Evidence map›Paper›PMID 23144826›Full record

Trial reportPloS one2012

The impact of disulfiram treatment on the reinforcing effects of cocaine: a randomized clinical trial.

Colin N Haile, Richard De La Garza, James J Mahoney, David A Nielsen, Thomas R Kosten, Thomas F Newton

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00729300 (Laboratory Models of Cocaine Self-administration), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT00729300 phase1 / phase2completednot on this map

Laboratory Models of Cocaine Self-administration

TypeinterventionalSponsorBaylor College of MedicineRan2006 to 2016Enrolled52ConditionsCocaine AddictionArmsplacebo, disulfiram
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Disulfiram for the treatment of cocaine dependence.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Assessment of safety, cardiovascular and subjective effects after intravenous cocaine and lofexidine.Progress in neuro-psychopharmacology & biological psychiatry · 2014
    Trial
  7. Trial
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Pharmacotherapy for stimulant-related disorders.Current psychiatry reports · 2013
    Review
  15. Adenovirus capsid-based anti-cocaine vaccine prevents cocaine from binding to the nonhuman primate CNS dopamine transporter.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2013
    Article
  16. Article
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

6 authors.

Colin N HaileBaylor College of Medicine, Menninger Department of Psychiatry & Behavioral Sciences, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, United States of America.
Richard De La Garza
James J Mahoney
David A Nielsen
Thomas R Kosten
Thomas F Newton

Funding

ZOLENDRONIC ACID IN CHILDREN W/ SEVERE OSTEOGENESIS IMPERFECTAM01RR000188 · NCRR · BAYLOR COLLEGE OF MEDICINE · PI SHEARER, WILLIAM THOMAS · 1985 to 2011
$30.6M
Laboratory Models of Cocaine Self-AdministrationR01DA017705 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI NEWTON, THOMAS FREDERICK · 2005 to 2008
$1.6M
Clinical Research Education for Drug Abuse ProfessionalsR25DA028976 · NIDA · BAYLOR COLLEGE OF MEDICINE · PI NEWTON, THOMAS FREDERICK · 2011 to 2015
$1.2M
Assess of Stress Effects in Methamphetamine DependenceK24DA017754 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI NEWTON, THOMAS FREDERICK · 2005 to 2010
$727k
NCRR NIH HHS M01 RR000188NCRR NIH HHS M01 RR00188NIDA NIH HHS K24 DA017754NIDA NIH HHS R01 DA017705NIDA NIH HHS R25 DA028976
6 · The paper itself

Abstract

backgroundClinical trials indicate that disulfiram (250 mg/d) reduces cocaine use, though one study found that treatment with lower doses of disulfiram (62.5 and 125 mg/d) increased cocaine use. We conducted the present study to better understand how disulfiram alters the reinforcing effects of cocaine in cocaine users.

methodsSeventeen non-treatment seeking, cocaine-dependent volunteers participated in this double-blind, placebo-controlled, laboratory-based study. A cross-over design was utilized in which participants received placebo in one phase and disulfiram (250 mg/d) in the other. Following three days of study medication participants completed two choice sessions. In one they made 10 choices between receiving an intravenous infusion of saline or money that increased in value (US$ 0.05-16) and in the other cocaine (20 mg) or money.

resultsParticipants chose cocaine more than saline under both disulfiram and placebo conditions (p<0.05). Unexpectedly, disulfiram increased both the number of cocaine and saline infusion choices (p<0.05). We next examined the relationship between disulfiram dose and cocaine choices. Disulfiram dose (mg/kg bodyweight) was negatively correlated with number of choices for cocaine (p<0.05). Disulfiram also enhanced cocaine-induced increases in cardiovascular measures (p's<0.05-0.01).

conclusionsDisulfiram's impact on the reinforcing effects of cocaine depends on dose relative to body weight. Our results suggest that the use of weight-based medication doses would produce more reliable effects, consistent with weight-based dosing used in pediatrics and in preclinical research.

trial registrationClinicaltrials.gov NCT00729300.

Indexed as

AdultChoice BehaviorCocaineCocaine-Related DisordersCross-Over StudiesDisulfiramDose-Response Relationship, DrugDouble-Blind MethodFemaleHeart RateHumansMaleTreatment OutcomeCocaineDisulfiram

Identifiers

PMID23144826
PMCPMC3493584

What OpenQuestion holds

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Registered trials

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.