Trial Outcomes & Findings for The Efficacy of Doxazosin for Cocaine Users (NCT NCT00880997)

NCT ID: NCT00880997

Last Updated: 2019-08-22

Results Overview

cocaine urine toxicology samples were obtained thrice weekly and tested for the presence of the cocaine metabolite, benzoylecgonine

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

35 participants

Primary outcome timeframe

throughout the study - up to 17 weeks

Results posted on

2019-08-22

Participant Flow

Thirty-five subjects were randomized into the study, with 30 subjects returning and receiving at least one dose of medication.

Participant milestones

Participant milestones
Measure
Doxazosin Fast
Participantsreaching the target dose after a 4-week titration period
Doxazosin Slow
Participants reaching the target dose after an 8-week titration period
Placebo
Matching placebo
Overall Study
STARTED
9
8
13
Overall Study
COMPLETED
6
6
5
Overall Study
NOT COMPLETED
3
2
8

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Efficacy of Doxazosin for Cocaine Users

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Doxazosin Slow Titration
n=8 Participants
Medication induction occurred at a rate of 2mg/week until 8mg/day target dose was achieved as follows: Dox-Slow Group: Participants reaching the target dose after an 8-week titration period. Participants were stabilized on doxazosin over weeks 8-13. Participants were tapered off doxazosin or placebo over study weeks 14-17.
Doxazosin Fast Titration
n=9 Participants
Medication induction occurred at a rate of 2mg/week until 8mg/day target dose was achieved as follows: Dox-Fast Group: Participants reaching the target dose after a 4-week titration period. Participants were stabilized on doxazosin over weeks 4-13. Participants were tapered off doxazosin or placebo over study weeks 14-17.
Placebo
n=13 Participants
Participants received matched placebo during weeks 1-13. Participants were tapered off placebo over study weeks 14-17.
Total
n=30 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
8 Participants
n=5 Participants
9 Participants
n=7 Participants
13 Participants
n=5 Participants
30 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Continuous
50.1 years
STANDARD_DEVIATION 7.4 • n=5 Participants
47.4 years
STANDARD_DEVIATION 11.0 • n=7 Participants
48.2 years
STANDARD_DEVIATION 8.6 • n=5 Participants
48 years
STANDARD_DEVIATION 9 • n=4 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
4 Participants
n=4 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
7 Participants
n=7 Participants
11 Participants
n=5 Participants
26 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
7 Participants
n=5 Participants
3 Participants
n=7 Participants
10 Participants
n=5 Participants
20 Participants
n=4 Participants
Race (NIH/OMB)
White
1 Participants
n=5 Participants
6 Participants
n=7 Participants
3 Participants
n=5 Participants
10 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
8 participants
n=5 Participants
9 participants
n=7 Participants
13 participants
n=5 Participants
30 participants
n=4 Participants
Employment
6 Participants
n=5 Participants
7 Participants
n=7 Participants
9 Participants
n=5 Participants
22 Participants
n=4 Participants
Alcohol use - past 30 days
6.63 days
STANDARD_DEVIATION 3.77 • n=5 Participants
10.11 days
STANDARD_DEVIATION 9.55 • n=7 Participants
7.85 days
STANDARD_DEVIATION 9.89 • n=5 Participants
8.5 days
STANDARD_DEVIATION 8 • n=4 Participants
Cocaine use - past 30 days
18.13 days
STANDARD_DEVIATION 8.90 • n=5 Participants
7.89 days
STANDARD_DEVIATION 6.92 • n=7 Participants
14.85 days
STANDARD_DEVIATION 10.25 • n=5 Participants
15 days
STANDARD_DEVIATION 8.27 • n=4 Participants

PRIMARY outcome

Timeframe: throughout the study - up to 17 weeks

cocaine urine toxicology samples were obtained thrice weekly and tested for the presence of the cocaine metabolite, benzoylecgonine

Outcome measures

Outcome measures
Measure
DOX-slow Group
n=8 Participants
Participants reaching the target dose after an 8-week titration period are labeled as the DOX slow group. Participants were stabilized on doxazosin over weeks 8-13 and then tapered off doxazosin over study weeks 14-17.
DOX-fast Group
n=9 Participants
Participants reaching the target dose after a 4-week period are labeled as the DOX-fast group. Participants were stabilized on doxazosin over weeks 4-13 and then tapered off doxazosin over study weeks 14-17.
Placebo
n=13 Participants
Participants took placebo during weeks 1-17.
Cocaine Negative Urines
10 percentage of cocaine-negative urines
35 percentage of cocaine-negative urines
14 percentage of cocaine-negative urines

