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Trial registered on ANZCTR
Registration number
ACTRN12609000581268
Ethics application status
Approved
Date submitted
25/09/2008
Date registered
14/07/2009
Date last updated
14/07/2009
Type of registration
Prospectively registered
Titles & IDs
Public title
A randomised controlled trial of a novel combination pharmacotherapy program for the treatment of cannabis dependence
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Scientific title
A randomised double blind placebo controlled trial of combination pharmacotherapy using mirtazapine, acamprosate and tiagabine for the treatment of cannabis dependence
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
cannabis dependence
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Condition category
Condition code
Mental Health
3925
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0
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Addiction
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Active 12 week pharmacological treatment arm using a combination of mirtazapine (30mg oral daily), acamprosate (999mg oral twice daily) and tiagabine (5mg oral twice daily) versus a placebo medication treatment arm. All subjects (active medication and placebo) also receive weekly, nurse-based, supportive counseling and assistance with pharmacological compliance and a 6 session manualised cognitive behavioral cannabis treatment program (1 session per week for 6 weeks)
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Intervention code [1]
3462
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Treatment: Drugs
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Comparator / control treatment
oral starch-based placebo capsules for 12 weeks; weekly, nurse-based, supportive counseling and assistance with pharmacological compliance and a 6 session manualised cognitive behavioral cannabis treatment program (1 session per week for 6 weeks)
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Control group
Placebo
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Outcomes
Primary outcome [1]
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proportion (%) of patients achieving and maintaining abstinence from cannabis, as measured by self report and confirmed by quantitative urinalysis
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Assessment method [1]
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Timepoint [1]
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at 4 weeks, and 3 and 6 months after commencing treatment
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Secondary outcome [1]
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percentage cannabis free days as measured by Timeline Follow Back (TLFB) interview
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Assessment method [1]
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Timepoint [1]
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at 4 weeks, and 3 and 6 months after commencing treatment
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Secondary outcome [2]
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reduction in cannabis use (volume and $ expenditure) as measured by Timeline Follow Back (TLFB) interview
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Assessment method [2]
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Timepoint [2]
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at 4 weeks, and 3 and 6 months after commencing treatment
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Secondary outcome [3]
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mental health and psychosocial functioning as measured by SF-12 General Health Questionnaire, GAD 7, and K10 (Kessler Psychological Distress Scale)
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Assessment method [3]
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Timepoint [3]
8145
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at 4 weeks, and 3 and 6 months after commencing treatment
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Eligibility
Key inclusion criteria
using cannabis daily for at least 3 months
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
less than 18 years of age; inability to take oral medicaton; concurrent medical illness requiring acute care hospitalisation or treatment; severe renal or liver disease; pregnancy
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
allocation by contacting the holder of the allocation schedule at a central administration point
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
simple randomization table created by computer software
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2 / Phase 3
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
10/08/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
120
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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St Vincents, Melbourne
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Address [1]
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PO Box 2900 Fitzroy Victoria Australia 3065
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
St Vincents, Melbourne
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Address
PO Box 2900 Fitzroy Victoria Australia 3065
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
3520
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Country [1]
3520
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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St Vincent's, Melbourne
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Ethics committee address [1]
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PO Box 2900 Fitzroy Victoria Australia 3065
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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31/07/2008
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Approval date [1]
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18/03/2009
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Ethics approval number [1]
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HREC-D 083/08
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Summary
Brief summary
Cannabis is often a difficult drug to stop, and its regular use often causes dependence and withdrawal symptoms when attempting to stop. In Australia, the major treatment available for cannabis dependence is counselling, but many individuals find that counselling for cannabis use is not effective, particularly because of the withdrawal symptoms that occur. This project will assess a new treatment for cannabis dependence in patients who are seeking treatment to stop their cannabis use, and uses a combination of medications that aim to block the effects of cannabis withdrawal in the brain, and so reduce the severity of cannabis withdrawal symptoms. The three medications used in combination are tiagabine, acamprosate and mirtazapine. Participants will be allocated to one of two treatment groups. One treatment group will receive a combination of the three active medications, tiagabine, acamprosate and mirtazapine for a period of 12 weeks. The second treatment group will receive placebo (dummy) medications for 12 weeks. Allocation to either group will be by a randomisation process – like flipping a coin. All patients in the trial will also receive a program of weekly counselling and support. Patients will participate in the trial for a period of six months.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Prof Jon Currie
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Address
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PO Box 2900 Fitzroy Victoria Australia 3065
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Country
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Australia
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Phone
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61 3 92883467
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Prof Jon Currie
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Address
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PO Box 2900 Fitzroy Victoria Australia 3065
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Country
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Australia
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Phone
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61 3 92883467
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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