Pharmacokinetic and Safety Evaluation of L-tetrahydropalmatine (l-THP) With Cocaine Exposure in People With a History of Cocaine Use

Inclusion/Exclusion Criteria:

Inclusion criteria:

1. men or non-pregnant/non-nursing women between the ages of 18 and 50 years old
2. self reported history of cocaine use (intranasal, IV or smoked) averaging at least twice monthly for at least one month over the prior year
3. self- reported use at least one use in the past six months of a cocaine dose equivalent to 40 mg intranasal or 15 mg smoked or intravenous, based on participant's best estimate of weight and/or street price of amount ingested and a
4. positive urine drug test for cocaine use at least once in past 1 year
5. HIV seronegative
6. hepatitis C seronegative
7. EKG without clinically significant abnormality
8. normal blood pressure (systolic: 90-140 mmHg; diastolic: 50-90 mmHg) and resting heart rate (60-90 bpm)
9. within 20% of ideal body weight, based on BJ Devine formula (1974) (men: 50 + 2.3 kg per inch over 5 feet, women: 45.5 + 2.3 kg per inch over 5 feet)
10. ability to adhere to the study restrictions and examination schedule
11. Women with reproductive potential must agree to the use of one of the following birth control methods (condom with spermicide, diaphragm, or intrauterine device) during the study and for 2 weeks after study conclusion.

Exclusion criteria:

1. participation in any investigational drug trial or clinical drug trial within 45 days before study entry
2. donation or loss of greater than one pint of blood within 60 days of study entry
3. history of clinically significant adverse reaction or hypersensitivity to any study drug,
4. inability to communicate or co-operate with the investigators
5. treatment-seeking for cocaine abuse/dependence
6. taking any concurrent prescription, over the counter medications, or dietary/nutritional/herbal supplement (such as St. John's wort or grapefruit juice, but not including standard vitamin or mineral supplements) within 14 days prior to initial dosing.
7. current clinically significant medical problems that might interfere with safe study participation. This includes pheochromocytoma, untreated hyperthyroidism, dehydration, fever, coronary artery disease, uncorrected congenital heart defect, seizures, electrolyte imbalance, uncontrolled diabetes mellitus, porphyria variegate, superventricular tachycardia, atrial fibrillation, cardiomyopathy, uncontrolled hypertension,.
8. Current Axis I psychiatric disorder (except nicotine dependence, cocaine abuse/dependence, or simple phobia). Nicotine does not alter physiologic response to cocaine (Kouri et al 2001)
9. Positive for illicit drugs other than cocaine or marijuana on urine drug screen
10. Score below 10/12 on the Evaluation to Sign Consent (ESC)