Trial Outcomes & Findings for Open-Label, Safety Study of Lofexidine (NCT NCT02363998)

NCT ID: NCT02363998

Last Updated: 2022-03-22

Results Overview

Subjects with at least 1 TEAE occurring on days 1-14.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

286 participants

Primary outcome timeframe

Days 1-14

Results posted on

2022-03-22

Participant Flow

Participant milestones

Participant milestones
Measure
OL: Lofexidine HCl
Lofexidine: All enrolled subjects will take lofexidine orally, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator. Subjects are given the option to receive lofexidine tablets for a minimum of 7 days, and up to 14 days if requested.
Overall Study
STARTED
286
Overall Study
COMPLETED
168
Overall Study
NOT COMPLETED
118

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Open-Label, Safety Study of Lofexidine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
OL: Lofexidine HCl
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator. Subjects are given the option to receive lofexidine tablets for a minimum of 7 days, and up to 14 days if requested.
Age, Continuous
37.5 years
STANDARD_DEVIATION 10.32 • n=5 Participants
Sex: Female, Male
Female
98 Participants
n=5 Participants
Sex: Female, Male
Male
188 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
44 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
242 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
62 Participants
n=5 Participants
Race (NIH/OMB)
White
218 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
5 Participants
n=5 Participants
Height (cm)
173.2 cm
STANDARD_DEVIATION 9.99 • n=5 Participants
Weight (kg)
78.4 kg
STANDARD_DEVIATION 17.96 • n=5 Participants
BMI (kg/m^2)
26.1 kg/m^2
STANDARD_DEVIATION 5.43 • n=5 Participants

PRIMARY outcome

Timeframe: Days 1-14

Subjects with at least 1 TEAE occurring on days 1-14.

Outcome measures

Outcome measures
Measure
OL: Lofexidine HCl
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 8AM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 1PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 1PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 6PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 6PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 11PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: Predose
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: 3.5 hr Postdose
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Overall Occurrence of Treatment Emergent Adverse Events (TEAEs)
270 Participants

PRIMARY outcome

Timeframe: Days 1-14

Outcome measures

Outcome measures
Measure
OL: Lofexidine HCl
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 8AM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 1PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 1PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 6PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 6PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 11PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: Predose
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: 3.5 hr Postdose
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Overall Occurrence of Serious Treatment Emergent Adverse Events (Serious TEAEs)
2 Participants

PRIMARY outcome

Timeframe: Days 1-14

Outcome measures

Outcome measures
Measure
OL: Lofexidine HCl
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 8AM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 1PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 1PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 6PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 6PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 11PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: Predose
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: 3.5 hr Postdose
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Overall Treatment Emergent Adverse Events (TEAEs) by Severity
Mild
104 Participants
Overall Treatment Emergent Adverse Events (TEAEs) by Severity
Moderate
158 Participants
Overall Treatment Emergent Adverse Events (TEAEs) by Severity
Severe
8 Participants

PRIMARY outcome

Timeframe: Day 1 to Day 14

Outcome measures

Outcome measures
Measure
OL: Lofexidine HCl
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 8AM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 1PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 1PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 6PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 6PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 11PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: Predose
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: 3.5 hr Postdose
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Occurrence of Per Protocol Adverse Events of Special Interest (AESI)
Orthostatic hypotension
96 Participants
Occurrence of Per Protocol Adverse Events of Special Interest (AESI)
Orthostatic bradycardia
0 Participants
Occurrence of Per Protocol Adverse Events of Special Interest (AESI)
Syncope
1 Participants

PRIMARY outcome

Timeframe: Day 1 to Day 14

Outcome measures

Outcome measures
Measure
OL: Lofexidine HCl
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 8AM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 1PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 1PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 6PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 6PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 11PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: Predose
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: 3.5 hr Postdose
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Occurrence of Adverse Events (AEs) Not Related to Opioid Withdrawal
Opioid Withdrawal Related Adverse Events
233 Participants
Occurrence of Adverse Events (AEs) Not Related to Opioid Withdrawal
Non-Opioid Withdrawal Related Adverse Events
208 Participants

PRIMARY outcome

Timeframe: Day 1 to Day 14

Population: Participants Analyzed does not match the Participant Flow because some patient data was missing for the visit.

Baseline vital signs were defined by the assessment value at screening when subjects were not experiencing opioid withdrawal to reduce the potential for variability from the effects of different states of withdrawal that may have been present before dosing on Day 1. Overall screening values are captured in the column "Inpatient: Pre 8AM"; these values were recorded at various times for each participant during the screening visit, not necessarily at 8AM. Serial vital sign assessments required for inpatient visits on days 1-3, either inpatient or outpatient for days 4-7, and outpatient only for days 8-14. Day 14 only required pre-dose vital signs measurement. Day 1 Change, Pre 8AM was prior to the first dose.

