Clinical trial Recruiting at 1 site Early Phase 1 Interventional Ages 18 to 55

Troriluzole and methamphetamine response

Official title: Advancing Troiluzole as a Treatment for Methamphetamine Use Disorder: A Human Laboratory Study

Run by University of Kentucky · NCT06989853 · Data updated 2026-11-12

This study will see if taking troriluzole changes how methamphetamine affects adults with methamphetamine use disorder.

Quick facts

PhaseEarly Phase 1
Study typeInterventional
Ages18 Years to 55 Years
SexAll
Enrollment40 (estimated)
SponsorUniversity of Kentucky
Academic / other
Locations1 site (Lexington, Kentucky)
StatusRecruiting
StartedAugust 25, 2025
Main results expectedFebruary 28, 2029
Study endsFebruary 28, 2029
Registry record updatedJune 8, 2026
Trial IDNCT06989853 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–55 with current methamphetamine use disorder who have recent methamphetamine-positive urine, are medically and psychiatrically stable, not seeking treatment, and (if female) agree to use effective birth control.

Probably not a fit

People seeking treatment for methamphetamine use, pregnant or breastfeeding women, those with significant medical or psychiatric conditions, or with known contraindications or allergies to troriluzole are unlikely to benefit or are excluded.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is an early-phase human laboratory study where people with methamphetamine use disorder will receive either troriluzole or placebo and then controlled doses of methamphetamine in a clinic setting to measure drug effects. Participants must be 18–55, medically and psychiatrically stable, not seeking treatment, and have recent methamphetamine use confirmed by urine test. The protocol includes cardiac screening and contraception requirements for women of childbearing potential, and excludes those with contraindications to troriluzole. The work is supported by the HEAL Initiative and NIDA and is conducted at the Psychopharmacology of Addiction Laboratory in Lexington, Kentucky.

Why it matters

Potential benefit: If successful, this could show whether troriluzole reduces the rewarding or subjective effects of methamphetamine and inform development of medications for methamphetamine use disorder.

How similar studies have gone: Glutamate-modulating medications have shown mixed results in substance use disorders, and troriluzole's effects on stimulant response in humans remain largely untested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. able to speak/read English,
2. not seeking treatment for drug use at the time of the study,
3. female or male between the ages of 18 and 55 years,
4. recent methamphetamine use verified by methamphetamine positive urine, as well as fulfillment of DSM-5 diagnostic criteria for MUD,
5. judged to be medically and psychiatrically healthy by study physicians other than the diagnosis for MUD (and OUD for the co-morbid MUD and OUD group, see below) at the time of screening,
6. ECG, read by a cardiologist, within normal limits,
7. females using an effective form of birth control and not pregnant or breastfeeding,
8. no known contraindications (e.g., hepatic disease \[save for asymptomatic HCV status as cleared by study physician\]) or allergies to troriluzole. Individuals in the MUD and OUD group must also report recent opioid use, verified by opioid positive urine, as well as fulfillment of DSM-5 diagnostic criteria for OUD with physiologic dependence (determined to not be physically dependent if a participant arrives with a urine sample for drug screening that is negative for a short-acting opioid and does not have a score of 5 or greater on the clinical opioid withdrawal scale \[COWS\]).

Exclusion Criteria:

1. unable to speak/read English,
2. seeking treatment for drug use,
3. under 18 years or over 55 years,
4. no recent methamphetamine use as indicated by methamphetamine negative urine and no DSM-5 diagnosis of MUD,
5. judged to be medically and psychiatrically unhealthy by study physicians at the time of screening,
6. ECG, read by a cardiologist, outside normal limits,
7. females not using an effective form of birth control or pregnant or breastfeeding,
8. blood pressure readings indicative of hypertension (i.e., blood pressure \> 140/90 mmHg) on 2 consecutive screening visits,
9. BMI \< 18 or \> 30; weight \< 50 kg,
10. taking any medications prescribed by a physician for a chronic condition,
11. any laboratory chemistry values (e.g., LFTs) \> 3 times normal at screening or during admission,
12. history of serious physical disease or diagnosis of any disorder (e.g., current hepatic disease \[save for asymptomatic HCV status; as noted above\], histories of seizure, diabetes, asthma or CNS tumors) or current or past histories of psychiatric disorder, including current or recent suicidal ideation that would limit compliance in the study, other than MUD or tobacco use disorder (and OUD for the co-morbid MUD/OUD group only) that in the opinion of the study physicians would interfere with participation and
13. contraindications (e.g., hepatic disease) or allergies to troriluzole.

Where it's running

  • Psychopharmacology of Addiction Laboratory
    Lexington, Kentucky, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Tirzepatide for methamphetamine use disorder (phase 2)

    This phase 2 trial tests whether weekly tirzepatide injections can help adults with moderate to severe methamphetamine use disorder reduce use and improve outcomes compared with placebo.

    Recruiting Phase 2 University of Texas Southwestern Medical Center · Los Angeles, California and 3 other locations · NCT07825857

  • Psilocybin Therapy for MeUD and HIV

    This study tests whether a single psilocybin dose, paired with motivational support therapy, can help people with HIV and moderate-to-severe methamphetamine use disorder stop using methamphetamine.

    Recruiting Phase 2 University of California, San Francisco · San Francisco, California · NCT07756736

  • ECG changes in adults using methamphetamine with and without psychosis

    This project will see if heart ECG measurements differ between adults hospitalized for methamphetamine use who have psychosis and those who do not.

    Recruiting Elazığ Mental Health and Diseases Hospital · Elâzığ, Elâzığ · NCT07459244

  • Benefits of reducing methamphetamine use

    This study will try contingency management to see if cutting back on methamphetamine improves physical, mental, and social health for adults with moderate-to-severe methamphetamine use disorder.

    Recruiting University of Kentucky · Lexington, Kentucky · NCT07226596

  • CHAMPION: Combining HIV Prevention and Meth Treatment for HIV-Negative MSM

    This pilot test will see if two mobile health tools can help HIV-negative men who have sex with men who use meth take PrEP more consistently.

    Recruiting University of California, San Diego · San Francisco, California · NCT07213258

  • Methamphetamine cue-reactivity and cognitive reappraisal in men with methamphetamine use disorder

    This project will test whether cognitive reappraisal reduces methamphetamine cue-triggered brain and physiological responses during abstinence in men with methamphetamine use disorder and whether effects differ between men who have sex with men (MSM) and non-MSM.

    Recruiting Icahn School of Medicine at Mount Sinai · New York, New York · NCT07086014

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.