Trial Outcomes & Findings for Induction of Opioid-Dependent Individuals Onto Buprenorphine and Buprenorphine/Naloxone (NCT NCT00637000)

NCT ID: NCT00637000

Last Updated: 2017-06-05

Results Overview

The COWS is an 11-item instrument used to assess symptoms of opioid withdrawal (Wesson et al., 1999). The score is the sum of the response to each of the 11 items and cover a range of 0-48. The COWS is commonly used by clinicians treating patients with buprenorphine to monitor the severity of withdrawal. COWS scores below 5 are considered not indicative of withdrawal. Scores from 5 to 12 are considered mild withdrawal; from 13 to 24 moderate withdrawal; 25 to 36 moderate/severe withdrawal, and 37-48 severe withdrawal. The baseline COWS was the score obtained 30 minutes prior to administration of soluble films on Day 1. Peak COWS was the highest COWS score obtained between 1-23.5 hours post administration on Day 1.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

38 participants

Primary outcome timeframe

Baseline: 30 minutes prior to first administration on Day 1. Peak: up to 23.5 hours post administration on Day 1

Results posted on

2017-06-05

Participant Flow

Patient enrollment commenced 03/19/08 and was completed 09/19/08. The study site was an in-patient research-based clinic affiliated with Johns Hopkins University School of Medicine.

During screening run-in, subjects received 30 mg morphine subcutaneously up to 4 times/day for up to 13 days. Subjects underwent two test sessions, consisting of a challenge of naloxone (0.4 mg) or placebo intramuscularly and evaluation for the severity of withdrawal. Subjects able to detect withdrawal were randomized to treatment.

Participant milestones

Participant milestones
Measure
Sublingual Buprenorphine Soluble Film
Day 1: Buprenorphine soluble film administered at a dose of 4 mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2-5: Buprenorphine soluble film administered at a dose of 16 mg to 24 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Sublingual Buprenorphine/Naloxone Soluble Film
Day 1: Buprenorphine/naloxone soluble film administered at a dose of 4mg/1mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2 to 5: Buprenorphine/naloxone soluble film administered at a dose of 16mg/4 mg to 24 mg/6 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Overall Study
STARTED
20
18
Overall Study
Evaluable
18
16
Overall Study
COMPLETED
16
15
Overall Study
NOT COMPLETED
4
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Sublingual Buprenorphine Soluble Film
Day 1: Buprenorphine soluble film administered at a dose of 4 mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2-5: Buprenorphine soluble film administered at a dose of 16 mg to 24 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Sublingual Buprenorphine/Naloxone Soluble Film
Day 1: Buprenorphine/naloxone soluble film administered at a dose of 4mg/1mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2 to 5: Buprenorphine/naloxone soluble film administered at a dose of 16mg/4 mg to 24 mg/6 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Overall Study
Withdrawal by Subject
4
3

Baseline Characteristics

Induction of Opioid-Dependent Individuals Onto Buprenorphine and Buprenorphine/Naloxone

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sublingual Buprenorphine Soluble Film
n=20 Participants
Day 1: Buprenorphine soluble film administered at a dose of 4 mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2-5: Buprenorphine soluble film administered at a dose of 16 mg to 24 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Sublingual Buprenorphine/Naloxone Soluble Film
n=18 Participants
Day 1: Buprenorphine/naloxone soluble film administered at a dose of 4mg/1mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2 to 5: Buprenorphine/naloxone soluble film administered at a dose of 16mg/4 mg to 24 mg/6 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Total
n=38 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
20 Participants
n=5 Participants
18 Participants
n=7 Participants
38 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
40.2 years
STANDARD_DEVIATION 10 • n=5 Participants
40.2 years
STANDARD_DEVIATION 7.9 • n=7 Participants
40.2 years
STANDARD_DEVIATION 8.9 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
7 Participants
n=7 Participants
12 Participants
n=5 Participants
Sex: Female, Male
Male
15 Participants
n=5 Participants
11 Participants
n=7 Participants
26 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
20 Participants
n=5 Participants
18 Participants
n=7 Participants
38 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
8 Participants
n=5 Participants
4 Participants
n=7 Participants
12 Participants
n=5 Participants
Race (NIH/OMB)
White
12 Participants
n=5 Participants
13 Participants
n=7 Participants
25 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
20 participants
n=5 Participants
18 participants
n=7 Participants
38 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline: 30 minutes prior to first administration on Day 1. Peak: up to 23.5 hours post administration on Day 1

Population: Per protocol, the evaluable population includes all subjects randomized to the study who completed the study through the first two days of soluble films administration and assessments for 23.5 hours after the first day of soluble films administration.

The COWS is an 11-item instrument used to assess symptoms of opioid withdrawal (Wesson et al., 1999). The score is the sum of the response to each of the 11 items and cover a range of 0-48. The COWS is commonly used by clinicians treating patients with buprenorphine to monitor the severity of withdrawal. COWS scores below 5 are considered not indicative of withdrawal. Scores from 5 to 12 are considered mild withdrawal; from 13 to 24 moderate withdrawal; 25 to 36 moderate/severe withdrawal, and 37-48 severe withdrawal. The baseline COWS was the score obtained 30 minutes prior to administration of soluble films on Day 1. Peak COWS was the highest COWS score obtained between 1-23.5 hours post administration on Day 1.

