Evidence map›Paper›PMID 32997422›Full record

Trial reportAlcoholism, clinical and experimental research2020

Differences in Sociodemographic and Alcohol-Related Clinical Characteristics Between Treatment Seekers and Nontreatment Seekers and Their Role in Predicting Outcomes in the COMBINE Study for Alcohol Use Disorder.

Carolina L Haass-Koffler, Daria Piacentino, Xiaobai Li, Victoria M Long, Mary R Lee, Robert M Swift, George A Kenna, Lorenzo Leggio

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Alcoholism, clinical and experimental research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.5field-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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

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  16. Early life stress is associated with greater negative emotionality and peripheral inflammation in alcohol use disorder.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
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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

8 authors at 5 institutions in 1 country.

Carolina L Haass-KofflerFrom the Department of Psychiatry and Human Behavior (CLH-K, RMS, GAK), Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island.ORCID 0000-0002-5634-5679
Daria PiacentinoClinical Psychoneuroendocrinology and Neuropsychopharmacology Section (CLH-K, DP, MRL, LL), National Institute on Drug Abuse Intramural Research Program, National Institute on Alcohol Abuse and Alcoholism Division of Intramural Clinical and Biological Research, National Institutes of Health, Baltimore and Bethesda, Maryland.
Xiaobai LiBiostatistics and Clinical Epidemiology Services (XL), National Institutes of Health, Bethesda, Maryland.
Victoria M LongDepartment of Behavioral and Social Sciences (CLH-K, VML, LL), Center for Alcohol and Addiction Studies, School of Public Health, Brown University, Providence, Rhode Island.
Mary R LeeClinical Psychoneuroendocrinology and Neuropsychopharmacology Section (CLH-K, DP, MRL, LL), National Institute on Drug Abuse Intramural Research Program, National Institute on Alcohol Abuse and Alcoholism Division of Intramural Clinical and Biological Research, National Institutes of Health, Baltimore and Bethesda, Maryland.
Robert M SwiftFrom the Department of Psychiatry and Human Behavior (CLH-K, RMS, GAK), Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island.
George A KennaFrom the Department of Psychiatry and Human Behavior (CLH-K, RMS, GAK), Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island.
Lorenzo LeggioDepartment of Behavioral and Social Sciences (CLH-K, VML, LL), Center for Alcohol and Addiction Studies, School of Public Health, Brown University, Providence, Rhode Island.ORCID 0000-0001-7284-8754
Brown University · USNational Institute on Drug Abuse · USNational Institutes of Health · USOffice of Research Services · USProvidence College · US

