Evidence map›Paper›PMID 32212237›Full record

Trial reportAddiction biology2021

N-acetylcysteine reduces cocaine-seeking behavior and anterior cingulate glutamate/glutamine levels among cocaine-dependent individuals.

Eric A Woodcock, Leslie H Lundahl, Dalal Khatib, Jeffrey A Stanley, Mark K Greenwald

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Addiction biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Redefining the role of the thiol-based agentRSC medicinal chemistry · 2026
    Review
  5. Article
  6. Article
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  8. Similarities and Differences in Neurobiology.Advances in experimental medicine and biology · 2025
    Review
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  11. Article
  12. Article
  13. Article
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  15. Review
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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 1 institution in 1 country.

Eric A WoodcockDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0003-0070-7260
Leslie H LundahlDepartment of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, Michigan, USA.
Dalal KhatibDepartment of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, Michigan, USA.
Jeffrey A StanleyDepartment of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, Michigan, USA.
Mark K GreenwaldDepartment of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, Michigan, USA.ORCID 0000-0002-9541-7321
Wayne State University · US

Funding

Human Laboratory Model of Cocaine Treatment: Behavioral Economic AnalysisR01DA026861 · NIDA · WAYNE STATE UNIVERSITY · PI GREENWALD, MARK K · 2009 to 2010
$1.4M
Multimodal Investigation of the Neuroimmune System in Opioid Use DisorderR00DA048125 · NIDA · WAYNE STATE UNIVERSITY · PI WOODCOCK, ERIC ANDREW · 2021 to 2023
$823k
Multimodal Investigation of the Neuroimmune System in Opioid Use DisorderK99DA048125 · NIDA · YALE UNIVERSITY · PI WOODCOCK, ERIC ANDREW · 2019 to 2020
$334k
Neuropharmacological investigation of frontostriatal network function and nicotine seeking behavior in current smokersF31DA040369 · NIDA · WAYNE STATE UNIVERSITY · PI WOODCOCK, ERIC ANDREW · 2016 to 2017
$61k
NIDA NIH HHS F31 DA040369NIDA NIH HHS K99 DA048125NIDA NIH HHS R00 DA048125NIDA NIH HHS R01 DA026861
6 · The paper itself

Abstract

N-acetylcysteine (NAC) is a cystine prodrug shown to reduce cocaine- and cue-primed reinstatement of cocaine-seeking behavior in preclinical studies. In this inpatient study, the effects of NAC maintenance versus placebo on cocaine-seeking behavior were examined during cocaine-primed and unprimed self-administration sessions among non-treatment-seeking, cocaine-dependent individuals. Twelve participants completed this double-blind, placebo-controlled, within-subject crossover study. Each participant was maintained for 1 week (Sat-Fri) on NAC (1200-mg TID; 3600 mg/day total) and 1 week on placebo (0-mg TID); medication order was randomized. A subset of participants underwent proton magnetic resonance spectroscopy scans (n = 8) on the third day of medication (Mon) to assess neurochemistry in the rostral anterior cingulate (rACC; voxel = 4.5 cm

Indexed as

AcetylcysteineAdultCocaine-Related DisordersCross-Over StudiesDouble-Blind MethodDrug-Seeking BehaviorFemaleGlutamic AcidGlutamineGyrus CinguliHumansMaleMiddle AgedProton Magnetic Resonance SpectroscopyRewardAcetylcysteineGlutamic AcidGlutamineanterior cingulate cortexcocainedrug-seeking behaviorglutamateN-acetylcysteinerelapse

Identifiers

PMID32212237
PMCPMC10369173
OpenAlexW3013588273

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.