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A Multi-Center Trial of Nepicastat for Cocaine Dependence

Phase 2, Double-Blind, Placebo-Controlled, Parallel Group, Multi-Center Trial of Nepicastat for Cocaine Dependence

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01704196
Enrollment
179
Registered
2012-10-11
Start date
2013-04-30
Completion date
2014-12-31
Last updated
2017-05-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cocaine Dependence

Brief summary

The objective of this study is to evaluate the safety and efficacy of Nepicastat in improving the number of subjects that achieve abstinence from cocaine and reducing cocaine use in subjects with cocaine dependence.

Interventions

120 mg of active drug and 100mg of riboflavin daily for 11 weeks or matching placebo containing 100mg of riboflavin daily for 11 weeks.

DRUGPlacebo

Sponsors

National Institute on Drug Abuse (NIDA)
Lead SponsorNIH

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No

Inclusion criteria

* Be at least 18 years of age * Is seeking treatment for cocaine dependence * Is able to understand and provide written informed consent * Has completed all psychological assessments and procedures required during the 7 - 14 day screening period * If female, agrees to use an acceptable method of birth control * Is, in the opinion of the Investigator, likely to complete the 11-week Treatment Phase of the study

Exclusion criteria

* Please contact the study site for more information

Design outcomes

Primary

MeasureTime frameDescription
Abstinence (Weeks 10 - 11)Weeks 10 - 11Number of subjects that abstained from cocaine from weeks 10 through 11

Secondary

MeasureTime frameDescription
Reduction in Use (Weeks 1 - 11)Baseline through week 11Proportion of Subjects with a 50% or More Reduction in Cocaine Use from Baseline through week 11

Countries

United States

Participant flow

Participants by arm

ArmCount
Nepicastat
Nepicastat 120mg and 100mg riboflavin (once per day) for 11 weeks Nepicastat: 120 mg of active drug and 100mg of riboflavin daily for 11 weeks or matching placebo containing 100mg of riboflavin daily for 11 weeks.
90
Placebo
Placebo capsule containing 100mg riboflavin (once per day) for 11 weeks. Placebo
89
Total179

Baseline characteristics

CharacteristicNepicastatPlaceboTotal
Age, Continuous50.8 years
STANDARD_DEVIATION 8.2
49.0 years
STANDARD_DEVIATION 8.2
49.9 years
STANDARD_DEVIATION 8.2
Region of Enrollment
United States
90 participants89 participants179 participants
Sex: Female, Male
Female
15 Participants12 Participants27 Participants
Sex: Female, Male
Male
75 Participants77 Participants152 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
80 / 9067 / 89
serious
Total, serious adverse events
8 / 902 / 89

Outcome results

Primary

Abstinence (Weeks 10 - 11)

Number of subjects that abstained from cocaine from weeks 10 through 11

Time frame: Weeks 10 - 11

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
NepicastatAbstinence (Weeks 10 - 11)4 Participants
PlaceboAbstinence (Weeks 10 - 11)7 Participants
Secondary

Reduction in Use (Weeks 1 - 11)

Proportion of Subjects with a 50% or More Reduction in Cocaine Use from Baseline through week 11

Time frame: Baseline through week 11

ArmMeasureValue (NUMBER)
NepicastatReduction in Use (Weeks 1 - 11)13 participants
PlaceboReduction in Use (Weeks 1 - 11)20 participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026