Opiate Detoxification Using the Combined Hemoperfusion-hemodialysis

NCT ID: NCT01021566

Last Updated: 2009-11-30

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-11-30

Study Completion Date

2011-06-30

Brief Summary

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The purpose of this study is to determine whether combined hemoperfusion-hemodialysis treatment is an alternative drug-free, effective, and safe treatment for opiate detoxification.

Detailed Description

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Drug abuse remains a major society problem in our community and is also a major health problem in our modern society. Thus, education to prevent the young generation to avoid drug abuse and detoxification to help those to quite from the drug abuse are two major key steps in the controlling drug abuse program.

Currently, medications for opiate detoxification, such as methadone, are commonly used worldwide. However, methadone is also an addictive medication. When it is stopped suddenly, patients usually produce unpleasant withdrawal symptoms. Meanwhile, methadone is also potentially to be abused too. Thus, it is urgently needed to seek an alternative safer, effective, drug-free method for opiate detoxification. Based on our clinical observation, the timely clearance of toxicities from the body or blood is a safe and effective detoxification method. Thus, we hypothesized that the use of combined hemoperfusion-hemodialysis may be an alternative drug-free, effective, and safe treatment for opiate detoxification. This will be tested in patients who have severe drug abuse and are under custodial conditions by a daily combined hemoperfusion-hemodialysis for 3 days. The efficacy and safety of the hemoperfusion-hemodialysis will be compared to a 10 day standard methadone detoxification treatment.

Conditions

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Opiate Addiction

Keywords

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Opiate addiction Withdrawal symptoms hemoperfusion hemodialysis methadone

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Combined hemoperfusion-hemodialysis

On admission thirty patients will receive the combined hemoperfusion-hemodialysis treatment regimen three hours everyday for three days.

Group Type EXPERIMENTAL

Combined hemoperfusion-hemodialysis

Intervention Type DEVICE

Combined hemoperfusion-hemodialysis for opiate detoxification for 3 days

Methadone, conventional treatment for opiate detoxification

On admission thirty patients receive the 10-day methadone treatment regimen.

Group Type ACTIVE_COMPARATOR

Methadone

Intervention Type DRUG

On admission all patients will undergo a 3-day stabilization period. Then they will begin the 10-day methadone treatment regimen. The starting dose of methadone is determined by the mean daily dose requirement during the stabilization period and the dose will be reduced to zero at a linear rate over the 10 days treatment.

Interventions

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Combined hemoperfusion-hemodialysis

Combined hemoperfusion-hemodialysis for opiate detoxification for 3 days

Intervention Type DEVICE

Methadone

On admission all patients will undergo a 3-day stabilization period. Then they will begin the 10-day methadone treatment regimen. The starting dose of methadone is determined by the mean daily dose requirement during the stabilization period and the dose will be reduced to zero at a linear rate over the 10 days treatment.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Be fulfilled DSM-IV criteria(American Psychiatric Association) for opiate dependence.
* A history of current dependence on heroin, which was supported by laboratory results from urine drug screening, using both chromatographic and radioimmunoassay methods.
* Opioid dependent patients who inject heroin from 0.5g to 1.0g daily by veins for at least 1 year.
* Haven't received methadone treatment for at least 2 months before entry to this study.
* Be able to understand and have signed the informed consent.

Exclusion Criteria

* Take heroin for the first time.
* Positive for HIV.
* The function of cruor or hemorrhage is badly damaged.
* The number of platelets is lower than 70×10\*9.
* Co-dependent on substances other than opiates (including alcohol, benzodiazepines, cocaine, or amphetamines).
* Methadone dose requirement is over 70 mg/day as determined by the 3-day dose assessment period.
* Have serious physical illness or major psychiatric illness.
* Pregnant woman.
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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First People's Hospital of Foshan

OTHER

Sponsor Role lead

Responsible Party

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the First People's Hospital of Foshan

Locations

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the First People's Hospital of Foshan

Foshan, Guangdong, China

Site Status

Countries

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China

Other Identifiers

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075783161516

Identifier Type: -

Identifier Source: org_study_id