Trial Outcomes & Findings for Extended-Release Naltrexone vs. Buprenorphine for Opioid Treatment (NCT NCT02032433)

NCT ID: NCT02032433

Last Updated: 2020-08-13

Results Overview

Relapse occurs if the participant is using any non-protocol prescribed opioids regularly starting at day 21 post-randomization or thereafter. Operationally, relapse is defined as either: (a) four consecutive opioid use weeks, or (b) seven consecutive days of use by self-report. A use week is defined as any week during which a participant self-reports at least one day of use during that week, provides a urine sample positive for non-protocol opioids, or fails to provide a urine sample. Self-report of opioid (heroin or prescription opioids) and other substance use is ascertained at each weekly study visit using the Timeline Follow-Back for each day leading back to the previous visit. Urine is collected at each study visit and tested for opioids. A missed UDS counts as a use week.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

570 participants

Primary outcome timeframe

Weeks 3-24

Results posted on

2020-08-13

Participant Flow

Participant milestones

Participant milestones
Measure
Extended-Release Naltrexone
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Overall Study
STARTED
283
287
Overall Study
COMPLETED
205
225
Overall Study
NOT COMPLETED
78
62

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Extended-Release Naltrexone vs. Buprenorphine for Opioid Treatment

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Total
n=570 Participants
Total of all reporting groups
Age, Continuous
34.0 years
STANDARD_DEVIATION 9.5 • n=5 Participants
33.7 years
STANDARD_DEVIATION 9.8 • n=7 Participants
33.9 years
STANDARD_DEVIATION 9.63 • n=5 Participants
Sex: Female, Male
Female
88 Participants
n=5 Participants
81 Participants
n=7 Participants
169 Participants
n=5 Participants
Sex: Female, Male
Male
195 Participants
n=5 Participants
206 Participants
n=7 Participants
401 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
45 Participants
n=5 Participants
54 Participants
n=7 Participants
99 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
238 Participants
n=5 Participants
233 Participants
n=7 Participants
471 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Asian
8 Participants
n=5 Participants
1 Participants
n=7 Participants
9 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
29 Participants
n=5 Participants
28 Participants
n=7 Participants
57 Participants
n=5 Participants
Race (NIH/OMB)
White
206 Participants
n=5 Participants
215 Participants
n=7 Participants
421 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
18 Participants
n=5 Participants
14 Participants
n=7 Participants
32 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
20 Participants
n=5 Participants
27 Participants
n=7 Participants
47 Participants
n=5 Participants
Randomization status
Early randomization
107 Participants
n=5 Participants
110 Participants
n=7 Participants
217 Participants
n=5 Participants
Randomization status
Late randomization
176 Participants
n=5 Participants
177 Participants
n=7 Participants
353 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Weeks 3-24

Population: Intention to treat.

Relapse occurs if the participant is using any non-protocol prescribed opioids regularly starting at day 21 post-randomization or thereafter. Operationally, relapse is defined as either: (a) four consecutive opioid use weeks, or (b) seven consecutive days of use by self-report. A use week is defined as any week during which a participant self-reports at least one day of use during that week, provides a urine sample positive for non-protocol opioids, or fails to provide a urine sample. Self-report of opioid (heroin or prescription opioids) and other substance use is ascertained at each weekly study visit using the Timeline Follow-Back for each day leading back to the previous visit. Urine is collected at each study visit and tested for opioids. A missed UDS counts as a use week.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Time to Relapse (Intent to Treat Population)
8.4 weeks
Interval 3.0 to 23.4
14.4 weeks
Interval 5.1 to 23.4

PRIMARY outcome

Timeframe: Weeks 3-24

Population: Per protocol population (those successfully inducted onto medication)

Relapse occurs if the participant is using any non-protocol prescribed opioids regularly starting at day 21 post-randomization or thereafter. Operationally, relapse is defined as either: (a) four consecutive opioid use weeks, or (b) seven consecutive days of use by self-report. A use week is defined as any week during which a participant self-reports at least one day of use during that week, provides a urine sample positive for non-protocol opioids, or fails to provide a urine sample. Self-report of opioid (heroin or prescription opioids) and other substance use is ascertained at each weekly study visit using the Timeline Follow-Back for each day leading back to the previous visit. Urine is collected at each study visit and tested for opioids. A missed UDS counts as a use week.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=204 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=270 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Time to Relapse (Per Protocol Population)
20.4 weeks
Interval 5.4 to 23.4
15.2 weeks
Interval 5.7 to 23.4

SECONDARY outcome

Timeframe: Weeks 0-24

Population: Intent to treat

Binary Y/N assessment of whether the participant was or was not able to initiate their assigned study medication.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Number Successfully Inducted Onto Assigned Study Medication
204 participants
270 participants

SECONDARY outcome

Timeframe: Weeks 0-36

Population: These are treatment emergent adverse events. Treatment emergence is defined as any adverse events that occurred after the study day of induction for those participants inducted onto study medication.

Adverse events reported by participants and assessed by clinical staff for relatedness to study medication. These determinations were reviewed by the study medical monitor.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=204 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=270 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Adverse Events Related to Study Medications
115 events
113 events

SECONDARY outcome

Timeframe: Weeks 0-24

Population: per protocol

Self report of opioid use by participants using the TLFB. At each visit, the TLFB was completed for dates going back to the last participant encounter.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=204 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=270 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Opioid Abstinence Over Time While on Study Medication (Subjective)
123 days
Interval 18.0 to 144.0
87 days
Interval 20.0 to 144.0

SECONDARY outcome

Timeframe: Week 0

Alcohol use over time, drinks per day, past 30 days, at week 0

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Alcohol Use Over Time, Drinks Per Day, Past 30 Days, W0
.8 drinks per day
Standard Deviation 2.41
1.2 drinks per day
Standard Deviation 3.75

SECONDARY outcome

Timeframe: Week 0

Participants average cigarettes/day, in past 4 weeks, at week 0, equals 10 or less.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Cigarette Smoking, W0, 10 or Less
112 Participants
109 Participants

SECONDARY outcome

Timeframe: Week 0

Opioid craving over time via VAS at week 0

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Opioid Craving Over Time W0
68.7 score on a scale
Standard Deviation 30.55
68.8 score on a scale
Standard Deviation 30.05

SECONDARY outcome

Timeframe: Week 0

The Subacute Withdrawal Symptoms Subscale consists of 6 symptoms. Classification of symptoms can be scored as: 0 - absent, 1 - doubtful or trivial, 2 - present. The total range of scores is 0 - 12, and the higher the total score the more severe the depression.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score of Subacute Withdrawal Symptoms Subscale Within Hamilton Depression (HAM-D) Rating Scale
8.6 score on a scale
Standard Deviation 6.45
9.3 score on a scale
Standard Deviation 6.63

SECONDARY outcome

Timeframe: Week 0

The Alcohol Subscale within ASI is one question that asks how bothered one has been by alcohol problems. The total range of the subscale is 0-4. The higher the score, the bigger the problem.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score of Alcohol Subscale Within Addiction Severity Index (ASI) Scale
.1 score on a scale
Standard Deviation .2
.1 score on a scale
Standard Deviation .23

SECONDARY outcome

Timeframe: Week 0

The Sexual Behavior Subscale consists of 5 questions. Each question is scored from 0-5, for a total score range of 0-25. Higher scores indicate a greater degree of risk-taking behavior.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score of Sexual Behavior Subscale Within HIV Risk-Taking Behavior Scale (HRBS)
5.5 score on a scale
Standard Deviation 8.85
5.9 score on a scale
Standard Deviation 10.46

SECONDARY outcome

Timeframe: Week 0

Trail Making Test Part A consists of 25 circles distributed over a sheet of paper. The circles are number 1-25, and the patient is asked to draw lines to connect the numbers in ascending order. The patient is instructed to connect the circles as quickly as possible, without lifting the pen or pencil from the paper. Higher scores reveal greater impairment.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score on Trail Making Test Part A
26.8 seconds
Standard Deviation 11.09
25.8 seconds
Standard Deviation 10.07

