Trial Outcomes & Findings for Clinical Trial of Topiramate for Cocaine Addiction (NCT NCT00685178)

NCT ID: NCT00685178

Last Updated: 2017-07-11

Results Overview

Percentage of cocaine positive urine samples as measured by Preston new use rule (50% reduction in cocaine metabolites from previous urine)

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

250 participants

Primary outcome timeframe

Urine samples collected 3 times weekly from week 1 through 26

Results posted on

2017-07-11

Participant Flow

250 volunteers were consented and admitted into the study; however 171 were randomized into the study. 79 volunteers were excluded due to a variety of reasons including failure to attend, adverse events (not study related), incarceration, failure to comply with study procedures, insufficient cocaine positive urines, and pregnancy

Participant milestones

Participant milestones
Measure
1 Topiramate + CR
topiramate and contingency reinforcement for urine sample confirming cocaine abstinence topiramate: topiramate powder 0mg - 150 mg with lactate in blind capsules. Two capsules dispensed daily. One capsule ingested under supervision at the methadone window. One capsule to be ingested at home at bedtime. Participant is expected to return the empty blister pack on the following day. capsules are administered from week 4 through 25 of the trial Contingency Reinforcement: monetary reward for self-reported cocaine abstinence confirmed by urine toxicology results
2 Topiramate + NonCR
Topiramate and random reinforcement irrespective of cocaine use topiramate: topiramate powder 0mg - 150 mg with lactate in blind capsules. Two capsules dispensed daily. One capsule ingested under supervision at the methadone window. One capsule to be ingested at home at bedtime. Participant is expected to return the empty blister pack on the following day. capsules are administered from week 4 through 25 of the trial
3 Placebo + CR
Placebo and contingency reinforcement for urine sample confirming cocaine abstinence Contingency Reinforcement: monetary reward for self-reported cocaine abstinence confirmed by urine toxicology results
4 Placebo + NonCR
placebo + NonCR: participant receives placebo capsules and monetary reinforcers by chance, irrespective of cocaine use or abstinence
Overall Study
STARTED
40
45
39
47
Overall Study
COMPLETED
27
26
27
33
Overall Study
NOT COMPLETED
13
19
12
14

Reasons for withdrawal

Reasons for withdrawal
Measure
1 Topiramate + CR
topiramate and contingency reinforcement for urine sample confirming cocaine abstinence topiramate: topiramate powder 0mg - 150 mg with lactate in blind capsules. Two capsules dispensed daily. One capsule ingested under supervision at the methadone window. One capsule to be ingested at home at bedtime. Participant is expected to return the empty blister pack on the following day. capsules are administered from week 4 through 25 of the trial Contingency Reinforcement: monetary reward for self-reported cocaine abstinence confirmed by urine toxicology results
2 Topiramate + NonCR
Topiramate and random reinforcement irrespective of cocaine use topiramate: topiramate powder 0mg - 150 mg with lactate in blind capsules. Two capsules dispensed daily. One capsule ingested under supervision at the methadone window. One capsule to be ingested at home at bedtime. Participant is expected to return the empty blister pack on the following day. capsules are administered from week 4 through 25 of the trial
3 Placebo + CR
Placebo and contingency reinforcement for urine sample confirming cocaine abstinence Contingency Reinforcement: monetary reward for self-reported cocaine abstinence confirmed by urine toxicology results
4 Placebo + NonCR
placebo + NonCR: participant receives placebo capsules and monetary reinforcers by chance, irrespective of cocaine use or abstinence
Overall Study
Adverse Event
1
5
2
4
Overall Study
missed 3 consecutive methadone clin days
7
5
2
6
Overall Study
voluntary study discharge
4
5
1
1
Overall Study
incarcerated
1
3
7
0
Overall Study
administrative (disciplinary) discharge
0
1
0
2
Overall Study
Pregnancy
0
0
0
1

