Pioglitazone for Heroin and for Nicotine Dependence

NCT ID: NCT01395797

Last Updated: 2017-07-13

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

82 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-31

Study Completion Date

2014-06-30

Brief Summary

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The goal of the proposed research is to improve the effectiveness of treatments for opioid and for nicotine dependence by testing a novel pharmacological strategy. Specifically, pioglitazone, a peroxisome proliferator-activated gamma receptor (PPARγ) agonist, will be used as an adjunct to agonist-based treatment.

Detailed Description

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Although treatments for opioid and for nicotine dependence exist, these medications are not universally effective as many patients are unable to stop using or relapse rapidly, suggesting that treatment with a single agent alone is insufficient to facilitate cessation of use in many patients. Targeting additional pathways that may contribute to the maintenance of drug-taking behaviors or relapse may be a more effective strategy to treat individuals resistant to first-line approaches.

Conditions

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Heroin Dependence Nicotine Dependence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Placebo - Heroin

Participants will be maintained on 0 mg of Pioglitazone (PIO) prior to sessions assessing the abuse liability of heroin.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo

PIO low dose - Heroin

Participants will be maintained on 15 mg of PIO prior to sessions assessing the abuse liability of heroin.

Group Type EXPERIMENTAL

PIO

Intervention Type DRUG

0, 15, and 45 mg per day.

PIO high dose - Heroin

Participants will be maintained on 45 mg of PIO prior to sessions assessing the abuse liability of heroin.

Group Type EXPERIMENTAL

PIO

Intervention Type DRUG

0, 15, and 45 mg per day.

Placebo - Nicotine

Participants will be maintained on 0 mg of PIO prior to sessions assessing the abuse liability of nicotine.

Group Type PLACEBO_COMPARATOR

PIO

Intervention Type DRUG

0, 15, and 45 mg per day.

PIO Low Dose - Nicotine

Participants will be maintained on 15 mg of PIO prior to sessions assessing the abuse liability of nicotine

Group Type EXPERIMENTAL

PIO

Intervention Type DRUG

0, 15, and 45 mg per day.

PIO High Dose - Nicotine

Participants will be maintained on 45 mg of PIO prior to sessions assessing the abuse liability of nicotine

Group Type EXPERIMENTAL

PIO

Intervention Type DRUG

0, 15, and 45 mg per day.

Interventions

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PIO

0, 15, and 45 mg per day.

Intervention Type DRUG

Placebo

Placebo

Intervention Type DRUG

Other Intervention Names

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Actos Actos

Eligibility Criteria

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Inclusion Criteria

* 21-55 years of age
* Physically healthy
* Able to perform study procedures

Exclusion Criteria

* Pregnancy
* Physical dependence on any other drugs besides caffeine, heroin and nicotine
Minimum Eligible Age

21 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role collaborator

Omeros Corporation

INDUSTRY

Sponsor Role collaborator

New York State Psychiatric Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sandra D. Comer, MD

Role: PRINCIPAL_INVESTIGATOR

Columbia University

Locations

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New York State Psychiatric Institute

New York, New York, United States

Site Status

Countries

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United States

References

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Martinez S, Jones JD, Vadhan NP, Brandt L, Comer SD, Bisaga A. The acute and repeated effects of cigarette smoking and smoking-related cues on impulsivity. Drug Alcohol Rev. 2021 Jul;40(5):864-868. doi: 10.1111/dar.13206. Epub 2020 Nov 2.

Reference Type DERIVED
PMID: 33140460 (View on PubMed)

Other Identifiers

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R01DA031022

Identifier Type: NIH

Identifier Source: secondary_id

View Link

6255

Identifier Type: -

Identifier Source: org_study_id

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