Trial Outcomes & Findings for Study of Treatment for Opioid Dependence and Anxiety Disorders (NCT NCT02252068)

NCT ID: NCT02252068

Last Updated: 2020-11-17

Results Overview

Number of weeks of opioid use at Week 12 for the last 4 weeks of treatment (Weeks 9-12), as assessed by self-report and validated by urine drug screen

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

37 participants

Primary outcome timeframe

Week 12

Results posted on

2020-11-17

Participant Flow

In the randomized controlled trial, 6 participants completed a baseline assessment but dropped out prior to randomization.

Participant milestones

Participant milestones
Measure
I-CBT Feasibility Pilot
Open trial of I-CBT I-CBT: New cognitive behavioral therapy treatment manual developed to treat co-occurring anxiety and opioid dependency disorders.
RCT I-CBT
Randomized controlled trial: Integrated Cognitive-Behavioral Therapy Arm I-CBT: New cognitive behavioral therapy treatment manual developed to treat co-occurring anxiety and opioid dependency disorders.
RCT IDC
Randomized Controlled Trial: Individual Drug Counseling Arm IDC: Individual Drug Counseling manual that has demonstrated efficacy for the treatment of drug dependence.
Overall Study
STARTED
5
13
13
Overall Study
COMPLETED
3
13
13
Overall Study
NOT COMPLETED
2
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study of Treatment for Opioid Dependence and Anxiety Disorders

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
I-CBT Feasibility Pilot
n=5 Participants
Open trial of I-CBT I-CBT: New cognitive behavioral therapy treatment manual developed to treat co-occurring anxiety and opioid dependency disorders.
I-CBT RCT
n=13 Participants
Randomized control trial of I-CBT vs ICD I-CBT: New cognitive behavioral therapy treatment manual developed to treat co-occurring anxiety and opioid dependency disorders.
IDC RCT
n=13 Participants
Randomized control trial of I-CBT vs ICD IDC: Individual Drug Counseling manual that has demonstrated efficacy for the treatment of drug dependence.
Total
n=31 Participants
Total of all reporting groups
Age, Continuous
31.8 years
STANDARD_DEVIATION 8.3 • n=5 Participants
33.9 years
STANDARD_DEVIATION 10.5 • n=7 Participants
31.8 years
STANDARD_DEVIATION 9.6 • n=5 Participants
32.7 years
STANDARD_DEVIATION 9.6 • n=4 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
4 Participants
n=7 Participants
3 Participants
n=5 Participants
8 Participants
n=4 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
9 Participants
n=7 Participants
10 Participants
n=5 Participants
23 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants
n=5 Participants
12 Participants
n=7 Participants
13 Participants
n=5 Participants
30 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 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
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
White
5 Participants
n=5 Participants
13 Participants
n=7 Participants
13 Participants
n=5 Participants
31 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
5 participants
n=5 Participants
13 participants
n=7 Participants
13 participants
n=5 Participants
31 participants
n=4 Participants

PRIMARY outcome

Timeframe: Week 12

Population: Due to partial missing data, the analysis population does not reflect the full sample. Specifically, missing data for 2 participants in RCT: I-CBT arm.

Number of weeks of opioid use at Week 12 for the last 4 weeks of treatment (Weeks 9-12), as assessed by self-report and validated by urine drug screen

Outcome measures

Outcome measures
Measure
I-CBT Feasibility Pilot
n=3 Participants
Open trial of I-CBT I-CBT: New cognitive behavioral therapy treatment manual developed to treat co-occurring anxiety and opioid dependency disorders.
RCT: I-CBT
n=11 Participants
Randomized control trial of I-CBT vs ICD I-CBT: New cognitive behavioral therapy treatment manual developed to treat co-occurring anxiety and opioid dependency disorders.
RCT IDC
n=13 Participants
Randomized control trial of I-CBT vs ICD IDC: Individual Drug Counseling manual that has demonstrated efficacy for the treatment of drug dependence.
Urine-confirmed Self-reported Weeks of Opioid Use
1 weeks
Standard Deviation 1.73
.36 weeks
Standard Deviation 1.2
.31 weeks
Standard Deviation .85

PRIMARY outcome

Timeframe: Week 12

Population: Due to partial missing data, not all participants are included in this analysis. Specifically, missing data for 1 participant in the RCT: I-CBT arm.

Hamilton Anxiety Rating Scale (HADS) score. Measure assesses the severity of anxiety symptoms. Total scale scores are reported. Higher scores reflect worse outcome. The range of possible scores is 0-56.

Outcome measures

Outcome measures
Measure
I-CBT Feasibility Pilot
n=3 Participants
Open trial of I-CBT I-CBT: New cognitive behavioral therapy treatment manual developed to treat co-occurring anxiety and opioid dependency disorders.
RCT: I-CBT
n=12 Participants
Randomized control trial of I-CBT vs ICD I-CBT: New cognitive behavioral therapy treatment manual developed to treat co-occurring anxiety and opioid dependency disorders.
RCT IDC
n=13 Participants
Randomized control trial of I-CBT vs ICD IDC: Individual Drug Counseling manual that has demonstrated efficacy for the treatment of drug dependence.
Anxiety Symptom Severity
9.3 score on a scale
Standard Deviation 3.1
14.5 score on a scale
Standard Deviation 8.2
13.0 score on a scale
Standard Deviation 8.4

SECONDARY outcome

Timeframe: Week 12

Population: Due to partial missing data, not all participants are included in this analysis. Specifically 2 people are missing from the RCT:I-CBT arm and 3 from the RCT IDC arm.

