A Six-Month Randomized Controlled Trial (RCT) of Probuphine Safety and Efficacy in Opioid Addiction

NCT ID: NCT01114308

Last Updated: 2018-12-31

Study Results

Results pending

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

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

287 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-04-30

Study Completion Date

2011-05-31

Brief Summary

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Probuphine (buprenorphine implant) is an implant placed just below the skin containing buprenorphine (BPN). BPN is an approved treatment for opioid dependence. This study will confirm the efficacy of Probuphine vs. placebo and compare Probuphine treatment verses treatment with sublingual buprenorphine in the treatment of patients with opioid dependence.

Detailed Description

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Conditions

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Opioid Dependency

Keywords

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

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Probuphine

Patients are first inducted on SL BPN then switched to 4 buprenorphine implants

Group Type EXPERIMENTAL

Probuphine (buprenorphine implant)

Intervention Type DRUG

Implantable formulation of buprenorphine made of buprenorphine HCl/ethylene vinyl acetate, considered a drug.

placebo implant

patients are first inducted on SL BPN then switched to 4 placebo implants

Group Type PLACEBO_COMPARATOR

placebo implant

Intervention Type DRUG

Implant contains ethylene vinyl acetate

sublingual buprenorphine

patients are inducted on SL BPN, then continue on SL BPN

Group Type ACTIVE_COMPARATOR

Buprenorphine

Intervention Type DRUG

sublingual buprenorphine/naloxone tablets

Interventions

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Probuphine (buprenorphine implant)

Implantable formulation of buprenorphine made of buprenorphine HCl/ethylene vinyl acetate, considered a drug.

Intervention Type DRUG

placebo implant

Implant contains ethylene vinyl acetate

Intervention Type DRUG

Buprenorphine

sublingual buprenorphine/naloxone tablets

Intervention Type DRUG

Other Intervention Names

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Suboxone

Eligibility Criteria

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Inclusion Criteria

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

Exclusion Criteria

* Current diagnosis of Acquired Immune Deficiency Syndrome (AIDS)
* Received any medication-assisted treatment for opioid dependence (e.g., methadone, BPN) within the previous 90 days
* Current diagnosis of chronic pain requiring opioids for treatment
* Candidates for short-term opioid treatment (\<6 months) only, or opioid detoxification therapy
* Pregnant or lactating female?
* Previous hypersensitivity or allergy to BPN, EVA-containing substances, or naloxone
* Current use of agents metabolized through Cytochrome P450 3A4 (CYP 3A4) such as azole antifungals (e.g., ketoconazole), macrolide antibiotics (e.g., erythromycin), or protease inhibitors (e.g., ritonavir, indinavir, and saquinavir)
* History of coagulopathy within the past 90 days, and/or current anti-coagulant therapy such as warfarin
* Meet the DSM-IV-TR criteria for dependence on any other psychoactive substances other than opioids or nicotine (e.g., alcohol, sedatives)
* Significant medical or psychiatric symptoms, cognitive impairment, or other factors which in the opinion of the Investigator would preclude compliance with the protocol, subject safety, adequate cooperation in the study, or obtaining informed consent
* Current medical conditions such as severe respiratory insufficiency that may prevent the subject from safely participating in study, or any pending legal action that could prohibit participation or compliance in the study
* Exposure to any investigational drug within the previous 8 weeks
* Previous exposure to Probuphine, or prior implantation with a placebo implant in the context of a Probuphine clinical trial
* Presence of aspartate aminotransferase (AST) levels greater than or equal to 3 X the upper limit of normal, alanine aminotransferase (ALT) levels greater than or equal to 3 X the upper limit of normal, total bilirubin greater than or equal to 1.5 X the upper limit of normal, or creatinine greater than 1.5 X upper limit of normal on the screening laboratory assessments
* Clinically significant low platelet count on the screening laboratory assessments
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role collaborator

Titan Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Katherine L. Beebe, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Titan Pharmaceuticals

Locations

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David Geffen School of Medicine at UCLA

Los Angeles, California, United States

Site Status

Synergy Clinical Research Center

National City, California, United States

Site Status

North County Clinical Research

Oceanside, California, United States

Site Status

Friends Research Institute

Torrance, California, United States

Site Status

Amit Vijapura, MD

Jacksonville, Florida, United States

Site Status

Operation PAR, Inc. - TC Campus

Largo, Florida, United States

Site Status

Fidelity Clinical Research, Inc.

Lauderhill, Florida, United States

Site Status

Scientific Clinical Research, Inc.

North Miami, Florida, United States

Site Status

BPRU, Behavioral Biology Research Center

Baltimore, Maryland, United States

Site Status

SSTAR: Stanley Street Treatment and Resources, Inc.

Fall River, Massachusetts, United States

Site Status

Precise Research Centers

Flowood, Mississippi, United States

Site Status

PsychCare Consultants Research

St Louis, Missouri, United States

Site Status

New York VA Medical Center, NYU School of Medicine

New York, New York, United States

Site Status

St. Luke's Roosevelt Hospital Center

New York, New York, United States

Site Status

Duke University, Duke Addictions Program

Durham, North Carolina, United States

Site Status

University of Cincinnati

Cincinnati, Ohio, United States

Site Status

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Carolina Clinical Trials, Inc.

Charleston, South Carolina, United States

Site Status

University of Vermont

Burlington, Vermont, United States

Site Status

Providence Behavioral Health Services

Everett, Washington, United States

Site Status

Countries

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United States

References

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Rosenthal RN, Ling W, Casadonte P, Vocci F, Bailey GL, Kampman K, Patkar A, Chavoustie S, Blasey C, Sigmon S, Beebe KL. Buprenorphine implants for treatment of opioid dependence: randomized comparison to placebo and sublingual buprenorphine/naloxone. Addiction. 2013 Dec;108(12):2141-9. doi: 10.1111/add.12315. Epub 2013 Sep 18.

Reference Type DERIVED
PMID: 23919595 (View on PubMed)

Related Links

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Other Identifiers

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1RC2DA028910-01

Identifier Type: NIH

Identifier Source: secondary_id

View Link

PRO-806

Identifier Type: -

Identifier Source: org_study_id