Page last updated: 2024-11-01

ondansetron and Alcohol Drinking

ondansetron has been researched along with Alcohol Drinking in 18 studies

Ondansetron: A competitive serotonin type 3 receptor antagonist. It is effective in the treatment of nausea and vomiting caused by cytotoxic chemotherapy drugs, including cisplatin, and has reported anxiolytic and neuroleptic properties.

Alcohol Drinking: Behaviors associated with the ingesting of ALCOHOLIC BEVERAGES, including social drinking.

Research Excerpts

ExcerptRelevanceReference
" This study tests this hypothesis by matching nontreatment-seeking alcohol-dependent (AD) individuals with LL genotype to ondansetron and SS/SL genotypes to the SSRI sertraline, and mismatching them assessing naturalistic and bar-laboratory alcohol drinking."5.19Ondansetron reduces naturalistic drinking in nontreatment-seeking alcohol-dependent individuals with the LL 5'-HTTLPR genotype: a laboratory study. ( Beaucage, K; Brickley, M; Clifford, JS; Fricchione, S; Haass-Koffler, CL; Kenna, GA; Leggio, L; McGeary, JE; Shoaff, JR; Swift, RM; Vuittonet, C; Zywiak, WH, 2014)
" late-onset classification is, however, a better predictor of response to ondansetron treatment because it might be more closely related to fundamental neurobiological processes associated with the underlying pathophysiology of alcoholism."3.74Prediction of serotonergic treatment efficacy using age of onset and Type A/B typologies of alcoholism. ( Ait-Daoud, N; Johnson, BA; Roache, JD; Wang, Y, 2008)
"Mean ondansetron exit dose was 3."3.01A randomized, double-blind, placebo-controlled proof-of-concept study of ondansetron for bipolar and related disorders and alcohol use disorder. ( Bice, C; Holmes, T; Ivleva, E; McArdle, M; McNutt, M; Nakamura, A; Palka, J; Patel, Z; Sherwood Brown, E; Tipton, S, 2021)
"Ondansetron was found to augment certain stimulant, sedative, and discriminant effects of alcohol, without affecting psychomotor performance or alcohol pharmacokinetics."2.68Ondansetron alters human alcohol intoxication. ( Davidson, D; Kuznetsov, O; Swift, RM; Whelihan, W, 1996)
"Pretreatment with ondansetron significantly attenuated several of the subjective pleasurable effects of alcohol, and also decreased the subjective desire to drink."2.67Attenuation of some alcohol-induced mood changes and the desire to drink by 5-HT3 receptor blockade: a preliminary study in healthy male volunteers. ( Campling, GM; Cowen, PJ; Griffiths, P; Johnson, BA, 1993)
"Alcohol dependence is the third leading cause of preventable death in the USA."1.37Severity of drinking as a predictor of efficacy of the combination of ondansetron and topiramate in rat models of ethanol consumption and relapse. ( Bond, C; Breslin, FJ; Johnson, BA; Lynch, WJ, 2011)
"Buspirone was without important effects on the high alcohol preferring rats."1.29Effects of various serotonergic agents on alcohol intake and alcohol preference in Wistar rats selected at two different levels of alcohol preference. ( Meert, TF, 1993)

Research

Studies (18)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's6 (33.33)18.2507
2000's4 (22.22)29.6817
2010's5 (27.78)24.3611
2020's3 (16.67)2.80

Authors

AuthorsStudies
Cornell, J1
Conchas, A1
Wang, XQ3
Fink, JC1
Chen, H1
Kane, MA1
Pilli, N1
Ait-Daoud, N6
Gorelick, DA1
Li, MD3
Johnson, BA9
Seneviratne, C3
Ross, H1
Harries, B1
Szelest, I1
Engelbrecht, R1
Umhau, JC1
Sherwood Brown, E1
McArdle, M1
Palka, J1
Bice, C1
Ivleva, E1
Nakamura, A1
McNutt, M1
Patel, Z1
Holmes, T1
Tipton, S1
Bartolomé, I1
Llidó, A1
Darbra, S1
Pallarès, M1
Kenna, GA1
Zywiak, WH1
Swift, RM2
McGeary, JE1
Clifford, JS1
Shoaff, JR1
Vuittonet, C1
Fricchione, S1
Brickley, M1
Beaucage, K1
Haass-Koffler, CL1
Leggio, L1
Roache, JD4
Wang, Y1
Javors, MA1
Liu, L1
Penberthy, JK1
DiClemente, CC1
Lynch, WJ1
Bond, C1
Breslin, FJ1
McBride, WJ1
Lovinger, DM1
Machu, T1
Thielen, RJ1
Rodd, ZA1
Murphy, JM1
Tomkins, DM1
Le, AD2
Sellers, EM3
Campling, GM1
Griffiths, P1
Cowen, PJ1
Meert, TF1
Davidson, D1
Whelihan, W1
Kuznetsov, O1
Prihoda, TJ1
Hargita, ID1
Javors, M1
Zanca, NA1
Higgins, GA1
Tompkins, DM1
Romach, MK1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Pharmacological Treatment for Alcoholism[NCT00382642]Phase 3283 participants (Actual)Interventional2006-06-30Completed
Matching Genotypes and Serotonergic Medications for Alcoholism[NCT01113164]Phase 179 participants (Actual)Interventional2008-09-30Completed
5HT3 Antagonists to Treat Opioid Withdrawal and to Prevent the Progression of Physical Dependence[NCT01549652]133 participants (Actual)Interventional2011-04-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Beck Depression Inventory Score (BDIS) Change From Baseline (Prevention of Opioid Withdrawal)

