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Trial · NCT05529927

Registered outcomes15

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

ListOutcomeTime frameDescription
PrimaryPrimary outcome measure for the primary study objective (to evaluate the efficacy of 24 weeks SR-dexamphetamine, compared with 24 weeks placebo): the number of days cocaine abstinence.Final 4 weeks of treatment (first study phase; i.e., week 21-24)The number of days of cocaine abstinence in the final 4 weeks of treatment, assessed by combined self-report and urinalysis.
SecondaryKey secondary outcome measure for the primary study objective ("good or improved overall health status", in terms of physical health, mental health, and social functioning).Final 4 weeks of treatment (i.e. week 21 - week 24) compared with baseline
Good or improved overall health is defined as follows: * In patients with physical health problems (Maudsley Addiction Profile; MAP-HSS), or mental health problems (Brief Symptom Inventory; BSI) or problematic social functioning (Social functioning, criminality; European Addiction Severity Index; EuropASI) at baseline, good or improved overall health is defined as: at least 40% improvement in at least one of the 'problematic' health domains, compared with baseline status, assessed at week 24. * In patients without physical health problems, or mental health problems or problematic social functioning at baseline, good or improved overall health is defined as: no deterioration of 40% or more in any of the 'non-problematic' health domains, compared with baseline status, that results in crossing the threshold of health problems, again assessed at week 24. This endpoint concerns the 24-week efficacy of SR-dexamphetamine in terms of overall health.
SecondarySecondary outcome measures for the primary study objective: Cocaine use related secondary endpoints: (1) Total number of days cocaine abstinence.During first 12 weeks treatment (i.e., 0-84 days)
SecondarySecondary outcome measures for the primary study objective: Cocaine use related secondary endpoints: (2) Total number of days cocaine abstinence.During 24 weeks treatment (i.e., 0-168 days)
SecondarySecondary outcome measures for the primary study objective: Cocaine use related secondary endpoints: (3) Complete abstinence from cocaine.During 24 weeks treatment
SecondarySecondary outcome measures for the primary study objective: Cocaine use related endpoints: (4) Achieving a period of sustained abstinence from cocaine for at least 21 consecutive days.During 24 weeks treatment
Proportion of subjects achieving sustained cocaine abstinence of at least 21 consecutive days as measured by the Timeline Follow-Back Method (TLFB): SR-dexamphetamine versus placebo. Higher proportion means better outcome.
Secondary
Secondary outcome measures for the primary study objective: Cocaine use related endpoints: (5) At least 40% reduction in cocaine use (days/month) in the final 4 weeks of treatment (weeks 21-24), compared with baseline.
The final 4 weeks of treatment (weeks 21-24)
Secondary
Secondary outcome measures for the primary study objective: Cocaine use related endpoints: (6) Number of weeks of uninterrupted cocaine abstinence sustained till abstinence during final treatment week in study phase 1.
Final treatment week in study phase 1
SecondarySecondary outcome measures for the primary study objective: Cocaine use related endpoints: (7) Average number of cocaine administrations on days that cocaine was used.During 24 weeks treatment
SecondarySecondary outcome measures for the primary study objective: Cocaine use related endpoints: (8) Cocaine craving.During 24 weeks treatmentCocaine craving is measured using the Obsessive Compulsive Drug Use Scale (OCDUS, Franken et al., 2002), with a score range of 0 to 20. Higher scores mean worse outcome.
Secondary
Secondary outcome measure for the secondary study objective (to assess the acceptance, tolerability, and safety of 24 weeks SR-dexamphetamine): treatment completion; medication adherence; adverse events, and serious adverse events.
The first 24 weeks of treatment
* The number and proportion of patients starting and completing 24 weeks treatment; * Maximum dose received; dose at the end of week 4; dose in final 4 weeks of study phase 1 (weeks 21-24); dose in final 4 weeks of study phase 2 (weeks 27-30) (all: mean(std.dev), and median/IQR). * Safety will be assessed and reported in terms of: * Vital signs (heart rate, blood pressure) and body weight. * ECG and safety laboratory parameters (NT-proBNP, and hs-Troponine T). * Adverse events (AEs; solicited and unsolicited) and serious adverse events (SAEs).
SecondarySecondary outcome measure for the secondary study objective (to evaluate the effect of discontinuation of SR-dexamphetamine after 24 weeks treatment): days cocaine abstinence.Final 4 weeks of treatment discontinuation phase (second study phase; i.e., week 27-30)
Days cocaine abstinence in the final 4 weeks of the discontinuation phase of the study (i.e., weeks 27-30), assessed by combined self-report and urinalysis. A decrease of ≥5 days/month in cocaine abstinent days, compared with the number of cocaine abstinent days/month at the end of study phase 1 (weeks 21-24) is considered to be a clinically relevant deterioration.
SecondarySecondary outcome measure for the secondary study objective (to evaluate the effect of discontinuation of SR-dexamphetamine after 24 weeks treatment): overall health status.Final 4 weeks of treatment discontinuation phase (second study phase; i.e., week 27-30)
The overall health status of patients in the final 4 weeks of the discontinuation study phase 2 (weeks 27-30), - defined as "deteriorated overall health status", in terms of physical health, mental health, and social functioning - thereby using the overall health status at the end of study phase 1 (weeks 21-24) as reference. More specifically, deteriorated overall health status is defined as follows: In patients without physical health problems, or mental health problems or problematic social functioning at week 24, deteriorated overall health status is defined as: a deterioration of 40% or more in any of the 'non-problematic' health domains, compared with status at week 24, that results in crossing the threshold of health problems, assessed at week 30.
SecondarySecondary outcome measure for the secondary study objective (to evaluate the effect of discontinuation of SR-dexamphetamine after 24 weeks treatment): dichotomous outcome of deterioration.Final 4 weeks of treatment discontinuation phase (second study phase; i.e., week 27-30)
A dichotomous outcome of deterioration (yes versus no) based on the composite outcome of (1) a clinically relevant decrease of ≥5 days/month in cocaine abstinent days and/or (2) deterioration in overall health status.
OtherOutcome measure for the exploratory study objective (to explore the cost-utility of 24 weeks SR-dexamphetamine treatment, compared with 24-weeks placebo):The first 24 weeks of treatmentFor this purpose, we will use the following exploratory outcomes: * QALYs. * Costs related to treatment, additional health care consumption, and criminality.

Source ClinicalTrials.govtrials-2026-11-12-0.5.0

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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