Trial Outcomes & Findings for Pharmacogenetics of Doxazosin for Cocaine Dependence (NCT NCT01145183)

NCT ID: NCT01145183

Last Updated: 2019-07-22

Results Overview

Cocaine positive urines

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

96 participants

Primary outcome timeframe

2 weeks blocks throughout study

Results posted on

2019-07-22

Participant Flow

A total of 201 individuals seeking treatment for cocaine dependence were screened between October 2009 and September 2013 at the Outpatient Clinical Trials Research Clinic at MEDVAMC. 16 participants were excluded because they did not meet the inclusion criteria, and 89 participants were lost to follow up before randomization into this study.

Thus, 96 individuals entered into the study and were randomly assigned into the doxazosin or the placebo groups. Following randomization, 7 participants were lost to follow up and 13 opted out of the pharmacogenetic testing. In total, 76 CUD patients participated in this trial.

Participant milestones

Participant milestones
Measure
Doxazosin (AA Genotype)
A single dose of doxazosin (8 mg/day) was used in the active medication arm with titration up to 8 mg occurring over a 2-week period.
Doxazosin (AT/TT Genotype)
A single dose of doxazosin (8 mg/day) was used in the active medication arm with titration up to 8 mg occurring over a 2-week period.
Placebo (AA Genotype)
Matched placebo daily dosing
Placebo (AT/TT Genotype)
Matched placebo daily dosing
Overall Study
STARTED
21
26
19
10
Overall Study
COMPLETED
21
26
19
10
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Pharmacogenetics of Doxazosin for Cocaine Dependence

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Doxazosin (AA Genotype)
n=21 Participants
A single dose of doxazosin (8 mg/day) was used in the active medication arm with titration up to 8 mg occurring over a 2-week period.
Doxazosin (AT/TT Genotype)
n=26 Participants
A single dose of doxazosin (8 mg/day) was used in the active medication arm with titration up to 8 mg occurring over a 2-week period.
Placebo (AA Genotype)
n=19 Participants
Matched placebo daily dosing
Placebo (AT/TT Genotype)
n=10 Participants
Matched placebo daily dosing
Total
n=76 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
Age, Categorical
Between 18 and 65 years
21 Participants
n=99 Participants
26 Participants
n=107 Participants
19 Participants
n=206 Participants
10 Participants
n=7 Participants
76 Participants
n=31 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
Age, Continuous
48.8 years
STANDARD_DEVIATION 6 • n=99 Participants
48.9 years
STANDARD_DEVIATION 10.2 • n=107 Participants
46.6 years
STANDARD_DEVIATION 9.2 • n=206 Participants
48.8 years
STANDARD_DEVIATION 6 • n=7 Participants
48 years
STANDARD_DEVIATION 7.8 • n=31 Participants
Sex: Female, Male
Female
6 Participants
n=99 Participants
7 Participants
n=107 Participants
5 Participants
n=206 Participants
2 Participants
n=7 Participants
20 Participants
n=31 Participants
Sex: Female, Male
Male
15 Participants
n=99 Participants
19 Participants
n=107 Participants
14 Participants
n=206 Participants
8 Participants
n=7 Participants
56 Participants
n=31 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
Black or African American
15 Participants
n=99 Participants
19 Participants
n=107 Participants
16 Participants
n=206 Participants
5 Participants
n=7 Participants
55 Participants
n=31 Participants
Race (NIH/OMB)
White
6 Participants
n=99 Participants
7 Participants
n=107 Participants
3 Participants
n=206 Participants
5 Participants
n=7 Participants
21 Participants
n=31 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
Region of Enrollment
United States
21 participants
n=99 Participants
26 participants
n=107 Participants
19 participants
n=206 Participants
10 participants
n=7 Participants
76 participants
n=31 Participants

PRIMARY outcome

Timeframe: 2 weeks blocks throughout study

Cocaine positive urines

Outcome measures

Outcome measures
Measure
Doxazosin (AA Genotype)
n=21 Participants
A single dose of doxazosin (8 mg/day) was used in the active medication arm with titration up to 8 mg occurring over a 2-week period.
Doxazosin (AT/TT Genotype)
n=26 Participants
A single dose of doxazosin (8 mg/day) was used in the active medication arm with titration up to 8 mg occurring over a 2-week period.
Placebo (AA Genotype)
n=19 Participants
Matched placebo daily dosing
Placebo (AT/TT Genotype)
n=10 Participants
Matched placebo daily dosing
Percentage of Cocaine Positive Urine Toxicology
Weeks 1-2
88.6 percentage of positive urines
85.6 percentage of positive urines
75.7 percentage of positive urines
75.9 percentage of positive urines
Percentage of Cocaine Positive Urine Toxicology
Weeks 3-4
88.6 percentage of positive urines
84.7 percentage of positive urines
82.8 percentage of positive urines
84.7 percentage of positive urines
Percentage of Cocaine Positive Urine Toxicology
Weeks 5-6
84.9 percentage of positive urines
68.0 percentage of positive urines
84.9 percentage of positive urines
95.7 percentage of positive urines
Percentage of Cocaine Positive Urine Toxicology
Weeks 7-8
75.5 percentage of positive urines
70.3 percentage of positive urines
77.2 percentage of positive urines
100.0 percentage of positive urines
Percentage of Cocaine Positive Urine Toxicology
Weeks 9-10
86.3 percentage of positive urines
61.9 percentage of positive urines
80.6 percentage of positive urines
97.0 percentage of positive urines
Percentage of Cocaine Positive Urine Toxicology
Weeks 11-12
82.8 percentage of positive urines
67.3 percentage of positive urines
81.2 percentage of positive urines
100.0 percentage of positive urines

SECONDARY outcome

Timeframe: Pre- and post study medication

Adverse effects were closely monitored during each clinic visit throughout this trial. Vital signs including blood pressure (both pre-medication and post-medication) were measured and documented as were concomitant medications.

Outcome measures

Outcome measures
Measure
Doxazosin (AA Genotype)
n=47 Participants
A single dose of doxazosin (8 mg/day) was used in the active medication arm with titration up to 8 mg occurring over a 2-week period.
Doxazosin (AT/TT Genotype)
n=29 Participants
A single dose of doxazosin (8 mg/day) was used in the active medication arm with titration up to 8 mg occurring over a 2-week period.
Placebo (AA Genotype)
Matched placebo daily dosing
Placebo (AT/TT Genotype)
Matched placebo daily dosing
Adverse Events
0 events
0 events

Adverse Events

Doxazosin

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

Placebo

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Thomas Kosten, MD

Baylor College of Medicine

Phone: 713 798 8628

Results disclosure agreements

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