Cocaine Dependence Clinical Trial
Official title:
H-26605: Pharmacogenetics of Doxazosin for Cocaine Dependence
Doxazosin, an alpha 1-adrenergic receptor antagonist, may play an important role in cocaine addiction in humans. This study will evaluate to what extent the prospective screening for catecholamine related polymorphisms for alpha 1 NE receptor/transporter, COMT and DBH as main targets predict the treatment efficacy of doxazosin for cocaine-using behavior.
The NE system, especially the alpha 1-adrenergic receptor, may play an important role in
cocaine addiction in humans. The results of this study will provide medical safety data on
the duration of the induction schedule that will be optimal for attaining our target dose of
8 mg doxazosin daily and will guide future pharmacotherapy trials using Doxazosin or related
alpha 1 receptor antagonists for cocaine addiction.
This 16-week double-blind, placebo controlled clinical trial will provide treatment for 100
cocaine-dependent patients and includes a 13 week medication trial (weeks 1-13) and up to 2
week washout period(weeks 14-15). Qualifying subjects will be randomized to receive Doxazosin
8 mg/day, or placebo during the study participation.
Subjects will be receiving 1 mg study medication/placebo capsules at week 1, with 4mg/week
induction rate for weeks, according to their randomized assignments, and are maintained on
these agents through week 13. At the end of the study (weeks 14-15), participants will
undergo discontinuation from active/placebo medication over a 2-week period. Subjects who
wish to be transferred to an appropriate treatment program or treatment-research program will
be helped with referral during the 2 week period (weeks 14-15).
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