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Methamphetamine Use DisorderPhase 1NCT04178993

Behavioral Effects of Drugs (Inpatient): 40 [Methamphetamine, Methylphenidate, Duloxetine]

A Phase 1 study testing Methamphetamine, Methylphenidate and Duloxetine in people with Methamphetamine Use Disorder, run by Craig Rush at 2 sites in United States.

Completed

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

Official record
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Trial summary

This study will evaluate the behavioral effects of methamphetamine during maintenance on placebo, duloxetine, methylphenidate and duloxetine combined with methylphenidate using sophisticated human laboratory methods. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Methamphetamine Use Disorder
What is being tested?
Methamphetamine, Methylphenidate and Duloxetine
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
8 participants
Where
2 sitesUnited States
Study dates
1 Sep 2019to 5 May 2021
Phase
Phase 1
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

  • recent use of inhaled (i.e., snorted), smoked or injected methamphetamine

Who cannot join

  • Abnormal screening outcome (e.g., ECG, blood chemistry result) that study physicians deem clinically significant.
  • Current or past histories of substance use 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 methamphetamine, methylphenidate, or duloxetine.

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • University of Kentucky

    Lexington, Kentucky, 40507

  • University of Kentucky Medical Center

    Lexington, Kentucky, 40536

Other trials in United States

About this study

Official title: A Novel Drug Combination as a Pharmacotherapeutic for Methamphetamine-Use Disorder

This study will evaluate the behavioral effects of methamphetamine during maintenance on placebo, duloxetine, methylphenidate and duloxetine combined with methylphenidate using sophisticated human laboratory methods.

Being tested
Methamphetamine, Methylphenidate, Placebo oral capsule, Duloxetine
Keywords
Methamphetamine, Methylphenidate, Duloxetine Hydrochloride, Central Nervous System Stimulants, Physiological Effects of Drugs, Dopamine Uptake Inhibitors, Serotonin and Noradrenaline Reuptake Inhibitors, Membrane Transport Modulators, Neurotransmitter Agents, Dopamine Agents, Molecular Mechanisms of Pharmacological Action, Sensory System Agents, Peripheral Nervous System Agents, Vasoconstrictor Agents, Antidepressive Agents, Psychotropic Drugs

What participants receive

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

  • MethamphetamineDrug

    Also called Metamfetamine

    In each arm, subjects will receive doses of methamphetamine.

  • MethylphenidateDrug

    Also called Metadate®

    In each arm, subjects will receive methylphenidate capsules.

  • Placebo oral capsuleDrug

    Also called Lactose

    In each arm, subjects will receive placebo capsules.

  • DuloxetineDrug

    Also called Cymbalta®

    Subjects will receive duloxetine capsules in the duloxetine arm.

Study groups in NCT04178993
Study groupRoleWhat they receive
Placebo Comparator: PlaceboPlacebo comparatorSubjects will be maintained on oral placebo. Subjects will be maintained on placebo and methylphenidate during placebo maintenance. Methamphetamine will be administered acutely during placebo maintenance. Placebo will be administered acutely during placebo maintenance.
Receives: Drug: Methamphetamine; Drug: Methylphenidate; Drug: Placebo oral capsule
Active Comparator: DuloxetineActive comparatorSubjects will be maintained on oral duloxetine. Subjects will be maintained on duloxetine and methylphenidate during placebo maintenance. Methamphetamine will be administered acutely during duloxetine maintenance. Placebo will be administered acutely during duloxetine maintenance.
Receives: Drug: Methamphetamine; Drug: Methylphenidate; Drug: Placebo oral capsule; Drug: Duloxetine

What is being measured

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

  1. Reinforcing Effects of Methamphetamine Following Methylphenidate (0 mg; Placebo) Maintenance.

    Number of methamphetamine doses earned by subjects on a progressive ratio schedule of reinforcement. Subjects sample a dose of methamphetamine (0, 10, or 20 mg) and then have ten opportunities (e.g., trials) to "work" for a 1/10th of the sampled dose via clicking on a computer mouse (i.e., 10 completed trials is the full sampled dose).

