Alcohol-related disorders
diseaseOn this page
Also known as alcohol related disordersalcohol-related disorderdisorder, alcohol-relateddisorders, alcohol-related
Summary
Alcohol-related disorders (MONDO:0021698) is a disease (an umbrella term covering 8 Mondo subtypes) with 41 GWAS associations across 13 studies and 108 clinical trials. Top therapeutic interventions include fluoxetine, bupropion, and disulfiram. A subtype of substance-related disorder — broader associated-gene and molecular evidence is on the parent page (see Disease family below).
At a glance
- Umbrella term: 8 Mondo subtypes
- GWAS associations: 41
- Clinical trials: 108
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | alcohol-related disorders |
| Mondo ID | MONDO:0021698 |
| MeSH | D019973 |
| SNOMED CT | 29212009 |
| UMLS | C0236664 |
| MedGen | 68632 |
| Is cancer (heuristic) | no |
Also known as: alcohol related disorders · alcohol-related disorder · disorder, alcohol-related · disorders, alcohol-related
Data availability: 41 GWAS associations (13 studies).
Disease family
This is a subtype of substance-related disorder. Genetic, therapeutic, and trial evidence is largely curated at the broader-term level — see the parent page for the associated-gene cohort and molecular evidence.
Classification path: disease › human disease › disease by developmental or physiological process › psychiatric disorder › substance-related disorder › alcohol-related disorders
Related subtypes (3): substance abuse, substance dependence, substance withdrawal syndrome
Subtypes (8): alcohol abuse, alcoholic psychosis, alcohol withdrawal delirium, Wernicke encephalopathy, alcohol dependence, alcohol sensitivity, acute, alcohol-induced disorders, alcohol amnestic disorder
Genetics & variants
GWAS landscape
41 GWAS associations across 13 studies. Top hits map to 13 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs1229984 | 6e-239 | ADH1B | T | 0.61 |
| rs4646776 | 2e-74 | ALDH2 | ? | |
| rs2066702 | 2e-54 | ADH1B | G | 0.18 |
| rs13107325 | 2e-38 | SLC39A8 | C | 0.13 |
| rs4665972 | 2e-27 | SNX17 | T | 0.06 |
| chr2:45154908 | 3e-26 | G | 0.06 | |
| rs1421085 | 6e-23 | FTO | T | 0.05 |
| rs11940694 | 5e-22 | KLB | A | 0.05 |
| chr11:113317745 | 6e-20 | G | 0.05 | |
| rs1260326 | 9e-19 | GCKR | T | 0.05 |
| rs7110440 | 3e-17 | DRD2 - TMPRSS5 | C | 0.05 |
| rs11642015 | 5e-17 | FTO | C | 0.05 |
| rs13016665 | 2e-16 | ACTG1P22 - VRK2 | C | 0.05 |
| chr2:144204338 | 8e-16 | C | 0.04 | |
| chr3:49469449 | 8e-15 | G | 0.05 | |
| rs671 | 3e-14 | ALDH2 | G | 0.73 |
| rs6446262 | 3e-13 | RHOA | T | 0.05 |
| chr12:81602449 | 6e-13 | A | 0.04 | |
| rs57044214 | 1e-12 | ARID4A, TOMM20L-DT | G | 0.04 |
| rs7937934 | 1e-12 | SORL1 - RNU6-256P | C | 0.04 |
| chr7:135170448 | 3e-12 | A | 0.04 | |
| chr10:10682319 | 3e-12 | A | 0.05 | |
| chr11:57654605 | 3e-12 | C | 0.04 | |
| chr11:121542923 | 3e-12 | A | 0.04 | |
| rs83995 | 3e-12 | SIX3-AS1 | G | 0.04 |
| chr10:110801173 | 4e-12 | C | 0.04 | |
| chr8:57429583 | 6e-12 | A | 0.04 | |
| rs13405986 | 6e-12 | ARHGAP15 | A | 0.04 |
| chr9:127825505 | 1e-11 | T | 0.04 | |
| chr16:30016022 | 1e-11 | C | 0.04 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST90079793 | Backman JD | 2021 | 114,302 | 230,584 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90083779 | Backman JD | 2021 | 114,302 | 230,584 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90476520 | Verma A | 2024 | 79,529 | 348,455 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90476519 | Verma A | 2024 | 37,017 | 77,731 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90480768 | Verma A | 2024 | 37,017 | 77,731 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90691955 | Karczewski KJ | 2025 | 16,070 | 392,046 | Pan-UK Biobank genome-wide association analyses enhance discovery and resolution of ancestry-enriched effects. |
| GCST90476517 | Verma A | 2024 | 14,839 | 41,253 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90435890 | Zhou W | 2018 | 12,922 | 379,355 | Efficiently controlling for case-control imbalance and sample relatedness in large-scale genetic association studies. |
