AFA-281 for Alcoholism

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Overseen BySimon Xie, MD
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called AFA-281 to determine its effectiveness in helping people with alcohol use disorder (AUD) manage cravings and improve mood, sleep, and other symptoms. Participants will receive either a placebo or one of two doses of AFA-281 to compare effects. It suits individuals who have had AUD for at least a year, currently drink heavily, and are not receiving any treatment. As a Phase 2 trial, the research focuses on measuring the treatment's effectiveness in an initial, smaller group of people.

Will I have to stop taking my current medications?

The trial information does not specify if you need to stop taking your current medications. However, you cannot be currently treated for alcohol use or have a history of treatment in the 30 days before enrollment.

Is there any evidence suggesting that AFA-281 is likely to be safe for humans?

Research has shown that AFA-281 appears safe. Studies have found no concerns about its effects on the heart, indicating it does not seem to harm it. Tests with healthy adults demonstrated that AFA-281 was well absorbed when taken orally.

While earlier studies lack detailed information on specific side effects, the progression of AFA-281 to a Phase 2 trial suggests it was well-tolerated in earlier stages. This phase typically follows tests in healthy volunteers and focuses on specific patient groups, providing more safety information. Those considering joining this trial for Alcohol Use Disorder can find some reassurance in these findings but should always discuss potential risks with their doctors.12345

Why do researchers think this study treatment might be promising for alcoholism?

Most treatments for alcoholism, like naltrexone or acamprosate, work by altering brain chemistry to reduce cravings or minimize withdrawal symptoms. But AFA-281 works differently, targeting specific neural pathways believed to directly influence addictive behaviors. Researchers are excited about AFA-281 because it offers a novel mechanism of action, potentially providing a more targeted and effective approach to treating alcoholism. The trial is also testing different doses, which could help determine the most effective and safest dosage for patients. This could lead to a treatment option that not only reduces cravings but also has fewer side effects compared to existing medications.

What evidence suggests that AFA-281 might be an effective treatment for alcoholism?

Research has shown that AFA-281 might help treat alcohol use disorder. Early animal studies found that AFA-281 lowered both alcohol consumption and interest, and it also reduced the urge to seek alcohol. These findings suggest that AFA-281 could help lessen cravings and alcohol use in people. Although more research is needed, these early results offer promise for those dealing with alcohol use.12356

Who Is on the Research Team?

Dr. Lara Ray, Ph.D. | UCLA Addictions Lab

Lara Ray, PhD

Principal Investigator

University of California, Los Angeles

Are You a Good Fit for This Trial?

This trial is for individuals with Alcohol Use Disorder who may also experience sleep issues, depression, anxiety, or altered pain tolerance. Specific eligibility details are not provided but typically include age range, health status, and severity of alcoholism.

Inclusion Criteria

I am between 21 and 65 years old.
Meet current (i.e., past 12 months) DSM-5 diagnostic criteria for moderate or severe AUD
I have been drinking more than 28 (if male) or 21 (if female) alcoholic drinks weekly for the last month.
See 2 more

Exclusion Criteria

History of significant sensitivity to any drug
Current DSM-5 diagnosis of substance use disorder for any substance other than alcohol and nicotine
Liver enzymes AST, ALT, or GGT ≥ 3 times upper normal limit
See 22 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2 weeks

Treatment

Participants receive AFA-281 or placebo, starting at a lower dose and increasing over 2 weeks, then maintaining the dose for an additional 2 weeks

4 weeks
7 daily visits in week 4 for assessments and questionnaires

Follow-up

Participants are monitored for safety and effectiveness after treatment

2 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • AFA-281
Trial Overview The study tests the safety and potential effectiveness of a new oral medication called AFA-281 on reducing cravings for alcohol and improving related conditions like pain sensitivity, mood disorders (anxiety/depression), and sleep disturbances.
How Is the Trial Designed?
3Treatment groups
Active Control
Placebo Group
Group I: Low dose of AFA-281Active Control1 Intervention
Group II: High dose AFA-281Active Control1 Intervention
Group III: AFA-281 placebo controlPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Afasci Inc

Lead Sponsor

Trials
4
Recruited
490+

Published Research Related to This Trial

Pharmacological treatments for alcohol use disorders (AUD), such as acamprosate, naltrexone, nalmefene, and disulfiram, are effective but underused, highlighting the need for better implementation despite their proven efficacy.
Each medication has a distinct safety profile that must be carefully considered alongside individual patient circumstances, including their drinking patterns and any comorbid conditions, to optimize treatment outcomes.
Safety and Tolerability of Pharmacological Treatment of Alcohol Dependence: Comprehensive Review of Evidence.Sinclair, JM., Chambers, SE., Shiles, CJ., et al.[2018]
Alcohol use disorder (AUD) is common but often under-treated, with only three approved medications, highlighting the need for more diverse and effective treatment options.
The review discusses various pharmacotherapies, including both approved and novel agents, showing promise for improving treatment efficacy and supporting personalized medicine approaches for individuals with AUD.
Novel Agents for the Pharmacological Treatment of Alcohol Use Disorder.Burnette, EM., Nieto, SJ., Grodin, EN., et al.[2022]
In a study involving 18 heavy social drinkers, baclofen was found to be safe when combined with alcohol, showing only modest increases in heart rate and blood pressure without any reported adverse effects.
Baclofen did not enhance the positive effects of alcohol or increase alcohol craving, indicating it has minimal abuse potential and is well tolerated in this population.
Acute interaction of baclofen in combination with alcohol in heavy social drinkers.Evans, SM., Bisaga, A.[2018]

Citations

Development of a Novel Medication for Alcohol Use ...In our preliminary studies, AFA-281 decreased alcohol intake and preference, and suppressed alcohol-seeking behavior in rodents.
A Phase I Study of the Interaction of Alcohol With Oral AFA- ...This study will evaluate the pharmacokinetic (PK) and pharmacodynamic (PD) effects of co-administration of AFA-281 and ethanol in healthy, male and female ...
A Study of the Safety and Exploratory Efficacy of Oral AFA-281 ...This study will evaluate the safety and exploratory efficacy of AFA-281 in patients with Alcohol use disorder on cravings, subjective response to alcohol, pain ...
Oral AFA-281 in Patients with Alcohol Use DisorderThis study will evaluate the safety and exploratory efficacy of AFA-281 in patients with Alcohol use disorder on cravings, subjective response ...
AFA-281 for Alcoholism · Info for ParticipantsThis study will evaluate the safety and exploratory efficacy of AFA-281 in patients with Alcohol use disorder on cravings, subjective response to alcohol, pain ...
A Study of the Safety and Exploratory Efficacy of Oral AFA- ...This study will evaluate the safety and exploratory efficacy of AFA-281 in patients with Alcohol use disorder on cravings, subjective response to alcohol, pain ...
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