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  1. Article ; Online: The treatment of cocaine use disorder.

    Kampman, Kyle M

    Science advances

    2019  Volume 5, Issue 10, Page(s) eaax1532

    Abstract: Cocaine use continues to be a serious worldwide public health problem. Cocaine abuse is associated with substantial morbidity and mortality. Cocaine overdose deaths are increasing in the United States and, in certain populations, outnumber heroin and ... ...

    Abstract Cocaine use continues to be a serious worldwide public health problem. Cocaine abuse is associated with substantial morbidity and mortality. Cocaine overdose deaths are increasing in the United States and, in certain populations, outnumber heroin and opiate overdose deaths. Psychosocial treatments remain the treatments of choice for cocaine use disorder (CUD), with standard approaches including contingency management and cognitive behavioral therapy. However, the effect sizes of these treatments are not large, and they are not effective for most patients. Consequently, investigators have sought to develop pharmacological agents to augment the efficacy of psychosocial treatments. Despite these efforts, no medications have yet been proven to be safe and effective for the treatment of CUD. The most promising pharmacological strategies for CUD treatment thus far include the use of dopamine agonists, such as long-acting amphetamine and modafinil or glutamatergic and GABAergic agents such as topiramate. Combination drugs may be especially promising.
    MeSH term(s) Animals ; Cocaine/adverse effects ; Cocaine-Related Disorders/drug therapy ; Dopamine Agonists/pharmacology ; Dopamine Agonists/therapeutic use ; Humans ; United States
    Chemical Substances Dopamine Agonists ; Cocaine (I5Y540LHVR)
    Language English
    Publishing date 2019-10-16
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2810933-8
    ISSN 2375-2548 ; 2375-2548
    ISSN (online) 2375-2548
    ISSN 2375-2548
    DOI 10.1126/sciadv.aax1532
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Depressive Symptomatology Is Associated With Smaller Reductions in Drug Cue Reactivity During Extended-Release Naltrexone Treatment of Opioid Use Disorder.

    Shi, Zhenhao / Li, Xinyi / Kampman, Kyle M / Childress, Anna Rose / Wiers, Corinde E / Langleben, Daniel D

    The Journal of clinical psychiatry

    2023  Volume 84, Issue 3

    MeSH term(s) Humans ; Naltrexone/therapeutic use ; Cues ; Opioid-Related Disorders/drug therapy ; Narcotic Antagonists/therapeutic use ; Delayed-Action Preparations/therapeutic use ; Injections, Intramuscular ; Analgesics, Opioid/therapeutic use
    Chemical Substances Naltrexone (5S6W795CQM) ; Narcotic Antagonists ; Delayed-Action Preparations ; Analgesics, Opioid
    Language English
    Publishing date 2023-04-17
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 716287-x
    ISSN 1555-2101 ; 0160-6689
    ISSN (online) 1555-2101
    ISSN 0160-6689
    DOI 10.4088/JCP.22br14567
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Moving Beyond Medications That Act at the μ Receptor in the Treatment of Opioid Use Disorder.

    Strain, Eric C / Kampman, Kyle M / Weiss, Roger D

    JAMA psychiatry

    2021  Volume 78, Issue 7, Page(s) 701–702

    MeSH term(s) Clinical Trials as Topic/methods ; Clinical Trials as Topic/standards ; Humans ; Opioid-Related Disorders/drug therapy ; Outcome Assessment, Health Care/methods ; Outcome Assessment, Health Care/standards ; Receptors, Opioid, mu/drug effects ; Research Design/standards
    Chemical Substances Receptors, Opioid, mu
    Language English
    Publishing date 2021-04-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2701203-7
    ISSN 2168-6238 ; 2168-622X
    ISSN (online) 2168-6238
    ISSN 2168-622X
    DOI 10.1001/jamapsychiatry.2021.0259
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Clinical Trials for Stimulant Use Disorders: Addressing Heterogeneities That May Undermine Treatment Outcomes.

    Regier, Paul S / Kampman, Kyle M / Childress, Anna Rose

    Handbook of experimental pharmacology

    2020  Volume 258, Page(s) 299–322

    Abstract: In recent years, use of cocaine and amphetamines and deaths associated with stimulants have been on the rise, and there are still no FDA-approved medications for stimulant use disorders. One contributing factor may involve heterogeneity. At the ... ...

