AzTrials
AzTrials

Substance Use DisordersPhase 2/3NCT01032135

Adaptive Treatment for Alcohol and Cocaine Dependence

A Phase 2/3 study testing Motivational Interviewing, Telephone counseling and Cognitive Behavioral Therapy (CBT) Counseling in people with Substance Use Disorders, run by University of Pennsylvania at 3 sites 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

1. Primary objective #1: Determine the relative effectiveness of MI-IOP and MI-PC in the full study sample with regard to treatment engagement over weeks 1-12 and cocaine/alcohol use over weeks 1-24. Read more about this study

Who is it for?
Ages 18 to 75 years, women only
Conditions the study is for
Substance Use Disorders
What is being tested?
Motivational Interviewing, Telephone counseling and Cognitive Behavioral Therapy (CBT) Counseling
Could I receive a placebo?
No, everyone receives an active treatment
How many people
500 participants
Where
3 sitesUnited States
Study dates
Oct 2008to Dec 2013
Phase
Phase 2/3
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 75 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • meet DSM-IV criteria for lifetime cocaine or alcohol dependence and have used cocaine or alcohol in the prior 6 months;
  • be > 18 years of age;
  • be judged clinically appropriate for IOP (e.g., no current psychotic disorder or evidence of severe dementia, and no acute medical problem requiring inpatient treatment;
  • have no regular IV heroin use during the past year;
  • have access to a telephone;
  • be willing to be randomized and participate in research; and
Show all 9Show fewer
  • no current participation in methadone or other forms of DA treatment, other than IOP. Finally, because of study follow-up requirements, subjects will
  • be required to be metropolitan area residents, and
  • be able to provide the name, verified telephone number, and address of at least two contacts who can provide locator information on the patient during follow-up. We will include patients with dependence on other substances, provided that they are cocaine dependent and meet other inclusion criteria.

Who cannot join

  • have a current psychotic disorder (as assessed with the psychotic screen from the MINI) or evidence of dementia severe enough to prevent participation in outpatient treatment;
  • have acute medical problem requiring immediate inpatient treatment; or
  • are currently participating in methadone or other forms of DA treatment, other than IOP.

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • Presbyterian Medical Center

    Philadelphia, Pennsylvania, 19104

  • VAMC

    Philadelphia, Pennsylvania, 19104

  • NorthEast Treatment Center

    Philadelphia, Pennsylvania, 19123

Other trials in United States

About this study

  1. Primary objective #1: Determine the relative effectiveness of MI-IOP and MI-PC in the full study sample with regard to treatment engagement over weeks 1-12 and cocaine/alcohol use over weeks 1-24.
  • Hypothesis 1: An intervention that explores several possible treatment options with the patient and provides the chosen option (e.g., MI-PC) will produce higher rates of treatment engagement than an intervention focused on engagement in IOP only (e.g., MI-IOP).
  • Hypothesis 2: An intervention that explores several possible treatment options with the patient and provides the chosen option (e.g., MI-PC) will produce better cocaine/alcohol use outcomes than an intervention focused on engagement in IOP only (MI-IOP).
  • Secondary analysis 1: Among the Non-engaged patients, determine rates of selection of each of the three options in MI-PC, retention rates within each option, and cocaine/alcohol use outcomes in each option.
  • Secondary analysis 2: Among the Engaged patients, determine rates of selection of each of the three options in MI-PC, retention rates within each option, and cocaine/alcohol use outcomes in each option.
Read more
  1. Primary objective #2: Determine whether the relative effectiveness of MI-IOP and MI-PC varies as a function of engagement group, with regard to treatment engagement over weeks 1-12 and cocaine/alcohol use outcomes over weeks 1-24.
  • Hypothesis 1: The predicted main effect on retention favoring MI-PC over MI-IOP will be significantly larger among patients in the Non-engaged group than among those in the Engaged group.
  • Hypothesis 2: The predicted main effect on cocaine/alcohol use outcomes favoring MI-PC over MI-IOP will be significantly larger among patients in the Non-engaged group than among those in the Engaged group.
Read the detailed description
  1. Secondary objective #1: Examine outcomes on three secondary measures: percent days abstinent from all substances, negative consequences of drug use, and HIV high risk behaviors.
  • Hypothesis 1: Outcomes on the secondary measures will be better in MI-PC than in MI-IOP.
  1. Secondary objective #2: Test hypotheses concerning potential mediators of the predicted main effect favoring MI-PC over MI-IOP.
  • Hypothesis 1: The predicted advantage of MI-PC over MI-IOP will be mediated by greater increases in motivation, self-efficacy, commitment to abstinence, and self-help involvement in MI-PC.
  1. Secondary objective #3: Test hypotheses concerning effect of additional MI intervention after initial non-engagement persists through 12 weeks.
  • Hypothesis 1: A second telephone MI intervention will produce higher rates of subsequent engagement and less cocaine use than no further MI.
Being tested
Motivational Interviewing, Telephone counseling, Cognitive Behavioral Therapy (CBT) Counseling, medication management, Intensive OutPatient Therapy
Medical subject headings
Substance-Related Disorders

What participants receive

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

  • Motivational InterviewingBehavioural

    Also called MI

    2 sessions at week 2, potential 2 sessions at week 8 if the participant drops out.

