Randomized, multi-center, double-blind, parallel-group, placebo-controlled study. Eligible subjects will be randomized to receive either 0.33 mg AD04 or placebo orally twice-daily for 24 weeks in conjunction with brief psychological counseling. Randomization will be stratified by gender and level of alcohol consumption prior to enrollment in the study
Name: AD04 (ondansetron)
Name: Matching placebo
Name: Companion Diagnostic for Genetic Testing
Name: Brief Psychological Counseling
Description: Change from baseline in the monthly number of (heavy) drinking days (HDD) during the last 8 weeks (weeks 16-24) of the 24-week treatment period, where (heavy) drinking is defined as the consumption of ≥ 60 g alcohol/day (if male) or ≥ 40 g alcohol/day (if female).
Measure: Change from baseline in the monthly number of (heavy) drinking days Time: Last 8 weeksDescription: Change from baseline in total alcohol consumption (TAC), defined as the mean daily alcohol consumption expressed in g/day over the last 4 weeks of the 24-week treatment period
Measure: Change from baseline in total alcohol consumption (TAC) Time: Last 4 weeksDescription: Responder analysis based on the number of subjects with no risk (heavy) drinking.
Measure: Secondary (2) Time: Last 8 weeksAllocation: Randomized
Parallel Assignment
There are 5 SNPs
The blood sample collected for DNA testing contains at least one of the following genotypes as measured by Adial's validated method: - rs4795541-LL genotype of the insertion-deletion polymorphism (5'-HTTLPR) in the 5'-regulatory region and rs1042173-TT SNP in the 3'-untranslated region of SLC6A4 gene that encodes the serotonin transporter - rs1150226-AG SNP in HTR3A, the gene that encodes subtype A of the serotonin-3 receptor - rs1176713-GG SNP in HTR3A, the gene that encodes subtype A of the serotonin-3 receptor - rs17614942-AC in HTR3B, the gene that encodes subtype B of the serotonin-3 receptor 8. Expressed a wish to reduce or stop alcohol consumption.
The blood sample collected for DNA testing contains at least one of the following genotypes as measured by Adial's validated method: - rs4795541-LL genotype of the insertion-deletion polymorphism (5'-HTTLPR) in the 5'-regulatory region and rs1042173-TT SNP in the 3'-untranslated region of SLC6A4 gene that encodes the serotonin transporter - rs1150226-AG SNP in HTR3A, the gene that encodes subtype A of the serotonin-3 receptor - rs1176713-GG SNP in HTR3A, the gene that encodes subtype A of the serotonin-3 receptor - rs17614942-AC in HTR3B, the gene that encodes subtype B of the serotonin-3 receptor 8. Expressed a wish to reduce or stop alcohol consumption.
>6/day or more heavy alcohol consumption in the 4 weeks preceding the screening visit), and have selected genotypes (LL/TT genotype and/or 1, 2 or 3 of the SNPs on the genes for the 5-HT3 receptor subunits: rs1150226-AG or rs1176713-GG in the gene that encodes the 5-HT3A receptor subunit, and rs17614942-AC in the gene that encodes the 5-HT3B receptor subunit), and who are eligible to participate in the study based on meeting the remaining study inclusion/exclusion criteria.
The blood sample collected for DNA testing contains at least one of the following genotypes as measured by Adial's validated method: - rs4795541-LL genotype of the insertion-deletion polymorphism (5'-HTTLPR) in the 5'-regulatory region and rs1042173-TT SNP in the 3'-untranslated region of SLC6A4 gene that encodes the serotonin transporter - rs1150226-AG SNP in HTR3A, the gene that encodes subtype A of the serotonin-3 receptor - rs1176713-GG SNP in HTR3A, the gene that encodes subtype A of the serotonin-3 receptor - rs17614942-AC in HTR3B, the gene that encodes subtype B of the serotonin-3 receptor 8. Expressed a wish to reduce or stop alcohol consumption.
>6/day or more heavy alcohol consumption in the 4 weeks preceding the screening visit), and have selected genotypes (LL/TT genotype and/or 1, 2 or 3 of the SNPs on the genes for the 5-HT3 receptor subunits: rs1150226-AG or rs1176713-GG in the gene that encodes the 5-HT3A receptor subunit, and rs17614942-AC in the gene that encodes the 5-HT3B receptor subunit), and who are eligible to participate in the study based on meeting the remaining study inclusion/exclusion criteria.
The blood sample collected for DNA testing contains at least one of the following genotypes as measured by Adial's validated method: - rs4795541-LL genotype of the insertion-deletion polymorphism (5'-HTTLPR) in the 5'-regulatory region and rs1042173-TT SNP in the 3'-untranslated region of SLC6A4 gene that encodes the serotonin transporter - rs1150226-AG SNP in HTR3A, the gene that encodes subtype A of the serotonin-3 receptor - rs1176713-GG SNP in HTR3A, the gene that encodes subtype A of the serotonin-3 receptor - rs17614942-AC in HTR3B, the gene that encodes subtype B of the serotonin-3 receptor 8. Expressed a wish to reduce or stop alcohol consumption.
>6/day or more heavy alcohol consumption in the 4 weeks preceding the screening visit), and have selected genotypes (LL/TT genotype and/or 1, 2 or 3 of the SNPs on the genes for the 5-HT3 receptor subunits: rs1150226-AG or rs1176713-GG in the gene that encodes the 5-HT3A receptor subunit, and rs17614942-AC in the gene that encodes the 5-HT3B receptor subunit), and who are eligible to participate in the study based on meeting the remaining study inclusion/exclusion criteria.
The blood sample collected for DNA testing contains at least one of the following genotypes as measured by Adial's validated method: - rs4795541-LL genotype of the insertion-deletion polymorphism (5'-HTTLPR) in the 5'-regulatory region and rs1042173-TT SNP in the 3'-untranslated region of SLC6A4 gene that encodes the serotonin transporter - rs1150226-AG SNP in HTR3A, the gene that encodes subtype A of the serotonin-3 receptor - rs1176713-GG SNP in HTR3A, the gene that encodes subtype A of the serotonin-3 receptor - rs17614942-AC in HTR3B, the gene that encodes subtype B of the serotonin-3 receptor 8. Expressed a wish to reduce or stop alcohol consumption.