Summary

Eligibility
for people ages 18-70 (full criteria)
Healthy Volunteers
healthy people welcome
Location
at UCSF
Dates
study started
estimated completion
Principal Investigator
by Glenn-Milo Santos, PhD, MPH (ucsf)
Photo of Glenn-Milo Santos
Glenn-Milo Santos

Description

Summary

Drinking multiple alcoholic drinks on a single occasion (binge drinking), has many negative health risks but interventions to address this behavior remain limited. This double-blind, placebo-controlled randomized clinical trial will test whether kudzu, an herbal supplement, can reduce heavy alcohol use and alcohol-associated sexual behaviors among sexually-active, binge-drinking individuals at high risk for HIV infection.

Official Title

A-HACK Project: Addressing Heavy Alcohol Use Consumption With Kudzu

Details

This study, entitled "The Harness Study" is a double-blind, placebo-controlled, two-arm trial in which 120 binge drinkers with AUD will be randomly assigned to receive 12 weeks of kudzu or placebo, to be taken on an as-needed basis (see Figure 2) with 1- and 3-month post-treatment follow-up visits. This efficacy study will enroll sexually active, binge drinkers with AUD because they are the most likely population to benefit from this intervention by limiting harms associated with heavy alcohol use and decreasing alcohol-related sexual risk behaviors. A study clinician will perform the Structured Clinical Interview for the DSM-V (SCID) to screen for AUD and determine eligibility. Upon enrollment, 120 participants will be randomized 1:1 to kudzu extract (2 grams) or placebo for targeted administration. Participants will be seen weekly for behavioral surveys, urinalyses, study drug dispensing, and alcohol use counseling. Safety laboratory assessment, vital signs, and the audio computer assisted survey instrument (ACASI) will be completed monthly. Efficacy, tolerability, and acceptability (Specific Aims 1-4) will be assessed upon trial completion as measured by number of binge drinking occasions and numbers of drinks on drinking days via timeline follow-back at weekly visits; number of EtG-positive urine samples; sexual risk behavior data through monthly surveys via ACASI; frequency of adverse events; and cumulative medication adherence data at week 12. Durability of intervention effects will be evaluated at 1- and 3-month post-treatment visits.

Keywords

Alcohol Use Disorder Sexually Transmitted Diseases Alcoholism Alcohol Drinking Standardized kudzu Kudzu

Eligibility

You can join if…

Open to people ages 18-70

  1. Self-reported anal or vaginal sex in the prior three months while under the influence of alcohol
  2. at least one binge-drinking (five or more drinks on a single occasion for men; four or more drinks for women) session per week in the prior three months
  3. having an AUD by DSM-5 SCID criteria (includes hazardous and harmful use)
  4. interested in reducing binge alcohol consumption
  5. HIV negative by rapid antibody test or HIV positive with a medical record documentation of HIV infection*
  6. no current acute illnesses requiring prolonged medical care
  7. no chronic illnesses that are likely to progress clinically during trial participation
  8. able and willing to provide informed consent and adhere to visit schedule
  9. age 18-70 years
  10. . baseline CBC, total protein, albumin, glucose, alkaline phosphatase, creatinine, BUN, and electrolytes without clinically significant abnormalities as determined by study clinician in conjunction with symptoms, physical exam, and medical history.

(*Note: Participants newly diagnosed with HIV at screening are eligible for the study but research team will postpone their enrollment for at least one month after their diagnosis.)

You CAN'T join if...

  1. Any psychiatric (e.g., depression with suicidal ideation) or medical condition that would preclude safe participation in the study
  2. known allergy/previous adverse reaction to kudzu
  3. current CD4 count < 200 cells/mm3
  4. moderate/severe liver disease (AST, ALT > 5 times upper limit of normal)
  5. impaired renal function (creatinine clearance < 50 ml/min)
  6. currently participating in another intervention research study with potential overlap
  7. current moderate to severe substance-use disorder (exclusive of nicotine) as determined by DSM-V SCID criteria
  8. any condition that, in the principal investigator and/or study clinician's judgment interferes with safe study participation or adherence to study procedures
  9. not having a cell phone that can send and receive text messages.

Location

  • San Francisco Department of Public Health accepting new patients
    San Francisco California 94102 United States

Lead Scientist at UC Health

  • Glenn-Milo Santos, PhD, MPH (ucsf)
    My research foci involve the development of pharmacologic and behavioral interventions to reduce substance use and HIV-related sexual risk behaviors among key populations at risk for HIV, including men who have sex with men, transgender individuals, and people who use drugs.

Details

Status
accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
Glenn-Milo Santos
ID
NCT03709043
Phase
Phase 2
Study Type
Interventional
Last Updated