Outcome measures

Outcome measures
Measure
Sublingual Buprenorphine/Naloxone Soluble Film
n=16 Participants
Day 1: Buprenorphine/naloxone soluble film administered at a dose of 4mg/1mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2 to 5: Buprenorphine/naloxone soluble film administered at a dose of 16mg/4 mg to 24 mg/6 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Sublingual Buprenorphine Soluble Film
n=18 Participants
Day 1: Buprenorphine soluble film administered at a dose of 4 mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2-5: Buprenorphine soluble film administered at a dose of 16 mg to 24 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Severity of Withdrawal Symptoms Measured Using the Clinical Opiate Withdrawal Scale (COWS) at Baseline and the Peak COWS up to 23.5 Hours After the First Administration
Baseline
10.1 units on a scale
Standard Deviation 6.4
9.1 units on a scale
Standard Deviation 5.5
Severity of Withdrawal Symptoms Measured Using the Clinical Opiate Withdrawal Scale (COWS) at Baseline and the Peak COWS up to 23.5 Hours After the First Administration
Peak
5.7 units on a scale
Standard Deviation 3.2
4.2 units on a scale
Standard Deviation 2.4

SECONDARY outcome

Timeframe: End of Induction: 47.5 hours after first administration Peak Post Induction: Days 3-5

Population: Per protocol, the evaluable population includes all subjects randomized to the study who completed the study through the first two days of soluble films administration and assessments for 23.5 hours after the first day of soluble films administration.

The COWS is an 11-item instrument used to assess symptoms of opioid withdrawal (Wesson et al., 1999). The score is the sum of the response to each of the 11 items and cover a range of 0-48. The COWS is commonly used by clinicians treating patients with buprenorphine to monitor the severity of withdrawal. COWS scores below 5 are considered not indicative of withdrawal. Scores from 5 to 12 are considered mild withdrawal; from 13 to 24 moderate withdrawal; 25 to 36 moderate/severe withdrawal, and 37-48 severe withdrawal. The end of induction COWS was the score obtained 47.5 hours after first administration of soluble films on Day 1. Peak post induction COWS was the highest COWS score obtained on Days 2-5.

Outcome measures

Outcome measures
Measure
Sublingual Buprenorphine/Naloxone Soluble Film
n=16 Participants
Day 1: Buprenorphine/naloxone soluble film administered at a dose of 4mg/1mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2 to 5: Buprenorphine/naloxone soluble film administered at a dose of 16mg/4 mg to 24 mg/6 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Sublingual Buprenorphine Soluble Film
n=18 Participants
Day 1: Buprenorphine soluble film administered at a dose of 4 mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2-5: Buprenorphine soluble film administered at a dose of 16 mg to 24 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Severity of Withdrawal Symptoms Measured Using the Clinical Opiate Withdrawal Scale (COWS) at the End of Induction and the Peak COWS Post Induction
End of Induction
1.0 units on a scale
Standard Deviation 1.0
0.6 units on a scale
Standard Deviation 0.5
Severity of Withdrawal Symptoms Measured Using the Clinical Opiate Withdrawal Scale (COWS) at the End of Induction and the Peak COWS Post Induction
Peak Post Induction
2.6 units on a scale
Standard Deviation 2.4
1.0 units on a scale
Standard Deviation 1.0

SECONDARY outcome

Timeframe: Baseline: 15 minutes prior to first administration on Day 1. Peak: 15 minutes - 23.5 hours post administration on Day 1

Population: Per protocol, the evaluable population includes all subjects randomized to the study who completed the study through the first two days of soluble films administration and assessments for 23.5 hours after the first day of soluble films administration.

Pupil diameter was measured at baseline and at intervals post drug administration on Day 1. Peak measurement is the maximum pupil diameter recorded from 15 minutes to 23.5 hours post administration of study intervention.

Outcome measures

Outcome measures
Measure
Sublingual Buprenorphine/Naloxone Soluble Film
n=16 Participants
Day 1: Buprenorphine/naloxone soluble film administered at a dose of 4mg/1mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2 to 5: Buprenorphine/naloxone soluble film administered at a dose of 16mg/4 mg to 24 mg/6 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Sublingual Buprenorphine Soluble Film
n=18 Participants
Day 1: Buprenorphine soluble film administered at a dose of 4 mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2-5: Buprenorphine soluble film administered at a dose of 16 mg to 24 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Pupil Diameter Measurements at Baseline and the Maximum Pupil Diameter up to 23.5 Hours After the First Administration
Baseline
6.11 mm
Standard Deviation 0.88
6.24 mm
Standard Deviation 0.97
Pupil Diameter Measurements at Baseline and the Maximum Pupil Diameter up to 23.5 Hours After the First Administration
Peak
5.99 mm
Standard Deviation 0.98
4.39 mm
Standard Deviation 6.27

SECONDARY outcome

Timeframe: Baseline: 15 minutes prior to first administration on Day 1. Peak: 15 minutes - 23.5 hours post administration on Day 1

Population: Per protocol, the evaluable population includes all subjects randomized to the study who completed the study through the first two days of soluble films administration and assessments for 23.5 hours after the first day of soluble films administration.

Pupil diameter was measured at baseline and at intervals post drug administration on Day 1. Peak measurement is the minimum pupil diameter recorded from 15 minutes to 23.5 hours post administration of study intervention.

