Trial Outcomes & Findings for Citalopram for Cocaine Dependence (NCT NCT01535573)

NCT ID: NCT01535573

Last Updated: 2020-09-16

Results Overview

Urine samples were tested for benzoylecgonine, which is a metabolite of cocaine that is excreted in the urine. The presence of benzoylecgonine in the urine indicates cocaine use.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

108 participants

Primary outcome timeframe

9 weeks

Results posted on

2020-09-16

Participant Flow

Participant milestones

Participant milestones
Measure
Citalopram Low Dose
Citalopram 20 mg Citalopram: 20 mg once per day for 9 weeks
Citalopram High Dose
Citalopram 40 mg Citalopram: 40 mg per day for 9 weeks
Placebo
Placebo Placebo: 0 mg per day for 9 weeks
Overall Study
STARTED
21
44
43
Overall Study
COMPLETED
13
23
24
Overall Study
NOT COMPLETED
8
21
19

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Citalopram for Cocaine Dependence

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Citalopram Low Dose
n=21 Participants
Citalopram 20 mg Citalopram: 20 mg once per day for 9 weeks
Citalopram High Dose
n=44 Participants
Citalopram 40 mg Citalopram: 40 mg per day for 9 weeks
Placebo
n=43 Participants
Placebo Placebo: 0 mg per day for 9 weeks
Total
n=108 Participants
Total of all reporting groups
Age, Continuous
46.905 years
STANDARD_DEVIATION 7.578 • n=93 Participants
44.477 years
STANDARD_DEVIATION 9.488 • n=4 Participants
47.116 years
STANDARD_DEVIATION 8.724 • n=27 Participants
46.000 years
STANDARD_DEVIATION 8.846 • n=483 Participants
Sex: Female, Male
Female
3 Participants
n=93 Participants
8 Participants
n=4 Participants
8 Participants
n=27 Participants
19 Participants
n=483 Participants
Sex: Female, Male
Male
18 Participants
n=93 Participants
36 Participants
n=4 Participants
35 Participants
n=27 Participants
89 Participants
n=483 Participants
Race/Ethnicity, Customized
American Indian or Alaskan Native
0 Participants
n=93 Participants
1 Participants
n=4 Participants
0 Participants
n=27 Participants
1 Participants
n=483 Participants
Race/Ethnicity, Customized
Black or African American
18 Participants
n=93 Participants
32 Participants
n=4 Participants
31 Participants
n=27 Participants
81 Participants
n=483 Participants
Race/Ethnicity, Customized
Hispanic
2 Participants
n=93 Participants
5 Participants
n=4 Participants
5 Participants
n=27 Participants
12 Participants
n=483 Participants
Race/Ethnicity, Customized
White
1 Participants
n=93 Participants
6 Participants
n=4 Participants
7 Participants
n=27 Participants
14 Participants
n=483 Participants
Region of Enrollment
United States
21 participants
n=93 Participants
44 participants
n=4 Participants
43 participants
n=27 Participants
108 participants
n=483 Participants
Number of Years of Education
12.571 years
STANDARD_DEVIATION 2.216 • n=93 Participants
12.045 years
STANDARD_DEVIATION 1.796 • n=4 Participants
12.488 years
STANDARD_DEVIATION 1.921 • n=27 Participants
12.324 years
STANDARD_DEVIATION 1.932 • n=483 Participants
Number of Days of Cocaine Use in Past 30 Days
12.238 days
STANDARD_DEVIATION 2.216 • n=93 Participants
17.114 days
STANDARD_DEVIATION 9.163 • n=4 Participants
14.465 days
STANDARD_DEVIATION 9.815 • n=27 Participants
15.111 days
STANDARD_DEVIATION 8.594 • n=483 Participants

PRIMARY outcome

Timeframe: 9 weeks

Urine samples were tested for benzoylecgonine, which is a metabolite of cocaine that is excreted in the urine. The presence of benzoylecgonine in the urine indicates cocaine use.

Outcome measures

Outcome measures
Measure
Citalopram Low Dose
n=21 Participants
Citalopram 20 mg Citalopram: 20 mg once per day for 9 weeks
Citalopram High Dose
n=44 Participants
Citalopram 40 mg Citalopram: 40 mg per day for 9 weeks
Placebo
n=43 Participants
Placebo Placebo: 0 mg per day for 9 weeks
Number of Participants Who Are Cocaine Abstinent During the Last 2 Weeks of Treatment (Weeks 8-9), as Assessed by Urine Test
0 Participants
4 Participants
2 Participants

SECONDARY outcome

Timeframe: 9 weeks

Mean proportion of cocaine-positive urines per week, averaged across 9 weeks, is reported. Urine was collected three times each week over 9 weeks. Missing data is imputed as cocaine use.

Outcome measures

Outcome measures
Measure
Citalopram Low Dose
n=21 Participants
Citalopram 20 mg Citalopram: 20 mg once per day for 9 weeks
Citalopram High Dose
n=44 Participants
Citalopram 40 mg Citalopram: 40 mg per day for 9 weeks
Placebo
n=43 Participants
Placebo Placebo: 0 mg per day for 9 weeks
Proportion of Cocaine-positive Urines Per Week
0.85 proportion of cocaine urines per week
Standard Deviation 0.23
0.8 proportion of cocaine urines per week
Standard Deviation 0.3
0.85 proportion of cocaine urines per week
Standard Deviation 0.25

SECONDARY outcome

Timeframe: 9 weeks

Urine samples were tested for benzoylecgonine, which is a metabolite of cocaine that is excreted in the urine. The presence of benzoylecgonine in the urine indicates cocaine use.

