CURE Addiction Center of Excellence: Brain Mechanisms of Relapse and Recovery
fMRI CURE
1 other identifier
interventional
72
1 country
1
Brief Summary
The proposed project will use fMRI and specific probes of reward and inhibition as biomarkers predicting drug use during and after treatment in 72 subjects addicted to prescription opioids/medications. Subjects will be scanned before, during, and after 12 weeks of active medication. The brain fMRI measures will be correlated with the primary clinical outcome of drug use (by urine drug screen) during the treatment and follow-up phase.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Jan 2012
Longer than P75 for phase_2
1 active site
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
January 1, 2012
CompletedFirst Submitted
Initial submission to the registry
April 11, 2012
CompletedFirst Posted
Study publicly available on registry
April 30, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2021
CompletedResults Posted
Study results publicly available
October 15, 2024
CompletedOctober 15, 2024
October 1, 2024
9 years
April 11, 2012
May 7, 2024
October 9, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Illicit-positive Urines During Treatment and Follow-up
three months
Study Arms (1)
Naltrexone Intervention
EXPERIMENTALEligible participants receive up to three monthly injections of 380 mg of naltrexone contained in dissolvable polymer microspheres and administered by deep intramuscular injection and slowly released over a period of approximately 4 weeks.
Interventions
There are monthly injections of depot naltrexone for 3 months.
Eligibility Criteria
You may qualify if:
- Sign an informed consent form;
- Be between the ages of 18 and 60;
- Have a diagnosis of opioid dependence according to DSM IV-TR criteria (as assessed by the MINI);
- Be in good general health as determined by complete physical examination and laboratory tests;
- Have a negative result for urinary opioids and must self report being at least 3 days opioid free. Participants may have a diagnosis of alcohol dependence so long as they do not have severe alcohol dependence that requires medical supervision for alcohol withdrawal.
You may not qualify if:
- Current severe alcohol dependence that requires medical supervision for alcohol withdrawal;
- Current psychosis, dementia, mental retardation, or history of schizophrenia;
- Significant clinical abnormalities in hematology, chemistry, or urinalysis;
- Significant clinical cardiovascular, neurological, hepatic, renal, pulmonary, metabolic, endocrine, or gastrointestinal disorders;
- Female subjects who are pregnant or lactating, or female subjects of childbearing potential who are not using birth control (oral contraceptives, barrier (diaphragm or condom) plus spermicide, or levonorgestrel implant); (Pregnancy testing will be done on all females of child bearing age); and
- Current diagnosis of chronic pain disorder.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Pennsylvania Addiction Treatment Research Center
Philadelphia, Pennsylvania, 19104, United States
Related Publications (1)
Wang AL, Shi Z, Elman I, Langleben DD. Reduced cigarette smoking during injectable extended-release naltrexone treatment for opioid use disorder. Am J Drug Alcohol Abuse. 2020 Jul 3;46(4):472-477. doi: 10.1080/00952990.2020.1741001. Epub 2020 May 7.
PMID: 32379516DERIVED
MeSH Terms
Interventions
Results Point of Contact
- Title
- Daniel Langleben, MD
- Organization
- University of Pennsylvania
Study Officials
- PRINCIPAL INVESTIGATOR
Daniel Langleben, MD
Co-Investigator
- PRINCIPAL INVESTIGATOR
Anna R Childress, MD
Principal Investigator
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 11, 2012
First Posted
April 30, 2012
Study Start
January 1, 2012
Primary Completion
January 1, 2021
Study Completion
January 1, 2021
Last Updated
October 15, 2024
Results First Posted
October 15, 2024
Record last verified: 2024-10