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NCT03016598: SOS

Stimulant Oxytocin Study

Completed Phase 2 Results posted Last updated 10 June 2021
What this trial tests

Phase 2 trial testing Intranasal oxytocin in Stimulant Use & Co-occuring Opioid Use Disorders in 42 participants. Completed in 14 February 2020.

Timeline
26 January 2018
Primary endpoint
14 February 2020
14 February 2020

Quick facts

Lead sponsorVA Office of Research and Development
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment42
Start date26 January 2018
Primary completion14 February 2020
Estimated completion14 February 2020
Sites3 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

VA Office of Research and Development — full company profile →

Who can join

18 and older, any sex, with Stimulant Use & Co-occuring Opioid Use Disorders. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Stimulant Positive Drug Screen Primary · Baseline, Visits 1-7, up to 7 weeks

Aim 1: To evaluate the effectiveness of intranasal oxytocin on reducing stimulant use.

Stimulant Positive: Baseline
GroupValue95% CI
Oxytocin9
Placebo12
Stimulant Positive: Week 1
GroupValue95% CI
Oxytocin9
Placebo10
Stimulant Postive: Week 2
GroupValue95% CI
Oxytocin10
Placebo11
Stimulant Positive: Week 3
GroupValue95% CI
Oxytocin8
Placebo11
Stimulant Positive: Week 4
GroupValue95% CI
Oxytocin8
Placebo12
Stimulant Positive: Week 5
GroupValue95% CI
Oxytocin9
Placebo12
Stimulant Positive: Week 6
GroupValue95% CI
Oxytocin9
Placebo11
Stimulant Positive: Week 7
GroupValue95% CI
Oxytocin9
Placebo11
Working Alliance Inventory (WAI) Secondary · Visits 1 and 7, Up to 7 weeks

Aim 2: To evaluate the effectiveness of intranasal oxytocin on improving psychosocial treatment engagement (social support) as measured by the Working Alliance Inventory, an inventory of therapeutic alliance. The Working Alliance Inventory is a 36 question inventory. Each item is scored from 1-7, minimum = 1 and maximum = 7. Minimum total score = 36 to maximum total score = 252. Higher scores represent higher satisfaction.

WAI Week 1: Self-Report
GroupValue95% CI
Oxytocin3.5972± 0.8816
Placebo3.8182± 0.8107
WAI Week 7: Self-Report
GroupValue95% CI
Oxytocin3.4676± 0.785
Placebo3.5208± 1.0516
WAI Week 1:Therapist
GroupValue95% CI
Oxytocin4.088± 0.7048
Placebo3.754± 0.7370
WAI Week 7: Therapist
GroupValue95% CI
Oxytocin4.1450± 0.7334
Placebo3.7486± 0.8308
Heart Rate in Response to Trier Social Stress Test (TSST). Secondary · Visits 1 and 7, up to 7 weeks

Aim 3: To evaluate the effectiveness of intranasal oxytocin on reducing stress-related psycho-physiological measures in response to the Trier Social Stress Test (TSST). The Trier Social Stress Test is a series of tasks which predictably induce stress in participants. First, physiological states are measured at baseline. Then participants are told they must prepare a 5 minute speech for a panel of researchers, which they then present. Participants are then asked verbal arithmetic questions. Finally, this is followed by a period of 5 minute rest referred to as the 'cooldown' period. Heart rate

Heart Rate Baseline: Week 1
GroupValue95% CI
Oxytocin77.252± 8.34820
Placebo68.1912± 13.9445
Heart Rate During Speech Prep: Week 1
GroupValue95% CI
Oxytocin77.5306± 11.1108
Placebo69.8634± 13.2503
Heart Rate During Speech: Week 1
GroupValue95% CI
Oxytocin85.3146± 12.1203
Placebo79.4769± 15.1165
Heart Rate During Arithmetic: Week 1
GroupValue95% CI
Oxytocin85.1227± 10.65619
Placebo77.8194± 15.6546
Heart Rate Cooldown: Week 1
GroupValue95% CI
Oxytocin72.0023± 18.7152
Placebo68.8551± 12.1091
Heart Rate Baseline: Week 7
GroupValue95% CI
Oxytocin76.116± 8.7493
Placebo72.6821± 11.9550
Heart Rate During Speech Prep: Week 7
GroupValue95% CI
Oxytocin74.9320± 8.4512
Placebo69.9714± 12.1507
Heart Rate During Speech: Week 7
GroupValue95% CI
Oxytocin81.8189± 8.1597
Placebo79.2512± 14.2214
Respiratory Rate in Response to Trier Social Stress Test (TSST). Secondary · Visits 1 and 7, up to 7 weeks

