Trial Outcomes & Findings for Intranasal Cocaine and Temperature Regulation During Exercise (NCT NCT05809453)

NCT ID: NCT05809453

Last Updated: 2025-07-14

Results Overview

Core temperature will be measured either from a temperature sensor pill or from a rectal temperature probe.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

27 participants

Primary outcome timeframe

Core temperature is measured at baseline and at 60 minutes of heat exposure.

Results posted on

2025-07-14

Participant Flow

3 participants who signed the consent were withdrawn from the study prior to visit 1 due to either elevated bp at screening visit or they started a new medication that disqualified them from participating in this study.

Participant milestones

Participant milestones
Measure
Hot-Humid: Cocaine First Then Lidocaine
Participants will complete two trials in environmental conditions 38 degrees Celsius with 40% humidity. Cocaine will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Lidocaine will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Humid: Lidocaine First Then Cocaine
Participants will complete two trials in environmental conditions 38 degrees Celsius with 40% humidity. Lidocaine will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Dry: Cocaine First Then Lidocaine
Participants will complete 2 trials in environmental conditions 41 degrees Celsius with 15% humidity. Cocaine will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Lidocaine will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Dry: Lidocaine First Then Cocaine
Participants will complete 2 trials in environmental conditions 41 degrees Celsius with 15% humidity. Lidocaine will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Overall Study
STARTED
7
7
6
4
Overall Study
COMPLETED
6
7
6
4
Overall Study
NOT COMPLETED
1
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Hot-Humid: Cocaine First Then Lidocaine
Participants will complete two trials in environmental conditions 38 degrees Celsius with 40% humidity. Cocaine will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Lidocaine will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Humid: Lidocaine First Then Cocaine
Participants will complete two trials in environmental conditions 38 degrees Celsius with 40% humidity. Lidocaine will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Dry: Cocaine First Then Lidocaine
Participants will complete 2 trials in environmental conditions 41 degrees Celsius with 15% humidity. Cocaine will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Lidocaine will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Dry: Lidocaine First Then Cocaine
Participants will complete 2 trials in environmental conditions 41 degrees Celsius with 15% humidity. Lidocaine will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Overall Study
Withdrawal by Subject
1
0
0
0

Baseline Characteristics

Intranasal Cocaine and Temperature Regulation During Exercise

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Hot-Humid: Cocaine First Then Lidocaine
n=6 Participants
Participants will complete two trials in environmental conditions 38 degrees Celsius with 40% humidity. Cocaine will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Lidocaine will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Humid: Lidocaine First Then Cocaine
n=7 Participants
Participants will complete two trials in environmental conditions 38 degrees Celsius with 40% humidity. Lidocaine will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Dry: Cocaine First Then Lidocaine
n=6 Participants
Participants will complete 2 trials in environmental conditions 41 degrees Celsius with 15% humidity. Cocaine will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Lidocaine will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Dry: Lidocaine First Then Cocaine
n=4 Participants
Participants will complete 2 trials in environmental conditions 41 degrees Celsius with 15% humidity. Lidocaine will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Total
n=23 Participants
Total of all reporting groups
Age, Continuous
30 years
STANDARD_DEVIATION 5 • n=5 Participants
32 years
STANDARD_DEVIATION 3 • n=7 Participants
28 years
STANDARD_DEVIATION 7 • n=5 Participants
28 years
STANDARD_DEVIATION 4 • n=4 Participants
30 years
STANDARD_DEVIATION 5 • n=21 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
1 Participants
n=4 Participants
11 Participants
n=21 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
4 Participants
n=7 Participants
2 Participants
n=5 Participants
3 Participants
n=4 Participants
12 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
3 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants
n=5 Participants
6 Participants
n=7 Participants
5 Participants
n=5 Participants
4 Participants
n=4 Participants
20 Participants
n=21 Participants
Ethnicity (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
0 Participants
n=21 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
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
0 Participants
n=4 Participants
4 Participants
n=21 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
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
White
5 Participants
n=5 Participants
6 Participants
n=7 Participants
3 Participants
n=5 Participants
3 Participants
n=4 Participants
17 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 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
0 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Core temperature is measured at baseline and at 60 minutes of heat exposure.

Core temperature will be measured either from a temperature sensor pill or from a rectal temperature probe.

Outcome measures

Outcome measures
Measure
Hot-Humid: Cocaine
n=13 Participants
Participants will complete two trials in environmental conditions 38 degrees Celsius with 40% humidity. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Humid: Lidocaine
n=13 Participants
Participants will complete two trials in environmental conditions 38 degrees Celsius with 40% humidity. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Dry: Cocaine
n=10 Participants
Participants will complete 2 trials in environmental conditions 41 degrees Celsius with 15% humidity. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Dry: Lidocaine
n=10 Participants
Participants will complete 2 trials in environmental conditions 41 degrees Celsius with 15% humidity. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Change in Core Temperature
1.19 Celsius
Standard Deviation 0.32
1.09 Celsius
Standard Deviation 0.33
1.20 Celsius
Standard Deviation 0.27
0.89 Celsius
Standard Deviation 0.23

SECONDARY outcome

Timeframe: Measured at the end of heat exposure, 90 minutes from cocaine/lidocaine administration

Skin temperature will be measured from small temperature sensitive electrodes attached to the participant's skin