The Beck Depression Inventory (a 21-item self-report multiple-choice inventory) yields a single summed score between 0 and 63; higher scores indicate more severe depression. Change is from baseline score (taken at the beginning of the first study visit, prior to beginning of titration into morphine) to the score taken after taking morphine for 30 days (score taken prior to receiving ondansetron or placebo, at the beginning of second study visit). (NCT01549652)
Timeframe: 2 study days 1 month apart (at the start of each study visit)

Interventionunits on a scale (Mean)
Prevention of Opioid Withdrawal-0.44

Change in Pain Visual Analog Scale (VAS) From Baseline (Prevention of Opioid Withdrawal)

The VAS is a 0 to 100 millimeter scale where 0 corresponds to no pain and 100 to extreme pain, used by participants to indicated their level of pain over the last two weeks. Change is from baseline score for average level of pain (taken at the beginning of the first study visit, prior to beginning of titration into morphine) to the score taken after taking morphine for 30 days (score taken prior to receiving ondansetron or placebo, at the beginning of second study visit). (NCT01549652)
Timeframe: 2 study days 1 month apart (at the start of each study visit)

Interventionunits on a scale (Mean)
Prevention of Opioid Withdrawal-2.68

Change in Roland-Morris Disability Index (RMDI) From Baseline (Prevention of Opioid Withdrawal)

The Roland-Morris Disability Index is a 24-question instrument used to assess level of disability from lower back pain. Scores range from 0-24 with lower scores corresponding to fewer symptoms. Change is from baseline score (taken at the beginning of the first study visit, prior to beginning of titration into morphine) to the score taken after taking morphine for 30 days (score taken prior to receiving ondansetron or placebo, at the beginning of second study visit). (NCT01549652)
Timeframe: 2 study days 1 month apart (at the start of each study visit)

Interventionunits on a scale (Mean)
Prevention of Opioid Withdrawal-2.59

Beck Depression Inventory Score (BDIS) Change From Baseline (Prevention of Physical Dependence)

The Beck Depression Inventory (a 21-item self-report multiple-choice inventory) yields a single summed score between 0 and 63; higher scores indicate more severe depression. Change is from baseline score (taken at the beginning of the first study visit, prior to beginning of titration into morphine) to the score taken after taking morphine for 30 days (score taken at the beginning of second study visit). (NCT01549652)
Timeframe: 2 study days 1 month apart (at the start of each study visit)

Interventionunits on a scale (Mean)
Change in BDIS (Ondansetron)Change in BDIS (Placebo)
Prevention of Physical Dependence-0.60.2

Change in Objective Opioid Withdrawal Score (OOWS) From Baseline (Prevention of Opioid Withdrawal)

"Originally developed by Handelsman, the Objective Opioid Withdrawal Scale (OOWS) score is a well-characterized measure of opioid withdrawal in humans, calculated as the sum of a 13-item physician assessment documenting physically observable signs of withdrawal, which are rated as present (1) or absent (0) during the observation period. The minimum score of 0 means the patient is not showing any signs of opioid withdrawal. The maximum score of 13 signifies all signs of opioid withdrawal to the largest extent possible.~Immediately prior to ondansetron or placebo administration a baseline OOWS score was taken. 30 minutes later participants received naloxone, then 15 minutes later an OOWS score was taken. If deemed necessary by the clinician, participants may have received a second naloxone dose (25 minutes following 1st naloxone dose), then 15 minutes later an OOWS score was taken. Change from the baseline OOWS score to the score assessed following the last naloxone dose is reported." (NCT01549652)
Timeframe: Baseline; 15 minutes following last naloxone dose

