Trial Outcomes & Findings for Employment-based Reinforcement of Naltrexone Ingestion and Abstinence (NCT NCT00149669)

NCT ID: NCT00149669

Last Updated: 2017-09-14

Results Overview

The number of urine samples positive for naltrexone divided by the total number of urine samples times 100.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

67 participants

Primary outcome timeframe

6 months

Results posted on

2017-09-14

Participant Flow

Participant milestones

Participant milestones
Measure
Work Plus Naltrexone Prescription
Participants who complete the naltrexone induction will be randomly assigned to one of two groups. Both groups will be invited to work in the Therapeutic Workplace and prescribed naltrexone for 26 weeks. The groups will differ in the contingencies imposed to work and earn salary. Work Plus Naltrexone Contingency participants will be required to ingest naltrexone to work, and will receive a brief pay decrease for missing a dose. Work Plus Naltrexone Prescription participants will be prescribed naltrexone, but will not be required to ingest it to work.
Work Plus Naltrexone Contingency
Participants who complete the naltrexone induction will be randomly assigned to one of two groups. Both groups will be invited to work in the Therapeutic Workplace and prescribed naltrexone for 26 weeks. The groups will differ in the contingencies imposed to work and earn salary. Work Plus Naltrexone Contingency participants will be required to ingest naltrexone to work, and will receive a brief pay decrease for missing a dose. Work Plus Naltrexone Prescription participants will be prescribed naltrexone, but will not be required to ingest it to work.
Overall Study
STARTED
32
35
Overall Study
COMPLETED
29
30
Overall Study
NOT COMPLETED
3
5

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Employment-based Reinforcement of Naltrexone Ingestion and Abstinence

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Work Plus Naltrexone Prescription
n=32 Participants
Participants who complete the naltrexone induction will be randomly assigned to one of two groups. Both groups will be invited to work in the Therapeutic Workplace and prescribed naltrexone for 26 weeks. The groups will differ in the contingencies imposed to work and earn salary. Work Plus Naltrexone Contingency participants will be required to ingest naltrexone to work, and will receive a brief pay decrease for missing a dose. Work Plus Naltrexone Prescription participants will be prescribed naltrexone, but will not be required to ingest it to work.
Work Plus Naltrexone Contingency
n=35 Participants
Participants who complete the naltrexone induction will be randomly assigned to one of two groups. Both groups will be invited to work in the Therapeutic Workplace and prescribed naltrexone for 26 weeks. The groups will differ in the contingencies imposed to work and earn salary. Work Plus Naltrexone Contingency participants will be required to ingest naltrexone to work, and will receive a brief pay decrease for missing a dose. Work Plus Naltrexone Prescription participants will be prescribed naltrexone, but will not be required to ingest it to work.
Total
n=67 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
32 Participants
n=5 Participants
35 Participants
n=7 Participants
67 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
47 years
STANDARD_DEVIATION 7 • n=5 Participants
43 years
STANDARD_DEVIATION 9 • n=7 Participants
45 years
STANDARD_DEVIATION 8 • n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
16 Participants
n=7 Participants
26 Participants
n=5 Participants
Sex: Female, Male
Male
22 Participants
n=5 Participants
19 Participants
n=7 Participants
41 Participants
n=5 Participants
Region of Enrollment
United States
32 participants
n=5 Participants
35 participants
n=7 Participants
67 participants
n=5 Participants

PRIMARY outcome

Timeframe: 6 months

Population: intent to treat

The number of urine samples positive for naltrexone divided by the total number of urine samples times 100.

