Study of Treatment for Opioid Dependence and Anxiety Disorders

NCT ID: NCT02252068

Last Updated: 2020-11-17

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

37 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-01-31

Study Completion Date

2019-12-19

Brief Summary

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Anxiety is highly prevalent among individuals with opioid dependence and confers greater risk for continued opioid use and poor treatment outcomes. However, there are currently no efficacious treatments available for co-occurring opioid dependence and anxiety. The ultimate aims of this trial are the development and testing of a novel integrated cognitive behavioral treatment (I-CBT) for co-occurring opioid dependence and anxiety disorders. This clinical trial consists of two phases: (1) open-trial pilot (2) randomized control trial. We hypothesize that I-CBT will be a feasible and acceptable treatment that will result in significant reductions in anxiety and opioid use.

Detailed Description

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This Stage 1 behavioral treatment development trial involves two stages: manual development and pilot testing in an open trial, and a small randomized controlled trial. In both phases, opioid use and anxiety symptoms will be measured as the primary clinical outcome, along with measures of feasibility and patient satisfaction. These results will be used to further refine the treatment manual and to evaluate whether this treatment may enhance outcomes for adults with co-occurring opioid dependence and anxiety disorders.

Conditions

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Anxiety Disorders Opiate Addiction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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I-CBT feasibility pilot

Open trial of I-CBT

Group Type OTHER

I-CBT

Intervention Type BEHAVIORAL

New cognitive behavioral therapy treatment manual developed to treat co-occurring anxiety and opioid dependency disorders.

I-CBT randomized trial

I-CBT in randomized trial.

Group Type EXPERIMENTAL

I-CBT

Intervention Type BEHAVIORAL

New cognitive behavioral therapy treatment manual developed to treat co-occurring anxiety and opioid dependency disorders.

IDC randomized trial

Comparison condition (Individualized Drug Counseling) in randomized trial.

Group Type ACTIVE_COMPARATOR

IDC

Intervention Type BEHAVIORAL

Individual Drug Counseling manual that has demonstrated efficacy for the treatment of drug dependence.

Interventions

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I-CBT

New cognitive behavioral therapy treatment manual developed to treat co-occurring anxiety and opioid dependency disorders.

Intervention Type BEHAVIORAL

IDC

Individual Drug Counseling manual that has demonstrated efficacy for the treatment of drug dependence.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* age 18 or older
* meet current Diagnostic and Statistical Manual of Mental Disorders 5th edition diagnostic criteria for opioid use disorder
* currently prescribed pharmacotherapy for opioid dependence
* have used opioids illicitly within the previous 90 days
* clinically-significant anxiety
* meet current diagnostic criteria for a Diagnostic and Statistical Manual of Mental Disorders 5th edition anxiety disorder
* able to read and provide informed consent
* intend to remain in the geographical area for the duration of the study period

Exclusion Criteria

* meet criteria for a current substance use or psychiatric disorder requiring a level of care higher than outpatient
* currently receiving cognitive behavioral therapy
* recent initiation of a psychiatric medication, defined as less than 4 weeks on a stable dose; not including PRN medications for sleep
* are receiving and taking an as-needed (PRN) prescription for benzodiazepines
* presence of a psychiatric or medical condition that would interfere with participation or that requires additional care (e.g. psychosis, acute suicidality)
* were admitted to McLean Hospital for their current treatment episode on an involuntary status
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mclean Hospital

OTHER

Sponsor Role lead

Responsible Party

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McHugh, R. Kathryn

Associate Psychologist, Division of Alcohol and Drug Abuse

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Rebecca K McHugh, PhD

Role: PRINCIPAL_INVESTIGATOR

Mclean Hospital

Locations

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McLean Hospital

Belmont, Massachusetts, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

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Other Identifiers

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K23DA035297

Identifier Type: NIH

Identifier Source: org_study_id

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