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Trial · NCT03921151

5HT2CR Balance in Brain Connectivity in Cocaine Dependence

NCT03921151, Phase 1, Phase 2, Completed, Virginia Commonwealth University; results first posted 2021-11-22

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. 5HT2CR Balance in Brain Connectivity in Cocaine Dependence. Trials, record NCT03921151. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03921151

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Trial

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

Title
5HT2CR Balance in Brain Connectivity in Cocaine Dependence
NCT number
NCT03921151
Status
Completed
Phases
Phase 1, Phase 2
Enrollment
90 participants, actual
Lead sponsor
Virginia Commonwealth University
Conditions
Cocaine Dependence
Interventions
Mirtazapine 15 MG Oral Tablet
First posted
2019-04-19
Last updated
2021-11-22
Results first posted
2021-11-22

Source ClinicalTrials.gov

Registered outcomes6

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

ListOutcomeTime frameDescription
PrimaryChange in Interaction of the Serotonin Receptor (5-HTR) Type-2C Cys23Ser Single Nucleotide Polymorphism (SNP) and a 5-HT2AR Antagonist on the Functional Circuitry Underlying Impulsive Action.Baseline to 1 weekChange in fMRI activation during Go/NoGo (impulsivity) task with placebo dose vs Mirtazapine dose. Brain activation measured using blood-oxygen-level dependent (BOLD) contrast
SecondaryChange in Interaction of the 5-HT2CR Cys23Ser SNP and a 5-HT2AR Antagonist on the Functional Circuitry Underlying Cue ReactivityBaseline to 1 weekChange in fMRI activation during Attentional bias task with placebo dose vs Mirtazapine dose measured using whole brain blood oxygenation level dependent (BOLD) signal
OtherChange in Effective Connectivity Involved in the 5-HT2AR:5-HT2CR Homeostasis Impulsive ActionBaseline to 1 weekChange in Impulsivity as measured by Go/NoGo task with placebo dose vs Mirtazapine dose
OtherChange in Effective Connectivity Involved in the 5-HT2AR:5-HT2CR Homeostasis Cue ReactivityBaseline to 1 weekChange in Cue reactivity as measured by Attentional bias task with placebo dose vs Mirtazapine dose
OtherChange in Explore Interactions Between Other 5-HT2CR SNPs and Brain Activation During Attentional Bias Task After a 5- HT2AR AntagonistBaseline to 1 weekChange in fMRI activation with other 5-HT2CR SNPs during Attentional bias task with placebo dose vs Mirtazapine dose
OtherChange in Explore Interactions Between Other 5-HT2CR SNPs and Brain Activation During Go/NoGo (Impulsivity) Task After a 5- HT2AR AntagonistBaseline to 1 weekChange in fMRI activation with other 5-HT2CR SNPs during Go/NoGo (impulsivity) task with placebo dose vs Mirtazapine dose

Outcomes6

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange in Interaction of the Serotonin Receptor (5-HTR) Type-2C Cys23Ser Single Nucleotide Polymorphism (SNP) and a 5-HT2AR Antagonist on the Functional Circuitry Underlying Impulsive Action.Baseline to 1 weekChange scores could not be calculated for 17 cocaine-dependent participants and 14 non-drug using participants due to a missing or unusable fMRI scan.percent of whole brain BOLD signalMEAN
SECONDARYChange in Interaction of the 5-HT2CR Cys23Ser SNP and a 5-HT2AR Antagonist on the Functional Circuitry Underlying Cue ReactivityBaseline to 1 weekChange scores could not be calculated for 12 cocaine-dependent participants and 9 non-drug using participants due to a missing or unusable fMRI scan.percent of BOLD signalMEAN
OTHER_PRE_SPECIFIEDChange in Effective Connectivity Involved in the 5-HT2AR:5-HT2CR Homeostasis Impulsive ActionBaseline to 1 week
OTHER_PRE_SPECIFIEDChange in Effective Connectivity Involved in the 5-HT2AR:5-HT2CR Homeostasis Cue ReactivityBaseline to 1 week
OTHER_PRE_SPECIFIEDChange in Explore Interactions Between Other 5-HT2CR SNPs and Brain Activation During Attentional Bias Task After a 5- HT2AR AntagonistBaseline to 1 week
OTHER_PRE_SPECIFIEDChange in Explore Interactions Between Other 5-HT2CR SNPs and Brain Activation During Go/NoGo (Impulsivity) Task After a 5- HT2AR AntagonistBaseline to 1 week

Results by group4

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

OutcomeGroupCategoryValueSpreadUnits
Change in Interaction of the Serotonin Receptor (5-HTR) Type-2C Cys23Ser Single Nucleotide Polymorphism (SNP) and a 5-HT2AR Antagonist on the Functional Circuitry Underlying Impulsive Action.Cocaine-dependent0.688990% Confidence Interval 0.2164 to 1.1614percent of whole brain BOLD signal
Change in Interaction of the Serotonin Receptor (5-HTR) Type-2C Cys23Ser Single Nucleotide Polymorphism (SNP) and a 5-HT2AR Antagonist on the Functional Circuitry Underlying Impulsive Action.Non-drug Using Healthy Controls-1.109190% Confidence Interval -1.9063 to -0.3119percent of whole brain BOLD signal
Change in Interaction of the 5-HT2CR Cys23Ser SNP and a 5-HT2AR Antagonist on the Functional Circuitry Underlying Cue ReactivityCocaine-dependent-0.13590% Confidence Interval -0.2998 to 0.0298percent of BOLD signal
Change in Interaction of the 5-HT2CR Cys23Ser SNP and a 5-HT2AR Antagonist on the Functional Circuitry Underlying Cue ReactivityNon-drug Using Healthy Controls0.222590% Confidence Interval -0.0926 to 0.5377percent of BOLD signal

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCocaine-dependent46
Overall StudySTARTEDNon-drug Using Healthy Controls44
Overall StudyCOMPLETEDCocaine-dependent35
Overall StudyCOMPLETEDNon-drug Using Healthy Controls28
Overall StudyNOT COMPLETEDCocaine-dependent11
Overall StudyNOT COMPLETEDNon-drug Using Healthy Controls16

Adverse events2

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNausea and dizzinessGastrointestinal disordersCocaine-dependent0350
otherNausea and dizzinessGastrointestinal disordersNon-drug Using Healthy Controls1281

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCocaine-dependent035
Total, all-cause mortalityNon-drug Using Healthy Controls028
Total, other adverse eventsCocaine-dependent035
Total, other adverse eventsNon-drug Using Healthy Controls128
Total, serious adverse eventsCocaine-dependent035
Total, serious adverse eventsNon-drug Using Healthy Controls028

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

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
P20DA024157Translational Center on Serotonin and Stimulant AddictionCUNNINGHAM, KATHRYN A.UNIVERSITY OF TEXAS MED BR GALVESTONNATIONAL INSTITUTE ON DRUG ABUSE2007 to 2012

Trial comparisons2

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

ComparisonSource
Cocaine-dependent vs Non-drug Using Healthy Controls: deaths from any causeTrial comparisons
Cocaine-dependent vs Non-drug Using Healthy Controls: serious adverse eventsTrial comparisons

Tests2

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

TestNamed asSource
Go/No-Go TaskPrimary outcomeConductCognition
Food Cue Reactivity TaskSecondary outcomeConductCognition

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/NCT03921151

GET https://conductscience.org/api/trials/v1/NCT03921151/registered