Nasal Naloxone for Narcotic Overdose

NCT ID: NCT01912573

Last Updated: 2013-07-31

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

236 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Study Completion Date

2015-03-31

Brief Summary

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The goal of this study is to determine if nasal naloxone is inferior to standard care for naloxone administration in a pre-hospital setting. Ambulance squads in Adams, Clermont, and Scioto counties in southern Ohio will be randomized to provide either standard care or nasal (IN) naloxone as the initial response to a suspected opioid overdose. Standard care includes administration of naloxone by intravenous (IV), intramuscular (IM) or intraosseus (IO) methods.

Detailed Description

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This is a randomized, prospective trial that will compare clinical outcomes for parenteral naloxone according to the standard of care (TAU; administration via intravenous \[IV\], intramuscular \[IM\] or intraosseus \[IO\] delivery) versus intranasal \[IN\] for the prehospital emergency treatment of suspected opioid overdose. Ambulance squads in Adams, Clermont, and Scioto counties in southern Ohio will be randomized to administer either standard care or IN naloxone as the initial response to a suspected opioid overdose.

Conditions

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Drug Overdose

Keywords

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heroin prescription pain killers narcotics

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Intranasal (IN) naloxone

Intranasal (IN) naloxone as initial response to suspected opioid overdose

Group Type EXPERIMENTAL

Intranasal (IN) naloxone

Intervention Type DRUG

Standard of Care (TAU)

Standard of care (intravenous \[IV\], intramuscular \[IM\] or intraosseus \[IO\]delivery of naloxone) as initial response to suspected opioid overdose.

Group Type ACTIVE_COMPARATOR

Intravenous (IV) naloxone

Intervention Type DRUG

Intramuscular (IM) naloxone

Intervention Type DRUG

Intraosseus (IO) naloxone

Intervention Type DRUG

Interventions

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Intranasal (IN) naloxone

Intervention Type DRUG

Intravenous (IV) naloxone

Intervention Type DRUG

Intramuscular (IM) naloxone

Intervention Type DRUG

Intraosseus (IO) naloxone

Intervention Type DRUG

Other Intervention Names

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Narcan Narcan Narcan Narcan

Eligibility Criteria

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Inclusion Criteria

* Presence of hyperventilation or respiratory arrest OR
* EMS assessment that the person needs naloxone for possible opioid or unknown drug overdose

Exclusion Criteria

* EMS assessment that the participant is less than 12 years old
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Judith Feinberg

OTHER

Sponsor Role lead

Responsible Party

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Judith Feinberg

Assoc Chair of Medicine

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Judith Feinberg, MD

Role: PRINCIPAL_INVESTIGATOR

University of Cincinnati

Locations

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Clermont County

Batavia, Ohio, United States

Site Status

Scioto County

Portsmouth, Ohio, United States

Site Status

Adams County

West Union, Ohio, United States

Site Status

Countries

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United States

Facility Contacts

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Joe Renusch, MD

Role: primary

Brian Barhorst, MD

Role: primary

Bruce Ashley, MD

Role: primary

Other Identifiers

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Ohio Division of EMS Board

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

N3OD

Identifier Type: -

Identifier Source: org_study_id