Status:

COMPLETED

A Placebo-Controlled Study of Mixed Amphetamine Salts and Topiramate for the Treatment of Cocaine Dependence

Lead Sponsor:

New York State Psychiatric Institute

Collaborating Sponsors:

National Institute on Drug Abuse (NIDA)

Conditions:

Cocaine Dependence

Eligibility:

All Genders

18-60 years

Phase:

PHASE2

Brief Summary

The proposed protocol is a double-blind, placebo-controlled outpatient study of the safety and efficacy of Adderall-XR (ER-MAS) and topiramate in the treatment of cocaine dependence. Since both of the...

Detailed Description

Specific Aim 1: To determine the efficacy of ER-MAS and topiramate in promoting cocaine abstinence among cocaine-dependent patients. Primary Hypothesis: The proportion of participants achieving susta...

Eligibility Criteria

Inclusion

  • Men and women between the ages of 18-60 who meet DSM-IV criteria for current cocaine dependence (DSM-IV-TR).
  • Used cocaine at least four days in the past month, with at least weekly cocaine use.
  • Must have a Body Mass Index (BMI) \> 18 kg/m2
  • Alcohol Breathalyzer (BraC) at consent of \< 0.04%
  • Individuals must be capable of giving informed consent and capable of complying with study procedures.
  • Women of child bearing age will be included in the study provided that they are not pregnant, based on the results of a blood pregnancy test drawn at the time of screening. They must also agree to use a method of contraception with proven efficacy and agree not to become pregnant during the study. To confirm this, blood pregnancy tests will be repeated monthly. Women will be provided a full explanation of the potential dangers of pregnancy while on the study medication. If a woman becomes pregnant, the study medication will be discontinued.

Exclusion

  • Meets DSM-IV-TR criteria for bipolar disorder, Schizophrenia, or any psychotic disorder other than transient psychosis due to drug abuse
  • Individuals with any current Axis I psychiatric disorder as defined by DSM-IV-TR supported by the SCID-I/P that in the investigator's judgment are unstable or would be disrupted by study medication or are likely to require pharmacotherapy during the study period.
  • Individuals with current major depressive disorder.
  • Individuals physiologically dependent on any other drugs (excluding nicotine or cannabis) which require medical intervention.
  • Individuals with current psycho stimulant abuse or dependence.
  • Individuals with current suicidal risk.
  • Individuals with coronary vascular disease as indicated by history or suspected by abnormal ECG or history of cardiac symptoms.
  • Unstable physical disorders which might make participation hazardous such as uncontrolled hypertension (SBP \> 150, DBP\> 90, or HR \> 100 when sitting quietly), acute hepatitis (patients with chronic mildly elevated transaminases \< 3x upper limit of normal are acceptable), or uncontrolled diabetes.
  • Individuals with a history of seizures
  • History of allergic reaction to candidate medication (amphetamine and/or ER-MAS or topiramate).
  • Women who are pregnant or nursing.
  • Use of carbonic anhydrase inhibitors\*
  • History of glaucoma, kidney stones\*
  • History of failure to respond to a previous Adequate trial of either candidate medication for Cocaine dependence
  • Currently being prescribed psychotropic medication by another physician (other than sleep medication)
  • Individuals who are legally mandated (e.g., to avoid incarceration, monetary or other penalties, etc.) to participate in substance abuse treatment program -

Key Trial Info

Start Date :

February 1 2007

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 1 2010

Estimated Enrollment :

81 Patients enrolled

Trial Details

Trial ID

NCT00421603

Start Date

February 1 2007

End Date

May 1 2010

Last Update

April 24 2019

Active Locations (1)

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1

STARS

New York, New York, United States, 10032