Outcome measures

Outcome measures
Measure
Sublingual Buprenorphine/Naloxone Soluble Film
n=16 Participants
Day 1: Buprenorphine/naloxone soluble film administered at a dose of 4mg/1mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2 to 5: Buprenorphine/naloxone soluble film administered at a dose of 16mg/4 mg to 24 mg/6 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Sublingual Buprenorphine Soluble Film
n=18 Participants
Day 1: Buprenorphine soluble film administered at a dose of 4 mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2-5: Buprenorphine soluble film administered at a dose of 16 mg to 24 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Pupil Diameter Measurements at Baseline and the Minimum Pupil Diameter up to 23.5 Hours After the First Administration
Baseline
6.11 mm
Standard Deviation 0.88
6.24 mm
Standard Deviation 0.97
Pupil Diameter Measurements at Baseline and the Minimum Pupil Diameter up to 23.5 Hours After the First Administration
Peak
4.32 mm
Standard Deviation 1.08
4.39 mm
Standard Deviation 1.27

SECONDARY outcome

Timeframe: End of Induction: 47.5 hours after first administration Peak Post Induction: Days 3-5

Population: Per protocol, the evaluable population includes all subjects randomized to the study who completed the study through the first two days of soluble films administration and assessments for 23.5 hours after the first day of soluble films administration.

Pupil diameter was measured at the end of induction (47.5 hours after the first administration of study intervention) and at intervals during the post-induction period (Days 3-5). Peak post induction measurement is the minimum pupil diameter recorded during days 3-5.

Outcome measures

Outcome measures
Measure
Sublingual Buprenorphine/Naloxone Soluble Film
n=16 Participants
Day 1: Buprenorphine/naloxone soluble film administered at a dose of 4mg/1mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2 to 5: Buprenorphine/naloxone soluble film administered at a dose of 16mg/4 mg to 24 mg/6 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Sublingual Buprenorphine Soluble Film
n=18 Participants
Day 1: Buprenorphine soluble film administered at a dose of 4 mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2-5: Buprenorphine soluble film administered at a dose of 16 mg to 24 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Pupil Diameter Measurements At End of Induction (End of Day 2) and the Minimum Pupil Diameter During the Post Induction Period (Days 3-5)
End of Induction
5.1 mm
Standard Deviation 1.2
5.3 mm
Standard Deviation 1.2
Pupil Diameter Measurements At End of Induction (End of Day 2) and the Minimum Pupil Diameter During the Post Induction Period (Days 3-5)
Peak Post Induction
3.6 mm
Standard Deviation 0.9
4.1 mm
Standard Deviation 1.1

SECONDARY outcome

Timeframe: Baseline: 30 minutes prior to first administration on Day 1. Peak: up to 23.5 hours post administration on Day 1

Population: Per protocol, the evaluable population includes all subjects randomized to the study who completed the study through the first two days of soluble films administration and assessments for 23.5 hours after the first day of soluble films administration.

A visual analog scale (VAS) was used by participants to answer the subjective question, "How high are you?". The question was one of six used to measure the extent of opioid blockade following study intervention. VAS questions were selected based on previous demonstration of their sensitivity to opioid agonist and antagonist effects (Preston et al., 1988). Participants indicated how high they feel by marking a score on a horizontal line with 0=not high and 100=extremely high. The baseline VAS was the score obtained 30 minutes prior to administration of soluble films on Day 1. Peak VAS was the highest VAS score obtained between 1-23.5 hours post administration on Day 1.

Outcome measures

Outcome measures
Measure
Sublingual Buprenorphine/Naloxone Soluble Film
n=16 Participants
Day 1: Buprenorphine/naloxone soluble film administered at a dose of 4mg/1mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2 to 5: Buprenorphine/naloxone soluble film administered at a dose of 16mg/4 mg to 24 mg/6 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Sublingual Buprenorphine Soluble Film
n=18 Participants
Day 1: Buprenorphine soluble film administered at a dose of 4 mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2-5: Buprenorphine soluble film administered at a dose of 16 mg to 24 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Visual Analog Scale (VAS) Score at Baseline and the Peak (Maximum Increase) VAS up to 23.5 Hours After First Administration for the Question: "How High Are You?"
Baseline
0.0 units on a scale
Standard Deviation 0.3
0.0 units on a scale
Standard Deviation 0.0
Visual Analog Scale (VAS) Score at Baseline and the Peak (Maximum Increase) VAS up to 23.5 Hours After First Administration for the Question: "How High Are You?"
Peak
13.7 units on a scale
Standard Deviation 24.0
5.8 units on a scale
Standard Deviation 12.9

SECONDARY outcome

Timeframe: Baseline: 30 minutes prior to first administration on Day 1. Peak: up to 23.5 hours post administration on Day 1

Population: Per protocol, the evaluable population includes all subjects randomized to the study who completed the study through the first two days of soluble films administration and assessments for 23.5 hours after the first day of soluble films administration.

A visual analog scale (VAS) was used by participants to answer the subjective question, "Do you feel any drug effect?". The question was one of six used to measure the extent of opioid blockade following study intervention. VAS questions were selected based on previous demonstration of their sensitivity to opioid agonist and antagonist effects (Preston et al., 1988). Participants indicated how high they feel by marking a score on a horizontal line with 0=no effect and 100=maximum effect.

