Safety and Efficacy of Probuphine in the Treatment of Opioid Dependence

NCT ID: NCT00447564

Last Updated: 2018-12-31

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

PHASE3

Total Enrollment

163 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-10-31

Study Completion Date

2008-07-31

Brief Summary

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Buprenorphine (BPN) is an approved treatment for opioid dependence, however, in taking oral tablets, patients experience withdrawal and cravings when the variable BPN levels in the blood are low. Probuphine is an implant placed just beneath the skin that contains BPN. It is designed to provide 6 months of stable BPN blood levels. This study will test the safety and efficacy of Probuphine in the treatment of patients with opioid dependence.

Detailed Description

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Conditions

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Opioid Dependence

Keywords

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opioid dependence opioid addiction buprenorphine methadone heroin implant opioid withdrawal opioid pain medication suboxone

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Group A

Group Type ACTIVE_COMPARATOR

Probuphine

Intervention Type DRUG

4 implants

Group B

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

4 implants

Interventions

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Probuphine

4 implants

Intervention Type DRUG

placebo

4 implants

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Voluntarily provide written informed consent prior to the conduct of any study related procedures
* Male or female, 18-65 years of age
* Meet DSM-IV criteria for current opioid dependence
* Females of childbearing potential and fertile males must use a reliable means of contraception

Exclusion Criteria

* Current diagnosis of Acquired Immune Deficiency Syndrome (AIDS)
* Presence of aspartate aminotransferase (AST) levels ≥ 3 X upper limit of normal and/or alanine aminotransferase (ALT) levels ≥ 3 X upper limit of normal and/or total bilirubin ≥ 1.5 X upper limit of normal and/or creatinine ≥ 1.5 X upper limit of normal
* Received treatment for opioid dependence (e.g., methadone, BPN), within the previous 90 days
* Current diagnosis of chronic pain requiring opioids for treatment
* Candidates for only short term opioid treatment or opioid detoxification therapy
* Pregnant or lactating females
* Previous hypersensitivity or allergy to BPN- or EVA-containing substances or naloxone
* Current use of agents metabolized through CYP 3A4 such as azole antifungals (e.g., ketoconazole), macrolide antibiotics (e.g., erythromycin), and protease inhibitors (e.g., ritonavir, indinavir, and saquinavir)
* Current anti-coagulant therapy (such as warfarin) or an INR \> 1.2
* Meet DSM-IV criteria for current dependence on any other psychoactive substances other than opioids or nicotine (e.g., alcohol, sedatives)
* Current use of benzodiazepines other than physician prescribed use
* Significant medical or psychiatric symptoms or dementia which in the opinion of the Investigators would preclude compliance with the protocol, patient safety, adequate cooperation in the study, or obtaining informed consent
* Concurrent medical conditions (such as severe respiratory insufficiency) that may prevent the patient from safely participating in study; and/or any pending legal action that could prohibit participation and/or compliance in study
* Participated in a clinical study within the previous 8 weeks
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Titan Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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David Geffen School of Medicine at UCLA

Los Angeles, California, United States

Site Status

Synergy Clinical Research Center

National City, California, United States

Site Status

North County Clinical Research

Oceanside, California, United States

Site Status

Amit Vijapura, MD and Associates

Jacksonville, Florida, United States

Site Status

Fidelity Clinical Research

Lauderhill, Florida, United States

Site Status

Scientific Clinical Research, Inc

North Miami, Florida, United States

Site Status

Northwest Behavioral Research Center

Roswell, Georgia, United States

Site Status

Behavioral Biology Research Unit, Johns Hopkins Bayview Campus

Baltimore, Maryland, United States

Site Status

Dual Diagnosis Unit, SSTAR: Stanley Street Treatment and Resources, Inc.

Fall River, Massachusetts, United States

Site Status

Wayne State University Department of Psychiatry and Behavioral Neurosciences

Detroit, Michigan, United States

Site Status

Psych Care Consultants Research

St Louis, Missouri, United States

Site Status

New York VA Medical Center, NYU School of Medicine

New York, New York, United States

Site Status

Addiction Institute of New York

New York, New York, United States

Site Status

Duke University Medical Center Addictions Program

Durham, North Carolina, United States

Site Status

Pahl Pharmaceutical Research, LLC

Oklahoma City, Oklahoma, United States

Site Status

University of Pennsylvania Treatment Research Center

Philadelphia, Pennsylvania, United States

Site Status

Providence Behavioral Health Services

Everett, Washington, United States

Site Status

Puget Sound Health Care Systems

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Ling W, Casadonte P, Bigelow G, Kampman KM, Patkar A, Bailey GL, Rosenthal RN, Beebe KL. Buprenorphine implants for treatment of opioid dependence: a randomized controlled trial. JAMA. 2010 Oct 13;304(14):1576-83. doi: 10.1001/jama.2010.1427.

Reference Type DERIVED
PMID: 20940383 (View on PubMed)

Other Identifiers

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PRO-805

Identifier Type: -

Identifier Source: org_study_id