Trial Outcomes & Findings for Medications Development for Drug Abuse Disorders (NCT NCT01188421)

NCT ID: NCT01188421

Last Updated: 2017-07-06

Results Overview

Outcomes represent mean peak withdrawal as rated on the Clinical Opiate Withdrawal Scale (COWS) total score. Withdrawal was collected 7 times daily and daily peak values were identified for each participant and averaged together as a function of group. Primary outcomes were mean peak results from the 7-day taper period and first 7 days post-taper. The COWS is an 11-item observer-rated measure of opioid withdrawal severity. Items are rated on individual Likert scales and the total score range is 0-47. Higher values indicate more severe withdrawal.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

106 participants

Primary outcome timeframe

14 days total

Results posted on

2017-07-06

Participant Flow

Participant milestones

Participant milestones
Measure
Buprenorphine
Sublingual buprenorphine/naloxone tablets (or placebo) Buprenorphine/naloxone: up to 8/2 mg SL per day
Tramadol ER
Oral tramadol tablets (or placebo) Tramadol ER: up to 600 mg per day
Clonidine
Oral clonidine tablets (or placebo) Clonidine: up to 0.8 mg per day (oral)
Overall Study
STARTED
31
36
36
Overall Study
COMPLETED
28
26
22
Overall Study
NOT COMPLETED
3
10
14

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Medications Development for Drug Abuse Disorders

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Buprenorphine
n=31 Participants
Sublingual buprenorphine/naloxone tablets (or placebo) Buprenorphine/naloxone: up to 8/2 mg SL per day
Tramadol ER
n=36 Participants
Oral tramadol tablets (or placebo) Tramadol ER: up to 600 mg per day
Clonidine
n=36 Participants
Oral clonidine tablets (or placebo) Clonidine: up to 0.8 mg per day (oral)
Total
n=103 Participants
Total of all reporting groups
Age, Continuous
41.1 years
STANDARD_DEVIATION 10.9 • n=5 Participants
40.9 years
STANDARD_DEVIATION 9.7 • n=7 Participants
41.5 years
STANDARD_DEVIATION 10.5 • n=5 Participants
41.2 years
STANDARD_DEVIATION 10.4 • n=4 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
5 Participants
n=7 Participants
6 Participants
n=5 Participants
15 Participants
n=4 Participants
Sex: Female, Male
Male
27 Participants
n=5 Participants
31 Participants
n=7 Participants
30 Participants
n=5 Participants
88 Participants
n=4 Participants
Race/Ethnicity, Customized
Caucasian
38.7 percentage of participants
n=5 Participants
47.2 percentage of participants
n=7 Participants
41.6 percentage of participants
n=5 Participants
42.5 percentage of participants
n=4 Participants

PRIMARY outcome

Timeframe: 14 days total

Population: Repeated measures ANOVA

Outcomes represent mean peak withdrawal as rated on the Clinical Opiate Withdrawal Scale (COWS) total score. Withdrawal was collected 7 times daily and daily peak values were identified for each participant and averaged together as a function of group. Primary outcomes were mean peak results from the 7-day taper period and first 7 days post-taper. The COWS is an 11-item observer-rated measure of opioid withdrawal severity. Items are rated on individual Likert scales and the total score range is 0-47. Higher values indicate more severe withdrawal.

