SMART Brain Health in African-Americans
SMART
A Systematic Medical Approach to Reward Transformation (SMART) for Brain Health in Opioid Use Disorder
1 other identifier
interventional
140
1 country
2
Brief Summary
The investigators hypothesize that opioid use in African-Americans will be associated with hypodopaminergic alleles that alter the threshold for activating feelings of reward and pleasure within the dopaminergic system, and that these allelic frequencies will differ significantly from European Americans. Planned is a targeted system to study genetic risks for reward deficiency using risk gene panel to assign a genetic addiction risk score (GARS), comprehensive surveys to determine quality of life and exposure to stressors and trauma. This system will allow prediction of addiction and relapse potential and delivery of personalized treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jun 2018
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 16, 2018
CompletedFirst Submitted
Initial submission to the registry
July 16, 2018
CompletedFirst Posted
Study publicly available on registry
March 4, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 30, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
August 30, 2019
CompletedMarch 4, 2019
March 1, 2019
1.2 years
July 16, 2018
March 1, 2019
Conditions
Outcome Measures
Primary Outcomes (6)
Drug Relapse
Number of times opioids and other types of drugs of abuse are detected in urine
4 months
Genetic Testing for the number of risk alleles for Reward Genes through GARS
Number of reward gene variants in opioid use disorder patients compared to controls
Month 1
Change in assessment of depression, anxiety, PTSD
Change from Baseline in from the Comprehensive Universal Behavioral Screen for depression, anxiety, PTSD, after 4 months
4 months
Change in Reward Deficiency Syndrome Questionnaire (RDSQ)
Change in risky behaviors
4 months
Addiction Severity Index (ASI)
Change in indices associated with addiction and associated behaviors
4 months
Vitamin B6 testing
Presence of B6 in blood to test for compliance with Nutraceutical
Month 4
Study Arms (2)
Nutraceutical, KB220Z
EXPERIMENTALA nutraceutical pill containing pro-dopamine precursors
Placebo
PLACEBO COMPARATORA placebo that looks the same and is in a similar bottle
Interventions
Eligibility Criteria
You may qualify if:
- Must be able to consent and understand questions being asked during surveys
- Must be willing to undergo pharmacogenetic testing
- Must be able to swallow tablets
You may not qualify if:
- Clinical Diagnosis of Alzheimer's disease/Dementia
- Clinical Diagnosis of Schizophrenia
- Clinical Diagnosis of a terminal disorder
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Howard Universitylead
- Medical Home Development Groupcollaborator
- Geneus Healthcollaborator
Study Sites (2)
Howard University
Washington D.C., District of Columbia, 20059, United States
Medical Home Development Group
Washington D.C., District of Columbia, 20059, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
July 16, 2018
First Posted
March 4, 2019
Study Start
June 16, 2018
Primary Completion
August 30, 2019
Study Completion
August 30, 2019
Last Updated
March 4, 2019
Record last verified: 2019-03
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- CSR
- Time Frame
- within 18 months following completion of the study, and the cleaning of clinical and genomic data
The genetic data will be shared when compiled