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Completed

NCT Number: NCT00900900

The Effects of One-Time Pregnenolone, Dehydroepiandrosterone (DHEA), or Placebo Administration On Withdrawal Symptoms, Mood, Craving And Cigarette Evaluation Ratings In Male Smokers

This study will evaluate the potential therapeutic value of two neurosteroid treatments (DHEA and pregnenolone) in the treatment of tobacco withdrawal symptoms. This will include assessing whether these agents relieve craving for cigarettes elicited by exposure to a mildly stressful cognitive task. Pregnenolone (400 mg orally), DHEA (400 mg orally) and placebo will be administered one at each of the three sessions in a randomized order.

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Key information

Age range

18 year–65 year

Sex eligibility

Male

Study type

Interventional

Phase

Phase 2

Primary location

Duke Center for Nicotine & Smoking Cessation Research, Durham, North Carolina, United States

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • male;
  • 18-65 years old;
  • smoked an average of at least 10 cigarettes per day for three cumulative or continuous years of a brand that delivers (by Federal Trade Commission rated yields) at least 0.5 mg nicotine;
  • afternoon expired carbon monoxide reading of at least 10 ppm;
  • in general good health, based on physical examination, EKG serum chemistries, CBC and urinalysis.

Exclusion criteria

  • Participants must not have uncontrolled hypertension (systolic >140 mm Hg, diastolic >95 mm Hg)
  • hypotension (systolic <90 mm Hg, diastolic <60 mm Hg);
  • coronary heart disease;
  • heart attack;
  • cardiac rhythm disorder (irregular heart rhythm);
  • chest pains (unless history, exam, and EKG clearly indicate a non-cardiac source);
  • cardiac (heart) disorder (including but not limited to valvular heart disease, heart murmur, heart failure);
  • liver or kidney disorder (except kidney stones, gallstones);
  • gastrointestinal problems or disease other than gastroesophageal reflux,
  • heartburn, or irritable bowel syndrome;
  • ulcers within the past 6 months;
  • lung disorder (including but not limited to COPD, emphysema, and asthma);
  • brain abnormality (including but not limited to, stroke, brain tumor, seizure disorder);
  • history of fainting;
  • problems giving blood samples;
  • diabetes;
  • current cancer or treatment for cancer in the past 6 months (except basal or squamous cell skin cancer);
  • other major medical condition;
  • major depression, panic disorder, anxiety, bipolar disorder, schizophrenia, risk of suicide, or substance dependence other than nicotine dependence;
  • subjects who endorse suicidal ideation on the MINI abridged;
  • alcohol or drugs abuse;
  • reported use of illicit drugs within the past 30 days, or if the drug screen is positive;
  • reported use of smokeless tobacco (chewing tobacco, snuff), cigars, pipes, or nicotine replacement therapy; testosterone replacement therapy, DHEA or Pregnenolone; experimental (investigational) drugs; psychiatric medications (including antidepressants, anti-anxiety agents. anti-psychotics), sleep aids, medications that increase DHEA and/or DHEA-S concentrations (including, but not limited to: diltiazem, benfluorex, amlodipine, alprazolam, danazol, metformin, nitrendipine and retinol), or any other medications that are known to affect smoking (e.g. clonidine, muscle relaxants, opiate pain medications) within the past 2 weeks.

Treatment and study plan

dehydroepiandrosterone (DHEA)

Dietary Supplement

one-time 400mg oral dose of DHEA

pregnenolone

Dietary Supplement

one-time 400mg oral dose of pregnenolone

Placebo

Drug

one-time dose oral dose

Primary outcomes

  1. The administration of DHEA or pregnenolone will reduce smoking withdrawal symptoms.

    Time frame: 6 months

Secondary outcomes

  1. The administration of DHEA or pregnenolone will reduce the subjective rewarding effects of nicotine inhaled in cigarette smoke.

    Time frame: 6 months

  2. The administration of DHEA or pregnenolone will reduce stress-induced changes in mood and craving for cigarettes.

    Time frame: 6 months

Sponsors and collaborators

Lead sponsor

Jed E. Rose

Other

Registry information

Official study title

The Effects of One-Time Pregnenolone, DHEA, Or Placebo Administration On Withdrawal Symptoms, Mood, Craving And Cigarette Evaluation Ratings In Male Smokers

Acronym: DHEA

Important dates

Study start
2009
Primary completion
2011
Study completion
2011
First posted
May 13, 2009
Registry last updated
Sep 21, 2012

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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