Baseline Characteristics

Clinical Trial of Topiramate for Cocaine Addiction

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
1 Topiramate + CR
n=40 Participants
topiramate and contingency reinforcement for urine sample confirming cocaine abstinence topiramate: topiramate powder 0mg - 150 mg with lactate in blind capsules. Two capsules dispensed daily. One capsule ingested under supervision at the methadone window. One capsule to be ingested at home at bedtime. Participant is expected to return the empty blister pack on the following day. capsules are administered from week 4 through 25 of the trial Contingency Reinforcement: monetary reward for self-reported cocaine abstinence confirmed by urine toxicology results
2 Topiramate + NonCR
n=45 Participants
Topiramate and random reinforcement irrespective of cocaine use topiramate: topiramate powder 0mg - 150 mg with lactate in blind capsules. Two capsules dispensed daily. One capsule ingested under supervision at the methadone window. One capsule to be ingested at home at bedtime. Participant is expected to return the empty blister pack on the following day. capsules are administered from week 4 through 25 of the trial
4 Placebo + NonCR
n=39 Participants
placebo + NonCR: participant receives placebo capsules and monetary reinforcers by chance, irrespective of cocaine use or abstinence
3 Placebo + CR
n=47 Participants
Placebo and contingency reinforcement for urine sample confirming cocaine abstinence Contingency Reinforcement: monetary reward for self-reported cocaine abstinence confirmed by urine toxicology results
Total
n=171 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Age, Categorical
Between 18 and 65 years
40 Participants
n=93 Participants
45 Participants
n=4 Participants
39 Participants
n=27 Participants
47 Participants
n=483 Participants
171 Participants
n=36 Participants
Age, Categorical
>=65 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Age, Continuous
43 years
STANDARD_DEVIATION 7 • n=93 Participants
41 years
STANDARD_DEVIATION 7 • n=4 Participants
40 years
STANDARD_DEVIATION 8 • n=27 Participants
42 years
STANDARD_DEVIATION 7 • n=483 Participants
42 years
STANDARD_DEVIATION 7 • n=36 Participants
Sex: Female, Male
Female
17 Participants
n=93 Participants
22 Participants
n=4 Participants
19 Participants
n=27 Participants
24 Participants
n=483 Participants
82 Participants
n=36 Participants
Sex: Female, Male
Male
23 Participants
n=93 Participants
23 Participants
n=4 Participants
20 Participants
n=27 Participants
23 Participants
n=483 Participants
89 Participants
n=36 Participants
Region of Enrollment
United States
40 participants
n=93 Participants
45 participants
n=4 Participants
39 participants
n=27 Participants
47 participants
n=483 Participants
171 participants
n=36 Participants

PRIMARY outcome

Timeframe: Urine samples collected 3 times weekly from week 1 through 26

Population: This study utilized an Intent-to-Treat (ITT) analysis. The ITT analysis includes all volunteers who signed informed consent, were randomized into the study's treatment conditions, and took at least 1 dose of study medication.

Percentage of cocaine positive urine samples as measured by Preston new use rule (50% reduction in cocaine metabolites from previous urine)

Outcome measures

Outcome measures
Measure
1 Topiramate + CR
n=40 Participants
topiramate and contingency reinforcement for urine sample confirming cocaine abstinence topiramate: topiramate powder 0mg - 150 mg with lactate in blind capsules. Two capsules dispensed daily. One capsule ingested under supervision at the methadone window. One capsule to be ingested at home at bedtime. Participant is expected to return the empty blister pack on the following day. capsules are administered from week 4 through 25 of the trial Contingency Reinforcement: monetary reward for self-reported cocaine abstinence confirmed by urine toxicology results
2 Topiramate + NonCR
n=45 Participants
Topiramate and random reinforcement irrespective of cocaine use topiramate: topiramate powder 0mg - 150 mg with lactate in blind capsules. Two capsules dispensed daily. One capsule ingested under supervision at the methadone window. One capsule to be ingested at home at bedtime. Participant is expected to return the empty blister pack on the following day. capsules are administered from week 4 through 25 of the trial
3 Placebo + CR
n=39 Participants
Placebo and contingency reinforcement for urine sample confirming cocaine abstinence Contingency Reinforcement: monetary reward for self-reported cocaine abstinence confirmed by urine toxicology results
4 Placebo + NonCR
n=47 Participants
placebo + NonCR: participant receives placebo capsules and monetary reinforcers by chance, irrespective of cocaine use or abstinence
Proportion of Cocaine Positive Urine Samples Per Treatment Condition
45.4 percentage of positive urine samples
42.7 percentage of positive urine samples
53.5 percentage of positive urine samples
46.5 percentage of positive urine samples

