Understanding Dopamine Mechanisms in Cocaine Addiction Using AMPT and Methylphenidate With [11C]RAC/[11C]PHNO PET

Inclusion Criteria:

1. age 18 - 50 years,

2. voluntary, written, informed consent,

3. physically healthy by medical history, physical, neurological, ECG, and laboratory
examinations,

4. for females, non-lactating, no longer of child-bearing potential (or agree to practice
effective contraception during the study), and a negative serum pregnancy (B-HCG)
test.

5. English speaking

6. No other major Axis DSM-IV diagnosis present, besides required as below

Inclusion criteria for cocaine dependent:

1. DSM-IV criteria for Cocaine Abuse (305.60) or Cocaine Dependence (304.20)

2. recent street cocaine use,

3. intravenous and/or smoked (crack/ freebase) use,

4. positive urine toxicology screen for cocaine,

Inclusion criteria for healthy controls:

1. No current, or history of, any DSM-IV diagnosis

2. No first-degree relative with history of psychotic, mood, or anxiety disorder

Exclusion Criteria:

1. medical contraindications to AMPT administration (e.g., known sensitivity/reaction to
AMPT);

2. medical contraindications to MPH administration (e.g., history of cardiac problems,
seizures, etc.)

3. drug or alcohol dependence (except nicotine),

4. a primary major DSM-IV psychiatric diagnosis (schizophrenia, bipolar disorder, etc.),
unrelated to cocaine or pathological gambling

5. positive answers on the cardiac screening questionnaire that may place the subject at
higher risk, as determined by cardiologist review of both the questionnaire responses
and screening ECG

6. current use of psychotropic and/or potentially psychoactive prescription medication,

7. physical or laboratory (B-HCG) evidence of pregnancy,

8. clotting disorders or recent anticoagulant therapy,

9. MRI-incompatible implants and other contraindications for MRI (i.e., aneurysm clip,
metal fragments, internal electrical devices such as a cochlear implant, spinal cord
stimulator or pacemaker),

10. history of claustrophobia or feeling of inability to lie still on his back for the PET
or MRI scans,

11. history of prior radiation exposure for research purposes within the past year such
that participation in this study would place them over Radioactive Drug Research
Committee (RDRC) limits for annual radiation exposure. This guideline is an effective
dose of 5 rem received per year.

12. donation or loss of 550 mL of blood or more (including plasmapheresis) or receipt of a
transfusion of any blood product within 8 weeks prior to the first dose of study drug.

13. use any prescription medications and/or over-the-counter medications, vitamins and/or
herbal supplements within 2 weeks prior to study and for the duration of the study
without approval from the study doctor.

14. eat grapefruit or grapefruit products, and drink alcohol, and anything containing
caffeine 3 days before study and during study

15. For CD subjects, < 1 year of cocaine dependence, .

16. Subjects with current, past, or anticipated exposure to radiation in the workplace.