Outcome measures

Outcome measures
Measure
Buprenorphine
n=31 Participants
Sublingual buprenorphine/naloxone tablets (or placebo) Buprenorphine/naloxone: up to 8/2 mg SL per day
Tramadol ER
n=36 Participants
Oral tramadol tablets (or placebo) Tramadol ER: up to 600 mg per day
Clonidine
n=36 Participants
Oral clonidine tablets (or placebo) Clonidine: up to 0.8 mg per day (oral)
Mean Ratings on Clinical Opiate Withdrawal Scale (COWS) Measure of Withdrawal During Double-blind Taper (7-days) and Post-taper (7-days) Period.
Taper Day 1
7.79 units on a scale
Standard Error 1.68
8.41 units on a scale
Standard Error 0.70
8.28 units on a scale
Standard Error 0.71
Mean Ratings on Clinical Opiate Withdrawal Scale (COWS) Measure of Withdrawal During Double-blind Taper (7-days) and Post-taper (7-days) Period.
Taper Day 2
6.16 units on a scale
Standard Error 2.03
6.10 units on a scale
Standard Error 0.72
8.00 units on a scale
Standard Error 0.46
Mean Ratings on Clinical Opiate Withdrawal Scale (COWS) Measure of Withdrawal During Double-blind Taper (7-days) and Post-taper (7-days) Period.
Taper Day 3
4.76 units on a scale
Standard Error 1.77
3.77 units on a scale
Standard Error 0.35
5.85 units on a scale
Standard Error 0.66
Mean Ratings on Clinical Opiate Withdrawal Scale (COWS) Measure of Withdrawal During Double-blind Taper (7-days) and Post-taper (7-days) Period.
Taper Day 4
4.21 units on a scale
Standard Error 1.77
4.25 units on a scale
Standard Error 0.52
4.70 units on a scale
Standard Error 0.57
Mean Ratings on Clinical Opiate Withdrawal Scale (COWS) Measure of Withdrawal During Double-blind Taper (7-days) and Post-taper (7-days) Period.
Taper Day 5
4.31 units on a scale
Standard Error 2.11
3.25 units on a scale
Standard Error 0.37
3.32 units on a scale
Standard Error 0.41
Mean Ratings on Clinical Opiate Withdrawal Scale (COWS) Measure of Withdrawal During Double-blind Taper (7-days) and Post-taper (7-days) Period.
Taper Day 6
4.06 units on a scale
Standard Error 1.63
3.39 units on a scale
Standard Error 0.45
3.57 units on a scale
Standard Error 0.57
Mean Ratings on Clinical Opiate Withdrawal Scale (COWS) Measure of Withdrawal During Double-blind Taper (7-days) and Post-taper (7-days) Period.
Taper Day 7
3.51 units on a scale
Standard Error 1.28
3.69 units on a scale
Standard Error 0.53
3.86 units on a scale
Standard Error 0.64
Mean Ratings on Clinical Opiate Withdrawal Scale (COWS) Measure of Withdrawal During Double-blind Taper (7-days) and Post-taper (7-days) Period.
Post Taper Day 1
4.82 units on a scale
Standard Error 1.62
3.36 units on a scale
Standard Error 0.44
3.27 units on a scale
Standard Error 0.37
Mean Ratings on Clinical Opiate Withdrawal Scale (COWS) Measure of Withdrawal During Double-blind Taper (7-days) and Post-taper (7-days) Period.
Post Taper Day 2
5.62 units on a scale
Standard Error 1.90
4.48 units on a scale
Standard Error 0.60
4.09 units on a scale
Standard Error 0.60
Mean Ratings on Clinical Opiate Withdrawal Scale (COWS) Measure of Withdrawal During Double-blind Taper (7-days) and Post-taper (7-days) Period.
Post Taper Day 3
6.23 units on a scale
Standard Error 1.75
3.28 units on a scale
Standard Error 0.28
3.68 units on a scale
Standard Error 0.38
Mean Ratings on Clinical Opiate Withdrawal Scale (COWS) Measure of Withdrawal During Double-blind Taper (7-days) and Post-taper (7-days) Period.
Post Taper Day 4
5.49 units on a scale
Standard Error 1.66
3.13 units on a scale
Standard Error 0.24
3.82 units on a scale
Standard Error 0.46
Mean Ratings on Clinical Opiate Withdrawal Scale (COWS) Measure of Withdrawal During Double-blind Taper (7-days) and Post-taper (7-days) Period.
Post Taper Day 5
5.87 units on a scale
Standard Error 1.69
2.75 units on a scale
Standard Error 0.24
3.27 units on a scale
Standard Error 0.35
Mean Ratings on Clinical Opiate Withdrawal Scale (COWS) Measure of Withdrawal During Double-blind Taper (7-days) and Post-taper (7-days) Period.
Post Taper Day 6
4.91 units on a scale
Standard Error 1.62
2.57 units on a scale
Standard Error 0.26
2.91 units on a scale
Standard Error 0.31
Mean Ratings on Clinical Opiate Withdrawal Scale (COWS) Measure of Withdrawal During Double-blind Taper (7-days) and Post-taper (7-days) Period.
Post Taper Day 7
4.91 units on a scale
Standard Error 1.69
2.30 units on a scale
Standard Error 0.23
2.41 units on a scale
Standard Error 0.31

