Naltrexone Implants as an Aid in Preventing Relapse Following Inpatient Treatment for Opioid Addiction
Naltrexone Naltrexone Implants as an Aid in Preventing Relapse Following Inpatient Treatment for Opioid Addiction - a Randomised Study
1 other identifier
interventional
56
1 country
1
Brief Summary
The purpose of this clinical trial is to study the efficacy and safety of naltrexone implants as relapse prevention for patients that are completing treatment for opiate addiction in inpatient (or similarly controlled) settings. Participants volunteer for the study before being released from inpatient treatment, and are randomized to a naltrexone implant group or a waiting-list control for the duration of the first six months following completion of inpatient treatment. Both groups are free to receive treatment as usual (TAU) from the Norwegian healthcare system. After six months, both groups will be offered to have naltrexone implanted for the remaining six months of the study. The hypotheses are that quality of life, depression, opioid use, will be significantly better in the naltrexone group compared to the non at 6-month follow-up. For the last six months of the trial, the investigators hypothesise that choice of naltrexone implant will mainly strengthen positive tendencies or reverse negative trends on the aforementioned variables. The investigators also hypothesize that the implants can prevent death from opioid overdose up to 6 months after commenced treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Jan 2006
Typical duration for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2006
CompletedFirst Submitted
Initial submission to the registry
August 24, 2007
CompletedFirst Posted
Study publicly available on registry
August 27, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2008
CompletedMay 5, 2009
May 1, 2009
2.4 years
August 24, 2007
May 4, 2009
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Drug use at 6 (12) months by self report and hair analysis
6 and 12 months
Days in work or education
6 and 12 months
Number of drug-free friends at 6 (12) months by self report
6 and 12 months
Secondary Outcomes (2)
Depression at 6 (12) months by BDI and Hopkins SCL-25
6 and 12 months
Quality of life at 6 (12) months by EuropASI
6 and 12 months
Study Arms (2)
intervention
EXPERIMENTALExperimental group randomised after abstinence oriented treatment
2
NO INTERVENTIONwaiting list control
Interventions
Naltrexone implants 3.2 g (double of 1,6 g)
Eligibility Criteria
You may qualify if:
- soon to complete inpatient treatment for opioid addiction
- living in southern Norway
You may not qualify if:
- psychosis/major depression, currently not treated
- pregnancy
- liver enzymes: ASAT or ALAT \> threefold above upper boundary
- maintenance treatment with methadone or buprenorphine
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Unit for Addiction Medicine, University of Oslo
Oslo, N-0407, Norway
Related Publications (2)
Kornor H, Lobmaier PPK, Kunoe N. Sustained-release naltrexone for opioid dependence. Cochrane Database Syst Rev. 2025 May 9;5(5):CD006140. doi: 10.1002/14651858.CD006140.pub3.
PMID: 40342086DERIVEDKunoe N, Lobmaier P, Vederhus JK, Hjerkinn B, Gossop M, Hegstad S, Kristensen O, Waal H. Challenges to antagonist blockade during sustained-release naltrexone treatment. Addiction. 2010 Sep;105(9):1633-9. doi: 10.1111/j.1360-0443.2010.03031.x.
PMID: 20707781DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Helge Waal, Professor
Unit for addiction medicine, Institute of psychiatry, University of Oslo
- STUDY DIRECTOR
Helge Waal, MD
Norwegian Medical Association
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
August 24, 2007
First Posted
August 27, 2007
Study Start
January 1, 2006
Primary Completion
June 1, 2008
Study Completion
December 1, 2008
Last Updated
May 5, 2009
Record last verified: 2009-05