Substance-Related Disorders Clinical Trial
Official title:
Pilot Study to Evaluate the Benefits and the Risks of Methylphenidate for the Treatment of Cocaine Dependence
This phase II pilot study aims at evaluating the benefits and the risks of methylphenidate (Concerta®) for the treatment of cocaine/crack dependence in terms of cocaine/crack use reduction and adverse events.
Patients will receive pharmacotherapy based on methylphenidate (18 mg per tablet) with a
3-week titration phase to a maximum dose of 108 mg per day, with a weekly follow-up during 3
months. Socio-demographic and behavioral data will be collected through phone interviews
every month. During medical visits, self-administered and clinical questionnaires will
collect clinical and behavioral data. Urine drug toxicologies and blood sampling will be
performed to gather biological, pharmacokinetic and pharmacodynamic data.
This study should identify an effective response-dose of methylphenidate for people with a
cocaine use disorder. The methylphenidate should be effective to reduce cocaine use in
cocaine-dependent individuals with a good tolerability. The results of pharmacokinetic and
pharmacodynamic analyses will give us the effective dose of methylphenidate and some
information on toxicity to adapt the surveillance in a future clinical trial.
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