Page last updated: 2024-10-24

buspirone and Cocaine Abuse

buspirone has been researched along with Cocaine Abuse in 8 studies

Buspirone: An anxiolytic agent and serotonin receptor agonist belonging to the azaspirodecanedione class of compounds. Its structure is unrelated to those of the BENZODIAZAPINES, but it has an efficacy comparable to DIAZEPAM.
buspirone : An azaspiro compound that is 8-azaspiro[4.5]decane-7,9-dione substituted at the nitrogen atom by a 4-(piperazin-1-yl)butyl group which in turn is substituted by a pyrimidin-2-yl group at the N(4) position.

Research Excerpts

ExcerptRelevanceReference
"Buspirone did not produce subject-rated drug effects but dose-dependently decreased diastolic blood pressure."2.84Effects of acute buspirone administration on inhibitory control and sexual discounting in cocaine users. ( Bolin, BL; Romanelli, MR; Rush, CR; Stoops, WW; Strickland, JC, 2017)
"Cocaine dependence is a significant public health problem for which there are currently no FDA-approved medications."2.77Evaluation of buspirone for relapse-prevention in adults with cocaine dependence: an efficacy trial conducted in the real world. ( Adinoff, B; Brady, KT; Brigham, G; Kropp, F; Lindblad, R; Liu, D; Sharma, G; Somoza, E; Sparenborg, S; Stitzer, M; Vanveldhuisen, P; Winhusen, T; Woody, G, 2012)
"Buspirone was also safe and tolerable when combined with cocaine and may have blunted some its cardiovascular effects."1.43Buspirone reduces sexual risk-taking intent but not cocaine self-administration. ( Beckmann, JS; Bolin, BL; Lile, JA; Marks, KR; Rush, CR; Stoops, WW, 2016)
"Buspirone was administered acutely to monkeys self-administering cocaine under a food-drug choice procedure in which a cocaine self-administration dose-effect curve was determined daily."1.42Effects of oral and intravenous administration of buspirone on food-cocaine choice in socially housed male cynomolgus monkeys. ( Czoty, PW; Nader, MA, 2015)

Research

Studies (8)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's8 (100.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Susukida, R1
Crum, RM1
Hong, H1
Stuart, EA1
Mojtabai, R1
Collins, GT1
France, CP1
Winhusen, TM1
Kropp, F2
Lindblad, R2
Douaihy, A1
Haynes, L1
Hodgkins, C1
Chartier, K1
Kampman, KM1
Sharma, G2
Lewis, DF1
VanVeldhuisen, P2
Theobald, J1
May, J1
Brigham, GS1
Langleben, DD1
Czoty, PW1
Nader, MA1
Bolin, BL2
Lile, JA1
Marks, KR1
Beckmann, JS1
Rush, CR2
Stoops, WW2
Strickland, JC1
Romanelli, MR1
Winhusen, T1
Brady, KT1
Stitzer, M1
Woody, G1
Brigham, G1
Liu, D1
Sparenborg, S1
Adinoff, B1
Somoza, E1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Randomized, Placebo-Controlled Trial of Extended-Release Naltrexone and Monthly Extended-Release Buprenorphine for Cocaine Use Disorder (CURB-2)[NCT05262270]Phase 2426 participants (Anticipated)Interventional2023-04-18Recruiting
URBAN ARCH (3/5) Uganda Cohort TB Preventive Therapy for HIV-infected Alcohol Users in Uganda: an Evaluation of Safety Tolerability and Adherence[NCT03302299]Phase 4302 participants (Actual)Interventional2017-04-07Completed
A Randomized Controlled Evaluation of Buspirone for Relapse-Prevention in Adults With Cocaine Dependence (BRAC)[NCT01641159]Phase 262 participants (Actual)Interventional2012-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Cumulative Incidence of Participants Experiencing a Grade 3/4 Hepatotoxicity

Safety will be assessed by the occurrence of a Grade 3/4 hepatotoxicity at any time during the assigned treatment period. (NCT03302299)
Timeframe: Hepatotoxicity occurring during the six month course (180 pills) of isoniazid (INH), which may be taken over a maximum of 9 months.

Interventionpercent (Number)
INH and Vitamin B68.3

Number of Participants Who Discontinued Treatment

Lack of tolerability will be defined as any isoniazid (INH) treatment discontinuation prior to completion of the prescribed course (6 months of INH taken over a maximum period of 9 months) due to side effects or alanine transaminase (ALT)/aspartate transaminase (AST) elevations. (NCT03302299)
Timeframe: Six month course (180 pills) of isoniazid (INH), which may be taken over a maximum of 9 months.

InterventionParticipants (Count of Participants)
INH and Vitamin B632

Number of Participants With Alanine Transaminase (ALT) or Aspartate Transaminase (AST) Elevations at Study Screening

Alanine transaminase (ALT) or aspartate transaminase (AST) elevations (>2x the upper limit of normal) at study screening (NCT03302299)
Timeframe: Study screening visit

InterventionParticipants (Count of Participants)
Study Screening80

Number of Participants With Latent Tuberculosis at Study Screening.

