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Behavior, Addictive clinical trials

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NCT ID: NCT00781898 Completed - Opiate Addiction Clinical Trials

Treatment Study Using Depot Naltrexone (1/6) Philadelphia Coord/Data Mgmt Site

Start date: June 2008
Phase: Phase 2/Phase 3
Study type: Interventional

The aim of this project is to conduct a multi-site effectiveness study to determine whether the addition of a monthly injection of depot naltrexone to treatment as usual (TAU) will significantly improve outcome in parolees and probationers with a history of opioid addiction compared to TAU alone. Participants will be randomized to either treatment as usual in community programs or monthly injections of depot naltrexone for six months with treatment as usual in community programs. The effectiveness of depot naltrexone has never been studied in opioid dependent parolees. all parolee subjects will be evaluated at baseline, while in treatment, and at 6, 12 and 18 month post entry time points. The primary study outcomes are retention in treatment, drug use, re-arrests, psychosocial and medical/psychiatric functioning, and economic costs and benefit costs of naltrexone.

NCT ID: NCT00729300 Completed - Cocaine Addiction Clinical Trials

A Study of the Relationship Between Disulfiram and Cocaine Self-administration.

Start date: April 2006
Phase: Phase 1/Phase 2
Study type: Interventional

The problem of cocaine dependence remains a major medical, social, and legal concern. Several studies have suggested that disulfiram may be beneficial for the treatment of cocaine dependence. A common assumption has been that disulfiram treatment, by increasing DA availability, enhances the aversive aspects of stimulants. This study aims to measure plasma activity in those with the C/C DBH genotype, which is associated with higher DBH activity subsequently making the disulfiram treatment more effective, as well as determine the effects of treatment with disulfiram on cocaine self-administration using a human laboratory model of cocaine self-administration.

NCT ID: NCT00713479 Completed - Clinical trials for Amphetamine Addiction

An Assessment of the Safety of Varenicline in Methamphetamine-dependent Volunteers

Start date: July 2008
Phase: Phase 1
Study type: Interventional

More people worldwide use amphetamine-type stimulants than any illicit drug besides cannabis, and methamphetamine (MA) abuse and dependence is the fastest growing drug problem in the United States. Much work remains in identifying an effective pharmacotherapy for MA dependence. The neurobiological actions produced by MA involve dopamine (DA), serotonin, and norepinephrine, but also include alterations to cholinergic neurotransmitter systems. Candidate compounds that target acetylcholine (ACh) are attractive options for development that have not received adequate attention. Varenicline is a drug that increases the release of DA in the brain and it is logical to assume that it would to some extent compensate for the reduction in these neurotransmitters that occurs in MA withdrawal. Current research has linked certain genes that are related to neurotransmitters with drug abuse and memory impairment (e.g., A1 allele for the D2 dopamine receptor and catechol-O-methyltransferase). We will take blood samples and test for these genes in order to relate the findings to brain function. This is a double-blind, placebo-controlled, within-subjects study to determine the safety and tolerability of MA in MA-dependent volunteers treated with varenicline and placebo.

NCT ID: NCT00701532 Completed - Cocaine Dependence Clinical Trials

Brain Imaging Study of the Effects of Modafinil in Cocaine Addiction

CAIMAN
Start date: April 2009
Phase: Phase 3
Study type: Interventional

-Context: Study objectives Primary: impact of modafinil versus placebo on DAT density modifications in the striatal and extra-striatal regions in cocaine dependent subjects hospitalised from D3 to D21. Primary Hypothesis: More rapid normalisation of DAT concentrations measured by PET using modafinil versus placebo from D3 to D21 during cocaine detoxification.

NCT ID: NCT00626834 Completed - Cocaine Addiction Clinical Trials

Vigabatrin Ph 1 Cocaine Interaction Study

Start date: February 2008
Phase: Phase 1
Study type: Interventional

This is a Phase 1 safety/tolerably study to determine if there are clinically significant interactions between oral vigabatrin (gamma vinyl-gamma-amino butyric acid; VGB) concurrent with intravenous (IV) cocaine infusions.

NCT ID: NCT00607360 Completed - Drug Addiction Clinical Trials

Integration of the Therapeutic Workplace in Drug Court

Start date: August 2004
Phase: Phase 1
Study type: Interventional

Drug Courts were developed as a therapeutic alternative to incarceration of drug-involved offenders by providing 'judicially supervised' drug abuse treatment and probation for nonviolent offenders in lieu of criminal prosecution and incarceration. Outcome studies have shown that drug courts have modest effects on participation in drug abuse treatment, drug use, and employment. The Therapeutic Workplace intervention is an effective employment-based treatment that integrates abstinence reinforcement contingencies in a work setting, intended to treat individuals with histories of drug addiction and chronic unemployment. Under this intervention, drug abuse patients are hired and paid to work. To promote abstinence, patients are required to provide drug-free urine samples to gain and maintain daily access in the workplace. In this way, patients can work and earn salary, but only as long as they remain drug abstinent. Patients using drugs and lacking job skills participate in an initial training phase to initiate abstinence and establish computer data entry skills. Once abstinent and skilled, patients are hired into an income-producing Therapeutic Workplace data entry business. Given that many drug court participants suffer from long histories of drug addiction and unemployment, the Therapeutic Workplace could be ideal for this population. This proposes of this clinical trial is to evaluate the Therapeutic Workplace intervention in a Drug Court.

NCT ID: NCT00586534 Completed - Cocaine Addiction Clinical Trials

Developing Computer Based Treatments for Addiction

Start date: January 2007
Phase: N/A
Study type: Interventional

The purpose of our research is to examine the promise of a new computer based approach to use in usual drug counseling when treating crack cocaine addiction.

NCT ID: NCT00567814 Completed - Cocaine Dependence Clinical Trials

A Placebo-Controlled Study of a Combination of Metyrapone and Oxazepam in Cocaine Addiction

Start date: December 2007
Phase: N/A
Study type: Interventional

Subjects will be randomly assigned to receive either one of the two potential dose combinations of the study medications or placebo over 6 weeks. The study will include twice weekly visits to the research clinic for laboratory studies, safety assessments and urine drug screens. Subjects will also be questioned regarding drug craving and mood symptoms.

NCT ID: NCT00565422 Completed - Internet Addiction Clinical Trials

Efficacy of Escitalopram in the Treatment of Internet Addiction

Start date: December 2002
Phase: Phase 4
Study type: Interventional

The purpose of this study was to determine whether Lexapro (Escitalopram) is safe and effective in treating problematic internet use.

NCT ID: NCT00499746 Completed - Opioid Abuse Clinical Trials

The Discriminative Effects of Tramadol in Humans

Start date: November 2007
Phase: Phase 1/Phase 2
Study type: Interventional

This research is part of a set of studies whose purpose is to test whether tramadol can be used for the treatment of opioid addiction. Tramadol is already available in the United States as a pain medicine marketed as Ultram. It has effects similar to morphine, and it may also have effects similar to other drugs like stimulants. The doses of tramadol used in this study are higher than those generally used for the treatment of pain. To be in this study a participant must be a user of opioids (drugs like heroin) and stimulants (drugs like cocaine), but cannot be addicted to either. The person must be between 21-55 years old, and generally healthy. Up to 12 people will take part in this study.