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Trial · NCT03192995

Treatment With Lorcaserin for Cocaine Use: The TLC Study

NCT03192995, Phase 2, Terminated, Glenn-Milo Santos; results first posted 2023-08-14

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Treatment With Lorcaserin for Cocaine Use: The TLC Study. Trials, record NCT03192995. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03192995

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Trial

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

Title
Treatment With Lorcaserin for Cocaine Use: The TLC Study
NCT number
NCT03192995
Status
Terminated
Phases
Phase 2
Enrollment
22 participants, actual
Lead sponsor
Glenn-Milo Santos
Conditions
Cocaine Use Disorder
Interventions
lorcaserin, Placebo Oral Tablet, Substance use counseling, ACASI, Cocaine metabolites, Ecological Momentary Assessment (EMA), Balloon Analogue Risk Task (BART), Qualitative Exit Interview
First posted
2017-06-20
Last updated
2023-08-14
Results first posted
2023-08-14
Limitations and caveats
The study was terminated early by the FDA due to the publication of a long-term safety study that showed an increase risk for cancer by the lorcaserin arm.

Source ClinicalTrials.gov

Registered outcomes5

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

ListOutcomeTime frameDescription
PrimaryMean Percentage of Weekly Follow-up Visits of Randomized Study Participants12 weeksTo determine the feasibility of retaining individuals on lorcaserin vs. placebo, the investigators have calculated the mean weekly percentage of follow-up visits of those randomized in the study
PrimaryAdverse Clinical Events in the Lorcaserin and Placebo Arms (Descriptive)12 weeksTo explore the tolerability of lorcaserin vs. placebo the investigators will compute the number of adverse events, both overall and by type. A participant could have more than one AE.
PrimaryCumulative Percent Adherence of Medication Events Monitoring (MEMs) Cap12 weeks
To evaluate the adherence of lorcaserin vs. placebo, the investigators measured adherence as the frequency of taking the study drug as measured by the number of MEMS cap openings (wireless medication monitoring devices that record each opening as a real-time medication event). Cumulative percent adherence was calculated by dividing the frequency of openings at a given time point divided by the number of days since baseline.
PrimaryProportion of Self-reported Past Week Cocaine Use Among Lorcaserin and Placebo Groups at Baseline and at 12 Weeks12 weeksThe outcome measure determines the proportion of self-reported past week cocaine use by Time-Line-Follow-back (TLFB) among lorcaserin and placebo groups at Baseline and at 12 weeks.
PrimaryProportion of Urine-positive Samples With Cocaine Positivity Among Lorcaserin and Placebo Groups at Baseline and at Week 12Week 12The outcome measure determines the proportion of urine-positive samples with cocaine positivity among lorcaserin and placebo groups at Baseline and at Week 12

Outcomes5

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYMean Percentage of Weekly Follow-up Visits of Randomized Study Participants12 weeks
The Food and Drug Administration (FDA) issued an early termination of this study after concluding the assessment in the long-term safety of lorcaserin in another clinical trial among obese, cardiovascular patients who had been taking lorcaserin for an average of 4.3 years. At the time of early termination, we had enrolled a total of 22 participants and this is why the overall number varies for this analysis.
mean percent of visit retentionMEAN
PRIMARYAdverse Clinical Events in the Lorcaserin and Placebo Arms (Descriptive)12 weeksAdverse EventsCOUNT_OF_UNITS
PRIMARYCumulative Percent Adherence of Medication Events Monitoring (MEMs) Cap12 weeks
MEMS Cap openings will track daily adherence; each dispenser opening is recorded as a medication event sent to a remote database in real time. The MEMs Cap openings will be calculated as the proportion of MEMs Cap opening over the number of days since enrollment.
percent adherenceMEAN
PRIMARYProportion of Self-reported Past Week Cocaine Use Among Lorcaserin and Placebo Groups at Baseline and at 12 Weeks12 weeks
The Food and Drug Administration (FDA) issued an early termination of this study after concluding the assessment in the long-term safety of lorcaserin in another clinical trial among obese, cardiovascular patients who had been taking lorcaserin for an average of 4.3 years. At the time of early termination, we had enrolled a total of 22 participants and this is why the overall number varies for this analysis.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYProportion of Urine-positive Samples With Cocaine Positivity Among Lorcaserin and Placebo Groups at Baseline and at Week 12Week 12
At baseline, we had 16 participants in the lorcaserin arm and 6 in the placebo arm. 8 participants in the lorcaserin arm and no participants in the placebo arm tested positive for cocaine use disorder cocaine use disorder (CUD). At week 12, four participants lost to follow-up (LTFU) in the lorcaserin arm and 1 LTFU in the placebo arm, thus causing a difference in the overall number analyzed at week 12.
ParticipantsCOUNT_OF_PARTICIPANTS

