Optimizing Outcomes Using Suboxone for Opiate Dependence
OpBup
1 other identifier
interventional
202
1 country
1
Brief Summary
Building on a platform of pharmacological treatment with Suboxone (buprenorphine and naloxone), participants are randomly assigned to one of four psychosocial treatment conditions.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2006
Longer than P75 for not_applicable
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
September 1, 2006
CompletedFirst Submitted
Initial submission to the registry
December 28, 2007
CompletedFirst Posted
Study publicly available on registry
January 11, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2012
CompletedJanuary 29, 2013
January 1, 2013
5.3 years
December 28, 2007
January 28, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Comparison the effectiveness of four psychosocial treatment conditions as measured by self-reported abstinence from opioids verified by urine toxicology tests
Week 18 - At end of first phase
Secondary Outcomes (3)
Comparison across treatment conditions for reducing the severity of opioid-related problems
at end of Phase 1 (wk 18), phase 2 (wk 34) and two follow-up timepoints (wks. 40 and 52)
Comparison across treatment conditions for reducing the proportion of use-days of other substances of abuse (alcohol, marijuana, amphetamines, methamphetamines, benzodiazepines and barbiturates) as determined by self-report and urine test results.
At end of Phase 1 (wk. 18), Phase 2 (wk. 34), and at two follow-ups (wks. 40 and 52)
Comparison across treatment conditions in reducing psychiatric and mood disturbance as measured with the BDI and SF-36.
At end of Phase 1 (wk. 18), Phase 2 (wk. 34), and at two follow-ups (wks. 40 and 52)
Study Arms (4)
1: MM
ACTIVE COMPARATORMedical Management: group receives medical management from study physician and Suboxone pharmacotherapy
2: CBT
ACTIVE COMPARATORCognitive Behavioral Therapy (CBT) group receives CBT, medical management and Suboxone pharmacotherapy
3: CM
ACTIVE COMPARATORContingency Management (CM) group receives CM, medical management, and Suboxone pharmacotherapy
4: CBT + CM
ACTIVE COMPARATORCognitive Behavioral Therapy (CBT) and Contingency Management (CM) group receives CBT, CM, medical management, and Suboxone pharmacotherapy
Interventions
Participants randomly assigned to one of four psychosocial treatment conditions building on pharmacotherapy with Suboxone (buprenorphine + naloxone)
Eligibility Criteria
You may qualify if:
- Participants must:
- Be 15 years of age or older.
- Meet DSM-IV-TR criteria for opioid dependence.
- Be interested in receiving buprenorphine treatment for their opioid dependence.
- Be in good general health or, in case of a medical/psychiatric condition needing ongoing treatment, be under the care of a physician who provides documented willingness to continue participant's medical management and coordinate care with the study physicians. \*
- Be agreeable to and capable of signing an informed consent.
- Have means of reliable transportation over the study period.
- If female and of child bearing potential, agree to use of one of the following methods of birth control or be surgically sterile:
- oral contraceptives
- patch
- barrier (diaphragm or condom)
- intrauterine contraceptive system
- levonorgestrel implant
- medroxyprogesterone acetate contraceptive injection
- complete abstinence from sexual intercourse
- +2 more criteria
You may not qualify if:
- Participants must not:
- Have a known sensitivity to buprenorphine or naloxone.
- Be dependent on alcohol, benzodiazepines or other drugs of abuse that require immediate medical attention.
- Have a medical condition that would, in the opinion of the study physician, make participation medically hazardous (e.g., acute hepatitis, unstable cardiovascular, liver or renal disease).
- Have a current pattern of benzodiazepine use, as assessed by the study physician, which would preclude safe participation in the study.
- Be actively involved in another clinical trial.
- Be acutely psychotic, severely depressed, and in need of inpatient treatment, or is an immediate suicide risk.
- Be a nursing or pregnant female. Females who become pregnant during the course of the study will be withdrawn from the study and referred to an appropriate treatment venue; i.e. narcotic treatment program or specialty addiction clinic.
- Be a female of childbearing potential who does not agree to use a medically acceptable method of birth control, e.g. oral contraceptives, barrier (diaphragm or condom) with or without spermicide, levonorgestrel implant, intra-uterine progesterone contraceptives system, medroxyprogesterone acetate contraceptive injection, or complete abstinence.
- Have any pending legal action that could prohibit continued participation for the one-year period of study participation (such as that which could possibly result in incarceration).
- Be expecting to leave the clinic's geographic area prior to study completion (within one year).
- Have been previously randomized to a treatment condition in this study. -
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
UCLA Integrated Substance Abuse Programs Outpatient Clinical Research Center
Los Angeles, California, 90025, United States
Related Publications (2)
McHugh RK, Bailey AJ, McConaghy BA, Weiss RD, Fiellin DA, Hillhouse M, Moore BA, Fitzmaurice GM. Behavioral Therapy as an Adjunct to Buprenorphine Treatment for Opioid Use Disorder: A Secondary Analysis of 4 Randomized Clinical Trials. JAMA Netw Open. 2025 Aug 1;8(8):e2528529. doi: 10.1001/jamanetworkopen.2025.28529.
PMID: 40833692DERIVEDNielsen S, Hillhouse M, Mooney L, Fahey J, Ling W. Comparing buprenorphine induction experience with heroin and prescription opioid users. J Subst Abuse Treat. 2012 Oct;43(3):285-90. doi: 10.1016/j.jsat.2011.12.009. Epub 2012 Feb 1.
PMID: 22301084DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Walter Ling, M.D.
UCLA Integrated Substance Abuse Programs
- STUDY DIRECTOR
Maureen Hillhouse, Ph.D.
UCLA Integrated Substance Abuse Programs
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
December 28, 2007
First Posted
January 11, 2008
Study Start
September 1, 2006
Primary Completion
January 1, 2012
Study Completion
December 1, 2012
Last Updated
January 29, 2013
Record last verified: 2013-01