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Bupropion in the Treatment of Pathological Gambling

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University of Iowa

Status

Completed

Conditions

Pathological Gambling

Treatments

Drug: Placebo
Drug: Bupropion

Study type

Interventional

Funder types

Other
NIH

Identifiers

NCT00055393
R21MH063289 (U.S. NIH Grant/Contract)
200007038
DSIR AT-AS

Details and patient eligibility

About

This study will determine whether the drug bupropion is an effective treatment for Pathological Gambling.

Full description

As gambling opportunities proliferate, PG has become a major health concern. Despite its importance, few treatment options with proven efficacy exist. This study will attempt to identify an effective treatment for PG.

Participants are randomly assigned to receive either bupropion or placebo for 12 weeks. Participants are assessed at baseline and at Weeks 2, 3, 4, 5, 6, 8, 10, and 12. Self administered questionnaires and interviews are used to assess participants. Follow-up assessments are made 1, 3, and 6 months after study completion.

Enrollment

80 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Meet the criteria for Pathological Gambling (DSM-IV-TR), through the administration of the National Opinion Research Center DSM Screen for Gambling Problems(NODS);
  • Meet the criteria for Pathological Gambling (DSM-IV-TR), through the administration of the National Opinion Research Center DSM Screen for Gambling Problems(NODS);
  • Receive a score of 5 or more on the South Oaks Gambling Screen (SOGS);
  • Have PG for at least one year;
  • Have had at least 2 or more gambling episodes during the 2-week screening period;
  • Speak standard English;
  • Be able to give written informed consent.

Exclusion criteria

  • Evidence of current (past 3 months) substance misuse;
  • Had a Hamilton Depression Rating Scale (HDRS)27 score of 18 or more (or a score on item 1 of greater than 2;
  • Had a current eating disorder (except binge eating disorder);
  • Had any history of seizures, or suicidal or aggressive behavior;
  • Had a urine drug screen positive for stimulants, opiates, hallucinogens, or phencyclidine;
  • Had a current or past psychotic disorder, bipolar disorder, or significant cognitive disorder;
  • Received monoamine oxidase inhibitors within 3 weeks of randomization, long acting phenothiazine within 3 months of randomization,fluoxetine within 4 weeks of randomization, or other psychotropic drugs within 2 weeks of randomization;
  • Had prior exposure to bupropion;
  • Were engaged in individual, group, or couples psychotherapy during the 2 weeks before randomization, (except Gamblers Anonymous).

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

80 participants in 2 patient groups, including a placebo group

Subjects receivng Bupropion
Active Comparator group
Description:
The active arm subjects in this study (n = 18) received flexibly dosed bupropion in this randomized 12-week double-blind trial.
Treatment:
Drug: Bupropion
Subjects receiving Placebo
Placebo Comparator group
Description:
The inactive arm subjects in this randomly controlled study (n = 21) received a placebo.
Treatment:
Drug: Placebo

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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