Outcome measures

Outcome measures
Measure
Work Plus Naltrexone Prescription
n=32 Participants
Participants who complete the naltrexone induction will be randomly assigned to one of two groups. Both groups will be invited to work in the Therapeutic Workplace and prescribed naltrexone for 26 weeks. The groups will differ in the contingencies imposed to work and earn salary. Work Plus Naltrexone Contingency participants will be required to ingest naltrexone to work, and will receive a brief pay decrease for missing a dose. Work Plus Naltrexone Prescription participants will be prescribed naltrexone, but will not be required to ingest it to work.
Work Plus Naltrexone Contingency
n=35 Participants
Participants who complete the naltrexone induction will be randomly assigned to one of two groups. Both groups will be invited to work in the Therapeutic Workplace and prescribed naltrexone for 26 weeks. The groups will differ in the contingencies imposed to work and earn salary. Work Plus Naltrexone Contingency participants will be required to ingest naltrexone to work, and will receive a brief pay decrease for missing a dose. Work Plus Naltrexone Prescription participants will be prescribed naltrexone, but will not be required to ingest it to work.
Percentage of Urine Samples Positive for Naltrexone
21 Percentage of Urine Samples
Interval 0.0 to 100.0
72 Percentage of Urine Samples
Interval 0.0 to 100.0

SECONDARY outcome

Timeframe: 6 months

Population: intent to treat

the number of urine samples that were negative for cocaine divided by the total number of urine samples) x 100

Outcome measures

Outcome measures
Measure
Work Plus Naltrexone Prescription
n=32 Participants
Participants who complete the naltrexone induction will be randomly assigned to one of two groups. Both groups will be invited to work in the Therapeutic Workplace and prescribed naltrexone for 26 weeks. The groups will differ in the contingencies imposed to work and earn salary. Work Plus Naltrexone Contingency participants will be required to ingest naltrexone to work, and will receive a brief pay decrease for missing a dose. Work Plus Naltrexone Prescription participants will be prescribed naltrexone, but will not be required to ingest it to work.
Work Plus Naltrexone Contingency
n=35 Participants
Participants who complete the naltrexone induction will be randomly assigned to one of two groups. Both groups will be invited to work in the Therapeutic Workplace and prescribed naltrexone for 26 weeks. The groups will differ in the contingencies imposed to work and earn salary. Work Plus Naltrexone Contingency participants will be required to ingest naltrexone to work, and will receive a brief pay decrease for missing a dose. Work Plus Naltrexone Prescription participants will be prescribed naltrexone, but will not be required to ingest it to work.
Percentage of Urine Samples Negative for Cocaine
53 Percentage of Urine Samples
Interval 0.0 to 100.0
56 Percentage of Urine Samples
Interval 0.0 to 100.0

SECONDARY outcome

Timeframe: 6 months

Population: intent to treat

The number of urine samples negative for opiates divided by the total number of urine samples times 100.

Outcome measures

Outcome measures
Measure
Work Plus Naltrexone Prescription
n=32 Participants
Participants who complete the naltrexone induction will be randomly assigned to one of two groups. Both groups will be invited to work in the Therapeutic Workplace and prescribed naltrexone for 26 weeks. The groups will differ in the contingencies imposed to work and earn salary. Work Plus Naltrexone Contingency participants will be required to ingest naltrexone to work, and will receive a brief pay decrease for missing a dose. Work Plus Naltrexone Prescription participants will be prescribed naltrexone, but will not be required to ingest it to work.
Work Plus Naltrexone Contingency
n=35 Participants
Participants who complete the naltrexone induction will be randomly assigned to one of two groups. Both groups will be invited to work in the Therapeutic Workplace and prescribed naltrexone for 26 weeks. The groups will differ in the contingencies imposed to work and earn salary. Work Plus Naltrexone Contingency participants will be required to ingest naltrexone to work, and will receive a brief pay decrease for missing a dose. Work Plus Naltrexone Prescription participants will be prescribed naltrexone, but will not be required to ingest it to work.
Percentage of Urine Samples Negative for Opiates
60 Percentage of Urine Samples
Interval 0.0 to 100.0
71 Percentage of Urine Samples
Interval 0.0 to 100.0

OTHER_PRE_SPECIFIED outcome

Timeframe: 6 months

Population: These data were not analyzed due to limited funding. Funding this project has ended and we have no money to continue any summary or analyses.

Behaviors that place participants at risk for acquiring or transmitting HIV

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 6 months

Population: These data were not analyzed due to limited funding. Funding this project has ended and we have no money to continue any summary or analyses.

The costs and economic benefits of the intervention

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 6 months

Population: These data were not analyzed due to limited funding. Funding this project has ended and we have no money to continue any summary or analyses.

