Conversion to Embeda With Rescue Trial

NCT ID: NCT01179191

Last Updated: 2012-10-11

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

684 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-08-31

Study Completion Date

2011-04-30

Brief Summary

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The purpose of the research study is to find out if opioid dependent chronic pain patients who are judged by their physician to be eligible to change their current opioid medicine and to participate in this study can be successfully adjusted to a stable dose of EMBEDA (morphine sulfate and naltrexone hydrochloride). The study will also assess each patient's risk for prescription opioid abuse, misuse and diversion.

Detailed Description

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The decision to terminate the trial was based on a lack of study drug supply. The decision was not based on any safety concerns. The termination letter was sent on 11March2011.

Conditions

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Chronic Disease Pain

Keywords

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chronic pain Embeda opioid moderate pain severe pain conversion converting switching morphine aberrant behavior Pain (DT) + Chronic Disease (DT)

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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morphine sulfate and naltrexone hydrochloride (EMBEDA)

Group Type EXPERIMENTAL

morphine sulfate and naltrexone hydrochloride (EMBEDA)

Intervention Type DRUG

Capsules in dose strengths ranging from 20 to 100 mg morphine sulfate with 0.8 to 4 mg of naltrexone hydrochloride taken either once or twice daily with a starting dose calculated using the total daily dose of the current opioid being converted from until a stable dose is achieved or six weeks which ever comes first.

Interventions

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morphine sulfate and naltrexone hydrochloride (EMBEDA)

Capsules in dose strengths ranging from 20 to 100 mg morphine sulfate with 0.8 to 4 mg of naltrexone hydrochloride taken either once or twice daily with a starting dose calculated using the total daily dose of the current opioid being converted from until a stable dose is achieved or six weeks which ever comes first.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Be able to read, speak and understand English
* Have chronic moderate to severe pain for at least 3 months
* Require around the clock opioid medication for the relief of pain
* Have been taking a daily opioid for at least 30 days prior to starting the study
* Be able to be safely switched to a different pain medication
* Be practicing acceptable birth control methods for female patients of childbearing potential
* Be willing to participate in the study and able to comply with study procedures

Exclusion Criteria

* Be currently diagnosed with or participating in and/or seeking treatment for opioid and/or alcohol abuse
* Be allergic or intolerant to morphine, morphine salts, naltrexone or other opioids
* Be currently taking tramadol and/or extended release morphine products
* Have respiratory depression
* Have acute or severe bronchial asthma or severe chronic obstructive pulmonary disease
* Have migraines as your main source of pain
* Have any form of bowel obstruction
* Be pregnant or breast feeding
* Have had 2 or more surgeries for low back pain
* Be planning a major surgery during the study
* Be staying in a hospital or nursing home
* Be planning to have steroid injections for your chronic pain during the study
* Have a life expectancy of less than 2 months
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Adamsville Family Medicine

Adamsville, Alabama, United States

Site Status

Office of David McLain

Birmingham, Alabama, United States

Site Status

Monte Sano Clinical Research, LLC

Huntsville, Alabama, United States

Site Status

Tennessee Valley Pain Consultants Properties, LLC

Huntsville, Alabama, United States

Site Status

Sunbelt Research Group, LLC

Mobile, Alabama, United States

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Office of Vaughn H. Mancha, Jr., PC

Montgomery, Alabama, United States

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Dedicated Clinical Research

Goodyear, Arizona, United States

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Dedicated Clinical Research, Inc

Phoenix, Arizona, United States

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Redpoint Research

Phoenix, Arizona, United States

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Anasazi Internal Medicine, PC

Phoenix, Arizona, United States

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Cochise Clinical Research

Sierra Vista, Arizona, United States

Site Status

Premiere Phamaceutical Research, LLC

Tempe, Arizona, United States

Site Status

Quality of Life Medical and Research Center, LLC

Tucson, Arizona, United States

Site Status

Ouachita Regional Pain Management

Hot Springs, Arkansas, United States

Site Status

NEA Baptist Clinic

Jonesboro, Arkansas, United States

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Hollis Family Medical Clinic, PLC

Paragould, Arkansas, United States

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CSI Clinical Trials

Costa Mesa, California, United States

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Global Wellness Medical Corporation

Foothill Ranch, California, United States

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Chrishard Medical Group

Inglewood, California, United States

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Triwest Research Associates LLC

La Mesa, California, United States

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Pacific Coast Pain Management Center

Laguna Hills, California, United States

Site Status

Valerius Medical Group and Research Center of Greater Long Beach, Inc.

