At a glance
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Imaging Framework for Testing GABAergic/Glutamatergic Drugs in Bipolar Alcoholics
In Brief
A Phase 2 clinical trial evaluating N-Acetylcysteine, Gabapentin, and 1 other intervention for Alcohol Use Disorder and Bipolar Disorder. Completed, enrolled 54 participants across 1 site.
Detailed Summary
The proposed 3-week, double-blind, crossover, proof of concept study aims to manipulate neurochemical dysfunctions characteristic of individuals with co-occurring BD and AUD (i.e., abnormally low prefrontal GABA and glutamate), using medications that have been shown to normalize cortical GABA (i.e., gabapentin) and glutamate (i.e., NAC) levels in past research, and to evaluate medication-related changes in response inhibition and alcohol cue-reactivity fMRI tasks as well as drinking and mood in individuals with AUD+BD.
Study Details
Timeline
Interventions
5 day trial of N-acetylcysteine with titration to 2,400mg
5 day trial of gabapentin with titration to 1,200mg
5 day trial of matched placebo