Modafinil Combined With Cognitive Behavior Therapy to Treat Cocaine Addiction - 1

Inclusion Criteria: Seeking treatment for cocaine dependence Meets DSM-IV diagnosis criteria for cocaine dependence as determined by Mini-SCID interview If female, willing to use effective contraception throughout the study Lives within 50 miles of the research center and has reliable transportation Exclusion criteria: Meets DSM-IV/Mini-SCID diagnosis criteria for dependence on any drugs other than cocaine, alcohol, nicotine, or marijuana Physiologic dependence on alcohol requiring medical detoxification, on either an inpatient or outpatient basis Current psychiatric disorder, including depression, schizophrenia, bipolar affective disorder, organic brain disease, dementia, or other types of psychosis Recent suicidal or homicidal attempts within 60 days of study entry Suicidal or homicidal ideation within 30 days of study entry Meets diagnosis criteria from the Differential Diagnosis of Psychotic Disorders section of Mini-SCID for a history of psychotic symptoms during a period of cocaine use (e.g., persistent hallucinations and delusions) Serious medical illness, including left ventricular hypertrophy, mitral valve prolapse, left bundle branch block, heart attack, angina, serious liver disease (transaminase levels four times greater than normal), and kidney, neurologic, metabolic, neoplastic, nutritional, inflammatory, or endocrine disorders Required by the court to obtain treatment for cocaine dependence Not seeking treatment for cocaine dependence Participated in cocaine treatment (clinical or research) within 30 days of study entry Anticipating elective surgery or hospitalization within 20 weeks of study entry Known or suspected hypersensitivity to modafinil Use of any of the following medications within 14 days of study entry: selective serotonin reuptake inhibitor antidepressants, tricyclic antidepressants, dopamine agonists, and other psychotropic medications, including anticonvulsants, antipsychotics, anxiolytics, or psychostimulants Currently taking medications that could adversely interact with study medications, including azole-type antifungals, cyclosporine, warfarin, theophylline, or carbamazepine Currently taking any medications that induce or inhibit CYP3A4 metabolic pathways Pregnant or breastfeeding