NCT00158132

Brief Summary

Cocaine addiction is a serious health problem with no available medical treatment for preventing relapse. Amantadine, a medication that improves muscle control, and propranolol, a medication that lowers blood pressure, may be useful in treating cocaine addiction in individuals with severe cocaine withdrawal symptoms. This study will evaluate the effectiveness of amantadine and propranolol in preventing drug relapse among cocaine addicts.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
199

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Sep 1999

Longer than P75 for phase_2

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 1999

Completed
5.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2005

Completed
6 months until next milestone

First Submitted

Initial submission to the registry

September 8, 2005

Completed
4 days until next milestone

First Posted

Study publicly available on registry

September 12, 2005

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2006

Completed
Last Updated

January 12, 2017

Status Verified

October 1, 2016

Enrollment Period

5.5 years

First QC Date

September 8, 2005

Last Update Submit

January 11, 2017

Conditions

Keywords

cocaine

Outcome Measures

Primary Outcomes (1)

  • Cocaine abstinence; measured by self-reported Time line follow-back and confirmed with cocaine urine tests.

    8 weeks

Study Arms (4)

Propranolol

EXPERIMENTAL

Propranolol 100mg/day in 3 divided doses

Drug: Propranolol

Amantadine

EXPERIMENTAL

Amantadine 100mg three times daily

Drug: Amantadine

Propranolol and Amantadine

EXPERIMENTAL

Propranolol 100mg/day in 3 divided doses and Amantadine 100mg 3X's daily

Drug: PropranololDrug: Amantadine

Placebo

PLACEBO COMPARATOR

Identical Placebo pills

Drug: Placebo

Interventions

Propranolol 100mg/day in 3 divided doses

PropranololPropranolol and Amantadine

Amantadine 100mg three times daily

AmantadinePropranolol and Amantadine

Placebo pills

Placebo

Eligibility Criteria

Age18 Years - 60 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Male and females, 18 to 60 years old.
  • Meets DSM-IV diagnosis criteria for cocaine dependence as determined by the Structured Clinical Interview for DSM-IV (SCID)
  • Score of at least (\> or =) 22 on the Initial Cocaine Selective Severity Assessment (CSSA)
  • Lives within commuting distance of the Treatment Research Center (TRC) and the Penn/VA Center for Studies of Addiction, University of Pennsylvania
  • If female, willing to use contraception throughout the study
  • Continued use of cocaine during a two week evaluation phase prior to medication treatment as demonstrated by at least 2 new uses of cocaine documented by quantitative urine toxicology screen obtained three times weekly according to new use rules

You may not qualify if:

  • Meets DSM-IV/SCID diagnosis criteria for dependence on any drugs other than cocaine, marijuana, or nicotine. Cocaine dependent subjects who identify cocaine dependence as their primary addiction but who also meet criteria for alcohol dependence will be accepted as long as the alcohol dependence is not severe enough to require medications for alcohol detoxification.
  • Concomitant treatment with psychotropic medications.
  • Patients mandated to treatment based upon a legal decision or as a condition of employment. This will be assessed by the patient's self-report.
  • Current severe psychiatric symptoms (e.g., psychosis, dementia, suicidal or homicidal ideation, mania or depression requiring antidepressant medication)
  • Sensitivity to propranolol or amantadine
  • Use of any investigational medication within the past 30 days.
  • History of significant heart disease (an arrhythmia which required medication, Wolff-Parkinson -White Syndrome, angina pectoris, documented history of myocardial infarction, heart failure).
  • History of chest pain associated with cocaine use which has prompted a visit to a physician.
  • Current use of reserpine, verapamil, theophylline, trimethoprim, cimetidine, haloperidol, benzodiazepines, or anticonvulsants
  • Bronchospastic disease
  • Hyperthyroidism
  • Diabetes mellitus
  • Patients with known AIDS or other serious illnesses which may require hospitalization during the study.
  • Female subjects who are pregnant or lactating, or female subjects of child bearing potential who are not using acceptable methods of birth control. Acceptable methods of birth control include:
  • barrier (diaphragm or condom) with spermicide
  • +5 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Pennsylvania

Philadelphia, Pennsylvania, 19104 6178, United States

Location

Related Publications (1)

  • Kampman KM, Dackis C, Lynch KG, Pettinati H, Tirado C, Gariti P, Sparkman T, Atzram M, O'Brien CP. A double-blind, placebo-controlled trial of amantadine, propranolol, and their combination for the treatment of cocaine dependence in patients with severe cocaine withdrawal symptoms. Drug Alcohol Depend. 2006 Nov 8;85(2):129-37. doi: 10.1016/j.drugalcdep.2006.04.002. Epub 2006 May 11.

Related Links

MeSH Terms

Conditions

Cocaine-Related Disorders

Interventions

PropranololAmantadine

Condition Hierarchy (Ancestors)

Substance-Related DisordersChemically-Induced DisordersMental Disorders

Intervention Hierarchy (Ancestors)

PhenoxypropanolaminesPropanolaminesAmino AlcoholsAlcoholsOrganic ChemicalsPropanolsAminesNaphthalenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsPolycyclic CompoundsAdamantaneBridged-Ring Compounds

Study Officials

  • Helen M. Pettinati, Ph.D.

    University of Pennsylvania

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
FACTORIAL
Sponsor Type
OTHER

Study Record Dates

First Submitted

September 8, 2005

First Posted

September 12, 2005

Study Start

September 1, 1999

Primary Completion

March 1, 2005

Study Completion

February 1, 2006

Last Updated

January 12, 2017

Record last verified: 2016-10

Locations