Outcome measures

Outcome measures
Measure
OL: Lofexidine HCl
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 8AM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 1PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 1PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 6PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 6PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 11PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: Predose
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: 3.5 hr Postdose
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Screening
121.9 mmHg
Standard Deviation 11.85
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 1 Observed
122.2 mmHg
Standard Deviation 13.89
109.7 mmHg
Standard Deviation 15.47
111.1 mmHg
Standard Deviation 16.07
112.6 mmHg
Standard Deviation 15.91
114.1 mmHg
Standard Deviation 15.38
116.9 mmHg
Standard Deviation 17.94
116.7 mmHg
Standard Deviation 16.82
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 1 Change
-12.2 mmHg
Standard Deviation 15.25
-10.8 mmHg
Standard Deviation 15.21
-9.4 mmHg
Standard Deviation 16.05
-8.0 mmHg
Standard Deviation 15.12
-5.2 mmHg
Standard Deviation 19.16
-5.3 mmHg
Standard Deviation 17.69
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 2 Observed
116.8 mmHg
Standard Deviation 15.77
114.8 mmHg
Standard Deviation 15.82
114.5 mmHg
Standard Deviation 14.30
115.7 mmHg
Standard Deviation 16.20
117.4 mmHg
Standard Deviation 16.55
119.7 mmHg
Standard Deviation 18.01
117.9 mmHg
Standard Deviation 16.04
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 2 Change
-5.0 mmHg
Standard Deviation 16.21
-7.0 mmHg
Standard Deviation 15.65
-7.3 mmHg
Standard Deviation 15.53
-6.2 mmHg
Standard Deviation 16.43
-4.5 mmHg
Standard Deviation 17.10
-2.1 mmHg
Standard Deviation 18.03
-3.9 mmHg
Standard Deviation 17.24
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 3 Observed
116.0 mmHg
Standard Deviation 15.66
116.1 mmHg
Standard Deviation 15.75
114.3 mmHg
Standard Deviation 14.71
116.9 mmHg
Standard Deviation 16.21
116.9 mmHg
Standard Deviation 15.90
118.2 mmHg
Standard Deviation 16.64
117.1 mmHg
Standard Deviation 15.70
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 3 Change
-5.9 mmHg
Standard Deviation 16.38
-5.8 mmHg
Standard Deviation 16.22
-7.5 mmHg
Standard Deviation 16.40
-5.0 mmHg
Standard Deviation 17.30
-5.0 mmHg
Standard Deviation 16.88
-3.8 mmHg
Standard Deviation 17.08
-4.9 mmHg
Standard Deviation 16.17
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 4 Observed
116.2 mmHg
Standard Deviation 15.32
113.7 mmHg
Standard Deviation 14.26
114.4 mmHg
Standard Deviation 14.85
118.6 mmHg
Standard Deviation 14.77
118.7 mmHg
Standard Deviation 14.68
120.0 mmHg
Standard Deviation 15.24
117.7 mmHg
Standard Deviation 13.90
117.0 mmHg
Standard Deviation 12.44
115.7 mmHg
Standard Deviation 8.60
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 4 Change
-6.0 mmHg
Standard Deviation 15.47
-8.1 mmHg
Standard Deviation 14.65
-7.7 mmHg
Standard Deviation 14.77
-3.7 mmHg
Standard Deviation 15.31
-3.0 mmHg
Standard Deviation 15.24
-1.8 mmHg
Standard Deviation 16.36
-4.0 mmHg
Standard Deviation 16.10
-4.7 mmHg
Standard Deviation 14.54
-5.5 mmHg
Standard Deviation 11.15
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 5 Observed
115.4 mmHg
Standard Deviation 14.76
114.8 mmHg
Standard Deviation 15.06
115.2 mmHg
Standard Deviation 13.69
116.3 mmHg
Standard Deviation 15.72
117.1 mmHg
Standard Deviation 14.78
117.2 mmHg
Standard Deviation 14.62
117.0 mmHg
Standard Deviation 13.48
116.7 mmHg
Standard Deviation 12.12
118.3 mmHg
Standard Deviation 11.06
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 5 Change
-6.3 mmHg
Standard Deviation 15.86
-7.1 mmHg
Standard Deviation 16.87
-6.6 mmHg
Standard Deviation 15.46
-5.6 mmHg
Standard Deviation 16.76
-4.8 mmHg
Standard Deviation 16.64
-4.8 mmHg
Standard Deviation 15.46
-4.9 mmHg
Standard Deviation 14.93
-6.3 mmHg
Standard Deviation 16.02
-4.7 mmHg
Standard Deviation 14.97
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 6 Observed
115.2 mmHg
Standard Deviation 16.13
113.4 mmHg
Standard Deviation 14.81
114.0 mmHg
Standard Deviation 14.52
116.8 mmHg
Standard Deviation 16.74
116.6 mmHg
Standard Deviation 15.03
117.5 mmHg
Standard Deviation 16.57
118.4 mmHg
Standard Deviation 16.46
118.7 mmHg
Standard Deviation 15.19
122.0 mmHg
Standard Deviation 15.14
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 6 Change
-6.5 mmHg
Standard Deviation 15.89
-8.7 mmHg
Standard Deviation 14.74
-8.0 mmHg
Standard Deviation 14.88
-5.1 mmHg
Standard Deviation 16.57
-5.5 mmHg
Standard Deviation 15.10
-4.5 mmHg
Standard Deviation 17.13
-3.5 mmHg
Standard Deviation 15.41
-3.6 mmHg
Standard Deviation 18.44
0.4 mmHg
Standard Deviation 19.39
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 7 Observed
118.0 mmHg
Standard Deviation 16.44
116.4 mmHg
Standard Deviation 14.82
114.9 mmHg
Standard Deviation 15.45
117.9 mmHg
Standard Deviation 11.32
117.9 mmHg
Standard Deviation 12.20
121.1 mmHg
Standard Deviation 14.84
118.5 mmHg
Standard Deviation 12.08
120.8 mmHg
Standard Deviation 12.99
116.3 mmHg
Standard Deviation 9.96
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 7 Change
-4.4 mmHg
Standard Deviation 16.50
-5.4 mmHg
Standard Deviation 14.82
-5.1 mmHg
Standard Deviation 12.87
-3.0 mmHg
Standard Deviation 13.44
-3.0 mmHg
Standard Deviation 11.43
0.2 mmHg
Standard Deviation 15.23
-1.7 mmHg
Standard Deviation 16.30
2.6 mmHg
Standard Deviation 16.29
-5.1 mmHg
Standard Deviation 12.91
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 8 Observed
118.4 mmHg
Standard Deviation 11.69
122.8 mmHg
Standard Deviation 13.15
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 8 Change
-2.8 mmHg
Standard Deviation 14.03
2.1 mmHg
Standard Deviation 13.41
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 9 Observed
124.3 mmHg
Standard Deviation 13.14
122.3 mmHg
Standard Deviation 16.51
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 9 Change
3.6 mmHg
Standard Deviation 14.43
1.4 mmHg
Standard Deviation 14.75
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 10 Observed
122.2 mmHg
Standard Deviation 14.41
124.3 mmHg
Standard Deviation 17.24
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 10 Change
1.2 mmHg
Standard Deviation 14.12
3.6 mmHg
Standard Deviation 17.67
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 11 Observed
121.2 mmHg
Standard Deviation 12.54
125.1 mmHg
Standard Deviation 14.16
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 11 Change
0.7 mmHg
Standard Deviation 13.52
4.6 mmHg
Standard Deviation 15.39
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 12 Observed
126.3 mmHg
Standard Deviation 9.75
120.4 mmHg
Standard Deviation 12.22
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 12 Change
4.3 mmHg
Standard Deviation 9.20
-1.4 mmHg
Standard Deviation 12.10
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 13 Observed
124.8 mmHg
Standard Deviation 12.48
123.5 mmHg
Standard Deviation 10.61
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 13 Change
4.0 mmHg
Standard Deviation 13.62
3.0 mmHg
Standard Deviation 14.38
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 14 Observed
128.0 mmHg
Standard Deviation 12.62
Mean Observed and Change From Screening in Seated Systolic Blood Pressure (mmHg): Vital Sign
Day 14 Change
7.6 mmHg
Standard Deviation 10.80

