Trial Outcomes & Findings for An Assessment of the Safety of Varenicline in Methamphetamine-dependent Volunteers (NCT NCT00713479)

NCT ID: NCT00713479

Last Updated: 2018-03-13

Results Overview

Systolic blood pressure is evaluated at 15 min intervals under placebo or varenicline in the presence of methamphetamine over 140 minutes post infusion. Data is pooled and the mean and standard deviation are presented.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

8 participants

Primary outcome timeframe

15 minute intervals

Results posted on

2018-03-13

Participant Flow

Subject were recruited from local advertisements for non-treatment seeking methamphetamine users in 2008.

Participants had 30 days in which to complete all eligibility procedures. Volunteers were: MA dependent who were not seeking treatment;nicotine dependent (smoking 10+ cigarettes/day);reported using MA via smoking or IV;could not have significant medical illnesses;be taking psychotropic medications or dependence criteria for other substances.

Participant milestones

Participant milestones
Measure
Placebo, Then Varenicline
Placebo drug dosing will begin at 0.5 mg once daily for the first 3 days of condition and will be increased to 0.5 mg twice daily for days 5-6 of this condition, and increased to 1 mg twice daily on days 7-10 of this condition. After a 14-28 day washout, the varenicline condition is started. Varenicline is taken daily for 10 days in the presence of 30 mg IV methamphetamine and 30 mg IV saline (infusion blinded to both study participants and staff members).
Varenicline, Then Placebo
Varenicline dosing will begin at 0.5 mg once daily for the first 3 days of condition and will be increased to 0.5 mg twice daily for days 5-6 of this condition, and increased to 1 mg twice daily on days 7-10 of this condition. After a 14-28 day washout, the placebo condition is started. Placebo is taken daily for 10 days in the presence of 30 mg IV methamphetamine and 30 mg IV saline (infusion blinded to both study participants and staff members).
First Medication Condition
STARTED
6
6
First Medication Condition
COMPLETED
2
6
First Medication Condition
NOT COMPLETED
4
0
Washout
STARTED
2
6
Washout
COMPLETED
2
6
Washout
NOT COMPLETED
0
0
Next Medication Condition
STARTED
2
6
Next Medication Condition
COMPLETED
2
6
Next Medication Condition
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

An Assessment of the Safety of Varenicline in Methamphetamine-dependent Volunteers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Total Sample
n=8 Participants
Includes only subjects who completed both components of the trial.
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
8 Participants
n=99 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
Age, Continuous
39.3 years
STANDARD_DEVIATION 2.1 • n=99 Participants
Sex: Female, Male
Female
2 Participants
n=99 Participants
Sex: Female, Male
Male
6 Participants
n=99 Participants
Region of Enrollment
United States
8 participants
n=99 Participants

PRIMARY outcome

Timeframe: 15 minute intervals

Population: Per protocol

Systolic blood pressure is evaluated at 15 min intervals under placebo or varenicline in the presence of methamphetamine over 140 minutes post infusion. Data is pooled and the mean and standard deviation are presented.

Outcome measures

Outcome measures
Measure
Sugar Pill
n=80 time points
Study drug dosing will begin at 0.5 mg once daily for the first 3 days of condition and will be increased to 0.5 mg twice daily for days 5-6 of this condition, and increased to 1 mg twice daily on days 7-10 of this condition. Sugar pill : Medication is taken daily for 10 days in the presence of 30 mg IV methamphetamine and 30 mg IV saline (infusion blinded to both study participants and staff members).
Varenicline
n=80 time points
Study drug dosing will begin at 0.5 mg once daily for the first 3 days of condition and will be increased to 0.5 mg twice daily for days 5-6 of this condition, and increased to 1 mg twice daily on days 7-10 of this condition. Varenicline : Medication is taken daily for 10 days in the presence of 30 mg IV methamphetamine and 30 mg IV saline (infusion blinded to both study participants and staff members)
Systolic Blood Pressure
126.4 mm Hg
Standard Deviation 12.1
127.4 mm Hg
Standard Deviation 8

PRIMARY outcome

Timeframe: 15 minute intervals

Diastolic blood pressure is evaluated at 15 min intervals under placebo or varenicline in the presence of methamphetamine over 140 minutes post infusion. Data is pooled and the mean and standard deviation are presented.

