About this trial
This study seeks to determine the feasibility, acceptability, and preliminary efficacy of an intervention consisting of off-label use of a medication with strong efficacy data for alcohol use disorder (AUD) with medical management and a clinical pharmacist-delivered behavioral intervention in reducing alcohol use among individuals with HIV and AUD.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
diagnosed with HIV
Receive care at the Atlanta VA Healthcare System
Age 18 or over
Meet criteria for mild, moderate, or severe alcohol use disorder by the DSM-5 Alcohol Symptom Checklist and the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) screen
Disqualifiers
Active engagement in formal alcohol treatment including medications for alcohol use disorder at the time of enrollment
Self-report or laboratory test confirming pregnancy, nursing, or trying to conceive
Life-threatening or unstable medical, surgical, or psychiatric condition that prohibits participation (including current or past intent to harm oneself or others within the prior 12 months and not receiving treatment)
Untreated moderate to severe opioid use disorder
Trial design
Single group
Treatments tested in this trial
semaglutide
DrugAll participants will receive a prescription for semaglutide and will meet with a clinical pharmacist and addiction psychiatrist for further support
Treatment groups
Trial outcomes
Primary outcomes
Proportion of participants who complete enrollment and duration of sessions
Proportion of participants who complete enrollment and duration of sessions to assess feasibility of study
Number of sessions completed
Number of sessions completed to assess acceptability of study
Adherence to Medication
Medication adherence will be measured by the number of prescriptions filled by electronic health record to assess acceptability of study
Safety of study assessed by adverse event reporting
Safety will be assessed by the percentage of study participants who report adverse events.
Secondary outcomes
Efficacy of study - change in self-reported alcohol use
Change in self-reported alcohol use (# of days of alcohol use and # of drinks per day) on the Timeline Followback.
Efficacy of study - change in PEth (phosphatidylethanol) results
PEth is a biomarker for alcohol consumption. Change in PEth result from baseline PEth levels.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Yale University
Lead sponsor
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Collaborator