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This is a Phase 1 safety/tolerably study to determine if there are clinically significant interactions between oral vigabatrin (gamma vinyl-gamma-amino butyric acid; VGB) concurrent with intravenous (IV) cocaine infusions.
STUDY DESIGN: This is a randomized, double-blind, placebo-controlled, parallel group study of the effects of VGB compared to placebo control on the physiological and subjective effects of IV infusions of cocaine (cocaine experienced volunteers).
Subjects will be randomized within each clinical site to one of four groups (placebo control or one of three doses of VGB twice daily).During VGB steady state dosing, subjects will receive double-blind infusions of saline and cocaine. Subjects will be asked to return for follow-up approximately 7 and 14 days after the day of clinic discharge.
STUDY DURATION: The maximum duration is 56 days, including 14 inpatient days of assessments and investigational products administration, and two follow-up visits after clinic discharge.
SAMPLE SIZE: Twenty-four subjects will be randomized to one of three doses of vigabatrin or placebo.
POPULATION: Volunteer, cocaine-experienced, non-treatment seeking cocaine users, 18 to 45 years of age.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Vigabatrin Dose 1 | Experimental |
| |
| Vigabatrin Dose 2 | Experimental |
| |
| Vigabatrin Dose 3 | Experimental |
| |
| Matching placebo | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vigabatrin | Drug | Dose 1 BID |
| |
| Vigabatrin |
| Measure | Description | Time Frame |
|---|---|---|
| safety/tolerability and AE assessments including HR/BP/ECG/QTc | 56 days |
| Measure | Description | Time Frame |
|---|---|---|
| VGB/PK during cocaine infusions and effect of VGB on cocaine craving | 28 days |
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Inclusion Criteria:
Exclusion Criteria:
Please contact site for more information.
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| Name | Affiliation | Role |
|---|---|---|
| John D. Roache, Ph.D. | University of Texas | Principal Investigator |
| Nora Chiang, Ph.D. | National Institute on Drug Abuse (NIDA) | Principal Investigator |
| Ahmed Elkashef, M.D. | National Institute on Drug Abuse (NIDA) | Principal Investigator |
| Roberta Kahn, M.D. | National Institute on Drug Abuse (NIDA) | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Texas Health Science Center | San Antonio | Texas | 78229 | United States |
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| ID | Term |
|---|---|
| D019970 | Cocaine-Related Disorders |
| D016739 | Behavior, Addictive |
| D001523 | Mental Disorders |
| D019966 | Substance-Related Disorders |
| ID | Term |
|---|---|
| D064419 | Chemically-Induced Disorders |
| D003192 | Compulsive Behavior |
| D007175 | Impulsive Behavior |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D020888 | Vigabatrin |
| ID | Term |
|---|---|
| D005680 | gamma-Aminobutyric Acid |
| D000613 | Aminobutyrates |
| D002087 | Butyrates |
| D000144 | Acids, Acyclic |
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| Drug |
Dose 2 BID |
|
| Vigabatrin | Drug | Dose 3 BID |
|
| Matching placebo | Drug | Matching placebo BID |
|
| D002264 |
| Carboxylic Acids |
| D009930 | Organic Chemicals |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |