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Trial · NCT03078075

Accelerated Development of Additive Pharmacotherapy Treatment (ADAPT-2) for Methamphetamine Use Disorder

NCT03078075, Phase 3, Completed, University of Texas Southwestern Medical Center; results first posted 2021-03-29

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Accelerated Development of Additive Pharmacotherapy Treatment (ADAPT-2) for Methamphetamine Use Disorder. Trials, record NCT03078075. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03078075

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Accelerated Development of Additive Pharmacotherapy Treatment (ADAPT-2) for Methamphetamine Use Disorder
NCT number
NCT03078075
Status
Completed
Phases
Phase 3
Enrollment
403 participants, actual
Lead sponsor
University of Texas Southwestern Medical Center
Conditions
Methamphetamine Use Disorder
Interventions
Naltrexone: Vivitrol®, Placebo (PLB) Injectable, Bupropion: Wellbutrin XL®, Placebo (PLB) Oral
First posted
2017-03-13
Last updated
2026-10-27
Results first posted
2021-03-29

Source ClinicalTrials.gov

Registered outcomes35

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants With Treatment Response During Medication Phase at Stage 1At week 6
Treatment response is defined as 'Responder' and 'Non-Responder'. Responder : Participant who meets responder criterion by providing at least 3 out of a possible 4 methamphetamine-negative urine tests at the end of stage 1 (weeks 5-6). Non-Responder: All other participants without 3 or 4 methamphetamine-negative urine drug test.
PrimaryNumber of Participants in Placebo Arm With Treatment Response During Medication Phase at Stage 2At week 12
Treatment response is defined as 'Responder' and 'Non-Responder'. Responder : Participant who meet responder criterion by providing at least 3 out of a possible 4 methamphetamine-negative urine drug screens (UDS) at the end of stage 2 (weeks 11-12). Non-Responder: All other participants without 3 or 4 methamphetamine-negative UDS.
PrimaryNumber of Participants With Treatment Response During Medication Phase at Stage 1 (by Race)At week 6
Treatment response is defined as 'Responder' and 'Non-Responder'. Responder : Participant who meet responder criterion by providing at least 3 out of a possible 4 methamphetamine-negative urine tests at the end of stage 1 (weeks 5-6). Non-Responder: All other participants without 3 or 4 methamphetamine-negative UDS (Urine Drug Screen). Race: Black, White, Other
PrimaryNumber of Participants With Treatment Response During Medication Phase at Stage 1 (by Ethnicity)At Week 6
Treatment response is defined as 'Responder' and 'Non-Responder'. Responder : Participant who meets responder criterion by providing at least 3 out of a possible 4 methamphetamine negative urine tests at the end of stage 1 (weeks 5-6). Non-Responder: All other participants without 3 or 4 methamphetamine-negative UDS (Urine Drug Screen). Ethnicity: Hispanic, Non-Hispanic/Other
PrimaryNumber of Participants With Treatment Response During Medication Phase at Stage 1 (by Sex)At week 6
Treatment response is defined as 'Responder' and 'Non-Responder'. Responder : Participant who meet responder criterion by providing at least 3 out of a possible 4 methamphetamine-negative urine tests at the end of stage 1 (weeks 5-6). Non-Responder: All other participants without 3 or 4 methamphetamine-negative UDS (Urine Drug Screen). Sex: Female, Male
PrimaryNumber of Participants With Treatment Response During Medication Phase at Stage 2 (by Race)At week 12
Treatment response is defined as 'Responder' and 'Non-Responder'. Responder : Participant who meet responder criterion by providing at least 3 out of a possible 4 methamphetamine-negative urine tests at the end of stage 2 (weeks 11-12). Non-Responder: All other participants without 3 or 4 methamphetamine-negative UDS (Urine Drug Screen). Race: Black, White, Other
PrimaryNumber of Participants With Treatment Response During Medication Phase at Stage 2 (by Ethnicity)at Week 12
Treatment response is defined as 'Responder' and 'Non-Responder'. Responder : Participant who meets responder criterion by providing at least 3 out of a possible 4 methamphetamine negative urine tests at the end of stage 2 (weeks 11-12). Non-Responder: All other participants without 3 or 4 methamphetamine-negative UDS (Urine Drug Screen). Ethnicity: Hispanic, Non-Hispanic/Other
PrimaryNumber of Participants With Treatment Response During Medication Phase at Stage 2 (by Sex)At week 12
Treatment response is defined as 'Responder' and 'Non-Responder'. Responder : Participant who meet responder criterion by providing at least 3 out of a possible 4 methamphetamine-negative urine tests at the end of stage 2 (weeks 11-12). Non-Responder: All other participants without 3 or 4 methamphetamine-negative UDS (Urine Drug Screen). Sex: Female, Male
SecondaryTreatment Effectiveness Score of Participants at Stage 1At weeks 6
The Treatment Effectiveness Score (TES) as measured by UDS results, during the treatment period. The TES is the percentage of the expected urine drug screens that were negative for each drug. Twelve urine drug screens are expected within each stage.
SecondaryTreatment Effectiveness Score of Participants at Stage 2At week 12
The Treatment Effectiveness Score (TES) as measured by UDS results, during the treatment period. The TES is the percentage of the expected urine drug screens that were negative for each drug. Twelve urine drug screens are expected within each stage. The range of possible scores are 0-100 and higher score indicates better outcomes.