Aim 3: To evaluate the effectiveness of intranasal oxytocin on reducing stress-related psycho-physiological measures in response to the Trier Social Stress Test (TSST). The Trier Social Stress Test is a series of tasks which predictably induce stress in participants. First, physiological states are measured at baseline. Then participants are told they must prepare a 5 minute speech for a panel of researchers, which they then present. Participants are then asked verbal arithmetic questions. Finally, this is followed by a period of 5 minute rest referred to as the 'cooldown' period. Respirator

Respiratory Rate Baseline: Week 1
GroupValue95% CI
Oxytocin10.9117± 1.5119
Placebo11.2000± 2.9642
Respiratory Rate During Speech Prep: Week 1
GroupValue95% CI
Oxytocin11.0512± 3.3724
Placebo12.292± 2.9966
Respiratory Rate During Speech: Week 1
GroupValue95% CI
Oxytocin11.4533± 2.976
Placebo12.3352± 2.9521
Respiratory Rate During Arithmetic: Week 1
GroupValue95% CI
Oxytocin10.56± 1.7841
Placebo11.7565± 3.5337
Respiratory Rate Cooldown: Week 1
GroupValue95% CI
Oxytocin10.6278± 3.0036
Placebo10.5266± 2.1028
Respiratory Rate Baseline: Week 7
GroupValue95% CI
Oxytocin11.6779± 3.795
Placebo11.4583± 2.3595
Respiratory Rate During Speech Prep: Week 7
GroupValue95% CI
Oxytocin10.6251± 1.8414
Placebo12.7914± 3.7546
Respiratory Rate During Speech: Week 7
GroupValue95% CI
Oxytocin10.6675± 3.0857
Placebo11.5526± 3.304
Respiratory Sinus Arrythmia (RSA) in Response to Trier Social Stress Test (TSST). Secondary · Visits 1 and 7, up to 7 weeks

Aim 3: To evaluate the effectiveness of intranasal oxytocin on reducing stress-related psycho-physiological measures in response to the Trier Social Stress Test (TSST). The Trier Social Stress Test is a series of tasks which predictably induce stress in participants. First, physiological states are measured at baseline. Then participants are told they must prepare a 5 minute speech for a panel of researchers, which they then present. Participants are then asked verbal arithmetic questions. Finally, this is followed by a period of 5 minute rest referred to as the 'cooldown' period. Respirator

Respiratory Sinus Arrythmia During Baseline: Week 1
GroupValue95% CI
Oxytocin4.2435± 1.2701
Placebo4.9543± 1.8461
Respiratory Sinus Arrythmia During Speech Prep: Week 1
GroupValue95% CI
Oxytocin4.6264± 1.2903
Placebo4.7393± 1.5292
Respiratory Sinus Arrythmia During Speech: Week 1
GroupValue95% CI
Oxytocin3.5542± 1.2285
Placebo3.8212± 1.3293
Respiratory Sinus Arrythmia During Arithmetic: Week 1
GroupValue95% CI
Oxytocin3.5364± 1.1521
Placebo3.7893± 1.1818
Respiratory Sinus Arrythmia During Cooldown: Week1
GroupValue95% CI
Oxytocin4.3466± 1.0783
Placebo4.4933± 1.3137
Respiratory Sinus Arrythmia During Baseline: Week 7
GroupValue95% CI
Oxytocin4.1866± 1.1912
Placebo4.053± 1.7715
Respiratory Sinus Arrythmia During Speech Prep: Week 7
GroupValue95% CI
Oxytocin4.0099± 1.3911
Placebo4.2972± 1.6850
Respiratory Sinus Arrythmia During Speech: Week 7
GroupValue95% CI
Oxytocin3.6254± 1.3660
Placebo3.5998± 1.523
Root Mean Square of Successive Differences (RMSSD) of Heart Rate Variability in Response to Trier Social Stress Test (TSST). Secondary · Visits 1 and 7, up to 7 weeks

Aim 3: To evaluate the effectiveness of intranasal oxytocin on reducing stress-related psycho-physiological measures in response to the Trier Social Stress Test (TSST). The Trier Social Stress Test is a series of tasks which predictably induce stress in participants. First, physiological states are measured at baseline. Then participants are told they must prepare a 5 minute speech for a panel of researchers, which they then present. Participants are then asked verbal arithmetic questions. Finally, this is followed by a period of 5 minute rest referred to as the 'cooldown' period. The root m

