NCT05998876

Brief Summary

CARI Health aims to develop a methadone dose taken sensor that provides real-time data on interstitial fluid (ISF) levels that could be used as a methadone adherence monitor for daily doses. Use of such a monitor would allow for the physician, counselor, patient, and family member to remotely verify that a physician prescribed dose has been taken. Such a verification system can allow methadone clinics greater flexibility in the provision of take-home doses and thus retain more patients in the clinic.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
45

participants targeted

Target at P25-P50 for all trials

Timeline
Completed

Started Feb 2024

Shorter than P25 for all trials

Status
unknown

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

First Submitted

Initial submission to the registry

August 6, 2023

Completed
15 days until next milestone

First Posted

Study publicly available on registry

August 21, 2023

Completed
5 months until next milestone

Study Start

First participant enrolled

February 1, 2024

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2024

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2024

Completed
Last Updated

August 21, 2023

Status Verified

August 1, 2023

Enrollment Period

3 months

First QC Date

August 6, 2023

Last Update Submit

August 11, 2023

Conditions

Keywords

PharmacokineticsDifferential Pulse VoltammetryRemote Medication MonitorInterstitial Fluid

Outcome Measures

Primary Outcomes (2)

  • Sensitivity of detection of methadone levels in Interstitial Fluid using an electrochemical sensor

    Sensitivity of Repeated measurements of methadone levels

    from 3 hours to 3 days.

  • Specificity of detection of methadone levels in Interstitial Fluid using an electrochemical sensor

    Specificity of Repeated measurements of methadone levels

    from 3 hours to 3 days.

Secondary Outcomes (3)

  • Correlation between Blood and ISF levels of Methadone and Methadone Metabolites assayed with Liquid Chromatography - Mass Spectroscopy (LC-MS)

    from 3 hours to 3 days

  • Correlation between Blood and ISF levels of Methadone and Methadone Metabolites assayed with Remote Medication Monitor

    from 3 hours to 3 days

  • Correlation between Liquid Chromatography - Mass Spectroscopy (LC-MS) and Differential Pulse Voltammetry (DPV)

    from 3 hours to 3 days

Study Arms (3)

3-6 HRS

Microneedle electrode array placed into dermis for up to 6 hours. DPV Scans performed at a frequency of 1-20 per hour.

Device: Remote Medication Monitor (RMM) - PrototypeDrug: Daily Methadone Dose

12 HRS

Microneedle electrode array placed into dermis for up to 12 hrs. DPV Scans performed at a frequency of 1-20 per hour.

Device: Remote Medication Monitor (RMM) - PrototypeDrug: Daily Methadone Dose

3 Days

Microneedle electrode array placed into dermis for up to 3 days. DPV Scans performed at a frequency of 1-20 per hour.

Device: Remote Medication Monitor (RMM) - PrototypeDrug: Daily Methadone Dose

Interventions

Inserted Microneedle Electrode Array for assaying dermal interstitial fluid.

Also known as: RMM
12 HRS3 Days3-6 HRS

patient takes their prescribed daily dose of methadone

Also known as: Dose Taken
12 HRS3 Days3-6 HRS

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients taking methadone for opioid use disorder

You may qualify if:

  • Age 18-70. A prescription for liquid methadone at a dose of 10mg or more. Taken methadone as prescribed in the last 2 days. Has been prescribed at least 3 take homes

You may not qualify if:

  • Age \<18 or \>70. A condition preventing or complicating ISF collection. Conditions may include dermatological (skin) condition, immunodeficiency, bleeding diathesis, recent blood donation, anemia, cancer, congestive heart failure, or tuberculosis. Any active severe depression (e.g., suicidal ideation) or mania symptoms.
  • Pregnancy, or intending to become pregnant during the course of the study. Patients determined to be unstable for enrollment or take homes by the Outpatient Treatment Program (OTP).
  • Under a conservatorship.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Links

MeSH Terms

Conditions

Medication AdherenceOpioid-Related Disorders

Condition Hierarchy (Ancestors)

Patient CompliancePatient Acceptance of Health CareTreatment Adherence and ComplianceHealth BehaviorBehaviorNarcotic-Related DisordersSubstance-Related DisordersChemically-Induced DisordersMental Disorders

Study Officials

  • Mohammad Bari, MD

    Synergy Research Inc.

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Foster P Carr, MD

CONTACT

Patrik Schmidle

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 6, 2023

First Posted

August 21, 2023

Study Start

February 1, 2024

Primary Completion

May 1, 2024

Study Completion

June 1, 2024

Last Updated

August 21, 2023

Record last verified: 2023-08