Long Beach, California, United States

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LA Pain & Wellness Institute

Los Angeles, California, United States

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Samaritan Center for Medical Research

Los Gatos, California, United States

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Newport Beach Clinical Research Associates, Inc.

Newport Beach, California, United States

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Bayview Research Group, LLC

Paramount, California, United States

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Pasadena Rehabilitation Institute

Pasadena, California, United States

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Quality Control Research, Inc.

Roseville, California, United States

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Northern California Research

Sacramento, California, United States

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Quality Control Research, Inc.

Sacramento, California, United States

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Rancho Santa Fe Medical Group, Inc.

San Marcos, California, United States

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Probe Clinical Research Corporation

Santa Ana, California, United States

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Trinity Clinical Trials

Santa Ana, California, United States

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Facility Medical Center

Upland, California, United States

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Bayview Research Group, LLC

Valley Village, California, United States

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Rocky Mountain Internal Medicine, PC

Aurora, Colorado, United States

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Clinicos, LLC

Colorado Springs, Colorado, United States

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Saint Luke's Medical Clinic, LLC

Fort Collins, Colorado, United States

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ProHealth Physicians PC

Manchester, Connecticut, United States

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Milford Physician Services, PC

Milford, Connecticut, United States

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Orthopedic Research Institute, LLC

Boynton Beach, Florida, United States

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Florida Research & Testing, LLC

Clearwater, Florida, United States

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Omega Research Consultants, LLC

DeBary, Florida, United States

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Omega Research Consultants, LLC

DeBary, Florida, United States

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West Florida Medical Associate, PA

Dunnellon, Florida, United States

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International Research Associates, LLC

Hialeah, Florida, United States

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Palm Springs Research Institute, Inc

Hialeah, Florida, United States

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FPA Clinical Research, LLC

Kissimmee, Florida, United States

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Clinical Research of Central Florida, Inc.

Lakeland, Florida, United States

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Community Research Foundation, Inc.

Miami, Florida, United States

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New Horizon Research Center, Inc.

Miami, Florida, United States

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NextPhase Clinical Trials, Inc.

Miami Beach, Florida, United States

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Harmony Clinical Research, Inc.

North Miami Beach, Florida, United States

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Office of Laszlo J. Mate, MD, PA

North Palm Beach, Florida, United States

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Office of Richard E. Promin, MD, PA

Ocala, Florida, United States

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Advent Clinical Research Centers, Inc.

Pinellas Park, Florida, United States

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Pain Management Strategies, Inc.

Pompano Beach, Florida, United States

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Sarasota Pain Medicine Research, LLC

Sarasota, Florida, United States

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Stedman Clinical Trials, LLC

Tampa, Florida, United States

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Clinical Research Center, LLC

Wellington, Florida, United States

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Perimeter Institute for Clinical Research, Inc.

Atlanta, Georgia, United States

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Medical Research and Health Education Foundation, Inc.

Columbus, Georgia, United States

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Ialum Clinical Research, LLC

Decatur, Georgia, United States

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Ialum Clinical Research, LLC

Stone Mountain, Georgia, United States

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Herman Clinical Research, LLC

Suwanee, Georgia, United States

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Centers for Pain Management

Tifton, Georgia, United States

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Chicago Clinical Research Institute Inc.

Chicago, Illinois, United States

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Creve Coeur Family Practice

Creve Coeur, Illinois, United States

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Office of Rebecca Knight, MD

Peoria, Illinois, United States

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Josephson Wallack Munshower Neurology P.C.

Indianapolis, Indiana, United States

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Laporte County Institute for Clinical Research Inc.

Michigan City, Indiana, United States

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McKinley Research, LLC

Mishawaka, Indiana, United States

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Accelovance, Inc.

