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Cocaine Use DisorderRCT (04)NCT03224546

Cocaine Use Reduction and Health

A study testing Contingency Management in people with Cocaine Use Disorder, run by William Stoops at 1 site 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

Reduced drug use is a clinically meaningful target for treatment development, but few studies have evaluated the positive impacts produced by this behavioral change, preventing adoption of this endpoint in clinical trials. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Cocaine Use Disorder
What is being tested?
Contingency Management
Could I receive a placebo?
No, everyone receives an active treatment
How many people
127 participants
Where
1 siteUnited States
Study dates
15 Sep 2017to 15 Jan 2024
Phase
Interventional
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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Age 18 or older
  • Self-report of recent cocaine use verified by a cocaine-positive urine sample
  • Meet moderate-severe Cocaine Use Disorder Criteria
  • Seeking treatment for their cocaine use
  • Able to commit to 12-week intervention, plus 24-week follow up

Who cannot join

  • History of serious physical or psychiatric disease (e.g., physical dependence on any drug requiring medically managed detoxification, unstable angina, uncontrolled cardiac arrhythmia, aortic stenosis, self-reported compromised immune function, extreme hypersensitivity/allergy to candida yeast or similar products, severe diagnosis for other substance use disorder) that would interfere with study participation
  • Current physical or psychiatric disease that would interfere with study participation
  • Poor veinous access, precluding blood draws

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Kentucky

    Lexington, Kentucky, 40536

Other trials in United States

About this study

Official title: Cardiovascular, Immune and Psychosocial Benefits of Reduced Cocaine Use

Reduced drug use is a clinically meaningful target for treatment development, but few studies have evaluated the positive impacts produced by this behavioral change, preventing adoption of this endpoint in clinical trials. The proposed research will fill that critical knowledge gap by demonstrating the biopsychosocial benefits of reduced cocaine use. These data will be used to change current accepted cocaine treatment endpoints and accelerate identification of therapies for cocaine use disorder.

Being tested
Contingency Management

What participants receive

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

  • Contingency ManagementBehavioural

    Subjects will receive payments for providing cocaine negative urine samples.

Study groups in NCT03224546
Study groupRoleWhat they receive
Control GroupNo interventionThis group will receive payment for providing urine samples throughout the trial.
Low Value Alternative Reinforcer GroupExperimentalThis group will receive payment for providing cocaine negative urine samples throughout the trial.
Receives: Behavioral: Contingency Management
High Value Alternative Reinforcer GroupExperimentalThis group will receive payment for providing cocaine negative urine samples throughout the trial.
Receives: Behavioral: Contingency Management

What is being measured

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

  1. Endothelin-1 Levels

    Endothelin-1 levels will be measured. They will be recorded in pg/ml.

    Measured: At baseline.

  2. Endothelin-1 Levels

    Endothelin-1 levels will be measured. They will be recorded in pg/ml.

    Measured: Week 6 of study participation

  3. Endothelin-1 Levels

    Endothelin-1 levels will be measured. They will be recorded in pg/ml.

    Measured: Week 12 of study participation

  4. Mean Arterial Pressure

    Mean Arterial Pressure is recorded during participant visits and is recorded in mm Hg

    Measured: At baseline

  5. Mean Arterial Pressure

    Mean Arterial Pressure was recorded during subject visits and is recorded in mm Hg

    Measured: Week 1 of participation

  6. Mean Arterial Pressure

    Mean Arterial Pressure was recorded during subject visits and is recorded in mm Hg

    Measured: Week 2 of participation

  7. Mean Arterial Pressure

    Mean Arterial Pressure was recorded during subject visits and is recorded in mm Hg

    Measured: Week 3 of participation

  8. Mean Arterial Pressure

    Mean Arterial Pressure was recorded during subject visits and is recorded in mm Hg

    Measured: Week 4 of participation

  9. Mean Arterial Pressure

    Mean Arterial Pressure was recorded during subject visits and is recorded in mm Hg

    Measured: Week 5 of participation

  10. Mean Arterial Pressure

    Mean Arterial Pressure was recorded during subject visits and is recorded in mm Hg

    Measured: Week 6 of participation

  11. Mean Arterial Pressure

    Mean Arterial Pressure was recorded during subject visits and is recorded in mm Hg

    Measured: Week 7 of participation

  12. Mean Arterial Pressure

    Mean Arterial Pressure was recorded during subject visits and is recorded in mm Hg

    Measured: Week 8 of participation

  13. Mean Arterial Pressure

    Mean Arterial Pressure was recorded during subject visits and is recorded in mm Hg

    Measured: Week 9 of participation

  14. Mean Arterial Pressure

    Mean Arterial Pressure was recorded during subject visits and is recorded in mm Hg

    Measured: Week 10 of participation

  15. Mean Arterial Pressure

    Mean Arterial Pressure was recorded during subject visits and is recorded in mm Hg

    Measured: Week 11 of participation

  16. Mean Arterial Pressure

    Mean Arterial Pressure was recorded during subject visits and is recorded in mm Hg

    Measured: Week 12 of participation

Secondary outcomes (33)
  1. Interleukin-10

    Interleukin-10 levels will be measured throughout subject participation. They will be recorded in pg/ml.

