CClinicalTrials.gg
CompletedNCT04178993Updated Jan 9, 2023Results posted

Behavioral Effects of Drugs (Inpatient): 40 [Methamphetamine, Methylphenidate, Duloxetine]

A Phase 1 interventional study of Methamphetamine and Methylphenidate in Methamphetamine Use Disorder, sponsored by Craig Rush. Completed at 2 sites in United States. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-01-09.

Sponsored by Craig Rush · Phase 1, Interventional, and Basic science

Phase
Phase 1
Study type
Interventional
Enrollment
8
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

This study will evaluate the behavioral effects of methamphetamine during maintenance on placebo, duloxetine, methylphenidate and duloxetine combined with methylphenidate using sophisticated human laboratory methods.

02

Conditions studied

  • Methamphetamine Use Disorder

Keywords

  • Methamphetamine
  • Methylphenidate
  • Duloxetine Hydrochloride
  • Central Nervous System Stimulants
  • Physiological Effects of Drugs
  • Dopamine Uptake Inhibitors
  • Serotonin and Noradrenaline Reuptake Inhibitors
  • Membrane Transport Modulators
  • Neurotransmitter Agents
  • Dopamine Agents
  • Molecular Mechanisms of Pharmacological Action
  • Sensory System Agents
  • Peripheral Nervous System Agents
  • Vasoconstrictor Agents
  • Antidepressive Agents
  • Psychotropic Drugs
03

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • recent use of inhaled (i.e., snorted), smoked or injected methamphetamine

Exclusion criteria

Exclusion Criteria:

  • Abnormal screening outcome (e.g., ECG, blood chemistry result) that study physicians deem clinically significant.
  • Current or past histories of substance use that are deemed by the study physicians to interfere with study completion.
  • History of serious physical disease, current physical disease, impaired cardiovascular functioning, chronic obstructive pulmonary disease, history of seizure or current or past histories of serious psychiatric disorder that in the opinion of the study physician would interfere with study participation will be excluded from participation.
  • Females not currently using effective birth control.
  • Contraindications to methamphetamine, methylphenidate, or duloxetine.
04

Study design

Phase
Phase 1
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Factorial assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
8 participants (actual)

Study arms

  • Placebo comparator
    Placebo Comparator: Placebo

    Subjects will be maintained on oral placebo. Subjects will be maintained on placebo and methylphenidate during placebo maintenance. Methamphetamine will be administered acutely during placebo maintenance. Placebo will be administered acutely during placebo maintenance.

    Drug: Methamphetamine · Drug: Methylphenidate · Drug: Placebo oral capsule

  • Active comparator
    Active Comparator: Duloxetine

    Subjects will be maintained on oral duloxetine. Subjects will be maintained on duloxetine and methylphenidate during placebo maintenance. Methamphetamine will be administered acutely during duloxetine maintenance. Placebo will be administered acutely during duloxetine maintenance.

    Drug: Methamphetamine · Drug: Methylphenidate · Drug: Placebo oral capsule · Drug: Duloxetine

Interventions

  • DrugMethamphetamine

    In each arm, subjects will receive doses of methamphetamine.

    Also known as: Metamfetamine

  • DrugMethylphenidate

    In each arm, subjects will receive methylphenidate capsules.

    Also known as: Metadate®

  • DrugPlacebo oral capsule

    In each arm, subjects will receive placebo capsules.

    Also known as: Lactose

  • DrugDuloxetine

    Subjects will receive duloxetine capsules in the duloxetine arm.

    Also known as: Cymbalta®

05

What researchers measure

Primary outcomes

  1. Reinforcing Effects of Methamphetamine Following Methylphenidate (0 mg; Placebo) Maintenance.

    Number of methamphetamine doses earned by subjects on a progressive ratio schedule of reinforcement. Subjects sample a dose of methamphetamine (0, 10, or 20 mg) and then have ten opportunities (e.g., trials) to "work" for a 1/10th of the sampled dose via clicking on a computer mouse (i.e., 10 completed trials is the full sampled dose).

    Time frame: Following at least 4 days of maintenance on placebo during inpatient admission, up to 1 week

  2. Reinforcing Effects of Methamphetamine Following Methylphenidate (20 mg) Maintenance.

    Number of methamphetamine doses earned by subjects on a progressive ratio schedule of reinforcement. Subjects sample a dose of methamphetamine (0, 10, or 20 mg) and then have the ten opportunities (e.g., trials) to "work" for a 1/10th of the sampled dose via clicking on a computer mouse (i.e., 10 completed trials is the full sampled dose).

    Time frame: Following at least 4 days of maintenance on drug during inpatient admission, up to 1 week

  3. Reinforcing Effects of Methamphetamine Following Methylphenidate (40 mg) Maintenance.

    Number of methamphetamine doses earned by subjects on a progressive ratio schedule of reinforcement. Subjects sample a dose of methamphetamine (0, 10, or 20 mg) and then have the ten opportunities (e.g., trials) to "work" for a 1/10th of the sampled dose via clicking on a computer mouse (i.e., 10 completed trials is the full sampled dose).

    Time frame: Following at least 4 days of maintenance on drug during inpatient admission, up to 1 week

  4. Reinforcing Effects of Methamphetamine Following Methylphenidate (60 mg) Maintenance.

    Number of methamphetamine doses earned by subjects on a progressive ratio schedule of reinforcement. Subjects sample a dose of methamphetamine (0, 10, or 20 mg) and then have the ten opportunities (e.g., trials) to "work" for a 1/10th of the sampled dose via clicking on a computer mouse (i.e., 10 completed trials is the full sampled dose).

    Time frame: Following at least 4 days of maintenance on drug during inpatient admission, up to 1 week

Secondary outcomes

  1. Heart Rate After Methamphetamine Administration Following Methylphenidate (0 mg) Maintenance.

    Heart Rate (beats per minute) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Time frame: Daily over approximately 1 week of inpatient stay.

  2. Heart Rate After Methamphetamine Administration Following Methylphenidate (20 mg) Maintenance.

    Heart Rate (beats per minute) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Time frame: Daily over approximately 1 week of inpatient stay.

  3. Heart Rate After Methamphetamine Administration Following Methylphenidate (40 mg) Maintenance.

    Heart Rate (beats per minute) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Time frame: Daily over approximately 1 week of inpatient stay.

  4. Heart Rate After Methamphetamine Administration Following Methylphenidate (60 mg) Maintenance.

    Heart Rate (beats per minute) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Time frame: Daily over approximately 1 week of inpatient stay.