Interventionunits on a scale (Mean)
Change in OOWS (Ondansetron)Change in OOWS (Placebo)
Prevention of Opioid Withdrawal3.63.6

Change in Objective Opioid Withdrawal Score From Baseline (Prevention of Physical Dependence)

"Originally developed by Handelsman, the OOWS score is a well-characterized measure of opioid withdrawal in humans, calculated as the sum of a 13-item physician assessment documenting physically observable signs of withdrawal, which are rated as present (1) or absent (0) during the observation period. The maximum score is 13 and suggests the patient is showing all signs of opioid withdrawal to the largest extent possible. The minimum score of 0 suggests the patient is not showing any signs of opioid withdrawal.~Immediately prior to ondansetron or placebo administration a baseline OOWS score was taken. 30 minutes later participants received naloxone, then 15 minutes later an OOWS score was taken. If necessary (as deemed by the clinician), participants may have received a second naloxone dose (25 minutes following 1st naloxone dose), then 15 minutes later an OOWS score was taken. Change from the baseline OOWS score to the score assessed following the last naloxone dose is reported." (NCT01549652)
Timeframe: Baseline; 15 minutes following last naloxone dose

Interventionunits on a scale (Mean)
Change in OOWS (Ondansetron)Change in OOWS (Placebo)
Prevention of Physical Dependence4.54.2

Change in Pain Visual Analog Scale (VAS) From Baseline (Prevention of Physical Dependence)

The VAS is a 0 to 100 millimeter scale where 0 corresponds to no pain and 100 to extreme pain, used by participants to indicated their level of pain over the last two weeks. Change is from baseline score for average level of pain (taken at the beginning of the first study visit, prior to beginning of titration into morphine) to the score taken after taking morphine for 30 days (score taken at the beginning of second study visit). (NCT01549652)
Timeframe: 2 study days 1 month apart (at the start of each study visit)

Interventionunits on a scale (Mean)
Change in VAS Score (Ondansetron)Change in VAS Score (Placebo)
Prevention of Physical Dependence-2.9-2.8

Change in Roland-Morris Disability (RMDI) Index From Baseline (Prevention of Physical Dependence)

The Roland-Morris Disability Index is a 24-question instrument used to assess level of disability from lower back pain. Scores range from 0-24 with lower scores corresponding to fewer symptoms. Change is from baseline score (taken at the beginning of the first study visit, prior to beginning of titration into morphine) to the score taken after taking morphine for 30 days (score taken at the beginning of second study visit). (NCT01549652)
Timeframe: 2 study days 1 month apart (at the start of each study visit)

Interventionunits on a scale (Mean)
Change in RMDI (Ondansetron)Change in RMDI (Placebo)
Prevention of Physical Dependence-4.6-2.0

Change in Subjective Opioid Withdrawal Score (SOWS) From Baseline (Prevention of Opioid Withdrawal)

The Subjective Opioid Withdrawal Score (SOWS) score is calculated as the sum of 16 subjective patient-reported symptom scores rated on a scale of 0 to 4 (0=not at all, 4=extremely) based on what subjects were experiencing at the time of testing. A maximum score of 64 would suggest the patient is experiencing the symptoms of withdrawal to the maximum extent possible while the lowest score of 0 would suggest the patient is not experiencing any of the symptoms of withdrawal. Immediately prior to ondansetron or placebo administration a baseline SOWS score was taken. 30 minutes later participants received naloxone, then 15 minutes later an SOWS score was taken. If necessary (as deemed by the clinician), participants may have received a second naloxone dose (25 minutes following 1st naloxone dose), then 15 minutes later an SOWS score was taken. Change from the baseline SOWS score to the score assessed following the last naloxone dose is reported (NCT01549652)
Timeframe: Baseline; 15 minutes following last naloxone dose

Interventionunits on a scale (Mean)
Change in SOWS (Ondansetron)Change in SOWS (Placebo)
Prevention of Opioid Withdrawal12.512.2

Change in Subjective Opioid Withdrawal Score From Baseline (Prevention of Physical Dependence)

The SOWS score is composed of 16 subjective symptoms rated on a scale of 0 to 4 (0=not at all, 4=extremely) based on what subjects were experiencing at the time of testing. A maximum score of 64 would suggest the patient is experiencing the symptoms of withdrawal to the maximum extent possible while the lowest score of 0 would suggest the patient is not experiencing any of the symptoms of withdrawal. Immediately prior to ondansetron or placebo administration a baseline SOWS score was taken. 30 minutes later participants received naloxone, then 15 minutes later an SOWS score was taken. If necessary (as deemed by the clinician), participants may have received a second naloxone dose (25 minutes following 1st naloxone dose), then 15 minutes later an SOWS score was taken. Change from the baseline SOWS score to the score assessed following the last naloxone dose is reported (NCT01549652)
Timeframe: Baseline; 15 minutes following last naloxone dose