Outcomes29

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With Treatment Response During Medication Phase at Stage 1At weeks 6Intention to treat analysis was done including drop-outParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Treatment Response During Medication Phase at Stage 2At week 12ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTreatment Effectiveness Score of Participants at Stage 1At weeks 6Intention to treat analysis was done including drop-outpercentage of urine drug screensMEAN
SECONDARYTreatment Effectiveness Score of Participants at Stage 2At week 12As per study protocol, stage 2 secondary outcomes are reported for only re-randomized groups (Placebo and AMC)percentage of urine drug screensMEAN
SECONDARYPercentage of Participants Who Used Methamphetamine in the Pre-evaluation PeriodWeeks 1-4 and Weeks 7-10Intention to treat analysis was done including drop-out.percentage of participantsNUMBER
SECONDARYMean Maximum Number of Consecutive Visits Negative UDS at Stage 1At week 6UDS test resultsMEAN
SECONDARYMean Maximum Number of Consecutive Visits Negative UDS at Stage 2Stage 2 evaluation period at Weeks 12UDS test resultsMEAN
SECONDARYMean Number of Study Weeks With Two Methamphetamine-negative UDS at Stage 1At week 6weeksMEAN
SECONDARYMean Number of Study Weeks With Two Methamphetamine-negative UDS at Stage 2At week12weeksMEAN
SECONDARYMean Change of Percentage of Methamphetamine Abstinent Days Measured by Self-report at Stage 1Baseline, week 6percentage of abstinent daysMEAN

Results by group110

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Treatment Response During Medication Phase at Stage 1Stage 1 PlaceboResponders (Methamphetamine negative UDS results)10Participants
Number of Participants With Treatment Response During Medication Phase at Stage 1Stage 1 AMCResponders (Methamphetamine negative UDS results)18Participants
Number of Participants With Treatment Response During Medication Phase at Stage 1Stage 1 PlaceboNon-responders (Methamphetamine positive UDS results)284Participants
Number of Participants With Treatment Response During Medication Phase at Stage 1Stage 1 AMCNon-responders (Methamphetamine positive UDS results)91Participants
Number of Participants With Treatment Response During Medication Phase at Stage 2Stage 2 Re-Randomized PlaceboResponders (Methamphetamine negative UDS results)2Participants
Number of Participants With Treatment Response During Medication Phase at Stage 2Stage 2 Re-Randomized AMCResponders (Methamphetamine negative UDS results)13Participants
Number of Participants With Treatment Response During Medication Phase at Stage 2Stage 2 Not Re-Randomized PlaceboResponders (Methamphetamine negative UDS results)9Participants
Number of Participants With Treatment Response During Medication Phase at Stage 2Stage 2 Not Re-Randomized AMCResponders (Methamphetamine negative UDS results)21Participants
Number of Participants With Treatment Response During Medication Phase at Stage 2Stage 2 Re-Randomized PlaceboNon-Responders (Methamphetamine positive UDS results)109Participants
Number of Participants With Treatment Response During Medication Phase at Stage 2Stage 2 Re-Randomized AMCNon-Responders (Methamphetamine positive UDS results)101Participants

