Buspirone as a Candidate Medication for Methamphetamine Abuse
Overview
- Phase
- Phase 1
- Intervention
- Methamphetamine
- Conditions
- Methamphetamine Dependence
- Sponsor
- University of Kentucky
- Enrollment
- 9
- Locations
- 1
- Primary Endpoint
- Number of Methamphetamine Doses Self-Administered
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
Methamphetamine use disorders are an unrelenting public health concern. Intensive research efforts have yielded behavioral interventions that reduce methamphetamine use, however, these interventions are not universally effective and treatment effects diminish over time. Development of a pharmacotherapy that enhances the efficacy of these interventions is a priority for the National Institute on Drug Abuse. This study proposes to determine the impact of buspirone maintenance on self-administration of methamphetamine. These preliminary data will be used to support further research developing buspirone as a pharmacotherapy for methamphetamine use disorders. The investigators hypothesize that buspirone will attenuate the reinforcing effects of methamphetamine.
Investigators
Craig Rush
Professor
University of Kentucky
Eligibility Criteria
Inclusion Criteria
- •Lifetime methamphetamine use
Exclusion Criteria
- •Abnormal screening outcome (e.g., ECG, blood chemistry result) that study physicians deem clinically significant
- •Current or past histories of substance abuse or dependence that are deemed by the study physicians to interfere with study completion
- •History of serious physical disease, current physical disease, impaired cardiovascular functioning, chronic obstructive pulmonary disease, history of seizure or current or past histories of serious psychiatric disorder that in the opinion of the study physician would interfere with study participation will be excluded from participation
- •Females not currently using effective birth control
- •Contraindications to methamphetamine or buspirone
Arms & Interventions
Placebo
Subjects will be maintained on placebo.
Intervention: Methamphetamine
Placebo
Subjects will be maintained on placebo.
Intervention: Placebo
Buspirone
Subjects will be maintained on buspirone.
Intervention: Methamphetamine
Buspirone
Subjects will be maintained on buspirone.
Intervention: Placebo
Outcomes
Primary Outcomes
Number of Methamphetamine Doses Self-Administered
Time Frame: One test per methamphetamine dose level per intervention for each participant over his/her approximate 25 day inpatient admission
The reinforcing effects of methamphetamine will be determined during placebo and buspirone treatment using a modified progressive ratio procedure in which subjects are offered the opportunity to earn previously sampled doses of methamphetamine. Each ratio completed on the task will earn 1/10th of the sampled dose.
Secondary Outcomes
- Peak Score on Sedative Subscale of the Adjective Rating Scale(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Score on Stimulant Subscale of the Adjective Rating Scale(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Ratings of "Active, Alert, Energetic" on the Visual Analog Scale(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Ratings of "Any Effect" on the Visual Analog Scale(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Ratings of "Bad Effects" on the Visual Analog Scale(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Ratings of "Euphoric" on the Visual Analog Scale(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Ratings of "Good Effects" on the Visual Analog Scale(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Ratings of "High" on the Visual Analog Scale(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Ratings of "Irregular/Racing Heartbeat" on the Visual Analog Scale(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Ratings of "Like Drug" on the Visual Analog Scale(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Ratings of "Nauseous" on the Visual Analog Scale(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Ratings of "Nervous/Anxious" on the Visual Analog Scale(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Ratings of "Willing to Pay For" on the Visual Analog Scale(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Ratings of "Performance Impaired" on the Visual Analog Scale(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Ratings of "Performance Improved" on the Visual Analog Scale(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Ratings of "Restless" on the Visual Analog Scale(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Ratings of "Rush" on the Visual Analog Scale(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Ratings of "Shaky/Jittery" on the Visual Analog Scale(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Ratings of "Stimulated" on the Visual Analog Scale(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Ratings of "Willing to Take Again" on the Visual Analog Scale(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Ratings of "Talkative/Friendly" on the Visual Analog Scale(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Diastolic Blood Pressure(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Systolic Blood Pressure(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Heart Rate(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Ratings of "Sluggish/Fatigued/Lazy" on the Visual Analog Scale(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)
- Peak Temperature(Subjects completed this measure at 15 minute intervals for 2 hours after sampling each methamphetamine dose under both buspirone and placebo maintenance conditions.)