ClinicalTrials.gg
RecruitingNCT07825857T-STEMUpdated Oct 26, 2026

Randomized Controlled Trial of Tirzepatide for Methamphetamine Use Disorder

A Phase 2 interventional study of Tirzepatide and Placebo (saline) in Methamphetamine Use Disorder, sponsored by University of Texas Southwestern Medical Center. Recruiting at 4 sites in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-10-26.

Sponsored by University of Texas Southwestern Medical Center · Phase 2, Interventional, and Treatment

Updated Oct 26, 2026Now RecruitingSite recruiting status changed+1 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
228
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 10 studies in Substance-Related Disorders by University of Texas Southwestern Medical Center — 3 open to participants now, 3 under way, none of them phase 3. Substance-Related Disorders · University of Texas Southwestern Medical Center.

Started
2026
with 1 other
Phase 2
2 of 10
1 open now
Registered
9th of 10
by date

Among the 10 studies in Substance-Related Disorders by University of Texas Southwestern Medical Center, this one is one of 2 that started in 2026, is one of 2 in phase 2, and was the 9th registered.

Substance-Related Disorders

2,238 studies on the registry are indexed under Substance-Related Disorders; 409 are open to participants now.

Browse Substance-Related Disorders studies →

Open to participants now

3 of the 10 studies in Substance-Related Disorders by University of Texas Southwestern Medical Center are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

Where they have run

Who these studies take

Of the 266 Substance-Related Disorders studies recruiting now, 130 (49%) set no upper age limit and 118 (44%) stop at 75 or younger; 56 take children under 18; 89 take healthy volunteers.

This study: 18 Years to 65 Years · all sexes · no healthy volunteers.

The full table on the hub →

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02

Study summary

This is a phase 2, randomized, double-blind, placebo-controlled, parallel-group trial evaluating the tolerability, safety, and preliminary efficacy of tirzepatide for the treatment of individuals with moderate or severe methamphetamine use disorder (MtUD). The central hypothesis of the proposed research is that tirzepatide is a safe and potentially efficacious treatment of MtUD.

Participants will undergo study procedures over 32 weeks, including:

  1. completing self-assessments
  2. undergo brief physical and review of medical and psychiatric history
  3. provide urine and blood samples
  4. medical management sessions
  5. weekly subcutaneous study medication injections
Read the detailed description

Methamphetamine use disorder (MtUD) affects over 1.5 million U.S. adults annually and has no FDA-approved treatments. Preclinical studies and observational data suggest that glucagon-like peptide-1 receptor agonists (GLP-1RAs) may reduce stimulant use. Tirzepatide, a dual GLP-1/glucose-dependent insulinotropic peptide (GIP) receptor agonist approved for type 2 diabetes and weight management, has not been evaluated for MtUD in an adequately-powered randomized controlled trial. This Phase 2 double-blind, randomized controlled trial will enroll 228 adults with moderate or severe MtUD to receive weekly subcutaneous tirzepatide (2.5 mg/week titrated to 15 mg/week or maximally tolerated dose) or placebo for 26 weeks, followed by 6 weeks of follow-up. Safety will be monitored throughout.

The study aims are to: (1) assess tolerability (treatment discontinuation) and safety (serious adverse events) of tirzepatide; and (2) evaluate preliminary efficacy, including reduction in methamphetamine use (Timeline Follow-back), treatment response (≥6 of 8 urine drug screen [UDS] negative in weeks 23-26), and early remission (no longer meeting Diagnostic and Statistical Manual 5th edition [DSM-5] criteria at week 26). Secondary/exploratory aims include assessing reductions in methamphetamine craving and cravings for other substances.

03

Conditions studied

  • Methamphetamine Use Disorder

Keywords

  • methamphetamine
  • MUD
  • methamphetamine use disorder
  • tirzepatide
  • substance use
  • GLP-1
04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • be aged 18 to 65 years;
  • have moderate or severe methamphetamine use disorder;
  • have active pattern of methamphetamine use;
  • be interested in reducing or stopping methamphetamine use;
  • be able and willing to provide , comply with all study procedures, and adhere to weekly study medication injections;
  • be overweight or obese ( ≥25 kg/m²); and
  • (only for biological females) agree to use acceptable and undergo urine pregnancy testing unless unable to become pregnant

Exclusion criteria

Exclusion Criteria:

  • report using any glucagon like peptide 1 receptor agonists (GLP-1RA, including tirzepatide), sulfonylureas, or insulin in the past 90 days;
  • have a current eating disorder or severe alcohol or substance use disorder;
  • have personal or family history of medullary thyroid carcinoma, history of multiple endocrine neoplasia type 2, or , angioedema, or anaphylaxis to GLP-1RAs or tirzepatide;
  • have Stage 3 or higher chronic kidney disease, inadequately controlled diabetes, history of diabetic retinopathy, any unstable or serious medical or psychiatric condition, or any other reason or clinical condition that may either interfere with study participation or make the study participation unsafe (per investigator judgement);
  • are currently pregnant, breastfeeding, or planning pregnancy;
  • have received an drug within 30 days of ;
  • require psychiatric hospitalization;
  • have recent suicidal or current homicidal ideation;
  • are incarcerated or in court-mandated residential placement;
  • have unsafe use of alcohol, benzodiazepines, sedative/hypnotics, or other substances; or
  • have use of concurrent medications that may pose safety risks or interfere with study procedures.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
228 participants (estimated)

Study arms

  • Experimental
    Tirzepatide

    Eligible participants who are enrolled will receive once-weekly subcutaneous injections of tirzepatide for a 26-week period.