PRIMARY outcome

Timeframe: Day 1 to Day 14

Population: Participant Number Analyzed does not match the Participant Flow because some patient data was not captured for the visit.

Baseline vital signs were defined by the assessment value at screening when subjects were not experiencing opioid withdrawal to reduce the potential for variability from the effects of different states of withdrawal that may have been present before dosing on Day 1. Overall screening values are captured in the column "Inpatient: Pre 8AM"; these values were recorded at various times for each participant during the screening visit, not necessarily at 8AM. Serial vital sign assessments required for inpatient visits on days 1-3, either inpatient or outpatient for days 4-7, and outpatient only for days 8-14. Day 14 only required pre-dose vital signs measurement. Day 1 Change, Pre 8AM was prior to the first dose.

Outcome measures

Outcome measures
Measure
OL: Lofexidine HCl
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 8AM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 1PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 1PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 6PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 6PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 11PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: Predose
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: 3.5 hr Postdose
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 3 Observed
111.2 mmHg
Standard Deviation 16.61
108.1 mmHg
Standard Deviation 17.15
109.1 mmHg
Standard Deviation 15.40
107.8 mmHg
Standard Deviation 15.97
110.0 mmHg
Standard Deviation 15.99
110.8 mmHg
Standard Deviation 15.77
110.5 mmHg
Standard Deviation 16.19
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 3 Change
-11.4 mmHg
Standard Deviation 16.25
-14.4 mmHg
Standard Deviation 17.22
-13.5 mmHg
Standard Deviation 15.73
-14.8 mmHg
Standard Deviation 17.63
-12.6 mmHg
Standard Deviation 17.16
-11.9 mmHg
Standard Deviation 16.61
-12.2 mmHg
Standard Deviation 16.09
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 4 Observed
112.4 mmHg
Standard Deviation 15.93
107.9 mmHg
Standard Deviation 16.18
110.9 mmHg
Standard Deviation 17.93
109.7 mmHg
Standard Deviation 14.74
112.4 mmHg
Standard Deviation 15.12
111.7 mmHg
Standard Deviation 15.81
111.1 mmHg
Standard Deviation 14.79
116.6 mmHg
Standard Deviation 15.11
113.4 mmHg
Standard Deviation 11.60
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 4 Change
-10.3 mmHg
Standard Deviation 15.29
-14.4 mmHg
Standard Deviation 15.07
-11.9 mmHg
Standard Deviation 16.69
-13.2 mmHg
Standard Deviation 15.66
-9.9 mmHg
Standard Deviation 15.25
-10.8 mmHg
Standard Deviation 16.21
-11.3 mmHg
Standard Deviation 15.89
-6.1 mmHg
Standard Deviation 17.61
-8.8 mmHg
Standard Deviation 13.77
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 5 Observed
111.3 mmHg
Standard Deviation 15.97
108.9 mmHg
Standard Deviation 15.41
109.2 mmHg
Standard Deviation 14.75
109.5 mmHg
Standard Deviation 15.75
110.8 mmHg
Standard Deviation 14.72
110.2 mmHg
Standard Deviation 16.55
111.4 mmHg
Standard Deviation 15.49
114.6 mmHg
Standard Deviation 12.29
116.1 mmHg
Standard Deviation 10.69
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 5 Change
-11.1 mmHg
Standard Deviation 15.19
-13.6 mmHg
Standard Deviation 15.83
-13.2 mmHg
Standard Deviation 16.10
-13.0 mmHg
Standard Deviation 17.91
-11.7 mmHg
Standard Deviation 16.44
-12.3 mmHg
Standard Deviation 17.23
-11.0 mmHg
Standard Deviation 16.42
-8.4 mmHg
Standard Deviation 14.43
-7.5 mmHg
Standard Deviation 15.02
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 6 Observed
112.2 mmHg
Standard Deviation 16.44
108.8 mmHg
Standard Deviation 15.61
110.2 mmHg
Standard Deviation 15.25
109.1 mmHg
Standard Deviation 16.83
110.7 mmHg
Standard Deviation 16.44
110.9 mmHg
Standard Deviation 16.91
112.7 mmHg
Standard Deviation 16.24
116.6 mmHg
Standard Deviation 15.47
116.4 mmHg
Standard Deviation 16.05
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 6 Change
-10.4 mmHg
Standard Deviation 16.12
-14.0 mmHg
