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A double-blind, placebo-controlled trial of modafinil (200 mg/day) for methamphetamine dependence.

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Title: A double-blind, placebo-controlled trial of modafinil (200 mg/day) for methamphetamine dependence.
Authors: Shearer, James (AUTHOR), Darke, Shane (AUTHOR), Rodgers, Craig (AUTHOR), Slade, Tim (AUTHOR), Van Beek, Ingrid (AUTHOR), Lewis, John (AUTHOR), Brady, Donna (AUTHOR), McKetin, Rebecca (AUTHOR), Mattick, Richard P. (AUTHOR), Wodak, Alex (AUTHOR)
Source: Addiction. Feb2009, Vol. 104 Issue 2, p224-233. 10p. 1 Diagram, 4 Charts, 2 Graphs.
Subjects: Health outcome assessment, Methamphetamine abuse, Amphetamine abuse, Medication safety, Drug efficacy, Therapeutics, Human services
Abstract: Aim To examine the safety and efficacy of modafinil (200 mg/day) compared to placebo in the treatment of methamphetamine dependence and to examine predictors of post-treatment outcome. Participants and design Eighty methamphetamine-dependent subjects in Sydney, Australia were allocated randomly to modafinil (200 mg/day) ( n = 38) or placebo ( n = 42) under double-blind conditions for 10 weeks with a further 12 weeks post- treatment follow-up. Measures Comprehensive drug use data (urine specimens and self-report) and other health and psychosocial data were collected weekly during treatment and research interviews at baseline, week 10 and week 22. Results Treatment retention and medication adherence were equivalent between groups. There were no differences in methamphetamine abstinence, craving or severity of dependence. Medication-compliant subjects tended to provide more methamphetamine-negative urine samples over the 10-week treatment period ( P = 0.07). Outcomes were better for methamphetamine-dependent subjects with no other substance dependence and those who accessed counselling. There were statistically significant reductions in systolic blood pressure ( P = 0.03) and weight gain ( P = 0.05) in modafinil-compliant subjects compared to placebo. There were no medication-related serious adverse events. Adverse events were generally mild and consistent with known pharmacological effects. Conclusions Modafinil demonstrated promise in reducing methamphetamine use in selected methamphetamine-dependent patients. The study findings support definitive trials of modafinil in larger multi-site trials. [ABSTRACT FROM AUTHOR]
Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: A double-blind, placebo-controlled trial of modafinil (200 mg/day) for methamphetamine dependence.
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  Data: <searchLink fieldCode="AR" term="%22Shearer%2C+James%22">Shearer, James</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Darke%2C+Shane%22">Darke, Shane</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rodgers%2C+Craig%22">Rodgers, Craig</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Slade%2C+Tim%22">Slade, Tim</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Van+Beek%2C+Ingrid%22">Van Beek, Ingrid</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lewis%2C+John%22">Lewis, John</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Brady%2C+Donna%22">Brady, Donna</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McKetin%2C+Rebecca%22">McKetin, Rebecca</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mattick%2C+Richard+P%2E%22">Mattick, Richard P.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wodak%2C+Alex%22">Wodak, Alex</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Addiction%22">Addiction</searchLink>. Feb2009, Vol. 104 Issue 2, p224-233. 10p. 1 Diagram, 4 Charts, 2 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Methamphetamine+abuse%22">Methamphetamine abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Amphetamine+abuse%22">Amphetamine abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Medication+safety%22">Medication safety</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+efficacy%22">Drug efficacy</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink><br /><searchLink fieldCode="DE" term="%22Human+services%22">Human services</searchLink>
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  Data: Aim To examine the safety and efficacy of modafinil (200 mg/day) compared to placebo in the treatment of methamphetamine dependence and to examine predictors of post-treatment outcome. Participants and design Eighty methamphetamine-dependent subjects in Sydney, Australia were allocated randomly to modafinil (200 mg/day) ( n = 38) or placebo ( n = 42) under double-blind conditions for 10 weeks with a further 12 weeks post- treatment follow-up. Measures Comprehensive drug use data (urine specimens and self-report) and other health and psychosocial data were collected weekly during treatment and research interviews at baseline, week 10 and week 22. Results Treatment retention and medication adherence were equivalent between groups. There were no differences in methamphetamine abstinence, craving or severity of dependence. Medication-compliant subjects tended to provide more methamphetamine-negative urine samples over the 10-week treatment period ( P = 0.07). Outcomes were better for methamphetamine-dependent subjects with no other substance dependence and those who accessed counselling. There were statistically significant reductions in systolic blood pressure ( P = 0.03) and weight gain ( P = 0.05) in modafinil-compliant subjects compared to placebo. There were no medication-related serious adverse events. Adverse events were generally mild and consistent with known pharmacological effects. Conclusions Modafinil demonstrated promise in reducing methamphetamine use in selected methamphetamine-dependent patients. The study findings support definitive trials of modafinil in larger multi-site trials. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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