Outcome measures

Outcome measures
Measure
Sugar Pill
n=80 Time Points
Study drug dosing will begin at 0.5 mg once daily for the first 3 days of condition and will be increased to 0.5 mg twice daily for days 5-6 of this condition, and increased to 1 mg twice daily on days 7-10 of this condition. Sugar pill : Medication is taken daily for 10 days in the presence of 30 mg IV methamphetamine and 30 mg IV saline (infusion blinded to both study participants and staff members).
Varenicline
n=80 Time Points
Study drug dosing will begin at 0.5 mg once daily for the first 3 days of condition and will be increased to 0.5 mg twice daily for days 5-6 of this condition, and increased to 1 mg twice daily on days 7-10 of this condition. Varenicline : Medication is taken daily for 10 days in the presence of 30 mg IV methamphetamine and 30 mg IV saline (infusion blinded to both study participants and staff members)
Diastolic Blood Pressure
72.4 mm Hg
Standard Deviation 6.6
71.7 mm Hg
Standard Deviation 4.3

PRIMARY outcome

Timeframe: 15 minute intervals

Heart rate is evaluated at 15 min intervals under placebo or varenicline in the presence of methamphetamine over 140 minutes post infusion. Data is pooled and the mean and standard deviation are presented.

Outcome measures

Outcome measures
Measure
Sugar Pill
n=80 Time Points
Study drug dosing will begin at 0.5 mg once daily for the first 3 days of condition and will be increased to 0.5 mg twice daily for days 5-6 of this condition, and increased to 1 mg twice daily on days 7-10 of this condition. Sugar pill : Medication is taken daily for 10 days in the presence of 30 mg IV methamphetamine and 30 mg IV saline (infusion blinded to both study participants and staff members).
Varenicline
n=80 Time Points
Study drug dosing will begin at 0.5 mg once daily for the first 3 days of condition and will be increased to 0.5 mg twice daily for days 5-6 of this condition, and increased to 1 mg twice daily on days 7-10 of this condition. Varenicline : Medication is taken daily for 10 days in the presence of 30 mg IV methamphetamine and 30 mg IV saline (infusion blinded to both study participants and staff members)
Heart Rate
80.4 bpm
Standard Deviation 8.8
84.4 bpm
Standard Deviation 9.3

SECONDARY outcome

Timeframe: Daily

Using the Beck Depression Index (BDI-II), depression was assessed on a daily basis. The daily mean score during the medication intervention period is presented, with a lower score indicating lower reported depression. The scores range from 0-13: minimal depression; 14-19: mild depression; 20-28: moderate depression; and 29-63: severe depression.

Outcome measures

Outcome measures
Measure
Sugar Pill
n=64 Total BDI
Study drug dosing will begin at 0.5 mg once daily for the first 3 days of condition and will be increased to 0.5 mg twice daily for days 5-6 of this condition, and increased to 1 mg twice daily on days 7-10 of this condition. Sugar pill : Medication is taken daily for 10 days in the presence of 30 mg IV methamphetamine and 30 mg IV saline (infusion blinded to both study participants and staff members).
Varenicline
n=64 Total BDI
Study drug dosing will begin at 0.5 mg once daily for the first 3 days of condition and will be increased to 0.5 mg twice daily for days 5-6 of this condition, and increased to 1 mg twice daily on days 7-10 of this condition. Varenicline : Medication is taken daily for 10 days in the presence of 30 mg IV methamphetamine and 30 mg IV saline (infusion blinded to both study participants and staff members)
Depression
2.3 units on a scale
Standard Deviation 2.5
2.5 units on a scale
Standard Deviation 3.3

Adverse Events

Sugar Pill

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Varenicline

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Sugar Pill
n=8 participants at risk
Study drug dosing will begin at 0.5 mg once daily for the first 3 days of condition and will be increased to 0.5 mg twice daily for days 5-6 of this condition, and increased to 1 mg twice daily on days 7-10 of this condition. Sugar pill : Medication is taken daily for 10 days in the presence of 30 mg IV methamphetamine and 30 mg IV saline (infusion blinded to both study participants and staff members).
Varenicline
n=8 participants at risk
Study drug dosing will begin at 0.5 mg once daily for the first 3 days of condition and will be increased to 0.5 mg twice daily for days 5-6 of this condition, and increased to 1 mg twice daily on days 7-10 of this condition. Varenicline : Medication is taken daily for 10 days in the presence of 30 mg IV methamphetamine and 30 mg IV saline (infusion blinded to both study participants and staff members)
Nervous system disorders
Insomnia
50.0%
4/8 • Number of events 4
75.0%
6/8 • Number of events 6
Nervous system disorders
Headache
0.00%
0/8
37.5%
3/8 • Number of events 3
Cardiac disorders
Tachycardia
12.5%
1/8 • Number of events 1
0.00%
0/8
Cardiac disorders
Asymptomatic PVCs
0.00%
0/8
12.5%
1/8 • Number of events 1
Gastrointestinal disorders
Nausea
0.00%
0/8
12.5%
1/8 • Number of events 1
General disorders
Flu-like Symptoms
12.5%
1/8 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Diarrhea
12.5%
1/8 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Constipation
25.0%
2/8 • Number of events 2
0.00%
0/8
General disorders
Depressed Mood
0.00%
0/8
12.5%
1/8 • Number of events 1

Additional Information

Dr Edythe London

University of California, Los Angeles

Phone: (310) 825-0606

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place