Could a seizure drug curb alcohol withdrawal in trauma wards?
NCT ID NCT03235531
First seen Aug 18, 2026 · Last updated Aug 19, 2026 · Updated 1 time
Summary
This trial tests whether valproate, a medication used for epilepsy, can help prevent or ease alcohol withdrawal symptoms in heavy drinkers admitted to trauma care. Participants receive standard treatment with lorazepam (a benzodiazepine) as needed, and some also get valproate. The goal is to see if valproate reduces the amount of lorazepam needed and improves patient outcomes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- valproate (an anti-epileptic medication) given alongside standard lorazepam treatment
- What this could lead to
- If valproate works, it could reduce the need for benzodiazepines in trauma patients, potentially lowering side effects and improving recovery.
- What could go wrong
- This is a very small early trial (3 participants), so results may not apply broadly. Valproate has its own side effects and may not effectively prevent withdrawal symptoms.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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3 people
The number who actually took part.
- Started
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Jul 2017
- Finished
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Jun 2019
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Admission to Trauma Services * Heavy drinkers based on social history * Men \<65 years: \> 4 drinks per day or 14 per week * Women: \> 3 drinks per day or 7 drinks per week * All adults \>65 years: \> 3 drinks per day or 7 drinks per week * Moderate or severe alcohol use disorder based on social history and DSM-5 criteria * Moderate: Presence of 4-5 symptoms based on social history * Severe: Presence of 6 symptoms based on social history Exclusion Criteria: * Intubated patients * Glasgow Coma Score \<8 * Grade IV liver laceration or greater * Child-Pugh Class B or greater, history of cirrhosis, or cirrhosis identified by radiographic imaging upon admission * Transaminase (AST/ALT) elevation of ≥ 2x normal * Anticipated admission less than 72 hours * Levetiracetam administration for seizure prophylaxis secondary to a traumatic brain injury * Patient with VPA as home medication * Known allergy to VPA * Patients with pre-existing blood dyscrasias, i.e. thrombocytopenia (platelet count \< 50,000, etc) * Inability to obtain social history from patient, surrogate, family member or an individual deemed to be knowledgeable about the patient's social history * Pregnancy
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Charleston Area Medical Center
Charleston, West Virginia, 25304, United States
-
Charleston Area Medical Center, General Hospital, Level 1 Trauma Center
Charleston, West Virginia, 25301, United States
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Other studies related to the condition(s) this trial covers.
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