Funding

Viral Vector CoreP60AA006420 · NIAAA · SCRIPPS RESEARCH INSTITUTE, THE · PI AMANDA J ROBERTS · 2003 to 2026
$46.3M
Clinical Psychoneuroendocrinology and Neuropsychopharmacology (CPN)ZIAAA000218 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI LEGGIO, LORENZO · 2013 to 2020
$22.8M
Using wearables and EMA to examine the links between cannabis and depressionP20GM130414 · NIGMS · BROWN UNIVERSITY · PI Tyler Blake Wray · 2019 to 2026
$22.0M
ALCOHOL INTERVENTION/TREATMENT OUTCOME RESEARCH TRAININGT32AA007459 · NIAAA · BROWN UNIVERSITY · PI ROBERT MIRANDA, PETER M. MONTI · 1986 to 2026
$13.3M
COMBINED BEHAVIORAL/PHARMA TREATMENT OF ALCOHOLISMU10AA011721 · NIAAA · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI COUPER, DAVID · 1997 to 2004
$4.8M
A focus on alpha-1 blockade as a novel pharmacological treatment for alcohol use disorderR01AA027760 · NIAAA · BROWN UNIVERSITY · PI HAASS-KOFFLER, CAROLINA LUISA · 2019 to 2023
$2.6M
Aripiprazole and Topiramate on Free-Choice Alcohol UseR01AA015753 · NIAAA · BROWN UNIVERSITY · PI SWIFT, ROBERT M · 2007 to 2011
$2.5M
Lead optimization of novel CRFBP-CRFR2 complex modulators for alcohol use disorderR01AA026589 · NIAAA · SANFORD BURNHAM PREBYS MEDICAL DISCOVERY INSTITUTE · PI SHEFFLER, DOUGLAS J · 2019 to 2021
$2.4M
BOSTON UNIVERSITY CRU FOR ALCOHOLISM TREATMENTU10AA011715 · NIAAA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI CIRAULO, DOMENIC ANTHONY · 1997 to 2004
$2.2M
MEDICATION/PSYCHOTHERAPY TAILORED TO PATIENT RESOURCESU10AA011777 · NIAAA · BROWN UNIVERSITY · PI SWIFT, ROBERT M. · 1997 to 2004
$2.2M
BEHAVIORAL SUPPORT WITH PHARMACOTHERAPY FOR ALCOHOLICSU10AA011768 · NIAAA · UNIVERSITY OF PENNSYLVANIA · PI PETTINATI, HELEN M · 1997 to 2004
$2.1M
BEHAVIORAL AND PHARMACOLOGIC TREATMENT OF ALCOHOLISMU10AA011756 · NIAAA · MC LEAN HOSPITAL (BELMONT, MA) · PI WEISS, ROGER D. · 1997 to 2004
$2.1M
Intramural NIH HHS ZIA AA000218NIAAA NIH HHS K01 AA023867NIAAA NIH HHS P60 AA006420NIAAA NIH HHS R01 AA015753NIAAA NIH HHS R01 AA016079NIAAA NIH HHS R01 AA026589NIAAA NIH HHS R01 AA027760NIAAA NIH HHS R21 AA019709NIAAA NIH HHS R21 AA027614NIAAA NIH HHS T32 AA007459NIAAA NIH HHS U10 AA011715NIAAA NIH HHS U10 AA011716NIAAA NIH HHS U10 AA011721NIAAA NIH HHS U10 AA011727NIAAA NIH HHS U10 AA011756NIAAA NIH HHS U10 AA011768NIAAA NIH HHS U10 AA011773NIAAA NIH HHS U10 AA011776NIAAA NIH HHS U10 AA011777NIAAA NIH HHS U10 AA011783NIAAA NIH HHS U10 AA011787NIAAA NIH HHS U10 AA011799NIGMS NIH HHS P20 GM130414
6 · The paper itself

Abstract

backgroundOne of the challenges in early-stage clinical research aimed at developing novel treatments for alcohol use disorder (AUD) is that the enrolled participants are heavy drinkers, but do not seek treatment for AUD.

aimsTo compare nontreatment seekers with alcohol dependence (AD) from 4 human laboratory studies conducted at Brown University (N = 240; 65.4% male) to treatment seekers with AD from the multisite COMBINE study (N = 1,383; 69.1% male) across sociodemographic and alcohol-related clinical variables and to evaluate whether the variables that significantly differentiate the 2 samples predict the 3 main COMBINE clinical outcomes: time to relapse, percent days abstinent (PDA), and good clinical outcome.

methodsSample characteristics were assessed by parametric and nonparametric testing. Three regression models measured the association between the differing variables and the 3 main COMBINE clinical outcomes.

resultsThe nontreatment seekers, compared to the treatment seekers, were more ethnically diverse, less educated, single, and working part-time or unemployed (p's < 0.05); they met fewer DSM-IV AD criteria and had significantly lower scores on alcohol-related scales (p's < 0.05); they were less likely to have a father with alcohol problems (p < 0.0001) and had a significantly earlier age of onset and longer duration of AD (p's < 0.05); they also had significantly more total drinks, drinks per drinking day, heavy drinking days (HDD), and lower PDA in the 30 days prior to baseline (p's < 0.0001 to <0.05). Having more HDD in the 30 days prior to baseline predicted all of the 3 COMBINE clinical outcomes. All the other characteristics mentioned above that differed significantly between the 2 groups predicted at least 1 of the 3 COMBINE clinical outcomes, except for level of education, age of onset, and duration of AD.

conclusionsThe observed differences between groups should be considered in efforts across participant recruitment at different stages of the development of new treatments for AUD.

Indexed as

AcamprosateAdultAge of OnsetAlcohol DeterrentsAlcoholismCase-Control StudiesDrug Therapy, CombinationFemaleHumansMaleNaltrexonePatient Acceptance of Health CareSocioeconomic FactorsTreatment OutcomeAcamprosateAlcohol DeterrentsNaltrexoneAlcohol DependenceAlcohol Use DisorderCOMBINEMedication DevelopmentNontreatment SeekersRandomized Controlled TrialTreatment Seekers

Identifiers

PMID32997422
PMCPMC7722230
OpenAlexW3091615138

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Registered trials

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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.