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Phase 2 N=26 Randomized Quadruple-blind Treatment

Valproate Efficacy in Cocaine-Bipolar Comorbidity

Bipolar Disorder · Cocaine Dependence

Enrolled (actual)
26
Serious AEs
3.9%
Results posted
Oct 2016
Primary outcome: Primary: Change From Baseline in Percentage of Cocaine-abstinent Days — 16.4; 14.5 percentage of days cocaine abstinent

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Valproate (Drug); Placebo (Drug); Lithium Carbonate (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
University of Miami
Primary completion
Mar 2014

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline in Percentage of Cocaine-abstinent Days
16.4; 14.5
SECONDARY
Change From Baseline in Percentage of Money Spent on Cocaine
-43.6; -34.9

Summary

This proposal will test the efficacy of a promising pharmacological approach for the treatment of comorbid cocaine dependence and bipolar disorder. We propose a randomized, double blind, placebo controlled 12-week trial to test the efficacy of Divalproex sodium (Valproate) plus treatment as usual compared to placebo plus treatment as usual in decreasing cocaine use and stabilizing mood symptoms among patients with comorbid cocaine dependence and bipolar disorder. Treatment as usual includes the use of lithium carbonate for mood stabilization plus supportive psychosocial treatment.

Eligibility Criteria

Inclusion Criteria

  • Meet DSM-IV criteria for cocaine dependence and a concurrent bipolar disorder

Exclusion Criteria

  • Schizophrenia, schizoaffective, and any non-bipolar psychotic disorder, unipolar major depression, primary anxiety disorder, mental retardation, and signs of impaired cognitive functioning.
  • Current DSM-IV criteria for dependence on substances other than cocaine, alcohol, cannabis, nicotine, or caffeine
  • Neurological conditions including epilepsy, history of brain injury, encephalitis, or any organic brain syndrome or documented focally abnormal EEG
  • Medical conditions including severe cardiac, liver, kidney, or liver disease.
  • Pregnancy
  • Inability or unwillingness to use contraceptive methods
  • Any medical condition or other reason that in the opinion of the investigator would prevent the subject from completing the protocol.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00240110). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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