
Currently, more than 400,000 veterans nationwide are diagnosed with AUD, and current data estimates that AUD affects nearly 11% of U.S. adults.

Semaglutide has drawn scientific interest because it may affect the parts of the brain involved in how the body experiences rewards. An analysis published in March found that patients receiving GLP‑1 medications experience lower rates of AUD and substance use disorders compared with similar patients taking other diabetes medications. Among individuals with existing SUDs, GLP‑1 medications have been associated with fewer emergency visits, hospitalizations, and other adverse outcomes. These findings highlight the need for a controlled clinical trial to determine whether a GLP-1, such as semaglutide, can reduce alcohol use among veterans.
The study, known as the Cessation or Reduction of Alcohol Consumption in Veterans trial, will enroll more than 600 veterans. Participants between the ages of 18 and 80 with moderate or severe AUD will receive weekly injections of either semaglutide or a placebo over a 24‑week period, followed by a safety follow‑up. Researchers will track changes in drinking, health, and quality of life to determine whether the medication offers a meaningful new treatment option.
Recruitment begins on 7/29/2026. For more information about participation, veterans can contact their local VA medical center or visit ClinicalTrials.gov and search for the CRAVE trial. For participation at VA North Texas Health Care Center, please contact the Local Site Investigator, Dr. Soe and his study coordinators, Jodie-Ann Clarke and Boris Patlis, at 214-857-0393 or 214-857-3388.
VA strongly discourages self-medicating or attempting to replace other AUD treatment options with GLP-1 medications or any other unprescribed substances. Evidence-based, proven treatments are available at VA facilities to support veterans with AUD. Veterans should always consult their health care providers before making any treatment decisions.
For more information, contact Michael Buchanan at Michael.Buchanan@va.gov or 214-970-6299.