| GCST90651131 | Liu TY | 2025 | 2,311 | 230,991 | Diversity and longitudinal records: Genetic architecture of disease associations and polygenic risk in the Taiwanese Han population. |
| GCST90476518 | Verma A | 2024 | 719 | 5,857 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 5 |
| Tier 2: splice/UTR | 0 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 29 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 32 |
| low_freq (0.01-0.05) | 1 |
| rare (<0.01) | 1 |
| unknown | 0 |
Functional consequences
| Consequence | Count |
|---|---|
| unknown | 15 |
| intron_variant | 12 |
| missense_variant | 5 |
| intergenic_variant | 1 |
| non_coding_transcript_exon_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs1229984 | 4 | 99318162 | T>A,C,G | 0.037 | missense_variant | ADH1B | 6e-239 | Tier 1: coding |
| rs4646776 | 12 | 111792215 | G>A,C | 0.05 | intron_variant | ALDH2 | 2e-74 | Tier 4: intronic/intergenic |
| rs2066702 | 4 | 99307860 | G>A,C | 0.19 | missense_variant | ADH1B | 2e-54 | Tier 1: coding |
| rs13107325 | 4 | 102267552 | C>A,T | 0.083 | missense_variant | SLC39A8 | 2e-38 | Tier 1: coding |
| rs4665972 | 2 | 27375230 | T>C | 0.415 | intron_variant | SNX17 | 2e-27 | Tier 4: intronic/intergenic |
| chr2:45154908 | 0.434 | 3e-26 | Tier 4: intronic/intergenic | |||||
| rs1421085 | 16 | 53767042 | T>C | 0.407 | intron_variant | FTO | 6e-23 | Tier 4: intronic/intergenic |
| rs11940694 | 4 | 39413373 | A>G | 0.423 | intron_variant | KLB | 5e-22 | Tier 4: intronic/intergenic |
| chr11:113317745 | 0.378 | 6e-20 | Tier 4: intronic/intergenic | |||||
| rs1260326 | 2 | 27508073 | T>A,C,G | 0.356 | missense_variant | GCKR | 9e-19 | Tier 1: coding |
| rs7110440 | 11 | 113478652 | C>A | 0.312 | intergenic_variant | DRD2 - TMPRSS5 | 3e-17 | Tier 4: intronic/intergenic |
| rs11642015 | 16 | 53768582 | C>G,T | 0.329 | intron_variant | FTO | 5e-17 | Tier 4: intronic/intergenic |
| rs13016665 | 2 | 57768213 | C>A,T | 0.427 | intron_variant | ACTG1P22 - VRK2 | 2e-16 | Tier 4: intronic/intergenic |
| chr2:144204338 | 0.359 | 8e-16 | Tier 4: intronic/intergenic | |||||
| chr3:49469449 | 0.26 | 8e-15 | Tier 4: intronic/intergenic | |||||
| rs671 | 12 | 111803962 | G>A | 0.005 | missense_variant | ALDH2 | 3e-14 | Tier 1: coding |
| rs6446262 | 3 | 49363720 | T>C | 0.238 | intron_variant | RHOA | 3e-13 | Tier 4: intronic/intergenic |
| chr12:81602449 | 0.484 | 6e-13 | Tier 4: intronic/intergenic | |||||
| rs57044214 | 14 | 58367191 | G>A,C,T | 0.269 | intron_variant | ARID4A, TOMM20L-DT | 1e-12 | Tier 4: intronic/intergenic |
| rs7937934 | 11 | 121764503 | C>A,T | 0.369 | intron_variant | SORL1 - RNU6-256P | 1e-12 | Tier 4: intronic/intergenic |
| chr7:135170448 | 0.404 | 3e-12 | Tier 4: intronic/intergenic | |||||
| chr10:10682319 | 0.202 | 3e-12 | Tier 4: intronic/intergenic | |||||
| chr11:57654605 | 0.332 | 3e-12 | Tier 4: intronic/intergenic | |||||
| chr11:121542923 | 0.462 | 3e-12 | Tier 4: intronic/intergenic | |||||
| rs83995 | 2 | 44940431 | G>T | 0.329 | non_coding_transcript_exon_variant | SIX3-AS1 | 3e-12 | Tier 4: intronic/intergenic |
| chr10:110801173 | 0.324 | 4e-12 | Tier 4: intronic/intergenic | |||||
| chr8:57429583 | 0.253 | 6e-12 | Tier 4: intronic/intergenic | |||||
| rs13405986 | 2 | 143404165 | A>G | 0.297 | intron_variant | ARHGAP15 | 6e-12 | Tier 4: intronic/intergenic |
| chr9:127825505 | 0.302 | 1e-11 | Tier 4: intronic/intergenic | |||||
| chr16:30016022 | 0.48 | 1e-11 | Tier 4: intronic/intergenic |
Genes & proteins
No associated-gene cohort resolved for this disease. Atlas builds the molecular and therapeutic sections — associated genes, protein families, druggability, pathways, interactions, and drug associations — by aggregating over a disease’s associated genes (resolved via GWAS / GenCC / ClinVar / CIViC), and none resolved here. This is expected for antibody-mediated, autoimmune, or otherwise non-gene-defined conditions; the curated evidence for this disease is its clinical features, GWAS susceptibility, and clinical trials (above).