Outcome measures

Outcome measures
Measure
Sublingual Buprenorphine/Naloxone Soluble Film
n=16 Participants
Day 1: Buprenorphine/naloxone soluble film administered at a dose of 4mg/1mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2 to 5: Buprenorphine/naloxone soluble film administered at a dose of 16mg/4 mg to 24 mg/6 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Sublingual Buprenorphine Soluble Film
n=18 Participants
Day 1: Buprenorphine soluble film administered at a dose of 4 mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2-5: Buprenorphine soluble film administered at a dose of 16 mg to 24 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Visual Analog Scale (VAS) Score at Baseline and the Peak (Maximum Increase) VAS up to 23.5 Hours After First Administration for the Question: "Do You Feel Any Drug Effect?"
Baseline
0.0 units on a scale
Standard Deviation 0.0
0.0 units on a scale
Standard Deviation 0.0
Visual Analog Scale (VAS) Score at Baseline and the Peak (Maximum Increase) VAS up to 23.5 Hours After First Administration for the Question: "Do You Feel Any Drug Effect?"
Peak
50.4 units on a scale
Standard Deviation 26.0
44.3 units on a scale
Standard Deviation 31.5

SECONDARY outcome

Timeframe: Baseline: 30 minutes prior to first administration on Day 1. Peak: up to 23.5 hours post administration on Day 1

Population: Per protocol, the evaluable population includes all subjects randomized to the study who completed the study through the first two days of soluble films administration and assessments for 23.5 hours after the first day of soluble films administration.

A visual analog scale (VAS) was used by participants to answer the subjective question, "Do you feel any good effects?". The question was one of six used to measure the extent of opioid blockade following study intervention. VAS questions were selected based on previous demonstration of their sensitivity to opioid agonist and antagonist effects (Preston et al., 1988). Participants indicated how high they feel by marking a score on a horizontal line with 0=no good effects and 100=maximum good effects.

Outcome measures

Outcome measures
Measure
Sublingual Buprenorphine/Naloxone Soluble Film
n=16 Participants
Day 1: Buprenorphine/naloxone soluble film administered at a dose of 4mg/1mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2 to 5: Buprenorphine/naloxone soluble film administered at a dose of 16mg/4 mg to 24 mg/6 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Sublingual Buprenorphine Soluble Film
n=18 Participants
Day 1: Buprenorphine soluble film administered at a dose of 4 mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2-5: Buprenorphine soluble film administered at a dose of 16 mg to 24 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Visual Analog Scale (VAS) Score at Baseline and the Peak (Maximum Increase) VAS up to 23.5 Hours After First Administration for the Question: "Does the Drug Have Any Good Effects?"
Baseline
0.0 units on a scale
Standard Deviation 0.0
0.0 units on a scale
Standard Deviation 0.0
Visual Analog Scale (VAS) Score at Baseline and the Peak (Maximum Increase) VAS up to 23.5 Hours After First Administration for the Question: "Does the Drug Have Any Good Effects?"
Peak
57.6 units on a scale
Standard Deviation 31.4
62.3 units on a scale
Standard Deviation 35.1

SECONDARY outcome

Timeframe: Baseline: 30 minutes prior to first administration on Day 1. Peak: up to 23.5 hours post administration on Day 1

Population: Per protocol, the evaluable population includes all subjects randomized to the study who completed the study through the first two days of soluble films administration and assessments for 23.5 hours after the first day of soluble films administration.

A visual analog scale (VAS) was used by participants to answer the subjective question, "Does the drug have any bad effects?". The question was one of six used to measure the extent of opioid blockade following study intervention. VAS questions were selected based on previous demonstration of their sensitivity to opioid agonist and antagonist effects (Preston et al., 1988). Participants indicated how high they feel by marking a score on a horizontal line with 0=no bad effects and 100=maximum bad effects.

Outcome measures

Outcome measures
Measure
Sublingual Buprenorphine/Naloxone Soluble Film
n=16 Participants
Day 1: Buprenorphine/naloxone soluble film administered at a dose of 4mg/1mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2 to 5: Buprenorphine/naloxone soluble film administered at a dose of 16mg/4 mg to 24 mg/6 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Sublingual Buprenorphine Soluble Film
n=18 Participants
Day 1: Buprenorphine soluble film administered at a dose of 4 mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2-5: Buprenorphine soluble film administered at a dose of 16 mg to 24 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Visual Analog Scale (VAS) Score at Baseline and the Peak (Maximum Increase) VAS up to 23.5 Hours After First Administration for the Question: "Does the Drug Have Any Bad Effects?"
Baseline
12.5 units on a scale
Standard Deviation 34.2
0.0 units on a scale
Standard Deviation 0.0
Visual Analog Scale (VAS) Score at Baseline and the Peak (Maximum Increase) VAS up to 23.5 Hours After First Administration for the Question: "Does the Drug Have Any Bad Effects?"
Peak
6.1 units on a scale
Standard Deviation 12.5
4.4 units on a scale
Standard Deviation 11.8

SECONDARY outcome

Timeframe: Baseline: 30 minutes prior to first administration on Day 1. Peak: up to 23.5 hours post administration on Day 1

Population: Per protocol, the evaluable population includes all subjects randomized to the study who completed the study through the first two days of soluble films administration and assessments for 23.5 hours after the first day of soluble films administration.

