A Study to Evaluate the Abuse Potential of Oxymorphone Compared to Other Mu Opioid Agonists.
A Randomized, Double-Blind, Placebo- and Active-Controlled, Crossover Study to Evaluate the Abuse Potential of Oxymorphone Compared to Other Mu Opioid Agonists in Physically Dependent Opioid Users With Moderate-to-Severe Opioid Use Disorder
Significant public health concerns have arisen from the intravenous misuse of oxymorphone, a potent mu-opioid pain medication. However, little is known about its abuse potential relative to other mu-opioid analgesics. The present study is designed to examine the abuse liability of intravenous oxymorphone compared to other mu opioid agonists (oxycodone, and hydromorphone) among physically dependent opioid abusers.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
completed
Actual enrollment (reported)
16 participants
Study completion date
June 28, 2023
Actual (reported)
Listed locations
1 countries · 2 sites
Trial Relationships
Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Related Scientific Literature
Loading related publications...
Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Positive Subjective Drug Effects (i.e., Drug "Liking").
The positive subjective effects of the most efficacious dose of the intravenous challenge drugs. These are measured using self-reported assessment by the participant in terms of drug "liking" rated on a visual analog scale of 0-100. Higher values indicate a greater drug effect.
Throughout study enrollment period (8-9 weeks)
Study Arms (4)
Intravenous Challenge Drug: Oxymorphone
ACTIVE COMPARATOR
Intravenous (IV) Dose Range: 1.8, 3.2, 5.6, 10 mg/70kg of the participant's body weight
Drug: Intravenous Challenge Drug
Intravenous Challenge Drug: Oxycodone
ACTIVE COMPARATOR
IV Dose Range: 10, 18, 32, 56 mg/70kg of the participant's body weight
Drug: Intravenous Challenge Drug
Intravenous Challenge Drug: Hydromorphone
ACTIVE COMPARATOR
IV Dose Range: 3.2, 5.6, 10, 18 mg/70kg of the participant's body weight
Interventions
Intravenous Challenge DrugDrug
Intravenous administration of opioid drugs (oxycodone, oxymorphone, hydromorphone), for the purpose of comparison of their abuse potential among each other, and in comparison to placebo (saline).
Also known as: Oxycodone, Oxymorphone, Hydromorphone, or Placebo
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Eligibility Criteria
Age21 Years - 55 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)
You may qualify if:
Able to understand and provide signed and dated written consent.
Self-reported opioid use for nontherapeutic purposes on at least 21 days in the 30 days prior to screening, physical dependence on opioids, recent intravenous opioid use, and meeting DSM 5 criteria for moderate-severe opioid use disorder.
Body mass index (BMI) ≥ 18 and ≤ 35 kg/m2 and weight ≥ 50 kg (110 pounds).
Otherwise healthy as determined by the investigator.
Demonstrate understanding how to complete the self-administration tasks and VAS Questionnaire.
Women of childbearing potential must not be pregnant or breastfeeding at screening.
Willing and able to comply with all testing requirements defined in the protocol.
participation in the Study Treatment Phase:
During the Study Qualification Phase, on the bipolar 100--mm Drug Liking VAS, the subject must provide Emax ≥ 40 mm and \< 60 mm following placebo and, following morphine 56 mg/70 kg, i.v., Emax ≥ 60 mm and ≥ 15 mm closer to "Strong Liking" than the Emax to placebo.
In the judgment of the investigator, the subject is able to tolerate the i.v., opioids administered in the study, including the ability to complete most pharmacodynamics assessments administered post--dose.
In the judgment of the study staff, the subject's general behavior during the Study Qualification Phase suggests the ability to successfully complete the Study Treatment Phase.
You may not qualify if:
History of a medical or psychiatric disorder that would prevent successful completion of the study.
Current DSM-5 diagnosis of substance use disorders requiring medical management other than OUD.
Suicidal ideation or intent with or without a plan at Screening or within 6 months prior to Screening (i.e., answering "Yes" to questions 4 and/or 5 on the Suicidal Ideation section of the Columbia Suicide Severity Rating Scale).
Currently seeking or participating in treatment for substance use disorder.
Physically dependent on drugs of abuse (other than opioids, nicotine, or caffeine) or alcohol.
Medically important deviation from normal limits on physical examination, vital signs, screening laboratory tests, or 12--lead ECG.
Any surgical, or medical condition that may interfere with the absorption, distribution, metabolism, or excretion of the test drug.
Family history of long QT syndrome and/or unexpected sudden cardiac death or is known to have QTc \> 500 ms at screening.
Used an investigational agent within 30 days or 5 therapeutic half-lives of that agent, whichever is longer, prior to the first dose of study drug.
Hypersensitivity to opioids or any drug intended for use in this study.
Acute gastrointestinal symptoms (e.g., nausea, vomiting, fever, or Diarrhea unrelated to opioid withdrawal) ≤ 7 days before Day 1.
Any of the following values for laboratory tests at Screening:
A positive pregnancy test in women of childbearing potential.
Hemoglobin \< 11 g/dL in males and \< 10 gm/dL in females.
+4 more criteria
Contact the study team to confirm eligibility.
Heterocyclic Compounds
Heterocyclic Compounds, Bridged-Ring
Heterocyclic Compounds, 4 or More Rings
Heterocyclic Compounds, Fused-Ring
Phenanthrenes
Polycyclic Aromatic Hydrocarbons
Polycyclic Compounds
Primary Completion
June 15, 2022
Actual (reported)
Study Completion
June 28, 2023
Actual (reported)
Last Updated
September 7, 2023
Results First Posted
September 7, 2023
Record last verified: 2023-08
Data Sharing
IPD Sharing
Will not share
Source record
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
JSON downloads include source attribution and retrieval details alongside the unchanged original record or the separately normalized values.