- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05207228
Improvement of Cocaine Use Disorder Treatment Through Cognitive Behavioral Therapy Web-based Treatment (CBT4CBT)
Randomized Clinical Trial (RCT) for the Improvement of Cocaine Use Disorder Treatment Through the Implementation of a Cognitive Behavioral Therapy Web-based Treatment (CBT4CBT)
Addictions are among the most serious and expensive public health problems in Europe and Spain and they present high morbimortality. There is an increasing amount of studies emphasizing the role e-health for improving current treatments in mental health but research in addictions is still scarce. Over the last years, there have been several indicators that show an upward trend in the consumption of cocaine and the highly treatment-resistant patients.
Objectives: 1) To evaluate whether adding a web-based cognitive behavioral therapy (CBT4CBT) to standard cocaine use disorder treatment improves treatment outcomes in a Spanish sample of patients with severe addiction 2) To explore differences between men and women in treatment response and psychopathological risk factors of treatment response. Design: Randomized clinical trial. Selection criteria: patients consecutively admitted to the inpatient treatment unit for cocaine detoxification and meet inclusion criteria. Sample: the total sample will be of 70 individuals (randomly assigned to TAU + web-based CBT4CBT (n=35) or to TAU (n=35)). Assessment: Patients will be assessed at the beginning and during inpatient treatment, before and during outpatient treatment (CBT4CBT or TAU), after outpatient treatment (CBT4CBT or TAU) and at follow ups. Treatment retention, changes on craving and related psychological variables as well as presence of benzoylecgonine in urine will be evaluated.
Study Overview
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Núria Mallorquí, PhD
- Phone Number: 935537665
- Email: nmallorqui@santpau.cat
Study Contact Backup
- Name: Anna Alonso, PhD
- Phone Number: 935537665
- Email: aalonsos@santpau.cat
Study Locations
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Barcelona, Spain, 08041
- Recruiting
- Hospital Santa Creu i Sant Pau
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Contact:
- Núria Mallorquí, PhD
- Phone Number: 935537665
- Email: nmallorqui@santpau.cat
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- inpatients for cocaine detoxification in our addiction unit who live in Barcelona or surroundings
- abstinent at the time of the study assessment (from the third day of hospitalization)
- 18 years of age or older.
Exclusion Criteria:
- indication of treatment for reasons other than cocaine detoxification,
- presence of serious psychopathological or neuropsychological alterations that hinder the participation in the study (including severe intoxication)
- opioid abuse or dependence during the last year (this criteria includes maintenance treatment with methadone or another opioid substance)
- a lack of Spanish or Catalan knowledge or difficulties to read or write that hamper the participation in the study,
- Non-acceptance of the study procedures, such as the signing of informed consent.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Treatment as usual
After completing the inpatient care (at discharge of inpatient care), patients randomized to TAU will receive day-care / outpatient treatment.
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Experimental: Treatment as usual + CBT4CBT
After completing the inpatient care (at discharge), the patients randomly assigned to the experimental condition will receive the TAU + CBT4CBT a web-based treatment which has been tested on individuals with cocaine use disorder in America by the team of Dr. K.M. Carroll.
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Cognitive behavioral treatment through the web CBT4CBT
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Relapse
Time Frame: Through hospitalization completion, an average of 14 days
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Change from baseline at 14 days of inpatient treatment, assessing presence of benzoylecgonine (metabolite of cocaine) in urine after hospitalization and before starting Arm 1 or 2.
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Through hospitalization completion, an average of 14 days
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Relapse
Time Frame: Through the 8-week period of arm 1 or 2.
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Change from baseline at 8 weeks of outpatient treatment, assessing presence of benzoylecgonine (metabolite of cocaine) in urine during the 8-week period of Arm 1 or 2.
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Through the 8-week period of arm 1 or 2.
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Relapse
Time Frame: At 1 month follow-up after Arm 1 or 2
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Change from baseline at 1 month after outpatient treatment, assessing presence of benzoylecgonine (metabolite of cocaine) in urine at follow-up time point.
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At 1 month follow-up after Arm 1 or 2
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Relapse
Time Frame: At 3 months follow-up after Arm 1 or 2
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Change from baseline at 3 months after outpatient treatment, assessing presence of benzoylecgonine (metabolite of cocaine) in urine at follow-up time point.
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At 3 months follow-up after Arm 1 or 2
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Relapse
Time Frame: At 6 months follow-up after Arm 1 or 2
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5. Change from baseline at 6 months after outpatient treatment, assessing presence of benzoylecgonine (metabolite of cocaine) in urine at follow-up timepoint.
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At 6 months follow-up after Arm 1 or 2
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Treatment retention
Time Frame: Through hospitalization completion, an average of 14 days
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Change from baseline at 14 days of inpatient treatment, after hospitalization and before starting Arm 1 or 2.
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Through hospitalization completion, an average of 14 days
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Treatment retention
Time Frame: Through the 8-week period of arm 1 or 2
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Change from baseline at 8 weeks of outpatient treatment during the 8-week period of Arm 1 or 2.
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Through the 8-week period of arm 1 or 2
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Treatment retention
Time Frame: At 1 month follow-up after completing Arm 1 or 2
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Change from baseline at 1 month after outpatient treatment.
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At 1 month follow-up after completing Arm 1 or 2
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Treatment retention
Time Frame: At 3 months follow-up after completing Arm 1 or 2
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Change from baseline at 3 months after outpatient treatment.
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At 3 months follow-up after completing Arm 1 or 2
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Treatment retention
Time Frame: At 6 months follow-up after completing Arm 1 or 2
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Change from baseline treatment retention versus drop out at 6 months after treatment at follow-up time point.
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At 6 months follow-up after completing Arm 1 or 2
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Psychopathology, dependence and craving, as well as anthropometric measures
Time Frame: At baseline, at the beginning of hospitalization
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At baseline, at the beginning of hospitalization
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Psychopathology, dependence and craving, as well as anthropometric measures
Time Frame: At hospitalization completion, an average of 14 days
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At hospitalization completion, an average of 14 days
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Psychopathology, dependence and craving, as well as anthropometric measures
Time Frame: Once the 8-week outpatient treatment is completed
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Once the 8-week outpatient treatment is completed
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Psychopathology, dependence and craving, as well as anthropometric measures
Time Frame: At 1 month follow-up after Arm 1 or 2 completion
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At 1 month follow-up after Arm 1 or 2 completion
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Psychopathology, dependence and craving, as well as anthropometric measures
Time Frame: At 3 months follow-up after Arm 1 or 2 completion
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At 3 months follow-up after Arm 1 or 2 completion
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Psychopathology, dependence and craving, as well as anthropometric measures
Time Frame: At 6 months follow-up after Arm 1 or 2 completion
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At 6 months follow-up after Arm 1 or 2 completion
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Addictive behaviors
Time Frame: At baseline, at the beginning of hospitalization
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At baseline, at the beginning of hospitalization
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Addictive behaviors
Time Frame: Once the 8-week outpatient treatment is completed
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Once the 8-week outpatient treatment is completed
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Personality and emotion regulation
Time Frame: At baseline, at the beginning of hospitalization
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At baseline, at the beginning of hospitalization
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Personality and emotion regulation
Time Frame: At hospitalization completion, an average of 14 days
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At hospitalization completion, an average of 14 days
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Personality and emotion regulation
Time Frame: Once the 8-week outpatient treatment is completed
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Once the 8-week outpatient treatment is completed
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Collaborators and Investigators
Investigators
- Principal Investigator: Núria Mallorquí, PhD, Hospital Santa Creu i Sant Pau
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- IIBSP-CTB-2020-116
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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