Cocaine-Related Disorders
Conditions
Keywords
Cocaine Abuse, Dextro-Amphetamine Sulfate
Brief summary
Dextro-amphetamine sulfate is a central nervous system stimulant that increases the release of the neurotransmitter dopamine in the brain. The purpose of this study is to further examine dose ranges of dextro-amphetamine sulfate as a treatment for cocaine dependence.
Detailed description
This randomized, double-blind dose study will compare the effectiveness of three active medication doses of dextro-amphetamine sulfate to placebo in the treatment of cocaine dependence. Participants will be randomly assigned to one of the four following dosages of dextro-amphetamine sulfate: 0 mg, 40 mg, 60 mg, or 80 mg. Participants will undergo a 2-week stabilization period followed by a 25-week study period. The study period will include administration of the stable medication dose for 21 weeks, followed by 1 week of dose reduction, and then 3 weeks without medication. All participants will receive weekly cognitive behavioral therapy and electrocardiograms. Participants will be given the option to participate in a voluntary plasma blood draw during Weeks 4, 8, and 20 and will be scheduled for follow-up assessments at Months 1 and 3 post-treatment.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* DSM-IV diagnosis of cocaine dependence, as determined by the Structured Clinical Interview for DSM-IV * Agreement to use an adequate method of contraception for the duration of the study * Electrocardiogram confirmation by a cardiologist * Cocaine-positive urine test prior to study entry
Exclusion criteria
* High blood pressure * Significant heart disease * Clinically significant cardiovascular abnormality * Angina * Kidney, liver, or gastrointestinal disorder * Current Axis I disorder not related to drug use * Current dependence on any drug other than nicotine * Attention deficit disorder (ADD) or attention deficit hyperactivity disorder (ADHD) * On probation or parole for reasons other than those related to drug abuse charges * Pregnant or breastfeeding * Sought treatment for drug dependence within 3 months prior to study entry * Currently taking prescribed medications
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Substance use and retention | — |
Secondary
| Measure | Time frame |
|---|---|
| Effectiveness measures, including psycho-social variables, side effects, and self-reported measures | — |
Countries
United States