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Substance Use DisordersMATRIX-ANCT03444974

Addiction in Adolescence - Pathomechanisms and Treatment Evaluation

A study testing adapted treatment according to the MATRIX-A therapy in people with Substance Use Disorders and Adolescent Behavior, run by Technische Universität Dresden at 1 site in Germany.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This study aims to investigate the sociodemographic background as well as psychiatric comorbidities of adolescent substance users with substance use disorders. The study simultaneously evaluates biomarkers of stress and addiction, including long-term cortisol levels from hair samples and gene methylation in blood… Read more about this study

Who is it for?
Ages 12 to 17 yearsHealthy volunteers can take part
Conditions the study is for
Substance Use Disorders, Adolescent Behavior
What is being tested?
adapted treatment according to the MATRIX-A therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
450 participants
Where
1 siteGermany
Study dates
1 Aug 2018to 31 Dec 2021
Phase
Interventional
Are there results?
None posted in the registry

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 12 to 17 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Age 12.00-17.99
  • Therapy / wait list group: current substance use disorder
  • Controls: no history of substance use disorders
  • At least one child/protégé with problematic substance abuse
  • No current substance abuse on their own
  • At least one parent must be eligible to participate in the group

Who cannot join

  • Preexisting neurological diseases
  • Diseases of or with involvement of the central nervous system
  • Intelligence quotient (IQ) < 70
  • Diseases concerning the adrenal gland, pituitary gland or hypothalamus
  • Acute viral diseases during T0, T1, T2
  • Controls:
Show all 11Show fewer
  • Drug intake modulating the central nervous system
  • Main psychiatric disorders
  • Current substance use
  • Parents:
  • Current substance abuse

Trial locations and contacts

1 site in 1 country.

Sören Kuitunen-Paul, Dipl.-Psych. contact

+49 (0)351 458-7601

soeren.kuitunen-paul@ukdd.de

Yulia Golub, Dr.Dr.habil. contact

+49 (0)351 458-7601

yulia.golub@ukdd.de

Germany1 site, 1 recruiting
  • Department of Child and Adolescent Psychiatry and Psychotherapy, University Hospital C.G.Carus

    Dresden, Saxony, 01307

    Sören Kuitunen-Paul, Dipl.-Psych., +49 (0)351 458-7601, soeren.kuitunen-paul@ukdd.de

    Recruiting

Other trials in Germany

About this study

Official title: Addiction and Substance Dependence in Adolescence - Neurobiological Pathomechanisms and Treatment Evaluation

This study aims to investigate the sociodemographic background as well as psychiatric comorbidities of adolescent substance users with substance use disorders. The study simultaneously evaluates biomarkers of stress and addiction, including long-term cortisol levels from hair samples and gene methylation in blood samples associated with substance use.

Our study also adapts, rolls out, and evaluates an evaluated multimodal treatment manual wich was originally intended for stimulant drug users (MATRIX). We adopt this manual to the needs and specifics of adolescents (MATRIX-A, A=adolescents) with substance use disorders of any substance, including cannabis, methamphetamine, and alcohol. Adolescents will receive group therapy sessions, individual therapy sessions, and medication if needed, while parents or professional caretaker will receive group sessions. Therapy outcomes will be examined in addition to parental distress and parenting skills.

Read the detailed description

As numbers of adolescent drug abuse have grown rapidly within the last couple of years, research on youth drug abuse and dependency has taken a new and vital role within the public healthcare system. For this reason, it is crucial to find new ways to effectively integrate adolescent patients into the health care system, as well as assign them to treatment options tailor made for the specific challenges and needs of this population. This study aims to investigate (a) sociodemographic background and psychiatric comorbidities in connection with adolescent substance abuse and dependence to enhance understanding of epidemiologic risk factors for developing drug dependency in adolescence, as well as benefit future treatment options.

It further aims to investigate (b) molecular and epigenetic mechanisms of addiction disorders in adolescents by analyzing methylation pattern, as well as proteome analysis of peripheral immune markers. The investigator's aim is a better understanding of the multimodal biological underpinnings of risk/resilience for addiction in youth on the molecular, cellular and circuit levels with a special focus on the changes within the stress and immune system in patients with addiction disorders and their family members.

Another research interest of this study concerns (c) adapting and evaluating new treatment options, tailor made for the adolescent population. For this reason the investigators aim to adapt, implement and evaluate a therapeutic program according to the MATRIX manual for the treatment of substance abuse, which consists of two group therapies for patients, as well as their parents (Evaluation time points: T0, T1, and T2).

Last, this study aims to (d) evaluate parental stress levels, parental communication skills and knowledge in connection with adolescent substance abuse.