    Abstract In recent years, use of cocaine and amphetamines and deaths associated with stimulants have been on the rise, and there are still no FDA-approved medications for stimulant use disorders. One contributing factor may involve heterogeneity. At the neurobiological level, dual dopamine dysfunction may be undermining medication efficacy, suggesting a need for combination pharmacotherapies. At the population level, individual variability is expressed in a number of ways and, if left unaddressed, may interfere with medication efficacy. This chapter reviews studies investigating medications to address dopamine dysfunction, and it also identifies several prominent heterogeneities associated with stimulant (and other substance) use disorders. The chapter has implications for improving interventions to treat stimulant use disorders, and the theme of individual heterogeneity may have broader application across substance use disorders.
    MeSH term(s) Amphetamines/adverse effects ; Central Nervous System Stimulants/adverse effects ; Clinical Trials as Topic ; Cocaine ; Cocaine-Related Disorders ; Dopamine/physiology ; Humans ; Substance-Related Disorders/drug therapy
    Chemical Substances Amphetamines ; Central Nervous System Stimulants ; Cocaine (I5Y540LHVR) ; Dopamine (VTD58H1Z2X)
    Language English
    Publishing date 2020-03-19
    Publishing country Germany
    Document type Journal Article ; Review
    ISSN 0171-2004
    ISSN 0171-2004
    DOI 10.1007/164_2019_303
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Executive Summary of the Focused Update of the ASAM National Practice Guideline for the Treatment of Opioid Use Disorder.

    Crotty, Karen / Freedman, Kenneth I / Kampman, Kyle M

    Journal of addiction medicine

    2020  Volume 14, Issue 2, Page(s) 99–112

    Abstract: A Focused Update of the ASAM National Practice Guideline for the Treatment of Opioid Use Disorder is published in the current issue of the Journal of Addiction Medicine. The focused update included a search of Medline's PubMed database from January 1, ... ...

    Abstract : A Focused Update of the ASAM National Practice Guideline for the Treatment of Opioid Use Disorder is published in the current issue of the Journal of Addiction Medicine. The focused update included a search of Medline's PubMed database from January 1, 2014 to September 27, 2018, as well as a search of the grey literature (archives of the Clinical Guideline Clearinghouse, and key agency and society websites) for new practice guidelines and relevant systematic reviews addressing the use of medications and psychosocial treatments in the treatment of opioid use disorder, including within special populations. The search identified 11 practice guidelines and 35 systematic reviews that informed the subsequent RAND/UCLA Appropriateness Method (RAM) process employed to facilitate the focused update by a National Guideline Committee of addiction experts. New and updated recommendations were included if they were considered: (a) clinically meaningful and applicable to a broad range of clinicians treating addiction involving opioid use; and (b) urgently needed to ensure the Practice Guideline reflects the current state of the science for the existing recommendations, aligns with other relevant practice guidelines, and reflects newly approved medications and formulations.
    MeSH term(s) Humans ; Opioid-Related Disorders/drug therapy ; Opioid-Related Disorders/therapy ; Societies, Medical
    Language English
    Publishing date 2020-05-06
    Publishing country United States
    Document type Journal Article ; Practice Guideline
    ISSN 1935-3227
    ISSN (online) 1935-3227
    DOI 10.1097/ADM.0000000000000635
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Nonopioid Substance Use among Patients Who Recently Initiated Office-based Buprenorphine Treatment.

    Dugosh, Karen L / Lent, Michelle R / Burkley, S Brook / Millard, Conor M K / McKay, James R / Kampman, Kyle M

    Journal of addiction medicine

    2023  Volume 17, Issue 5, Page(s) 612–614

    Abstract: Objectives: Medications for opioid use disorder (MOUDs) like buprenorphine are a first-line treatment for individuals who have opioid use disorder (OUD); however, these medications are not designed to impact the use of other classes of drugs. This ... ...

    Abstract Objectives: Medications for opioid use disorder (MOUDs) like buprenorphine are a first-line treatment for individuals who have opioid use disorder (OUD); however, these medications are not designed to impact the use of other classes of drugs. This descriptive study provides up-to-date information about nonopioid substance use among patients who recently initiated office-based buprenorphine treatment for OUD using data from 2 ongoing clinical trials.
    Methods: The study sample was composed of 257 patients from 6 federally qualified health centers in the mid-Atlantic region who recently (i.e., within the past 28 days) initiated office-based buprenorphine treatment between July 2020 and May 2022. After the screening and informed consent processes, participants completed a urine drug screen and psychosocial interview as a part of the study baseline assessment. Descriptive analyses were performed on urine drug screen results to identify the prevalence and types of substances detected.
    Results: More than half of participants provided urine specimens that were positive for nonopioid substances, with marijuana (37%, n = 95), cocaine (22%, n = 56), and benzodiazepines (11%, n = 28) detected with the highest frequencies.
    Conclusions: A significant number of participants used nonopioid substances after initiating buprenorphine treatment, suggesting that some patients receiving MOUDs could potentially benefit from adjunctive psychosocial treatment and supports to address their nonopioid substance use.
    MeSH term(s) Humans ; Buprenorphine/therapeutic use ; Opiate Substitution Treatment/methods ; Opioid-Related Disorders/drug therapy ; Opioid-Related Disorders/epidemiology ; Cocaine ; Analgesics, Opioid/therapeutic use
    Chemical Substances Buprenorphine (40D3SCR4GZ) ; Cocaine (I5Y540LHVR) ; Analgesics, Opioid
    Language English
    Publishing date 2023-04-18
    Publishing country Netherlands
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ISSN 1935-3227
    ISSN (online) 1935-3227
    DOI 10.1097/ADM.0000000000001168
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Adverse effects of marijuana use.

