Therapeutic Cocaine Vaccine: Human Laboratory Study
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Purpose
Clinical data demonstrate that a cocaine vaccine (TA-CD: Celtic Pharmaceutical) produces selective anti-cocaine antibodies, yet the impact of these antibodies on cocaine's direct effects is unknown. The objective of this human laboratory study was to measure the relationship between antibody titers and the effects of smoked cocaine on ratings of intoxication, craving and cardiovascular effects.
Cocaine-dependent volunteers not seeking drug treatment spend 2 nights per week for 13 weeks inpatient where the effects of cocaine (0, 25, 50 mg) are determined prior to vaccination and at weekly intervals thereafter. Vaccinations occur at weeks 1, 3, 5 and 9.
| Condition | Intervention | Phase |
|---|---|---|
|
Cocaine Dependence |
Biological: TA-CD |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Double Blind (Subject, Caregiver) Primary Purpose: Treatment |
| Official Title: | Tests of a Therapeutic Cocaine Vaccine |
- Cocaine intoxication [ Time Frame: 1 year ] [ Designated as safety issue: No ]
- Cocaine cardiovascular effects [ Time Frame: 1 year ] [ Designated as safety issue: Yes ]
| Enrollment: | 15 |
| Study Start Date: | March 2003 |
| Study Completion Date: | August 2009 |
| Primary Completion Date: | July 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Vaccine
All subjects received 4 active vaccinations with TA-CD
|
Biological: TA-CD
TA-CD (82,360 μg; IM) were administered at weeks 1, 3, 5 and 9.
|
Detailed Description:
I do not desire to provide a more extensive description.
Eligibility| Ages Eligible for Study: | 21 Years to 45 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Meets DSM-IV criteria for current cocaine dependence. The volunteer may meet criteria for other substance abuse, but not dependence (other than nicotine).
- Primary route of cocaine administration is smoking.
- Age 21-45.
- Females must be surgically sterilized or post- menopausal
- Able to give informed consent, and comply with study procedures.
Exclusion Criteria:
- Dependence on substances other than cocaine or nicotine.
- Judged to be noncompliant with study protocol.
- History of autoimmune disease, immune deficiency or hypersensitivity to other vaccines. An HIV test must be negative.
- Currently uses drugs intravenously
- Currently taking any psychotropic medication
- Laboratory tests that are clinically unacceptable to the study physician (BP > 140/90; BUN, creatinine, LFTs > 1.5 ULN; hematocrit < 34 for women, < 36 for men)
- Blood or blood products given in the three months prior to vaccination
- Other vaccines, including flu vaccine, given within 30 days of screening.
- Ongoing active infection
- Currently taking immunosuppressives -
Contacts and Locations| United States, New York | |
| New York-Presbyterian Hospital | |
| New York, New York, United States, 10032 | |
| Principal Investigator: | Margaret Haney, Ph.D. | Columbia University |
More Information
No publications provided by New York State Psychiatric Institute
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | New York State Psychiatric Institute |
| ClinicalTrials.gov Identifier: | NCT00965263 History of Changes |
| Other Study ID Numbers: | #3980, NIDA 1U19DA10946 |
| Study First Received: | August 24, 2009 |
| Last Updated: | January 29, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by New York State Psychiatric Institute:
|
Cocaine immunotherapy vaccination |
antibody addiction 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