Being tested
adapted treatment according to the MATRIX-A therapy
Keywords
drugs, youth, adolescence, abuse, dependence, Tetrahydrocannabinol (THC), Methamphetamine (Crystal Meth), Marihuana, comorbidity, treatment, etiopathology, sociodemographics, Saxony, MATRIX, Psychotherapy
Medical subject headings
Substance-Related Disorders, Adolescent Behavior, Marijuana Abuse

What participants receive

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

  • adapted treatment according to the MATRIX-A therapyOther

    cognitive and behavioral treatment of drug abuse/dependency issues, as well as connected parameters

Study groups in NCT03444974
Study groupRoleWhat they receive
Patient therapy groupActive comparator* Adolescents with substance use disorders * Receiving an adapted treatment according to the MATRIX-A therapy
Receives: Other: adapted treatment according to the MATRIX-A therapy
Parental therapy groupActive comparator* Parents of adolescents with substance use disorders * Receiving an adapted treatment according to the MATRIX-A therapy
Receives: Other: adapted treatment according to the MATRIX-A therapy
Patient waiting list groupNo intervention* Adolescents with substance use disorders * On the waiting list for receiving a MATRIX-A therapy
Parental waiting list groupNo intervention* Parents of adolescents with substance use disorders * On the waiting list for receiving a MATRIX-A therapy
control groupNo intervention* Adolescents with no history of substance use disorders * no other intake of psychotropic substances such as psychotropic medication

What is being measured

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

  1. Aim 1: Sociodemographic background

    Sociodemographic background of adolescents with substance use disorders via self-constructed items:

    • age (in years)
    • gender (male/female)
    • highest education (primary school/ currently in high school/ dropped out of school/ finished compulsory school/ finished apprenticeship/ currently doing apprenticeship)
    • migration background (no/ yes > asks for specification)
    • nationality (German/ other > asks for specification)
    • relationship status (single/ married/ separated/ divorced/ widowed/ civil union/ domestic partnership/ other > asks for specification)

    Measured: T0

  2. Aim 2: Psychiatric comorbidities - MINI-KID

    Current psychiatric comorbidities according to Diagnostic and Statistic Manual of Mental Disorders, 5th Ed. (DSM-5) assessed via Mini International Neuropsychiatric Interview for Children and Adolescents (MINI KID), a structured diagnostic interview. Single interview questions rated (yes / no). DSM-5 diagnoses for past month (or other if specified) in accordance with MINI-KID scoring algorithms.

    Measured: T0, T1, T2

  3. Aim 2: Change in substance use

    Changes in self-reported substance use between T0, T1, T2. Assessed via quantity and frequency questions for different substance categories.

    Measured: T0, T1, T2

  4. Aim 3: Changes in biomarkers related to substance use disorders

    • cumulative stress: hair cortisol levels in a single hair sample. Measured in ng/ml.
    • epigenetic changes: methylation pattern in a single blood sample. Measured in %.
    • immunological changes: immune marker Interleukin-6 in a single blood sample. Measured in ng/ml.

    Measured: T0, T1, T2

  5. Aim 4: Subjective therapy outcomes

    • Evaluation of possible therapy effects (e.g. knowledge, relapse prevention skills, emotions/affects, maintenance self-efficacy, motivation, stress tolerance) with 5-point Likert options (not at T0).
    • Substance use disorder severity assessed via Drug Use Disorders Identification Test (DUDIT). Measured in a test persons's scoring number on the DUDIT scale. Change from baseline DUDIT score to T1 and T2 DUDIT scores.

    Measured: T0, T1, T2

  6. Aim 4: Objective therapy outcomes

    • objective: Abstinence / relapse based on random drug urine tests for illicit substance use during therapy sessions.

    Measured: between T0 and T1

  7. Aim 5: Change in baseline parenting skills

    Assessment of parenting skills (communication skills) via descriptive self-reports. Change from T0 to T1. Measured in self-reported description of change.

    Measured: T0, T1

  8. Aim 5: Change in baseline parental stress reports - ESF

    Change from self-reported baseline parent stress level to T1 anjd T2 parental stress levels. Assessed via a German questionnaire assessing the amount of parental stress (ESF). Stress factors within everyday parent life are being measured with help of 38 items, which are being scored on a 4-point scale that ranges from 0(disagree) to 3 (completely agree). All items can be assigned to 4 different areas of stress, being social support (7 items, total score 0-21 points), workload and restrictions (7 items, total score 0-21 points), social support (7 items, total score 0-21 points) and cooperative partnership (7 items, total score 0-21). High scores report high stress levels.

    Measured: T0, T1, T2

Secondary outcomes (5)
  1. Emotional, behavioral and social problems of adolescents - Self-Rating (YSR)

    Emotional, behavioral and social problems associated with adolescents with substance use disorders: Data collection of existence of emotional/behavioral/social problems with help of the Youth Self-Report (YSR). Measured in a person's scoring on 8 different scales (anxious/depressed, withdrawn/depressed, somatic complaints, social problems, thought problems, attention problems, rule-breaking behavior, aggressive behavior) as well as a total score.

