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New combo tackles meth cravings on demand

NCT ID NCT04791969

First seen Oct 31, 2025 · Last updated Jun 21, 2026 · Updated 28 times

Summary

This study tested whether taking naltrexone pills only when needed, combined with a smartphone app that offers real-time support, can help men who have sex with men reduce methamphetamine use. Sixty participants were randomly assigned to receive either the drug or a placebo, plus the app, for 12 weeks. The goal was to see if the approach could lower meth-positive urine tests and improve HIV prevention behaviors.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Contacts and locations

Locations

  • San Francisco Department of Public Health

    San Francisco, California, 94102, United States

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

naltrexone (a drug that blocks opioid receptors, used here to reduce meth cravings)

What this could lead to

If it works, this could offer a practical, on-demand treatment to help men who have sex with men cut down meth use and lower their risk of HIV.

What could go wrong

This is a small, early-phase trial with only 60 participants, so results may not apply to everyone. The drug is taken only as needed, which may not work for all users.

Conditions

The condition(s) this trial relates to.

methamphetamine dependence

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.