A Comparison of Lorazepam and Diazepam in the Treatment of Alcohol Withdrawal
1 other identifier
interventional
55
1 country
2
Brief Summary
The purpose of this study is to compare the efficacy of two commonly used medications in the treatment of alcohol withdrawal, diazepam and lorazepam.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started May 2003
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2003
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2004
CompletedFirst Submitted
Initial submission to the registry
August 29, 2007
CompletedFirst Posted
Study publicly available on registry
August 31, 2007
CompletedAugust 31, 2007
August 1, 2007
August 29, 2007
August 29, 2007
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The primary outcome measures include serial measures of vital signs and scores on the Clinical Institute Withdrawal Assessment for Alcohol-Revised scale (CIWA-Ar), a widely used scale that monitors alcohol withdrawal symptoms.
one to two weeks
Secondary Outcomes (1)
Secondary outcome measures include total benzodiazepine use.
one to two weeks
Study Arms (2)
2
ACTIVE COMPARATOR1
ACTIVE COMPARATORInterventions
Lorazepam 1 to 2 mg by mouth or intravenously every two hours as needed for alcohol withdrawal symptoms.
Diazepam 20 mg by mouth every two hours x 3 doses, or for parenteral treatment, diazepam 10 mg intravenously every one hour x 6 doses. Give additional diazepam 10 mg by mouth or intravenously every two hours as needed for alcohol withdrawal symptoms.
Eligibility Criteria
You may qualify if:
- Clinical diagnosis of alcohol withdrawal
- History of alcohol use within 24 hours
- Ability to consent to participate in the study
You may not qualify if:
- Unwillingness to participate in the study
- Active abuse of other CNS depressants
- Acute intoxication with a CNS activating agent
- Severe hepatic dysfunction
- Pregnancy
- History of dementia
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Palo Alto Veterans Affairs Hospital System
Palo Alto, California, 94304, United States
Stanford Hospital and Clinics
Stanford, California, 94305, United States
Related Publications (1)
Maldonado JR, Nguyen LH, Schader EM, Brooks JO 3rd. Benzodiazepine loading versus symptom-triggered treatment of alcohol withdrawal: a prospective, randomized clinical trial. Gen Hosp Psychiatry. 2012 Nov-Dec;34(6):611-7. doi: 10.1016/j.genhosppsych.2012.06.016. Epub 2012 Aug 13.
PMID: 22898443DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jose R Maldonado, MD
Stanford University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
August 29, 2007
First Posted
August 31, 2007
Study Start
May 1, 2003
Study Completion
November 1, 2004
Last Updated
August 31, 2007
Record last verified: 2007-08