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A Brain Imaging Study Into Nicotine Induced Dopamine Release in Cigarette Smokers.
This study is currently recruiting participants.
Verified by Hadassah Medical Organization, May 2008
Sponsored by: Hadassah Medical Organization
Information provided by: Hadassah Medical Organization
ClinicalTrials.gov Identifier: NCT00396669
  Purpose

Dopamine (DA) plays a critical role in nicotine (and other) addiction and this drug is known to release DA in brain areas mediating reward and motivational processes. Although imaging studies show that release of DA follows smoking, little is known regarding how common genetic polymorphisms for three genes associated in some studies with smoking (dopamine D2 receptor, dopamine and serotonin transporter) interact with smoking status and modulate individual differences in nicotine-induced DA release and dopamine receptor occupancy, in vivo. The current proposal combines brain imaging and genomics ('imaging genomics') towards partially unraveling the complex relationship between smoking phenotype and common polymorphisms. Understanding whether genetic factors contribute to inter-individual variability in smoking is crucial for interpreting imaging results in the context of disease pathology. We hypothesize that a model of vulnerability to addiction based on interactions between genotype, receptor and transporter availability and in vivo nicotine-induced DA release will elucidate some of the fundamental neurochemical and neurogenetic circuits underlying addiction.


Condition Intervention
Tobacco Use Disorder
Procedure: PET Brain Imaging

MedlinePlus related topics: Smoking
Drug Information available for: Dopamine Dopamine hydrochloride Raclopride Nicotine polacrilex Nicotine tartrate BaseLine
U.S. FDA Resources
Study Type: Interventional
Study Design: Diagnostic, Non-Randomized, Open Label, Uncontrolled, Factorial Assignment, Pharmacodynamics Study
Official Title: A Brain Imaging Study Into Nicotine Induced Dopamine Release in Cigarette Smokers, Using 11 C Raclopride in Positron Emission Tomography (PET)

Further study details as provided by Hadassah Medical Organization:

Primary Outcome Measures:
  • Dopamine D2 receptor occupancy before and after smoking a cigarette with nicotine [ Time Frame: 30 minutes ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Subjective measures of craving, anxiety and depression. [ Time Frame: 30 minutes ] [ Designated as safety issue: No ]

Estimated Enrollment: 24
Study Start Date: July 2007
Estimated Study Completion Date: December 2009
Estimated Primary Completion Date: April 2009 (Final data collection date for primary outcome measure)
Intervention Details:
    Procedure: PET Brain Imaging
    We measure dopamine release at the striatum using 11 C Raclopride at baseline and after smoking a cigarette
Detailed Description:

Dopamine plays a critical role in nicotine(and other) addiction and this drug is known to release DA in brain areas mediating reward and motivational processes. Although imaging studies show that release of DA follows smoking, little is known regarding how common some genetic polymorphisms proposed to play a role in nicotine dependence (e.g. DRD2, DAT and the serotonin transporter or SERT) interact with smoking status (non-smoker, ex-smoker, light smoker, present smoker) and modulate individual differences in nicotine-induced DA release and dopamine receptor occupancy, in vivo. Individual differences in dopaminergic tone could result in an under-stimulation of reward circuits which could put subjects at greater risk for seeking drug stimulation (that releases DA) as a means to compensate for this deficit and to temporarily activate these reward circuits. The current proposal combines brain imaging and genomics towards unraveling the complex relationship between smoking phenotype and common polymorphisms. Understanding whether genetic factors contribute to inter-individual variability is crucial for interpreting imaging results in the context of disease pathology.

Nicotine dependence is a complex process including initiation of smoking, persistence and difficulty in quitting. By comparing receptor occupancy, nicotine-induced DA release, and common genetic polymorphisms across smoking behaviors we will better understand the complex interactions between genetic makeup, personality and the several stages of nicotine addiction.

  Eligibility

Ages Eligible for Study:   21 Years to 50 Years
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • smokers who smoked 15 cigarettes/day and who met the DSM-IV criteria for nicotine dependence

Exclusion Criteria:

  • Subjects who are diagnosed as suffering from psychotic illness according to DSM-IV (Axis 1)22, or with a history of CNS disease, a history of infection that might affect CNS (HIV, syphilis, cytomegalovirus, herpes), or a history of head injury with loss of consciousness will be excluded.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00396669

Contacts
Contact: Aviv M Weinstein, Ph.D 00 972 2 6776705 vaviv@hadassah.org.il

Locations
Israel
Hadassah Medical Organization Recruiting
Jerusalem, Israel, 91120
Contact: Arik Tzukert, DMD     00 972 2 6776095     arik@hadassah.org.il    
Contact: Hadas Lemberg, Ph.D     00 972 2 6777572     lhadas@hadassah.org.il    
Principal Investigator: Aviv M Weinstein, Ph.D            
Sponsors and Collaborators
Hadassah Medical Organization
Investigators
Principal Investigator: Aviv M Weinstein, Ph.D Hadassah Medical Organization
Principal Investigator: Moshe Bocher, M.D Hadassah Medical Organization
  More Information

Responsible Party: Hadassah Medical Organization ( Dr Arik Zukert )
Study ID Numbers: 291006 HMO-CTIL
Study First Received: November 6, 2006
Last Updated: May 6, 2008
ClinicalTrials.gov Identifier: NCT00396669  
Health Authority: Israel: Israeli Health Ministry Pharmaceutical Administration

Keywords provided by Hadassah Medical Organization:
Nicotine
Dopamine
Imaging
Raclopride
Addiction
Genetics

Study placed in the following topic categories:
Nicotine polacrilex
Behavior, Addictive
Dopamine
Nicotine
Mental Disorders
Tobacco Use Disorder
Raclopride
Substance-Related Disorders
Disorders of Environmental Origin

Additional relevant MeSH terms:
Neurotransmitter Agents
Tranquilizing Agents
Cholinergic Agonists
Molecular Mechanisms of Pharmacological Action
Cardiotonic Agents
Sympathomimetics
Nicotinic Agonists
Physiological Effects of Drugs
Psychotropic Drugs
Central Nervous System Depressants
Dopamine Antagonists
Cardiovascular Agents
Antipsychotic Agents
Cholinergic Agents
Protective Agents
Pharmacologic Actions
Autonomic Agents
Therapeutic Uses
Ganglionic Stimulants
Dopamine Agents
Peripheral Nervous System Agents
Central Nervous System Agents

ClinicalTrials.gov processed this record on January 14, 2009