PRICE IS HIGH, BUT SO IS PROMISE OF NEW ICE ADDICTION THERAPY

A new O'ahu treatment center for substance abuse began promoting an
expensive new therapy for ice addiction yesterday that some doctors
say could be a cure for one of the state's biggest problems.

The therapy -- called the Prometa protocol -- combines nutritional
supplements and several Food and Drug Administration-approved
medications to reduce the physical cravings and anxiety experienced
by recovering crystal methamphetamine addicts. It also works on
cocaine and alcohol abuse.

But the cost is high: $10,000 to $15,000 for a five-day treatment
program that isn't covered yet by insurance, said James Dorsey,
managing director for Island Recovery Centers, the only Hawai'i
organization currently licensed by its creaters, Hythiam Inc., to use
the program.

Dorsey hopes to raise $300,000 in private donations and funnel it to
the Ko'olauloa Community Health and Wellness Center in Kahuku as
early as this summer. The center would have to provide matching funds, he said.

"We'd like to have this program in our community," said Dr. Miriam
Chang, medical director for the center. "There are ice problems
everywhere, but we have it in a big way. I have friends whose kids are on ice."

While FDA approval of the treatment system is not required, Prometa's
creators supported several unrestricted grants and pilot programs to
test its effectiveness.

Results of the first clinical study were announced Wednesday by
Research Across America, which found that 97 percent of the patients
experienced a reduction in cravings for ice and 80 percent of them
reported reduced drug use.

Yesterday, drug court officials in Pierce County, Wash., joined
counterparts in Gary, Ind., in adopting Prometa as an option for
criminal drug offenders. More than 92 percent of the 40 participants
in the Pierce County pilot program remained drug free during their
monitoring period.

The strictest study -- a double-blind placebo study led by UCLA's
Integrated Substance Abuse Program -- is still being conducted.

When Hythiam announced in March that Island Recovery Centers had been
licensed to use its program -- one of 40 nationwide -- Lt. Gov. James
R. "Duke" Aiona praised the effort. The former drug court judge
called it "an exciting new treatment option."

But no Hawai'i Drug Court representatives were invited to a briefing
that Island Recovery Centers gave yesterday to about 30 substance
abuse treatment providers, interested citizens and state officials.

"Hawai'i Drug Court officials are always willing to look at new
methods and products that may help with the clients' recovery," said
Marsha Kitagawa, a spokeswoman for the state judiciary. "However, at
this time, Hawai'i Drug Court officials are not considering the use
of Prometa primarily because no one has contacted them about the new drug."

Other experts in the drug treatment community are taking a cautious approach.

"This is an opportunity to look at something new," said Keith
Yamamoto, chief of the state Department of Health's Alcohol and Drug
Abuse Division. "We are not endorsing anything at this point. We need
to see what the clinical trials results look like."

Alan Johnson, chief operating officer and managing director for Hina
Mauka, said Prometa is still "fairly experimental."

"I think all of us in the field are anxious to see medication and
support to help reduce the craving out there," Johnson said. "But we
are waiting for it to be embraced by the whole medical community with
solid research behind it. And we are concerned about any long-term
effects of the drug."

The largest treatment center in the state, Hina Mauka's nine-month
program has an 80 percent success rate, which is far higher than the
national rate of 50 percent to 55 percent, Johnson said.