Evidence map›Paper›PMID 29395188›Full record

Trial reportAddictive behaviors2018

Real-time assessment of alcohol craving and naltrexone treatment responsiveness in a randomized clinical trial.

Robert Miranda, Hayley Treloar Padovano, Joshua C Gray, Stephanie E Wemm, Alexander Blanchard

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Addictive behaviors, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. The effect of SMS behavior change techniques on event-level desire to get drunk in young adults.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2020
    Article
  11. Assessment of Alcohol Use in the Natural Environment.Alcoholism, clinical and experimental research · 2019
    Review
  12. 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

5 authors at 1 institution in 1 country.

Robert MirandaCenter for Alcohol and Addiction Studies, Brown University, Providence, RI 02912, USA. Electronic address: Robert_Miranda_Jr@brown.edu.
Hayley Treloar PadovanoCenter for Alcohol and Addiction Studies, Brown University, Providence, RI 02912, USA.
Joshua C GrayCenter for Alcohol and Addiction Studies, Brown University, Providence, RI 02912, USA.
Stephanie E WemmCenter for Alcohol and Addiction Studies, Brown University, Providence, RI 02912, USA.
Alexander BlanchardCenter for Alcohol and Addiction Studies, Brown University, Providence, RI 02912, USA.
Brown University · US

Funding

NALTREXONE, CRAVING AND DRINKING: ECOLOGICAL ASSESSMENTR01AA007850 · NIAAA · BROWN UNIVERSITY · PI MIRANDA, ROBERT · 1988 to 2015
$8.4M
Mentored Patient-Oriented Research on Adolescent Alcohol Misuse and TreatmentK24AA026326 · NIAAA · BROWN UNIVERSITY · PI ROBERT MIRANDA · 2018 to 2026
$1.7M
Novel Approaches to Understanding How Alcohol Pathology Develops in AdolescentsK23AA024808 · NIAAA · BROWN UNIVERSITY · PI TRELOAR PADOVANO, HAYLEY · 2017 to 2021
$973k
NIAAA NIH HHS K23 AA024808NIAAA NIH HHS K24 AA026326NIAAA NIH HHS R01 AA007850
6 · The paper itself

Abstract

introductionThis secondary data analysis examined whether and how the dopamine receptor D

methodsParticipants (M

resultsModerated-mediation multilevel structural equation models showed that craving during non-drinking moments mediated the treatment effect of naltrexone on heavy drinking but only among carriers of the DRD4-L allele. The same pattern of associations was not shown when evaluating craving while participants were consuming alcoholic beverages.

conclusionsFindings provide the first in vivo evidence that, among carriers of the DRD4-L allele, naltrexone blunts craving in real-world settings, and this effect in turn reduces the likelihood of heavy drinking. This work highlights the utility of EMA methods for elucidating how treatments work and further demonstrates the importance of genetic factors for understanding individual differences in pharmacotherapy responsiveness.

Indexed as

AdultAlcoholismCravingCuesDouble-Blind MethodEcological Momentary AssessmentFemaleHumansMaleMonitoring, AmbulatoryNaltrexoneNarcotic AntagonistsReceptors, Dopamine D4Treatment OutcomeDRD4 protein, humanNaltrexoneNarcotic AntagonistsReceptors, Dopamine D4AlcoholCravingEcological momentary assessmentGeneticNaltrexone

Identifiers

PMID29395188
PMCPMC5964002
OpenAlexW2782781833

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.