    Measured: Baseline data collection

  2. Emotional, behavioral and social problems of adolescents - Parental Rating (CBCL)

    Emotional, behavioral and social problems associated with adolescents with substance use disorders: Data collection of existence of emotional/behavioral/social problems with help of the Child Behavior Checklist (CBCL). Measured in a person's scoring on 8 different scales (anxious/depressed, withdrawn/depressed, somatic complaints, social problems, thought problems, attention problems, rule-breaking behavior, aggressive behavior) as well as a total score.

    Measured: T0, T1, T2

  3. Adolescent depressivity - BDI-II

    Psychiatric comorbidities associated with adolescents with substance use disorders: Data collection with help of the Beck Depression Inventory (BDI-II). Measured in a test persons's scoring number on the scale.

    Measured: T0, T1, T2

  4. Mental distress - Brief Symptom Checklist

    Psychiatric comorbidities associated with adolescents with substance use disorders: Data collection with help of the Brief Symptom Checklist (BSCL). Current amount of mental distress is measured in a person's numerical global severity index.

    Measured: T0, T1, T2

  5. Adolescent satisfaction with life

    Psychiatric comorbidities associated with adolescents with substance use disorders: Data collection with help of the Satisfaction With Life Scale (SWLS). The scale is designed to measure global cognitive judgments of one's life satisfaction with help of 5 items using a 7-point scale that ranges from 7 strongly agree to 1 strongly disagree. Scoring benchmarks: extremely dissatisfied (5-9), dissatisfied (10-14), slightly dissatisfied (15-19), neutral (20), slightly satisfied (21-25), satisfied (26-30), extremely satisfied (31-35).

    Measured: T0, T1, T2

Timeline

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

  1. First posted26 Feb 2018
  2. Study start1 Aug 2018
  3. Primary completion28 Feb 2021 (estimated)
  4. Study completion31 Dec 2021 (estimated)

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
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
Symptom reduction in the treatment group (adolescent patients with substance abuse and dependency) in comparison to age and gender matched waiting-list and healthy controls. Changes in parental stress levels and parenting skills in the treatment group parents in comparison to waiting-list parents.
Masking
None (open label)
Enrolment
450 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03444974
Sponsor's protocol ID
MATRIX-A
Acronym
MATRIX-A
Status last verified
Mar 2019
First submitted
6 Feb 2018
Last updated
1 Apr 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Zweben JE, Cohen JB, Christian D, Galloway GP, Salinardi M, Parent D, Iguchi M; Methamphetamine Treatment Project. Psychiatric symptoms in methamphetamine users. Am J Addict. 2004 Mar-Apr;13(2):181-90. doi: 10.1080/10550490490436055.

    PubMed 15204668
  • Warden D, Sanchez K, Greer T, Carmody T, Walker R, Dela Cruz A, Toups M, Rethorst C, Trivedi MH. Demographic and clinical characteristics of current comorbid psychiatric disorders in a randomized clinical trial for adults with stimulant use disorders. Psychiatry Res. 2016 Dec 30;246:136-141. doi: 10.1016/j.psychres.2016.09.007. Epub 2016 Sep 15.

    PubMed 27693866
  • Rawson RA, Marinelli-Casey P, Anglin MD, Dickow A, Frazier Y, Gallagher C, Galloway GP, Herrell J, Huber A, McCann MJ, Obert J, Pennell S, Reiber C, Vandersloot D, Zweben J; Methamphetamine Treatment Project Corporate Authors. A multi-site comparison of psychosocial approaches for the treatment of methamphetamine dependence. Addiction. 2004 Jun;99(6):708-17. doi: 10.1111/j.1360-0443.2004.00707.x.

    PubMed 15139869
  • Basedow LA, Kuitunen-Paul S, Wiedmann MF, Roessner V, Golub Y. Evaluation of the multimodal DELTA therapy for adolescents with substance use disorders: an exploratory pilot trial. Front Psychiatry. 2024 Jan 3;14:1284342. doi: 10.3389/fpsyt.2023.1284342. eCollection 2023.

    PubMed 38234368

Questions about this trial

What is this clinical trial studying?

A study testing adapted treatment according to the MATRIX-A therapy in people with Substance Use Disorders and Adolescent Behavior, run by Technische Universität Dresden at 1 site in Germany.

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 6 inclusion and 11 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: status not confirmed, as of the sponsor's last update on 1 Apr 2019. 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 Germany. 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Sören Kuitunen-Paul, Dipl.-Psych. (+49 (0)351 458-7601, soeren.kuitunen-paul@ukdd.de), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Aim 1: Sociodemographic background (time frame: T0). The study lists 8 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 NCT03444974, which also lists 4 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 Apr 2019.

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