Beta-Adrenergic Modulation of Drug Cue Reactivity

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age21-60
SponsorUniversity of Oklahoma

About this trial

This study is designed to investigate the effects of a beta-adrenergic antagonist (Propranolol; 40 mg IR) and nicotine patch (14 mg) administered alone and in combination on neurobiological and behavioral responses to smoking cues in ongoing cigarette smokers. This is a basic experimental study in humans and participants will not take these medications for an extended period or make a cessation attempt as part of their involvement in this research project.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Generally healthy

Age 21-60

Right-handed using a three-item scale

Daily smoker of ≥ 5 cigarettes/day delivering 0.5 mg nicotine (FTC)

Disqualifiers

Inability to attend all required sessions

Significant health problems that would preclude active participation

Presence of conditions that would make MRI unsafe (e.g. pacemaker) or (e.g. weight and body shape)

Current use of psychoactive medications/drugs as indicated by self-report or urine screen

Trial design

Design model

Crossover

Treatments tested in this trial

  • Propranolol

    Drug

    Propranolol Capsule; 40 mg IR

  • Nicotine Patch

    Drug

    Nicotine Patch; 14 mg

  • Placebo Propranolol

    Drug

    Placebo Capsule, no active ingredients

  • Placebo Patch

    Drug

    Placebo Patch, no active ingredients

Treatment groups

80 Participants
are divided into 4 treatment groups
Group A: Placebo Patch/Placebo PropranololPlacebo comparator 2 interventions
Group B: Placebo Patch/Active PropranololExperimental treatment 2 interventions
Group C: Active Patch/Placebo PropranololExperimental treatment 2 interventions
Group D: Active Patch/Active PropranololExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Cue-Provoked Craving Ratings

Self-reported smoking urges in response to smoking and non-smoking cues during magnetic resonance imaging (MRI) scan. Scores range from 0 to 10 with higher values indicating increased craving for cigarettes.

Time frame
Approximately 4-5 hours
2

Blood-Oxygen Level Dependent (BOLD) Activation to Smoking Cues

Blood-Oxygen Level Dependent (BOLD) Contrast (Smoking-Neutral) in Anterior Hippocampus, Amygdala, Dorsal Anterior Insula, Medial Prefrontal Cortex, Posterior Cingulate Cortex and Ventral Striatum

Time frame
Approximately 4-5 hours
3

Association between Smoking Urge and Brain Activation

Indices of covariation between cue-provoked craving BOLD activation to smoking cues

Time frame
Approximately 4-5 hours
4

Hippocampus-Amygdala connectivity to smoking cues

Index of connectivity between these brain regions

Time frame
Approximately 4-5 hours

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Oklahoma

Lead sponsor

Oklahoma State University Center for Health Sciences

Collaborator

Duke University

Collaborator

National Institute on Drug Abuse (NIDA)

Collaborator

National Institutes of Health (NIH)

Collaborator