UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000044990
Receipt number R000051401
Scientific Title Exploratory Study on Modifiers of the Effect of Nalmefene in Reducing Alcohol Consumption in Patients with Alcoholism on the Basis of Genetic Factors
Date of disclosure of the study information 2021/08/01
Last modified on 2025/11/19 16:44:04

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Basic information

Public title

Exploratory Study on Modifiers of the Effect of Nalmefene in Reducing Alcohol Consumption in Patients with Alcoholism on the Basis of Genetic Factors

Acronym

Exploratory Study on Modifiers of the Effect of Nalmefene in Reducing Alcohol Consumption on the Basis of Genetic Factors

Scientific Title

Exploratory Study on Modifiers of the Effect of Nalmefene in Reducing Alcohol Consumption in Patients with Alcoholism on the Basis of Genetic Factors

Scientific Title:Acronym

Exploratory Study on Modifiers of the Effect of Nalmefene in Reducing Alcohol Consumption on the Basis of Genetic Factors

Region

Japan


Condition

Condition

alcoholism

Classification by specialty

Psychiatry

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

To identify the loci of the genes encoding the effect modifiers for nalmefene by using genetic polymorphisms.

Basic objectives2

Others

Basic objectives -Others

To identify the loci of the genes encoding the effect modifiers for nalmefene by using genetic polymorphisms.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Information on genetic polymorphisms

Key secondary outcomes



Base

Study type

Others,meta-analysis etc


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Subjects who participated in the phase 3 study of the following clinical study and provide consent to the retention of their DNA: A multicenter, randomized, double-blind, placebo-controlled,3-parallel-group study(339-14-001) to verify the effect of nalmefene in reducing alcohol consumption in patients with alcoholism.
Subjects who has a drug efficacy data on 12-week time point.

Key exclusion criteria

None

Target sample size

540


Research contact person

Name of lead principal investigator

1st name Manabu
Middle name
Last name Takagi

Organization

Okayama University Hospital

Division name

Department of Neuropsychiatry

Zip code

700-8558

Address

2-5-1 Shikata-cho, Kitaku, Okayama, Japan

TEL

086-235-7242

Email

manabuta@cc.okayama-u.ac.jp


Public contact

Name of contact person

1st name Izuru
Middle name
Last name Nakamura

Organization

Otsuka Pharmaceutical Co., Ltd

Division name

Medical Affairs

Zip code

108-8242

Address

Shinagawa Grand Central Tower 2-16-4 Konan, Minato-ku, Tokyo

TEL

03-6717-1400

Homepage URL


Email

Nakamura.Izuru@otsuka.jp


Sponsor or person

Institute

Okayama University Hospital

Institute

Department

Personal name



Funding Source

Organization

self funding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

Otsuka Pharmaceutical Co., Ltd

Name of secondary funder(s)



IRB Contact (For public release)

Organization

The research ethics committee of Otsuka Pharmaceutical Co., Ltd

Address

463-10 Kagasuno,Kawauchi-cho,Tokushima-city,Tokushima

Tel

088-665-2126

Email

Suzuki.Takashi@otsuka.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2021 Year 08 Month 01 Day


Related information

URL releasing protocol

https://onlinelibrary.wiley.com/doi/10.1111/add.70160?af=R

Publication of results

Published


Result

URL related to results and publications

https://onlinelibrary.wiley.com/doi/10.1111/add.70160?af=R

Number of participants that the trial has enrolled

539

Results

In the analysis of interactions between genetic polymorphisms and treatment groups, no significant association between treatment status and SNPs was identified for efficacy endpoints. However, SNPs suggesting an association with efficacy endpoints were identified.
Furthermore, additional analyses revealed that carriers of the A allele of ADH1B rs1229984, a genetic polymorphism widely observed in Asians including Japanese individuals, showed the strongest response to nalmefene.

Results date posted

2025 Year 11 Month 19 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

A subset of 531 individuals (mean age 49.2 years, standard deviation 11.5; 69.9% male), including 196 in the placebo group and 335 in the nalmefene group, who agreed to DNA preservation and had available DNA data between February 2015 and July 2016.

Participant flow

Secondary analysis of a Japanese randomized clinical trial, in which participants were randomly assigned (4:3:4) to placebo, 10 mg nalmefene or 20 mg nalmefene groups for 24 weeks, accompanied by a brief psychosocial intervention.

Adverse events

N/A

Outcome measures

Genotyping was performed to determine ADH1B rs1229984 polymorphism (AA, AG, GG) and ALDH2 rs671 polymorphism (GG, GA, AA) in participants. Primary endpoint was change from baseline in monthly heavy drinking days (HDD, days/month) over the 24 treatment weeks. The key secondary endpoint was change from baseline in daily total alcohol consumption (TAC, g/day) over the 24 treatment weeks.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2020 Year 08 Month 06 Day

Date of IRB

2020 Year 10 Month 27 Day

Anticipated trial start date

2021 Year 06 Month 23 Day

Last follow-up date

2023 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

identify the loci of the genes encoding the effect modifiers for nalmefene by using genetic polymorphisms.


Management information

Registered date

2021 Year 07 Month 29 Day

Last modified on

2025 Year 11 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000051401