The percentage of urine and breath samples that are negative for other drugs of abuse

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 6 months

Population: These data were not analyzed due to limited funding. Funding this project has ended and we have no money to continue any summary or analyses.

The number of urine samples that were positive for cocaine

Outcome measures

Outcome data not reported

Adverse Events

Work Plus Naltrexone Prescription

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Work Plus Naltrexone Contingency

Serious events: 1 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Work Plus Naltrexone Prescription
n=32 participants at risk
Participants who complete the naltrexone induction will be randomly assigned to one of two groups. Both groups will be invited to work in the Therapeutic Workplace and prescribed naltrexone for 26 weeks. The groups will differ in the contingencies imposed to work and earn salary. Work Plus Naltrexone Contingency participants will be required to ingest naltrexone to work, and will receive a brief pay decrease for missing a dose. Work Plus Naltrexone Prescription participants will be prescribed naltrexone, but will not be required to ingest it to work.
Work Plus Naltrexone Contingency
n=35 participants at risk
Participants who complete the naltrexone induction will be randomly assigned to one of two groups. Both groups will be invited to work in the Therapeutic Workplace and prescribed naltrexone for 26 weeks. The groups will differ in the contingencies imposed to work and earn salary. Work Plus Naltrexone Contingency participants will be required to ingest naltrexone to work, and will receive a brief pay decrease for missing a dose. Work Plus Naltrexone Prescription participants will be prescribed naltrexone, but will not be required to ingest it to work.
General disorders
death by narcotic intoxication
0.00%
0/32
2.9%
1/35 • Number of events 1

Other adverse events

Other adverse events
Measure
Work Plus Naltrexone Prescription
n=32 participants at risk
Participants who complete the naltrexone induction will be randomly assigned to one of two groups. Both groups will be invited to work in the Therapeutic Workplace and prescribed naltrexone for 26 weeks. The groups will differ in the contingencies imposed to work and earn salary. Work Plus Naltrexone Contingency participants will be required to ingest naltrexone to work, and will receive a brief pay decrease for missing a dose. Work Plus Naltrexone Prescription participants will be prescribed naltrexone, but will not be required to ingest it to work.
Work Plus Naltrexone Contingency
n=35 participants at risk
Participants who complete the naltrexone induction will be randomly assigned to one of two groups. Both groups will be invited to work in the Therapeutic Workplace and prescribed naltrexone for 26 weeks. The groups will differ in the contingencies imposed to work and earn salary. Work Plus Naltrexone Contingency participants will be required to ingest naltrexone to work, and will receive a brief pay decrease for missing a dose. Work Plus Naltrexone Prescription participants will be prescribed naltrexone, but will not be required to ingest it to work.
Reproductive system and breast disorders
Ejaculation difficulty
3.1%
1/32 • Number of events 1
5.7%
2/35 • Number of events 3
General disorders
General medical treatment,
3.1%
1/32 • Number of events 1
0.00%
0/35
General disorders
Inpatient heroin detoxification
3.1%
1/32 • Number of events 1
0.00%
0/35
General disorders
Jitters or shakes
3.1%
1/32 • Number of events 1
0.00%
0/35
Hepatobiliary disorders
Abnormal Liver Function Test
0.00%
0/32
2.9%
1/35 • Number of events 1
Gastrointestinal disorders
Abdominal cramps
0.00%
0/32
2.9%
1/35 • Number of events 1
Gastrointestinal disorders
Vomiting, diarrhea, chills
0.00%
0/32
2.9%
1/35 • Number of events 1
Gastrointestinal disorders
E.R. for nausea
0.00%
0/32
2.9%
1/35 • Number of events 1
Cardiac disorders
Rapid heart rate
0.00%
0/32
2.9%
1/35 • Number of events 1
Gastrointestinal disorders
E.R. for adnominal pain
0.00%
0/32
2.9%
1/35 • Number of events 1
General disorders
headache
0.00%
0/32
2.9%
1/35 • Number of events 2
General disorders
Insomnia
0.00%
0/32
2.9%
1/35 • Number of events 1
General disorders
Withdrawal
0.00%
0/32
2.9%
1/35 • Number of events 1

Additional Information

Kenneth Silverman

Johns Hopkins University School of Medicine

Phone: 410-550-2694

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place