Interventionunits on a scale (Mean)
Change in SOWS (Ondansetron)Change in SOWS (Placebo)
Prevention of Physical Dependence16.412.0

Profile of Mood States (POMS) Change in Score From Baseline (Prevention of Opioid Withdrawal)

Profile of Mood States (POMS) is a 65-question survey of how participants have been feeling over the past week, assessing tension, depression, anger, fatigue, confusion and vigor. Each question is on a 5-point scale: 0 (not at all) to 4 (extremely). Overall score range: 0 to 200 (lower scores corresponding to fewer symptoms), calculated by adding total scores for tension, depression, anger, fatigue and confusing, and subtracting that total score from the total score for vigor. Immediately prior to ondansetron or placebo administration a baseline POMS score was taken. 30 minutes later participants received naloxone, then 15 minutes later a POMS score was taken. If necessary (as deemed by the clinician), participants may have received a second naloxone dose (25 minutes following 1st naloxone dose), then 15 minutes later an POMS score was taken. Change from the baseline POMS score to the score assessed following the last naloxone dose is reported. (NCT01549652)
Timeframe: Baseline; 15 minutes following last naloxone dose

Interventionunits on a scale (Mean)
Change in POMS Score (Ondansetron)Change in POMS Score (Placebo)
Prevention of Opioid Withdrawal29.328.3

Profile of Mood States (POMS) Change in Score From Baseline (Prevention of Physical Dependence)

(Profile of Mood States) POMS is a 65-question survey of how participants have been feeling over the past week, assessing tension, depression, anger, fatigue, confusion and vigor. Each question is on a 5-point scale: 0 (not at all) to 4 (extremely). Overall score range: 0 to 200 (lower scores corresponding to fewer symptoms), calculated by adding total scores for tension, depression, anger, fatigue and confusing, and subtracting that total score from the total score for vigor. Immediately prior to ondansetron or placebo administration a baseline POMS score was taken. 30 minutes later participants received naloxone, then 15 minutes later a POMS score was taken. If necessary (as deemed by the clinician), participants may have received a second naloxone dose (25 minutes following 1st naloxone dose), then 15 minutes later an POMS score was taken. Change from the baseline POMS score to the score assessed following the last naloxone dose is reported. (NCT01549652)
Timeframe: Baseline; 15 minutes following last naloxone dose

Interventionunits on a scale (Mean)
Change in POMS (Ondansetron)Change in POMS (Placebo)
Prevention of Physical Dependence36.129.2

Trials

10 trials available for ondansetron and Alcohol Drinking

ArticleYear
Validation of serotonin transporter mRNA as a quantitative biomarker of heavy drinking and its comparison to ethyl glucuronide/ethyl sulfate: A randomized, double-blind, crossover trial.
    Alcoholism, clinical and experimental research, 2022, Volume: 46, Issue:10

    Topics: Adult; Aged; Alcohol Drinking; Binge Drinking; Biomarkers; Cross-Over Studies; Ethanol; Female; Gluc

2022
A randomized, double-blind, placebo-controlled proof-of-concept study of ondansetron for bipolar and related disorders and alcohol use disorder.
    European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology, 2021, Volume: 43

    Topics: Adult; Alcohol Drinking; Alcoholism; Bipolar Disorder; Double-Blind Method; Humans; Male; Middle Age

2021
Determination of genotype combinations that can predict the outcome of the treatment of alcohol dependence using the 5-HT(3) antagonist ondansetron.
    The American journal of psychiatry, 2013, Volume: 170, Issue:9

    Topics: Adult; Alcohol Drinking; Alcoholism; Cognitive Behavioral Therapy; Combined Modality Therapy; Drug M

2013
Ondansetron reduces naturalistic drinking in nontreatment-seeking alcohol-dependent individuals with the LL 5'-HTTLPR genotype: a laboratory study.
    Alcoholism, clinical and experimental research, 2014, Volume: 38, Issue:6

    Topics: Adult; Aged; Alcohol Drinking; Alcoholism; Female; Genotype; Humans; Male; Middle Aged; Ondansetron;

2014
Pharmacogenetic approach at the serotonin transporter gene as a method of reducing the severity of alcohol drinking.
    The American journal of psychiatry, 2011, Volume: 168, Issue:3

