- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02935101
Effects of Glucocorticoids on Craving During Detoxification Treatment of Heroin and/or Stimulants (Goliath)
May 22, 2019 updated by: Prof. Dominique de Quervain, MD
The purpose of this study is to evaluate whether prednisolone lowers intensity and frequency of craving in heroin-addicted subjects undertaking a detoxification of cocaine and/or heroin.
Study Overview
Status
Terminated
Conditions
Intervention / Treatment
Detailed Description
Participants of this study are 120 heroin-addicted patients who are inward for a detoxification program for either cocaine or cocaine and heroin.
Depending on the detoxification substance(s) there will be two groups of participants: Detoxification of cocaine (A; 60 participants) and detoxification of heroin and cocaine (B; 60 participants).
The detoxification starts mandatory with the admission to the ward and lasts about 1-2 weeks.
The participation in the study lasts about 4-5 weeks (including follow-up visits).
Intake of study medication starts two days after admission and one day after informed consent.
Each participant will get either 30mg/d prednisolon or placebo during five days.
Participants will be under normal medical supervision during the treatment phase until follow-up 2 (final examination) provided by ward staff.
Treatment days and follow-up 1 and 2 consist of : (1) vital signs (BP, HR, temperature) as measured in the daily routine, (2) at midday: visual analogue scales asking about craving for heroin and cocaine at the moment, (3) afternoon: questionnaires to survey mainly the withdrawal symptoms and vegetative parameters.
Study Type
Interventional
Enrollment (Actual)
4
Phase
- Phase 2
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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Basel, Switzerland, 4000
- Psychiatric Hospital University of Basel
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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 99 years (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Informed Consent as documented by signature,
age ≥18,
- Group A Detoxification of stimulants (cocaine, amphetamine and/or methamphetamine); ICD-10: F14.2 and/or F15.2) OR Stable opioid dependency (no parallel consumption). Detoxifica-tion of stimulants.
- Group B Opioid dependency and dependency of stimulants (cocaine, amphetamine and/or methamphetamine) and Detoxification of parallel consumption of stimulants and heroin (ICD-10: F11.2, 14.2, 15.2)
- admission for detoxification to ward U2 of the University Psychiatric Hospital of Basel
Exclusion Criteria:
- contraindications to the class of drugs under study or to any of the excipients, e.g. known hypersensitivity or allergy to class of drugs or the investigational product;
- acute or severe co-morbid psychiatric disturbances (such as a heavy episode of major depression with suicidal ideations, acute exacerbation of a bipolar disorder, acute exacerbation of schizophrenia, alcohol addiction with an acute relapse, psychosis, dementia);
- current medical conditions excluding participation (such as acute infectious disease, moni-tored by elevated CRP, diabetes mellitus, anticoagulation therapy);
- recent history of systemic or topic glucocorticoid therapy;
- alcohol intake > 0.0 ‰ according to breathalyser test on day 0 (screening) to exclude severe alcohol abuse;
- specific drugs not allowed during the study or for specific periods of time prior to the administration of the test dose: Anticoagulant agents, antidiabetic agents, cyclosporine;
- women who are pregnant or breast feeding;
- intention to become pregnant during the course of the study;
- inability to follow the procedures of the study, e.g. due to language problems, psychological disorders, dementia;
- participation in another study with investigational drug within the 30 days preceding or during the present study;
- previous enrolment into the current study;
- enrolment of the investigator, his/her family members, employees and other dependent persons.
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: BASIC_SCIENCE
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: QUADRUPLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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EXPERIMENTAL: Prednisolon
Participants will receive an oral administration of prednisolone or placebo two times daily for the first five days of opioid detoxification, starting after one day of regular detoxification as baseline.
Oral prednisolone will be administered in a dose consistent with standard treatment guidelines for glucocorticoid deficiency (Oelkers, 1996).
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formulated for oral administration.
encapsulated.
Other Names:
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PLACEBO_COMPARATOR: Placebo
Identical looking capsules like the IMP containing placebo (without active component) for oral administration.
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Sugar pill manufactured to mimic Prednisolon 10mg capsules
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Heroin Craving
Time Frame: Assessing change between baseline and some predefined time points during 2 weeks
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Heroin Craving Questionnaire, 14 items (HCQ; Tiffany et al., 1993 and Heinz et al., 2006)
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Assessing change between baseline and some predefined time points during 2 weeks
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Cocaine Craving
Time Frame: Assessing change between baseline and some predefined time points during 2 weeks
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Cocaine Craving Questionnaire, 14 items (CCQ; Tiffany et al., 1993 and Heinz et al., 2006)
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Assessing change between baseline and some predefined time points during 2 weeks
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Heroin Craving
Time Frame: Assessing change between baseline and some predefined time points during 2 weeks
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Visual Analogue Scale Craving
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Assessing change between baseline and some predefined time points during 2 weeks
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Cocaine Craving
Time Frame: Assessing change between baseline and some predefined time points during 2 weeks
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Visual Analogue Scale Craving
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Assessing change between baseline and some predefined time points during 2 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Withdrawal Symptoms according to ICD-10 (F14.3 and F12.2)
Time Frame: Assessing change between baseline and some predefined time points during 2 weeks
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Assessing change between baseline and some predefined time points during 2 weeks
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Questionnaire 'Health State'
Time Frame: Assessing change between baseline and some predefined time points during 2 weeks
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SF-12 (Morfeld M. et al., 2011)
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Assessing change between baseline and some predefined time points during 2 weeks
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Questionnaire 'Anger/Irritation'
Time Frame: Assessing change between baseline and some predefined time points during 2 weeks
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STAI-G form X1 (state; Laux L. et al., 1981)
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Assessing change between baseline and some predefined time points during 2 weeks
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Questionnaire 'Anxiety'
Time Frame: Assessing change between baseline and some predefined time points during 2 weeks
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STAXI (Schwenkmezger P. et al., 1992/2006)
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Assessing change between baseline and some predefined time points during 2 weeks
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Saliva Cortisol levels
Time Frame: Assessing change between baseline and some predefined time points during 2 weeks
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Assessing change between baseline and some predefined time points during 2 weeks
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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: Antje Kemter, MD, UPK Basel
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
October 1, 2016
Primary Completion (ACTUAL)
May 1, 2017
Study Completion (ACTUAL)
May 1, 2017
Study Registration Dates
First Submitted
October 12, 2016
First Submitted That Met QC Criteria
October 13, 2016
First Posted (ESTIMATE)
October 17, 2016
Study Record Updates
Last Update Posted (ACTUAL)
May 23, 2019
Last Update Submitted That Met QC Criteria
May 22, 2019
Last Verified
May 1, 2019
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Mental Disorders
- Chemically-Induced Disorders
- Substance-Related Disorders
- Narcotic-Related Disorders
- Opioid-Related Disorders
- Cocaine-Related Disorders
- Physiological Effects of Drugs
- Autonomic Agents
- Peripheral Nervous System Agents
- Anti-Inflammatory Agents
- Antineoplastic Agents
- Antiemetics
- Gastrointestinal Agents
- Glucocorticoids
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Antineoplastic Agents, Hormonal
- Neuroprotective Agents
- Protective Agents
- Prednisolone
- Methylprednisolone Acetate
- Methylprednisolone
- Methylprednisolone Hemisuccinate
- Prednisolone acetate
- Prednisolone hemisuccinate
- Prednisolone phosphate
Other Study ID Numbers
- 2016-00851
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
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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