A visual analog scale (VAS) was used by participants to answer the subjective question, "Do you like the drug?". The question was one of six used to measure the extent of opioid blockade following study intervention. VAS questions were selected based on previous demonstration of their sensitivity to opioid agonist and antagonist effects (Preston et al., 1988). Participants indicated how high they feel by marking a score on a horizontal line with 0=no liking and 100=maximum liking.

Outcome measures

Outcome measures
Measure
Sublingual Buprenorphine/Naloxone Soluble Film
n=16 Participants
Day 1: Buprenorphine/naloxone soluble film administered at a dose of 4mg/1mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2 to 5: Buprenorphine/naloxone soluble film administered at a dose of 16mg/4 mg to 24 mg/6 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Sublingual Buprenorphine Soluble Film
n=18 Participants
Day 1: Buprenorphine soluble film administered at a dose of 4 mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2-5: Buprenorphine soluble film administered at a dose of 16 mg to 24 mg once per day, plus placebo. Dosing occurred at 0900 hours.
CVisual Analog Scale (VAS) Score at Baseline and the Peak (Maximum Increase) VAS up to 23.5 Hours After First Administration for the Question: "Do You Like the Drug?"
Baseline
0.0 units on a scale
Standard Deviation 0.0
0.0 units on a scale
Standard Deviation 0.0
CVisual Analog Scale (VAS) Score at Baseline and the Peak (Maximum Increase) VAS up to 23.5 Hours After First Administration for the Question: "Do You Like the Drug?"
Peak
59.4 units on a scale
Standard Deviation 34.1
61.2 units on a scale
Standard Deviation 40.0

SECONDARY outcome

Timeframe: Baseline: 30 minutes prior to first administration on Day 1. Peak: up to 23.5 hours post administration on Day 1

Population: Per protocol, the evaluable population includes all subjects randomized to the study who completed the study through the first two days of soluble films administration and assessments for 23.5 hours after the first day of soluble films administration.

A visual analog scale (VAS) was used by participants to answer the subjective question, "Does the drug make you sick?". The question was one of six used to measure the extent of opioid blockade following study intervention. VAS questions were selected based on previous demonstration of their sensitivity to opioid agonist and antagonist effects (Preston et al., 1988). Participants indicated how high they feel by marking a score on a horizontal line with 0=no effect and 100=maximum effect.

Outcome measures

Outcome measures
Measure
Sublingual Buprenorphine/Naloxone Soluble Film
n=16 Participants
Day 1: Buprenorphine/naloxone soluble film administered at a dose of 4mg/1mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2 to 5: Buprenorphine/naloxone soluble film administered at a dose of 16mg/4 mg to 24 mg/6 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Sublingual Buprenorphine Soluble Film
n=18 Participants
Day 1: Buprenorphine soluble film administered at a dose of 4 mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2-5: Buprenorphine soluble film administered at a dose of 16 mg to 24 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Visual Analog Scale (VAS) Score at Baseline and the Peak (Maximum Increase) VAS up to 23.5 Hours After First Administration for the Question: "Does the Drug Make You Sick?"
Baseline
12.5 units on a scale
Standard Deviation 34.2
0.0 units on a scale
Standard Deviation 0.0
Visual Analog Scale (VAS) Score at Baseline and the Peak (Maximum Increase) VAS up to 23.5 Hours After First Administration for the Question: "Does the Drug Make You Sick?"
Peak
4.5 units on a scale
Standard Deviation 12.3
2.1 units on a scale
Standard Deviation 6.1

SECONDARY outcome

Timeframe: End of Induction: 47.5 hours after first administration Peak Post Induction: Days 3-5

Population: Per protocol, the evaluable population includes all subjects randomized to the study who completed the study through the first two days of soluble films administration and assessments for 23.5 hours after the first day of soluble films administration.

A visual analog scale (VAS) was used by participants to answer the subjective question, "How high are you?". The question was one of six used to measure the extent of opioid blockade following study intervention. VAS questions were selected based on previous demonstration of their sensitivity to opioid agonist and antagonist effects (Preston et al., 1988). Participants indicated how high they feel by marking a score on a horizontal line with 0=not high and 100=extremely high.

Outcome measures

Outcome measures
Measure
Sublingual Buprenorphine/Naloxone Soluble Film
n=16 Participants
Day 1: Buprenorphine/naloxone soluble film administered at a dose of 4mg/1mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2 to 5: Buprenorphine/naloxone soluble film administered at a dose of 16mg/4 mg to 24 mg/6 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Sublingual Buprenorphine Soluble Film
n=18 Participants
Day 1: Buprenorphine soluble film administered at a dose of 4 mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2-5: Buprenorphine soluble film administered at a dose of 16 mg to 24 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Visual Analog Scale (VAS) Scores at End of Induction Period and the Post-induction Period (Maximum Increase) for the Question: "How High Are You?"
End of Induction
6.3 units on a scale
Standard Deviation 25.0
0.0 units on a scale
Standard Deviation 0.0
Visual Analog Scale (VAS) Scores at End of Induction Period and the Post-induction Period (Maximum Increase) for the Question: "How High Are You?"
Peak Post Induction
12.9 units on a scale
Standard Deviation 30.1
8.2 units on a scale
Standard Deviation 18.2

SECONDARY outcome

Timeframe: End of Induction: 47.5 hours after first administration Peak Post Induction: Days 3-5

Population: Per protocol, the evaluable population includes all subjects randomized to the study who completed the study through the first two days of soluble films administration and assessments for 23.5 hours after the first day of soluble films administration.