SECONDARY outcome

Timeframe: 12 weeks (Weeks 8-20)

Voucher earnings used as a measurement of contigency management (CM) or operate conditioning. Volunteers were rewarded vouchers of escalating monetary value for cocaine abstinence, as indicated by a cocaine negative urine sample. The first cocaine negative urine earned a $2.50 voucher, and the value increased by $1.50 for each subsequent cocaine negative sample. Volunteers were awarded a bonus of $10.00 for every three consecutive cocaine negative urine samples. Urine samples were collected 3 times per week, and vouchers were attainable between Weeks 8 and 20. Contingency management as a measurement of operant conditioning in which positive reinforcement is applied (in this case vouchers of monetary value) and cocaine abstinence

Outcome measures

Outcome measures
Measure
1 Topiramate + CR
n=40 Participants
topiramate and contingency reinforcement for urine sample confirming cocaine abstinence topiramate: topiramate powder 0mg - 150 mg with lactate in blind capsules. Two capsules dispensed daily. One capsule ingested under supervision at the methadone window. One capsule to be ingested at home at bedtime. Participant is expected to return the empty blister pack on the following day. capsules are administered from week 4 through 25 of the trial Contingency Reinforcement: monetary reward for self-reported cocaine abstinence confirmed by urine toxicology results
2 Topiramate + NonCR
n=45 Participants
Topiramate and random reinforcement irrespective of cocaine use topiramate: topiramate powder 0mg - 150 mg with lactate in blind capsules. Two capsules dispensed daily. One capsule ingested under supervision at the methadone window. One capsule to be ingested at home at bedtime. Participant is expected to return the empty blister pack on the following day. capsules are administered from week 4 through 25 of the trial
3 Placebo + CR
n=39 Participants
Placebo and contingency reinforcement for urine sample confirming cocaine abstinence Contingency Reinforcement: monetary reward for self-reported cocaine abstinence confirmed by urine toxicology results
4 Placebo + NonCR
n=47 Participants
placebo + NonCR: participant receives placebo capsules and monetary reinforcers by chance, irrespective of cocaine use or abstinence
Voucher Earnings
421.25 Dollars
Standard Error 79.58
343.26 Dollars
Standard Error 65.34
394.69 Dollars
Standard Error 72.06
203.51 Dollars
Standard Error 50.89

