Efficacy of Nalmefene in Patients With Alcohol Dependence
ESENSE1
Nalmefene Efficacy Study I: Randomised, Double-blind, Placebo-controlled, Parallel-group, Efficacy Study of 20 mg Nalmefene, As-needed Use, in Patients With Alcohol Dependence
2 other identifiers
interventional
598
4 countries
39
Brief Summary
The purpose of the study is to evaluate the efficacy, safety and tolerability of nalmefene in the treatment of alcohol dependence.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Dec 2008
39 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2008
CompletedFirst Submitted
Initial submission to the registry
December 18, 2008
CompletedFirst Posted
Study publicly available on registry
December 19, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2010
CompletedResults Posted
Study results publicly available
July 9, 2013
CompletedJuly 9, 2013
July 1, 2013
1.8 years
December 18, 2008
March 12, 2013
July 5, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Change From Baseline in the Monthly Number of Heavy Drinking Days (HDDs)
Number of HDDs over a month (28 days), where one HDD was defined as a day with alcohol consumption ≥60 grams (g) for men and ≥40 g for women.
Baseline and Month 6
Change From Baseline in the Monthly Total Alcohol Consumption (TAC)
TAC was defined as mean daily alcohol consumption in g/day over a month (28 days).
Baseline and Month 6
Secondary Outcomes (5)
Drinking Risk Level (RSDRL) Response
Month 6
Change From Baseline in Clinical Status Using CGI-S
Baseline and Week 24
Change in Clinical Status Using the CGI-I
Week 24
Liver Function Test Gamma-glutamyl Transferase (GGT)
Week 24
Liver Function Test Alanine Aminotransferase (ALAT)
Week 24
Study Arms (2)
Placebo
PLACEBO COMPARATORNalmefene
EXPERIMENTALInterventions
Eligibility Criteria
You may qualify if:
- In- and outpatients who:
- had a primary diagnosis of alcohol dependence according to Diagnostic and Statistical Manual of Mental Disorders - Text revision (DSM-IV-TR) criteria
- had had ≥6 HDDs in the 4 weeks preceding the Screening Visit
- had had an average alcohol consumption at WHO medium risk level or above in the 4 weeks preceding the Screening Visit
You may not qualify if:
- The patient:
- had a DSM-IV Axis I disorder other than alcohol dependence or nicotine dependence
- had an antisocial personality disorder
- had risk of suicide evaluated by the suicidality module of the Mini-International Neuropsychiatric Interview (MINI)
- had a history of delirium tremens or alcohol withdrawal seizures
- reported current or recent (within 3 months preceding screening) treatment with disulfiram, acamprosate, topiramate, naltrexone or carbimide, or with any opioid antagonists
- reported current or recent treatment with antipsychotics or antidepressants
- was pregnant or breast-feeding
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- H. Lundbeck A/Slead
Study Sites (39)
AT001
Linz, 4020, Austria
AT004
Salzburg, 5020, Austria
AT003
Vienna, 1090, Austria
AT002
Vienna, 1230, Austria
FI008
Helsinki, 560, Finland
FI009
Helsinki, 800, Finland
FI007
Jarvenpaa, 4480, Finland
FI013
Kuopio, 70100, Finland
FI004
Kuusankoski, 45700, Finland
FI001
Mikkeli, 50100, Finland
FI015
Oulu, 90100, Finland
FI003
Tampere, 33100, Finland
FI002
Tampere, 339000, Finland
FI014
Turku, 20100, Finland
FI011
Vantaa, 1600, Finland
DE011
Bad Saarow, 15526, Germany
DE016
Berlin, 10245, Germany
DE005
Berlin, 10365, Germany
DE002
Berlin, 10629, Germany
DE017
Berlin, 12524, Germany
DE008
Berlin, 13156, Germany
DE019
Berlin, 13187, Germany
DE003
Essen, NW 45136, Germany
DE006
Hamburg, 20246, Germany
DE001
Hamburg, 22143, Germany
DE007
Leukersdorf, 09387, Germany
DE003
Mannheim, BW68159, Germany
DE014
Munich, 80336, Germany
DE010
Regensburg, BY 93053, Germany
DE018
Siegen, 57072, Germany
DE020
Wallerfing, 94574, Germany
SE011
Gothenburg, 402 76, Sweden
SE005
Kalmar, 391 85, Sweden
SE006
Linköping, 857 58, Sweden
SE001
Malmo, 211 22, Sweden
SE004
Stockholm, 118 91, Sweden
SE002
Stockholm, 141 86, Sweden
SE008
Stockholm, 17176, Sweden
SE009
Uppsala, 756 43, Sweden
Related Publications (4)
Mann K, Bladstrom A, Torup L, Gual A, van den Brink W. Extending the treatment options in alcohol dependence: a randomized controlled study of as-needed nalmefene. Biol Psychiatry. 2013 Apr 15;73(8):706-13. doi: 10.1016/j.biopsych.2012.10.020. Epub 2012 Dec 11.
PMID: 23237314RESULTAubin HJ, Reimer J, Nutt DJ, Bladstrom A, Torup L, Francois C, Chick J. Clinical relevance of as-needed treatment with nalmefene in alcohol-dependent patients. Eur Addict Res. 2015;21(3):160-168. doi: 10.1159/000371547. Epub 2015 Mar 31.
PMID: 25832297DERIVEDLaramee P, Brodtkorb TH, Rahhali N, Knight C, Barbosa C, Francois C, Toumi M, Daeppen JB, Rehm J. The cost-effectiveness and public health benefit of nalmefene added to psychosocial support for the reduction of alcohol consumption in alcohol-dependent patients with high/very high drinking risk levels: a Markov model. BMJ Open. 2014 Sep 16;4(9):e005376. doi: 10.1136/bmjopen-2014-005376.
PMID: 25227627DERIVEDvan den Brink W, Aubin HJ, Bladstrom A, Torup L, Gual A, Mann K. Efficacy of as-needed nalmefene in alcohol-dependent patients with at least a high drinking risk level: results from a subgroup analysis of two randomized controlled 6-month studies. Alcohol Alcohol. 2013 Sep-Oct;48(5):570-8. doi: 10.1093/alcalc/agt061. Epub 2013 Jul 19.
PMID: 23873853DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- H. Lundbeck A/S
- Organization
- H. Lundbeck A/S
Study Officials
- STUDY DIRECTOR
Email contact via H. Lundbeck A/S
LundbeckClinicalTrials@lundbeck.com
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 18, 2008
First Posted
December 19, 2008
Study Start
December 1, 2008
Primary Completion
October 1, 2010
Study Completion
November 1, 2010
Last Updated
July 9, 2013
Results First Posted
July 9, 2013
Record last verified: 2013-07