    Drug: Tirzepatide

  • Placebo comparator
    Placebo (Saline)

    Eligible participants who are enrolled will receive once-weekly subcutaneous injections of saline for a 26-week period.

    Drug: Placebo (saline)

Interventions

  • Eligible participants who are randomized to treatment group will receive once-weekly subcutaneous injections of tirzepatide for a 26-week period. Tirzepatide will start at 2.5 mg/week with planned dose increases every four weeks in 2.5 mg/week increments up to a maximum of 15 mg/week (or the maximally tolerated dose).

    Also known as: Zepbound, Mounjaro

  • DrugPlacebo (saline)

    Eligible participants who are randomized to placebo group will receive once-weekly subcutaneous injections of saline for a 26-week period.

06

What researchers measure

Primary outcomes

  1. Treatment response

    Proportion of participants who attain treatment response (≥6 of 8 urine drug screens (UDS) negative for methamphetamine in Weeks 23 to 26).

    Time frame: 26 weeks

Secondary outcomes

  1. Tolerability - stopping of treatment

    Proportion of participants discontinuing or stopping treatment before Week 26 visit.

    Time frame: 26 weeks

  2. Current craving for methamphetamine

    Severity score (range: 0-70) on stimulant craving questionnaire, higher score reflects more severe craving.

    Time frame: 27 weeks

  3. Early remission

    Proportion of participants no longer meeting DSM-5 criteria for at least 3 months (criterion for craving permitted) at the Week 27 visit.

    Time frame: 27 weeks

  4. Safety - occurrence of serious adverse event

    Proportion of participants with the occurrence of serious adverse event any time on or after Week 1 visit that is deemed to be related to study drug.

    Time frame: 26 weeks

  5. Reduction in self-reported use of methamphetamine

    From first day of Week 1 to last day of Week 26, participant's use of methamphetamine will be recorded as a binary variable (yes/no), and compared across the two treatment arms.

    Time frame: 26 weeks

  6. Worst past-week craving for methamphetamine

    Visual analog scale (VAS) for drug craving for methamphetamine, rated on 0-100, higher score indicates more severe craving

    Time frame: 27 weeks

07

Study locations

1 of 4 sites recruiting
  • University of Southern California (USC)
    Los Angeles, California 90032, United States
    Not yet recruiting
    • Jimena Estrada · Contactjimenaes@usc.edu · 213-962-0698
    • Christian Hendershot, PhD · Principal investigator
  • Center of Substance Use and Health
    San Francisco, California 94102, United States
    Not yet recruiting
  • Oklahoma State University (OSU) Center for Health Services
    Tulsa, Oklahoma 74136, United States
    Not yet recruiting
    • Katie Thompson, BS · Contactkthompson@okstate.edu · 603-978-2208
    • Kyle Simmons, PhD · Principal investigator
  • UT Southwestern Medical Center
    Dallas, Texas 75247, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — IPD data will be shared based on NIH Policy of Data Management and Sharing.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Oct 2026 (actual). Primary completion is estimated for Jul 2031, 56 months after the start.

Of 47 non-industry phase 2 interventional studies under Substance-Related Disorders, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 51. This study's planned 56 months is above that.

Counting every sponsor, half of 51 studies reached it within 35 months; a quarter within 24 and three quarters within 43.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 11, 2026
First posted
Sep 17, 2026
StartActual
Oct 23, 2026
Primary completionEst.
Jul 1, 2031
CompletionEst.
Aug 2031
Last update
Oct 26, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Not yet recruiting→Recruiting
changed Oct 26, 2026
Sites
4 sites changed recruiting status (3 now not yet recruiting, 1 now recruiting)
Show 4 sites
  • University of Southern California (USC) · Los Angeles, United Statesno status→Not yet recruiting
  • Center of Substance Use and Health · San Francisco, United Statesno status→Not yet recruiting
  • Oklahoma State University (OSU) Center for Health Services · Tulsa, United Statesno status→Not yet recruiting
  • UT Southwestern Medical Center · Dallas, United Statesno status→Recruiting
Oct 26, 2026
Start date
Oct 1, 2026→Oct 23, 2026 (actual)
Oct 26, 2026
Show all 1 update
  1. Oct 26, 2026
    Not yet recruiting→Recruiting
    4 sites changed recruiting status (3 now not yet recruiting, 1 now recruiting)
    Show 4 sites
    • University of Southern California (USC) · Los Angeles, United Statesno status→Not yet recruiting
    • Center of Substance Use and Health · San Francisco, United Statesno status→Not yet recruiting
    • Oklahoma State University (OSU) Center for Health Services · Tulsa, United Statesno status→Not yet recruiting
    • UT Southwestern Medical Center · Dallas, United Statesno status→Recruiting
    Start date Oct 1, 2026→Oct 23, 2026 (now actual)
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07825857
Responsible party
Manish Jha (Associate Professor-Psychiatry, University of Texas Southwestern Medical Center) — Principal investigator
First posted
Sep 17, 2026
Start date
Oct 23, 2026
Primary completion
Jul 1, 2031 (estimated)
Completion
Aug 2031 (estimated)
Last update
Oct 26, 2026

Study contacts

Elizabeth Dedrick, BS
Contact
elizabeth.dedrick@utsouthwestern.edu
469-602-2356
Shavonna Williams
Contact
shavonna.williams@utsouthwestern.edu
469-602-1926
Manish Jha, MBBS
principal investigator · University of Texas Southwestern Medical Center

Oversight

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

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Studies of the drug tested here: Tirzepatide

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