    Measured: At baseline.

  2. Interleukin-10

    Interleukin-10 levels will be measured throughout subject participation. They will be recorded in pg/ml.

    Measured: Week 6 of study participation

  3. Interleukin-10

    Interleukin-10 levels will be measured throughout subject participation. They will be recorded in pg/ml.

    Measured: Week 12 of study participation

  4. Total Sleep Time

    Sleep time the night before in minutes

    Measured: At baseline

  5. Total Sleep Time

    Sleep time the night before in minutes

    Measured: Week 1 of participation

  6. Total Sleep Time

    Sleep time the night before in minutes

    Measured: Week 2 of participation

  7. Total Sleep Time

    Sleep time the night before in minutes

    Measured: Week 3 of participation

  8. Total Sleep Time

    Sleep time the night before in minutes

    Measured: Week 4 of participation

  9. Total Sleep Time

    Sleep time the night before in minutes

    Measured: Week 5 of participation

  10. Total Sleep Time

    Sleep time the night before in minutes

    Measured: Week 6 of participation

  11. Total Sleep Time

    Sleep time the night before in minutes

    Measured: Week 7 of participation

  12. Total Sleep Time

    Sleep time the night before in minutes

    Measured: Week 8 of participation

  13. Total Sleep Time

    Sleep time the night before in minutes

    Measured: Week 9 of participation

  14. Total Sleep Time

    Sleep time the night before in minutes

    Measured: Week 10 of participation

  15. Total Sleep Time

    Sleep time the night before in minutes

    Measured: Week 11 of participation

  16. Total Sleep Time

    Sleep time the night before in minutes

    Measured: Week 12 of participation

  17. Hamilton Depression Scale Score

    Score on the Hamilton Depression Inventory. Higher scores indicate greater depression symptoms. Minimum = 0, Maximum =56.

    Measured: At baseline

  18. Hamilton Depression Scale Score

    Score on the Hamilton Depression Inventory. Higher scores indicate greater depression symptoms. Minimum = 0, Maximum =56.

    Measured: Week 1 of Participation

  19. Hamilton Depression Scale Score

    Score on the Hamilton Depression Inventory. Higher scores indicate greater depression symptoms. Minimum = 0, Maximum =56.

    Measured: Week 2 of Participation

  20. Hamilton Depression Scale Score

    Score on the Hamilton Depression Inventory. Higher scores indicate greater depression symptoms. Minimum = 0, Maximum =56.

    Measured: Week 3 of Participation

  21. Hamilton Depression Scale Score

    Score on the Hamilton Depression Inventory. Higher scores indicate greater depression symptoms. Minimum = 0, Maximum =56.

    Measured: Week 4 of Participation

  22. Hamilton Depression Scale Score

    Score on the Hamilton Depression Inventory. Higher scores indicate greater depression symptoms. Minimum = 0, Maximum =56.

    Measured: Week 5 of Participation

  23. Hamilton Depression Scale Score

    Score on the Hamilton Depression Inventory. Higher scores indicate greater depression symptoms. Minimum = 0, Maximum =56.

    Measured: Week 6 of Participation

  24. Hamilton Depression Scale Score

    Score on the Hamilton Depression Inventory. Higher scores indicate greater depression symptoms. Minimum = 0, Maximum =56.

    Measured: Week 7 of Participation

  25. Hamilton Depression Scale Score

    Score on the Hamilton Depression Inventory. Higher scores indicate greater depression symptoms. Minimum = 0, Maximum =56.

    Measured: Week 8 of Participation

  26. Hamilton Depression Scale Score

    Score on the Hamilton Depression Inventory. Higher scores indicate greater depression symptoms. Minimum = 0, Maximum =56.

    Measured: Week 9 of Participation

  27. Hamilton Depression Scale Score

    Score on the Hamilton Depression Inventory. Higher scores indicate greater depression symptoms. Minimum = 0, Maximum =56.

    Measured: Week 10 of Participation

  28. Hamilton Depression Scale Score

    Score on the Hamilton Depression Inventory. Higher scores indicate greater depression symptoms. Minimum = 0, Maximum =56.

    Measured: Week 11 of Participation

  29. Hamilton Depression Scale Score

    Score on the Hamilton Depression Inventory. Higher scores indicate greater depression symptoms. Minimum = 0, Maximum =56.

