- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02444208
A Feasibility Trial for Inhibitory-Control Training to Reduce Cocaine Use (RCT(01))
June 22, 2018 updated by: Craig Rush, University of Kentucky
Randomized Clinical Trial (01): A Feasibility Trial for Inhibitory-Control Training to Reduce Cocaine Use
Cocaine abuse is an unrelenting public-health concern.
Behavioral therapies are considered the "standard of care" for reducing cocaine use and preventing relapse.
However, even with intense behavioral interventions, rates of relapse to cocaine use are discouragingly high (i.e., 60-95% of patients return to drug use).
Novel strategies are urgently needed to improve treatment outcomes for cocaine-use disorders.
The overarching goal of this project is to assess the feasibility, acceptability and initial efficacy of an innovative cocaine-based inhibitory-control training procedure.
This goal will be accomplished through the conduct of a Stage I pilot trial.
Cocaine-dependent participants will be enrolled and randomized to receive inhibitory-control training to cocaine or neutral images (N=20/condition).
This proposed intervention, cocaine based inhibitory-control training, will be delivered using an innovative computer program which teaches cocaine abusers to inhibit a pre-potent response to cocaine or neutral cues.
The primary hypothesis is the proposed procedures are feasible and acceptable to the participants.
Feasibility will be assessed by determining time needed to enroll the target sample; adaptive randomization outcomes; participant attendance, completion and adherence to study procedures.
Acceptability will be determined using a Treatment Acceptability Questionnaire.
The secondary hypothesis is that participants receiving cocaine-based inhibitory-control training will reduce their drug use to a greater extent than their counterparts in the neutral-image condition.
Reduced cocaine use will be demonstrated by fewer positive-urine samples using qualitative urinalysis and a reduction in levels of benzoylecgonine as determined by quantitative urinalysis (i.e., ELISA).
The third hypothesis is that participants receiving cocaine-based inhibitory-control training will show improved inhibitory control and neurocognitive functioning relative to their counterparts in the neutral-image condition.
Improved inhibitory control, impulsivity and cognitive functioning will be demonstrated using a battery of clinical instruments and laboratory tasks.
The proposed research is highly innovative in that it will provide critical information regarding the feasibility, acceptability, initial efficacy of cocaine-based inhibitory-control training to reduce drug use and improve inhibitory control and neurocognitive functioning in cocaine-dependent participants.
Cocaine-based inhibitory control training is also easy to administer (i.e., 15 minutes), inexpensive, need not be administered by a clinician, and could easily be incorporated into current behavioral or community-based treatment approaches to enhance sustained abstinence, thereby quickly impacting clinical research and practice.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
40
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Kentucky
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Lexington, Kentucky, United States, 40507
- University of Kentucky
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 55 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Recent cocaine use verified by a cocaine-positive urine sample
- Meet Cocaine Abuse or Dependence criteria, verified by computerized Structured Clinical Interview for DSM-IV (SCID)
- Subjects must be seeking treatment for their cocaine use.
- Subjects must have at least 10% errors in response to cocaine go cues on the ABBA Task at baseline
Exclusion Criteria:
- History of serious physical or psychiatric disease that would interfere with study participation
- Current physical or psychiatric disease that would interfere with study participation
- Current or past histories of substance abuse or dependence that would interfere with study completion
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Factorial Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Cocaine Inhibitory Control Training
This group will receive active inhibitory control training.
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Subjects will learn to inhibit responding in the presence of cocaine cues.
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Placebo Comparator: Neutral Inhibitory Control Training
This group will receive neutral inhibitory control training.
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Subjects will learn to inhibit responding in the presence of neutral cues.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Stop-Signal Task
Time Frame: 8 weeks after study entry
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Response inhibition and response execution will be measured using a stop-signal paradigm using a choice reaction time task that engages participants in responding to go-signals when stop-signals occasionally inform them to inhibit the response.
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8 weeks after study entry
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Retention
Time Frame: 8, 9 and 10 weeks after study entry
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The number of subjects retained through follow up will be determined.
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8, 9 and 10 weeks after study entry
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Recruitment
Time Frame: Three years
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The number of subjects recruited into the entire trial will be determined.
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Three years
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Treatment acceptability
Time Frame: 8, 9 and 10 weeks after study
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A patient treatment acceptability questionnaire will be included to determine whether patients find study procedures acceptable.
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8, 9 and 10 weeks after study
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Protocol Adherence
Time Frame: Three years
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The number of protocol violations across the entire trial will be determined.
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Three years
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Self-Reported Cocaine Use
Time Frame: 7 days
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Self-reported cocaine use will be recorded every 7 days for 10 weeks.
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7 days
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Biologically verified cocaine use
Time Frame: 72 hours
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Cocaine use will be determined using quantitative and qualitative screens at least every 72 hours for 8 weeks.
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72 hours
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Craig R. Rush, Ph.D., University of Kentucky
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
May 1, 2015
Primary Completion (Actual)
June 1, 2018
Study Completion (Actual)
June 1, 2018
Study Registration Dates
First Submitted
May 11, 2015
First Submitted That Met QC Criteria
May 13, 2015
First Posted (Estimate)
May 14, 2015
Study Record Updates
Last Update Posted (Actual)
June 26, 2018
Last Update Submitted That Met QC Criteria
June 22, 2018
Last Verified
June 1, 2018
More Information
Terms related to this study
Other Study ID Numbers
- RCT (01)
- R34DA038869 (U.S. NIH Grant/Contract)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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