A visual analog scale (VAS) was used by participants to answer the subjective question, "Do you feel any drug effect?". The question was one of six used to measure the extent of opioid blockade following study intervention. VAS questions were selected based on previous demonstration of their sensitivity to opioid agonist and antagonist effects (Preston et al., 1988). Participants indicated how high they feel by marking a score on a horizontal line with 0=no effect and 100=maximum effect.

Outcome measures

Outcome measures
Measure
Sublingual Buprenorphine/Naloxone Soluble Film
n=16 Participants
Day 1: Buprenorphine/naloxone soluble film administered at a dose of 4mg/1mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2 to 5: Buprenorphine/naloxone soluble film administered at a dose of 16mg/4 mg to 24 mg/6 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Sublingual Buprenorphine Soluble Film
n=18 Participants
Day 1: Buprenorphine soluble film administered at a dose of 4 mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2-5: Buprenorphine soluble film administered at a dose of 16 mg to 24 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Visual Analog Scale (VAS) Scores at End of Induction Period and the Post-induction Period (Maximum Increase) for the Question: "Do You Feel Any Drug Effect?"
End of Induction
15.9 units on a scale
Standard Deviation 28.6
7.9 units on a scale
Standard Deviation 16.8
Visual Analog Scale (VAS) Scores at End of Induction Period and the Post-induction Period (Maximum Increase) for the Question: "Do You Feel Any Drug Effect?"
Peak Post Induction
47.4 units on a scale
Standard Deviation 27.8
53.2 units on a scale
Standard Deviation 41.0

SECONDARY outcome

Timeframe: End of Induction: 47.5 hours after first administration Peak Post Induction: Days 3-5

Population: Per protocol, the evaluable population includes all subjects randomized to the study who completed the study through the first two days of soluble films administration and assessments for 23.5 hours after the first day of soluble films administration.

A visual analog scale (VAS) was used by participants to answer the subjective question, "Do you feel any good effects?". The question was one of six used to measure the extent of opioid blockade following study intervention. VAS questions were selected based on previous demonstration of their sensitivity to opioid agonist and antagonist effects (Preston et al., 1988). Participants indicated how high they feel by marking a score on a horizontal line with 0=no good effects and 100=maximum good effects.

Outcome measures

Outcome measures
Measure
Sublingual Buprenorphine/Naloxone Soluble Film
n=16 Participants
Day 1: Buprenorphine/naloxone soluble film administered at a dose of 4mg/1mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2 to 5: Buprenorphine/naloxone soluble film administered at a dose of 16mg/4 mg to 24 mg/6 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Sublingual Buprenorphine Soluble Film
n=18 Participants
Day 1: Buprenorphine soluble film administered at a dose of 4 mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2-5: Buprenorphine soluble film administered at a dose of 16 mg to 24 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Visual Analog Scale (VAS) Scores at End of Induction Period and the Post-induction Period (Maximum Increase) for the Question: "Do You Feel Any Good Effects?"
End of Induction
20.2 units on a scale
Standard Deviation 30.0
11.0 units on a scale
Standard Deviation 26.0
Visual Analog Scale (VAS) Scores at End of Induction Period and the Post-induction Period (Maximum Increase) for the Question: "Do You Feel Any Good Effects?"
Peak Post Induction
52.9 units on a scale
Standard Deviation 33.1
61.7 units on a scale
Standard Deviation 39.8

SECONDARY outcome

Timeframe: End of Induction: 47.5 hours after first administration Peak Post Induction: Days 3-5

Population: Per protocol, the evaluable population includes all subjects randomized to the study who completed the study through the first two days of soluble films administration and assessments for 23.5 hours after the first day of soluble films administration.

A visual analog scale (VAS) was used by participants to answer the subjective question, "Does the drug have any bad effects?". The question was one of six used to measure the extent of opioid blockade following study intervention. VAS questions were selected based on previous demonstration of their sensitivity to opioid agonist and antagonist effects (Preston et al., 1988). Participants indicated how high they feel by marking a score on a horizontal line with 0=no bad effects and 100=maximum bad effects.

Outcome measures

Outcome measures
Measure
Sublingual Buprenorphine/Naloxone Soluble Film
n=16 Participants
Day 1: Buprenorphine/naloxone soluble film administered at a dose of 4mg/1mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2 to 5: Buprenorphine/naloxone soluble film administered at a dose of 16mg/4 mg to 24 mg/6 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Sublingual Buprenorphine Soluble Film
n=18 Participants
Day 1: Buprenorphine soluble film administered at a dose of 4 mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2-5: Buprenorphine soluble film administered at a dose of 16 mg to 24 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Visual Analog Scale (VAS) Scores at End of Induction Period and the Post-induction Period (Maximum Increase) for the Question: "Does the Drug Have Any Bad Effects?"
End of Induction
0.3 units on a scale
Standard Deviation 0.8
0.0 units on a scale
Standard Deviation 0.0
Visual Analog Scale (VAS) Scores at End of Induction Period and the Post-induction Period (Maximum Increase) for the Question: "Does the Drug Have Any Bad Effects?"
Peak Post Induction
0.4 units on a scale
Standard Deviation 1.2
0.4 units on a scale
Standard Deviation 1.2

SECONDARY outcome

Timeframe: End of Induction: 47.5 hours after first administration Peak Post Induction: Days 3-5

Population: Per protocol, the evaluable population includes all subjects randomized to the study who completed the study through the first two days of soluble films administration and assessments for 23.5 hours after the first day of soluble films administration.