RMSSD During Baseline: Week 1
GroupValue95% CI
Oxytocin26.8196± 41.5701
Placebo48.865± 48.2147
RMSSD During Speech Prep: Week 1
GroupValue95% CI
Oxytocin28.5447± 38.5287
Placebo37.7607± 44.6989
RMSSD During Speech: Week 1
GroupValue95% CI
Oxytocin22.5526± 44.3238
Placebo20.9388± 21.2336
RMSSD During Arithmetic: Week 1
GroupValue95% CI
Oxytocin21.113± 39.3470
Placebo21.1729± 18.4126
RMSSD During Cooldown: Week 1
GroupValue95% CI
Oxytocin29.7325± 53.4858
Placebo34.5220± 43.9497
RMSSD During Baseline Week 7
GroupValue95% CI
Oxytocin15.7941± 9.0513
Placebo26.3299± 30.7912
RMSSD During Speech Prep: Week 7
GroupValue95% CI
Oxytocin16.0198± 9.2258
Placebo28.1708± 31.7601
RMSSD During Speech: Week 7
GroupValue95% CI
Oxytocin12.9299± 7.5432
Placebo22.1121± 30.6961
Self-reported Stimulant Craving Secondary · Visits 1 and 7, Up to 7 weeks

Aim 4: To evaluate the effectiveness of intranasal oxytocin on reducing stimulant craving in response the Trier Social Stress Test (TSST). The Cocaine Craving Questionnaire (CCQ) (brief) was modified to include all stimulants and administered. The CCQ is a 10-item questionnaire, with each item ranking on a scale of 1-7. 1 indicates 'Strongly Disagree' and 7 indicates 'Strongly Agree'. Higher scores indicate higher rates of craving. The CCQ was administered at three distinct time points: before the TSST, immediately after the TSST and 20 minutes post-TSST. The Trier Social Stress Test is a se

Pre_Trier: Week 1
GroupValue95% CI
Oxytocin2.1667± 1.1827
Placebo1.82727± 1.1707
Imm_Post_Trier: Week 1
GroupValue95% CI
Oxytocin2.4389± 1.7446
Placebo2.35± 1.6964
20m_Post_Trier: Week 1
GroupValue95% CI
Oxytocin2.3056± 1.4941
Placebo1.8955± 1.2688
Pre_Trier: Week 7
GroupValue95% CI
Oxytocin1.7167± 1.0755
Placebo1.42± 0.7135
Imm_Post_Trier: Week 7
GroupValue95% CI
Oxytocin1.6833± 0.8535
Placebo1.48± 0.818
20m_Post_Trier: Week 7
GroupValue95% CI
Oxytocin1.7167± 1.058
Placebo1.67± 1.0255
Individual and Group Therapy Attendance Rates Secondary · Visits 1-7, Up to 7 weeks

Aim 5: To evaluate the effectiveness of intranasal oxytocin on improving psychosocial treatment engagement (social support) as measured by individual and group therapy attendance rates.

Attendance Proportion: Week 1
GroupValue95% CI
Oxytocin0.9352± 0.1416
Placebo0.8406± 0.3047
Attendance Proportion: Week 2
GroupValue95% CI
Oxytocin0.9333± 0.1183
Placebo0.8485± 0.2951
Attendance Proportion: Week 3
GroupValue95% CI
Oxytocin0.9241± 0.1652
Placebo0.8429± 0.3022
Attendance Proportion: Week 4
GroupValue95% CI
Oxytocin0.9260± 0.1828
Placebo0.7857± 0.3580
Attendance Proportion: Week 5
GroupValue95% CI
Oxytocin0.8704± 0.2181
Placebo0.7476± 0.3572
Attendance Proportion: Week 6
GroupValue95% CI
Oxytocin0.9444± 0.1560
Placebo0.7483± 0.3915
Attendance Proportion: Week 7
GroupValue95% CI
Oxytocin1± 0
Placebo0.75± 0.4443
Cortisol Levels in Response to Trier Social Stress Test (TSST). Secondary · Visits 1 and 7, up to 7 weeks

Aim 6: To evaluate the effectiveness of intranasal oxytocin on reducing stress biomarkers in response to the TSST.

Initial Cortisol Levels (ug/dL) Week 1
GroupValue95% CI
Oxytocin0.331± 0.263
Placebo0.319± 0.335
Pre-Trier Cortisol Levels (ug/dL) Week 1
GroupValue95% CI
Oxytocin0.283± 0.213
Placebo0.193± 0.163
Immediately Post-Trier Cortisol Levels (ug/dL) Week 1
GroupValue95% CI
Oxytocin0.286± 0.221
Placebo0.242± 0.286
20Minutes Post-Trier Cortisol Levels (ug/dL) Week 1
GroupValue95% CI
Oxytocin0.29± 0.184
Placebo0.211± 0.245
Initial Cortisol Levels (ug/dL) Week 7
GroupValue95% CI
Oxytocin0.206± 0.155
Placebo0.259± 0.154
Pre-Trier Cortisol Levels (ug/dL) Week 7
GroupValue95% CI
Oxytocin0.156± 0.093
Placebo0.197± 0.115
Immediately Post-Trier Cortisol Levels (ug/dL) Week 7
GroupValue95% CI
Oxytocin0.167± 0.112
Placebo0.184± 0.09
20 Minutes Post-Trier Cortisol Levels (ug/dL) Week 7
GroupValue95% CI
Oxytocin0.175± 0.130
Placebo0.168± 0.073
Dehydroepiandrosterone (DHEA) Levels in Response to Trier Social Stress Test (TSST) Secondary · Visits 1 and 7, up to 7 weeks

