Targeting the brain's nociceptin system to prevent alcohol relapse

The Nociceptin ORL1 System: Treatment Target for Relapse

NIH-funded research Scripps Research Institute, the · NIH-11098618

This project tests a new drug that blocks classic opioid receptors while turning on the nociceptin (NOP) system to reduce drinking and relapse in people with alcohol use disorder.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionScripps Research Institute, the NIH-funded
Lab location1 site (La Jolla, United States)
Project IDNIH-11098618 on NIH RePORTER

What this research studies

From a patient's point of view, researchers are developing a drug called BU10119 that both blocks traditional opioid receptors and activates the brain's nociceptin system. They are testing how a single dose affects alcohol drinking and whether it reduces relapse-like behavior compared with the approved drug naltrexone. Most experiments are being done in rats to study drinking, stress- or context-triggered seeking, and the brain circuits involved. The team will use those results to understand whether this dual-action approach could be more effective than existing medicines.

Who could benefit from this research

Good fit: People with alcohol use disorder who have trouble maintaining abstinence or who relapse despite current medications would be the most likely candidates for future trials based on this work.

Not a fit: People without alcohol use disorder or whose drinking problems are unrelated to the opioid/nociceptin systems are unlikely to benefit from this approach.

Why it matters

Potential benefit: If successful, this approach could lead to a new medication that reduces alcohol use and prevents relapse for people who do not benefit from current treatments like naltrexone.

How similar studies have performed: Naltrexone is an approved treatment that helps some people, and animal studies already show that activating NOP can reduce alcohol intake, but the combined MOP/DOP/KOP blockade with NOP activation represented by BU10119 is a novel approach not yet tested in people.

Where this research is happening

La Jolla, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.