Evidence map›Paper›PMID 27087145›Full record

Trial reportAlcoholism, clinical and experimental research2016

A Pilot Study of the Safety and Initial Efficacy of Ivermectin for the Treatment of Alcohol Use Disorder.

Daniel J O Roche, Megan M Yardley, Katy F Lunny, Stan G Louie, Daryl L Davies, Karen Miotto, Lara A Ray

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Alcoholism, clinical and experimental research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
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  3. Review
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  8. Review
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  12. Review
  13. Medications for alcohol use disorders: An overview.Pharmacology & therapeutics · 2018
    Review
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Daniel J O RocheDepartment of Psychology, University of California, Los Angeles, California.
Megan M YardleyDepartment of Psychology, University of California, Los Angeles, California.
Katy F LunnyDepartment of Psychology, University of California, Los Angeles, California.
Stan G LouieTitus Family Department of Clinical Pharmacy, University of Southern California, Los Angeles, California.
Daryl L DaviesTitus Family Department of Clinical Pharmacy, University of Southern California, Los Angeles, California.
Karen MiottoDepartment of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, California.
Lara A RayDepartment of Psychology, University of California, Los Angeles, California.
University of California, Los Angeles · USUniversity of Southern California · US

Funding

UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
Southern California Clinical and Translational Science InstituteUL1TR000130 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BUCHANAN, THOMAS A · 2012 to 2015
$36.0M
Regulation of Alcohol Intake by Purinergic P2X4 ReceptorsR01AA022448 · NIAAA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI DAVIES, DARYL L · 2013 to 2020
$2.9M
Clinical assessment of ivermectin as a therapeutic agent to reduce alcohol intakeF32AA023449 · NIAAA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI YARDLEY, MEGAN MARIE · 2014 to 2015
$93k
NCATS NIH HHS UL1 TR000124NCATS NIH HHS UL1 TR000130NIAAA NIH HHS F32 AA023449NIAAA NIH HHS R01 AA022448
6 · The paper itself

Abstract

backgroundIvermectin (IVM) is an antiparasitic agent that has been shown to reduce alcohol intake in mice, suggesting IVM as a potential treatment for alcohol use disorder (AUD). However, the safety profile of IVM administered in combination with an intoxicating dose of alcohol has not been characterized in humans.

methodsThis pilot project sought to provide the first clinical evidence that IVM could be repositioned as an AUD pharmacotherapy by examining (i) the safety of combining IVM (30 mg oral , once a day [QD]) with an intoxicating dose of intravenous alcohol (0.08 g/dl) and (ii) the effects of IVM on alcohol cue-induced craving and subjective response to alcohol. Eleven individuals with AUD participated in a randomized, placebo-controlled, crossover study in which they received the study medication, participated in a cue exposure paradigm followed by intravenous alcohol administration, and remained in an inpatient unit overnight for observation.

resultsIVM treatment, versus placebo, did not increase the number or severity of adverse effects during alcohol administration or throughout the visit. However, IVM did not reduce cue-induced craving nor did it significantly affect subjective response to alcohol.

conclusionsThese results suggest that IVM (30 mg oral, QD) is safe in combination with an intoxicating dose of alcohol, but do not provide evidence that this dose of IVM is effective in reducing alcohol craving or its reinforcing effects. Given the preclinical data suggesting IVM is effective in reducing alcohol consumption in mice, additional studies testing larger samples and alternate dosing regimens are warranted to further characterize the potential efficacy of IVM as an AUD treatment.

Indexed as

Administration, IntravenousAdultAlcohol-Related DisordersAntiparasitic AgentsCravingCross-Over StudiesEthanolFemaleHumansIvermectinMaleMiddle AgedPilot ProjectsReinforcement, PsychologyYoung AdultAntiparasitic AgentsEthanolIvermectinAlcohol Use DisorderMedication DevelopmentPharmacokinetcsPharmacotherapyPilot Laboratory StudySafety

Identifiers

PMID27087145
PMCPMC4942320
OpenAlexW2339754283

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.