Trial Outcomes & Findings for Effects of Commonly Used Medications on Mood and Choice (NCT NCT03652740)

NCT ID: NCT03652740

Last Updated: 2026-02-02

Results Overview

Primary outcome will be peak change in participant ratings of drug liking relative to pre-drug ratings within 4 hours post-administration. Participants rate drug liking on a scale from -4 (dislike very much) to 4 (like very much) where 0 = Neutral or No Effect. This is not a treatment study, and higher or lower ratings of drug liking do not represent better or worse outcomes.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

25 participants

Primary outcome timeframe

up to 4 hours after capsule ingestion.

Results posted on

2026-02-02

Participant Flow

Twenty five participants were enrolled in the study. Eight of the enrolled participants (4 participants phase-1, 4 participants phase-2) did not meet criteria and were not included in Phase 3. Twenty-one participants started phase 2 Choice sessions; at the conclusion of the sessions 17 participants were identified as caffeine choosers or non-choosers. Seventeen participants received the interventions in a randomized order. Participants receive each drug and each dose for only one session.

Participant milestones

Participant milestones
Measure
Dietary Monitoring
All participants (within-subject) receive the same drug conditions, but the order in which the participants receive the drug conditions will be randomized. Caffeine choosers, caffeine non-choosers, are identified during screening and will be randomly assigned to one of several different dose sequences. Caffeine choosers and non-choosers are individuals who choose caffeine or placebo during screening , respectively, 7 or more times during Phase 2 (screening). Primary outcomes will be compared between caffeine choosers and non-choosers on Phase 3 drug conditions per protocol.
Caffeine Choice Sessions
Participants will choose between caffeine (200 mg/70 kg) and placebo.
Caffeine Choosers
All participants (within-subject) receive the same drug conditions, but the order in which the participants receive the drug conditions will be randomized. Caffeine choosers, caffeine non-choosers, are identified during screening and will be randomly assigned to one of several different dose sequences. Primary outcomes will be compared between caffeine choosers and non-choosers on Phase 3 drug conditions per protocol.
Caffeine Non-choosers
All participants (within-subject) receive the same drug conditions, but the order in which the participants receive the drug conditions will be randomized. Caffeine choosers and non-choosers are individuals who choose caffeine or placebo during screening , respectively, 7 or more times during Phase 2 (screening). Primary outcomes will be compared between caffeine choosers and non-choosers on Phase 3 drug conditions per protocol.
Dietary Monitoring (1 Week)
STARTED
25
0
0
0
Dietary Monitoring (1 Week)
COMPLETED
21
0
0
0
Dietary Monitoring (1 Week)
NOT COMPLETED
4
0
0
0
Caffeine Choice Sessions (Weeks 2-8)
STARTED
0
21
0
0
Caffeine Choice Sessions (Weeks 2-8)
COMPLETED
0
17
0
0
Caffeine Choice Sessions (Weeks 2-8)
NOT COMPLETED
0
4
0
0
Dose Effect (Weeks 9-14)
STARTED
0
0
8
9
Dose Effect (Weeks 9-14)
Placebo
0
0
8
9
Dose Effect (Weeks 9-14)
10 mg Methylphenidate
0
0
8
9
Dose Effect (Weeks 9-14)
20 mg Methylphenidate
0
0
8
9
Dose Effect (Weeks 9-14)
40mg Methylphenidate
0
0
8
9
Dose Effect (Weeks 9-14)
1 mg Nicotine
0
0
8
9
Dose Effect (Weeks 9-14)
2 mg Nicotine
0
0
8
9
Dose Effect (Weeks 9-14)
3 mg Nicotine
0
0
8
9
Dose Effect (Weeks 9-14)
4 mg Nicotine
0
0
8
9
Dose Effect (Weeks 9-14)
COMPLETED
0
0
8
9
Dose Effect (Weeks 9-14)
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Dietary Monitoring
All participants (within-subject) receive the same drug conditions, but the order in which the participants receive the drug conditions will be randomized. Caffeine choosers, caffeine non-choosers, are identified during screening and will be randomly assigned to one of several different dose sequences. Caffeine choosers and non-choosers are individuals who choose caffeine or placebo during screening , respectively, 7 or more times during Phase 2 (screening). Primary outcomes will be compared between caffeine choosers and non-choosers on Phase 3 drug conditions per protocol.
Caffeine Choice Sessions
Participants will choose between caffeine (200 mg/70 kg) and placebo.
Caffeine Choosers
All participants (within-subject) receive the same drug conditions, but the order in which the participants receive the drug conditions will be randomized. Caffeine choosers, caffeine non-choosers, are identified during screening and will be randomly assigned to one of several different dose sequences. Primary outcomes will be compared between caffeine choosers and non-choosers on Phase 3 drug conditions per protocol.
Caffeine Non-choosers
All participants (within-subject) receive the same drug conditions, but the order in which the participants receive the drug conditions will be randomized. Caffeine choosers and non-choosers are individuals who choose caffeine or placebo during screening , respectively, 7 or more times during Phase 2 (screening). Primary outcomes will be compared between caffeine choosers and non-choosers on Phase 3 drug conditions per protocol.
Caffeine Choice Sessions (Weeks 2-8)
Lost to Follow-up
0
3
0
0
Caffeine Choice Sessions (Weeks 2-8)
Protocol Violation
0
1
0
0

