NCT02563574

Brief Summary

This study is being done to learn about the interaction of alcohol consumption and HIV on brain function. The proposed study will have two broad objectives. The first is to incorporate functional neuroimaging (FMRI) approaches, along with additional Magnetic Resonance Spectroscopy (MRS) methods that will enable a delineation in both functional and cerebral metabolic disturbances affecting specific functional brain systems that are associated with the interaction of ethanol (ETOH) consumption on Human Immunodeficiency Virus (HIV)-associated brain dysfunction. Recent data indicate that HIV infected patients with heavy ETOH consumption have FMRI abnormalities and exhibit alterations on other neuroimaging measures compared to moderate drinkers and people who do not drink at all. The second objective is to examine the extent to which reductions in ETOH consumption among heavy drinkers with HIV infection result from a motivational intervention. The findings from this study will provide important information on how heavy ETOH and HIV interact to affect the brain functional responsiveness, and the extent of improvement that might be gained by reducing heavy ETOH use.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
14

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Dec 2016

Longer than P75 for not_applicable

Geographic Reach
1 country

2 active sites

Status
completed

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

First Submitted

Initial submission to the registry

September 28, 2015

Completed
2 days until next milestone

First Posted

Study publicly available on registry

September 30, 2015

Completed
1.2 years until next milestone

Study Start

First participant enrolled

December 1, 2016

Completed
5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 16, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 16, 2021

Completed
Last Updated

April 4, 2022

Status Verified

March 1, 2022

Enrollment Period

5 years

First QC Date

September 28, 2015

Last Update Submit

March 23, 2022

Conditions

Keywords

Alcohol and brain functionHIV and brain functionMotivational Interviewing

Outcome Measures

Primary Outcomes (1)

  • FMRI images will be performed for changes in the brain between the groups

    Cerebral metabolite abnormalities

    Baseline and 6 month follow-up

Secondary Outcomes (28)

  • Structured Clinical Interview for Diagnostic and Statistical Manual (DSM)-IV (SCID)

    Baseline

  • Lifetime Alcohol and Drug Use History

    Baseline

  • Kreek-McHugh-Schluger-Kellogg (KMSK) Scale

    Baseline, 3-month, 6-month, and 12-month follow-ups.

  • Timeline Followback (TLFB)

    Baseline, 3-month, 6-month, and 12-month follow-ups.

  • Urine Drug Screen

    Baseline, 3-month, 6-month, and 12-month follow-ups.

  • +23 more secondary outcomes

Study Arms (2)

Motivational Interviewing Group

EXPERIMENTAL

This group of participants will receive the motivational interviewing. In addition to blood specimen collection, a questionnaire assessment and neurocognitive assessments will also be performed.

Behavioral: Motivational InterviewingOther: Questionnaire assessmentOther: Neurocognitive assessmentsOther: Blood specimens

Control Group

ACTIVE COMPARATOR

This group of participants will not receive motivational interviewing. They will have blood specimen collection, questionnaire assessment, and neurocognitive assessments performed.

Other: Questionnaire assessmentOther: Neurocognitive assessmentsOther: Blood specimens

Interventions

A type of counseling aimed at reducing consumption of alcohol.

Motivational Interviewing Group

Several different types of questionnaires will be fill out by the participants.

Control GroupMotivational Interviewing Group

Several different types of neurocognitive assessment will be performed.

Control GroupMotivational Interviewing Group

Blood specimens will be used to measure the immunological, virologic, and hepatic status, as well as other biomarkers.

Control GroupMotivational Interviewing Group

Eligibility Criteria

Age25 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • HIV-infected;
  • English speaking;
  • Physically mobile;
  • Willingness to participate in the Motivational Interviewing (MI) to reduce ETOH consumption.

You may not qualify if:

  • Neurological disorders;
  • Evidence of dementia;
  • Past opportunistic brain infection;
  • Major psychiatric illness;
  • Current major psychiatric disturbance;
  • Unstable medical conditions (cancer);
  • MRI contraindications (e.g., pregnancy, claustrophobia, metal implants);
  • Physical impairment precluding motor response or lying still.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

University of Florida

Gainesville, Florida, 32610, United States

Location

Florida International University

Miami, Florida, 33199, United States

Location

Related Publications (1)

  • Scott K, Guy AA, Zelaya DG, Surace A, Elwy AR, Keuroghlian AS, Mayer KH, Monti PM, Kahler CW. Research and engagement considerations for alcohol use telehealth services within HIV care: a qualitative exploration in federally qualified health centers. AIDS Care. 2023 Nov;35(11):1786-1795. doi: 10.1080/09540121.2023.2197640. Epub 2023 Apr 11.

MeSH Terms

Conditions

Alcohol Drinking

Interventions

Motivational Interviewing

Condition Hierarchy (Ancestors)

Drinking BehaviorBehavior

Intervention Hierarchy (Ancestors)

Directive CounselingCounselingMental Health ServicesBehavioral Disciplines and ActivitiesHealth ServicesHealth Care Facilities Workforce and Services

Study Officials

  • Ron Cohen, Ph.D

    University of Florida

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 28, 2015

First Posted

September 30, 2015

Study Start

December 1, 2016

Primary Completion

December 16, 2021

Study Completion

December 16, 2021

Last Updated

April 4, 2022

Record last verified: 2022-03

Data Sharing

IPD Sharing
Will not share

Locations