Latent tuberculosis assessed at screening via tuberculin skin testing (TST). A TST induration >=5mm was considered positive for latent tuberculosis. (NCT03302299)
Timeframe: Study screening visit

InterventionParticipants (Count of Participants)
Study Screening308

INH Concentration in Hair: (INH Pmol + Acetyl INH Pmol) Per mg of Hair

INH concentration in hair (pmol/mg) will be measured at 3- and 6- months during INH therapy. (NCT03302299)
Timeframe: Measured at 3- and 6- months after INH initiation

Interventionpmol/mg (Median)
at 3 monthsat 6 months
INH and Vitamin B636.037.8

Percentage of Participants With Suboptimal INH Medication Adherence

Suboptimal INH adherence was defined as <90% of days with at least 1 electronic medication management (EMM) pill cap opening in the previous 90 days, at 3- and 6-months. (NCT03302299)
Timeframe: Adherence will be measured over the 6 months on INH or until INH discontinuation (whichever is shorter)

Interventionpercentage of participants (Number)
at 3 monthsat 6 months
INH and Vitamin B631.343.9

Self-reported INH Medication Adherence: Number of Days Taking INH in the Past 30 Days

"Participants were asked In the past 30 days, how many days in total have you not taken your pill? and were presented with a visual analog scale (VAS) to indicate the percentage of INH taken in the past 30 days. We converted the VAS percentage into number of days out of 30 to match the first question. Our final self-report measure was the minimum number of the 2 self-reported measurements." (NCT03302299)
Timeframe: Self-reported INH medication adherence via VAS will be measured 3- and 6- months after starting INH

Interventiondays (Median)
at 3 monthsat 6 months
INH and Vitamin B63030

Self-reported INH Medication Adherence by the Self Rating Single Item (SRSI) Scale

The Self Rating Single Item (SRSI) adherence scale asks participants to rate their ability to take their medications as prescribed over the past 30 days. Participants reporting INH use in the prior 30 days at the 3- or 6-month interview are included here, and reported their INH adherence in the prior 30 days as excellent, very good, good, fair, poor, or very poor. (NCT03302299)
Timeframe: Self-reported INH medication adherence via SRSI will be measured 3- and 6- months after starting INH

InterventionParticipants (Count of Participants)
At 3 months72558043At 6 months72558043
ExcellentVery goodGoodFairPoorVery poor
INH and Vitamin B6160
INH and Vitamin B679
INH and Vitamin B638
INH and Vitamin B62
INH and Vitamin B6124
INH and Vitamin B690
INH and Vitamin B641
INH and Vitamin B64
INH and Vitamin B60
INH and Vitamin B61

Cocaine-use Days

Cocaine use days during days 22-105 as assessed by UDS and self-report combined with no imputation (NCT01641159)
Timeframe: study week 16

Interventionproportion of cocaine use days (Number)
Buspirone Plus TAU0.153
Placebo Plus TAU0.134

Maximum Days of Continuous Cocaine Abstinence

The primary outcome measure selected for the present two-stage protocol is the maximum days of continuous cocaine abstinence during study weeks 4-15. The Timeline Follow-back (TLFB) procedure (Sobell and Sobell, 1992; Fals-Stewart, 2000) will be used to assess the participants' self-reported use of substances for each day of the study. A rapid UDS system that screens for drugs of abuse will be used to analyze the urine samples. (NCT01641159)
Timeframe: study week 16

InterventionDays (Mean)
Buspirone Plus TAU42.9
Placebo Plus TAU46.6

Reviews

1 review available for buspirone and Cocaine Abuse

ArticleYear
Comparing pharmacological treatments for cocaine dependence: Incorporation of methods for enhancing generalizability in meta-analytic studies.
    International journal of methods in psychiatric research, 2018, Volume: 27, Issue:4

    Topics: Adult; Anti-Anxiety Agents; Buspirone; Central Nervous System Stimulants; Cocaine-Related Disorders;

2018

Trials

3 trials available for buspirone and Cocaine Abuse

ArticleYear
Multisite, randomized, double-blind, placebo-controlled pilot clinical trial to evaluate the efficacy of buspirone as a relapse-prevention treatment for cocaine dependence.
    The Journal of clinical psychiatry, 2014, Volume: 75, Issue:7

    Topics: Adult; Anti-Anxiety Agents; Buspirone; Cocaine-Related Disorders; Double-Blind Method; Female; Human

2014
Multisite, randomized, double-blind, placebo-controlled pilot clinical trial to evaluate the efficacy of buspirone as a relapse-prevention treatment for cocaine dependence.
    The Journal of clinical psychiatry, 2014, Volume: 75, Issue:7

