Trial Outcomes & Findings for Efficacy of Computer Delivered Community Reinforcement Approach (CRA) (Bup II) (NCT NCT00929253)

NCT ID: NCT00929253

Last Updated: 2022-05-27

Results Overview

Abstinence defined as the longest documented period of continuous abstinence from opioids and cocaine

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

170 participants

Primary outcome timeframe

12 weeks

Results posted on

2022-05-27

Participant Flow

Participant milestones

Participant milestones
Measure
Computer Delivered CRA + CM + Suboxone
In this arm, participants are administered Suboxone and therapy is delivered by a computer. Fluency training is provided. The participant then listens through headphones and reads the information on the screen. They progress through various modules that involve education regarding high risk situations for potential use drug and skills to deal with those situations. In addition, skills for dealing with anxiety and anger are also provided. Videos are displayed that have examples of real-left situations. HIV/AIDS education is also provided. The program is interactive with the participant being required to answer short questions at the end of each module and prompts for "homework" worksheets are provided. These participants receive vouchers for providing drug negative urine samples. Suboxone: Dosage Form: Oral Tablet; Dosage 6, 12, or 18 mg; Frequency; Daily; Duration 12 weeks CRA: Computer-delivered Community Reinforcement Approach
CM + Suboxone
In this arm of the study, the participants receive vouchers for providing a drug negative urine sample. These participants, however, do not have computer delivered CRA, only treatment as usual with a biweekly 30-minute meeting with a clinician. Suboxone: Dosage Form: Oral Tablet; Dosage 6, 12, or 18 mg; Frequency; Daily; Duration 12 weeks Therapy: treatment as usual CM: Contingency management (vouchers) for providing drug negative urine samples.
Overall Study
STARTED
91
79
Overall Study
COMPLETED
91
79
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Efficacy of Computer Delivered Community Reinforcement Approach (CRA) (Bup II)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Computer Delivered CRA + CM + Suboxone
n=91 Participants
In this arm, participants are administered Suboxone and therapy is delivered by a computer. Fluency training is provided. The participant then listens through headphones and reads the information on the screen. They progress through various modules that involve education regarding high risk situations for potential use drug and skills to deal with those situations. In addition, skills for dealing with anxiety and anger are also provided. Videos are displayed that have examples of real-left situations. HIV/AIDS education is also provided. The program is interactive with the participant being required to answer short questions at the end of each module and prompts for "homework" worksheets are provided. These participants receive vouchers for providing drug negative urine samples. Suboxone: Dosage Form: Oral Tablet; Dosage 6, 12, or 18 mg; Frequency; Daily; Duration 12 weeks CRA: Computer-delivered Community Reinforcement Approach
CM + Suboxone
n=79 Participants
In this arm of the study, the participants receive vouchers for providing a drug negative urine sample. These participants, however, do not have computer deliver therapy, only treatment as usual consisting of biweekly 30-minute counseling sessions. Suboxone: Dosage Form: Oral Tablet; Dosage 6, 12, or 18 mg; Frequency; Daily; Duration 12 weeks Therapy: treatment as usual CM: Contingency management (vouchers) for providing a drug negative urine sample.
Total
n=170 Participants
Total of all reporting groups
Age, Continuous
32.2 years
STANDARD_DEVIATION 9.85 • n=5 Participants
33.6 years
STANDARD_DEVIATION 9.8 • n=7 Participants
32.9 years
STANDARD_DEVIATION 9.82 • n=5 Participants
Sex: Female, Male
Female
46 Participants
n=5 Participants
32 Participants
n=7 Participants
78 Participants
n=5 Participants
Sex: Female, Male
Male
45 Participants
n=5 Participants
47 Participants
n=7 Participants
92 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
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
91 Participants
n=5 Participants
79 Participants
n=7 Participants
170 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
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
4 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
White
87 Participants
n=5 Participants
75 Participants
n=7 Participants
162 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 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
91 participants
n=5 Participants
79 participants
n=7 Participants
170 participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 weeks

Abstinence defined as the longest documented period of continuous abstinence from opioids and cocaine

Outcome measures

Outcome measures
Measure
Computer Delivered CRA + CM + Suboxone
n=91 Participants
In this arm, participants are administered Suboxone and therapy is delivered by a computer. Fluency training is provided. The participant then listens through headphones and reads the information on the screen. They progress through various modules that involve education regarding high risk situations for potential use drug and skills to deal with those situations. In addition, skills for dealing with anxiety and anger are also provided. Videos are displayed that have examples of real-left situations. HIV/AIDS education is also provided. The program is interactive with the participant being required to answer short questions at the end of each module and prompts for "homework" worksheets are provided. These participants receive vouchers for providing drug negative urine samples. Suboxone: Dosage Form: Oral Tablet; Dosage 6, 12, or 18 mg; Frequency; Daily; Duration 12 weeks CRA: Computer-delivered Community Reinforcement Approach
CM + Suboxone
n=79 Participants
In this arm of the study, the participants receive vouchers for providing a drug negative urine sample. These participants, however, do not have computer deliver therapy. Suboxone: Dosage Form: Oral Tablet; Dosage 6, 12, or 18 mg; Frequency; Daily; Duration 12 weeks Therapy: Therapist-delivered therapy CM: Contingency management (vouchers) for providing a drug negative urine sample.
Abstinence
55.0 days
Standard Deviation 26.2
49.5 days
Standard Deviation 30.6

Adverse Events

Computer Delivered CRA + CM + Suboxone

Serious events: 0 serious events
Other events: 57 other events
Deaths: 0 deaths

CM + Suboxone

Serious events: 0 serious events
Other events: 55 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Computer Delivered CRA + CM + Suboxone
n=91 participants at risk
In this arm, participants are administered Suboxone and therapy is delivered by a computer. Fluency training is provided. The participant then listens through headphones and reads the information on the screen. They progress through various modules that involve education regarding high risk situations for potential use drug and skills to deal with those situations. In addition, skills for dealing with anxiety and anger are also provided. Videos are displayed that have examples of real-left situations. HIV/AIDS education is also provided. The program is interactive with the participant being required to answer short questions at the end of each module and prompts for "homework" worksheets are provided. These participants receive vouchers for providing drug negative urine samples. Suboxone: Dosage Form: Oral Tablet; Dosage 6, 12, or 18 mg; Frequency; Daily; Duration 12 weeks CRA: Computer-delivered Community Reinforcement Approach
CM + Suboxone
n=79 participants at risk
In this arm of the study, the participants receive vouchers for providing a drug negative urine sample. These participants, however, do not have computer delivered CRA, only treatment as usual with a biweekly 30-minute meeting with a clinician. Suboxone: Dosage Form: Oral Tablet; Dosage 6, 12, or 18 mg; Frequency; Daily; Duration 12 weeks Therapy: treatment as usual CM: Contingency management (vouchers) for providing drug negative urine samples.
General disorders
adverse event
62.6%
57/91 • Number of events 147
Adverse event data were collected throughout the clinical trial from 2007 to 2010. At the time of the conduct of the clinical trial, adverse events were monitored by specific type. At this time (over ten years after data collection and five years after publication of the data), specific details are not available.
69.6%
55/79 • Number of events 113
Adverse event data were collected throughout the clinical trial from 2007 to 2010. At the time of the conduct of the clinical trial, adverse events were monitored by specific type. At this time (over ten years after data collection and five years after publication of the data), specific details are not available.

Additional Information

Dr. Warren K. Bickel

Virginia Tech

Phone: 540-526-2015

Results disclosure agreements

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