This study will determine the influence of methylphenidate (Metadate®) and duloxetine (Cymbalta®), alone and in combination, on the reinforcing, subjective and physiological effects of cocaine.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
TRIPLE
Enrollment
9
The pharmacodynamic effects of cocaine will be determined during maintenance on placebo and duloxetine.
The pharmacodynamic effects of placebo will be determined during maintenance on placebo and duloxetine.
The pharmacodynamic effects of methylphenidate maintenance will be determined during maintenance on placebo and duloxetine.
University of Kentucky Medical Center
Lexington, Kentucky, United States
Reinforcing Effects of Cocaine Following Placebo Maintenance.
Number of cocaine doses earned by subjects on a progressive ratio schedule of reinforcement.
Time frame: Following at least 4 days of maintenance on placebo during inpatient admission.
Reinforcing Effects of Cocaine Following Duloxetine Maintenance.
Number of cocaine doses earned by subjects on a progressive ratio schedule of reinforcement.
Time frame: Following at least 4 days of maintenance on duloxetine during inpatient admission.
Reinforcing Effects of Cocaine Following Methylphenidate Maintenance.
Number of cocaine doses earned by subjects on a progressive ratio schedule of reinforcement.
Time frame: Following at least 4 days of maintenance on duloxetine during inpatient admission.
Reinforcing Effects of Cocaine Following Methylphenidate and Duloxetine Maintenance.
Number of cocaine doses earned by subjects on a progressive ratio schedule of reinforcement.
Time frame: Following at least 4 days of maintenance on methylphenidate and duloxetine during inpatient admission.
Adjective Rating Scale-Sedative
Subjects will complete the adjective rating scale during nine sessions while they are admitted to our inpatient unit. Responses to 16 items are summed (total score=0-64; Higher values=more sedation) to calculate scores on a sedative subscale.
Time frame: Nine times over approximately four weeks inpatient admission.
Adjective Rating Scale-Stimulant
Subjects will complete the adjective rating scale during nine sessions while they are admitted to our inpatient unit. Responses to 16 items are summed (total score=0-64; Higher values=more stimulation) to calculate total scores on a stimulant subscale.
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Time frame: Nine times over approximately four weeks inpatient admission.
Drug Effect Questionnaire
Subjects will complete the drug effect questionnaire during nine sessions while they are admitted to our inpatient unit. The items (total scores=0-100; Higher scores=greater drug effect) on this scale categorize the constellation of drug effects endorsed by subjects.
Time frame: Nine times over approximately four weeks inpatient admission.
Heart rate
Beats per minute. Measured daily during inpatient admission.
Time frame: Daily over approximately four week inpatient admissions.
Blood pressure
mmHg.Measured daily during inpatient admission.
Time frame: Daily over approximately four week inpatient admissions.
Temperature
Degrees fahrenheit. Measured daily during inpatient admission.
Time frame: Daily over approximately four week inpatient admissions.
Side effects
Subjects will complete a side effects questionnaire daily while they reside on the inpatient unit. Side Effects questions will query subjects about common effects of centrally active medications.
Time frame: Daily over approximately four week inpatient admissions.
Delay Discounting Task
Subjects will complete the delay discounting task during nine sessions while they are admitted to our inpatient unit. Responses will be used to calculate discounting slope (i.e., K).
Time frame: Nine times over approximately four weeks inpatient admission.
Attentional Bias
Subjects will complete attentional bias during nine sessions while they are admitted to our inpatient unit. Time attending to drug stimuli will be used to evaluate attentional bias.
Time frame: Nine times over approximately four weeks inpatient admission.
Inhibitory Control
Subjects will complete an inhibitory control task during nine sessions while they are admitted to our inpatient unit. Ability to inhibit prepotent responding will be used to calculate inhibitory control.
Time frame: Nine times over approximately four weeks inpatient admission.