The Reinforcing Mechanisms of Smoking in Adult ADHD

NCT ID: NCT00573859

Last Updated: 2011-11-07

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

27 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-09-30

Study Completion Date

2010-06-30

Brief Summary

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Whereas the smoking prevalence rates in the general population are declining, rates among people diagnosed with attention-deficit hyperactivity disorder (ADHD) continue to be elevated. Smoking may be a form of self-medication in people with ADHD, which has specific reinforcing mechanisms such as improvement of ADHD core symptoms, enhancement of moods and arousal, or a combination of both. In addition, the reinforcing effects of smoking may be potentiated by stimulant medication.

The study examined the reinforcing effects of ad libitum smoking with and without ADHD medication in adult smokers with clinically diagnosed ADHD. Participants were adults with ADHD. The effects of two day of ADHD medication compared to two days on placebo for were studied on nicotine intake (i.e., cotinine levels). In addition, task performance on the Continuous Performance Task and nicotine withdrawal symptoms were examined in response to ADHD medication + smoking a cigarette versus ADHD medication + abstinence versus placebo medication + smoking versus placebo medication + abstinence.

The study identified the reinforcing mechanisms of smoking in interaction with ADHD medication. The findings will contribute to a better understanding of nicotine addiction and facilitate the development of targeted smoking cessation and prevention programs for individuals with ADHD and other people with deficiencies in impulse control and excessive risk taking.

Detailed Description

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Conditions

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ADHD

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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ADHD medication versus placebo

For the ADHD medication condition, participants received their usual dosage of their usual ADHD medication (e.g., Dextroamphetamine; Amphetamine mixed salts; Atomoxetine; O-Methylphenidate; Lisdexamfetamine). For the placebo condition, a placebo pill was administered.

Group Type EXPERIMENTAL

ADHD medication

Intervention Type DRUG

For the ADHD medication condition, participants received their usual dosage of their usual ADHD medication for two consecutive days.

Placebo

Intervention Type DRUG

For the placebo condition, participants received placebo pills for two consecutive days.

Interventions

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ADHD medication

For the ADHD medication condition, participants received their usual dosage of their usual ADHD medication for two consecutive days.

Intervention Type DRUG

Placebo

For the placebo condition, participants received placebo pills for two consecutive days.

Intervention Type DRUG

Other Intervention Names

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Dextroamphetamine Amphetamine mixed salts Atomoxetine O-Methylphenidate Lisdexamfetamine

Eligibility Criteria

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Inclusion Criteria

* An age of 18 to 45 years
* A history of ADHD
* Current diagnosis of ADHD according to clinical criteria
* Current treatment with stimulant medication
* Smoking of 10 cigarettes or more per day

Exclusion Criteria

* Treatment for any major medical illness such as cancer, heart disease, diabetes, skin diseases, current major depressive episode, and schizophrenia even if currently controlled by medication
* Current pregnancy, as measured by a pregnancy test (Clear Blue Easy, Unipath, Bedford, UK), or planning to become pregnant within the next 6 months. These individuals will not be included because smoking may cause harm to the unborn fetus
* Nursing mothers
* Non-English speaking people, because the majority of measurements used in the study have not been validated in languages other than English
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of California, Irvine

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jean G Gehricke, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of California, Irvine

Locations

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Department of Pediatrics

Irvine, California, United States

Site Status

Countries

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United States

References

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Gehricke JG, Hong N, Wigal TL, Chan V, Doan A. ADHD medication reduces cotinine levels and withdrawal in smokers with ADHD. Pharmacol Biochem Behav. 2011 May;98(3):485-91. doi: 10.1016/j.pbb.2011.02.021. Epub 2011 Feb 26.

Reference Type RESULT
PMID: 21356232 (View on PubMed)

Other Identifiers

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NIH grant# DA018752

Identifier Type: -

Identifier Source: secondary_id

2006-5156

Identifier Type: -

Identifier Source: org_study_id