  5. Systolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (0 mg) Maintenance.

    Systolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Time frame: Daily over approximately 1 week of inpatient stay.

  6. Systolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (20 mg) Maintenance.

    Systolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Time frame: Daily over approximately 1 week of inpatient stay.

  7. Systolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (40 mg) Maintenance.

    Systolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Time frame: Daily over approximately 1 week of inpatient stay.

  8. Systolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (60 mg) Maintenance.

    Systolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Time frame: Daily over approximately 1 week of inpatient stay.

  9. Diastolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (0 mg) Maintenance.

    Diastolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Time frame: Daily over approximately 1 week of inpatient stay.

  10. Diastolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (20 mg) Maintenance.

    Diastolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Time frame: Daily over approximately 1 week of inpatient stay.

  11. Diastolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (40 mg) Maintenance.

    Diastolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Time frame: Daily over approximately 1 week of inpatient stay.

  12. Diastolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (60 mg) Maintenance.

    Diastolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Time frame: Daily over approximately 1 week of inpatient stay.

  13. Temperature After Methamphetamine Administration Following Methylphenidate (0 mg) Maintenance.

    Oral temperature (degrees fahrenheit) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Time frame: Daily over approximately 1 week of inpatient stay.

  14. Temperature After Methamphetamine Administration Following Methylphenidate (20 mg) Maintenance.

    Oral temperature (degrees fahrenheit) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Time frame: Daily over approximately 1 week of inpatient stay.

  15. Temperature After Methamphetamine Administration Following Methylphenidate (40 mg) Maintenance.

    Oral temperature (degrees fahrenheit) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Time frame: Daily over approximately 1 week of inpatient stay.

  16. Temperature After Methamphetamine Administration Following Methylphenidate (60 mg) Maintenance.

    Oral temperature (degrees fahrenheit) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

    Time frame: Daily over approximately 1 week of inpatient stay.

  17. Subjective Effects of Methamphetamine (0 mg) Administration Following Methylphenidate (0 mg) Maintenance.

    Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

    Time frame: Daily over approximately 1 week of inpatient stay.

  18. Subjective Effects of Methamphetamine (10 mg) Administration Following Methylphenidate (0 mg) Maintenance.

    Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

    Time frame: Daily over approximately 1 week of inpatient stay.

  19. Subjective Effects of Methamphetamine (20 mg) Administration Following Methylphenidate (0 mg) Maintenance.

    Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

    Time frame: Daily over approximately 1 week of inpatient stay.

  20. Subjective Effects of Methamphetamine (0 mg) Administration Following Methylphenidate (20 mg) Maintenance.

    Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

    Time frame: Daily over approximately 1 week of inpatient stay.

  21. Subjective Effects of Methamphetamine (10 mg) Administration Following Methylphenidate (20 mg) Maintenance.

    Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

    Time frame: Daily over approximately 1 week of inpatient stay.

  22. Subjective Effects of Methamphetamine (20 mg) Administration Following Methylphenidate (20 mg) Maintenance.

    Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

    Time frame: Daily over approximately 1 week of inpatient stay.

  23. Subjective Effects of Methamphetamine (0 mg) Administration Following Methylphenidate (40 mg) Maintenance.

    Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

    Time frame: Daily over approximately 1 week of inpatient stay.

  24. Subjective Effects of Methamphetamine (10 mg) Administration Following Methylphenidate (40 mg) Maintenance.

    Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

    Time frame: Daily over approximately 1 week of inpatient stay.

  25. Subjective Effects of Methamphetamine (20 mg) Administration Following Methylphenidate (40 mg) Maintenance.

    Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

    Time frame: Daily over approximately 1 week of inpatient stay.

  26. Subjective Effects of Methamphetamine (0 mg) Administration Following Methylphenidate (60 mg) Maintenance.

    Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

    Time frame: Daily over approximately 1 week of inpatient stay.

  27. Subjective Effects of Methamphetamine (10 mg) Administration Following Methylphenidate (60 mg) Maintenance.

    Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

    Time frame: Daily over approximately 1 week of inpatient stay.

  28. Subjective Effects of Methamphetamine (20 mg) Administration Following Methylphenidate (60 mg) Maintenance.

    Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

    Time frame: Daily over approximately 1 week of inpatient stay.

Other outcomes

  1. Attentional Bias

    Subjects will complete an attentional bias task. The number of inhibitory failures (i.e., commission errors) to "no-go" targets following methamphetamine-related stimuli will be used to evaluate attentional bias (range 0 - 1: greater values represent greater number of errors committed). Commission errors are when you response (i.e., press the corresponding key on a computer) when you were instructed not to respond.

    Time frame: 12 sessions over approximately 4.5 weeks

  2. Snaith-Hamilton-Pleasure Scale to Measure Anhedonia (Inability to Experience Pleasure)

    A 14-item Snaith-Hamilton-Pleasure Scale covers four domains of pleasure response (interest/pastimes, social interaction, sensory experience and food/drink) with higher scores representing less anhedonia. Scores range from 0 to 56 units: lower scores representing greater anhedonia.

    Time frame: 4 times over approximately 4.5 weeks

  3. Delay Discounting for Methamphetamine

    Subjects will complete a delay discounting task in 4 sessions following 4 days of medication maintenance. Subjects are presented a series of hypothetical choices between a smaller amount of methamphetamine offered "now" or a larger amount of methamphetamine offered a later times in the future (e.g., 4 hours, a day, 3 weeks). The discounting rate, 'k', is calculated and log10-transformed. Greater values of log-transformed 'k' correspond with greater rates of discounting (i.e., preference for smaller reinforcer provided now rather than larger, delayed reinforcers \[e.g., smaller amount of methamphetamine given now as opposed to a larger amount given later\]). The units for discounting rates are theoretical and not linked to a physical dimension (e.g., number of button presses) and the range is theoretically not bound (i.e., negative infinity to positive infinity).

    Time frame: 4 sessions over approximately 4.5 weeks

  4. Delay Discounting for Money

    Subjects will complete a delay discounting task in 4 sessions following 4 days of medication maintenance. Subjects are presented a series of hypothetical choices between a smaller sum of money offered "now" or a larger sum of money offered a later times in the future (e.g., 4 hours, a day, 3 weeks). The discounting rate, 'k', is calculated and log10-transformed. Greater values of log-transformed 'k' correspond with greater rates of discounting (i.e., preference for smaller reinforcer provided now rather than larger, delayed reinforcers \[e.g., smaller sum of money given now as opposed to a larger sum given later\]). The units for discounting rates are theoretical and not linked to a physical dimension (e.g., number of button presses) and the range is theoretically not bound (i.e., negative infinity to positive infinity).