  • Telephone counselingBehavioural

    Also called Telephone based stepped care.

    one telephone counseling session per week for 10 weeks.

  • Cognitive Behavioral Therapy (CBT) CounselingBehavioural

    Also called CBT

    One CBT session per week, for 10 weeks.

  • medication managementDrug

    Also called MM

    Prescription for naltrexone

  • Intensive OutPatient TherapyBehavioural

    Also called IOP

    Return to IOP, group therapy 3 times weekly for about three hours a day.

Study groups in NCT01032135
Study groupRoleWhat they receive
1-MI-IOP EngagedActive comparatorRandomized to treatment as usual, and they attend regularly but dropped out of treatment after randomization.
Receives: Behavioral: Motivational Interviewing
2-MI-IOP Non-EngagedExperimentalRandomized to treatment as usual, and do not attend.
Receives: Behavioral: Motivational Interviewing; Behavioral: Telephone counseling; Behavioral: Cognitive Behavioral Therapy (CBT) Counseling; Drug: medication management; Behavioral: Intensive OutPatient Therapy
3-MI-PC EngagedActive comparatorRandomized to treatment choice, but remain attending treatment as usual then dropped out of treatment after randomization.
Receives: Behavioral: Motivational Interviewing; Behavioral: Telephone counseling; Behavioral: Cognitive Behavioral Therapy (CBT) Counseling
4-MI-PC Non-engagedExperimentalRandomized to treatment choice, and do not attend treatment as usual, so the choice option is used.
Receives: Behavioral: Motivational Interviewing; Behavioral: Telephone counseling; Behavioral: Cognitive Behavioral Therapy (CBT) Counseling; Drug: medication management; Behavioral: Intensive OutPatient Therapy

What is being measured

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

  1. Treatment Engagement

    Number of treatment sessions attended

    Measured: weeks 3 - 12

  2. Treatment Engagement for Participants Engaged at 2 Weeks, But Disengage Before 8 Weeks

    Number of treatment sessions attended

    Measured: weeks 9 - 12

  3. Treatment Engagement of Those Non-engaged at 2 Weeks and at 8 Weeks

    Number of treatment sessions attended

    Measured: weeks 9 - 12

  4. Any Drinking Days in Previous Month

    Days of any drinking in previous month, as reported on Time Line Follow Back. This is a dichotomous measure, so the means that are reported are the percentage of people who have had any days of drinking during the follow up period specified. In other words, 0.57 indicates that 57% of the sample drank in the follow up period.

    Measured: Month 2 (weeks 5 - 8 post baseline)

  5. Any Drinking Days in Previous Month

    Any drinking days during previous month, as reported on Time Line Follow Back. This is a dichotomous measure, so the means that are reported are the percentage of people who have had any days of drinking during the follow up period specified. In other words, 0.57 indicates that 57% of the sample drank in the follow up period.

    Measured: Month 3 (weeks 9 - 12 post baseline)

  6. Any Drinking

    Any drinking at follow up, as reported on Time Line Follow Back. This is a dichotomous measure, so the means that are reported are the percentage of people who have had any days of drinking during the follow up period specified. In other words, 0.57 indicates that 57% of the sample drank in the follow up period.

    Measured: Month 4 (weeks 13 - 15 post baseline)

  7. Any Drinking

    Any drinking at follow up, as reported on Time Line Follow Back, This is a dichotomous measure, so the means that are reported are the percentage of people who have had any days of drinking during the follow up period specified. In other words, 0.57 indicates that 57% of the sample drank in the follow up period.

    Measured: Month 5 (weeks 16 - 20 post baseline)

  8. Any Drinking

    Any drinking at follow up, as reported on Time Line Follow Back. This is a dichotomous measure, so the means that are reported are the percentage of people who have had any days of drinking during the follow up period specified. In other words, 0.57 indicates that 57% of the sample drank in the follow up period.

    Measured: Month 6 (weeks 21 - 24 post baseline)

  9. Percent Days Drinking

    Percent days of any drinking at follow up, from Time Line Follow Back

    Measured: Month 2 (weeks 5 - 8 post baseline)

  10. Percent Days Drinking

    Percent days of any drinking at follow up, from Time Line Follow Back

    Measured: Month 3 (weeks 9 - 12 post baseline)

  11. Percent Days Drinking

    Percent days of any drinking at follow up, from Time Line Follow Back

    Measured: Month 4 (weeks 13 - 16 post baseline)

  12. Percent Days Drinking

    Percent days of any drinking at follow up, fromTime Line Follow Back

    Measured: Month 5 (weeks 17 - 20 post baseline)

  13. Percent Days Drinking

    Percent days of any drinking at follow up, from Time Line Follow Back

    Measured: Month 6 (weeks 21 - 24)

  14. Any Heavy Drinking Days

    days of five or more drinks per drinking day for men, four or more drinks per drinking day for women, at follow up, from Time Line Follow Back. This is a dichotomous measure, so the means that are reported are the percentage of people who have had any days of heavy drinking during the follow up period specified. In other words, 0.57 indicates that 57% of the sample engaged in heavy drinking in the follow up period.