    Topics: Adult; Aged; Alcohol Drinking; Alcoholism; Cognitive Behavioral Therapy; Female; Genotype; Humans; M

2011
Attenuation of some alcohol-induced mood changes and the desire to drink by 5-HT3 receptor blockade: a preliminary study in healthy male volunteers.
    Psychopharmacology, 1993, Volume: 112, Issue:1

    Topics: Adult; Affect; Alcohol Drinking; Cross-Over Studies; Double-Blind Method; Ethanol; Humans; Male; Mid

1993
Ondansetron alters human alcohol intoxication.
    Biological psychiatry, 1996, Sep-15, Volume: 40, Issue:6

    Topics: Adult; Affect; Aged; Alcohol Drinking; Alcoholic Intoxication; Blood Pressure; Central Nervous Syste

1996
Combining ondansetron and naltrexone reduces craving among biologically predisposed alcoholics: preliminary clinical evidence.
    Psychopharmacology, 2001, Volume: 154, Issue:1

    Topics: Adult; Alcohol Drinking; Alcoholism; Cognitive Behavioral Therapy; Double-Blind Method; Female; Huma

2001
Combining ondansetron and naltrexone treats biological alcoholics: corroboration of self-reported drinking by serum carbohydrate deficient transferrin, a biomarker.
    Alcoholism, clinical and experimental research, 2001, Volume: 25, Issue:6

    Topics: Adult; Alcohol Drinking; Alcoholism; Biomarkers; Double-Blind Method; Drug Therapy, Combination; Fem

2001
Serotonin and alcohol drinking.
    NIDA research monograph, 1992, Volume: 119

    Topics: 1-Naphthylamine; Adult; Alcohol Drinking; Alcoholism; Animals; Double-Blind Method; Fenfluramine; Hu

1992

Other Studies

8 other studies available for ondansetron and Alcohol Drinking

ArticleYear
Incorporating ondansetron and baclofen in alcohol use disorder treatment.
    CJEM, 2023, Volume: 25, Issue:3

    Topics: Alcohol Drinking; Alcoholism; Baclofen; Humans; Ondansetron

2023
Early post-natal neuroactive steroid manipulation modulates ondansetron effects on initial periods of alcohol consumption in rats.
    Physiology & behavior, 2018, 10-01, Volume: 194

    Topics: Alcohol Drinking; Animals; Dose-Response Relationship, Drug; Exploratory Behavior; Finasteride; Male

2018
Prediction of serotonergic treatment efficacy using age of onset and Type A/B typologies of alcoholism.
    Alcoholism, clinical and experimental research, 2008, Volume: 32, Issue:8

    Topics: Adult; Age Factors; Age of Onset; Alcohol Drinking; Alcoholism; Antisocial Personality Disorder; Fem

2008
Severity of drinking as a predictor of efficacy of the combination of ondansetron and topiramate in rat models of ethanol consumption and relapse.
    Psychopharmacology, 2011, Volume: 217, Issue:1

    Topics: Alcohol Drinking; Alcoholism; Animals; Behavior, Animal; Disease Models, Animal; Drug Therapy, Combi

2011
Serotonin-3 receptors in the actions of alcohol, alcohol reinforcement, and alcoholism.
    Alcoholism, clinical and experimental research, 2004, Volume: 28, Issue:2

    Topics: Alcohol Drinking; Alcoholism; Animals; Brain; Ethanol; Humans; Ondansetron; Receptors, Serotonin, 5-

2004
Effect of the 5-HT3 antagonist ondansetron on voluntary ethanol intake in rats and mice maintained on a limited access procedure.
    Psychopharmacology, 1995, Volume: 117, Issue:4

    Topics: Alcohol Drinking; Animals; Drinking; Male; Mice; Mice, Inbred C57BL; Ondansetron; Rats; Rats, Wistar

1995
Effects of various serotonergic agents on alcohol intake and alcohol preference in Wistar rats selected at two different levels of alcohol preference.
    Alcohol and alcoholism (Oxford, Oxfordshire), 1993, Volume: 28, Issue:2

    Topics: Alcohol Drinking; Alcoholism; Animals; Buspirone; Chlordiazepoxide; Citalopram; Dose-Response Relati

1993
Interaction between opiate and 5-HT3 receptor antagonists in the regulation of alcohol intake.
    Alcohol and alcoholism (Oxford, Oxfordshire). Supplement, 1994, Volume: 2

    Topics: Alcohol Drinking; Animals; Drug Synergism; Humans; Male; Mice; Mice, Inbred C57BL; Naltrexone; Narco

1994