SECONDARY outcome

Timeframe: throughout the study - up to 17 weeks

Percentage of participants achieving 2 or more consecutive weeks of abstinence

Outcome measures

Outcome measures
Measure
DOX-slow Group
n=8 Participants
Participants reaching the target dose after an 8-week titration period are labeled as the DOX slow group. Participants were stabilized on doxazosin over weeks 8-13 and then tapered off doxazosin over study weeks 14-17.
DOX-fast Group
n=9 Participants
Participants reaching the target dose after a 4-week period are labeled as the DOX-fast group. Participants were stabilized on doxazosin over weeks 4-13 and then tapered off doxazosin over study weeks 14-17.
Placebo
n=13 Participants
Participants took placebo during weeks 1-17.
Weeks of Abstinence
0 percentage of participants
44 percentage of participants
7 percentage of participants

SECONDARY outcome

Timeframe: throughout the study - up to 17 weeks

Retention

Outcome measures

Outcome measures
Measure
DOX-slow Group
n=8 Participants
Participants reaching the target dose after an 8-week titration period are labeled as the DOX slow group. Participants were stabilized on doxazosin over weeks 8-13 and then tapered off doxazosin over study weeks 14-17.
DOX-fast Group
n=9 Participants
Participants reaching the target dose after a 4-week period are labeled as the DOX-fast group. Participants were stabilized on doxazosin over weeks 4-13 and then tapered off doxazosin over study weeks 14-17.
Placebo
n=13 Participants
Participants took placebo during weeks 1-17.
# of Participants That Completed the Study
6 Participants
6 Participants
5 Participants

SECONDARY outcome

Timeframe: throughout study - upto 17 weeks

Outcome measures

Outcome measures
Measure
DOX-slow Group
n=8 Participants
Participants reaching the target dose after an 8-week titration period are labeled as the DOX slow group. Participants were stabilized on doxazosin over weeks 8-13 and then tapered off doxazosin over study weeks 14-17.
DOX-fast Group
n=9 Participants
Participants reaching the target dose after a 4-week period are labeled as the DOX-fast group. Participants were stabilized on doxazosin over weeks 4-13 and then tapered off doxazosin over study weeks 14-17.
Placebo
n=13 Participants
Participants took placebo during weeks 1-17.
Adverse Events
26 events
9 events
23 events

Adverse Events

Dox-Slow Group

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Dox-Fast Group:

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

Placebo

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Dox-Slow Group
n=8 participants at risk
Defined as participants reaching the target dose after an 8-week titration period. Participants were stabilized on doxazosin or placebo over weeks 8-13 (for Dox-Slow group)
Dox-Fast Group:
n=9 participants at risk
Defined as participants reaching the target dose after a 4-week titration period. Participants were stabilized on doxazosin or placebo over weeks 4-13 (for Dox-Fast group)
Placebo
n=13 participants at risk
A sugar pill to mimic the experiment drug, doxazosin, will be administered in the same manner as the experimental drug through the study duration. Placebo: Placebo daily dosing
Nervous system disorders
Headaches
25.0%
2/8 • Adverse events were collected over the entire study duration for all patients, up to 17 weeks.
11.1%
1/9 • Adverse events were collected over the entire study duration for all patients, up to 17 weeks.
23.1%
3/13 • Adverse events were collected over the entire study duration for all patients, up to 17 weeks.
Cardiac disorders
Dizinness
0.00%
0/8 • Adverse events were collected over the entire study duration for all patients, up to 17 weeks.
22.2%
2/9 • Adverse events were collected over the entire study duration for all patients, up to 17 weeks.
0.00%
0/13 • Adverse events were collected over the entire study duration for all patients, up to 17 weeks.
General disorders
Toothache
12.5%
1/8 • Adverse events were collected over the entire study duration for all patients, up to 17 weeks.
11.1%
1/9 • Adverse events were collected over the entire study duration for all patients, up to 17 weeks.
0.00%
0/13 • Adverse events were collected over the entire study duration for all patients, up to 17 weeks.

Additional Information

Thomas Kosten, MD

Baylor College of Medicine

Phone: 713-794-7032

Results disclosure agreements

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