    Feeney, Kathleen E / Kampman, Kyle M

    The Linacre quarterly

    2016  Volume 83, Issue 2, Page(s) 174–178

    Abstract: Marijuana has consistently been reported as the most commonly used illicit substance in the United States each year. Currently, the legalization of marijuana is up for debate across the nation. While marijuana use is prevalent among the adolescent ... ...

    Abstract Marijuana has consistently been reported as the most commonly used illicit substance in the United States each year. Currently, the legalization of marijuana is up for debate across the nation. While marijuana use is prevalent among the adolescent population, research has shown that there can be devastating effects on health and well-being. A review of the literature shows that marijuana use can have a negative impact on physical health, psychological well-being, and multiple psychosocial outcomes. Adolescents who used marijuana more frequently and began using marijuana at an earlier age experienced worse outcomes and long-lasting effects.
    Lay summary: This article reviews recent literature regarding adverse effects of marijuana use. Negative effects of marijuana use relating to physical health, psychological well-being, and outcomes such as academic performance are discussed, especially in relation to the adolescent population.
    Language English
    Publishing date 2016-11-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 604903-5
    ISSN 2050-8549 ; 0024-3639
    ISSN (online) 2050-8549
    ISSN 0024-3639
    DOI 10.1080/00243639.2016.1175707
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  8. Article ; Online: Comparison of Treatments for Cocaine Use Disorder Among Adults: A Systematic Review and Meta-analysis.

    Bentzley, Brandon S / Han, Summer S / Neuner, Sophie / Humphreys, Keith / Kampman, Kyle M / Halpern, Casey H

    JAMA network open

    2021  Volume 4, Issue 5, Page(s) e218049

    Abstract: Importance: In the US and the United Kingdom, cocaine use is the second leading cause of illicit drug overdose death. Psychosocial treatments for cocaine use disorder are limited, and no pharmacotherapy is approved for use in the US or Europe.: ... ...

    Abstract Importance: In the US and the United Kingdom, cocaine use is the second leading cause of illicit drug overdose death. Psychosocial treatments for cocaine use disorder are limited, and no pharmacotherapy is approved for use in the US or Europe.
    Objective: To compare treatments for active cocaine use among adults.
    Data sources: PubMed and the Cochrane Database of Systematic Reviews were searched for clinical trials published between December 31, 1995, and December 31, 2017.
    Study selection: This meta-analysis was registered on Covidence.org (study 8731) on December 31, 2015. Clinical trials were included if they (1) had the term cocaine in the article title; (2) were published between December 31, 1995, and December 31, 2017; (3) were written in English; (4) enrolled outpatients 18 years or older with active cocaine use at baseline; and (5) reported treatment group size, treatment duration, retention rates, and urinalysis results for the presence of cocaine metabolites. A study was excluded if (1) more than 25% of participants were not active cocaine users or more than 80% of participants had negative test results for the presence of cocaine metabolites at baseline and (2) it reported only pooled urinalysis results indicating the presence of multiple substances and did not report the specific proportion of positive test results for cocaine metabolites. Multiple reviewers reached criteria consensus. Of 831 records screened, 157 studies (18.9%) met selection criteria and were included in the analysis.
    Data extraction and synthesis: This study followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guideline. Search results were imported from PubMed XML into Covidence.org then Microsoft Excel. Data extraction was completed in 2 iterations to ensure fidelity. Analyses included a multilevel random-effects model, a multilevel mixed-effects meta-regression model, and sensitivity analyses. Treatments were clustered into 11 categories (psychotherapy, contingency management programs, placebo, opioids, psychostimulants, anticonvulsants, dopamine agonists, antidepressants, antipsychotics, miscellaneous medications, and other therapies). Missing data were imputed using multiple imputation by chained equations. The significance threshold for all analyses was P = .05. Data were analyzed using the metafor and mice packages in R software, version 3.3.2 (R Foundation for Statistical Computing). Data were analyzed from January 1, 2018, to February 28, 2021.
    Main outcomes and measures: The primary outcome was the intention-to-treat logarithm of the odds ratio (OR) of having a negative urinalysis result for the presence of cocaine metabolites at the end of each treatment period compared with baseline. The hypothesis, which was formulated after data collection, was that no treatment category would have a significant association with objective reductions in cocaine use.
    Results: A total of 157 studies comprising 402 treatment groups and 15 842 participants were included. Excluding other therapies, the largest treatment groups across all studies were psychotherapy (mean [SD] number of participants, 40.04 [36.88]) and contingency management programs (mean [SD] number of participants, 37.51 [25.51]). Only contingency management programs were significantly associated with an increased likelihood of having a negative test result for the presence of cocaine (OR, 2.13; 95% CI, 1.62-2.80), and this association remained significant in all sensitivity analyses.
    Conclusions and relevance: In this meta-analysis, contingency management programs were associated with reductions in cocaine use among adults. Research efforts and policies that align with this treatment modality may benefit those who actively use cocaine and attenuate societal burdens.
    MeSH term(s) Clinical Trials as Topic ; Cocaine-Related Disorders/therapy ; Humans ; Psychotherapy
    Language English
    Publishing date 2021-05-03
    Publishing country United States
    Document type Comparative Study ; Journal Article ; Meta-Analysis ; Systematic Review
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2021.8049
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Not in my treatment center: Leadership's perception of barriers to MOUD adoption.

