Clinical trial

Semaglutide for Treatment of People With Methamphetamine Use Disorder: the SHIFT Study

Opening soon · Phase 2 · 1 countries · Registry ID NCT07509112

Opening soonPhase 2Interventional

What this study is about

Methamphetamine use disorder is a major public health concern in Australia and globally. GLP-1 medications such as semaglutide (e.g. Ozempic) are approved for diabetes and medication, and may potentially affect craving for other substances apart from food. We do not know if this will help people who use methamphetamine ('ice') to reduce their use. This study will treat people who use methamphetamine with weekly injections of semaglutide. It will provide data on if this is a potentially safe and practical treatment for this group of people.

A promising-looking record is not the same as confirmed eligibility. The study team must review the full criteria and current recruitment status.

Basic eligibility

Age18 Years to Not listed
SexAll
Healthy volunteersNot accepted
ConditionMethamphetamine Use Disorder

Full registry criteria

Inclusion Criteria: 1. Has provided voluntary, written informed consent; 2. Aged 18 years or older; 3. Diagnosed with moderate to severe methamphetamine use disorder (DSM-5 criteria); 4. Self-reported methamphetamine use on at least 14 of past 28 days and a positive oral fluid drug screen for amphetamine/methamphetamine; 5. Willing and able to comply with study procedures and follow-up visits; 6. People of child-bearing potential must agree to use effective contraception during treatment and during the 60 days after treatment end. Exclusion Criteria: 1. Uncontrolled medical or psychiatric conditions that may interfere with participation; 2. Body mass index less than 22 kg/m2; 3. Confirmed diagnosis of diabetes mellitus (either known history of diabetes; concomitant treatment with insulin, metformin, sulfonylureas, thiazolidinediones, SGLT2 inhibitor, DPP4 inhibitor; or HbA1c \>6.5 at screening); 4. Currently taking a GLP-1 receptor agonist; 5. Known hypersensitivity or contraindications to GLP-1 receptor agonists as per product information; 6. Current enrolment in another interventional trial; 7. Lactating, pregnant or at risk of pregnancy not willing to avoid pregnancy 8. History of pancreatitis; 9. History of medullary thyroid cancer; 10. Current admission to a residential rehabilitation program or inpatient program or planned admission during the study period, which would interfere with participation in study visits or procedures; 11. Currently experiencing psychosis or current active suicidality 12. Any condition or circumstance that, in the opinion of the investigator, would compromise the participant's ability to comply with the study procedures, complete protocol requirements, or provide reliable data.

Treatments and study arms

12 weeks of weekly subcutaneous semaglutide injection

Drug

12 weeks of subcutaneous semaglutide administered once weekly, starting at 0.25 mg once weekly, titrated as tolerated up to 1.0 mg over the 12-week study period.

Primary outcomes

Efficacy Outcome (exploratory)12 weeks

Last 4-week methamphetamine use measured by the TLFB method at week 12 compared to screening

Study locations

5 locations were listed when this page was built. The first 40 are shown.

Alcohol & Drug Service, Metro Health North Brisbane🇦🇺 Brisbane, Queensland, Australia
Mark DaglishContact
Mark DaglishPrincipal Investigator
Kirketon Road Centre🇦🇺 Darlinghurst, New South Wales, Australia
Phillip ReadContact
Phillip ReadPrincipal Investigator
Rankin Court Treatment Centre, St Vincent's Hospital Sydney🇦🇺 Darlinghurst, New South Wales, Australia
David Goodman-Meza, MD, PhDContact
David Goodman-MezaPrincipal Investigator
Next Step Drug and Alcohol Services🇦🇺 East Perth, Western Australia, Australia
Michael ChristmassContact
Michael ChristmassPrincipal Investigator
Drug and Alcohol Services, South Australia🇦🇺 Morphett Vale, South Australia, Australia
Katherine SeniorContact
Katherine SeniorPrincipal Investigator