AzTrials
AzTrials

Narcotic AbuseNCT00999544

Aprepitant Effects on Oxycodone Response

A study testing Aprepitant 0mg, Aprepitant 40mg and Aprepitant 200mg in people with Narcotic Abuse, run by Sharon Walsh at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Addressing the issue of opioid dependence and tolerance has public health implications for the treatment of opioid abuse (both heroin as well as pharmaceutical opioids) and for the treatment of pain. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Narcotic Abuse
What is being tested?
Aprepitant 0mg, Aprepitant 40mg and Aprepitant 200mg
Could I receive a placebo?
No, everyone receives an active treatment
How many people
9 participants
Where
1 siteUnited States
Study dates
Oct 2009to Apr 2011
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Recreational user of opioids
  • Healthy
  • Ages 18-55 years old
  • Able to provide informed consent

Who cannot join

  • Ongoing medical or psychiatric condition that would be contraindicated for participation
  • Past 30 day use of and P4503A4 inhibitor

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Kentucky

    Lexington, Kentucky, 40502

Other trials in United States

About this study

Official title: New Neural Drug Targets: An Evaluation of the Effects of Aprepitant on the Response to Oxycodone

Addressing the issue of opioid dependence and tolerance has public health implications for the treatment of opioid abuse (both heroin as well as pharmaceutical opioids) and for the treatment of pain. Recent preclinical data suggest a role for Substance P (NK-1) receptors in modulating both the acute and chronic response to opioids. The objective of this study is to determine whether pretreatment with aprepitant, a selective neurokinin-1 (NK-1) antagonist can reduce the direct response to an opioid agonist (oxycodone) on measures related to abuse liability and reinforcing effects.

Read the detailed description

Healthy adult volunteers with histories of illicit opioid use by the intranasal and oral routes will be admitted to this 6-week inpatient, crossover study. They will participate in 15 experimental test sessions, each lasting approximately 6.5 hours, during which they will receive a range of acute doses of aprepitant, including placebo, followed by challenge with oxycodone or placebo (given intranasally or orally). Multi-dimensional outcomes, including physiological (blood pressure, oxygen saturation, pupil diameter), subjective (questionnaires related to mood, abuse liability) and observer ratings will be collected repeatedly throughout each session. Data will be analyzed using parametric approaches to within-subject designs.

Conditions
Narcotic Abuse
Being tested
Aprepitant 0mg, Aprepitant 40mg, Aprepitant 200mg, Oxycodone 0mg, p.o., Oxycodone 20mg, p.o.
Keywords
opioid, oxycodone, NK1 antagonist, aprepitant, intranasal, abuse
Medical subject headings
Narcotic-Related Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Aprepitant 0mgDrug

    Aprepitant 0mg, p.o. pretreatment

  • Aprepitant 40mgDrug

    Aprepitant 40mg, p.o. pretreatment

  • Aprepitant 200mgDrug

    Aprepitant 200mg, p.o. pretreatment

  • Oxycodone 0mg, p.o.Drug

    Oxycodone 0mg, p.o.

  • Oxycodone 20mg, p.o.Drug

    Oxycodone 20mg, p.o.

  • Oxycodone 40mg, p.o.Drug

    Oxycodone 40mg, p.o.