South Bend, Indiana, United States

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Des Moines Orthopaedic Surgeons, PC

West Des Moines, Iowa, United States

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The Pain Treatment Center of the Bluegrass

Lexington, Kentucky, United States

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Healing Options

Louisville, Kentucky, United States

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Four Rivers Clinical Research, Inc.

Paducah, Kentucky, United States

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Lakewood Family Practice

Russell Springs, Kentucky, United States

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Diseasebusters, LLC

College Park, Maryland, United States

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Office of Steven C. Miller, MD

Pikesville, Maryland, United States

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Beacon Clinical Research, LLC

Brockton, Massachusetts, United States

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Ronald J. Rapoport, MD, PC

Fall River, Massachusetts, United States

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Boston Paincare Center, Inc.

Waltham, Massachusetts, United States

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Clarkston Medical Group, PC

Clarkston, Michigan, United States

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Apex Medical Research, AMR, Inc.

Flint, Michigan, United States

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East Michigan Medical Associates

Flint, Michigan, United States

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PCM Medical Services, PC

Lansing, Michigan, United States

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Remedica LLC

Rochester, Michigan, United States

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Michigan Lifestyle Change and Health Center, PC

Sterling, Michigan, United States

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MAPS Applied Research Center, Inc.

Edina, Minnesota, United States

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MAPS Applied Research Center, Inc.

Shakopee, Minnesota, United States

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Anesthesia and Pain Control Services

Biloxi, Mississippi, United States

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CRC of Jackson, LLC

Jackson, Mississippi, United States

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Midsouth Anesthesia Consultants, PLLC

Southhaven, Mississippi, United States

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Patterson Medical Clinic, Inc.

Florissant, Missouri, United States

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Quality Clinical Research Inc.

Florissant, Missouri, United States

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Primary Care Medicine, PC

Jefferson City, Missouri, United States

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The Reiter Foundation, Inc.

Anaconda, Montana, United States

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Medical Pain Relief Clinic

Omaha, Nebraska, United States

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Omaha Clinical Research, PC

Omaha, Nebraska, United States

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Atco Medical Associates, PC

Atco, New Jersey, United States

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Office of John V. Bernard, MD

Belvidere, New Jersey, United States

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Central Jersey Medical Research Center, Inc.

Elizabeth, New Jersey, United States

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Center for Pain Management

Hackensack, New Jersey, United States

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Advocare Heights Primary Care

Haddon Heights, New Jersey, United States

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NJ Heart, LLC

Linden, New Jersey, United States

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Spine and Pain Centers, PA

Shrewsbury, New Jersey, United States

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Premier Research, Inc.

Trenton, New Jersey, United States

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Adirondack Medical Research Center

Glens Falls, New York, United States

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Long Island Gastrointestinal Research Group LLP

Great Neck, New York, United States

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Drug Trials America, Inc.

Hartsdale, New York, United States

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Office of Roger Kasendorf, DO

Long Beach, New York, United States

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Family Health Medical Services PLLC

Mayville, New York, United States

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New York Spine & Wellness Center

North Syracuse, New York, United States

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North American Partners in Pain Management, LLP

Valley Stream, New York, United States

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Carolina Clinical Research and Consulting, LLC

Asheboro, North Carolina, United States

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Carolina Clinical Research and Consulting, LLC

Asheboro, North Carolina, United States

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Joint and Muscle Research Institute, Inc.

Charlotte, North Carolina, United States

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Catawba Valley Internal Medicine

Hickory, North Carolina, United States

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Profen Research Network at ECMA

Jacksonville, North Carolina, United States

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The Center For Clinical Research, LLC

Winston-Salem, North Carolina, United States

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Medical Frontiers, LLC

Carlisle, Ohio, United States

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Valley Medical Research

Centerville, Ohio, United States

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Hightop Medical Research Center

Cincinnati, Ohio, United States

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Sentral Clinical Research Services

Cincinnati, Ohio, United States

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Delaware Smith Clinic Research

Delaware, Ohio, United States

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Medical Frontiers, LLC

Franklin, Ohio, United States

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Jeffrey J. Haggenjos, DO, Inc.