SECONDARY outcome

Timeframe: Weeks 0-24

Population: Per protocol

A urine sample was obtained and tested for opioids at each in person visit; screening, prior to induction onto study medication, weekly through week 24 and at each of the follow up visits.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=204 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=270 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Opioid Abstinence Over Time While on Study Medication (Objective)
13 Weeks
Interval 3.0 to 21.0
11 Weeks
Interval 3.0 to 20.0

SECONDARY outcome

Timeframe: Week 0

Participants average cigarettes/day, in past 4 weeks, at week 0, equals none

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Cigarette Smoking, W0 0
17 Participants
18 Participants

SECONDARY outcome

Timeframe: Week 0

Participants average cigarettes/day, in past 4 weeks, at week 0, equals 11-20.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Cigarette Smoking, W0 11-20
106 Participants
112 Participants

SECONDARY outcome

Timeframe: Week 0

Participants average cigarettes/day, in past 4 weeks, at week 0, equals 21-30

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Cigarette Smoking, W0 21-30
18 Participants
21 Participants

SECONDARY outcome

Timeframe: Week 0

Participants average cigarettes/day, in past 4 weeks, at week 0, equals 31 or more

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Cigarette Smoking, W0 31 or More
3 Participants
8 Participants

SECONDARY outcome

Timeframe: Week 24

Participants average cigarettes/day, in past 4 weeks, at week 24, equals none

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Cigarette Smoking, W24 0
32 Participants
29 Participants

SECONDARY outcome

Timeframe: Week 24

Participants average cigarettes/day, in past 4 weeks, at week 24, equals 10 or less.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Cigarette Smoking
70 Participants
78 Participants

SECONDARY outcome

Timeframe: Week 24

Participants average cigarettes/day, in past 4 weeks, at week 24, equals 11-20.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Cigarette Smoking, W24 11-20
57 Participants
71 Participants

SECONDARY outcome

Timeframe: Week 24

Participants average cigarettes/day, in past 4 weeks, at week 24, equals 21-30

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Cigarette Smoking, W24 21-30
2 Participants
11 Participants

SECONDARY outcome

Timeframe: Week 24

Participants average cigarettes/day, in past 4 weeks, at week 24, equals 31 or more

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Cigarette Smoking, W24 31 or More
1 Participants
5 Participants

SECONDARY outcome

Timeframe: Week 24

OCS is a brief 3-item measure used to measure opioid craving. The scale consists of 3 items rated on a visual analogue scale (VAS) from 1-10. The total range of score is 0-30, and a higher score indicates a stronger craver / desire to use opiates.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score on Opioid Craving Scale (OCS)
9.9 score on a scale
Standard Deviation 21.54
9.4 score on a scale
Standard Deviation 17.67

SECONDARY outcome

Timeframe: Week 24

The Subacute Withdrawal Symptoms Subscale consists of 6 symptoms. Classification of symptoms can be scored as: 0 - absent, 1 - doubtful or trivial, 2 - present. The total range of scores is 0 - 12, and the higher the total score the more severe the depression.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score of Subacute Withdrawal Symptoms Subscale Within Hamilton Depression (HAM-D) Rating Scale
5.2 score on a scale
Standard Deviation 6.53
4.8 score on a scale
Standard Deviation 5.48

SECONDARY outcome

Timeframe: Week 0

The SOWS is a self-administered scale for grading opioid withdrawal symptoms. It contains 16 symptoms whose intensity the patient rates on a scale of 0 (not at all) to 4 (extremely). The total range of scores is 0-64; the higher the score, the more intense the withdrawal.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score on Subjective Opiate Withdrawal Scale (SOWS)
15.6 score on a scale
Standard Deviation 13.38
15.6 score on a scale
Standard Deviation 13.15

SECONDARY outcome

Timeframe: Week 24

The SOWS is a self-administered scale for grading opioid withdrawal symptoms. It contains 16 symptoms whose intensity the patient rates on a scale of 0 (not at all) to 4 (extremely). The total range of scores is 0-64; the higher the score, the more intense the withdrawal.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score on Subjective Opiate Withdrawal Scale (SOWS)
4.5 score on a scale
Standard Deviation 7.53
5.3 score on a scale
Standard Deviation 7.49