Baseline Characteristics

Effects of Commonly Used Medications on Mood and Choice

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Caffeine Choosers
n=8 Participants
This is a within-subjects crossover design. Participants are identified as caffeine choosers and caffeine non-choosers during screening. Participants in each arm will receive the same interventions, but the order in which the participants will receive them is randomized.
Caffeine Non-choosers
n=9 Participants
This is a within-subjects crossover design. Participants are identified as caffeine choosers and caffeine non-choosers during screening. Participants in each arm will receive the same interventions, but the order in which the participants will receive them is randomized.
Total
n=17 Participants
Total of all reporting groups
Age, Continuous
29.25 years
STANDARD_DEVIATION 10.02 • n=13 Participants
28.22 years
STANDARD_DEVIATION 6.78 • n=15 Participants
28.71 years
STANDARD_DEVIATION 8.20 • n=28 Participants
Sex: Female, Male
Female
6 Participants
n=13 Participants
8 Participants
n=15 Participants
14 Participants
n=28 Participants
Sex: Female, Male
Male
2 Participants
n=13 Participants
1 Participants
n=15 Participants
3 Participants
n=28 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=13 Participants
0 Participants
n=15 Participants
0 Participants
n=28 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=13 Participants
8 Participants
n=15 Participants
16 Participants
n=28 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=13 Participants
1 Participants
n=15 Participants
1 Participants
n=28 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=13 Participants
0 Participants
n=15 Participants
0 Participants
n=28 Participants
Race (NIH/OMB)
Asian
3 Participants
n=13 Participants
2 Participants
n=15 Participants
5 Participants
n=28 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=13 Participants
0 Participants
n=15 Participants
0 Participants
n=28 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=13 Participants
0 Participants
n=15 Participants
2 Participants
n=28 Participants
Race (NIH/OMB)
White
3 Participants
n=13 Participants
4 Participants
n=15 Participants
7 Participants
n=28 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=13 Participants
2 Participants
n=15 Participants
2 Participants
n=28 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=13 Participants
1 Participants
n=15 Participants
1 Participants
n=28 Participants

PRIMARY outcome

Timeframe: up to 4 hours after capsule ingestion.

Primary outcome will be peak change in participant ratings of drug liking relative to pre-drug ratings within 4 hours post-administration. Participants rate drug liking on a scale from -4 (dislike very much) to 4 (like very much) where 0 = Neutral or No Effect. This is not a treatment study, and higher or lower ratings of drug liking do not represent better or worse outcomes.

Outcome measures

Outcome measures
Measure
Caffeine Chooser
n=8 Participants
This is a within-subjects crossover design. Participants are identified as caffeine choosers and caffeine non-choosers during screening. Participants in each arm will receive the interventions, but the order in which the participants receive the interventions is randomized. Outcomes will be compared between caffeine choosers and non-choosers on Phase 3 drug conditions. Caffeine choosers and non-choosers are individuals who choose caffeine or placebo, respectively, 7 or more times during Phase 2. Placebo: Capsules will contain a commonly prescribed or over-the-counter medication, or placebo. A placebo is an inactive substance that looks like the study drug, but contains no active drug. Methylphenidate: Methylphenidate hydrochloride is administered orally at 10, 20, and 40 milligeam doses. Nicotine: Nicotine is administered orally via capsule at 1, 2, 3 and 4 milligram doses.
Caffeine Non-Chooser
n=9 Participants
This is a within-subjects crossover design. Participants are identified as caffeine choosers and caffeine non-choosers during screening. Participants in each arm will receive the same interventions, but the order in which the participants will receive the interventions is randomized. Primary outcomes will be compared between caffeine choosers and non-choosers on Phase 3 drug conditions. Caffeine choosers and non-choosers are individuals who choose caffeine or placebo, respectively, 7 or more times during Phase 2. Placebo: Capsules will contain a commonly prescribed or over-the-counter medication, or placebo. A placebo is an inactive substance that looks like the study drug, but contains no active drug. Methylphenidate: Methylphenidate hydrochloride is administered orally at 10, 20, and 40 milligeam doses. Nicotine: Nicotine is administered orally via capsule at 1, 2, 3 and 4 milligram doses.
Participant Subjective Ratings of Drug Liking (Peak Change)
Placebo
1.00 score on a scale
Standard Deviation 1.20
-0.11 score on a scale
Standard Deviation 0.60
Participant Subjective Ratings of Drug Liking (Peak Change)
10 mg Methylphenidate
0.88 score on a scale
Standard Deviation 1.13
0.33 score on a scale
Standard Deviation 1.31
Participant Subjective Ratings of Drug Liking (Peak Change)
20 mg Methylphenidate
1.63 score on a scale
Standard Deviation 1.19
-0.50 score on a scale
Standard Deviation 1.51
Participant Subjective Ratings of Drug Liking (Peak Change)
40 mg Methylphenidate
1.88 score on a scale
Standard Deviation 1.73
-0.4 score on a scale
Standard Deviation 1.51
Participant Subjective Ratings of Drug Liking (Peak Change)
1 mg Nicotine
0.44 score on a scale
Standard Deviation 0.94
-0.11 score on a scale
Standard Deviation 0.65
Participant Subjective Ratings of Drug Liking (Peak Change)
2 mg Nicotine
0.44 score on a scale
Standard Deviation 1.88
-0.39 score on a scale
Standard Deviation 1.02
Participant Subjective Ratings of Drug Liking (Peak Change)
3 mg Nicotine
0.81 score on a scale
Standard Deviation 1.76
-1 score on a scale
Standard Deviation 1.2
Participant Subjective Ratings of Drug Liking (Peak Change)
4 mg Nicotine
0.5 score on a scale
Standard Deviation 1.86
-0.61 score on a scale
Standard Deviation 0.78