Adverse Events

Buprenorphine

Serious events: 0 serious events
Other events: 28 other events
Deaths: 0 deaths

Tramadol ER

Serious events: 0 serious events
Other events: 31 other events
Deaths: 0 deaths

Clonidine

Serious events: 0 serious events
Other events: 32 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Buprenorphine
n=31 participants at risk
Sublingual buprenorphine/naloxone tablets (or placebo) Buprenorphine/naloxone: up to 8/2 mg SL per day
Tramadol ER
n=36 participants at risk
Oral tramadol tablets (or placebo) Tramadol ER: up to 600 mg per day
Clonidine
n=36 participants at risk
Oral clonidine tablets (or placebo) Clonidine: up to 0.8 mg per day (oral)
General disorders
Chills
29.0%
9/31 • Number of events 11 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
36.1%
13/36 • Number of events 20 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
47.2%
17/36 • Number of events 21 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
General disorders
Drowsiness
3.2%
1/31 • Number of events 1 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
2.8%
1/36 • Number of events 1 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
11.1%
4/36 • Number of events 4 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
General disorders
Headache
54.8%
17/31 • Number of events 22 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
38.9%
14/36 • Number of events 22 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
27.8%
10/36 • Number of events 19 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
General disorders
Lethargy
6.5%
2/31 • Number of events 2 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
2.8%
1/36 • Number of events 1 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
8.3%
3/36 • Number of events 4 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
General disorders
Malaise
6.5%
2/31 • Number of events 2 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
2.8%
1/36 • Number of events 1 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
5.6%
2/36 • Number of events 2 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
General disorders
Abdominal Pain
0.00%
0/31 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
5.6%
2/36 • Number of events 2 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
0.00%
0/36 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Cardiac disorders
Hypotension
0.00%
0/31 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
0.00%
0/36 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
16.7%
6/36 • Number of events 7 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Cardiac disorders
Chest Pain
0.00%
0/31 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
0.00%
0/36 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
5.6%
2/36 • Number of events 2 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Cardiac disorders
Tachycardia
19.4%
6/31 • Number of events 10 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
22.2%
8/36 • Number of events 11 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
25.0%
9/36 • Number of events 9 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Gastrointestinal disorders
Abdominal Cramp
29.0%
9/31 • Number of events 9 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
11.1%
4/36 • Number of events 4 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
38.9%
14/36 • Number of events 16 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Gastrointestinal disorders
Diarrhea
41.9%
13/31 • Number of events 18 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
25.0%
9/36 • Number of events 15 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
55.6%
20/36 • Number of events 25 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Gastrointestinal disorders
Dyspepsia
9.7%
3/31 • Number of events 3 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
25.0%
9/36 • Number of events 11 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
11.1%
4/36 • Number of events 6 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Gastrointestinal disorders
Flatulance
6.5%
2/31 • Number of events 2 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
11.1%
4/36 • Number of events 5 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
8.3%
3/36 • Number of events 3 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Gastrointestinal disorders
Indigestion
6.5%
2/31 • Number of events 2 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
11.1%
4/36 • Number of events 5 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
5.6%
2/36 • Number of events 2 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Gastrointestinal disorders
Nausea
16.1%
5/31 • Number of events 5 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
8.3%
3/36 • Number of events 3 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
25.0%
9/36 • Number of events 10 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Gastrointestinal disorders
Vomitting
6.5%
2/31 • Number of events 2 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
2.8%
1/36 • Number of events 1 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
8.3%
3/36 • Number of events 4 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Musculoskeletal and connective tissue disorders
Arthralgia
16.1%
5/31 • Number of events 5 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
11.1%
4/36 • Number of events 5 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
13.9%
5/36 • Number of events 6 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Musculoskeletal and connective tissue disorders
Back Pain
12.9%
4/31 • Number of events 6 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
16.7%
6/36 • Number of events 9 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
5.6%
2/36 • Number of events 2 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Musculoskeletal and connective tissue disorders
Cramp Lower Extremity
0.00%
0/31 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
0.00%
0/36 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
5.6%
2/36 • Number of events 2 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Musculoskeletal and connective tissue disorders
Muscle Ache
