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Verfasst von:Guiraud, Julien [VerfasserIn]   i
 Addolorato, Giovanni [VerfasserIn]   i
 Antonelli, Mariangela [VerfasserIn]   i
 Aubin, Henri-Jean [VerfasserIn]   i
 de Bejczy, Andrea [VerfasserIn]   i
 Benyamina, Amine [VerfasserIn]   i
 Cacciaglia, Roberto [VerfasserIn]   i
 Caputo, Fabio [VerfasserIn]   i
 Dematteis, Maurice [VerfasserIn]   i
 Ferrulli, Anna [VerfasserIn]   i
 Goudriaan, Anna E [VerfasserIn]   i
 Gual, Antoni [VerfasserIn]   i
 Lesch, Otto-Michael [VerfasserIn]   i
 Maremmani, Icro [VerfasserIn]   i
 Mirijello, Antonio [VerfasserIn]   i
 Nutt, David J [VerfasserIn]   i
 Paille, François [VerfasserIn]   i
 Perney, Pascal [VerfasserIn]   i
 Poulnais, Roch [VerfasserIn]   i
 Raffaillac, Quentin [VerfasserIn]   i
 Rehm, Jürgen [VerfasserIn]   i
 Rolland, Benjamin [VerfasserIn]   i
 Rotondo, Claudia [VerfasserIn]   i
 Scherrer, Bruno [VerfasserIn]   i
 Simon, Nicolas [VerfasserIn]   i
 Skala, Katrin [VerfasserIn]   i
 Söderpalm, Bo [VerfasserIn]   i
 Somaini, Lorenzo [VerfasserIn]   i
 Sommer, Wolfgang H. [VerfasserIn]   i
 Spanagel, Rainer [VerfasserIn]   i
 Vassallo, Gabriele A [VerfasserIn]   i
 Walter, Henriette [VerfasserIn]   i
 van den Brink, Wim [VerfasserIn]   i
Titel:Sodium oxybate for the maintenance of abstinence in alcohol-dependent patients
Titelzusatz:an international, multicenter, randomized, double-blind, placebo-controlled trial
Verf.angabe:Julien Guiraud, Giovanni Addolorato, Mariangela Antonelli, Henri-Jean Aubin, Andrea de Bejczy, Amine Benyamina, Roberto Cacciaglia, Fabio Caputo, Maurice Dematteis, Anna Ferrulli, Anna E Goudriaan, Antoni Gual, Otto-Michael Lesch, Icro Maremmani, Antonio Mirijello, David J Nutt, François Paille, Pascal Perney, Roch Poulnais, Quentin Raffaillac, Jürgen Rehm, Benjamin Rolland, Claudia Rotondo, Bruno Scherrer, Nicolas Simon, Katrin Skala, Bo Söderpalm, Lorenzo Somaini, Wolfgang H Sommer, Rainer Spanagel, Gabriele A Vassallo, Henriette Walter and Wim van den Brink
E-Jahr:2022
Jahr:July 7, 2022
Umfang:10 S.
Fussnoten:Gesehen am 08.08.2023
Titel Quelle:Enthalten in: Journal of psychopharmacology
Ort Quelle:London [u.a.] : Sage, 1987
Jahr Quelle:2022
Band/Heft Quelle:36(2022), 10 vom: Okt., Seite 1136-1145
ISSN Quelle:1461-7285
Abstract:Background: Sodium oxybate (SMO) has been shown to be effective in the maintenance of abstinence (MoA) in alcohol-dependent patients in a series of small randomized controlled trials (RCTs). These results needed to be confirmed by a large trial investigating the treatment effect and its sustainability after medication discontinuation. - Aims: To confirm the SMO effect on (sustained) MoA in detoxified alcohol-dependent patients. - Methods: Large double-blind, randomized, placebo-controlled trial in detoxified adult alcohol-dependent outpatients (80% men) from 11 sites in four European countries. Patients were randomized to 6 months SMO (3.3-3.9 g/day) or placebo followed by a 6-month medication-free period. Primary outcome was the cumulative abstinence duration (CAD) during the 6-month treatment period defined as the number of days with no alcohol use. Secondary outcomes included CAD during the 12-month study period. - Results: Of the 314 alcohol-dependent patients randomized, 154 received SMO and 160 received placebo. Based on the pre-specified fixed-effect two-way analysis of variance including the treatment-by-site interaction, SMO showed efficacy in CAD during the 6-month treatment period: mean difference +43.1 days, 95% confidence interval (17.6-68.5; p = 0.001). Since significant heterogeneity of effect across sites and unequal sample sizes among sites (n = 3-66) were identified, a site-level random meta-analysis was performed with results supporting the pre-specified analysis: mean difference +32.4 days, p = 0.014. The SMO effect was sustained during the medication-free follow-up period. SMO was well-tolerated. - Conclusions: Results of this large RCT in alcohol-dependent patients demonstrated a significant and clinically relevant sustained effect of SMO on CAD. - Trial registration: ClinicalTrials.gov Identifier: NCT04648423
DOI:doi:10.1177/02698811221104063
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.1177/02698811221104063
 kostenfrei: Volltext: https://journals.sagepub.com/doi/full/10.1177/02698811221104063
 DOI: https://doi.org/10.1177/02698811221104063
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1854618512
Verknüpfungen:→ Zeitschrift

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