Evidence map›Paper›PMID 21592681›Full record

Trial reportDrug and alcohol dependence2011

Poor response to sertraline in methamphetamine dependence is associated with sustained craving for methamphetamine.

Todd Zorick, Catherine A Sugar, Gerhard Hellemann, Steve Shoptaw, Edythe D London

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug and alcohol dependence, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Canadian guideline for the clinical management of high-risk drinking and alcohol use disorder.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Guideline
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Rethinking trazodone for insomnia in alcohol use disorder.Addiction science & clinical practice · 2025
    Article
  7. Using illicit drugs alone in Vancouver, Canada: a gender-based analysis.Substance abuse treatment, prevention, and policy · 2025
    Article
  8. Article
  9. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Observational
  18. Glutamatergic neurometabolites during early abstinence from chronic methamphetamine abuse.The international journal of neuropsychopharmacology · 2014
    Article
  19. Review
  20. An evaluation of the evidence that methamphetamine abuse causes cognitive decline in humans.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2013
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Todd ZorickDepartment of Psychiatry, Greater Los Angeles Veterans Administration Healthcare System, Los Angeles, CA 90073, USA. todd.zorick@va.gov
Catherine A Sugar
Gerhard Hellemann
Steve Shoptaw
Edythe D London
University of California, Los Angeles · USVA Greater Los Angeles Healthcare System · US

Funding

UCLA Medication Development Unit for Stimulant AbuseP50DA018185 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SHOPTAW, STEVEN J · 2004 to 2009
$5.8M
NEUROCHEMISTRY OF MODAFINIL-MA INTERACTION IN RAT BRAINP20DA022539 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LONDON, EDYTHE DANICK · 2006 to 2009
$2.9M
Neural Systems, Inhibitory Control, and Methamphetamine DependenceR01DA020726 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LONDON, EDYTHE DANICK · 2005 to 2008
$2.0M
MEDICATION/BEHAVIOR THERAPY FOR METHAMPHETAMINE ABUSER01DA010923 · NIDA · FRIENDS RESEARCH INSTITUTE, INC. · PI HUBER, ALICE · 1997 to 2000
$416k
NIDA NIH HHS P20 DA022539NIDA NIH HHS P50 DA018185NIDA NIH HHS R01 DA010923NIDA NIH HHS R01 DA020726
6 · The paper itself

Abstract

backgroundDepression is common among individuals with methamphetamine (MA) use disorders. As agents that enhance serotonergic function are frequently used to treat depression, one might predict that they would be useful medications for MA dependence. However, clinical trials of serotonergic agents for MA addiction have been unsuccessful.

objectiveTo identify factors that distinguish MA-dependent research participants who increased MA self-administration while receiving treatment with the selective serotonin reuptake inhibitor (SSRI) sertraline from other groups of participants.

methodUsing a dataset from a 12-week randomized, placebo-controlled trial of sertraline (100mg daily) for MA addiction, we identified participants who had completed at least 8 weeks of the trial (n=61 sertraline, n=68 placebo). We compared the proportions of MA-positive urine tests for weeks 8-12 of the trial for these subjects to their pre-randomization baseline, and identified those subjects who increased MA use during treatment. Using classification trees, we then assessed all data collected during the study to identify factors associated with increasing MA use during treatment with sertraline, compared to placebo.

resultsMore subjects in the sertraline condition increased MA use during treatment (n=13) than in the placebo condition (n=5; p=0.03). Classification trees identified multiple factors from both pre-treatment and in-treatment data that were associated with increased MA use during treatment. Only elevated in-treatment craving for MA specifically characterized subjects in the sertraline group who increased their MA use.

conclusionsSome MA-abusing individuals treated with SSRIs have sustained craving with an increased propensity to relapse during treatment despite psychosocial treatment interventions.

Indexed as

AdultAmphetamine-Related DisordersAntidepressive AgentsBehavior, AddictiveDepressive DisorderDouble-Blind MethodFemaleHumansMaleMethamphetamineMiddle AgedSertralineTreatment OutcomeAntidepressive AgentsMethamphetamineSertraline

Identifiers

PMID21592681
PMCPMC3181284
OpenAlexW2009400869

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.