Study to Improve Scientific Understanding of the Cardiovascular Actions of Cocaine
Recruitment status was Recruiting
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Purpose
The purpose of this study is to improve the scientific understanding of the cardiovascular actions of cocaine, in particular the ability of cocaine to increase blood pressure.
| Condition | Intervention | Phase |
|---|---|---|
|
Cocaine Induced Sympathoexciation and Vasoconstriction |
Drug: Cocaine hydrochloride Drug: Dexmedetomidine Procedure: Microneurography Procedure: Laser doppler velocimetry |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Crossover Assignment Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | Cocaine and Sympathetic Nerve Activity in Humans |
- Blood pressure
- Heart rate
- Skin sympathetic nerve activity
- Skin blood flow
- Coronary blood flow
- Sedation status
| Estimated Enrollment: | 440 |
Cocaine abuse has emerged as a major cause of life-threatening cardiovascular emergencies but our understanding of the underlying mechanisms mediating the adverse effects of cocaine is far from complete. Our previous studies in cocaine-naive human subjects have demonstrated that intranasal cocaine acutely stimulates the human cardiovascular system by a novel central mechanism of action.We are currently investigating a central sympatholytic drug,dexmedetomidine, in reversing the sympathomimetic effects (increase in blood pressure, heart rate and coronary vasoconstriction) of intranasal cocaine.This drug may be a new pharmacologic agent in the treatment of acute cocaine intoxication in humans.
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Cocaine naive healthy volunteers
Exclusion Criteria:
- Any evidence of cardiopulmonary disease by history or physical examination
- History of hypertension or 24 hour blood pressure averaging >135/85 mmHg
- Any history of substance abuse (other than tobacco)
- Diabetes mellitus or other systemic illness
- Individuals with a history of pseudocholinesterase deficiency
- Pregnancy
Contacts and Locations| Contact: Wapen Vongpatanasin, MD | 214-648-9078 | wanpen.vongpatanasin@utsouthwestern.edu |
| Contact: Dileep V Menon, MD | 214-648-7941 | dileep.menon@utsouthwestern.edu |
| United States, Texas | |
| Univ of Texas Southwestern Medical Center | Recruiting |
| Dallas, Texas, United States, 75390 | |
| Contact: Wanpen Vongpatanasin, MD 214-648-9078 wanpen.vongpatanasin@utsouthwestern.edu | |
| Contact: Dileep V Menon, MD 214-648-7941 dileep.menon@utsouthwestern.edu | |
| Principal Investigator: Ronald G Victor, MD | |
| Principal Investigator: | Ronald G Victor, MD | Univ of Texas Southwestern Medical Center |
More Information
Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00338546 History of Changes |
| Other Study ID Numbers: | 2RO1DA01006409 |
| Study First Received: | June 16, 2006 |
| Last Updated: | May 19, 2009 |
| Health Authority: | United States: Food and Drug Administration United States: Institutional Review Board |
Keywords provided by University of Texas Southwestern Medical Center:
|
Cocaine Sympathetic nerve activity Blood pressure Cutaneous vasoconstriction Coronary vasoconstriction |
Additional relevant MeSH terms:
|
Cocaine Dexmedetomidine 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 Hypnotics and Sedatives Analgesics, Non-Narcotic Analgesics Adrenergic alpha-2 Receptor Agonists Adrenergic alpha-Agonists Adrenergic Agonists Adrenergic Agents |
ClinicalTrials.gov processed this record on May 16, 2013