Adverse Events

1 Topiramate + CR

Serious events: 4 serious events
Other events: 1 other events
Deaths: 0 deaths

2 Topiramate + NonCR

Serious events: 4 serious events
Other events: 5 other events
Deaths: 0 deaths

3 Placebo + CR

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

4 Placebo + NonCR

Serious events: 3 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
1 Topiramate + CR
n=40 participants at risk
topiramate and contingency reinforcement for urine sample confirming cocaine abstinence topiramate: topiramate powder 0mg - 150 mg with lactate in blind capsules. Two capsules dispensed daily. One capsule ingested under supervision at the methadone window. One capsule to be ingested at home at bedtime. Participant is expected to return the empty blister pack on the following day.
2 Topiramate + NonCR
n=45 participants at risk
Topiramate and random reinforcement irrespective of cocaine use topiramate: topiramate powder 0mg - 150 mg with lactate in blind capsules. Two capsules dispensed daily. One capsule ingested under supervision at the methadone window. One capsule to be ingested at home at bedtime. Participant is expected to return the empty blister pack on the following day.
3 Placebo + CR
n=39 participants at risk
Placebo and contingency reinforcement for urine sample confirming cocaine abstinence Contingency Reinforcement: monetary reward for self-reported cocaine abstinence confirmed by urine toxicology results
4 Placebo + NonCR
n=47 participants at risk
placebo + NonCR: participant receives placebo capsules and monetary reinforcers by chance, irrespective of cocaine use or abstinence
General disorders
Accidental CO Poisoning
2.5%
1/40 • Number of events 1 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/45 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/39 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/47 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
Renal and urinary disorders
Transient Creatinine elevation
0.00%
0/40 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
2.2%
1/45 • Number of events 1 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/39 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/47 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
Psychiatric disorders
Paranoid Psychosis
0.00%
0/40 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
2.2%
1/45 • Number of events 1 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/39 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/47 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
Respiratory, thoracic and mediastinal disorders
Pneumonia
0.00%
0/40 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
2.2%
1/45 • Number of events 1 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/39 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/47 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
Gastrointestinal disorders
Transaminases elevated
5.0%
2/40 • Number of events 2 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/45 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/39 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/47 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
Renal and urinary disorders
Hematuria
0.00%
0/40 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/45 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
2.6%
1/39 • Number of events 1 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/47 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
Eye disorders
Increased intraocular pressure
0.00%
0/40 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/45 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/39 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
2.1%
1/47 • Number of events 1 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
Reproductive system and breast disorders
Pregnancy
0.00%
0/40 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/45 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/39 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
2.1%
1/47 • Number of events 1 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
Psychiatric disorders
Suicidal ideation
0.00%
0/40 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/45 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/39 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
2.1%
1/47 • Number of events 1 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
Gastrointestinal disorders
Pancreatitis
2.5%
1/40 • Number of events 1 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/45 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/39 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/47 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
Cardiac disorders
Abnormal EKG
2.5%
1/40 • Number of events 1 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
2.2%
1/45 • Number of events 1 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/39 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
0.00%
0/47 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.

Other adverse events

Other adverse events
Measure
1 Topiramate + CR
n=40 participants at risk
topiramate and contingency reinforcement for urine sample confirming cocaine abstinence topiramate: topiramate powder 0mg - 150 mg with lactate in blind capsules. Two capsules dispensed daily. One capsule ingested under supervision at the methadone window. One capsule to be ingested at home at bedtime. Participant is expected to return the empty blister pack on the following day.
2 Topiramate + NonCR
n=45 participants at risk
Topiramate and random reinforcement irrespective of cocaine use topiramate: topiramate powder 0mg - 150 mg with lactate in blind capsules. Two capsules dispensed daily. One capsule ingested under supervision at the methadone window. One capsule to be ingested at home at bedtime. Participant is expected to return the empty blister pack on the following day.
3 Placebo + CR
n=39 participants at risk
Placebo and contingency reinforcement for urine sample confirming cocaine abstinence Contingency Reinforcement: monetary reward for self-reported cocaine abstinence confirmed by urine toxicology results
4 Placebo + NonCR
n=47 participants at risk
placebo + NonCR: participant receives placebo capsules and monetary reinforcers by chance, irrespective of cocaine use or abstinence
Gastrointestinal disorders
Constipation
2.5%
1/40 • Number of events 1 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
4.4%
2/45 • Number of events 2 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
5.1%
2/39 • Number of events 3 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
4.3%
2/47 • Number of events 2 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
Cardiac disorders
ECG Abnormal
2.5%
1/40 • Number of events 1 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
6.7%
3/45 • Number of events 3 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
2.6%
1/39 • Number of events 1 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.
2.1%
1/47 • Number of events 1 • 28 weeks (between Week 3 and Week 31)
Standard Terminology. Reported adverse events include particpants who were randomized into the study's conditions (topiramate + CR/NonCR; placebo + CR/NonCR), and of which were rated as being either possibly, probably, or definitely related to the study.

Additional Information

Dr. Annie Umbricht

Johns Hopkins University

Phone: 410-550-1917

Results disclosure agreements

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