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This study will evaluate the potential therapeutic value of two neurosteroid treatments (DHEA and pregnenolone) in the treatment of tobacco withdrawal symptoms. This will include assessing whether these agents relieve craving for cigarettes elicited by exposure to a mildly stressful cognitive task. Pregnenolone (400 mg orally), DHEA (400 mg orally) and placebo will be administered one at each of the three sessions in a randomized order.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dehydroepiandrosterone (DHEA) | Experimental |
| |
| Pregnenolone | Experimental |
| |
| Placebo | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| dehydroepiandrosterone (DHEA) | Dietary Supplement | one-time 400mg oral dose of DHEA |
|
| Measure | Description | Time Frame |
|---|---|---|
| The administration of DHEA or pregnenolone will reduce smoking withdrawal symptoms. | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| The administration of DHEA or pregnenolone will reduce the subjective rewarding effects of nicotine inhaled in cigarette smoke. | 6 months | |
| The administration of DHEA or pregnenolone will reduce stress-induced changes in mood and craving for cigarettes. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jed E Rose, Ph.D. | Duke University | Principal Investigator |
| Christine Marx, M.D. | Duke University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Duke Center for Nicotine & Smoking Cessation Research | Durham | North Carolina | 27705 | United States | ||
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| pregnenolone | Dietary Supplement | one-time 400mg oral dose of pregnenolone |
|
| Placebo | Drug | one-time dose oral dose |
|
| 6 months |
| Duke Center for Nicotine & Smoking Cessation Research |
| Raleigh |
| North Carolina |
| 27609 |
| United States |
| ID | Term |
|---|---|
| D013375 | Substance Withdrawal Syndrome |
| ID | Term |
|---|---|
| D019966 | Substance-Related Disorders |
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D003687 | Dehydroepiandrosterone |
| D011284 | Pregnenolone |
| ID | Term |
|---|---|
| D000737 | Androstenols |
| D000736 | Androstenes |
| D000731 | Androstanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D015068 | 17-Ketosteroids |
| D007664 | Ketosteroids |
| D000305 | Adrenal Cortex Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D045165 | Testosterone Congeners |
| D012739 | Gonadal Steroid Hormones |
| D042341 | Gonadal Hormones |
| D011283 | Pregnenes |
| D011278 | Pregnanes |
| D006889 | Hydroxycorticosteroids |
| D045167 | Progesterone Congeners |
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