels (ng/mL) were measured from blood samples prior to alcohol infusion.

Time frame: During two alcohol sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two alcohol sessions are averaged together

ArmMeasureValue (MEAN)Dispersion
MalesProgesterone Levels - Alcohol Infusion0.28 ng/mLStandard Deviation 0.07
FemalesProgesterone Levels - Alcohol Infusion4.1 ng/mLStandard Deviation 1.7
Secondary

Progesterone Levels - Saline Infusion

Progesterone levels (ng/mL) were measured from blood samples following saline infusion.

Time frame: During two saline (placebo) sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two saline sessions are averaged together

ArmMeasureValue (MEAN)Dispersion
MalesProgesterone Levels - Saline Infusion0.29 ng/mLStandard Deviation 0.09
FemalesProgesterone Levels - Saline Infusion3.81 ng/mLStandard Deviation 1.95
Secondary

Testosterone Levels - Alcohol Infusion

Testosterone levels (ng/dL) were measured from blood samples following alcohol infusion.

Time frame: During two alcohol sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two alcohol sessions are averaged together

ArmMeasureValue (MEAN)Dispersion
MalesTestosterone Levels - Alcohol Infusion544.7 ng/dLStandard Deviation 252.8
FemalesTestosterone Levels - Alcohol Infusion39.0 ng/dLStandard Deviation 22.8
Secondary

Testosterone Levels - Saline Infusion

Testosterone levels (ng/dL) were measured from blood samples following saline infusion.

Time frame: During two saline (placebo) sessions which could occur on two of four possible days: 1 or 2 and 15 or 16; data from the two saline sessions are averaged together

ArmMeasureValue (MEAN)Dispersion
MalesTestosterone Levels - Saline Infusion454.61 ng/dLStandard Deviation 161.04
FemalesTestosterone Levels - Saline Infusion23.7 ng/dLStandard Deviation 6.73

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026