Participant flow15

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDStage 1 Placebo Non-responders Re-randomized to Placebo at Stage 2111
Overall StudySTARTEDStage 1 Placebo Non-responders Re-randomized to AMC at Stage 2114
Overall StudySTARTEDStage 1 Placebo Non-responders Not Re-randomized at Stage 259
Overall StudySTARTEDStage 1 Placebo Responders Not Re-randomized at Stage 210
Overall StudySTARTEDStage 1 AMC Remaining on AMC at Stage 2109
Overall StudyCOMPLETEDStage 1 Placebo Non-responders Re-randomized to Placebo at Stage 2106
Overall StudyCOMPLETEDStage 1 Placebo Non-responders Re-randomized to AMC at Stage 2103
Overall StudyCOMPLETEDStage 1 Placebo Non-responders Not Re-randomized at Stage 219
Overall StudyCOMPLETEDStage 1 Placebo Responders Not Re-randomized at Stage 29
Overall StudyCOMPLETEDStage 1 AMC Remaining on AMC at Stage 278

Adverse events90

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNauseaGastrointestinal disordersStage 1 Placebo45294
otherNauseaGastrointestinal disordersStage 1 AMC41109
otherNauseaGastrointestinal disordersStage 2 Re-Randomized Placebo8111
otherNauseaGastrointestinal disordersStage 2 Re-Randomized AMC32114
otherNauseaGastrointestinal disordersStage 2 Not Re-Randomized Placebo069
otherNauseaGastrointestinal disordersStage 2 Not Re-Randomized AMC6109
seriousSeizureNervous system disordersStage 1 Placebo12941
seriousSeizureNervous system disordersStage 1 AMC01090
seriousSeizureNervous system disordersStage 2 Re-Randomized Placebo01110
seriousSeizureNervous system disordersStage 2 Re-Randomized AMC01140

Adverse event totals18

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityStage 1 Placebo0294
Total, all-cause mortalityStage 1 AMC0109
Total, all-cause mortalityStage 2 Re-Randomized Placebo0111
Total, all-cause mortalityStage 2 Re-Randomized AMC0114
Total, all-cause mortalityStage 2 Not Re-Randomized Placebo069
Total, all-cause mortalityStage 2 Not Re-Randomized AMC0109
Total, other adverse eventsStage 1 Placebo45294
Total, other adverse eventsStage 1 AMC41109
Total, other adverse eventsStage 2 Re-Randomized Placebo8111
Total, other adverse eventsStage 2 Re-Randomized AMC32114

Papers9

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
33497547RESULTPubMed
37245855DERIVEDPubMed
37377462DERIVEDPubMed
38665252DERIVEDPubMed
38856086DERIVEDPubMed
40623319DERIVEDPubMed
40767786DERIVEDPubMed
42180350DERIVEDPubMed
42504048DERIVEDPubMed

Grants1

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
UG1DA020024NIDA Clinical Trials Network: Big South/West NodeTRIVEDI, MADHUKAR H.; SHOPTAW, STEVEN JUT SOUTHWESTERN MEDICAL CENTERNATIONAL INSTITUTE ON DRUG ABUSE2015 to 2025

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03078075

GET https://conductscience.org/api/trials/v1/NCT03078075/registered?page=2