Function
No pathway enrichment — requires an associated-gene cohort.
Therapeutics
Drugs indicated for this disease
No approved or late-stage (phase ≥3) drug is indicated for this disease; the following are in earlier-phase trials only.
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Disulfiram, Melatonin, Naltrexone, Nitrous Oxide, Sevoflurane.
Clinical trials & evidence
Clinical trials
Clinical trials: 108.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 72 |
| PHASE2 | 12 |
| PHASE1 | 12 |
| PHASE4 | 4 |
| PHASE3 | 4 |
| PHASE2/PHASE3 | 2 |
| PHASE1/PHASE2 | 1 |
| EARLY_PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT00061113 | PHASE4 | COMPLETED | Substance Dependent Teens - Impact of Treating Depression Study 1 - 1 |
| NCT00145847 | PHASE4 | COMPLETED | Naltrexone Treatment of Alcohol Abuse in Schizophrenia |
| NCT00402571 | PHASE4 | COMPLETED | Hepatic Function During and Following Three Days of Acetaminophen Dosing in Alcoholics |
| NCT00427206 | PHASE4 | COMPLETED | Hepatic Function in Alcoholics Following 5 Days of Acetaminophen Dosing |
| NCT07039175 | PHASE3 | RECRUITING | Intervention to Increase Intention to Change Alcohol/Tobacco Use in Veterans With Chronic Disease |
| NCT00202514 | PHASE2/PHASE3 | COMPLETED | Placebo Controlled Trial of Depakote ER in Alcohol Dependent Patients With Mood and/or Anxiety Symptoms |
| NCT00248612 | PHASE2/PHASE3 | COMPLETED | Psychosocial and Medication Treatment for Anxiety in Alcoholism |
| NCT00304707 | PHASE3 | COMPLETED | Effectiveness of Bupropion for Smokers Recovering From Alcohol Dependence |
| NCT00444418 | PHASE3 | COMPLETED | Medication and Counseling for Controlled Drinking (Project SMART) |
| NCT01573416 | PHASE3 | COMPLETED | Effectiveness of a Brief Intervention for Substances Consumption Linked to the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): A Randomized Control Trial in Chilean Primary Care. |
| NCT00000261 | PHASE2 | COMPLETED | Effects of Alcohol History on Effects of Sevoflurane and Nitrous Oxide - 13 |
| NCT00000278 | PHASE2 | COMPLETED | Disulfiram for Cocaine-Alcohol Abuse - 3 |
| NCT00000307 | PHASE2 | COMPLETED | Naltrexone as Adjunct in Alcoholic Cocaine Dependent Patients - 4 |
| NCT00106106 | PHASE2 | COMPLETED | Acamprosate to Reduce Symptoms of Alcohol Withdrawal |
| NCT00142818 | PHASE2 | COMPLETED | Modafinil and Naltrexone to Reduce Cocaine and Alcohol Dependence |
| NCT00142844 | PHASE2 | COMPLETED | Combination of Disulfiram Plus Naltrexone to Treat Both Cocaine- and Alcohol-dependent Individuals - 1 |
| NCT00379093 | PHASE2 | COMPLETED | Healthy Living as You Age |
| NCT00861146 | PHASE2 | COMPLETED | Concurrent Alcohol and Smoking Treatment: Effects on Alcohol Relapse Risk |
| NCT01227980 | PHASE2 | COMPLETED | Corticotropin-Releasing Hormone Receptor 1 (CRH1) Antagonism in Anxious Alcoholics^ |
| NCT01631630 | PHASE2 | TERMINATED | Role of Proinflammatory Signaling in Alcohol Craving |