    Measured: Month 2 (weeks 5 - 8 post baseline)

  15. Any Heavy Drinking Days

    five or more drinks per drinking day for men, four or more drinks per drinking day for women, at follow up, from Time Line Follow Back. This is a dichotomous measure, so the means that are reported are the percentage of people who have had any days of heavy drinking during the follow up period specified. In other words, 0.57 indicates that 57% of the sample engaged in heavy drinking in the follow up period.

    Measured: Month 3 (weeks 9 - 12 post baseline)

  16. Any Heavy Drinking Days

    five or more drinks per drinking day for men, four or more drinks per drinking day for women at follow up, from Time Line Follow Back. This is a dichotomous measure, so the means that are reported are the percentage of people who have had any days of heavy drinking during the follow up period specified. In other words, 0.57 indicates that 57% of the sample engaged in heavy drinking in the follow up period.

    Measured: Month 4 (weeks 13 - 16 post baseline)

  17. Any Heavy Drinking Days

    five or more drinks per day for men, four or more drinks per day for women, from Time Line Follow Back. This is a dichotomous measure, so the means that are reported are the percentage of people who have had any days of heavy drinking during the follow up period specified. In other words, 0.57 indicates that 57% of the sample engaged in heavy drinking in the follow up period.

    Measured: Month 5 (weeks 17 to 20 post baseline)

  18. Any Heavy Drinking Days

    five or more drinks per day for men, four or more drinks per day for women, from Time Line Follow Back. This is a dichotomous measure, so the means that are reported are the percentage of people who have had any days of heavy drinking during the follow up period specified. In other words, 0.57 indicates that 57% of the sample engaged in heavy drinking in the follow up period.

    Measured: Month 6 (weeks 21 - 24 post baseline)

  19. Percent Days Heavy Drinking

    Percent days heavy drinking at follow up, from Time Line Follow Back

    *heavy drinking is defined as five or more drinks per day for men, four or more for women

    Measured: Month 2 (weeks 5 - 8 post baseline)

  20. Percent Days Heavy Drinking

    Percent days heavy drinking at follow up, from Time Line Follow Back

    • heavy drinking is defined as five or more drinks per day for men, four or more for women.

    Measured: Month 3 (weeks 9 - 12 post baseline)

  21. Percent Days Heavy Drinking

    Percent days heavy drinking at follow up, from Time Line Follow Back

    *heavy drinking is defined as five or more drinks per drinking day for men, four or more for women

    Measured: Month 4 (weeks 13 - 16 post baseline)

  22. Percent Days Heavy Drinking

    Percent days heavy drinking at follow up, from Time Line Follow Back

    • heavy drinking is defined as five or more drinks per drinking day for men, four or more for women

    Measured: Month 5 ( weeks 17 - 20 post baseline)

  23. Percent Days Heavy Drinking

    Percent days heavy drinking at follow up, from Time Line Follow Back

    *heavy drinking is defined as five or more drinks per drinking day for men, four or more for women

    Measured: Month 6 (weeks 21 - 24 post baseline)

  24. Any Cocaine Use

    Any cocaine using self report, binary measure of percent days cocaine use.

    Measured: Month 3 (weeks 9 - 12 post baseline)

  25. Any Cocaine Use

    Any cocaine using self report, binary measure of percent days cocaine use

    Measured: Month 4 (weeks 13 - 16 post baseline)

  26. Any Cocaine Use

    Any cocaine using self report, binary measure of percent days cocaine use

    Measured: Month 5 (weeks 17 - 20 post baseline)

  27. Any Cocaine Use

    Any cocaine using self report, binary measure of percent days cocaine use

    Measured: Month 6 (weeks 21 - 24 post baseline)

  28. Percent Days Cocaine Use

    Percent days of any cocaine use, self reported

    Measured: Month 3 (weeks 9 - 12 post baseline)

  29. Percent Days Cocaine Use

    Percent days of any cocaine use, self reported

    Measured: Month 5 (weeks 17 - 20 post baseline)

  30. Percent Days Cocaine Use

    Percent days of any cocaine use, self reported

    Measured: Month 6 (weeks 21 - 24 post baseline)

Timeline

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

  1. First posted15 Dec 2009 (estimated)
  2. Study startOct 2008
  3. Primary completionDec 2013
  4. Study completionDec 2013

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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
500 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01032135
Sponsor's protocol ID
807092
Other IDs
IND: 101,486
Status last verified
Aug 2017
First submitted
14 Dec 2009
Last updated
5 Sep 2017
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing Motivational Interviewing, Telephone counseling and Cognitive Behavioral Therapy (CBT) Counseling in people with Substance Use Disorders, run by University of Pennsylvania at 3 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 9 inclusion and 3 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 5 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 3 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 15 May 2017). 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?

Treatment Engagement (time frame: weeks 3 - 12). The study lists 30 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 5 Sep 2017.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in