    Time frame: 4 sessions over approximately 4.5 weeks

06

Results

Posted Jan 9, 2023

Participant flow

Participant flow — Overall Study
MilestonePlacebo Comparator: PlaceboActive Comparator: Duloxetine
Started44
Completed34
Not completed10

Outcome measures

PrimaryReinforcing Effects of Methamphetamine Following Methylphenidate (0 mg; Placebo) Maintenance.

Number of methamphetamine doses earned by subjects on a progressive ratio schedule of reinforcement. Subjects sample a dose of methamphetamine (0, 10, or 20 mg) and then have ten opportunities (e.g., trials) to "work" for a 1/10th of the sampled dose via clicking on a computer mouse (i.e., 10 completed trials is the full sampled dose).

Time frame:
Following at least 4 days of maintenance on placebo during inpatient admission, up to 1 week
Reported as:
Mean · Trials Completed
Reinforcing Effects of Methamphetamine Following Methylphenidate (0 mg; Placebo) Maintenance.
Trials CompletedPlacebo Comparator: PlaceboActive Comparator: Duloxetine (60 mg)
Methamphetamine (0mg)0 ± 00 ± 0
Methamphetamine (10mg)3.33 ± 5.777.25 ± 4.86
Methamphetamine (20mg)10 ± 09.75 ± 0.50
PrimaryReinforcing Effects of Methamphetamine Following Methylphenidate (20 mg) Maintenance.

Number of methamphetamine doses earned by subjects on a progressive ratio schedule of reinforcement. Subjects sample a dose of methamphetamine (0, 10, or 20 mg) and then have the ten opportunities (e.g., trials) to "work" for a 1/10th of the sampled dose via clicking on a computer mouse (i.e., 10 completed trials is the full sampled dose).

Time frame:
Following at least 4 days of maintenance on drug during inpatient admission, up to 1 week
Reported as:
Mean · Trials Completed
Reinforcing Effects of Methamphetamine Following Methylphenidate (20 mg) Maintenance.
Trials CompletedPlacebo Comparator: PlaceboActive Comparator: Duloxetine (60 mg)
Methamphetamine (0mg)0 ± 02.50 ± 5.00
Methamphetamine (10mg)6.67 ± 5.777.00 ± 4.69
Methamphetamine (20mg)8.00 ± 3.469.75 ± 0.50
PrimaryReinforcing Effects of Methamphetamine Following Methylphenidate (40 mg) Maintenance.

Number of methamphetamine doses earned by subjects on a progressive ratio schedule of reinforcement. Subjects sample a dose of methamphetamine (0, 10, or 20 mg) and then have the ten opportunities (e.g., trials) to "work" for a 1/10th of the sampled dose via clicking on a computer mouse (i.e., 10 completed trials is the full sampled dose).

Time frame:
Following at least 4 days of maintenance on drug during inpatient admission, up to 1 week
Reported as:
Mean · Trials Completed
Reinforcing Effects of Methamphetamine Following Methylphenidate (40 mg) Maintenance.
Trials CompletedPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Methamphetamine (0mg)1.67 ± 2.890 ± 0
Methamphetamine (10mg)10 ± 05.00 ± 5.77
Methamphetamine (20mg)10 ± 010 ± 0
PrimaryReinforcing Effects of Methamphetamine Following Methylphenidate (60 mg) Maintenance.

Number of methamphetamine doses earned by subjects on a progressive ratio schedule of reinforcement. Subjects sample a dose of methamphetamine (0, 10, or 20 mg) and then have the ten opportunities (e.g., trials) to "work" for a 1/10th of the sampled dose via clicking on a computer mouse (i.e., 10 completed trials is the full sampled dose).

Time frame:
Following at least 4 days of maintenance on drug during inpatient admission, up to 1 week
Reported as:
Mean · Trials Completed
Reinforcing Effects of Methamphetamine Following Methylphenidate (60 mg) Maintenance.
Trials CompletedPlacebo Comparator: PlaceboActive Comparator: Duloxetine (60 mg)
Methamphetamine (0mg)2.33 ± 4.040 ± 0
Methamphetamine (10mg)3.33 ± 5.777.50 ± 5.00
Methamphetamine (20mg)10 ± 09.75 ± 0.50
SecondaryHeart Rate After Methamphetamine Administration Following Methylphenidate (0 mg) Maintenance.

Heart Rate (beats per minute) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Beats Per Minute
Heart Rate After Methamphetamine Administration Following Methylphenidate (0 mg) Maintenance.
Beats Per MinutePlacebo Comparator: PlaceboActive Comparator: Duloxetine
Methamphetamine (0 mg)77.67 ± 16.1778.00 ± 6.98
Methamphetamine (10 mg)87.33 ± 15.1477.25 ± 15.37
Methamphetamine (20 mg)81.33 ± 12.0183.75 ± 15.20
SecondaryHeart Rate After Methamphetamine Administration Following Methylphenidate (20 mg) Maintenance.

Heart Rate (beats per minute) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Beats Per Minute
Heart Rate After Methamphetamine Administration Following Methylphenidate (20 mg) Maintenance.
Beats Per MinutePlacebo Comparator: PlaceboActive Comparator: Duloxetine
Methamphetamine (0 mg)83.67 ± 2.0676.00 ± 8.41
Methamphetamine (10 mg)84.33 ± 8.5078.50 ± 15.63
Methamphetamine (20 mg)85.67 ± 8.7489.50 ± 16.90
SecondaryHeart Rate After Methamphetamine Administration Following Methylphenidate (40 mg) Maintenance.

Heart Rate (beats per minute) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Beats Per Minute
Heart Rate After Methamphetamine Administration Following Methylphenidate (40 mg) Maintenance.
Beats Per MinutePlacebo Comparator: PlaceboActive Comparator: Duloxetine
Methamphetamine (0 mg)85.00 ± 13.0891.25 ± 23.47
Methamphetamine (10 mg)89.67 ± 10.2187.75 ± 17.50
Methamphetamine (20 mg)87.67 ± 12.8687.00 ± 15.08
SecondaryHeart Rate After Methamphetamine Administration Following Methylphenidate (60 mg) Maintenance.

Heart Rate (beats per minute) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Beats Per Minute
Heart Rate After Methamphetamine Administration Following Methylphenidate (60 mg) Maintenance.
Beats Per MinutePlacebo Comparator: PlaceboActive Comparator: Duloxetine
Methamphetamine (0 mg)87.33 ± 15.2888.00 ± 19.11
Methamphetamine (10 mg)83.67 ± 11.7287.50 ± 10.50
Methamphetamine (20 mg)99.67 ± 10.6988.00 ± 19.36
SecondarySystolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (0 mg) Maintenance.

Systolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Millimeter of Mercury
Systolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (0 mg) Maintenance.
Millimeter of MercuryPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Methamphetamine (0 mg)132.67 ± 2.89128.75 ± 16.58
Methamphetamine (10 mg)133.00 ± 13.45131.00 ± 11.83
Methamphetamine (20 mg)132.67 ± 5.03144.25 ± 14.08
SecondarySystolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (20 mg) Maintenance.

Systolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Millimeter of Mercury
Systolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (20 mg) Maintenance.
Millimeter of MercuryPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Methamphetamine (0 mg)129.67 ± 2.31124.25 ± 25.02
Methamphetamine (10 mg)131.67 ± 18.61128.00 ± 17.22
Methamphetamine (20 mg)130.33 ± 13.20132.75 ± 15.95
SecondarySystolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (40 mg) Maintenance.

Systolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Millimeter of Mercury
Systolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (40 mg) Maintenance.
Millimeter of MercuryPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Methamphetamine (0 mg)133.33 ± 2.08129.75 ± 11.47
Methamphetamine (10 mg)129.00 ± 12.77132.25 ± 15.41
Methamphetamine (20 mg)130.00 ± 10.44139.25 ± 11.67
SecondarySystolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (60 mg) Maintenance.

Systolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Millimeter of Mercury
Systolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (60 mg) Maintenance.
Millimeter of MercuryPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Methamphetamine (0 mg)139.00 ± 4.00127.00 ± 15.06
Methamphetamine (10 mg)138.67 ± 11.59129.75 ± 14.97
Methamphetamine (20 mg)139.67 ± 3.06135.25 ± 15.39
SecondaryDiastolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (0 mg) Maintenance.

Diastolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Millimeter of Mercury
Diastolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (0 mg) Maintenance.
Millimeter of MercuryPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Methamphetamine (0 mg)80.00 ± 3.0078.50 ± 7.77
Methamphetamine (10 mg)82.33 ± 0.5883.75 ± 9.54
Methamphetamine (20 mg)87.33 ± 5.5186.25 ± 7.89
SecondaryDiastolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (20 mg) Maintenance.

Diastolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Millimeter of Mercury
Diastolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (20 mg) Maintenance.
Millimeter of MercuryPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Methamphetamine (0 mg)81.67 ± 4.5174.50 ± 10.02
Methamphetamine (10 mg)85.33 ± 8.5083.25 ± 11.03
Methamphetamine (20 mg)83.00 ± 3.6185.00 ± 7.96
SecondaryDiastolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (40 mg) Maintenance.

Diastolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Millimeter of Mercury
Diastolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (40 mg) Maintenance.
Millimeter of MercuryPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Methamphetamine (0 mg)78.00 ± 2.6581.00 ± 9.56
Methamphetamine (10 mg)84.67 ± 5.5182.25 ± 8.10
Methamphetamine (20 mg)84.67 ± 6.5185.00 ± 6.06
SecondaryDiastolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (60 mg) Maintenance.

Diastolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Millimeter of Mercury
Diastolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (60 mg) Maintenance.
Millimeter of MercuryPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Methamphetamine (0 mg)82.67 ± 5.5182.25 ± 5.74
Methamphetamine (10 mg)81.67 ± 8.0882.25 ± 7.93
Methamphetamine (20 mg)88.33 ± 4.7384.25 ± 10.37
SecondaryTemperature After Methamphetamine Administration Following Methylphenidate (0 mg) Maintenance.

Oral temperature (degrees fahrenheit) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Degrees Fahrenheit
Temperature After Methamphetamine Administration Following Methylphenidate (0 mg) Maintenance.
Degrees FahrenheitPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Methamphetamine (0 mg)98.10 ± 0.2698.45 ± 0.10
Methamphetamine (10 mg)98.23 ± 0.4098.48 ± 0.21
Methamphetamine (20 mg)98.40 ± 0.3698.48 ± 0.19
SecondaryTemperature After Methamphetamine Administration Following Methylphenidate (20 mg) Maintenance.

Oral temperature (degrees fahrenheit) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Degrees Fahrenheit
Temperature After Methamphetamine Administration Following Methylphenidate (20 mg) Maintenance.
Degrees FahrenheitPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Methamphetamine (0 mg)98.37 ± 0.2398.50 ± 0.08
Methamphetamine (10 mg)98.10 ± 0.3698.75 ± 0.26
Methamphetamine (20 mg)98.27 ± 0.3298.35 ± 0.10
SecondaryTemperature After Methamphetamine Administration Following Methylphenidate (40 mg) Maintenance.

Oral temperature (degrees fahrenheit) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Degrees Fahrenheit
Temperature After Methamphetamine Administration Following Methylphenidate (40 mg) Maintenance.
Degrees FahrenheitPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Methamphetamine (0 mg)98.17 ± 0.1598.60 ± 0.22
Methamphetamine (10 mg)98.13 ± 0.4098.65 ± 0.17
Methamphetamine (20 mg)98.43 ± 0.1598.55 ± 0.26
SecondaryTemperature After Methamphetamine Administration Following Methylphenidate (60 mg) Maintenance.

Oral temperature (degrees fahrenheit) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg)

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Degrees Fahrenheit
Temperature After Methamphetamine Administration Following Methylphenidate (60 mg) Maintenance.
Degrees FahrenheitPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Methamphetamine (0 mg)98.37 ± 0.3598.65 ± 0.17
Methamphetamine (10 mg)98.43 ± 0.1598.65 ± 0.06
Methamphetamine (20 mg)98.47 ± 0.3598.58 ± 0.10
SecondarySubjective Effects of Methamphetamine (0 mg) Administration Following Methylphenidate (0 mg) Maintenance.

Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Millimeters
Subjective Effects of Methamphetamine (0 mg) Administration Following Methylphenidate (0 mg) Maintenance.
MillimetersPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Sluggish/Fatigued/Lazy1.33 ± 1.530.00 ± 0.00
Restless1.00 ± 1.730.00 ± 0.00
Nervous/Anxious1.00 ± 1.730.00 ± 0.00
Nauseated/Queasy/Sick to Stomach1.00 ± 1.730.00 ± 0.00
Talkative/Friendly1.00 ± 1.730.00 ± 0.00
Irregular/Racing Heartbeat1.33 ± 2.310.00 ± 0.00
Euphoric0.67 ± 1.150.00 ± 0.00
Shaky/Jittery1.33 ± 2.310.00 ± 0.00
Active/Alert/Energetic1.33 ± 2.311.50 ± 3.00
Will Pay For1.33 ± 2.310.25 ± 0.50
Will Take Again1.67 ± 2.891.50 ± 3.00
Performance Improved1.33 ± 2.310.00 ± 0.00
Performance Impaired1.00 ± 1.730.00 ± 0.00
Stimulated1.00 ± 1.732.25 ± 4.50
Like Drug1.00 ± 1.730.00 ± 0.00
Rush1.00 ± 1.730.25 ± 0.50
High0.67 ± 1.150.00 ± 0.00
Good Effects1.33 ± 2.310.25 ± 0.50
Bad Effects1.00 ± 1.730.00 ± 0.00
Any Effect1.00 ± 1.731.25 ± 2.50
SecondarySubjective Effects of Methamphetamine (10 mg) Administration Following Methylphenidate (0 mg) Maintenance.

Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Millimeters
Subjective Effects of Methamphetamine (10 mg) Administration Following Methylphenidate (0 mg) Maintenance.
MillimetersPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Sluggish/Fatigued/Lazy22.33 ± 35.280.00 ± 0.00
Restless1.00 ± 1.731.00 ± 2.00
Nervous/Anxious0.67 ± 1.150.00 ± 0.00
Nauseated/Queasy/Sick to Stomach3.00 ± 5.200.00 ± 0.00
Talkative/Friendly4.33 ± 6.6612.50 ± 23.04
Irregular/Racing Heartbeat0.33 ± 0.582.25 ± 4.50
Euphoric15.67 ± 14.2918.25 ± 36.50
Shaky/Jittery1.00 ± 1.730.00 ± 0.00
Active/Alert/Energetic15.33 ± 24.8325.50 ± 34.84
Will Pay For23.00 ± 38.9722.25 ± 35.98
Will Take Again46.33 ± 45.0623.50 ± 32.25
Performance Improved7.00 ± 9.5411.50 ± 21.05
Performance Impaired11.33 ± 19.630.00 ± 0.00
Stimulated21.33 ± 36.0914.25 ± 18.15
Like Drug33.67 ± 57.4515.00 ± 15.10
Rush10.67 ± 18.488.25 ± 11.32
High9.33 ± 16.1712.00 ± 14.28
Good Effects12.67 ± 20.2113.75 ± 15.95
Bad Effects2.67 ± 4.620.00 ± 0.00
Any Effect12.67 ± 20.2116.00 ± 19.13
SecondarySubjective Effects of Methamphetamine (20 mg) Administration Following Methylphenidate (0 mg) Maintenance.

Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Millimeters
Subjective Effects of Methamphetamine (20 mg) Administration Following Methylphenidate (0 mg) Maintenance.
MillimetersPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Sluggish/Fatigued/Lazy10.33 ± 17.900.00 ± 0.00
Restless0.67 ± 1.150.50 ± 1.00
Nervous/Anxious0.67 ± 1.150.00 ± 0.00
Nauseated/Queasy/Sick to Stomach0.33 ± 0.580.00 ± 0.00
Talkative/Friendly20.00 ± 32.0513.75 ± 26.84
Irregular/Racing Heartbeat1.00 ± 1.734.25 ± 7.23
Euphoric21.67 ± 37.5316.00 ± 25.77
Shaky/Jittery0.67 ± 1.150.00 ± 0.00
Active/Alert/Energetic35.67 ± 55.7227.99 ± 30.67
Will Pay For36.67 ± 55.0820.50 ± 33.81
Will Take Again50.00 ± 47.7025.25 ± 25.62
Performance Improved26.33 ± 37.8512.00 ± 23.34
Performance Impaired32.67 ± 56.580.25 ± 0.50
Stimulated38.33 ± 53.4123.50 ± 27.09
Like Drug37.67 ± 54.0026.25 ± 27.56
Rush31.33 ± 54.2716.00 ± 20.54
High36.67 ± 55.0820.50 ± 22.55
Good Effects30.33 ± 44.7723.00 ± 23.17
Bad Effects23.67 ± 40.990.25 ± 0.50
Any Effect38.33 ± 43.8924.50 ± 24.08
SecondarySubjective Effects of Methamphetamine (0 mg) Administration Following Methylphenidate (20 mg) Maintenance.

Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Millimeters
Subjective Effects of Methamphetamine (0 mg) Administration Following Methylphenidate (20 mg) Maintenance.
MillimetersPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Sluggish/Fatigued/Lazy3.00 ± 2.650.00 ± 0.00
Restless1.33 ± 2.311.00 ± 2.00
Nervous/Anxious1.67 ± 2.890.00 ± 0.00
Nauseated/Queasy/Sick to Stomach1.67 ± 2.080.00 ± 0.00
Talkative/Friendly4.00 ± 6.930.75 ± 1.50
Irregular/Racing Heartbeat1.67 ± 2.890.25 ± 0.50
Euphoric4.00 ± 6.930.00 ± 0.00
Shaky/Jittery3.00 ± 5.200.00 ± 0.00
Active/Alert/Energetic3.33 ± 5.770.75 ± 1.50
Will Pay For8.00 ± 13.861.00 ± 2.00
Will Take Again11.67 ± 20.211.50 ± 3.00
Performance Improved2.67 ± 4.620.75 ± 1.50
Performance Impaired2.33 ± 4.040.25 ± 0.50
Stimulated4.67 ± 8.080.25 ± 0.50
Like Drug7.67 ± 13.281.50 ± 3.00
Rush4.67 ± 8.080.00 ± 0.00
High4.33 ± 7.511.50 ± 3.00
Good Effects4.00 ± 6.931.50 ± 3.00
Bad Effects2.67 ± 4.620.00 ± 0.00
Any Effect3.67 ± 6.351.50 ± 3.00
SecondarySubjective Effects of Methamphetamine (10 mg) Administration Following Methylphenidate (20 mg) Maintenance.

Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Millimeters
Subjective Effects of Methamphetamine (10 mg) Administration Following Methylphenidate (20 mg) Maintenance.
MillimetersPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Sluggish/Fatigued/Lazy10.67 ± 14.360.50 ± 1.00
Restless2.00 ± 3.460.50 ± 1.00
Nervous/Anxious2.00 ± 3.460.00 ± 0.00
Nauseated/Queasy/Sick to Stomach0.33 ± 0.580.00 ± 0.00
Talkative/Friendly14.67 ± 23.6913.75 ± 26.18
Irregular/Racing Heartbeat0.00 ± 0.000.00 ± 0.00
Euphoric22.00 ± 38.1113.00 ± 26.00
Shaky/Jittery0.67 ± 1.150.00 ± 0.00
Active/Alert/Energetic17.33 ± 27.4316.25 ± 23.30
Will Pay For33.33 ± 57.7418.50 ± 35.68
Will Take Again40.00 ± 52.7421.75 ± 34.25
Performance Improved15.00 ± 23.3913.00 ± 24.68
Performance Impaired5.67 ± 9.810.00 ± 0.00
Stimulated20.33 ± 32.6511.75 ± 22.19
Like Drug35.33 ± 56.0114.00 ± 24.06
Rush19.00 ± 32.913.00 ± 6.00
High21.67 ± 37.5314.25 ± 21.87
Good Effects21.00 ± 30.359.75 ± 15.59
Bad Effects6.33 ± 10.120.25 ± 0.50
Any Effect16.00 ± 19.9214.75 ± 18.39
SecondarySubjective Effects of Methamphetamine (20 mg) Administration Following Methylphenidate (20 mg) Maintenance.

Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Millimeters
Subjective Effects of Methamphetamine (20 mg) Administration Following Methylphenidate (20 mg) Maintenance.
MillimetersPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Sluggish/Fatigued/Lazy4.33 ± 7.510.00 ± 0.00
Restless9.33 ± 16.171.00 ± 2.00
Nervous/Anxious3.33 ± 5.770.00 ± 0.00
Nauseated/Queasy/Sick to Stomach1.67 ± 2.890.50 ± 1.00
Talkative/Friendly22.67 ± 37.5414.50 ± 27.01
Irregular/Racing Heartbeat3.00 ± 5.203.50 ± 5.20
Euphoric33.33 ± 57.7414.25 ± 22.34
Shaky/Jittery1.33 ± 2.310.00 ± 0.00
Active/Alert/Energetic30.00 ± 38.9724.50 ± 25.75
Will Pay For45.67 ± 50.5617.25 ± 25.89
Will Take Again48.00 ± 50.1224.75 ± 28.37
Performance Improved16.67 ± 23.3914.50 ± 25.77
Performance Impaired11.33 ± 19.630.25 ± 0.50
Stimulated36.67 ± 55.0819.75 ± 22.97
Like Drug47.33 ± 50.2118.75 ± 23.85
Rush33.33 ± 57.7412.75 ± 15.65
High33.33 ± 57.7416.50 ± 18.88
Good Effects35.67 ± 55.7314.25 ± 12.45
Bad Effects6.33 ± 10.120.00 ± 0.00
Any Effect36.33 ± 55.1613.75 ± 12.84
SecondarySubjective Effects of Methamphetamine (0 mg) Administration Following Methylphenidate (40 mg) Maintenance.

Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Millimeters
Subjective Effects of Methamphetamine (0 mg) Administration Following Methylphenidate (40 mg) Maintenance.
MillimetersPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Sluggish/Fatigued/Lazy0.00 ± 0.000.00 ± 0.00
Restless0.00 ± 0.000.50 ± 1.00
Nervous/Anxious0.00 ± 0.000.00 ± 0.00
Nauseated/Queasy/Sick to Stomach0.00 ± 0.000.00 ± 0.00
Talkative/Friendly8.00 ± 13.860.50 ± 1.00
Irregular/Racing Heartbeat0.67 ± 1.150.00 ± 0.00
Euphoric7.00 ± 12.120.00 ± 0.00
Shaky/Jittery0.67 ± 1.150.00 ± 0.00
Active/Alert/Energetic10.33 ± 17.900.50 ± 0.58
Will Pay For17.33 ± 30.020.75 ± 1.50
Will Take Again23.00 ± 39.841.00 ± 2.00
Performance Improved6.67 ± 11.550.00 ± 0.00
Performance Impaired7.67 ± 13.280.00 ± 0.00
Stimulated17.33 ± 30.020.50 ± 1.00
Like Drug16.33 ± 28.291.25 ± 2.50
Rush8.00 ± 13.860.00 ± 0.00
High10.67 ± 18.481.25 ± 2.50
Good Effects8.33 ± 14.431.25 ± 2.50
Bad Effects6.33 ± 10.970.00 ± 0.00
Any Effect7.00 ± 12.124.25 ± 5.68
SecondarySubjective Effects of Methamphetamine (10 mg) Administration Following Methylphenidate (40 mg) Maintenance.

Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Millimeters
Subjective Effects of Methamphetamine (10 mg) Administration Following Methylphenidate (40 mg) Maintenance.
MillimetersPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Sluggish/Fatigued/Lazy8.67 ± 15.015.50 ± 11.00
Restless5.33 ± 9.241.00 ± 2.00
Nervous/Anxious3.00 ± 5.200.00 ± 0.00
Nauseated/Queasy/Sick to Stomach2.00 ± 3.460.25 ± 0.50
Talkative/Friendly18.67 ± 32.3313.75 ± 24.86
Irregular/Racing Heartbeat2.00 ± 2.651.25 ± 2.50
Euphoric30.00 ± 51.969.75 ± 19.50
Shaky/Jittery6.33 ± 10.120.00 ± 0.00
Active/Alert/Energetic22.33 ± 37.8220.25 ± 26.56
Will Pay For33.00 ± 54.5817.00 ± 28.77
Will Take Again39.33 ± 51.6017.25 ± 28.04
Performance Improved20.00 ± 33.7811.25 ± 20.55
Performance Impaired6.00 ± 10.392.25 ± 4.50
Stimulated31.33 ± 51.699.50 ± 16.38
Like Drug33.67 ± 54.0015.00 ± 24.18
Rush30.00 ± 51.964.50 ± 8.35
High30.33 ± 51.6810.25 ± 15.48
Good Effects31.33 ± 51.689.25 ± 13.52
Bad Effects3.67 ± 6.352.50 ± 4.36
Any Effect30.33 ± 49.9411.50 ± 12.12
SecondarySubjective Effects of Methamphetamine (20 mg) Administration Following Methylphenidate (40 mg) Maintenance.

Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Millimeters
Subjective Effects of Methamphetamine (20 mg) Administration Following Methylphenidate (40 mg) Maintenance.
MillimetersPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Sluggish/Fatigued/Lazy1.33 ± 2.310.00 ± 0.00
Restless0.33 ± 0.581.25 ± 2.50
Nervous/Anxious0.00 ± 0.000.00 ± 0.00
Nauseated/Queasy/Sick to Stomach0.00 ± 0.000.00 ± 0.00
Talkative/Friendly25.33 ± 39.5515.50 ± 27.01
Irregular/Racing Heartbeat2.33 ± 4.040.75 ± 1.50
Euphoric33.00 ± 54.5814.75 ± 29.50
Shaky/Jittery7.00 ± 12.121.25 ± 2.50
Active/Alert/Energetic28.00 ± 41.6824.75 ± 27.22
Will Pay For38.00 ± 54.1521.25 ± 27.71
Will Take Again41.67 ± 51.8123.75 ± 26.74
Performance Improved12.33 ± 20.5015.00 ± 26.77
Performance Impaired5.33 ± 9.240.00 ± 0.00
Stimulated31.67 ± 48.8523.25 ± 26.89
Like Drug34.33 ± 49.3324.75 ± 26.29
Rush29.00 ± 49.376.75 ± 11.59
High28.00 ± 47.6320.50 ± 22.22
Good Effects35.00 ± 48.54522.75 ± 22.01
Bad Effects12.00 ± 10.820.00 ± 0.00
Any Effect33.67 ± 49.6619.50 ± 20.24
SecondarySubjective Effects of Methamphetamine (0 mg) Administration Following Methylphenidate (60 mg) Maintenance.

Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Millimeters
Subjective Effects of Methamphetamine (0 mg) Administration Following Methylphenidate (60 mg) Maintenance.
MillimetersPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Sluggish/Fatigued/Lazy0.00 ± 0.000.00 ± 0.00
Restless0.00 ± 0.000.00 ± 0.00
Nervous/Anxious0.00 ± 0.000.00 ± 0.00
Nauseated/Queasy/Sick to Stomach0.00 ± 0.000.00 ± 0.00
Talkative/Friendly12.33 ± 21.360.00 ± 0.00
Irregular/Racing Heartbeat0.00 ± 0.000.50 ± 1.00
Euphoric15.33 ± 26.560.00 ± 0.00
Shaky/Jittery0.00 ± 0.000.00 ± 0.00
Active/Alert/Energetic14.00 ± 24.250.25 ± 0.50
Will Pay For32.33 ± 50.060.00 ± 0.00
Will Take Again31.00 ± 48.593.00 ± 4.24
Performance Improved9.00 ± 15.590.00 ± 0.00
Performance Impaired14.33 ± 24.830.00 ± 0.00
Stimulated24.00 ± 41.570.00 ± 0.00
Like Drug29.67 ± 47.960.50 ± 1.00
Rush13.33 ± 23.090.00 ± 0.00
High12.00 ± 20.782.00 ± 2.45
Good Effects13.67 ± 23.670.75 ± 1.50
Bad Effects3.00 ± 5.200.00 ± 0.00
Any Effect15.33 ± 26.563.50 ± 5.74
SecondarySubjective Effects of Methamphetamine (10 mg) Administration Following Methylphenidate (60 mg) Maintenance.

Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Millimeters
Subjective Effects of Methamphetamine (10 mg) Administration Following Methylphenidate (60 mg) Maintenance.
MillimetersPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Sluggish/Fatigued/Lazy0.00 ± 0.000.00 ± 0.00
Restless5.00 ± 6.241.00 ± 2.00
Nervous/Anxious0.00 ± 0.000.00 ± 0.00
Nauseated/Queasy/Sick to Stomach4.67 ± 8.080.00 ± 0.00
Talkative/Friendly29.00 ± 50.2311.00 ± 18.74
Irregular/Racing Heartbeat0.00 ± 0.003.75 ± 3.77
Euphoric28.33 ± 49.0711.75 ± 16.50
Shaky/Jittery3.67 ± 6.352.00 ± 4.00
Active/Alert/Energetic25.00 ± 43.3023.00 ± 23.17
Will Pay For36.00 ± 54.7418.00 ± 23.19
Will Take Again33.33 ± 57.7423.75 ± 23.89
Performance Improved14.67 ± 25.409.50 ± 16.44
Performance Impaired5.33 ± 9.240.00 ± 0.00
Stimulated33.00 ± 52.8317.25 ± 18.19
Like Drug32.67 ± 55.7223.75 ± 23.30
Rush27.33 ± 47.3410.75 ± 21.50
High27.00 ± 46.7715.75 ± 16.58
Good Effects25.33 ± 43.8820.25 ± 18.37
Bad Effects4.67 ± 8.080.00 ± 0.00
Any Effect24.67 ± 41.8620.75 ± 18.39
SecondarySubjective Effects of Methamphetamine (20 mg) Administration Following Methylphenidate (60 mg) Maintenance.

Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine.

Time frame:
Daily over approximately 1 week of inpatient stay.
Reported as:
Mean · Millimeters
Subjective Effects of Methamphetamine (20 mg) Administration Following Methylphenidate (60 mg) Maintenance.
MillimetersPlacebo Comparator: PlaceboActive Comparator: Duloxetine
Sluggish/Fatigued/Lazy6.67 ± 11.550.00 ± 0.00
Restless0.00 ± 0.001.25 ± 1.89
Nervous/Anxious0.33 ± 0.580.00 ± 0.00
Nauseated/Queasy/Sick to Stomach0.00 ± 0.000.00 ± 0.00
Talkative/Friendly29.33 ± 50.2318.25 ± 31.94
Irregular/Racing Heartbeat30.67 ± 53.121.00 ± 2.00
Euphoric32.33 ± 56.0018.00 ± 35.34
Shaky/Jittery2.00 ± 3.460.25 ± 0.50
Active/Alert/Energetic37.33 ± 53.4621.50 ± 29.92
Will Pay For34.00 ± 57.1718.75 ± 32.31
Will Take Again37.67 ± 54.0421.50 ± 30.49
Performance Improved22.00 ± 33.0518.75 ± 33.00
Performance Impaired10.33 ± 17.9013.50 ± 27.00
Stimulated36.00 ± 53.7320.25 ± 32.57
Like Drug36.33 ± 54.3121.50 ± 31.72
Rush35.67 ± 53.352.50 ± 5.00
High37.00 ± 54.0320.25 ± 27.89
Good Effects39.00 ± 53.2320.25 ± 27.93
Bad Effects9.67 ± 16.740.00 ± 0.00
Any Effect38.00 ± 53.1119.25 ± 24.78
Other pre-specifiedAttentional Bias

Subjects will complete an attentional bias task. The number of inhibitory failures (i.e., commission errors) to "no-go" targets following methamphetamine-related stimuli will be used to evaluate attentional bias (range 0 - 1: greater values represent greater number of errors committed). Commission errors are when you response (i.e., press the corresponding key on a computer) when you were instructed not to respond.