    Stewart, Rebecca E / Cardamone, Nicholas C / Mandell, David S / Kwon, Nayoung / Kampman, Kyle M / Knudsen, Hannah K / Tjoa, Christopher W / Marcus, Steven C

    Journal of substance abuse treatment

    2022  Volume 144, Page(s) 108900

    Abstract: Introduction: Despite their well-established effectiveness, medications for opioid use disorder (MOUD) are widely underutilized across the United States. In the context of a large publicly funded behavioral health system, we examined the relationship ... ...

    Abstract Introduction: Despite their well-established effectiveness, medications for opioid use disorder (MOUD) are widely underutilized across the United States. In the context of a large publicly funded behavioral health system, we examined the relationship between a range of implementation barriers and a substance use disorder treatment agency's level of adoption of MOUD.
    Methods: We surveyed leadership of publicly funded substance use disorder treatment centers in Philadelphia about the significance of barriers to implementing MOUD related to their workforce, organization, funding, regulations, and beliefs about MOUD's efficacy and safety. We queried leaders on the percentage of their patients with opioid use disorder who receive MOUD and examined associations between implementation barriers and MOUD adoption.
    Results: Ratings of regulatory, organizational, or funding barriers of respondents who led high MOUD adopting agencies (N = 20) were indistinguishable from those who led agencies that were low adopting of MOUD (N = 23). In contrast, agency leaders who denied MOUD-belief or workforce barriers were significantly more likely to lead high-MOUD-adopting organizations.
    Conclusions: These findings suggest that leadership beliefs about MOUD may be a key factor of the organizational decision to adopt and should be a target of implementation efforts to increase direct provision of these medications.
    MeSH term(s) Humans ; United States ; Leadership ; Opioid-Related Disorders/drug therapy ; Opiate Substitution Treatment ; Government Programs ; Perception ; Buprenorphine/therapeutic use ; Analgesics, Opioid/therapeutic use
    Chemical Substances Buprenorphine (40D3SCR4GZ) ; Analgesics, Opioid
    Language English
    Publishing date 2022-10-13
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 605923-5
    ISSN 1873-6483 ; 0740-5472
    ISSN (online) 1873-6483
    ISSN 0740-5472
    DOI 10.1016/j.jsat.2022.108900
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Correction to: Prospective randomized pharmacogenetic study of topiramate for treating alcohol use disorder.

    Kranzler, Henry R / Morris, Paige E / Pond, Timothy / Crist, Richard C / Kampman, Kyle M / Hartwell, Emily E / Lynch, Kevin G

    Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology

    2021  Volume 46, Issue 8, Page(s) 1546

    Language English
    Publishing date 2021-04-21
    Publishing country England
    Document type Published Erratum
    ZDB-ID 639471-1
    ISSN 1740-634X ; 0893-133X
    ISSN (online) 1740-634X
    ISSN 0893-133X
    DOI 10.1038/s41386-021-01013-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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