    Measured: Week 12 of Participation

  30. Criteria for Cocaine Use Disorder Diagnosis

    Number of criteria met on a Structured Clinical Interview as endorsed yes/no on a series of 11 questions on a scale. Range = 0-11. Higher scores indicate greater severity of Cocaine Use Disorder (e.g., more life problems due to cocaine use).

    Measured: At Baseline

  31. Criteria for Cocaine Use Disorder Diagnosis

    Number of criteria met on a Structured Clinical Interview as endorsed yes/no on a series of 11 questions on a scale. Range = 0-11. Higher scores indicate greater severity of Cocaine Use Disorder (e.g., more life problems due to cocaine use).

    Measured: Week 12 of Participation

  32. Reactive Hyperemia Index

    Measure of peripheral arterial tonomotry which assesses peripheral microvascular function through changes in amplitude of pulses in fingertips. Reactive hyperemia index (RHI) is "determined by calculating the ratio of hyperemic pressure (RHm) to baseline pressure (BLm) in the measurement and control arms (RHc and BLc respectively)" (Rosenberry and Nelson, 2020). This yields a natural log RHI ratio with higher scores indicating worse microvascular function. Being calculated as a natural log, there range is infinite.

    Measured: At Baseline

  33. Reactive Hyperemia Index

    Measure of peripheral arterial tonomotry which assesses peripheral microvascular function through changes in amplitude of pulses in fingertips. Reactive hyperemia index (RHI) is "determined by calculating the ratio of hyperemic pressure (RHm) to baseline pressure (BLm) in the measurement and control arms (RHc and BLc respectively)" (Rosenberry and Nelson, 2020). This yields a natural log RHI ratio with higher scores indicating worse microvascular function. This yields a natural log RHI ratio with higher scores indicating worse microvascular function. Being calculated as a natural log, there range is infinite.

    Measured: Week 12 of participation

Timeline

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

  1. First posted21 Jul 2017
  2. Study start15 Sep 2017
  3. Primary completion15 Jan 2024
  4. Study completion15 Jan 2024

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 N/A
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Outcomes assessor
Enrolment
127 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03224546
Sponsor's protocol ID
Randomized Clinical Trial (04)
Other IDs
R01DA043938
Acronym
RCT (04)
Status last verified
Jul 2024
First submitted
18 Jul 2017
Last updated
1 Aug 2024
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: A formal plan for sharing final research data is not required for investigator-initiated applications with direct costs of less than $500,000. However, we felt it important to verify that the results (i.e., summary statistics and graphical/tabular representation of the data) from this study will be presented at local, regional, national and/or international conferences. In addition, a manuscript or manuscripts describing the results will be prepared for submission to a peer-reviewed journal or journals, and the final, accepted version(s) of the manuscript(s) will be submitted to PubMed Central. As requested, the final research data will be made available to oversight or regulatory committees. The rights and privacy of individuals who participated will be protected at all times, and at no time will identifiers be included that would permit linkages to the individual subjects and variables that could lead to deductive disclosure of the identity of subjects.

Publications

  • Ferretti ML, Regnier SD, Irons JG, Stoops WW. Polysubstance use patterns and risk behaviors among people with cocaine use disorder. Exp Clin Psychopharmacol. 2025 Dec;33(6):586-593. doi: 10.1037/pha0000813.

    PubMed 41343351
  • Stoops WW, Shellenberg TP, Regnier SD, Cox DH, Adatorwovor R, Hays LR, Anderson DM, Lile JA, Schmitz JM, Havens JR, Segerstrom SC. Influence of cocaine use reduction on markers of immune function. J Neuroimmunol. 2024 Dec 15;397:578470. doi: 10.1016/j.jneuroim.2024.578470. Epub 2024 Oct 28.

    PubMed 39504756
  • Regnier SD, Shellenberg TP, Koffarnus MN, Cox DH, Lile JA, Rush CR, Stoops WW. Cocaine abstinence during the "critical period" of a contingency management trial predicts future abstinence in people with cocaine use disorder. Drug Alcohol Depend. 2023 Dec 1;253:111030. doi: 10.1016/j.drugalcdep.2023.111030. Epub 2023 Nov 18.

    PubMed 38006674

Questions about this trial

What is this clinical trial studying?

A study testing Contingency Management in people with Cocaine Use Disorder, run by William Stoops at 1 site 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 5 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 1 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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.

Are results available for this study?

Yes. Results are posted in the registry (first posted 1 Aug 2024). 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?

Endothelin-1 Levels (time frame: At baseline.). The study lists 16 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03224546, which also lists 3 linked publications.

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 1 Aug 2024.

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