Standard Deviation 17.01
-12.6 mmHg
Standard Deviation 15.30
-13.8 mmHg
Standard Deviation 17.45
-12.3 mmHg
Standard Deviation 16.78
-12.0 mmHg
Standard Deviation 17.84
-10.0 mmHg
Standard Deviation 16.10
-5.8 mmHg
Standard Deviation 17.68
-5.8 mmHg
Standard Deviation 18.68
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 7 Observed
113.9 mmHg
Standard Deviation 17.10
113.9 mmHg
Standard Deviation 14.96
110.1 mmHg
Standard Deviation 17.41
110.1 mmHg
Standard Deviation 15.32
112.7 mmHg
Standard Deviation 13.26
114.6 mmHg
Standard Deviation 16.42
111.6 mmHg
Standard Deviation 14.00
118.0 mmHg
Standard Deviation 13.00
116.6 mmHg
Standard Deviation 15.53
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 7 Change
-8.7 mmHg
Standard Deviation 17.74
-8.2 mmHg
Standard Deviation 16.40
-8.8 mmHg
Standard Deviation 16.55
-9.6 mmHg
Standard Deviation 17.71
-6.8 mmHg
Standard Deviation 14.10
-4.6 mmHg
Standard Deviation 17.96
-7.3 mmHg
Standard Deviation 17.01
-4.6 mmHg
Standard Deviation 15.53
-5.8 mmHg
Standard Deviation 19.56
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 8 Observed
117.8 mmHg
Standard Deviation 11.13
117.6 mmHg
Standard Deviation 13.94
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 8 Change
-2.8 mmHg
Standard Deviation 13.53
-2.5 mmHg
Standard Deviation 18.18
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 9 Observed
119.4 mmHg
Standard Deviation 10.62
119.5 mmHg
Standard Deviation 17.05
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 9 Change
-0.8 mmHg
Standard Deviation 13.27
-0.9 mmHg
Standard Deviation 21.35
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 10 Observed
122.3 mmHg
Standard Deviation 14.78
121.9 mmHg
Standard Deviation 18.78
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 10 Change
1.6 mmHg
Standard Deviation 15.46
1.6 mmHg
Standard Deviation 22.89
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 11 Observed
123.7 mmHg
Standard Deviation 14.91
123.2 mmHg
Standard Deviation 14.43
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 11 Change
3.0 mmHg
Standard Deviation 16.20
1.8 mmHg
Standard Deviation 18.90
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 12 Observed
124.3 mmHg
Standard Deviation 11.19
118.4 mmHg
Standard Deviation 14.06
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 12 Change
2.0 mmHg
Standard Deviation 12.76
-4.1 mmHg
Standard Deviation 16.91
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 13 Observed
122.7 mmHg
Standard Deviation 11.77
125.1 mmHg
Standard Deviation 12.25
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 13 Change
1.0 mmHg
Standard Deviation 14.58
3.5 mmHg
Standard Deviation 16.41
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 14 Observed
128.8 mmHg
Standard Deviation 9.89
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 14 Change
7.8 mmHg
Standard Deviation 9.92
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 1 Observed
120.4 mmHg
Standard Deviation 13.94
105.7 mmHg
Standard Deviation 16.70
107.9 mmHg
Standard Deviation 16.43
106.7 mmHg
Standard Deviation 15.66
108.2 mmHg
Standard Deviation 16.37
108.7 mmHg
Standard Deviation 15.75
109.0 mmHg
Standard Deviation 16.93
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 1 Change
-16.8 mmHg
Standard Deviation 16.80
-14.3 mmHg
Standard Deviation 15.95
-15.8 mmHg
Standard Deviation 16.48
-14.7 mmHg
Standard Deviation 15.80
-13.9 mmHg
Standard Deviation 17.31
-13.6 mmHg
Standard Deviation 17.74
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 2 Observed
112.4 mmHg
Standard Deviation 15.85
108.5 mmHg
Standard Deviation 15.94
108.0 mmHg
Standard Deviation 15.06
108.6 mmHg
Standard Deviation 16.90
109.8 mmHg
Standard Deviation 16.22
110.4 mmHg
Standard Deviation 17.70
110.7 mmHg
Standard Deviation 16.07
Mean Observed and Change From Screening in Standing Systolic Blood Pressure (mmHg): Vital Sign
Day 2 Change
-10.0 mmHg
Standard Deviation 16.32
-14.0 mmHg
Standard Deviation 17.24
-14.7 mmHg
Standard Deviation 16.29
-14.1 mmHg
Standard Deviation 17.11
-13.0 mmHg
Standard Deviation 17.07
-12.2 mmHg
Standard Deviation 17.69
-11.9 mmHg
Standard Deviation 16.91

