Buprenorphine HIV Care Integration Project

NCT ID: NCT00348868

Last Updated: 2008-03-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-07-31

Study Completion Date

2007-12-31

Brief Summary

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A007 is a randomized, two-arm study evaluating the effectiveness of standard drug addiction counseling with buprenorphine/naloxone to enhanced motivational drug counseling with buprenorphine/naloxone for the treatment for opioid addiction in an integrated and nonintegrated HIV care setting.

Detailed Description

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DESIGN: A007 is a randomized, two-arm study evaluating the effectiveness of standard drug addiction counseling with buprenorphine/naloxone to enhanced motivational drug counseling with buprenorphine/naloxone for the treatment for opioid addiction in an integrated and nonintegrated HIV care setting.

DURATION: Subjects will participate in this study for approximately 48 weeks. Chart abstractions will continue for up to four years.

SAMPLE SIZE: This study will enroll 60 subjects (30 per arm) over 72 weeks.

POPULATION: HIV-1 infected opioid dependent men and women ≥18 years of age who initiate buprenorphine for the treatment of opioid dependence and who are receiving primary care for HIV-1 infection.

STRATIFICATION: Subjects will be stratified at screening based on HIV care setting (integrated HIV care vs. nonintegrated HIV care)

INTERVENTON At entry subjects will be randomized to one of the following:

ARM A: Standard drug addiction counseling + buprenorphine / naloxone

ARM B: Enhanced behavioral motivation counseling + buprenorphine / naloxone

The three primary outcomes are:

1. Cessation of illicit opioid use
2. Reduction in high risk behavior
3. Improved HIV therapy adherence

Conditions

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HIV Infection Opioid-Related Disorders

Keywords

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HIV Infection Opioid dependence DSM-IV criteria for opioid dependence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

enhanced behavioral motivation counseling

Group Type EXPERIMENTAL

enhanced behavioral motivation counseling

Intervention Type BEHAVIORAL

Motivational counseling

Intervention Type BEHAVIORAL

2

Group Type ACTIVE_COMPARATOR

Standard counseling

Intervention Type BEHAVIORAL

Interventions

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enhanced behavioral motivation counseling

Intervention Type BEHAVIORAL

Motivational counseling

Intervention Type BEHAVIORAL

Standard counseling

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* HIV infection
* Receiving or seeking outpatient HIV care
* Seeking outpatient treatment for opioid dependence and be willing to take buprenorphine
* Meets DSM-IV criteria for opioid dependence, and be willing to stop illicit opioid use and be experiencing early symptoms of opioid withdrawal at the time that buprenorphine is given
* Men and women age ≥ 18 years
* Women of reproductive potential must have a negative serum or urine pregnancy test result available within 7 days prior to initiating buprenorphine
* Within 30 days: (SGOT), ALT (SGPT), and alkaline phosphatase \<=5 X ULN, Total bilirubin \<= 2.5 x ULN

Exclusion Criteria

* Serious medical problem
* Acute and/or severe psychiatric conditions
* High dose methadone (\>30 mg/day)
* Documented co-dependence on alcohol and/or benzodiazepines, barbiturates
* Chronic pain management requiring opioids
* Pregnancy or breast-feeding
* Imprisonment or involuntary incarceration in a medical facility for psychiatric or physical
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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HRSA/Maternal and Child Health Bureau

FED

Sponsor Role collaborator

National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role collaborator

University of Miami

OTHER

Sponsor Role lead

Responsible Party

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Unversity of Miami

Principal Investigators

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Margaret Fischl, M.D.

Role: PRINCIPAL_INVESTIGATOR

University of Miami

Locations

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University of Miami AIDS Clinical Reserach Unit

Miami, Florida, United States

Site Status

Countries

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United States

Other Identifiers

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A007

Identifier Type: -

Identifier Source: org_study_id