Status:

COMPLETED

Investigation of Cocaine Addiction Using mGluR5 PET and fMRI

Lead Sponsor:

Yale University

Collaborating Sponsors:

National Institute on Drug Abuse (NIDA)

Conditions:

Cocaine Dependence

Eligibility:

All Genders

18-60 years

Phase:

PHASE1

Brief Summary

The proposed research program will investigate the changes in brain chemistry and circuitry that 're-wire' the brain during chronic cocaine use, promote relapse, and complicate treatment efforts. Curr...

Detailed Description

Cocaine use disorder (CUD) remains a significant public health concern that is resistant to current treatments. Challenges to treating CUD include an imbalance in neurobiological systems that 're-wire...

Eligibility Criteria

Inclusion

  • All participants:
  • Age 21 - 60 years
  • Provide voluntary, written, informed consent
  • Physically healthy by medical history, physical, neurological, ECG, and laboratory examinations
  • For females: non-lactating, no longer of child-bearing potential or agreeing to practice effective contraception during the study (e.g., established use of oral, injected or implanted hormonal methods of contraception; placement of an intrauterine device \[IUD\] or intrauterine system \[IUS\]; barrier methods: condom or occlusive cap \[diaphragm or cervical/vault caps\] with spermicidal foam/gel/film/cream/suppository; male partner sterilization; true abstinence when this is in line with the preferred and usual lifestyle of the subject), and a negative serum pregnancy test
  • Participants with a cocaine use disorder:
  • DSM-5 criteria for moderate or severe cocaine-use disorder
  • Recent street cocaine use in excess of quantities used in the current study
  • Intravenous and/or smoked (crack/freebase) cocaine use
  • Positive urine toxicology screen for cocaine
  • Healthy comparison participants:
  • Successful completion of an \[18F\]FPEB scan as part of another Yale approved protocol as a healthy control/comparison subject

Exclusion

  • All participants:
  • Any condition that, in the opinion of investigators, would prevent compliance with the study protocol
  • A history of significant medical or neurological illness (e.g., coronary artery disease, significant anemia, seizures)
  • Current use of psychotropic and/or potentially psychoactive medications
  • Physical or laboratory evidence of pregnancy
  • Meet any additional PET/MR imaging-related exclusion criteria, including:
  • Presence of MRI incompatible implants and other contraindications for MRI (e.g., pacemaker, artificial joints, non-removable body piercings, etc.)
  • Participation in other research studies involving ionizing radiation within one year of the PET scans that would cause the participant to exceed the yearly dose limits
  • History of a bleeding disorder or are currently taking anticoagulants (such as Coumadin, Heparin, Pradaxa, Xarelto).
  • Claustrophobia
  • Severe motor problems that prevent the subject from lying still for PET/MR imaging
  • Complaints of chronic pain (e.g., as the result of rheumatoid arthritis)
  • Current, past or anticipated exposure to radiation in the work place
  • Participants with a cocaine use disorder:
  • Other drug use disorder (except for tobacco-use disorder)
  • Less than 1 year of cocaine use disorder
  • A DSM-5 major psychiatric diagnosis (schizophrenia, bipolar disorder, etc.) unrelated to cocaine
  • Healthy comparison participants:
  • Any DSM-5 major psychiatric diagnosis (schizophrenia, bipolar disorder, etc.), except tobacco-use disorder
  • Positive drug screen

Key Trial Info

Start Date :

February 26 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 18 2022

Estimated Enrollment :

32 Patients enrolled

Trial Details

Trial ID

NCT03471182

Start Date

February 26 2018

End Date

August 18 2022

Last Update

February 29 2024

Active Locations (1)

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Connecticut Mental Health Center

New Haven, Connecticut, United States, 06519