PRIMARY outcome

Timeframe: Day 1 to Day 14

Population: Participant Number Analyzed does not match the Participant Flow because some patient data was not captured for the visit.

Baseline vital signs were defined by the assessment value at screening when subjects were not experiencing opioid withdrawal to reduce the potential for variability from the effects of different states of withdrawal that may have been present before dosing on Day 1. Overall screening values are captured in the column "Inpatient: Pre 8AM"; these values were recorded at various times for each participant during the screening visit, not necessarily at 8AM. Serial vital sign assessments required for inpatient visits on days 1-3, either inpatient or outpatient for days 4-7, and outpatient only for days 8-14. Day 14 only required pre-dose vital signs measurement. Day 1 Change, Pre 8AM was prior to the first dose.

Outcome measures

Outcome measures
Measure
OL: Lofexidine HCl
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 8AM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 1PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 1PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 6PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 6PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 11PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: Predose
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: 3.5 hr Postdose
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 1 Observed
78.3 mmHg
Standard Deviation 8.89
69.4 mmHg
Standard Deviation 10.95
69.3 mmHg
Standard Deviation 10.34
70.8 mmHg
Standard Deviation 11.13
71.5 mmHg
Standard Deviation 10.76
73.5 mmHg
Standard Deviation 12.18
72.8 mmHg
Standard Deviation 12.26
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 1 Change
NA mmHg
Standard Deviation NA
Prior to first dose.
-7.8 mmHg
Standard Deviation 10.78
-7.9 mmHg
Standard Deviation 9.88
-6.3 mmHg
Standard Deviation 11.49
-5.7 mmHg
Standard Deviation 10.80
-3.7 mmHg
Standard Deviation 12.52
-4.3 mmHg
Standard Deviation 12.55
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 2 Observed
73.8 mmHg
Standard Deviation 10.49
72.2 mmHg
Standard Deviation 10.89
72.2 mmHg
Standard Deviation 10.20
73.4 mmHg
Standard Deviation 11.53
73.7 mmHg
Standard Deviation 12.08
75.4 mmHg
Standard Deviation 11.67
74.0 mmHg
Standard Deviation 11.44
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 2 Change
-3.3 mmHg
Standard Deviation 10.73
-4.9 mmHg
Standard Deviation 11.17
-5.0 mmHg
Standard Deviation 10.61
-3.8 mmHg
Standard Deviation 11.38
-3.4 mmHg
Standard Deviation 12.04
-1.8 mmHg
Standard Deviation 12.19
-3.3 mmHg
Standard Deviation 12.11
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 3 Observed
73.7 mmHg
Standard Deviation 11.05
73.2 mmHg
Standard Deviation 10.59
71.4 mmHg
Standard Deviation 10.05
73.0 mmHg
Standard Deviation 10.48
72.9 mmHg
Standard Deviation 10.64
73.2 mmHg
Standard Deviation 11.32
73.5 mmHg
Standard Deviation 11.08
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 3 Change
-3.6 mmHg
Standard Deviation 11.60
-4.0 mmHg
Standard Deviation 10.97
-5.8 mmHg
Standard Deviation 10.88
-4.1 mmHg
Standard Deviation 10.32
-4.3 mmHg
Standard Deviation 10.56
-4.0 mmHg
Standard Deviation 11.41
-3.8 mmHg
Standard Deviation 11.37
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 4 Observed
73.9 mmHg
Standard Deviation 10.55
71.4 mmHg
Standard Deviation 10.28
70.9 mmHg
Standard Deviation 11.11
74.7 mmHg
Standard Deviation 10.39
73.7 mmHg
Standard Deviation 10.10
74.0 mmHg
Standard Deviation 10.95
73.4 mmHg
Standard Deviation 9.78
75.0 mmHg
Standard Deviation 8.57
71.7 mmHg
Standard Deviation 8.53
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 4 Change
-3.2 mmHg
Standard Deviation 11.06
-5.7 mmHg
Standard Deviation 10.75
-6.4 mmHg
Standard Deviation 10.48
-2.6 mmHg
Standard Deviation 10.27
-3.3 mmHg
Standard Deviation 9.74
-3.1 mmHg
Standard Deviation 11.75
-3.6 mmHg
Standard Deviation 10.51
-3.0 mmHg
Standard Deviation 10.65
-6.1 mmHg
Standard Deviation 10.68
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 5 Observed
73.2 mmHg
Standard Deviation 10.42
71.5 mmHg