Outcome measures

Outcome measures
Measure
Hot-Humid: Cocaine
n=13 Participants
Participants will complete two trials in environmental conditions 38 degrees Celsius with 40% humidity. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Humid: Lidocaine
n=13 Participants
Participants will complete two trials in environmental conditions 38 degrees Celsius with 40% humidity. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Dry: Cocaine
n=10 Participants
Participants will complete 2 trials in environmental conditions 41 degrees Celsius with 15% humidity. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Dry: Lidocaine
n=10 Participants
Participants will complete 2 trials in environmental conditions 41 degrees Celsius with 15% humidity. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
End Skin Temperature
35.83 Celsius
Standard Deviation 0.44
35.57 Celsius
Standard Deviation 0.59
35.80 Celsius
Standard Deviation 0.81
35.39 Celsius
Standard Deviation 0.99

SECONDARY outcome

Timeframe: Measured at the end of heat exposure, 90 minutes from Cocaine/ lidocaine administration

Heart rate will be measured from ECG electrodes attached to the participant

Outcome measures

Outcome measures
Measure
Hot-Humid: Cocaine
n=13 Participants
Participants will complete two trials in environmental conditions 38 degrees Celsius with 40% humidity. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Humid: Lidocaine
n=13 Participants
Participants will complete two trials in environmental conditions 38 degrees Celsius with 40% humidity. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Dry: Cocaine
n=10 Participants
Participants will complete 2 trials in environmental conditions 41 degrees Celsius with 15% humidity. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Dry: Lidocaine
n=10 Participants
Participants will complete 2 trials in environmental conditions 41 degrees Celsius with 15% humidity. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
End Heart Rate
151 BPM
Standard Deviation 21
147 BPM
Standard Deviation 18
147 BPM
Standard Deviation 20
134 BPM
Standard Deviation 18

SECONDARY outcome

Timeframe: Within 30 minutes before exposure to warm environmental conditions (before cocaine/ lidocaine administration) and immediately after the heat exposure (90 minutes post cocaine/ lidocaine administration)

Whole body sweat rate is calculated by subtracting the participants post-heat exposure nude body weight from their pre-heat exposure nude body weight

Outcome measures

Outcome measures
Measure
Hot-Humid: Cocaine
n=13 Participants
Participants will complete two trials in environmental conditions 38 degrees Celsius with 40% humidity. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Humid: Lidocaine
n=13 Participants
Participants will complete two trials in environmental conditions 38 degrees Celsius with 40% humidity. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Dry: Cocaine
n=10 Participants
Participants will complete 2 trials in environmental conditions 41 degrees Celsius with 15% humidity. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Dry: Lidocaine
n=10 Participants
Participants will complete 2 trials in environmental conditions 41 degrees Celsius with 15% humidity. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Whole Body Sweat Rate
0.83 L/hour
Standard Deviation 0.25
0.79 L/hour
Standard Deviation 0.27
0.79 L/hour
Standard Deviation 0.15
0.84 L/hour
Standard Deviation 0.15

SECONDARY outcome

Timeframe: Measured at the end of heat exposure, 90 minutes from cocaine/ lidocaine administration

Systolic and diastolic blood pressure will be measured from a cuff placed on the upper arm.

Outcome measures

Outcome measures
Measure
Hot-Humid: Cocaine
n=13 Participants
Participants will complete two trials in environmental conditions 38 degrees Celsius with 40% humidity. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Humid: Lidocaine
n=13 Participants
Participants will complete two trials in environmental conditions 38 degrees Celsius with 40% humidity. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Dry: Cocaine
n=10 Participants
Participants will complete 2 trials in environmental conditions 41 degrees Celsius with 15% humidity. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Dry: Lidocaine
n=10 Participants
Participants will complete 2 trials in environmental conditions 41 degrees Celsius with 15% humidity. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
End Mean Arterial Pressure
85 mmHg
Standard Deviation 7
89 mmHg
Standard Deviation 8
86 mmHg
Standard Deviation 10
87 mmHg
Standard Deviation 9

SECONDARY outcome

Timeframe: These values will be obtained at end of the 60 minute heat exposure (90 minutes post cocaine/ lidocaine administration)

Subjective assessment of how hot the subject feels. Title of Scale: Thermal Sensation Scale; Minimum value: -50 "unbearably cold"; Maximum value: 50: "unbearably hot" Scale presents numbers in increments of 5

Outcome measures

Outcome measures
Measure
Hot-Humid: Cocaine
n=13 Participants
Participants will complete two trials in environmental conditions 38 degrees Celsius with 40% humidity. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Humid: Lidocaine
n=13 Participants
Participants will complete two trials in environmental conditions 38 degrees Celsius with 40% humidity. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Dry: Cocaine
n=10 Participants
Participants will complete 2 trials in environmental conditions 41 degrees Celsius with 15% humidity. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
Hot-Dry: Lidocaine
n=10 Participants
Participants will complete 2 trials in environmental conditions 41 degrees Celsius with 15% humidity. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 1. Cocaine or lidocaine (randomized) will be administered intranasally prior to entering the warm environmental conditions and performing 60 minutes of exercise on visit 2.
End Thermal Sensation
31 units on a scale
Standard Deviation 14
37 units on a scale
Standard Deviation 9
26 units on a scale
Standard Deviation 12
27 units on a scale
Standard Deviation 15

Adverse Events

Hot-Humid: Cocaine

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

Hot-Humid: Lidocaine

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

Hot-Dry: Cocaine

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

Hot-Dry: Lidocaine

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. Craig Crandall

University of Texas at Southwestern

Phone: 214-345-4623

Results disclosure agreements

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