SECONDARY outcome

Timeframe: Completed by the participant up to 4 hours after capsule ingestion.

Secondary outcome will be subject rating of monetary drug value as assessed post-administration. Participants will rate the subjective value of the drug on a scale from -$30 (i.e., they would prefer to lose $30 rather than take the drug) to $30 (i.e., they would prefer to take today's drug instead of receiving $30). This is not a treatment study, and higher or lower ratings of drug value do not represent better or worse outcomes.

Outcome measures

Outcome measures
Measure
Caffeine Chooser
n=8 Participants
This is a within-subjects crossover design. Participants are identified as caffeine choosers and caffeine non-choosers during screening. Participants in each arm will receive the interventions, but the order in which the participants receive the interventions is randomized. Outcomes will be compared between caffeine choosers and non-choosers on Phase 3 drug conditions. Caffeine choosers and non-choosers are individuals who choose caffeine or placebo, respectively, 7 or more times during Phase 2. Placebo: Capsules will contain a commonly prescribed or over-the-counter medication, or placebo. A placebo is an inactive substance that looks like the study drug, but contains no active drug. Methylphenidate: Methylphenidate hydrochloride is administered orally at 10, 20, and 40 milligeam doses. Nicotine: Nicotine is administered orally via capsule at 1, 2, 3 and 4 milligram doses.
Caffeine Non-Chooser
n=9 Participants
This is a within-subjects crossover design. Participants are identified as caffeine choosers and caffeine non-choosers during screening. Participants in each arm will receive the same interventions, but the order in which the participants will receive the interventions is randomized. Primary outcomes will be compared between caffeine choosers and non-choosers on Phase 3 drug conditions. Caffeine choosers and non-choosers are individuals who choose caffeine or placebo, respectively, 7 or more times during Phase 2. Placebo: Capsules will contain a commonly prescribed or over-the-counter medication, or placebo. A placebo is an inactive substance that looks like the study drug, but contains no active drug. Methylphenidate: Methylphenidate hydrochloride is administered orally at 10, 20, and 40 milligeam doses. Nicotine: Nicotine is administered orally via capsule at 1, 2, 3 and 4 milligram doses.
Participant Subjective Ratings of Drug Value
Placebo
0.19 units on a scale
Standard Deviation 0.81
0.06 units on a scale
Standard Deviation 1.59
Participant Subjective Ratings of Drug Value
10 mg Methylphenidate
0.41 units on a scale
Standard Deviation 0.81
-1.97 units on a scale
Standard Deviation 12.18
Participant Subjective Ratings of Drug Value
20 mg Methylphenidate
0.06 units on a scale
Standard Deviation 3.00
-1.14 units on a scale
Standard Deviation 2.27
Participant Subjective Ratings of Drug Value
40 mg Methylphenidate
1.34 units on a scale
Standard Deviation 4.86
0.14 units on a scale
Standard Deviation 1.91
Participant Subjective Ratings of Drug Value
1 mg Nicotine
-1.02 units on a scale
Standard Deviation 2.95
-0.42 units on a scale
Standard Deviation 1.28
Participant Subjective Ratings of Drug Value
2 mg Nicotine
-2.81 units on a scale
Standard Deviation 8.19
-0.90 units on a scale
Standard Deviation 2.06
Participant Subjective Ratings of Drug Value
3 mg Nicotine
-0.70 units on a scale
Standard Deviation 2.35
-4.58 units on a scale
Standard Deviation 7.79
Participant Subjective Ratings of Drug Value
4 mg Nicotine
-3.09 units on a scale
Standard Deviation 7.69
-3.13 units on a scale
Standard Deviation 4.02

Adverse Events

Placebo

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

10 mg Methylphenidate

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

20 mg Methylphenidate

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

40 mg Methylphenidate

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

1 mg Nicotine

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

2 mg Nicotine

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

3 mg Nicotine

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

4 mg Nicotine

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Dustin C. Lee

Johns Hopkins School of Medicine

Phone: 410-550-4035

Results disclosure agreements

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