Aim 6: To evaluate the effectiveness of intranasal oxytocin on reducing stress biomarkers in response to the TSST.

Initial DHEA Levels (pg/mL) Week 1
GroupValue95% CI
Oxytocin86.230± 52.999
Placebo62.695± 67.462
Pre-Trier DHEA Levels (pg/mL) Week 1
GroupValue95% CI
Oxytocin90.313± 80.944
Placebo52.32± 55.91
Immediately Post-Trier DHEA Levels (pg/mL) Week 1
GroupValue95% CI
Oxytocin100.468± 76.830
Placebo63.471± 57.251
20 Minutes Post-Trier DHEA Levels (pg/mL) Week 1
GroupValue95% CI
Oxytocin81.742± 68.051
Placebo54.816± 52.980
Initial DHEA Levels(pg/mL) Week 7
GroupValue95% CI
Oxytocin87.674± 78.363
Placebo61.581± 77.382
Pre-Trier DHEA Levels (pg/mL) Week 7
GroupValue95% CI
Oxytocin75.221± 80.167
Placebo54.324± 57.183
Immediately Post-Trier DHEA Levels (pg/mL) Week 7
GroupValue95% CI
Oxytocin84.230± 72.875
Placebo69.291± 108.134
20 Minutes Post-Trier DHEA Levels (pg/mL) Week 7
GroupValue95% CI
Oxytocin82.009± 86.669
Placebo66.736± 103.362
Self-reported Stress/Anxiety Secondary · Visits 1 and 7, Up to 7 weeks

Aim 7: To evaluate the effectiveness of intranasal oxytocin on reducing self-reported stress/anxiety levels in response to the TSST. The scale used to measure anxiety was the State-Trait Anxiety Inventory (STAI-6). This scale consists of 40 questions, all of which are rated on a 4-point likert scale. 1 indicates 'Almost Never' while 4 indicates 'Almost Always'. The minimum score is 0, indicating no anxiety, and maximum score is 63, indicating severe anxiety.

Pre_Trier: Week 1
GroupValue95% CI
Oxytocin34.815± 13.778
Placebo32.2727± 11.0978
Imm_Post_Trier: Week 1
GroupValue95% CI
Oxytocin46.4815± 15.529
Placebo46.0606± 19.29
20m_Post_Trier: Week 1
GroupValue95% CI
Oxytocin36.8519± 14.4834
Placebo36.97± 14.5809
Pre_Trier: Week 7
GroupValue95% CI
Oxytocin35.185± 12.379
Placebo29.17± 11.38
Imm_Post_Trier: Week 7
GroupValue95% CI
Oxytocin42.222± 15.966
Placebo36.5± 11.7217
20m_Post_Trier: Week 7
GroupValue95% CI
Oxytocin35.741± 11.871
Placebo31± 11.726

Adverse events — posted to ClinicalTrials.gov

Time frame: 18 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Oxytocin
Serious: 0/18 (0%)
Deaths: 0/18
Placebo
Serious: 0/22 (0%)
Deaths: 0/22
Other adverse events (3 terms — click to expand)

ReactionSystemOxytocinPlacebo
ConstipationGastrointestinal disorders
Stinging sensationSkin and subcutaneous tissue disorders
HallucinationPsychiatric disorders

Data from ClinicalTrials.gov NCT03016598 adverse events section.

Sponsor's own description

This study will investigate the effects of intranasal administration of oxytocin, a social neuropeptide, on reducing stimulant use, enhancing therapeutic engagement, and susceptibility to stress-induced relapse in Veterans with stimulant use disorders and enrolled in opioid replacement therapy (ORT) program for co-occurring opioid use disorder (OUD).

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Intranasal Oxytocin for Stimulant Use Disorder Among Male Veterans Enrolled in an Opioid Treatment Program: A Randomized Controlled Trial.
    Stauffer CS, Samson S, Hickok A, Hoffman WF, et al · · 2021 · cited 5× · PMID 35111090 · DOI 10.3389/fpsyt.2021.804997

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing