NCT01204723

Brief Summary

The primary objective of this application is to test the neurobehavioral mechanisms and effects of aprepitant as a new cessation agent for cannabis, tobacco or both.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
63

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started Aug 2009

Typical duration for phase_1

Geographic Reach
1 country

2 active sites

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

August 1, 2009

Completed
1.1 years until next milestone

First Submitted

Initial submission to the registry

September 14, 2010

Completed
3 days until next milestone

First Posted

Study publicly available on registry

September 17, 2010

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2012

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2012

Completed
Last Updated

June 1, 2012

Status Verified

May 1, 2012

Enrollment Period

2.4 years

First QC Date

September 14, 2010

Last Update Submit

May 31, 2012

Conditions

Keywords

Marijuana AbuseNicotine DependenceNicotine Withdrawalneurokinin ReceptorNK1 Receptor antagonistSubstance PRecurrenceSubstance Withdrawal SyndromeSubstance-Related DisordersDisorders of Environmental OriginMental DisordersDisease AttributesPathologic ProcessesTetrahydrocannabinolTherapeutic UsesPsychotropic DrugsAnalgesics, Non-NarcoticAnalgesicsSensory System AgentsPeripheral Nervous System AgentsNeurotransmitter AgentsMolecular Mechanisms of Pharmacological ActionNarcotic Antagonistscannabis

Outcome Measures

Primary Outcomes (3)

  • withdrawal symptom severity, measured on a 0 (not at all) to 3 (severe) scale

    Subjective experience of withdrawal symptoms for cannabis, tobacco, and both (eg: Irritability, Sleep difficulty, Chills, Nervousness)

    collected on each study day

  • "craving" measured using the Marijuana craving questionaire and the tobacco craving questionaire

    Subjective measures of craving for cannabis, tobacco, and both Questionaires are anchored with strongly disagree to strongly agree (1-7)

    collected on each study day

  • reinforcing effects, as measured using the Multiple Choice Questionaire

    Reinforcement value of cannabis and tobacco as measured by preference for money over the administration of either drug; questionaire has 70 questions and money value vs. drug ranges from 25 cents to 25 dollars 1-70.

    collected each day of study

Secondary Outcomes (3)

  • sleep quality

    collected on each study day

  • Neurocognitive Function

    collected on days 1-4 of the study

  • Number of Participants with Adverse Events as a Measure of Safety and Tolerability

    each day of study

Study Arms (3)

Behavioral Condition 1

EXPERIMENTAL

Nicotine patch (21 mg) plus placebo oral cannabis (0 mg; 3 times a day on days 2-4, given once on day 5)

Drug: Placebo AprepitantDrug: Active Aprepitant

Behavioral Condition 2

EXPERIMENTAL

Placebo nicotine patch (0 mg) plus oral cannabis (10 mg, 3 times each day, days 2-4, day 5 given once)

Drug: Placebo AprepitantDrug: Active Aprepitant

Behavioral Condition 3

EXPERIMENTAL

Placebo nicotine patch (0 mg) plus placebo oral cannabis (0 mg, 3 times each day days 2-4, day 5 given once)

Drug: Placebo AprepitantDrug: Active Aprepitant

Interventions

Placebo Aprepitant 0 mg once daily for 5 days

Behavioral Condition 1Behavioral Condition 2Behavioral Condition 3

Active Aprepitant 160 mg once daily for 5 days

Behavioral Condition 1Behavioral Condition 2Behavioral Condition 3

Eligibility Criteria

Age18 Years - 45 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Must meet DSM-IV/ICD-10 criteria for cannabis abuse or dependence
  • Must be non-treatment seeking individuals
  • Participant does not meet DSM-IV criteria for any current (i.e., criteria met at any point in the past 30 days) dependence on a substance other than alcohol, nicotine, caffeine, or marijuana or physiological dependence on alcohol requiring medical detoxification.
  • No subjects who have trouble reading the English language or visual or hearing problems that may interfere with the collection of data
  • Not currently taking other medications (with the exception of oral contraceptives) that would preclude safe participation in this study
  • females using birth control pills must agree to use a condom during intercourse for 1 month after participation in study because the study medication will decrease the effectiveness of the birth control pill rendering it ineffective
  • Should be in general good health
  • No evidence of recent use of other illicit drugs on a urine toxicity screen prior to admission

You may not qualify if:

  • Major current (within last 90 days) Axis I psychopathology (e.g., major depressive disorder, bipolar disorder, schizophrenia)
  • Presence of significant medical illness (e.g., diabetes, cardiovascular disease, hypertension, cancer, epilepsy, kidney disease)
  • Current, repeated illicit drug use (other than marijuana)
  • Subject is breastfeeding or pregnant
  • Concurrent therapy with drugs known to inhibit CYP3A4 activity
  • Request for drug treatment
  • Current parole or probation
  • Recent history of significant violent or suicide behavior
  • Allergic to sesame oil

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Clinical Pharmacological Research Unit (CPRU), University of Virginia School of Medicine

Charlottesville, Virginia, 22903, United States

Location

University of Virginia Center for Addiction Education and Treatment (UVA CARE)

Charlottesville, Virginia, 22908, United States

Location

Related Publications (1)

  • Gunderson EW, Haughey HM, Ait-Daoud N, Joshi AS, Hart CL. A survey of synthetic cannabinoid consumption by current cannabis users. Subst Abus. 2014;35(2):184-9. doi: 10.1080/08897077.2013.846288.

MeSH Terms

Conditions

Marijuana AbuseTobacco Use DisorderRecurrenceSubstance Withdrawal SyndromeSubstance-Related DisordersDisorders of Environmental OriginMental DisordersDisease AttributesPathologic Processes

Condition Hierarchy (Ancestors)

Chemically-Induced DisordersPathological Conditions, Signs and Symptoms

Study Officials

  • Heather M Haughey, Ph.D.

    University of Virginia School of Medicine, Dept. Psychiatry and Neurobehavioral Sciences

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
BASIC SCIENCE
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 14, 2010

First Posted

September 17, 2010

Study Start

August 1, 2009

Primary Completion

January 1, 2012

Study Completion

April 1, 2012

Last Updated

June 1, 2012

Record last verified: 2012-05

Locations