Impact of Buspirone Maintenance on the Reinforcing Effects of Cocaine
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Purpose
Cocaine use disorders are an unrelenting public health concern. Intensive research efforts have yielded behavioral interventions that reduce cocaine use, however, these interventions are not universally effective and treatment effects diminish over time. Development of a pharmacotherapy that enhances the efficacy of these interventions is a priority for the National Institute on Drug Abuse. This study proposes to determine the impact of buspirone maintenance on self-administration of cocaine and alternative reinforcers. These preliminary data will be used to support further research developing buspirone as a pharmacotherapy for cocaine use disorders. We hypothesize that buspirone will attenuate the reinforcing effects of cocaine and increase the reinforcing effects of alternative reinforcers.
| Condition | Intervention |
|---|---|
|
Cocaine Use Disorders |
Drug: Buspirone |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Pharmacodynamics Study Intervention Model: Crossover Assignment Masking: Double Blind (Subject, Caregiver, Outcomes Assessor) Primary Purpose: Basic Science |
| Official Title: | Human Laboratory Study of the Impact of Buspirone Maintenance on the Reinforcing, Subjective and Performance Effects of Cocaine |
- Reinforcing Effects [ Time Frame: 6 Times over Approximately 2 Week Inpatient Admission ] [ Designated as safety issue: No ]The reinforcing effects of cocaine will be determined using a modified progressive ratio procedure (Stoops et al., 2010) in which subjects choose between available cocaine doses and money. Reinforcing effects are measured during both buspirone and placebo maintenance.
- Subjective Effects [ Time Frame: During 6 sessions over approximately 2 week inpatient admissions ] [ Designated as safety issue: Yes ]Subjects will complete subjective effects measures during six sessions while they are admitted to our inpatient unit. These items will ask about drug effects and general mood.
- Physiological and Side Effects [ Time Frame: Daily over approximately 2 week inpatient admission ] [ Designated as safety issue: Yes ]Physiological and side effects measures will be completed daily while they are admitted to our inpatient unit. Physiological measures include heart rate and blood pressure. Side Effects questions will query subjects about common effects of centrally active medications.
- Performance Effects [ Time Frame: During 6 sessions over approximately 2 week inpatient admission ] [ Designated as safety issue: No ]Subjects will complete a performance measure (i.e., the digit symbol substitution task) during six sessions while they are admitted to our inpatient unit.
| Estimated Enrollment: | 16 |
| Study Start Date: | September 2012 |
| Estimated Study Completion Date: | July 2014 |
| Estimated Primary Completion Date: | July 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Buspirone
Subjects will be maintained on buspirone.
|
Drug: Buspirone
Subjects will be maintained on oral buspirone (administered 3 times daily) or placebo for 6 days each during the study in random order.
|
|
Placebo Comparator: Placebo
Subjects will be maintained on placebo.
|
Drug: Buspirone
Subjects will be maintained on oral buspirone (administered 3 times daily) or placebo for 6 days each during the study in random order.
|
Eligibility| Ages Eligible for Study: | 18 Years to 55 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Recent cocaine use
Exclusion Criteria:
- Abnormal screening outcome (e.g., ECG, blood chemistry result) that study physicians deem clinically significant
- Current or past histories of substance abuse or dependence that are deemed by the study physicians to interfere with study completion
- History of serious physical disease, current physical disease, impaired cardiovascular functioning, chronic obstructive pulmonary disease, history of seizure or current or past histories of serious psychiatric disorder that in the opinion of the study physician would interfere with study participation will be excluded from participation
- Females not currently using effective birth control
- Contraindications to cocaine or buspirone
Contacts and Locations| Contact: William W Stoops, Ph.D. | 859-257-5388 | william.stoops@uky.edu |
| United States, Kentucky | |
| University of Kentucky Medical Center | Recruiting |
| Lexington, Kentucky, United States, 40536 | |
| Contact: William W Stoops, Ph.D. 859-257-5388 william.stoops@uky.edu | |
| Principal Investigator: William W Stoops, Ph.D. | |
| Principal Investigator: | William W Stoops, Ph.D. | University of Kentucky |
More Information
Publications:
| Responsible Party: | William Stoops, Assistant Professor, University of Kentucky |
| ClinicalTrials.gov Identifier: | NCT01639157 History of Changes |
| Other Study ID Numbers: | R21DA034095-01 |
| Study First Received: | July 10, 2012 |
| Last Updated: | December 4, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Substance-Related Disorders Mental Disorders Buspirone Serotonin Receptor Agonists Serotonin Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Pharmacologic Actions |
Physiological Effects of Drugs Anti-Anxiety Agents Tranquilizing Agents Central Nervous System Depressants Central Nervous System Agents Therapeutic Uses Psychotropic Drugs |
ClinicalTrials.gov processed this record on June 18, 2013