| NCT01847183 | PHASE2 | COMPLETED | Evaluation of an School-based Alcohol Prevention Program for Middle School Students |
| NCT02885311 | PHASE1/PHASE2 | COMPLETED | Collaborative Care for Alcohol Use Disorders in the Patient-centered Medical Home |
| NCT03043443 | PHASE2 | COMPLETED | Melatonin Use for Sleep Problems in Alcohol Dependent Patients |
| NCT05623501 | PHASE1 | NOT_YET_RECRUITING | Phase I, Dose-Escalation Study of Dihydromyricetin (DHM) to Treat Alcohol-Associated Liver Disease |
| NCT06070649 | PHASE1 | RECRUITING | The Potential Therapeutic Effects of Psychedelic, N, N-dimethyltryptamine (DMT), on Alcohol Use Disorder (AUD) |
| NCT06636227 | PHASE1 | RECRUITING | Diclofenac Dose Response Study |
| NCT00094289 | PHASE1 | UNKNOWN | Interactions Between Cocaine and Ethanol and Disulfiram - 1 |
| NCT00230100 | PHASE1 | COMPLETED | The Women’s Recovery Group Study: Stage I Trial |
| NCT00946322 | PHASE1 | COMPLETED | Couple-Based Treatment for Alcohol Use Disorders and Post-Traumatic Stress Disorder |
| NCT01399554 | PHASE1 | COMPLETED | Exercise as Alcohol Use Disorders Intervention for Non-Treatment Seeking Adults |
| NCT02039349 | PHASE1 | COMPLETED | A Novel Compound for Alcoholism Treatment |
| NCT02294266 | PHASE1 | COMPLETED | Mephedrone and Alcohol Interactions in Humans |
| NCT02407340 | PHASE1 | COMPLETED | Laboratory Studies on Oxytocin for Treatment of Alcohol Use Disorder |
| NCT02771587 | PHASE1 | COMPLETED | Interaction of Alcohol With Energy Drinks |
| NCT04210713 | PHASE1 | COMPLETED | Neuroimmune Dysfunction in Alcohol Use Disorder |
| NCT03497442 | EARLY_PHASE1 | COMPLETED | Treatment of Asian Flushing Syndrome With Topical Alpha Agonists |
| NCT02108080 | Not specified | RECRUITING | Characterization Imaging Instruments in Alcoholics and Non-Alcoholics |
| NCT04234139 | Not specified | ENROLLING_BY_INVITATION | Cohort/Ethics Study of Patients With Severe Alcoholic Hepatitis Undergoing Early Liver Transplantation |
| NCT04391816 | Not specified | RECRUITING | COVID-19 Pandemic Impact on Alcohol (PIA) - A Natural History Study |
| NCT04897295 | Not specified | NOT_YET_RECRUITING | Neurobiological Effects of Transcranial Direct Current Stimulation Treatment in Alcohol Use Disorder |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| FLUOXETINE | 4 | 4 |
| BUPROPION | 4 | 3 |
| DISULFIRAM | 4 | 3 |
| FLUVOXAMINE | 4 | 3 |
| NALTREXONE | 4 | 3 |
| PRAZOSIN | 4 | 3 |
| VENLAFAXINE | 4 | 3 |
| ACETAMINOPHEN | 4 | 2 |
| ALCOHOL | 4 | 2 |
| DUTASTERIDE | 4 | 2 |
| ACAMPROSATE | 4 | 1 |
| BRIMONIDINE TARTRATE | 4 | 1 |
| DIVALPROEX SODIUM | 4 | 1 |
| MIRTAZAPINE | 4 | 1 |
| MODAFINIL | 4 | 1 |
| TRAZODONE | 4 | 1 |
| PEPPERMINT OIL | 3 | 1 |
| PEXACERFONT | 3 | 1 |
| AMPELOPSIN | 2 | 1 |
| MEBUFOTENIN | 2 | 1 |
| PF-5190457 | 2 | 1 |
| MEPHEDRONE | 1 | 1 |
| CHEMBL5417591 | 0 | 3 |
| CHEMBL5426064 | 0 | 1 |