35.5%
11/31 • Number of events 14 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
30.6%
11/36 • Number of events 16 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
27.8%
10/36 • Number of events 10 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Musculoskeletal and connective tissue disorders
Pain Lower Extremity
6.5%
2/31 • Number of events 2 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
2.8%
1/36 • Number of events 2 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
5.6%
2/36 • Number of events 2 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Nervous system disorders
Agitation
6.5%
2/31 • Number of events 2 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
2.8%
1/36 • Number of events 1 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
11.1%
4/36 • Number of events 4 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Nervous system disorders
Anxiety
25.8%
8/31 • Number of events 9 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
27.8%
10/36 • Number of events 15 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
27.8%
10/36 • Number of events 11 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Nervous system disorders
Dizziness
0.00%
0/31 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
2.8%
1/36 • Number of events 1 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
5.6%
2/36 • Number of events 2 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Nervous system disorders
Fatigue
6.5%
2/31 • Number of events 2 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
16.7%
6/36 • Number of events 7 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
13.9%
5/36 • Number of events 10 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Nervous system disorders
Insomnia
38.7%
12/31 • Number of events 18 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
41.7%
15/36 • Number of events 18 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
38.9%
14/36 • Number of events 17 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Nervous system disorders
Irritability
9.7%
3/31 • Number of events 3 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
25.0%
9/36 • Number of events 13 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
33.3%
12/36 • Number of events 12 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Nervous system disorders
Restlessness
38.7%
12/31 • Number of events 15 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
41.7%
15/36 • Number of events 20 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
30.6%
11/36 • Number of events 11 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Nervous system disorders
Shaky
0.00%
0/31 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
5.6%
2/36 • Number of events 2 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
0.00%
0/36 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Nervous system disorders
Tremor
32.3%
10/31 • Number of events 13 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
25.0%
9/36 • Number of events 14 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
22.2%
8/36 • Number of events 8 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
General disorders
Cough
0.00%
0/31 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
0.00%
0/36 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
5.6%
2/36 • Number of events 2 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
General disorders
Nasal Congestion
16.1%
5/31 • Number of events 6 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
13.9%
5/36 • Number of events 5 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
16.7%
6/36 • Number of events 7 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
General disorders
Rhinitis
0.00%
0/31 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
11.1%
4/36 • Number of events 5 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
5.6%
2/36 • Number of events 2 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
General disorders
Rhinorrhea
41.9%
13/31 • Number of events 15 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
27.8%
10/36 • Number of events 14 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
27.8%
10/36 • Number of events 16 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
General disorders
Yawning
25.8%
8/31 • Number of events 11 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
11.1%
4/36 • Number of events 4 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
16.7%
6/36 • Number of events 6 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
General disorders
Piloerection
16.1%
5/31 • Number of events 6 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
11.1%
4/36 • Number of events 4 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
2.8%
1/36 • Number of events 1 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
General disorders
Sweat Increased
19.4%
6/31 • Number of events 8 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
13.9%
5/36 • Number of events 6 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
16.7%
6/36 • Number of events 6 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Eye disorders
Hot Flashes
19.4%
6/31 • Number of events 7 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
19.4%
7/36 • Number of events 7 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
22.2%
8/36 • Number of events 9 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
Eye disorders
Lacrimation Increased
6.5%
2/31 • Number of events 2 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
22.2%
8/36 • Number of events 10 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology
19.4%
7/36 • Number of events 7 • Adverse events are reported from the Taper and Post-Taper periods (approximately 18-19 days). No Adverse Events reported from Stabilization phase (7-10 day period) since this occurred prior to primary experimental manipulation and randomization to study drug (clonidine, tramadol, buprenorphine).
Standard terminology

Additional Information

Eric C. Strain, MD

Johns Hopkins University, School of Medicine

Phone: 410-550-1191

Results disclosure agreements

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