Evidence map›Paper›PMID 40719411›Full record

Trial reportPsychiatry and clinical neurosciences2025

Efficacy and safety of a digital therapeutic for alcohol dependence: A multicenter, open-label, randomized controlled trial.

Ryuhei So, Kazuhiro Nouso, Sachio Matsushita, Hitoshi Yoshiji, Takefumi Yuzuriha, Eisuke Hida, Hiroki Nishimura, Yusuke Takagi, Yoshinori Horie

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Psychiatry and clinical neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

9 authors.

Ryuhei SoCureApp, Inc., Tokyo, Japan.ORCID https://orcid.org/0000-0002-9838-350X
Kazuhiro NousoDepartment of Gastroenterology, Okayama City Hospital, Okayama, Japan.ORCID https://orcid.org/0000-0002-2018-0008
Sachio MatsushitaNational Hospital Organization Kurihama Medical and Addiction Center, Yokosuka, Japan.ORCID https://orcid.org/0000-0002-2439-7984
Hitoshi YoshijiDepartment of Gastroenterology, Nara Medical University, Nara, Japan.ORCID https://orcid.org/0000-0002-5243-8544
Takefumi YuzurihaNational Hospital Organization Hizen Psychiatric Medical Center, Saga, Japan.ORCID https://orcid.org/0000-0002-8994-4010
Eisuke HidaDepartment of Biostatistics and Data Science, The University of Osaka Graduate School of Medicine, Osaka, Japan.ORCID https://orcid.org/0000-0001-9381-2013
Hiroki NishimuraCureApp, Inc., Tokyo, Japan.ORCID https://orcid.org/0009-0004-3547-1782
Yusuke TakagiCureApp, Inc., Tokyo, Japan.ORCID https://orcid.org/0000-0002-0305-1597
Yoshinori HorieKeiai Clinic, Tokyo, Japan.ORCID https://orcid.org/0000-0002-9633-6785

Funding

Japan Agency for Medical Research and Development 23he0122018j0003
6 · The paper itself

Abstract

aimDigital therapeutics (DTx) is an emerging treatment modality for enhancing psychosocial interventions via software programs, such as smartphone applications (apps). We developed a DTx named ALM-003 to support treatment for people with alcohol dependence who are pursuing reduced drinking goals. ALM-003 was designed to promote behavioral change through daily self-monitoring with personalized feedback, interactive psychoeducational modules, and automated treatment support tools for both patients and physicians. In this multicenter, open-label, randomized controlled trial (RCT), we aimed to evaluate the efficacy and safety of ALM-003 in various clinical settings.

methodsIn this RCT, participants with alcohol dependence without serious physical, mental, or social problems due to excessive drinking, and exhibiting high or very high drinking risk levels were randomized into an intervention group (psychosocial intervention enhanced by ALM-003) or a control group (psychosocial intervention with a basic drinking diary app) for 24 weeks. The primary outcome was the change in the number of heavy drinking days (HDDs) over 28 days (Week 0 to Week 12).

resultsData analysis of the primary outcome for 136 intervention and 142 control participants was performed. Baseline HDDs were 23.2 and 23.1 days/28 days in the intervention and control groups, respectively. [Correction added on 3 September 2025, after first online publication: The values of the baseline HDDs in the preceding sentence have been corrected from '19.4 and 19.1 days' to '23.2 and 23.1 days'.] At Week 12, the intervention and control groups showed a reduction in HDDs of -12.2 and -9.5 days from baseline, with a between-group difference of -2.79 days/28 days (95% confidence interval: -4.67 to -0.90; P = 0.004). Adverse events occurred in 32.9% of participants in the intervention group and 33.6% in the control group. No adverse events were attributed to app use.

conclusionALM-003 demonstrated efficacy in reducing heavy drinking days among people with alcohol dependence at a high or very high drinking risk. CLINICAL

trial registrationThe trial design was prospectively registered with the Japan Registry of Clinical Trials (jRCT) (https://jrct.niph.go.jp/). The trial identifier is jRCT2032220560.

Indexed as

AlcoholismMobile ApplicationsOutcome Assessment, Health CareAdultFemaleHumansMaleMiddle Agedalcohol dependencealcohol use disorderdigital therapeuticsheavy drinkingmobile applications

Identifiers

PMID40719411
PMCPMC12498122

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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.