Trial Outcomes & Findings for A Multi-Center Trial of Nepicastat for Cocaine Dependence (NCT NCT01704196)

NCT ID: NCT01704196

Last Updated: 2017-05-18

Results Overview

Number of subjects that abstained from cocaine from weeks 10 through 11

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

179 participants

Primary outcome timeframe

Weeks 10 - 11

Results posted on

2017-05-18

Participant Flow

Participant milestones

Participant milestones
Measure
Nepicastat
Nepicastat 120mg and 100mg riboflavin (once per day) for 11 weeks Nepicastat: 120 mg of active drug and 100mg of riboflavin daily for 11 weeks or matching placebo containing 100mg of riboflavin daily for 11 weeks.
Placebo
Placebo capsule containing 100mg riboflavin (once per day) for 11 weeks. Placebo
Overall Study
STARTED
90
89
Overall Study
COMPLETED
71
65
Overall Study
NOT COMPLETED
19
24

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Multi-Center Trial of Nepicastat for Cocaine Dependence

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=89 Participants
Placebo capsule containing 100mg riboflavin (once per day) for 11 weeks. Placebo
Total
n=179 Participants
Total of all reporting groups
Nepicastat
n=90 Participants
Nepicastat 120mg and 100mg riboflavin (once per day) for 11 weeks Nepicastat: 120 mg of active drug and 100mg of riboflavin daily for 11 weeks or matching placebo containing 100mg of riboflavin daily for 11 weeks.
Age, Continuous
49.0 years
STANDARD_DEVIATION 8.2 • n=7 Participants
49.9 years
STANDARD_DEVIATION 8.2 • n=5 Participants
50.8 years
STANDARD_DEVIATION 8.2 • n=5 Participants
Sex: Female, Male
Female
12 Participants
n=7 Participants
27 Participants
n=5 Participants
15 Participants
n=5 Participants
Sex: Female, Male
Male
77 Participants
n=7 Participants
152 Participants
n=5 Participants
75 Participants
n=5 Participants
Region of Enrollment
United States
89 participants
n=7 Participants
179 participants
n=5 Participants
90 participants
n=5 Participants

PRIMARY outcome

Timeframe: Weeks 10 - 11

Number of subjects that abstained from cocaine from weeks 10 through 11

Outcome measures

Outcome measures
Measure
Nepicastat
n=90 Participants
Nepicastat 120mg and 100mg riboflavin (once per day) for 11 weeks Nepicastat: 120 mg of active drug and 100mg of riboflavin daily for 11 weeks or matching placebo containing 100mg of riboflavin daily for 11 weeks.
Placebo
n=89 Participants
Placebo capsule containing 100mg riboflavin (once per day) for 11 weeks. Placebo
Abstinence (Weeks 10 - 11)
4 Participants
7 Participants

SECONDARY outcome

Timeframe: Baseline through week 11

Proportion of Subjects with a 50% or More Reduction in Cocaine Use from Baseline through week 11

Outcome measures

Outcome measures
Measure
Nepicastat
n=90 Participants
Nepicastat 120mg and 100mg riboflavin (once per day) for 11 weeks Nepicastat: 120 mg of active drug and 100mg of riboflavin daily for 11 weeks or matching placebo containing 100mg of riboflavin daily for 11 weeks.
Placebo
n=89 Participants
Placebo capsule containing 100mg riboflavin (once per day) for 11 weeks. Placebo
Reduction in Use (Weeks 1 - 11)
13 participants
20 participants