SECONDARY outcome

Timeframe: Week 24

The Sexual Behavior Subscale consists of 5 questions. Each question is scored from 0-5, for a total score range of 0-25. Higher scores indicate a greater degree of risk-taking behavior.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score of Sexual Behavior Subscale Within HIV Risk-Taking Behavior Scale (HRBS)
7.3 score on a scale
Standard Deviation 9.37
6.0 score on a scale
Standard Deviation 10.63

SECONDARY outcome

Timeframe: Week 0

The Sexual Behavior Subscale consists of 3 questions. Each question is scored from 0-5, for a total score range of 0-15. Higher scores indicate a greater degree of risk-taking behavior.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score of Condom Use Subscale Within HIV Risk-Taking Behavior Scale (HRBS)
3.6 score on a scale
Standard Deviation 7.34
4.3 score on a scale
Standard Deviation 10.07

SECONDARY outcome

Timeframe: Week 24

The Sexual Behavior Subscale consists of 3 questions. Each question is scored from 0-5, for a total score range of 0-15. Higher scores indicate a greater degree of risk-taking behavior.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score of Condom Use Subscale Within HIV Risk-Taking Behavior Scale (HRBS)
4.8 score on a scale
Standard Deviation 8.4
4.3 score on a scale
Standard Deviation 10.34

SECONDARY outcome

Timeframe: Week 24

Trail Making Test Part A consists of 25 circles distributed over a sheet of paper. The circles are number 1-25, and the patient is asked to draw lines to connect the numbers in ascending order. The patient is instructed to connect the circles as quickly as possible, without lifting the pen or pencil from the paper. Higher scores reveal greater impairment.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score on Trail Making Test Part A
21.6 seconds
Standard Deviation 9.81
20.3 seconds
Standard Deviation 7.03

SECONDARY outcome

Timeframe: Week 0

Part B consists of 25 circles distributed over a sheet of paper. In Part B, the circles include both numbers (1-13) and letters (A-L); the patient draws lines to connect the circles in an ascending pattern, by alternating between the numbers and letters. Results are reported as the number of seconds required to complete the task.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score on Trail Making Test Part B
79.1 seconds
Standard Deviation 40.19
78.3 seconds
Standard Deviation 40.73

SECONDARY outcome

Timeframe: Week 24

Part B consists of 25 circles distributed over a sheet of paper. In Part B, the circles include both numbers (1-13) and letters (A-L); the patient draws lines to connect the circles in an ascending pattern, by alternating between the numbers and letters. Results are reported as the number of seconds required to complete the task.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score on Trail Making Test Part B
61.2 seconds
Standard Deviation 39.32
58.1 seconds
Standard Deviation 33.37

SECONDARY outcome

Timeframe: Week 0

The "word card" of the Stoop Test has the names of colors printed in black and white (100 items to be named). The patient's basic score is the total time he/she takes to utter the 100 words on the card.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score on Word Card of Stoop Test
95.8 seconds
Standard Deviation 16.6
96.4 seconds
Standard Deviation 16.03

SECONDARY outcome

Timeframe: Week 24

The "word card" of the Stoop Test has the names of colors printed in black and white (100 items to be named). The patient's basic score is the total time he/she takes to utter the 100 words on the card.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score on Word Card of Stoop Test
103.2 seconds
Standard Deviation 18.02
102.9 seconds
Standard Deviation 19.7

SECONDARY outcome

Timeframe: Week 0

The "color card" contains 100 patches of between 3-5 different colors. The patient's task is to utter the names of the colored patches as rapidly as possible, scanning the rows from left to right. The score is the total time (in seconds) it takes to utter the 100 colors.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score on Color Card of Stoop Test
69.3 seconds
Standard Deviation 13.63
70.5 seconds
Standard Deviation 12.46

