Table 93Summary of study characteristics for naltrexone

Oral naltrexone versus placeboOral naltrexone versus acamprosate oral naltrexoneOral naltrexone + sertraline versus oral naltrexoneOral naltrexone versus topiramate
Total number of trials (total number of participants)27 RCTs (N = 4296)4 RCTs (N = 957)2 RCTs (N = 178)1 RCT (N = 101)
Study ID
DiagnosisDSM or ICD diagnosis of alcohol dependenceDSM or ICD diagnosis of alcohol dependenceDSM or ICD diagnosis of alcohol dependenceDSM or ICD diagnosis of alcohol dependence
Baseline severity –units consumed per weekMean: 98.6
Range: 70.56 to 223
Mean: 128.1
Range: 74.3 to 223
Mean: 83.75
Range: 60 to 107.5
Mean: 263.64
Mean dosageNaltrexone: 50 mg dailyNaltrexone: 50 mg daily
Acamprosate: 1998 mg daily
Naltrexone: 50 mg daily
Sertraline: lOOmg daily
Naltrexone: 50 mg daily
Topiramate: 300 mg daily
Length of treatmentRange: 12 to 24 weeksRange: 12 to 52 weeksRange: 12 to 16 weeks12 weeks
Length of follow-up
1.

Not reported

2.

Up to 6 months

3.

Not reported

4.

Up to 12 months

5–11.

Not reported

12.

Up to 6 months

13–20.

Not reported

21.

Up to 6 months

22–27.

Not reported

1–3.

Not reported

4.

Up to 12 months

1–2.

Not reported

  1. Not reported
Setting
1–7.

Outpatient

8.

Inpatient/outpatient

9–11.

Outpatient

12.

Inpatient/outpatient

13–16.

Outpatient

17.

Inpatient/outpatient

18–27.

Outpatient

1.

Outpatient

2.

Inpatient/outpatient

3–4.

Outpatient

1–2.

Outpatient

  1. Outpatient
Treatment goal
1–3.

Not reported

4.

Abstinence

5–8.

Not reported

9.

Abstinence

10.

Abstinence and drinking reduction/ moderation

11–13.

Not reported

14–15.

Abstinence

16.

Not reported

17.

Abstinence

18–20.

Not reported

21.

Abstinence

22–23.

Not reported

24.

Abstinence

25–27.

Not reported

1.

Abstinence

2–3.

Not reported

4.

Abstinence

1–2.

Not reported

  1. Not reported

From: 7, PHARMACOLOGICAL INTERVENTIONS

Cover of Alcohol-Use Disorders
Alcohol-Use Disorders: Diagnosis, Assessment and Management of Harmful Drinking and Alcohol Dependence.
NICE Clinical Guidelines, No. 115.
National Collaborating Centre for Mental Health (UK).
Leicester (UK): British Psychological Society (UK); 2011.
Copyright © 2011, The British Psychological Society & The Royal College of Psychiatrists.

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