Time frame:
12 sessions over approximately 4.5 weeks
Reported as:
Mean · Proportion of Responses
Attentional Bias
Proportion of ResponsesPlacebo Comparator: PlaceboActive Comparator: Duloxetine (60 mg)
Methylphenidate (0mg)0.07 ± 0.080.08 ± 0.07
Methylphenidate (20mg)0.04 ± 0.040.13 ± 0.09
Methylphenidate (40mg)0.08 ± 0.040.11 ± 0.05
Methylphenidate (60mg)0.12 ± 0.110.12 ± 0.06
Other pre-specifiedSnaith-Hamilton-Pleasure Scale to Measure Anhedonia (Inability to Experience Pleasure)

A 14-item Snaith-Hamilton-Pleasure Scale covers four domains of pleasure response (interest/pastimes, social interaction, sensory experience and food/drink) with higher scores representing less anhedonia. Scores range from 0 to 56 units: lower scores representing greater anhedonia.

Time frame:
4 times over approximately 4.5 weeks
Reported as:
Mean · Units on a Scale
Snaith-Hamilton-Pleasure Scale to Measure Anhedonia (Inability to Experience Pleasure)
Units on a ScalePlacebo Comparator: PlaceboActive Comparator: Duloxetine (60 mg)
Methylphenidate (0 mg)44.33 ± 8.3351.25 ± 6.60
Methylphenidate (20 mg)44.00 ± 3.4652.75 ± 4.72
Methylphenidate (40 mg)44.33 ± 5.5154.00 ± 2.45
Methylphenidate (60 mg)44.67 ± 5.8853.00 ± 6.00
Other pre-specifiedDelay Discounting for Methamphetamine

Subjects will complete a delay discounting task in 4 sessions following 4 days of medication maintenance. Subjects are presented a series of hypothetical choices between a smaller amount of methamphetamine offered "now" or a larger amount of methamphetamine offered a later times in the future (e.g., 4 hours, a day, 3 weeks). The discounting rate, 'k', is calculated and log10-transformed. Greater values of log-transformed 'k' correspond with greater rates of discounting (i.e., preference for smaller reinforcer provided now rather than larger, delayed reinforcers \[e.g., smaller amount of methamphetamine given now as opposed to a larger amount given later\]). The units for discounting rates are theoretical and not linked to a physical dimension (e.g., number of button presses) and the range is theoretically not bound (i.e., negative infinity to positive infinity).

Time frame:
4 sessions over approximately 4.5 weeks
Reported as:
Mean · log(k)
Delay Discounting for Methamphetamine
log(k)Placebo Comparator: PlaceboActive Comparator: Duloxetine (60 mg)
Methylphenidate (0mg)-1.40 ± 1.63-1.31 ± 0.72
Methylphenidate (20mg)-1.04 ± 1.10-1.27 ± 0.49
Methylphenidate (40mg)-1.45 ± 1.63-1.15 ± 0.33
Methylphenidate (60mg)-1.17 ± 1.91-1.04 ± 0.43
Other pre-specifiedDelay Discounting for Money

Subjects will complete a delay discounting task in 4 sessions following 4 days of medication maintenance. Subjects are presented a series of hypothetical choices between a smaller sum of money offered "now" or a larger sum of money offered a later times in the future (e.g., 4 hours, a day, 3 weeks). The discounting rate, 'k', is calculated and log10-transformed. Greater values of log-transformed 'k' correspond with greater rates of discounting (i.e., preference for smaller reinforcer provided now rather than larger, delayed reinforcers \[e.g., smaller sum of money given now as opposed to a larger sum given later\]). The units for discounting rates are theoretical and not linked to a physical dimension (e.g., number of button presses) and the range is theoretically not bound (i.e., negative infinity to positive infinity).

Time frame:
4 sessions over approximately 4.5 weeks
Reported as:
Mean · log(k)
Delay Discounting for Money
log(k)Placebo Comparator: PlaceboActive Comparator: Duloxetine (60 mg)
Methylphenidate (0mg)-1.40 ± 1.63-1.29 ± 0.76
Methylphenidate (20mg)-1.40 ± 1.63-1.37 ± 0.58
Methylphenidate (40mg)-1.45 ± 1.63-1.15 ± 0.33
Methylphenidate (60mg)-1.48 ± 1.43-1.04 ± 0.43

Adverse events

Collected over Assessed during 4.5 weeks of inpatient study.. Non-serious events are listed at a 0.29% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo Comparator: Placebo0/3 (0%)0/3 (0%)2/3 (66.7%)
Active Comparator: Duloxetine (60 mg)0/4 (0%)0/4 (0%)2/4 (50%)
Most frequent other events
Most frequent other events
EventPlacebo Comparator: PlaceboActive Comparator: Duloxetine (60 mg)
Elevated Heart RateCardiac disorders2/32/4
Elevated Blood PressureCardiac disorders2/32/4
MigraineVascular disorders1/30/4

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Placebo Comparator: PlaceboActive Comparator: DuloxetineTotal
<=18 years000
Between 18 and 65 years448
>=65 years000
Age, Continuous
Age, Continuous(Years)Placebo Comparator: PlaceboActive Comparator: DuloxetineTotal
Mean38 ± 13.0841.5 ± 13.1139.75 ± 11.07
Sex: Female, Male
Sex: Female, Male(Participants)Placebo Comparator: PlaceboActive Comparator: DuloxetineTotal
Female011
Male437
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Placebo Comparator: PlaceboActive Comparator: DuloxetineTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American101
White246
More than one race101
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(Participants)Placebo Comparator: PlaceboActive Comparator: DuloxetineTotal
United States448
07

Study locations

2 sites
  • University of Kentucky
    Lexington, Kentucky 40507, United States
  • University of Kentucky Medical Center
    Lexington, Kentucky 40536, United States
08

References and documents

Study documents

  • Protocol, analysis plan and consent form · Jul 8, 2019

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

09

Registry details

Key details

Study ID
NCT04178993
Lead sponsor
Craig Rush
Collaborators
National Institute on Drug Abuse (NIDA)
Responsible party
Craig Rush (Professor, University of Kentucky) — Sponsor-investigator
First posted
Nov 26, 2019
Start date
Sep 1, 2019
Primary completion
May 5, 2021
Completion
May 5, 2021
Results posted
Jan 9, 2023
Last update
Jan 9, 2023

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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