SECONDARY outcome

Timeframe: Week 24

The "color card" contains 100 patches of between 3-5 different colors. The patient's task is to utter the names of the colored patches as rapidly as possible, scanning the rows from left to right. The score is the total time (in seconds) it takes to utter the 100 colors.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score on Color Card of Stoop Test
75.3 seconds
Standard Deviation 15.31
76.1 seconds
Standard Deviation 14.84

SECONDARY outcome

Timeframe: Week 0

The "color-word card" contains the printed names of colors, but printed in an ink of a conflicting color (e.g. the word RED might be printed in green, yellow, or blue). The patient is required to name the colors of the inks while ignoring the conflicting printed color names. The basic score is the total time (in seconds) to utter the 100 colors.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score on Color Word Card of Stoop Test
41.1 seconds
Standard Deviation 10.33
42.2 seconds
Standard Deviation 9.85

SECONDARY outcome

Timeframe: Week 24

The "color-word card" contains the printed names of colors, but printed in an ink of a conflicting color (e.g. the word RED might be printed in green, yellow, or blue). The patient is required to name the colors of the inks while ignoring the conflicting printed color names. The basic score is the total time (in seconds) to utter the 100 colors.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score on Color Word Card of Stoop Test
47.6 seconds
Standard Deviation 12.07
48.8 seconds
Standard Deviation 12.35

SECONDARY outcome

Timeframe: Week 24

The Alcohol Subscale within ASI is one question that asks how bothered one has been by alcohol problems. The total range of the subscale is 0-4. The higher the score, the bigger the problem.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score of Alcohol Subscale Within Addiction Severity Index (ASI) Scale
.1 score on a scale
Standard Deviation .11
0.0 score on a scale
Standard Deviation 0.11

SECONDARY outcome

Timeframe: Week 0

The Drug Use Subscale within ASI is one question that asks how bothered one has been by drug use problems. The total range of the subscale is 0-4. The higher the score, the bigger the problem.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score of Drug Use Subscale Within Addiction Severity Index (ASI) Scale
0.3 score on a scale
Standard Deviation 0.08
.3 score on a scale
Standard Deviation 0.09

SECONDARY outcome

Timeframe: Week 24

The Drug Use Subscale within ASI is one question that asks how bothered one has been by drug use problems. The total range of the subscale is 0-4. The higher the score, the bigger the problem.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score of Drug Use Subscale Within Addiction Severity Index (ASI) Scale
.1 score on a scale
Standard Deviation .13
.1 score on a scale
Standard Deviation .12

SECONDARY outcome

Timeframe: Week 0

The Social Relationship Subscale within ASI contains 2 questions that ask how bothered one has been by family or social problems. The total range of the subscale is 0-8. The higher the score, the bigger the problem.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score of Social Relationship Subscale Within Addiction Severity Index (ASI) Scale
.3 score on a scale
Standard Deviation .25
.3 score on a scale
Standard Deviation .24

SECONDARY outcome

Timeframe: Week 24

The Family / Social Relationship Subscale within ASI contains 2 questions that ask how bothered one has been by family or social problems. The total range of the subscale is 0-8. The higher the score, the bigger the problem.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score of Family / Social Relationship Subscale Within Addiction Severity Index (ASI) Scale
.1 score on a scale
Standard Deviation .18
.1 score on a scale
Standard Deviation .19

SECONDARY outcome

Timeframe: Week 0

The Legal Status Subscale within ASI is one question that asks how bothered one has been by legal problems. The total range of the subscale is 0-4. The higher the score, the bigger the problem.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score of Legal Status Subscale Within Addiction Severity Index (ASI) Scale
.2 score on a scale
Standard Deviation .21
.2 score on a scale
Standard Deviation .21

SECONDARY outcome

Timeframe: Week 24

The Legal Status Subscale within ASI is one question that asks how bothered one has been by legal problems. The total range of the subscale is 0-4. The higher the score, the bigger the problem.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score of Legal Status Subscale Within Addiction Severity Index (ASI) Scale
.1 score on a scale
Standard Deviation .17
.1 score on a scale
Standard Deviation .17