Standard Deviation 10.25
71.7 mmHg
Standard Deviation 10.38
72.7 mmHg
Standard Deviation 10.58
71.8 mmHg
Standard Deviation 10.14
73.1 mmHg
Standard Deviation 9.97
72.3 mmHg
Standard Deviation 10.44
72.6 mmHg
Standard Deviation 9.99
72.8 mmHg
Standard Deviation 10.67
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 5 Change
-3.8 mmHg
Standard Deviation 11.17
-5.4 mmHg
Standard Deviation 11.75
-5.1 mmHg
Standard Deviation 10.59
-4.2 mmHg
Standard Deviation 10.38
-5.0 mmHg
Standard Deviation 10.79
-3.7 mmHg
Standard Deviation 10.77
-4.7 mmHg
Standard Deviation 10.56
-5.6 mmHg
Standard Deviation 11.18
-6.0 mmHg
Standard Deviation 12.01
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 6 Observed
72.2 mmHg
Standard Deviation 10.33
69.8 mmHg
Standard Deviation 10.46
70.8 mmHg
Standard Deviation 10.81
72.2 mmHg
Standard Deviation 10.08
72.6 mmHg
Standard Deviation 11.02
72.8 mmHg
Standard Deviation 11.35
72.0 mmHg
Standard Deviation 11.29
74.2 mmHg
Standard Deviation 11.25
76.8 mmHg
Standard Deviation 9.99
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 6 Change
-4.6 mmHg
Standard Deviation 9.87
-7.0 mmHg
Standard Deviation 10.86
-6.0 mmHg
Standard Deviation 11.42
-4.6 mmHg
Standard Deviation 10.46
-4.3 mmHg
Standard Deviation 10.77
-4.0 mmHg
Standard Deviation 11.05
-4.9 mmHg
Standard Deviation 11.51
-3.9 mmHg
Standard Deviation 12.17
-1.4 mmHg
Standard Deviation 12.90
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 7 Observed
72.9 mmHg
Standard Deviation 10.63
74.3 mmHg
Standard Deviation 9.90
71.5 mmHg
Standard Deviation 11.18
70.2 mmHg
Standard Deviation 10.40
70.0 mmHg
Standard Deviation 9.09
73.1 mmHg
Standard Deviation 9.62
69.8 mmHg
Standard Deviation 8.04
76.1 mmHg
Standard Deviation 9.30
71.8 mmHg
Standard Deviation 8.90
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 7 Change
-3.6 mmHg
Standard Deviation 11.56
-3.5 mmHg
Standard Deviation 10.59
-4.8 mmHg
Standard Deviation 12.01
-6.9 mmHg
Standard Deviation 10.96
-7.6 mmHg
Standard Deviation 10.25
-4.5 mmHg
Standard Deviation 10.21
-7.5 mmHg
Standard Deviation 12.94
-2.6 mmHg
Standard Deviation 11.32
-7.6 mmHg
Standard Deviation 14.12
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 14 Change
3.5 mmHg
Standard Deviation 9.72
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 8 Observed
73.5 mmHg
Standard Deviation 9.23
73.9 mmHg
Standard Deviation 11.18
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 8 Change
-4.1 mmHg
Standard Deviation 10.98
-3.5 mmHg
Standard Deviation 13.10
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 9 Observed
75.5 mmHg
Standard Deviation 9.38
74.0 mmHg
Standard Deviation 11.92
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 9 Change
-1.7 mmHg
Standard Deviation 10.71
-3.5 mmHg
Standard Deviation 12.63
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 10 Observed
74.6 mmHg
Standard Deviation 9.44
75.8 mmHg
Standard Deviation 12.46
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 10 Change
-2.4 mmHg
Standard Deviation 9.31
-1.2 mmHg
Standard Deviation 12.34
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 11 Observed
75.7 mmHg
Standard Deviation 10.37
76.3 mmHg
Standard Deviation 8.99
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 11 Change
-0.9 mmHg
Standard Deviation 11.57
-0.4 mmHg
Standard Deviation 10.87
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 12 Observed
77.3 mmHg
Standard Deviation 8.01
76.6 mmHg
Standard Deviation 8.26
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 12 Change
0.6 mmHg
Standard Deviation 10.39
-0.5 mmHg
Standard Deviation 9.47
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 13 Observed
77.2 mmHg
Standard Deviation 8.22
77.9 mmHg
Standard Deviation 8.98
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 13 Change
1.3 mmHg
Standard Deviation 10.94
2.0 mmHg
Standard Deviation 13.71
Mean Observed and Change From Screening in Seated Diastolic Blood Pressure (mmHg): Vital Sign
Day 14 Observed
78.4 mmHg
Standard Deviation 7.81

PRIMARY outcome

Timeframe: Day 1 to Day 14

Population: Participant Number Analyzed does not match the Participant Flow because some patient data was not captured for the visit.

