The primary objective of the proposed Stage II study is to examine the efficacy of oxytocin (OT) as compared to placebo in reducing (1) alcohol use disorder (AUD) symptoms, and (2) post-traumatic stress disorder (PTSD) symptoms among Veterans receiving COPE therapy (Concurrent Treatment of PTSD and Substance Use Disorders using Prolonged Exposure). To evaluate purported neurobiological mechanisms of change, we will employ functional magnetic resonance imaging (fMRI) at pre- and post-treatment.
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Change in alcohol use
Timeframe: From baseline to week 12 and 3 and 6 month follow ups
Change in PTSD symptom severity - clinician rated
Timeframe: From baseline to week 12 and 3 and 6 month follow ups
Change in PTSD symptom severity - self report
Timeframe: From baseline to week 12 and 3 and 6 month follow ups