SECONDARY outcome

Timeframe: Week 0

The Medical Status Subscale within ASI is one question that asks how bothered one has been by medical problems. The total range of the subscale is 0-4. The higher the score, the bigger the problem.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score of Medical Status Subscale Within Addiction Severity Index (ASI) Scale
.2 score on a scale
Standard Deviation .25
.2 score on a scale
Standard Deviation .27

SECONDARY outcome

Timeframe: Week 24

The Medical Status Subscale within ASI is one question that asks how bothered one has been by medical problems. The total range of the subscale is 0-4. The higher the score, the bigger the problem.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score of Medical Status Subscale Within Addiction Severity Index (ASI) Scale
.1 score on a scale
Standard Deviation .24
.2 score on a scale
Standard Deviation .25

SECONDARY outcome

Timeframe: Week 0

The Psychiatric Status Subscale within ASI is one question that asks how bothered one has been by psychiatric or emotional problems. The total range of the subscale is 0-4. The higher the score, the bigger the problem.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score of Psychiatric Status Subscale Within Addiction Severity Index (ASI) Scale
.3 score on a scale
Standard Deviation .22
.3 score on a scale
Standard Deviation .22

SECONDARY outcome

Timeframe: Week 24

The Psychiatric Status Subscale within ASI is one question that asks how bothered one has been by psychiatric or emotional problems. The total range of the subscale is 0-4. The higher the score, the bigger the problem.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score of Psychiatric Status Subscale Within Addiction Severity Index (ASI) Scale
.2 score on a scale
Standard Deviation .21
.2 score on a scale
Standard Deviation .21

SECONDARY outcome

Timeframe: Week 0

Problems related to drug abuse is assessed through this questionnaire, which consists of 5 conditions. Each condition is scored from 0-2 for a total score range of 0-10. The higher the score, the more problems.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score on EuroQOL EQ-5D Questionnaire
6.8 score on a scale
Standard Deviation 1.44
6.8 score on a scale
Standard Deviation 1.31

SECONDARY outcome

Timeframe: Week 24

Problems related to drug abuse is assessed through this questionnaire, which consists of 5 conditions. Each condition is scored from 0-2 for a total score range of 0-10. The higher the score, the more problems.

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Score on EuroQOL EQ-5D Questionnaire
5.8 score on a scale
Standard Deviation 1.15
6.1 score on a scale
Standard Deviation 1.28

SECONDARY outcome

Timeframe: Week 24

Alcohol use over time, drinks per day

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Alcohol Use Over Time, Drinks Per Day
.1 drinks per day
Standard Deviation .82
.4 drinks per day
Standard Deviation 1.57

SECONDARY outcome

Timeframe: week 0

Other drug use over time measuring cannabis at week 0

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Other Drug Use Over Time, Cannabis, W0
123 Participants
135 Participants

SECONDARY outcome

Timeframe: week 24

Other drug use over time measuring cannabis at week 24

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Other Drug Use Over Time, Cannabis, W24
20 Participants
20 Participants

SECONDARY outcome

Timeframe: week 0

Other drug use over time measuring cocaine at week 0

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Other Drug Use Over Time, Cocaine, W0
61 Participants
80 Participants

SECONDARY outcome

Timeframe: week 24

Other drug use over time measuring cocaine at week 0

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Other Drug Use Over Time, Cocaine, W24
5 Participants
2 Participants

SECONDARY outcome

Timeframe: week 0

Other drug use over time measuring stimulant (cocaine, crack and amphetamine) at week 0

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Other Drug Use Over Time, Stimulant, W0
132 Participants
166 Participants

SECONDARY outcome

Timeframe: week 24

Other drug use over time measuring stimulant (cocaine, crack and amphetamine) at week 24

Outcome measures

Outcome measures
Measure
Extended-Release Naltrexone
n=283 Participants
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 Participants
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Other Drug Use Over Time, Stimulant, W24
5 Participants
3 Participants

Adverse Events

Extended-Release Naltrexone

Serious events: 41 serious events
Other events: 118 other events
Deaths: 3 deaths

Buprenorphine-Naloxone

Serious events: 31 serious events
Other events: 135 other events
Deaths: 4 deaths

