OPAL: "Opiates and PhArmacoLogy"

NCT ID: NCT01847729

Last Updated: 2018-12-12

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

Total Enrollment

263 participants

Study Classification

OBSERVATIONAL

Study Start Date

2013-07-11

Study Completion Date

2016-07-21

Brief Summary

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The aim of this study is to determine the current prevalence of co-addictions, including problem/pathological gambling, in patients receiving Opiate Substitution Treatment (OST), and to then compare patients receiving OST with or without a co-addiction (excluding tobacco dependence) in order to determine their clinical profile.

In addition, an ancillary study to be carried out only among those patients receiving methadone, will aim to etablish whether a low plasma concentration of methadone, on the one hand, and an ultrarapid metabolizer genetic profile, on the other, are the characteristics most commonly associated with the presence of co-addictions. This will allow us to complete patient's pharmacological characterization.

Detailed Description

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Non-interventionel study Total duration: 12 months (preparation, recruitment, analysis) Recruitment period: 6 months Duration of monitoring per patient: no monitoring

Main objective: to assess the current prevalence of addictive co-morbidities in opiate-dependent subjects receiving Opiate Substitution Treatment (OST) for at least 6 months.

Secondary objective: to compare patients being treated using OST who currently have a co-addiction (with the exception of tobacco dependence) with patients being treated with OST who do not currently have a co-addiction, based on pharmacological and clinical characteristics (for pharmacological characteristics: pharmacokinetic and pharmacogenetic analyses as part of an ancillary study into only those patients being treated with methadone).

Main judgment criterion: Presence or absence of co-addictions (except tobacco dependence), determined using assessment tools.

The secondary assessment criteria shall be: sociodemographic data, data about opiate dependence, data about other substance use disorders, data about gambling practice, psychopathological data (impulsivity, ADHD), pharmacokinetic data and pharmacogenetic data.

Statistical analysis: For the main judgment criterion, a rate of prevalence of current co-addictions will be estimated using a 95% confidence interval.

Descriptive analyses will be carried out for all variables gathered and along with point estimates and 95% confidence intervals for qualitative and quantitative variables.

The second stage will involve univariate exploratory analyses. The two groups of patients will be compared according to the presence or absence of co-addictions. For the quantitative variables Student tests or non parametric tests will be used. For the qualitative variables, we will use Chi-squared or Fisher tests.

Finally, multivariate analyses will be carried out. The factors that have been previously identified as a being linked to co-addictions (with the threshold p = 0.2) will the be incorporated into logistic regression models. The best model, wich enables explanation of the co-addictions will then be selected using likelihood ratio tests.

Conditions

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Substance Use Disorder

Keywords

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Opiate dependence Opiate substitution treatment co-addictions Patients addicted to opiates methadone buprenorhine morphine OST in place pathological gambling pharmacokinetic pharmacogenetic polymorphism cytochrome P450 2D6 Therapeutic Drug Monitoring

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients on OST prescribed to treat opiate dependence

Collecting socio-demographic data, data concerning opiate dependence, data about other substance use disorder, data regarding gambling practice, psychopathological data.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Over 18,
* Under treatment unsing methadone or buprenorhine (+/- naloxone) or morphine as substitute, prescribed for opiate dependence,
* OST begining at least 6 months previously,
* Incarceration for less than a month in the event of monitoring in SMPR,
* Good understanding of French, able to read and write.


* Protected adults (guardianship, wardship)
* Disorder of higher-order brains functions (severe cognitive disorders or confusion) or psychotic disorder (hallucinations, delusion) that may interfere with the study.


* Medical monitoring by a doctor from the Drug Addiction Network of the Nantes Area,
* OST other than methadone
* Adjustement to dosage in the 5 days prior to administering OST
* Pregnant women
* Absence of social security registration.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nantes University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Marie Grall-Bronnec, PH