A visual analog scale (VAS) was used by participants to answer the subjective question, "Do you like the drug?". The question was one of six used to measure the extent of opioid blockade following study intervention. VAS questions were selected based on previous demonstration of their sensitivity to opioid agonist and antagonist effects (Preston et al., 1988). Participants indicated how high they feel by marking a score on a horizontal line with 0=no liking and 100=maximum liking.

Outcome measures

Outcome measures
Measure
Sublingual Buprenorphine/Naloxone Soluble Film
n=16 Participants
Day 1: Buprenorphine/naloxone soluble film administered at a dose of 4mg/1mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2 to 5: Buprenorphine/naloxone soluble film administered at a dose of 16mg/4 mg to 24 mg/6 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Sublingual Buprenorphine Soluble Film
n=18 Participants
Day 1: Buprenorphine soluble film administered at a dose of 4 mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2-5: Buprenorphine soluble film administered at a dose of 16 mg to 24 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Visual Analog Scale (VAS) Scores at End of Induction Period and the Post-induction Period (Maximum Increase) for the Question: "Do You Like the Drug?"
End of Induction
24.3 units on a scale
Standard Deviation 37.0
14.9 units on a scale
Standard Deviation 29.6
Visual Analog Scale (VAS) Scores at End of Induction Period and the Post-induction Period (Maximum Increase) for the Question: "Do You Like the Drug?"
Peak Post Induction
55.4 units on a scale
Standard Deviation 35.8
61.7 units on a scale
Standard Deviation 41.0

SECONDARY outcome

Timeframe: End of Induction: 47.5 hours after first administration Peak Post Induction: Days 3-5

Population: Per protocol, the evaluable population includes all subjects randomized to the study who completed the study through the first two days of soluble films administration and assessments for 23.5 hours after the first day of soluble films administration.

A visual analog scale (VAS) was used by participants to answer the subjective question, "Does the drug make you sick?". The question was one of six used to measure the extent of opioid blockade following study intervention. VAS questions were selected based on previous demonstration of their sensitivity to opioid agonist and antagonist effects (Preston et al., 1988). Participants indicated how high they feel by marking a score on a horizontal line with 0=no effect and 100=maximum effect.

Outcome measures

Outcome measures
Measure
Sublingual Buprenorphine/Naloxone Soluble Film
n=16 Participants
Day 1: Buprenorphine/naloxone soluble film administered at a dose of 4mg/1mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2 to 5: Buprenorphine/naloxone soluble film administered at a dose of 16mg/4 mg to 24 mg/6 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Sublingual Buprenorphine Soluble Film
n=18 Participants
Day 1: Buprenorphine soluble film administered at a dose of 4 mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2-5: Buprenorphine soluble film administered at a dose of 16 mg to 24 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Visual Analog Scale (VAS) Scores at End of Induction Period and the Post-induction Period (Maximum Increase) for the Question: "Does the Drug Make You Sick?"
End of Induction
0.3 units on a scale
Standard Deviation 0.7
0 units on a scale
Standard Deviation 0
Visual Analog Scale (VAS) Scores at End of Induction Period and the Post-induction Period (Maximum Increase) for the Question: "Does the Drug Make You Sick?"
Peak Post Induction
0.7 units on a scale
Standard Deviation 1.6
0 units on a scale
Standard Deviation 0

SECONDARY outcome

Timeframe: Day 1-6

Population: The randomized population included all subjects who were randomized to soluble films and received at least one dose of soluble films.

Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6. Severity was graded by the investigator as mild (grade 1), moderate (grade 2) and severe (grade 3).

Outcome measures

Outcome measures
Measure
Sublingual Buprenorphine/Naloxone Soluble Film
n=18 Participants
Day 1: Buprenorphine/naloxone soluble film administered at a dose of 4mg/1mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2 to 5: Buprenorphine/naloxone soluble film administered at a dose of 16mg/4 mg to 24 mg/6 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Sublingual Buprenorphine Soluble Film
n=20 Participants
Day 1: Buprenorphine soluble film administered at a dose of 4 mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2-5: Buprenorphine soluble film administered at a dose of 16 mg to 24 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Summary of Participants With Treatment-Emergent Adverse Events (TEAEs)
With any TEAE
18 participants
20 participants
Summary of Participants With Treatment-Emergent Adverse Events (TEAEs)
With grade 1 TEAE
16 participants
15 participants
Summary of Participants With Treatment-Emergent Adverse Events (TEAEs)
With grade 2 TEAE
16 participants
19 participants
Summary of Participants With Treatment-Emergent Adverse Events (TEAEs)
With grade 3 TEAE
0 participants
0 participants