Baseline vital signs were defined by the assessment value at screening when subjects were not experiencing opioid withdrawal to reduce the potential for variability from the effects of different states of withdrawal that may have been present before dosing on Day 1. Overall screening values are captured in the column "Inpatient: Pre 8AM"; these values were recorded at various times for each participant during the screening visit, not necessarily at 8AM. Serial vital sign assessments required for inpatient visits on days 1-3, either inpatient or outpatient for days 4-7, and outpatient only for days 8-14. Day 14 only required pre-dose vital signs measurement. Day 1 Change, Pre 8AM was prior to the first dose.

Outcome measures

Outcome measures
Measure
OL: Lofexidine HCl
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 8AM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 1PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 1PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 6PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 6PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 11PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: Predose
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: 3.5 hr Postdose
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 3 Change
-6.2 mmHg
Standard Deviation 12.37
-9.4 mmHg
Standard Deviation 13.09
-10.0 mmHg
Standard Deviation 11.74
-10.1 mmHg
Standard Deviation 11.91
-9.3 mmHg
Standard Deviation 12.00
-8.8 mmHg
Standard Deviation 11.91
-8.7 mmHg
Standard Deviation 11.78
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 4 Observed
73.2 mmHg
Standard Deviation 11.80
70.6 mmHg
Standard Deviation 11.11
71.2 mmHg
Standard Deviation 11.12
71.5 mmHg
Standard Deviation 10.98
72.2 mmHg
Standard Deviation 10.59
71.2 mmHg
Standard Deviation 11.09
71.8 mmHg
Standard Deviation 10.14
75.7 mmHg
Standard Deviation 10.45
70.1 mmHg
Standard Deviation 10.26
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 4 Change
-7.0 mmHg
Standard Deviation 12.08
-9.4 mmHg
Standard Deviation 11.90
-9.2 mmHg
Standard Deviation 11.96
-8.9 mmHg
Standard Deviation 12.91
-8.0 mmHg
Standard Deviation 11.71
-9.0 mmHg
Standard Deviation 12.64
-8.2 mmHg
Standard Deviation 11.46
-4.5 mmHg
Standard Deviation 13.21
-10.0 mmHg
Standard Deviation 11.81
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 5 Observed
72.4 mmHg
Standard Deviation 10.04
70.0 mmHg
Standard Deviation 10.46
70.7 mmHg
Standard Deviation 10.76
70.3 mmHg
Standard Deviation 10.99
71.1 mmHg
Standard Deviation 11.38
70.2 mmHg
Standard Deviation 11.20
71.1 mmHg
Standard Deviation 10.94
74.8 mmHg
Standard Deviation 9.79
74.5 mmHg
Standard Deviation 10.44
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 5 Change
-7.6 mmHg
Standard Deviation 11.99
-10.0 mmHg
Standard Deviation 11.47
-9.2 mmHg
Standard Deviation 12.07
-9.6 mmHg
Standard Deviation 13.00
-8.7 mmHg
Standard Deviation 12.76
-9.8 mmHg
Standard Deviation 12.01
-9.0 mmHg
Standard Deviation 11.39
-5.5 mmHg
Standard Deviation 10.70
-6.3 mmHg
Standard Deviation 12.07
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 6 Observed
72.9 mmHg
Standard Deviation 10.11
69.3 mmHg
Standard Deviation 10.11
71.1 mmHg
Standard Deviation 10.70
70.2 mmHg
Standard Deviation 11.15
71.4 mmHg
Standard Deviation 11.43
72.1 mmHg
Standard Deviation 12.37
72.5 mmHg
Standard Deviation 11.07
74.1 mmHg
Standard Deviation 12.33
73.2 mmHg
Standard Deviation 11.31
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 6 Change
-7.1 mmHg
Standard Deviation 11.40
-10.7 mmHg
Standard Deviation 12.20
-8.9 mmHg
Standard Deviation 11.60
-9.8 mmHg
Standard Deviation 12.77
-8.6 mmHg
Standard Deviation 12.26
-7.9 mmHg
Standard Deviation 13.33
-7.5 mmHg
Standard Deviation 11.88
-6.1 mmHg
Standard Deviation 13.61
-6.8 mmHg
Standard Deviation 14.08
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 7 Observed
73.6 mmHg
Standard Deviation 11.16
73.2 mmHg
Standard Deviation 11.07
70.3 mmHg
Standard Deviation 11.17
71.3 mmHg
Standard Deviation 11.69
70.4 mmHg
Standard Deviation 11.25
72.5 mmHg
Standard Deviation 10.89
69.0 mmHg
Standard Deviation 8.93
77.1 mmHg
Standard Deviation 11.43
70.8 mmHg
Standard Deviation 11.27
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 7 Change
-6.2 mmHg
Standard Deviation 12.37
-7.4 mmHg
Standard Deviation 11.17
-9.5 mmHg
Standard Deviation 9.83
-9.7 mmHg
Standard Deviation 12.29
-10.8 mmHg
Standard Deviation 11.06
-8.5 mmHg
Standard Deviation 12.94
-11.8 mmHg
Standard Deviation 11.89
-3.3 mmHg
Standard Deviation 12.24
-10.4 mmHg
Standard Deviation 15.57
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 8 Observed
74.6 mmHg
Standard Deviation 9.22
74.5 mmHg
Standard Deviation 13.60
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 8 Change
-5.8 mmHg
Standard Deviation 10.46
-6.2 mmHg
Standard Deviation 14.23
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 9 Observed
78.4 mmHg
Standard Deviation 9.63
76.5 mmHg
Standard Deviation 14.02
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 9 Change
-1.8 mmHg
Standard Deviation 10.89
-4.2 mmHg
Standard Deviation 13.95
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 10 Observed
76.9 mmHg
Standard Deviation 10.41
75.9 mmHg
Standard Deviation 11.86
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 10 Change
-3.2 mmHg
Standard Deviation 10.32
-4.5 mmHg
Standard Deviation 12.68
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 11 Observed
78.1 mmHg
Standard Deviation 11.01
76.0 mmHg
Standard Deviation 9.55
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 11 Change
-1.7 mmHg
Standard Deviation 10.96
-3.9 mmHg
Standard Deviation 9.81
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 12 Observed
80.0 mmHg
Standard Deviation 8.12
78.7 mmHg
Standard Deviation 9.55
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 12 Change
0.3 mmHg
Standard Deviation 8.62
-1.6 mmHg
Standard Deviation 11.95
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 13 Observed
83.6 mmHg
Standard Deviation 8.38
80.8 mmHg
Standard Deviation 8.69
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 13 Change
4.5 mmHg
Standard Deviation 10.29
1.1 mmHg
Standard Deviation 12.01
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 14 Observed
84.8 mmHg
Standard Deviation 8.53
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 14 Change
5.5 mmHg
Standard Deviation 9.72
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 1 Observed
79.8 mmHg
Standard Deviation 8.65
68.8 mmHg
Standard Deviation 11.34
70.3 mmHg
Standard Deviation 11.03
69.8 mmHg
Standard Deviation 11.87
70.7 mmHg
Standard Deviation 11.25
71.0 mmHg
Standard Deviation 11.12
70.4 mmHg
Standard Deviation 11.68
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 1 Change
-11.1 mmHg
Standard Deviation 11.58
-9.5 mmHg
Standard Deviation 11.26
-10.0 mmHg
Standard Deviation 12.57
-9.4 mmHg
Standard Deviation 11.73
-8.9 mmHg
Standard Deviation 12.71
-9.6 mmHg
Standard Deviation 12.92
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 2 Observed
73.4 mmHg
Standard Deviation 11.02
70.7 mmHg
Standard Deviation 11.20
71.0 mmHg
Standard Deviation 11.48
71.6 mmHg
Standard Deviation 11.85
72.2 mmHg
Standard Deviation 11.78
72.3 mmHg
Standard Deviation 12.27
71.8 mmHg
Standard Deviation 11.52
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 2 Change
-6.5 mmHg
Standard Deviation 11.83
-9.4 mmHg
Standard Deviation 12.26
-9.1 mmHg
Standard Deviation 12.74
-8.5 mmHg
Standard Deviation 12.48
-7.9 mmHg
Standard Deviation 13.00
-7.9 mmHg
Standard Deviation 13.44
-8.4 mmHg
Standard Deviation 13.05
Mean Observed and Change From Screening in Standing Diastolic Blood Pressure (mmHg): Vital Sign
Day 3 Observed
74.0 mmHg
Standard Deviation 12.03
70.6 mmHg
Standard Deviation 11.90
70.0 mmHg
Standard Deviation 10.53
70.0 mmHg
Standard Deviation 10.62
70.8 mmHg
Standard Deviation 10.77
71.3 mmHg
Standard Deviation 10.69
71.5 mmHg
Standard Deviation 10.90

