NCT00447564

Brief Summary

Buprenorphine (BPN) is an approved treatment for opioid dependence, however, in taking oral tablets, patients experience withdrawal and cravings when the variable BPN levels in the blood are low. Probuphine is an implant placed just beneath the skin that contains BPN. It is designed to provide 6 months of stable BPN blood levels. This study will test the safety and efficacy of Probuphine in the treatment of patients with opioid dependence.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
163

participants targeted

Target at P25-P50 for phase_3

Timeline
Completed

Started Oct 2006

Geographic Reach
1 country

18 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 1, 2006

Completed
5 months until next milestone

First Submitted

Initial submission to the registry

March 12, 2007

Completed
2 days until next milestone

First Posted

Study publicly available on registry

March 14, 2007

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2008

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2008

Completed
Last Updated

December 31, 2018

Status Verified

June 1, 2017

Enrollment Period

1.8 years

First QC Date

March 12, 2007

Last Update Submit

December 27, 2018

Conditions

Keywords

opioid dependenceopioid addictionbuprenorphinemethadoneheroinimplantopioid withdrawalopioid pain medicationsuboxone

Outcome Measures

Primary Outcomes (1)

  • The cumulative distribution function (CDF) of the percent of urine samples negative for illicit opioids

    weeks 1-16

Secondary Outcomes (19)

  • The cumulative distribution function (CDF) of the percent of urine samples negative for illicit opioids

    weeks 17-24

  • Mean percent urines negative for illicit opioids

    weeks 1-16

  • Mean percent urines negative for illicit opioids

    weeks 17-24

  • Proportion (percent) of study completers

    weeks 1-16

  • Proportion (percent) of study completers

    weeks 17-24

  • +14 more secondary outcomes

Study Arms (2)

Group A

ACTIVE COMPARATOR
Drug: Probuphine

Group B

PLACEBO COMPARATOR
Drug: placebo

Interventions

4 implants

Group A

4 implants

Group B

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Voluntarily provide written informed consent prior to the conduct of any study related procedures
  • Male or female, 18-65 years of age
  • Meet DSM-IV criteria for current opioid dependence
  • Females of childbearing potential and fertile males must use a reliable means of contraception

You may not qualify if:

  • Current diagnosis of Acquired Immune Deficiency Syndrome (AIDS)
  • Presence of aspartate aminotransferase (AST) levels ≥ 3 X upper limit of normal and/or alanine aminotransferase (ALT) levels ≥ 3 X upper limit of normal and/or total bilirubin ≥ 1.5 X upper limit of normal and/or creatinine ≥ 1.5 X upper limit of normal
  • Received treatment for opioid dependence (e.g., methadone, BPN), within the previous 90 days
  • Current diagnosis of chronic pain requiring opioids for treatment
  • Candidates for only short term opioid treatment or opioid detoxification therapy
  • Pregnant or lactating females
  • Previous hypersensitivity or allergy to BPN- or EVA-containing substances or naloxone
  • Current use of agents metabolized through CYP 3A4 such as azole antifungals (e.g., ketoconazole), macrolide antibiotics (e.g., erythromycin), and protease inhibitors (e.g., ritonavir, indinavir, and saquinavir)
  • Current anti-coagulant therapy (such as warfarin) or an INR \> 1.2
  • Meet DSM-IV criteria for current dependence on any other psychoactive substances other than opioids or nicotine (e.g., alcohol, sedatives)
  • Current use of benzodiazepines other than physician prescribed use
  • Significant medical or psychiatric symptoms or dementia which in the opinion of the Investigators would preclude compliance with the protocol, patient safety, adequate cooperation in the study, or obtaining informed consent
  • Concurrent medical conditions (such as severe respiratory insufficiency) that may prevent the patient from safely participating in study; and/or any pending legal action that could prohibit participation and/or compliance in study
  • Participated in a clinical study within the previous 8 weeks

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (18)

David Geffen School of Medicine at UCLA

Los Angeles, California, 90025, United States

Location

Synergy Clinical Research Center

National City, California, 91950, United States

Location

North County Clinical Research

Oceanside, California, 92056, United States

Location

Amit Vijapura, MD and Associates

Jacksonville, Florida, 32256, United States

Location

Fidelity Clinical Research

Lauderhill, Florida, 33319, United States

Location

Scientific Clinical Research, Inc

North Miami, Florida, 33161, United States

Location

Northwest Behavioral Research Center

Roswell, Georgia, 30076, United States

Location

Behavioral Biology Research Unit, Johns Hopkins Bayview Campus

Baltimore, Maryland, 21224, United States

Location

Dual Diagnosis Unit, SSTAR: Stanley Street Treatment and Resources, Inc.

Fall River, Massachusetts, 02720-6009, United States

Location

Wayne State University Department of Psychiatry and Behavioral Neurosciences

Detroit, Michigan, 48207, United States

Location

Psych Care Consultants Research

St Louis, Missouri, 63128, United States

Location

New York VA Medical Center, NYU School of Medicine

New York, New York, 10010, United States

Location

Addiction Institute of New York

New York, New York, 10019, United States

Location

Duke University Medical Center Addictions Program

Durham, North Carolina, 27705, United States

Location

Pahl Pharmaceutical Research, LLC

Oklahoma City, Oklahoma, 73118, United States

Location

University of Pennsylvania Treatment Research Center

Philadelphia, Pennsylvania, 19104, United States

Location

Providence Behavioral Health Services

Everett, Washington, 98206, United States

Location

Puget Sound Health Care Systems

Seattle, Washington, 98108, United States

Location

Related Publications (1)

  • Ling W, Casadonte P, Bigelow G, Kampman KM, Patkar A, Bailey GL, Rosenthal RN, Beebe KL. Buprenorphine implants for treatment of opioid dependence: a randomized controlled trial. JAMA. 2010 Oct 13;304(14):1576-83. doi: 10.1001/jama.2010.1427.

MeSH Terms

Conditions

Opioid-Related Disorders

Interventions

Buprenorphine

Condition Hierarchy (Ancestors)

Narcotic-Related DisordersSubstance-Related DisordersChemically-Induced DisordersMental Disorders

Intervention Hierarchy (Ancestors)

MorphinansOpiate AlkaloidsAlkaloidsHeterocyclic CompoundsHeterocyclic Compounds, Bridged-RingHeterocyclic Compounds, 4 or More RingsHeterocyclic Compounds, Fused-RingPhenanthrenesPolycyclic Aromatic HydrocarbonsPolycyclic Compounds

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 12, 2007

First Posted

March 14, 2007

Study Start

October 1, 2006

Primary Completion

July 1, 2008

Study Completion

July 1, 2008

Last Updated

December 31, 2018

Record last verified: 2017-06

Locations