    Topics: Adult; Anti-Anxiety Agents; Buspirone; Cocaine-Related Disorders; Double-Blind Method; Female; Human

2014
Multisite, randomized, double-blind, placebo-controlled pilot clinical trial to evaluate the efficacy of buspirone as a relapse-prevention treatment for cocaine dependence.
    The Journal of clinical psychiatry, 2014, Volume: 75, Issue:7

    Topics: Adult; Anti-Anxiety Agents; Buspirone; Cocaine-Related Disorders; Double-Blind Method; Female; Human

2014
Multisite, randomized, double-blind, placebo-controlled pilot clinical trial to evaluate the efficacy of buspirone as a relapse-prevention treatment for cocaine dependence.
    The Journal of clinical psychiatry, 2014, Volume: 75, Issue:7

    Topics: Adult; Anti-Anxiety Agents; Buspirone; Cocaine-Related Disorders; Double-Blind Method; Female; Human

2014
Multisite, randomized, double-blind, placebo-controlled pilot clinical trial to evaluate the efficacy of buspirone as a relapse-prevention treatment for cocaine dependence.
    The Journal of clinical psychiatry, 2014, Volume: 75, Issue:7

    Topics: Adult; Anti-Anxiety Agents; Buspirone; Cocaine-Related Disorders; Double-Blind Method; Female; Human

2014
Multisite, randomized, double-blind, placebo-controlled pilot clinical trial to evaluate the efficacy of buspirone as a relapse-prevention treatment for cocaine dependence.
    The Journal of clinical psychiatry, 2014, Volume: 75, Issue:7

    Topics: Adult; Anti-Anxiety Agents; Buspirone; Cocaine-Related Disorders; Double-Blind Method; Female; Human

2014
Multisite, randomized, double-blind, placebo-controlled pilot clinical trial to evaluate the efficacy of buspirone as a relapse-prevention treatment for cocaine dependence.
    The Journal of clinical psychiatry, 2014, Volume: 75, Issue:7

    Topics: Adult; Anti-Anxiety Agents; Buspirone; Cocaine-Related Disorders; Double-Blind Method; Female; Human

2014
Multisite, randomized, double-blind, placebo-controlled pilot clinical trial to evaluate the efficacy of buspirone as a relapse-prevention treatment for cocaine dependence.
    The Journal of clinical psychiatry, 2014, Volume: 75, Issue:7

    Topics: Adult; Anti-Anxiety Agents; Buspirone; Cocaine-Related Disorders; Double-Blind Method; Female; Human

2014
Multisite, randomized, double-blind, placebo-controlled pilot clinical trial to evaluate the efficacy of buspirone as a relapse-prevention treatment for cocaine dependence.
    The Journal of clinical psychiatry, 2014, Volume: 75, Issue:7

    Topics: Adult; Anti-Anxiety Agents; Buspirone; Cocaine-Related Disorders; Double-Blind Method; Female; Human

2014
Effects of acute buspirone administration on inhibitory control and sexual discounting in cocaine users.
    Human psychopharmacology, 2017, Volume: 32, Issue:1

    Topics: Adult; Anti-Anxiety Agents; Buspirone; Cocaine-Related Disorders; Delay Discounting; Double-Blind Me

2017
Evaluation of buspirone for relapse-prevention in adults with cocaine dependence: an efficacy trial conducted in the real world.
    Contemporary clinical trials, 2012, Volume: 33, Issue:5

    Topics: Aftercare; Buspirone; Cocaine-Related Disorders; Double-Blind Method; Female; Humans; Male; Medicati

2012

Other Studies

4 other studies available for buspirone and Cocaine Abuse

ArticleYear
Effects of lorcaserin and buspirone, administered alone and as a mixture, on cocaine self-administration in male and female rhesus monkeys.
    Experimental and clinical psychopharmacology, 2018, Volume: 26, Issue:5

    Topics: Animals; Behavior, Addictive; Benzazepines; Buspirone; Cocaine; Cocaine-Related Disorders; Disease M

2018
Focus on addiction: Buspirone for cocaine relapse and monitoring controlled substances prescribed to dually diagnosed patients.
    The Journal of clinical psychiatry, 2014, Volume: 75, Issue:7

    Topics: Analgesics, Opioid; Anti-Anxiety Agents; Buspirone; Cocaine-Related Disorders; Controlled Substances

2014
Effects of oral and intravenous administration of buspirone on food-cocaine choice in socially housed male cynomolgus monkeys.
    Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2015, Mar-13, Volume: 40, Issue:5

    Topics: Administration, Intravenous; Administration, Oral; Animals; Benzamides; Buspirone; Catheters, Indwel

2015
Buspirone reduces sexual risk-taking intent but not cocaine self-administration.
    Experimental and clinical psychopharmacology, 2016, Volume: 24, Issue:3

    Topics: Adult; Buspirone; Cocaine; Cocaine-Related Disorders; Condoms; Cross-Over Studies; Delay Discounting

2016