Evidence map›Paper›PMID 32741502›Full record

Trial reportJournal of substance abuse treatment2020

Oxytocin-enhanced group therapy for methamphetamine use disorder: Randomized controlled trial.

Christopher S Stauffer, Jenna M Moschetto, Scott McKernan, Nathan Meinzer, Chavy Chiang, Rachel Rapier, Elaine Hsiang, Jerika Norona, Brian Borsari, Joshua D Woolley

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of substance abuse treatment, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Guideline
  2. Trial
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  6. 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

10 authors at 2 institutions in 1 country.

Christopher S StaufferSan Francisco Veterans Affairs Medical Center, United States of America; University of California, San Francisco, United States of America; Portland Veterans Affairs Medical Center & Oregon Health and Science University, United States of America. Electronic address: christopher.stauffer@va.gov.
Jenna M MoschettoSan Francisco Veterans Affairs Medical Center, United States of America; University of California, San Francisco, United States of America.
Scott McKernanSan Francisco Veterans Affairs Medical Center, United States of America; University of California, San Francisco, United States of America.
Nathan MeinzerSlalom Consulting, LLC, United States of America.
Chavy ChiangSan Francisco Veterans Affairs Medical Center, United States of America.
Rachel RapierSan Francisco Veterans Affairs Medical Center, United States of America.
Elaine HsiangUniversity of California, San Francisco, United States of America.
Jerika NoronaSan Francisco Veterans Affairs Medical Center, United States of America.
Brian BorsariSan Francisco Veterans Affairs Medical Center, United States of America; University of California, San Francisco, United States of America.
Joshua D WoolleySan Francisco Veterans Affairs Medical Center, United States of America; University of California, San Francisco, United States of America.
San Francisco VA Medical Center · USUniversity of California, San Francisco · US

Funding

6-week trial of oxytocin for co-occurring cocaine and opioid use disordersIK2CX001495 · VA · VETERANS AFFAIRS MED CTR SAN FRANCISCO · PI STAUFFER, CHRISTOPHER · 2017 to 2022
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CSRD VA IK2 CX001495
6 · The paper itself

Abstract

backgroundMethamphetamine (METH) use is a public health crisis that disproportionately affects men who have sex with men (MSM). There are currently no FDA-approved pharmacological interventions to treat methamphetamine use disorder (MUD). MUD is associated with social impairments and extremely high treatment attrition rates. Administration of oxytocin, a neuropeptide involved in social attachment, may be a novel approach to addressing these issues. Moreover, oxytocin administration has shown promise for reducing METH-related addictive behavior in animal models, but has not yet been investigated in clinical trials for MUD. Last, oxytocin is known to modulate stress responsivity via regulation of the autonomic nervous system, which is dysregulated in METH users. We hypothesize that oxytocin, in combination with group psychotherapy, will increase treatment engagement, reduce addiction behavior, and mitigate stress hyperreactivity.

methodsThis is a randomized, double blind trial of oxytocin 40-IU (n = 24) or placebo (n = 24) administered intranasally prior to each of six weekly motivational interviewing group therapy (MIGT) sessions for MUD in MSM. PRIMARY OUTCOME: (a) session attendance. SECONDARY OUTCOMES: (b) group cohesion, (c) anxiety, (d) METH craving, (e) METH use, and (f) in-session cardiac physiology.

resultsParticipants receiving oxytocin had significantly higher group therapy attendance than those receiving placebo, OR 3.26, 95% CI [1.27-8.41], p = .014. There was a small effect of oxytocin on group cohension, but not anxiety or craving. METH use did not change over the six-week MIGT course in either treatment arm. Participants receiving oxytocin had lower average heart rates during MIGT sessions and higher heart rate variability. There were positive main effects of MIGT over Time regardless of study drug.

conclusionsThis evidence, and the lack of any serious adverse events, suggests that oxytocin may safely increase treatment attendance. One possible mechanism by which it may do so is its modulation of the autonomic nervous system. Further investigation is warranted.

Indexed as

Central Nervous System StimulantsMethamphetaminePsychotherapy, GroupSexual and Gender MinoritiesDrug-Seeking BehaviorHomosexuality, MaleHumansMaleOxytocinSelf AdministrationCentral Nervous System StimulantsMethamphetamineOxytocinMethamphetamineMotivational interviewingOxytocinPsychotherapy, groupRetention in careSexual and gender minorities

Identifiers

PMID32741502
PMCPMC7491413
OpenAlexW3035780070

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.