Assessed by the World Health Organization Quality of Life measure, measure reflects overall health as an indicator of quality of life. The scale range of possible scores is 2-10, with higher scores reflected better outcome (i.e., better general health).

Outcome measures

Outcome measures
Measure
I-CBT Feasibility Pilot
n=3 Participants
Open trial of I-CBT I-CBT: New cognitive behavioral therapy treatment manual developed to treat co-occurring anxiety and opioid dependency disorders.
RCT: I-CBT
n=11 Participants
Randomized control trial of I-CBT vs ICD I-CBT: New cognitive behavioral therapy treatment manual developed to treat co-occurring anxiety and opioid dependency disorders.
RCT IDC
n=10 Participants
Randomized control trial of I-CBT vs ICD IDC: Individual Drug Counseling manual that has demonstrated efficacy for the treatment of drug dependence.
Quality of Life - General Health Score
5.7 score on a scale
Standard Deviation 2.9
5.9 score on a scale
Standard Deviation 1.2
6.8 score on a scale
Standard Deviation 1.5

SECONDARY outcome

Timeframe: Week 12

Days of other substance use in the past 30 days

Outcome measures

Outcome measures
Measure
I-CBT Feasibility Pilot
n=3 Participants
Open trial of I-CBT I-CBT: New cognitive behavioral therapy treatment manual developed to treat co-occurring anxiety and opioid dependency disorders.
RCT: I-CBT
n=11 Participants
Randomized control trial of I-CBT vs ICD I-CBT: New cognitive behavioral therapy treatment manual developed to treat co-occurring anxiety and opioid dependency disorders.
RCT IDC
n=10 Participants
Randomized control trial of I-CBT vs ICD IDC: Individual Drug Counseling manual that has demonstrated efficacy for the treatment of drug dependence.
Non-opioid Substance Use
9.3 days
Standard Deviation 16.2
4.8 days
Standard Deviation 9.3
7.8 days
Standard Deviation 13.6

SECONDARY outcome

Timeframe: Week 12

Population: Due to partial missing data, 2 participants are missing from the RCT ICBT arm and 3 from the RCT IDC arm.

Assessed by the Addiction Severity Index (ASI) Drug Severity Score, this score reflects the severity of functional impairment due to drug use. Higher scores reflect more interference (worse outcome) and the range of scores is 0-1.

Outcome measures

Outcome measures
Measure
I-CBT Feasibility Pilot
n=3 Participants
Open trial of I-CBT I-CBT: New cognitive behavioral therapy treatment manual developed to treat co-occurring anxiety and opioid dependency disorders.
RCT: I-CBT
n=11 Participants
Randomized control trial of I-CBT vs ICD I-CBT: New cognitive behavioral therapy treatment manual developed to treat co-occurring anxiety and opioid dependency disorders.
RCT IDC
n=10 Participants
Randomized control trial of I-CBT vs ICD IDC: Individual Drug Counseling manual that has demonstrated efficacy for the treatment of drug dependence.
Functional Impairment
.15 score on a scale
Standard Deviation .14
.10 score on a scale
Standard Deviation .10
.07 score on a scale
Standard Deviation .05

OTHER_PRE_SPECIFIED outcome

Timeframe: Week 12

Population: Due to partial missing data, 2 participants are missing from the RCT ICBT arm and 2 from the RCT IDC arm.

Assessed by the Client Satisfaction Questionnaire (CSQ), this measure assesses patient satisfaction with treatment. Higher scores reflect higher satisfaction (better outcome). The scores range from 8-32.

Outcome measures

Outcome measures
Measure
I-CBT Feasibility Pilot
n=3 Participants
Open trial of I-CBT I-CBT: New cognitive behavioral therapy treatment manual developed to treat co-occurring anxiety and opioid dependency disorders.
RCT: I-CBT
n=11 Participants
Randomized control trial of I-CBT vs ICD I-CBT: New cognitive behavioral therapy treatment manual developed to treat co-occurring anxiety and opioid dependency disorders.
RCT IDC
n=11 Participants
Randomized control trial of I-CBT vs ICD IDC: Individual Drug Counseling manual that has demonstrated efficacy for the treatment of drug dependence.
Patient Satisfaction
32 score on a scale
Standard Deviation 0
26.9 score on a scale
Standard Deviation 4.8
29.4 score on a scale
Standard Deviation 3.2

Adverse Events

I-CBT Feasibility Pilot

Serious events: 0 serious events
Other events: 0 other events
Deaths: 1 deaths

RCT I-CBT

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

RCT IDC

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. R. Kathryn McHugh

McLean Hospital

Phone: 617-855-2000

Results disclosure agreements

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