Serious adverse events

Serious adverse events
Measure
Extended-Release Naltrexone
n=283 participants at risk
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 participants at risk
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Infections and infestations
Infections and infestations
2.5%
7/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
2.1%
6/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Pregnancy, puerperium and perinatal conditions
Pregnancy
0.00%
0/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
0.37%
1/270 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Injury, poisoning and procedural complications
Injury, poisoning and procedural complications
6.0%
17/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
3.0%
8/270 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
General disorders
General disorders and administration site conditions
0.71%
2/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
0.74%
2/270 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Gastrointestinal disorders
Gastrointestinal disorders
0.35%
1/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
0.74%
2/270 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic, and mediastinal disorders
1.8%
5/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
0.00%
0/270 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Nervous system disorders
Nervous system disorders
0.71%
2/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
0.74%
2/270 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorders
0.00%
0/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
0.37%
1/270 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Metabolism and nutrition disorders
Metabolism and nutrition disorders
0.35%
1/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
0.00%
0/270 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Hepatobiliary disorders
Hepatobiliary disorders
0.00%
0/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
0.37%
1/270 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Eye disorders
Eye disorders
0.35%
1/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
0.00%
0/270 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Reproductive system and breast disorders
Reproductive system and breast disorders
0.35%
1/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
0.00%
0/270 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Psychiatric disorders
Psychiatric
3.5%
10/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
4.2%
12/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.

Other adverse events

Other adverse events
Measure
Extended-Release Naltrexone
n=283 participants at risk
Extended-Release Naltrexone (Vivitrol) Extended-Release Naltrexone: Extended-Release Naltrexone (Vivitrol®)
Buprenorphine-Naloxone
n=287 participants at risk
Buprenorphine-Naloxone (Suboxone) Buprenorphine-Naloxone: Buprenorphine-Naloxone (Suboxone®)
Gastrointestinal disorders
Gastrointestinal
12.7%
36/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
20.2%
58/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Psychiatric disorders
Psychiatric
10.2%
29/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
7.7%
22/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Injury, poisoning and procedural complications
Injury poisoning and procedural complications
6.4%
18/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
7.7%
22/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Infections and infestations
Infections and infestations
7.8%
22/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
7.7%
22/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Nervous system disorders
Nervous system disorders
10.2%
29/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
9.4%
27/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
General disorders
General Disorders and Administration Site Conditions
3.5%
10/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
7.3%
21/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorders
5.7%
16/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
5.2%
15/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Investigations
Investigations
3.5%
10/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
3.8%
11/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders
2.5%
7/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
2.4%
7/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders
3.2%
9/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
2.4%
7/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Metabolism and nutrition disorders
Metabolism and nutrition
2.1%
6/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
1.4%
4/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Eye disorders
Eye disorders
2.1%
6/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
1.0%
3/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Renal and urinary disorders
Renal and urinary disorders
1.4%
4/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
1.7%
5/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Vascular disorders
Vascular disorders
0.35%
1/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
2.1%
6/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Reproductive system and breast disorders
Reproductive system and breast disorders
0.71%
2/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
1.0%
3/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Surgical and medical procedures
Surgical and medical procedures
0.00%
0/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
1.0%
3/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Hepatobiliary disorders
Hepatbiliary disorders
0.35%
1/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
0.35%
1/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Ear and labyrinth disorders
Ear and labyrinth disorders
0.35%
1/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
0.35%
1/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Immune system disorders
Immune system disorders
0.00%
0/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
0.35%
1/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Cardiac disorders
Cardiac disorders
0.35%
1/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
0.00%
0/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Social circumstances
Social circumstances
0.35%
1/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
0.00%
0/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Blood and lymphatic system disorders
Blood and lymphatic system disorders
0.35%
1/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
0.00%
0/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
Product Issues
Product issues
0.00%
0/283 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.
0.35%
1/287 • Weeks 0-36
Treatment emergent adverse events are those that occurred after study day of induction for those participants were inducted onto study medication.

Additional Information

John Rotrosen

NYU School of Medicine

Phone: 646-754-4763

Results disclosure agreements

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