Results by group24

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

OutcomeGroupCategoryValueSpreadUnits
Mean Percentage of Weekly Follow-up Visits of Randomized Study ParticipantsMean Percent of Weekly Follow-up Visits by Treatment and Control ArmsTreatment Group83Standard Deviation 22mean percent of visit retention
Mean Percentage of Weekly Follow-up Visits of Randomized Study ParticipantsMean Percent of Weekly Follow-up Visits by Treatment and Control ArmsControl Group81Standard Deviation 26mean percent of visit retention
Adverse Clinical Events in the Lorcaserin and Placebo Arms (Descriptive)Treatment GroupHyperglycemia3Adverse Events
Adverse Clinical Events in the Lorcaserin and Placebo Arms (Descriptive)Control GroupHyperglycemia1Adverse Events
Adverse Clinical Events in the Lorcaserin and Placebo Arms (Descriptive)Treatment GroupCoughing2Adverse Events
Adverse Clinical Events in the Lorcaserin and Placebo Arms (Descriptive)Control GroupCoughing1Adverse Events
Adverse Clinical Events in the Lorcaserin and Placebo Arms (Descriptive)Treatment GroupAbdominal Pain2Adverse Events
Adverse Clinical Events in the Lorcaserin and Placebo Arms (Descriptive)Control GroupAbdominal Pain1Adverse Events
Adverse Clinical Events in the Lorcaserin and Placebo Arms (Descriptive)Treatment GroupRash3Adverse Events
Adverse Clinical Events in the Lorcaserin and Placebo Arms (Descriptive)Control GroupRash0Adverse Events

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDExperimental16
Overall StudySTARTEDControl6
Overall StudyCOMPLETEDExperimental16
Overall StudyCOMPLETEDControl6
Overall StudyNOT COMPLETEDExperimental0
Overall StudyNOT COMPLETEDControl0

Adverse events20

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrheaGastrointestinal disordersExperimental3163
otherDiarrheaGastrointestinal disordersControl060
otherabdominal painGastrointestinal disordersExperimental2162
otherabdominal painGastrointestinal disordersControl161
otherHypoglycemiaMetabolism and nutrition disordersExperimental1161
otherHypoglycemiaMetabolism and nutrition disordersControl161
otherDecreased appetiteGastrointestinal disordersExperimental2162
otherDecreased appetiteGastrointestinal disordersControl060
otherRashSkin and subcutaneous tissue disordersExperimental3163
otherRashSkin and subcutaneous tissue disordersControl060

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityExperimental016
Total, all-cause mortalityControl06
Total, other adverse eventsExperimental1616
Total, other adverse eventsControl66
Total, serious adverse eventsExperimental116
Total, serious adverse eventsControl16

Papers73

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
1346509BACKGROUNDPubMed
7572964BACKGROUNDPubMed
8809502BACKGROUNDPubMed
8851639BACKGROUNDPubMed
8889403BACKGROUNDPubMed
8911235BACKGROUNDPubMed
9219391BACKGROUNDPubMed
10948038BACKGROUNDPubMed
11082456BACKGROUNDPubMed
11485859BACKGROUNDPubMed

1 to 10 of 73

See all 73 papers

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
R34DA042161Treatment with Lorcaserin for Cocaine Use - The TLC StudySANTOS, GLENN-MILOUNIVERSITY OF CALIFORNIA, SAN FRANCISCONATIONAL INSTITUTE ON DRUG ABUSE2017 to 2019

Trial comparisons2

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

ComparisonSource
Experimental vs Control: deaths from any causeTrial comparisons
Experimental vs Control: serious adverse eventsTrial comparisons

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.

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

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