Adverse Events

Nepicastat

Serious events: 8 serious events
Other events: 80 other events
Deaths: 0 deaths

Placebo

Serious events: 2 serious events
Other events: 67 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Nepicastat
n=90 participants at risk
Nepicastat 120mg and 100mg riboflavin (once per day) for 11 weeks Nepicastat: 120 mg of active drug and 100mg of riboflavin daily for 11 weeks or matching placebo containing 100mg of riboflavin daily for 11 weeks.
Placebo
n=89 participants at risk
Placebo capsule containing 100mg riboflavin (once per day) for 11 weeks. Placebo
Cardiac disorders
Hospitalization for Chest Pain
0.00%
0/90
1.1%
1/89 • Number of events 1
Injury, poisoning and procedural complications
Hospitalization for Concussion
0.00%
0/90
1.1%
1/89 • Number of events 1
Gastrointestinal disorders
Hospitalization for acute pancreatitis
1.1%
1/90 • Number of events 1
0.00%
0/89
Cardiac disorders
Hospitalization for Congestive Heart Failure
1.1%
1/90 • Number of events 1
0.00%
0/89
Cardiac disorders
Atrial Flutter
1.1%
1/90 • Number of events 1
0.00%
0/89
Psychiatric disorders
Hospitalization for depression and suicidality
1.1%
1/90 • Number of events 1
0.00%
0/89
Skin and subcutaneous tissue disorders
Hospitalization for angioedema secondary to lisinopril
1.1%
1/90 • Number of events 1
0.00%
0/89
Injury, poisoning and procedural complications
Hospitalization for head wounds and cracked ribs
1.1%
1/90 • Number of events 1
0.00%
0/89
Infections and infestations
Hospitalization for the flu
1.1%
1/90 • Number of events 1
0.00%
0/89
Injury, poisoning and procedural complications
Hospitalization for stab wound
1.1%
1/90 • Number of events 1
0.00%
0/89

Other adverse events

Other adverse events
Measure
Nepicastat
n=90 participants at risk
Nepicastat 120mg and 100mg riboflavin (once per day) for 11 weeks Nepicastat: 120 mg of active drug and 100mg of riboflavin daily for 11 weeks or matching placebo containing 100mg of riboflavin daily for 11 weeks.
Placebo
n=89 participants at risk
Placebo capsule containing 100mg riboflavin (once per day) for 11 weeks. Placebo
Gastrointestinal disorders
Diarrhea
6.7%
6/90 • Number of events 6
7.9%
7/89 • Number of events 10
Gastrointestinal disorders
Nausea
6.7%
6/90 • Number of events 7
5.6%
5/89 • Number of events 5
Nervous system disorders
Headache
17.8%
16/90 • Number of events 20
12.4%
11/89 • Number of events 17
Skin and subcutaneous tissue disorders
Rash
7.8%
7/90 • Number of events 8
2.2%
2/89 • Number of events 2
Vascular disorders
Hypertension
6.7%
6/90 • Number of events 9
7.9%
7/89 • Number of events 9
Nervous system disorders
Dizziness
8.9%
8/90 • Number of events 10
7.9%
7/89 • Number of events 9
Musculoskeletal and connective tissue disorders
Back pain
5.6%
5/90 • Number of events 6
5.6%
5/89 • Number of events 5
Gastrointestinal disorders
Abdominal Discomfort
5.6%
5/90 • Number of events 5
4.5%
4/89 • Number of events 4
Gastrointestinal disorders
Toothache
7.8%
7/90 • Number of events 8
4.5%
4/89 • Number of events 4
Gastrointestinal disorders
Vomiting
4.4%
4/90 • Number of events 5
1.1%
1/89 • Number of events 1
Infections and infestations
Influenza
4.4%
4/90 • Number of events 4
0.00%
0/89
Infections and infestations
Upper respiratory tract infection
5.6%
5/90 • Number of events 5
10.1%
9/89 • Number of events 10
Cardiac disorders
Tachycardia
1.1%
1/90 • Number of events 2
1.1%
1/89 • Number of events 1
Ear and labyrinth disorders
Ear pain
1.1%
1/90 • Number of events 1
2.2%
2/89 • Number of events 3
Eye disorders
Blurred Vision
0.00%
0/90
1.1%
1/89 • Number of events 1
Gastrointestinal disorders
Constipation
4.4%
4/90 • Number of events 5
3.4%
3/89 • Number of events 3

Additional Information

Liza Zeinert

National Institute on Drug Abuse

Phone: 301-443-1138

Results disclosure agreements

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