Study to Improve Scientific Understanding of the Cardiovascular Actions of Cocaine

NCT ID: NCT00338546

Last Updated: 2019-01-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

PHASE1

Study Classification

INTERVENTIONAL

Brief Summary

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The purpose of this study is to improve the scientific understanding of the cardiovascular actions of cocaine, in particular the ability of cocaine to increase blood pressure.

Detailed Description

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Cocaine abuse has emerged as a major cause of life-threatening cardiovascular emergencies but our understanding of the underlying mechanisms mediating the adverse effects of cocaine is far from complete. Our previous studies in cocaine-naive human subjects have demonstrated that intranasal cocaine acutely stimulates the human cardiovascular system by a novel central mechanism of action.We are currently investigating a central sympatholytic drug,dexmedetomidine, in reversing the sympathomimetic effects (increase in blood pressure, heart rate and coronary vasoconstriction) of intranasal cocaine.This drug may be a new pharmacologic agent in the treatment of acute cocaine intoxication in humans.

Conditions

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Cocaine Induced Sympathoexciation and Vasoconstriction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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Cocaine hydrochloride

Intervention Type DRUG

Dexmedetomidine

Intervention Type DRUG

Microneurography

Intervention Type PROCEDURE

Laser doppler velocimetry

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Cocaine naive healthy volunteers

Exclusion Criteria

* Any evidence of cardiopulmonary disease by history or physical examination
* History of hypertension or 24 hour blood pressure averaging \>135/85 mmHg
* Any history of substance abuse (other than tobacco)
* Diabetes mellitus or other systemic illness
* Individuals with a history of pseudocholinesterase deficiency
* Pregnancy
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role collaborator

University of Texas Southwestern Medical Center

OTHER

Sponsor Role lead

Principal Investigators

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Ronald G Victor, MD

Role: PRINCIPAL_INVESTIGATOR

Univ of Texas Southwestern Medical Center

Locations

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Univ of Texas Southwestern Medical Center

Dallas, Texas, United States

Site Status

Countries

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United States

References

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Vongpatanasin W, Mansour Y, Chavoshan B, Arbique D, Victor RG. Cocaine stimulates the human cardiovascular system via a central mechanism of action. Circulation. 1999 Aug 3;100(5):497-502. doi: 10.1161/01.cir.100.5.497.

Reference Type RESULT
PMID: 10430763 (View on PubMed)

Kontak AC, Victor RG, Vongpatanasin W. Dexmedetomidine as a novel countermeasure for cocaine-induced central sympathoexcitation in cocaine-addicted humans. Hypertension. 2013 Feb;61(2):388-94. doi: 10.1161/HYPERTENSIONAHA.112.203554. Epub 2013 Jan 2.

Reference Type DERIVED
PMID: 23283356 (View on PubMed)

Menon DV, Wang Z, Fadel PJ, Arbique D, Leonard D, Li JL, Victor RG, Vongpatanasin W. Central sympatholysis as a novel countermeasure for cocaine-induced sympathetic activation and vasoconstriction in humans. J Am Coll Cardiol. 2007 Aug 14;50(7):626-33. doi: 10.1016/j.jacc.2007.03.060. Epub 2007 Jul 30.

Reference Type DERIVED
PMID: 17692748 (View on PubMed)

Other Identifiers

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2RO1DA01006409

Identifier Type: -

Identifier Source: org_study_id

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