Outcome measures

Outcome measures
Measure
Citalopram Low Dose
n=21 Participants
Citalopram 20 mg Citalopram: 20 mg once per day for 9 weeks
Citalopram High Dose
n=44 Participants
Citalopram 40 mg Citalopram: 40 mg per day for 9 weeks
Placebo
n=43 Participants
Placebo Placebo: 0 mg per day for 9 weeks
Number of Participants With Cocaine-negative Urines Collected During Treatment Period
14 Participants
26 Participants
27 Participants

SECONDARY outcome

Timeframe: 9 weeks

Outcome measures

Outcome measures
Measure
Citalopram Low Dose
n=21 Participants
Citalopram 20 mg Citalopram: 20 mg once per day for 9 weeks
Citalopram High Dose
n=44 Participants
Citalopram 40 mg Citalopram: 40 mg per day for 9 weeks
Placebo
n=43 Participants
Placebo Placebo: 0 mg per day for 9 weeks
Retention as Assessed by Number of Participants Remaining in Treatment
13 Participants
23 Participants
24 Participants

Adverse Events

Citalopram Low Dose

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Citalopram High Dose

Serious events: 0 serious events
Other events: 20 other events
Deaths: 0 deaths

Placebo

Serious events: 1 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Citalopram Low Dose
n=21 participants at risk
Citalopram 20 mg Citalopram: 20 mg once per day for 9 weeks
Citalopram High Dose
n=44 participants at risk
Citalopram 40 mg Citalopram: 40 mg per day for 9 weeks
Placebo
n=43 participants at risk
Placebo Placebo: 0 mg per day for 9 weeks
Psychiatric disorders
Hospitalization for Suicidal Ideation
0.00%
0/21 • 9 weeks
0.00%
0/44 • 9 weeks
2.3%
1/43 • Number of events 1 • 9 weeks

Other adverse events

Other adverse events
Measure
Citalopram Low Dose
n=21 participants at risk
Citalopram 20 mg Citalopram: 20 mg once per day for 9 weeks
Citalopram High Dose
n=44 participants at risk
Citalopram 40 mg Citalopram: 40 mg per day for 9 weeks
Placebo
n=43 participants at risk
Placebo Placebo: 0 mg per day for 9 weeks
Cardiac disorders
Elevated Blood Pressure
0.00%
0/21 • 9 weeks
0.00%
0/44 • 9 weeks
2.3%
1/43 • Number of events 1 • 9 weeks
Cardiac disorders
Abnormal electrocardiogram (EKG)
0.00%
0/21 • 9 weeks
2.3%
1/44 • Number of events 1 • 9 weeks
0.00%
0/43 • 9 weeks
General disorders
Drowsiness
0.00%
0/21 • 9 weeks
2.3%
1/44 • Number of events 1 • 9 weeks
0.00%
0/43 • 9 weeks
General disorders
Not Sleeping Well
9.5%
2/21 • Number of events 2 • 9 weeks
2.3%
1/44 • Number of events 4 • 9 weeks
9.3%
4/43 • Number of events 8 • 9 weeks
General disorders
Headache
0.00%
0/21 • 9 weeks
4.5%
2/44 • Number of events 2 • 9 weeks
0.00%
0/43 • 9 weeks
General disorders
Nervousness
0.00%
0/21 • 9 weeks
0.00%
0/44 • 9 weeks
2.3%
1/43 • Number of events 1 • 9 weeks
Eye disorders
Blurry Vision
0.00%
0/21 • 9 weeks
2.3%
1/44 • Number of events 1 • 9 weeks
0.00%
0/43 • 9 weeks
Gastrointestinal disorders
Diarrhea
0.00%
0/21 • 9 weeks
4.5%
2/44 • Number of events 2 • 9 weeks
2.3%
1/43 • Number of events 1 • 9 weeks
Respiratory, thoracic and mediastinal disorders
Shortness of Breath
0.00%
0/21 • 9 weeks
0.00%
0/44 • 9 weeks
2.3%
1/43 • Number of events 1 • 9 weeks
Respiratory, thoracic and mediastinal disorders
Cough
4.8%
1/21 • Number of events 1 • 9 weeks
2.3%
1/44 • Number of events 1 • 9 weeks
4.7%
2/43 • Number of events 2 • 9 weeks
Renal and urinary disorders
Increased Urination
9.5%
2/21 • Number of events 2 • 9 weeks
0.00%
0/44 • 9 weeks
0.00%
0/43 • 9 weeks
General disorders
Change in Sexual Function
0.00%
0/21 • 9 weeks
4.5%
2/44 • Number of events 3 • 9 weeks
0.00%
0/43 • 9 weeks
General disorders
Sweating
4.8%
1/21 • Number of events 1 • 9 weeks
4.5%
2/44 • Number of events 2 • 9 weeks
0.00%
0/43 • 9 weeks
General disorders
Fatigue
4.8%
1/21 • Number of events 1 • 9 weeks
2.3%
1/44 • Number of events 1 • 9 weeks
0.00%
0/43 • 9 weeks
Musculoskeletal and connective tissue disorders
Difficulty Walking
4.8%
1/21 • Number of events 2 • 9 weeks
2.3%
1/44 • Number of events 1 • 9 weeks
0.00%
0/43 • 9 weeks
General disorders
Loss of Appetite
4.8%
1/21 • Number of events 1 • 9 weeks
9.1%
4/44 • Number of events 6 • 9 weeks
0.00%
0/43 • 9 weeks
General disorders
Confusion
0.00%
0/21 • 9 weeks
2.3%
1/44 • Number of events 1 • 9 weeks
0.00%
0/43 • 9 weeks

Additional Information

Joy M. Schmitz, PhD, Professor and Director of Center For Neurobehavioral Research On Addictions

The University of Texas Health Science Center at Houston

Results disclosure agreements

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