New Lexington, Ohio, United States

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Whole Family Medical Care LLC

Perrysburg, Ohio, United States

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Office of Jocelyn F. Shimek, DO

Salem, Ohio, United States

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Office of James Lassiter

Tiffin, Ohio, United States

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Health Research Institute, LLC

Oklahoma City, Oklahoma, United States

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Office of Siavash Nael, MD, Inc.

Oklahoma City, Oklahoma, United States

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Associates of Medicine/John D. Williams, MD, PLLC

Stillwater, Oklahoma, United States

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Portland Rheumatology Clinic, LLC

Lake Oswego, Oregon, United States

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Office of Joseph E. Yankee, DO, PC

Milwaukie, Oregon, United States

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Pennsylvania Pain Specialists, PC

Allentown, Pennsylvania, United States

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Ware Medical Associates, PC

Aston Mills, Pennsylvania, United States

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Altoona Center for Clinical Research, PC

Duncansville, Pennsylvania, United States

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Kandra, Fierer, Kuskin Associates, Ltd.

Harrisburg, Pennsylvania, United States

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Onuorah Umeh, M.D. P.C

Philadelphia, Pennsylvania, United States

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Founders Research Corporation

Philadelphia, Pennsylvania, United States

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Progressive Pain Solutions, LLC

Wind Gap, Pennsylvania, United States

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Hartwell Research Group, LLC

Anderson, South Carolina, United States

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Low Country Rheumatology, PA

Charleston, South Carolina, United States

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Pharmacorp Clinical Trials, Inc.

Charleston, South Carolina, United States

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Internal Medicine of Greer Research LLC

Greer, South Carolina, United States

Site Status

Clinical Research Authority, LLC

Murrells Inlet, South Carolina, United States

Site Status

Trident Institute of Medical Research, LLC

North Charleston, South Carolina, United States

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Low Country Pain Center, LLC

Orangeburg, South Carolina, United States

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Brown Clinic, PLLP

Watertown, South Dakota, United States

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Chattanooga Medical Research, LLC

Chattanooga, Tennessee, United States

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Comprehensive Pain Specialists

Hendersonville, Tennessee, United States

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Corsicana Medical Research, PLLC

Corsicana, Texas, United States

Site Status

DCT - Genesis Neighborhood Research, LLC

Dallas, Texas, United States

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Southwest Urgent Care Center

El Paso, Texas, United States

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Westbury Medical Clinic

Houston, Texas, United States

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Accurate Clinical Research, Inc.

Houston, Texas, United States

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Medstar Clinical Research

Houston, Texas, United States

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Texas Medical Research Associates, LLC

San Antonio, Texas, United States

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Hillcrest Family Health Center, Division of Clinical Research

Waco, Texas, United States

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Hillcrest Family Health Center

Waco, Texas, United States

Site Status

Progressive Clinical Research, LLC

Bountiful, Utah, United States

Site Status

Sentara Medical Group, NDC Medical Center

Norfolk, Virginia, United States

Site Status

Washington Center for Pain Management PLLC

Edmonds, Washington, United States

Site Status

Pain Care, PLLC

Huntington, West Virginia, United States

Site Status

Countries

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United States

References

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Setnik B, Roland CL, Pixton GC, Sommerville KW. Prescription opioid abuse and misuse: gap between primary-care investigator assessment and actual extent of these behaviors among patients with chronic pain. Postgrad Med. 2017 Jan;129(1):5-11. doi: 10.1080/00325481.2017.1245585. Epub 2016 Oct 26.

Reference Type DERIVED
PMID: 27782769 (View on PubMed)

Setnik B, Roland CL, Sommerville KW, Pixton GC, Berke R, Calkins A, Goli V. A multicenter, primary-care-based, open-label study to assess the success of converting opioid-experienced patients with chronic moderate-to-severe pain to morphine sulfate and naltrexone hydrochloride extended-release capsules using a standardized conversion guide. J Pain Res. 2015 Jul 8;8:347-60. doi: 10.2147/JPR.S82395. eCollection 2015.

Reference Type DERIVED
PMID: 26185466 (View on PubMed)

Related Links

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Other Identifiers

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B4541001

Identifier Type: -

Identifier Source: secondary_id

ALO-01-10-4003

Identifier Type: -

Identifier Source: org_study_id