Role: STUDY_DIRECTOR

Nantes University Hospital

Régis Bouquié, AHU

Role: PRINCIPAL_INVESTIGATOR

Nantes University Hospital

Stéphane Bézieau, Pr

Role: PRINCIPAL_INVESTIGATOR

Nantes University Hospital

Pierre Bodenez

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Brest

Morgane Guillou-Landréat

Role: PRINCIPAL_INVESTIGATOR

Morlaix Hospital

Bertrand Legeay

Role: PRINCIPAL_INVESTIGATOR

Medico-psychological regional service nantes University Hospital

Isabelle Martineau

Role: PRINCIPAL_INVESTIGATOR

La Métairie center care support and prevention of addiction

Philippe Levassor

Role: PRINCIPAL_INVESTIGATOR

La Rose des Vents center care support and prevention of addiction

Jean-Yves Guillet

Role: PRINCIPAL_INVESTIGATOR

General practitioners in the drug-addiction network of the Nantes Area

Locations

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Brest Universit Hospital

Brest, , France

Site Status

CSAPA "La métairie"

La Roche-sur-Yon, , France

Site Status

Morlaix Hospital

Morlaix, , France

Site Status

CSAPA "Le triangle"

Nantes, , France

Site Status

University Hospital Nantes

Nantes, , France

Site Status

CSAPA-CAARUD "La rose des vents"

Saint-Nazaire, , France

Site Status

Réseau toxicomanie de la région nantaise

Saint-Sébastien-sur-Loire, , France

Site Status

Countries

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France

References

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Bouju G, Hardouin JB, Boutin C, Gorwood P, Le Bourvellec JD, Feuillet F, Venisse JL, Grall-Bronnec M. A shorter and multidimensional version of the Gambling Attitudes and Beliefs Survey (GABS-23). J Gambl Stud. 2014 Jun;30(2):349-67. doi: 10.1007/s10899-012-9356-3.

Reference Type BACKGROUND
PMID: 23334576 (View on PubMed)

Grall-Bronnec M, Wainstein L, Feuillet F, Bouju G, Rocher B, Venisse JL, Sebille-Rivain V. Clinical profiles as a function of level and type of impulsivity in a sample group of at-risk and pathological gamblers seeking treatment. J Gambl Stud. 2012 Jun;28(2):239-52. doi: 10.1007/s10899-011-9258-9.

Reference Type BACKGROUND
PMID: 21698341 (View on PubMed)

Grall-Bronnec M, Wainstein L, Augy J, Bouju G, Feuillet F, Venisse JL, Sebille-Rivain V. Attention deficit hyperactivity disorder among pathological and at-risk gamblers seeking treatment: a hidden disorder. Eur Addict Res. 2011;17(5):231-40. doi: 10.1159/000328628. Epub 2011 Jun 7.

Reference Type BACKGROUND
PMID: 21654176 (View on PubMed)

Beslot A, Grall-Bronnec M, Balem M, Schreck B, Laforgue EJ, Victorri-Vigneau C, Guillou-Landreat M, Leboucher J; OPAL-Group; Challet-Bouju G, Cabelguen C. ADHD: prevalence and effect on opioid use disorder treatment outcome in a French sample of patients receiving medication for opioid use disorder-the influence of impulsivity as a mediating factor. Harm Reduct J. 2024 Sep 9;21(1):165. doi: 10.1186/s12954-024-01079-7.

Reference Type DERIVED
PMID: 39252018 (View on PubMed)

Guillou Landreat M, Dany A, Challet Bouju G, Laforgue EJ, Cholet J, Leboucher J, Hardouin JB; OPAL Group; Victorri Vigneau C, Grall Bronnec M. How do people who use drugs receiving Opioid Medication Therapy perceive their treatment ? A multicentre study. Harm Reduct J. 2022 Mar 28;19(1):31. doi: 10.1186/s12954-022-00608-6.

Reference Type DERIVED
PMID: 35346219 (View on PubMed)

Guillou-Landreat M, Dany A, Challet-Bouju G, Laforgue E, Leboucher J, Benoit Hardouin J, Victorri-Vigneau C, Grall-Bronnec M. What Differs between Patients under Methadone and under Buprenorphine for Opioid Use Disorder (OUD) in Daily Clinical Practice in France? A Short Report. Int J Environ Res Public Health. 2021 Feb 3;18(4):1425. doi: 10.3390/ijerph18041425.

Reference Type DERIVED
PMID: 33546494 (View on PubMed)

Other Identifiers

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RC12_0498

Identifier Type: -

Identifier Source: org_study_id