A Randomized Controlled Trial of Digital CBT to Treat Addiction: Digital RITch®CBT vs. Standard CBT
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ClinicalTrials.gov Identifier: NCT05943171 |
Recruitment Status :
Not yet recruiting
First Posted : July 13, 2023
Last Update Posted : July 13, 2023
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Condition or disease | Intervention/treatment | Phase |
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Substance Use Disorders Alcohol Use Disorder Stimulant-Related Disorder | Device: Cognitive Behavioral Therapy | Not Applicable |
We propose to conduct a feasibility study across years 1-2 in collaboration with FDA's clinical data validation requirements to test the efficacy related endpoints of RITch®CBT by conducting a randomized trial. A total of 40 ethnically diverse male participants entering a substance abuse treatment facility, who meet current DSM-V criteria for substance dependence and have histories of IPV will be randomized to either "self-guided" 1:1 digital RITch®CBT Therapy (n=20) or 1:1 Standard CBT Therapy (n=20, non-digitized, 1:1 talk CBT). Each 60-minute session will occur 1x/week across 12 weeks of treatment.
- Primary outcomes will measure self-reported cravings via the AUC/DUC, number of days abstinent from substance use and number total days abstinent from aggression, both measured by the Timeline Follow-Back method, with confirmation via breath samples, urine toxicology screens, and verified by collateral reports.
- Primary Outcomes will be assessed at baseline, weekly through treatment, post-treatment, and at follow-ups 3, 6, and 9 months.
- Secondary outcome measures will be impulsivity and distress tolerance as measured by the Barratt Impulsiveness Scale (BIS) and Response to Conflict Scale (RTC), respectively.
- Tertiary outcomes will be Q-submissions, FDA feedback on regulatory pathways and IDE approval/confirmation of IDE required filings across the protocol.
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 40 participants |
Allocation: | Randomized |
Intervention Model: | Single Group Assignment |
Intervention Model Description: | Randomized to either Digital Avatar Assisted CBT or Human Administered CBT |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | A Randomized Controlled Trial of A Digital, Self-Guided, Avatar Assisted- Cognitive Behavioral Therapy Platform to Treat Addiction: RITch®CBT vs. Treatment As Usual |
Estimated Study Start Date : | September 1, 2023 |
Estimated Primary Completion Date : | May 1, 2024 |
Estimated Study Completion Date : | August 31, 2024 |
Arm | Intervention/treatment |
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Experimental: Digital RITch®CBT
(Digital RITch®CBT) is a Digital Avatar Assisted Interactive CBT Treatment
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Device: Cognitive Behavioral Therapy
All participants will receive Cognitive Behavioral Therapy. They will be randomized to either Digital RITch®CBT or Standard CBT
Other Names:
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Active Comparator: Standard CBT
Standard CBT is a human administered CBT Treatment
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Device: Cognitive Behavioral Therapy
All participants will receive Cognitive Behavioral Therapy. They will be randomized to either Digital RITch®CBT or Standard CBT
Other Names:
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- Substance Use Cravings [ Time Frame: 84 days of treatment ]Self-reported cravings across 84 days as measured by the AUC/DUC
- Substance Use [ Time Frame: 84 days ]Self report substance use across 84 days as measured by the Timeline Follow Back and verified by objective indicators of substance use (breathalyzer and urine toxicology screens)
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Ages Eligible for Study: | 18 Years to 65 Years (Adult, Older Adult) |
Sexes Eligible for Study: | Male |
Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
Participants between the ages of 18-65 will be 40 men entering outpatient treatment who
(1) meet current DSM-V criteria substance dependence (and use alcohol and/or stimulants within the 30 days prior to the screening session); (2) report verbal aggression, conflict/aggression in a current intimate relationship (e.g., yelling, screaming, pushing, slapping) within 30 days prior to screening; and (3) can read English at a 6th grade level.
Exclusion Criteria:
Participants will be excluded if they: 1) Are currently in withdrawal from substance and in need of detoxification (such individuals may be re-evaluated following detoxification); 2) Have cognitive impairment (a mini mental state score <25); 3) Have psychomotor epilepsy (e.g. impulsivity or rage related symptoms secondary to a seizure disorder, as this medical diagnosis is likely to be a confound in the proposed study); 4) Have major medical complications such as a head injury/trauma, or HIV dementia that may also be a confound in the study interventions; 5) Are currently receiving either substance abuse or IPV treatment elsewhere; 6.) Have a lifetime history of any psychotic or bipolar disorder; or 7) Are currently suicidal or homicidal or 8) severe violence (punching, chocking, use of weapons).
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05943171
Contact: Caroline J Easton, PhD | 585-475-4065 | caroline.easton@rit.edu | |
Contact: Cory Crane, PhD | 585-475-4018 | cacihst@rit.edu |
Study Chair: | Heather Foti, MS | Rochester Institute of Technology |
Responsible Party: | Dr. Caroline Easton, Principal Investigator, Rochester Institute of Technology |
ClinicalTrials.gov Identifier: | NCT05943171 |
Other Study ID Numbers: |
UG3DA057042 ( U.S. NIH Grant/Contract ) |
First Posted: | July 13, 2023 Key Record Dates |
Last Update Posted: | July 13, 2023 |
Last Verified: | July 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Yes |
Plan Description: | The proposed research may result in new technologies and methodologies to treat SUD and IPV. Since this study is a Phase I and II trial, and if results show that RITch®CBT is more effective than TAU in reducing Addiction and IPV, the data are intended to prepare this investigative team for a larger trial through dissemination across multiple sites. The data may also be applicable and useful to the community, the approaches and key results. Should there be requests for the raw datasets, these will be considered and we will be careful to review with our IRB and RRH CD clinic to ensure there is no possibility of violating the rights of any participants. |
Supporting Materials: |
Study Protocol Statistical Analysis Plan (SAP) Informed Consent Form (ICF) Clinical Study Report (CSR) Analytic Code |
Time Frame: | 3-6 months after the study ends |
Access Criteria: | Caroline.Easton@Rit.Edu |
URL: | http://www.rit.edu/favtech/contact-us |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | Yes |
Substance-Related Disorders Alcoholism Chemically-Induced Disorders Mental Disorders Alcohol-Related Disorders |