Substance Abuse Clinical Trial
Official title:
A Double-Blind, Placebo-Controlled Trial of the Efficacy of Quetiapine for the Reduction of Cocaine Use
This placebo-controlled trial will test the effectiveness of Seroquel XR™ for the treatment of cocaine dependence in non-psychotic individuals who are cocaine dependent.
Cocaine abuse continues to be an epidemic. Co-morbid psychiatric disorders and high risks
behaviors compound the morbidity, economic costs, and social destruction associated with
this public health crisis. This is a 12 week, prospective, intent-to-treat, double-blind,
randomized, placebo-controlled study of Seroquel XR™ versus matched placebo, combined with
cognitive-behavioral group therapy, for the treatment of cocaine dependence in non-psychotic
individuals.
We will conduct this study at the American Lake (Tacoma) and Seattle campuses of the VA
Puget Sound Health Care System, recruiting veteran and non-veteran participants currently
using cocaine from the greater Pierce and King Counties region. It is anticipated that 120
subjects will be consented and screened for study participation and that 60 subjects will be
randomized to treatment.
After subjects have provided informed consent, they will enter a 1 week screening phase
during which medical, psychiatric, and substance use measures and assessments will be
administered to determine study eligibility. At baseline, we will assess cocaine use,
cocaine craving, psychiatric symptoms, and high risk behaviors. Also at this visit, subjects
will be randomly assigned to treatment with quetiapine (target dose 400 mg/day) or placebo.
During the treatment phase, subjects will visit the clinic once a week for safety
monitoring, completion of ratings and questionnaires, UDS's, and participation in a
cognitive-behavioral therapy group. At end of study, week 12, a physical examination will be
administered and a UDS and clinical laboratory values obtained. In addition, substance use,
psychiatric symptoms, and high risk behaviors will be assessed. To monitor safety and
further evaluate treatment effects, we will ask participants to return for a follow-up visit
at week 16.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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