Effectiveness of TA-CD Vaccine in Treating Cocaine Dependent Individuals
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Purpose
Cocaine dependence is a major public health problem; an effective treatment for cocaine dependent individuals has yet to be found. The purpose of this study is to evaluate the effectiveness of the cocaine vaccine candidate TA-CD in treating cocaine dependent individuals.
| Condition | Intervention | Phase |
|---|---|---|
|
Cocaine-Related Disorders |
Biological: TA-CD Drug: placebo |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Cocaine Vaccine for Methadone Maintained Patients |
- Number of methadone maintained individuals who achieve 3 consecutive weeks of cocaine abstinence between Weeks 8 and 20
| Estimated Enrollment: | 125 |
| Study Start Date: | July 2003 |
| Study Completion Date: | June 2006 |
| Primary Completion Date: | June 2006 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
TACD
|
Biological: TA-CD |
| Placebo Comparator: 2 | Drug: placebo |
Detailed Description:
Cocaine is a highly addictive stimulant that has high abuse potential. An effective drug to treat cocaine dependent individuals has yet to be found. Cocaine produces euphoric effects by blocking the re-uptake of neurotransmitters, such as dopamine, within the brain. The vaccine candidate TA-CD is a cocaine derivative coupled to recombinant cholera toxin B. It is designed to generate drug-specific antibodies that bind to cocaine and prevent it from travelling to the brain from the blood, thereby neutralizing its psychoaffective effect. The purpose of this study is to evaluate the effectiveness of TA-CD versus placebo in treating cocaine dependent individuals.
Eligibility| Ages Eligible for Study: | 18 Years to 55 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Moderate to severe cocaine or opioid dependence
- Willing to enroll in methadone maintenance treatment
- Demonstrates motivation to stop using cocaine
- In good general health
- If female, willing to use an adequate form of contraception for the duration of the study
Exclusion Criteria:
- Currently suicidal or experiencing psychosis
- History of psychosis or schizophrenia
- Inability to read or understand English
- Current dependence on drugs or alcohol other than cocaine, opiates, or tobacco
- History of uveitis or ocular abnormalities associated with uveitis
- Any concomitant disease or abnormalities that, in the opinion of the investigator, may interfere with the study
- Requires psychotropic medications or steroids within 30 days of study entry
- Immune deficiency
- Ongoing active infection
- HIV infected
- Pregnant
Contacts and Locations| United States, Connecticut | |
| VA Connecticut Health Care System | |
| New Haven, Connecticut, United States, 06519 | |
| Principal Investigator: | Thomas R. Kosten, MD | Yale University, Department of Psychiatry |
More Information
No publications provided by National Institute on Drug Abuse (NIDA)
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00142857 History of Changes |
| Other Study ID Numbers: | NIDA-15477-1, R01-15477-1, DPMC |
| Study First Received: | September 1, 2005 |
| Last Updated: | February 19, 2008 |
| Health Authority: | United States: Federal Government |
Keywords provided by National Institute on Drug Abuse (NIDA):
|
Cocaine Dependence |
Additional relevant MeSH terms:
|
Cocaine-Related Disorders Substance-Related Disorders Mental Disorders Cocaine Vasoconstrictor Agents Cardiovascular Agents Therapeutic Uses Pharmacologic Actions Dopamine Uptake Inhibitors Dopamine Agents |
Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Neurotransmitter Uptake Inhibitors Physiological Effects of Drugs Anesthetics, Local Anesthetics Central Nervous System Depressants Sensory System Agents Peripheral Nervous System Agents Central Nervous System Agents |
ClinicalTrials.gov processed this record on May 19, 2013