  • Oxycodone 0mg, INDrug

    Oxycodone 0mg, IN

  • Oxycodone 15mg, INDrug

    Oxycodone 15mg, IN

  • Oxycodone 30mg, INDrug

    Oxycodone 30mg, IN

Study groups in NCT00999544
Study groupRoleWhat they receive
Placebo aprepitant/0 mg oxycodone IN POExperimentalPlacebo aprepitant/Placebo oxycodone IN/PO
Receives: Drug: Aprepitant 0mg; Drug: Oxycodone 0mg, p.o.; Drug: Oxycodone 0mg, IN
Placebo aprepitant/ oxycodone 15 IN 0 POExperimentalPlacebo aprepitant/ oxycodone 15 IN 0 PO
Receives: Drug: Aprepitant 0mg; Drug: Oxycodone 0mg, p.o.; Drug: Oxycodone 15mg, IN
Placebo aprepitant/ oxycodone 30 IN 0 POExperimentalPlacebo aprepitant/ oxycodone 30 IN 0 PO
Receives: Drug: Aprepitant 0mg; Drug: Oxycodone 0mg, p.o.; Drug: Oxycodone 30mg, IN
Placebo aprepitant/ oxycodone 0 IN 20 POExperimentalPlacebo aprepitant/ oxycodone 0 IN 20 PO
Receives: Drug: Aprepitant 0mg; Drug: Oxycodone 20mg, p.o.; Drug: Oxycodone 0mg, IN
Placebo aprepitant/ oxycodone 0 IN 40 POExperimentalPlacebo aprepitant/ oxycodone 0 IN 40 PO
Receives: Drug: Aprepitant 0mg; Drug: Oxycodone 40mg, p.o.; Drug: Oxycodone 0mg, IN
Aprepitant 40 mg/ oxycodone 0 IN 0 POExperimentalAprepitant 40 mg/ oxycodone 0 IN 0 PO
Receives: Drug: Aprepitant 40mg; Drug: Oxycodone 0mg, p.o.; Drug: Oxycodone 0mg, IN
Aprepitant 40 mg/ oxycodone 0 IN 20 POExperimentalAprepitant 40 mg/ oxycodone 0 IN 20 PO
Receives: Drug: Aprepitant 40mg; Drug: Oxycodone 20mg, p.o.; Drug: Oxycodone 0mg, IN
Aprepitant 40 mg/ oxycodone 0 IN 40 POExperimentalAprepitant 40 mg/ oxycodone 0 IN 40 PO
Receives: Drug: Aprepitant 40mg; Drug: Oxycodone 40mg, p.o.; Drug: Oxycodone 0mg, IN
Aprepitant 40 mg/ oxycodone 15 IN 0 POExperimentalAprepitant 40 mg/ oxycodone 15 IN 0 PO
Receives: Drug: Aprepitant 40mg; Drug: Oxycodone 0mg, p.o.; Drug: Oxycodone 15mg, IN
Aprepitant 40 mg/ oxycodone 30 IN 0 POExperimentalAprepitant 40 mg/ oxycodone 30 IN 0 PO
Receives: Drug: Aprepitant 40mg; Drug: Oxycodone 0mg, p.o.; Drug: Oxycodone 30mg, IN
Aprepitant 200 mg/ oxycodone 0 IN 0 POExperimentalAprepitant 200 mg/ oxycodone 0 IN 0 PO
Receives: Drug: Aprepitant 200mg; Drug: Oxycodone 0mg, p.o.; Drug: Oxycodone 0mg, IN
Aprepitant 200 mg/ oxycodone 0 IN 20 POExperimentalAprepitant 200 mg/ oxycodone 0 IN 20 PO
Receives: Drug: Aprepitant 200mg; Drug: Oxycodone 20mg, p.o.; Drug: Oxycodone 0mg, IN
Aprepitant 200 mg/ oxycodone 0 IN 40 POExperimentalAprepitant 200 mg/ oxycodone 0 IN 40 PO
Receives: Drug: Aprepitant 200mg; Drug: Oxycodone 40mg, p.o.; Drug: Oxycodone 0mg, IN
Aprepitant 200 mg/ oxycodone 15 IN 0 POExperimentalAprepitant 200 mg/ oxycodone 15 IN 0 PO
Receives: Drug: Aprepitant 200mg; Drug: Oxycodone 0mg, p.o.; Drug: Oxycodone 15mg, IN
Aprepitant 200 mg/ oxycodone 30 IN 0 POExperimentalAprepitant 200 mg/ oxycodone 30 IN 0 PO
Receives: Drug: Aprepitant 200mg; Drug: Oxycodone 0mg, p.o.; Drug: Oxycodone 30mg, IN

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Abuse Liability Proxy

    Visual analog scale ratings (from 0-100) on the subject-rated measure of "How much do you like the drug?" with higher scores indicating greater abuse liability (and 100 anchored with "extremely" and zero indicating none anchored with "none at all." Data were collected across multiple time points but the peak maximum score was used for the primary outcome measure.

    Measured: 42 days

Secondary outcomes (1)
  1. Respiration Depression

    Respiration rate measured over 60 seconds. Data were collected across multiple time points, but the peak minimum score was used for this outcome measure.

    Measured: 42 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Oct 2009 (estimated)
  2. Study startOct 2009
  3. Primary completionApr 2011
  4. Study completionApr 2011

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Crossover
Model description
Within subject crossover designed that examined 15 experimental conditions within a single group of participants
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
9 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00999544
Sponsor's protocol ID
09-0446
Other IDs
R01DA027031
Status last verified
Aug 2017
First submitted
20 Oct 2009
Last updated
1 Sep 2017
Data monitoring committee
No

Publications

  • Walsh SL, Heilig M, Nuzzo PA, Henderson P, Lofwall MR. Effects of the NK1 antagonist, aprepitant, on response to oral and intranasal oxycodone in prescription opioid abusers. Addict Biol. 2013 Mar;18(2):332-43. doi: 10.1111/j.1369-1600.2011.00419.x. Epub 2012 Jan 19.

    PubMed 22260216

Questions about this trial

What is this clinical trial studying?

A study testing Aprepitant 0mg, Aprepitant 40mg and Aprepitant 200mg in people with Narcotic Abuse, run by Sharon Walsh at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 1 Sep 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 23 Aug 2013). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Abuse Liability Proxy (time frame: 42 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00999544, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Sep 2017.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in