Cocaine Dependence Clinical Trial
Official title:
A Randomized, Double-Blind, Placebo-Controlled Study of Mixed Amphetamine Salts (Adderall-XR) for the Treatment of Adult Attention Deficit Hyperactivity Disorder (ADHD) and Cocaine Dependence
The proposed protocol is a 3 group double-blind, placebo-controlled outpatient study of the safety and efficacy of Adderall-XR (ER-MAS) in the treatment of comorbid ADHD and cocaine dependence. Since this medication has independently shown promise in helping with ADHD and cocaine abuse, we are proposing that it may be successful in the treatment of comorbid ADHD and cocaine abuse. We plan to enroll 75 subjects in a 14-week trial. The primary objectives of the study are to determine the efficacy of ER-MAS in promoting cocaine abstinence and improvement in ADHD symptomology among cocaine-dependent patients with comorbid ADHD.
Specific Aim 1: To determine the efficacy of ER-MAS in promoting cocaine abstinence and ADHD
improvement among comorbid ADHD and cocaine-dependent patients.
Primary Hypothesis: benzoylecgonine positive urine screens will decrease with greatest to
least reductions from 80mg>60mg>PBO (placebo).
Hypothesis 2: ADHD-Rating Scale will decrease with greatest to least reductions from
80mg>60mg>PBO.
Specific Aim 2: To determine the effect of ER-MAS on improving general functioning and
impulsivity among comorbid ADHD and cocaine-dependent patients.
Hypothesis 4: There will be greater improved CGI (clinical global impression scale) scores in
participants receiving d-AMPH (d-amphetamine) compared to PBO.
Hypothesis 5: ER-MAS will decrease impulsivity as measured by several self-report (Barratts
Impulsivity Scale) and behavioral measures (Card Sort, IMT (immediate memory task), DMT
(delayed memory task), BART) compared to PBO.
This 14-week, three arm (two medication doses versus PBO), prospective, parallel groups,
randomized PBO-controlled trial with a lead-in as well as medication run-up and run down
weeks, will provide clear data on efficacy and safety for definitive Phase III trials, which
if successful will lead to improved treatment for A-ADHD/S-SUD.
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