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Stimulant

Mirtazapine for Methamphetamine Addiction

Phase 1
Recruiting
Led By Phillip Coffin, MD, MIA
Research Sponsored by San Francisco Department of Public Health
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Age 18-55 years inclusive
age 18-55 years inclusive;
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 24 days
Awards & highlights

Study Summary

This trial will study the effects of the drug mirtazapine on methamphetamine users. It will test if the drug alters the cardiovascular response or the pharmacokinetics of methamphetamine. The trial will also study if these effects are different in methamphetamine users who also use opioids.

Who is the study for?
This study is for English-speaking adults aged 18-55 with methamphetamine use disorder, not seeking treatment for it. Participants must have a stable heart rate and blood pressure, normal EKG results, and no serious health issues. Women must not be pregnant or breastfeeding and agree to birth control measures. People using opioids can join if on methadone but not other drugs.Check my eligibility
What is being tested?
The trial tests how mirtazapine affects the body's response to injected methamphetamine (MA), including changes in cardiovascular reactions and MA levels in the blood. It also examines these effects when used alongside methadone maintenance therapy in two groups of participants who are active MA users.See study design
What are the potential side effects?
Potential side effects may include changes in heart rate or blood pressure due to drug interactions between mirtazapine and methamphetamine. Other risks could involve typical responses to either substance such as fatigue, confusion, digestive upset, mood swings, or more severe cardiovascular events.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I am between 18 and 55 years old.
Select...
I am between 18 and 55 years old.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~24 days
This trial's timeline: 3 weeks for screening, Varies for treatment, and 24 days for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Metabolism of methamphetamine in presence of steady state mirtazapine
Safety Measures
Secondary outcome measures
Impact of mirtazapine on discounting in the presence of methamphetamine
Impact of mirtazapine on mood produced by methamphetamine use
Impact of mirtazapine on subjective effects of methamphetamine reinforcement
+2 more

Side effects data

From 2014 Phase 4 trial • 38 Patients • NCT01178671
44%
nausea
43%
sexual dysfunction (men)
43%
decreased libido (men)
33%
fatigue
28%
somnolence
28%
dry mouth
28%
constipation
28%
decreased appetite
28%
sweating
28%
urinary dysfunction
28%
diarrhea
28%
tremor
27%
decreased libido (women)
22%
lightheadedness
22%
forgetfulness
22%
impaired concentration
18%
sexual dysfunction (women)
17%
apathy
17%
heartburn
17%
emesis
17%
headache
11%
incoordination
11%
blurry vision
11%
increased appetite
11%
insomnia
6%
nervousness
6%
skin problems
6%
bruising
6%
restlessness
100%
80%
60%
40%
20%
0%
Study treatment Arm
Sertraline and Sugar Pill
Sertraline and Mirtazapine

Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: MirtazapineExperimental Treatment2 Interventions
Mirtazapine 30 mg PO daily x 4 days
Group II: PlaceboPlacebo Group1 Intervention
Placebo 30 mg PO Daily x 4 days
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Mirtazapine
FDA approved
Metamfetamine
FDA approved

Find a Location

Logistics

Participation is compensated

You will be compensated for participating in this trial.

Who is running the clinical trial?

San Francisco Department of Public HealthLead Sponsor
35 Previous Clinical Trials
34,327 Total Patients Enrolled
University of California, Los AngelesOTHER
1,530 Previous Clinical Trials
10,264,684 Total Patients Enrolled
Phillip Coffin, MD, MIAPrincipal Investigator - Director, Substance Use Division, San Francisco Department of Public Health
San Francisco Department of Public Health
2 Previous Clinical Trials
163 Total Patients Enrolled

Media Library

Methamphetamine (Stimulant) Clinical Trial Eligibility Overview. Trial Name: NCT04614584 — Phase 1
Drug Interaction Research Study Groups: Placebo, Mirtazapine
Drug Interaction Clinical Trial 2023: Methamphetamine Highlights & Side Effects. Trial Name: NCT04614584 — Phase 1
Methamphetamine (Stimulant) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04614584 — Phase 1
Drug Interaction Patient Testimony for trial: Trial Name: NCT04614584 — Phase 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Has the FDA sanctioned Mirtazapine for therapeutic applications?

"Given that it is a Phase 1 trial, the safety of mirtazapine has been assessed at level one on the scale due to limited evidence in terms of both efficacy and security."

Answered by AI

What beneficial outcomes is the trial hoping to achieve?

"This 24-day medical trial focuses on the biotransformation of methamphetamine in tandem with steady state mirtazapine. Additionally, secondary objectives include evaluating the impact of mirtazapine use on mood (via Addiction Research Inventory short form), preference for methamphetamine when combined with mirtazapine (measured by Drug Purchase Task) and reactions to reinforced stimulant effects from methamphetamine usage (Subjective Effects Questionnaire)."

Answered by AI

Is this particular research endeavor currently looking for participants?

"That is correct. According to information from clinicaltrials.gov, this medical research initiative was uploaded on July 12th 2021 and last updated August 16th 2021. The trial requires 24 individuals for participation across 3 distinct healthcare facilities."

Answered by AI

What clinical indications is Mirtazapine typically employed to address?

"Mirtazapine is a common medication used to treat attention deficit hyperactivity disorder (ADHD). However, its applications are not limited to this diagnosis as it can also be beneficial for managing panic attacks, major depressive disorder (MDD), and poststroke depression."

Answered by AI

Are there any previous experiments that have utilized Mirtazapine?

"Currently, 12 clinical trials are underway looking into the efficacy of Mirtazapine with 2 studies in their final phases. These medical evaluations span 35 different sites, many situated within Orange County, California."

Answered by AI

What is the uppermost threshold of participants enrolled in this experiment?

"Affirmative, the clinicaltrials.gov app indicates that this trial is presently recruiting participants. The study was first listed on July 12th 2021 and has been revised recently on August 16th 2021. 24 individuals are required from 3 medical centres for participation in the experiment."

Answered by AI

Who else is applying?

What state do they live in?
California
What portion of applicants met pre-screening criteria?
Met criteria
Did not meet criteria
How many prior treatments have patients received?
3+
0
What site did they apply to?
UCLA Medical Center
San Francisco Department of Public Health

Why did patients apply to this trial?

I take different medication and I am interested in the trial about drug interactions.
PatientReceived 2+ prior treatments
I am totally incapable of staying sober from amphetamines and a drug that could potentially help with the problem is of paramount importance to me .
PatientReceived 2+ prior treatments
I am not sure because in all honesty I have severe ADHD and I think Meth actually helps me and calms me more than anything. I just wish there was a cleaner, legal, non harmful version of it. It boosts my mood, it gives me more energy, I can concentrate on it, when you meet me you will never know I am on it. I've done it for years now and no one has the slightest idea. It literally helps me in every avenue of my life but I know it's not good for you so I don't know.
PatientReceived 2+ prior treatments
~9 spots leftby Dec 2025