Adverse Events

Sublingual Buprenorphine Soluble Film

Serious events: 0 serious events
Other events: 20 other events
Deaths: 0 deaths

Sublingual Buprenorphine/Naloxone Soluble Film

Serious events: 0 serious events
Other events: 18 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Sublingual Buprenorphine Soluble Film
n=20 participants at risk
Day 1: Buprenorphine soluble film administered at a dose of 4 mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2-5: Buprenorphine soluble film administered at a dose of 16 mg to 24 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Sublingual Buprenorphine/Naloxone Soluble Film
n=18 participants at risk
Day 1: Buprenorphine/naloxone soluble film administered at a dose of 4mg/1mg 3 times per day, plus placebo. Dosing occurred at 0900, 1100, and 2000 hours. Days 2 to 5: Buprenorphine/naloxone soluble film administered at a dose of 16mg/4 mg to 24 mg/6 mg once per day, plus placebo. Dosing occurred at 0900 hours.
Cardiac disorders
Tachycardia
30.0%
6/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
16.7%
3/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Ear and labyrinth disorders
Lacrimation increased
20.0%
4/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
27.8%
5/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Gastrointestinal disorders
Abdominal pain
5.0%
1/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
16.7%
3/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Gastrointestinal disorders
Constipation
25.0%
5/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
33.3%
6/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Gastrointestinal disorders
Dental caries
0.00%
0/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
5.6%
1/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Gastrointestinal disorders
Diarrhoea
15.0%
3/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
0.00%
0/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Gastrointestinal disorders
Dyspepsia
10.0%
2/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
22.2%
4/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Gastrointestinal disorders
Nausea
30.0%
6/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
27.8%
5/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Gastrointestinal disorders
Stomach discomfort
45.0%
9/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
50.0%
9/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Gastrointestinal disorders
Toothache
10.0%
2/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
5.6%
1/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Gastrointestinal disorders
Vomiting
10.0%
2/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
16.7%
3/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
General disorders
Chills
10.0%
2/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
11.1%
2/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
General disorders
Cold sweat
30.0%
6/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
27.8%
5/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
General disorders
Hot flush
0.00%
0/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
11.1%
2/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
General disorders
Injection site erythema
0.00%
0/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
5.6%
1/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
General disorders
Injection site pruritus
0.00%
0/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
5.6%
1/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
General disorders
Irritability
25.0%
5/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
38.9%
7/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Infections and infestations
Fungal infection
0.00%
0/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
5.6%
1/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Infections and infestations
Joint abscess
0.00%
0/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
5.6%
1/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Investigations
Liver function test abnormal
0.00%
0/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
5.6%
1/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Investigations
Tuberculosis skin test positive
15.0%
3/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
5.6%
1/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Musculoskeletal and connective tissue disorders
Abscess limb
0.00%
0/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
5.6%
1/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Musculoskeletal and connective tissue disorders
Arthralgia
25.0%
5/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
27.8%
5/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Musculoskeletal and connective tissue disorders
Back pain
15.0%
3/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
22.2%
4/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Musculoskeletal and connective tissue disorders
Myalgia
15.0%
3/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
5.6%
1/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Musculoskeletal and connective tissue disorders
Pain in extremity
25.0%
5/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
5.6%
1/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Nervous system disorders
Dizziness
0.00%
0/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
5.6%
1/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Nervous system disorders
Headache
55.0%
11/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
55.6%
10/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Nervous system disorders
Restlessness
45.0%
9/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
44.4%
8/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Nervous system disorders
Tremor
25.0%
5/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
11.1%
2/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Psychiatric disorders
Anxiety
45.0%
9/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
61.1%
11/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Psychiatric disorders
Drug withdrawal syndrome
70.0%
14/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
72.2%
13/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Psychiatric disorders
Hyperventilation
0.00%
0/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
5.6%
1/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Psychiatric disorders
Insomnia
65.0%
13/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
66.7%
12/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Renal and urinary disorders
Dysuria
0.00%
0/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
5.6%
1/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Respiratory, thoracic and mediastinal disorders
Nasal congestion
0.00%
0/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
5.6%
1/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
50.0%
10/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
33.3%
6/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Respiratory, thoracic and mediastinal disorders
Yawning
20.0%
4/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
22.2%
4/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Skin and subcutaneous tissue disorders
Erythema
0.00%
0/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
5.6%
1/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Skin and subcutaneous tissue disorders
Piloerection
10.0%
2/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
38.9%
7/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
5.6%
1/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Skin and subcutaneous tissue disorders
Tinea pedis
0.00%
0/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
5.6%
1/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Skin and subcutaneous tissue disorders
Rash
10.0%
2/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
0.00%
0/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
Vascular disorders
Hypertension
10.0%
2/20 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.
0.00%
0/18 • Days 1-6. Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.
Adverse event data were collected by the investigator during daily subject interviews.

Additional Information

Rolley E. Johnson, PharmD, Vice President, Clinical, Scientific and Regulatory Affairs

Reckitt Benckiser Pharmaceuticals, Inc.

Phone: 804-379-1090

Results disclosure agreements

  • Principal investigator is a sponsor employee Proposed publications shall be submitted to Sponsor 30 days prior to submission for publication, and may be withheld for an additional period, up to 90 days, to allow Sponsor to file patent applications. If a multi-center publication isn't submitted for publication within 12 months of the conclusion of the Study at all sites, or is published in a shorter period, the results from the institution's site may be published individually.
  • Publication restrictions are in place

Restriction type: OTHER