    Measured: Following at least 4 days of maintenance on placebo during inpatient admission, up to 1 week

  2. Reinforcing Effects of Methamphetamine Following Methylphenidate (20 mg) Maintenance.

    Number of methamphetamine doses earned by subjects on a progressive ratio schedule of reinforcement. Subjects sample a dose of methamphetamine (0, 10, or 20 mg) and then have the ten opportunities (e.g., trials) to "work" for a 1/10th of the sampled dose via clicking on a computer mouse (i.e., 10 completed trials is the full sampled dose).

    Measured: Following at least 4 days of maintenance on drug during inpatient admission, up to 1 week

  3. Reinforcing Effects of Methamphetamine Following Methylphenidate (40 mg) Maintenance.

    Number of methamphetamine doses earned by subjects on a progressive ratio schedule of reinforcement. Subjects sample a dose of methamphetamine (0, 10, or 20 mg) and then have the ten opportunities (e.g., trials) to "work" for a 1/10th of the sampled dose via clicking on a computer mouse (i.e., 10 completed trials is the full sampled dose).

    Measured: Following at least 4 days of maintenance on drug during inpatient admission, up to 1 week

  4. Reinforcing Effects of Methamphetamine Following Methylphenidate (60 mg) Maintenance.

    Number of methamphetamine doses earned by subjects on a progressive ratio schedule of reinforcement. Subjects sample a dose of methamphetamine (0, 10, or 20 mg) and then have the ten opportunities (e.g., trials) to "work" for a 1/10th of the sampled dose via clicking on a computer mouse (i.e., 10 completed trials is the full sampled dose).

    Measured: Following at least 4 days of maintenance on drug during inpatient admission, up to 1 week

Secondary outcomes (28)
  1. Heart Rate After Methamphetamine Administration Following Methylphenidate (0 mg) Maintenance.

    Heart Rate (beats per minute) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Measured: Daily over approximately 1 week of inpatient stay.

  2. Heart Rate After Methamphetamine Administration Following Methylphenidate (20 mg) Maintenance.

    Heart Rate (beats per minute) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Measured: Daily over approximately 1 week of inpatient stay.

  3. Heart Rate After Methamphetamine Administration Following Methylphenidate (40 mg) Maintenance.

    Heart Rate (beats per minute) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Measured: Daily over approximately 1 week of inpatient stay.

  4. Heart Rate After Methamphetamine Administration Following Methylphenidate (60 mg) Maintenance.

    Heart Rate (beats per minute) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Measured: Daily over approximately 1 week of inpatient stay.

  5. Systolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (0 mg) Maintenance.

    Systolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Measured: Daily over approximately 1 week of inpatient stay.

  6. Systolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (20 mg) Maintenance.

    Systolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Measured: Daily over approximately 1 week of inpatient stay.

  7. Systolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (40 mg) Maintenance.

    Systolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Measured: Daily over approximately 1 week of inpatient stay.

  8. Systolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (60 mg) Maintenance.

    Systolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Measured: Daily over approximately 1 week of inpatient stay.

  9. Diastolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (0 mg) Maintenance.

    Diastolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Measured: Daily over approximately 1 week of inpatient stay.

  10. Diastolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (20 mg) Maintenance.

    Diastolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Measured: Daily over approximately 1 week of inpatient stay.

  11. Diastolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (40 mg) Maintenance.

    Diastolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Measured: Daily over approximately 1 week of inpatient stay.

  12. Diastolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (60 mg) Maintenance.

    Diastolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Measured: Daily over approximately 1 week of inpatient stay.

  13. Temperature After Methamphetamine Administration Following Methylphenidate (0 mg) Maintenance.

    Oral temperature (degrees fahrenheit) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Measured: Daily over approximately 1 week of inpatient stay.

