Evidence map›Paper›PMID 35410938›Full record

ArticleBMJ open2022

ON-ICE trial: Investigation of the combined effects of oxytocin and naltrexone on stress-induced and alcohol cue-induced craving in alcohol use disorder-Study protocol of a phase II randomised double-blind placebo-controlled parallel-group trial.

Sina Zimmermann, Bettina C Thomas, Johannes Krisam, Ronald Limprecht, Christina Klose, Manuel Stenger, Madeleine Pourbaix, Marcel Ries, Sabine Vollstaedt-Klein, Anne Koopmann and 3 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05093296 (Oxytocin and Naltrexone), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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.

NCT05093296 phase2 / phase3completednot on this map

Oxytocin and Naltrexone: Investigation of Combined Effects on Stress- and Alcohol Cue-induced Craving in Alcohol Use Disorder - a Randomized Double-blind Placebo-controlled Parallel-group Trial

TypeinterventionalSponsorCentral Institute of Mental Health, MannheimRan2021 to 2023Enrolled62ConditionsAlcohol Use Disorder, Alcoholism, Alcohol AddictionArmsOxytocin nasal spray, Naltrexone Pill, Placebo
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. 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

13 authors at 3 institutions in 3 countries.

Sina ZimmermannMedical Faculty Mannheim, Heidelberg University, Heidelberg, Germany sina.zimmermann@zi-mannheim.de.ORCID 0000-0002-9122-5197
Bettina C ThomasCoordination Centre for Clinical Trials (KKS), Medical Faculty, University Hospital Heidelberg, Heidelberg, Germany.
Johannes KrisamInstitute of Medical Biometry (IMBI), University of Heidelberg, Heidelberg, Germany.
Ronald LimprechtInstitute of Medical Biometry (IMBI), University of Heidelberg, Heidelberg, Germany.
Christina KloseInstitute of Medical Biometry (IMBI), University of Heidelberg, Heidelberg, Germany.
Manuel StengerDepartment of Addictive Behavior and Addiction Medicine, Central Institute of Mental Health, Mannheim, Germany.
Madeleine PourbaixDepartment of Addictive Behavior and Addiction Medicine, Central Institute of Mental Health, Mannheim, Germany.
Marcel RiesDepartment of Addictive Behavior and Addiction Medicine, Central Institute of Mental Health, Mannheim, Germany.
Sabine Vollstaedt-KleinDepartment of Addictive Behavior and Addiction Medicine, Central Institute of Mental Health, Mannheim, Germany.
Anne KoopmannDepartment of Addictive Behavior and Addiction Medicine, Central Institute of Mental Health, Mannheim, Germany.
Bernd LenzDepartment of Addictive Behavior and Addiction Medicine, Central Institute of Mental Health, Mannheim, Germany.
Falk KieferDepartment of Addictive Behavior and Addiction Medicine, Central Institute of Mental Health, Mannheim, Germany.
Patrick BachDepartment of Addictive Behavior and Addiction Medicine, Central Institute of Mental Health, Mannheim, Germany.
Central Institute of Mental Health · DEZimmer Biomet (Netherlands) · NLHeidelberg University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough alcohol dependence (AD) is highly prevalent, only few medications are approved for its treatment. While currently approved medications, such as naltrexone (NTX), reduce craving and relapse risk to a certain extent, new approaches are needed to complement these pharmaca. One potential compound is oxytocin (OXY), which proved beneficial effects on alcohol craving and stress reactivity in preliminary clinical studies and synergism with NTX effects. METHODS AND ANALYSIS: This clinical phase II trial is a monocentre two-armed, placebo (PLC)-controlled, 1:1 randomised, double-blind, parallel-group study. 62 participants with AD will be randomised to receive either intranasal OXY spray (24 IU) or PLC spray plus oral NTX (50 mg) for 2 days, and alcohol craving will be assessed using a validated combined stress-exposure and cue-exposure experiments and MRI. The primary outcome will be the intensity of alcohol craving, assessed using the Alcohol Urge Questionnaire (AUQ), 60 min after OXY/PLC application, directly after the stress and cue exposures. Secondary outcomes include subjective stress, negative affect, cortisol and OXY plasma levels, and neural response to alcohol and emotional cues and natural rewards. Follow-up drinking data were collected over 90 days. The primary efficacy analysis will test the difference between the verum and the PLC group in the distribution of AUQ craving scores. Appropriate statistical analysis will be used for the evaluation of the secondary outcomes. ETHICS AND DISSEMINATION: This trial has been approved by the ethics committee of Heidelberg University and competent authority. All participants in the trial will provide written informed consent. The study will be conducted according to the principles of the Declaration of Helsinki and in accordance to the German Medicinal Products act. Results of this study will be disseminated in peer-reviewed scientific journals and deidentified data, and the statistical analysis plan will be made available via open-access online repositories. TRIAL REGISTRATION NUMBERS: EudraCT 2021-003610-40 and NCT05093296.

Indexed as

AlcoholismNaltrexoneClinical Trials, Phase II as TopicCravingCuesHumansNeoplasm Recurrence, LocalOxytocinRandomized Controlled Trials as TopicNaltrexoneOxytocinClinical trialsMENTAL HEALTHPharmacologyRADIOLOGY & IMAGINGSubstance misuse

Identifiers

PMID35410938
PMCPMC9003596
OpenAlexW4223450566

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.