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Safety of Combining Modafinil and Nicotine Replacement Therapy in Treating Nicotine Dependent Adolescents

Information source: National Institute on Drug Abuse (NIDA)
Information obtained from ClinicalTrials.gov on November 03, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Tobacco Use Disorder

Intervention: Modafinil (Drug); Nicotine Replacement Therapy (Drug)

Phase: Phase 1

Status: Recruiting

Sponsored by: National Institute on Drug Abuse (NIDA)

Official(s) and/or principal investigator(s):
Catherine Martin, PhD, Study Chair, Affiliation: University of Kentucky

Overall contact:
Catherine A. Martin, MD, Phone: 859-257-9341, Email: cmartin@uky.edu

Summary

Nicotine is one of the most widely abused substances in the United States. Nicotine replacement therapy (NRT) is currently an effective treatment for nicotine dependence; however, even with NRT most people fail at quitting smoking after their first attempt. Modafinil is a promising drug that may be useful in treating nicotine dependent individuals. The purpose of this study is to evaluate the safety of the combination of modafinil and NRT in treating nicotine dependent adolescent smokers.

Clinical Details

Official title: Modafinil and Nicotine in Adolescents: Phase I Trial

Study design: Treatment, Randomized, Double Blind (Subject, Investigator, Outcomes Assessor), Placebo Control, Single Group Assignment, Safety Study

Primary outcome: Safety of combination drug treatment and physiological response; measured after treatment with each dose combination

Detailed description: NRT is a critical part of treating nicotine withdrawal symptoms, such as cravings, sleeplessness, poor concentration, and anxiety. The addition of modafinil, a promising pharmacologic agent, may enhance the effectiveness of NRT by further reducing inattention and depressed mood. The purpose of this study is to examine the safety of using both modafinil and NRT in treating nicotine dependent adolescents. In addition, this study will examine the effects of modafinil and NRT, alone and in combination, on alleviating symptoms of inattention and depressed mood.

Participants in this 12-day dose escalation study will be tested under eight different dose conditions. Modafinil and NRT will first be tested alone; participants will be exposed to low doses prior to higher doses of medication. Various modafinil-NRT dose combinations will then be tested. Modafinil will be administered at 5 p. m. each day, and NRT will be self-administered at the start of each day in which a participant must complete lab tests. The following measures will be obtained at study visits occurring before and after the various modafinil-NRT dose combinations: nicotine withdrawal symptoms, medication side effects, activity level, cardiovascular response, and profile of mood states (POMS).

Eligibility

Minimum age: 16 Years. Maximum age: 40 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Smokes 10 or more cigarettes per day

Exclusion Criteria:

- Current use of any medication for a psychiatric disorder

- Positive drug screen test

- Uses smokeless tobacco

Locations and Contacts

Catherine A. Martin, MD, Phone: 859-257-9341, Email: cmartin@uky.edu

University of Kentucky, Lexington, Kentucky 40509, United States; Recruiting
Catherine Martin, MD, Phone: 859-257-9341, Email: cmartin@uky.edu
Catherine A. Martin, MD, Principal Investigator
Additional Information

Starting date: June 2003
Ending date: March 2009
Last updated: September 29, 2008

Page last updated: November 03, 2008

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