  14. Temperature After Methamphetamine Administration Following Methylphenidate (20 mg) Maintenance.

    Oral temperature (degrees fahrenheit) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Measured: Daily over approximately 1 week of inpatient stay.

  15. Temperature After Methamphetamine Administration Following Methylphenidate (40 mg) Maintenance.

    Oral temperature (degrees fahrenheit) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Measured: Daily over approximately 1 week of inpatient stay.

  16. Temperature After Methamphetamine Administration Following Methylphenidate (60 mg) Maintenance.

    Oral temperature (degrees fahrenheit) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Measured: Daily over approximately 1 week of inpatient stay.

  17. Subjective Effects of Methamphetamine (0 mg) Administration Following Methylphenidate (0 mg) Maintenance.

    Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

    Measured: Daily over approximately 1 week of inpatient stay.

  18. Subjective Effects of Methamphetamine (10 mg) Administration Following Methylphenidate (0 mg) Maintenance.

    Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

    Measured: Daily over approximately 1 week of inpatient stay.

  19. Subjective Effects of Methamphetamine (20 mg) Administration Following Methylphenidate (0 mg) Maintenance.

    Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

    Measured: Daily over approximately 1 week of inpatient stay.

  20. Subjective Effects of Methamphetamine (0 mg) Administration Following Methylphenidate (20 mg) Maintenance.

    Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

    Measured: Daily over approximately 1 week of inpatient stay.

  21. Subjective Effects of Methamphetamine (10 mg) Administration Following Methylphenidate (20 mg) Maintenance.

    Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

    Measured: Daily over approximately 1 week of inpatient stay.

  22. Subjective Effects of Methamphetamine (20 mg) Administration Following Methylphenidate (20 mg) Maintenance.

    Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

    Measured: Daily over approximately 1 week of inpatient stay.

  23. Subjective Effects of Methamphetamine (0 mg) Administration Following Methylphenidate (40 mg) Maintenance.

    Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

    Measured: Daily over approximately 1 week of inpatient stay.

  24. Subjective Effects of Methamphetamine (10 mg) Administration Following Methylphenidate (40 mg) Maintenance.

    Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

    Measured: Daily over approximately 1 week of inpatient stay.

  25. Subjective Effects of Methamphetamine (20 mg) Administration Following Methylphenidate (40 mg) Maintenance.

    Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

    Measured: Daily over approximately 1 week of inpatient stay.

  26. Subjective Effects of Methamphetamine (0 mg) Administration Following Methylphenidate (60 mg) Maintenance.

    Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

    Measured: Daily over approximately 1 week of inpatient stay.

  27. Subjective Effects of Methamphetamine (10 mg) Administration Following Methylphenidate (60 mg) Maintenance.

    Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

    Measured: Daily over approximately 1 week of inpatient stay.

  28. Subjective Effects of Methamphetamine (20 mg) Administration Following Methylphenidate (60 mg) Maintenance.

    Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

    Measured: Daily over approximately 1 week of inpatient stay.

Timeline

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

  1. First posted26 Nov 2019
  2. Study start1 Sep 2019
  3. Primary completion5 May 2021
  4. Study completion5 May 2021

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 1
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Factorial
Masking
Triple blind
Who is masked
Participant, Care provider, Outcomes assessor
Enrolment
8 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04178993
Sponsor's protocol ID
BED(IN):40
Other IDs
R01DA047391
Status last verified
Dec 2022
First submitted
9 Aug 2019
Last updated
9 Jan 2023
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Methamphetamine, Methylphenidate and Duloxetine in people with Methamphetamine Use Disorder, run by Craig Rush at 2 sites 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 1 inclusion and 5 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 9 Jan 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 9 Jan 2023). 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?

Reinforcing Effects of Methamphetamine Following Methylphenidate (0 mg; Placebo) Maintenance. (time frame: Following at least 4 days of maintenance on placebo during inpatient admission, up to 1 week). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 9 Jan 2023.

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