PRIMARY outcome

Timeframe: Day 1 to Day 14

Population: Participant Number Analyzed does not match the Participant Flow because some patient data was not captured for the visit.

Baseline vital signs were defined by the assessment value at screening when subjects were not experiencing opioid withdrawal to reduce the potential for variability from the effects of different states of withdrawal that may have been present before dosing on Day 1. Overall screening values are captured in the column "Inpatient: Pre 8AM"; these values were recorded at various times for each participant during the screening visit, not necessarily at 8AM. Serial vital sign assessments required for inpatient visits on days 1-3, either inpatient or outpatient for days 4-7, and outpatient only for days 8-14. Day 14 only required pre-dose vital signs measurement. Day 1 Change, Pre 8AM was prior to the first dose.

Outcome measures

Outcome measures
Measure
OL: Lofexidine HCl
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 8AM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 1PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 1PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 6PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 6PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 11PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: Predose
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: 3.5 hr Postdose
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 2 Observed
70.2 beats per minute (bpm)
Standard Deviation 12.70
68.8 beats per minute (bpm)
Standard Deviation 12.36
69.4 beats per minute (bpm)
Standard Deviation 11.57
66.8 beats per minute (bpm)
Standard Deviation 12.65
68.7 beats per minute (bpm)
Standard Deviation 12.11
65.9 beats per minute (bpm)
Standard Deviation 12.41
66.4 beats per minute (bpm)
Standard Deviation 12.55
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 2 Change
-4.7 beats per minute (bpm)
Standard Deviation 14.21
-5.9 beats per minute (bpm)
Standard Deviation 14.63
-5.4 beats per minute (bpm)
Standard Deviation 13.64
-8.0 beats per minute (bpm)
Standard Deviation 14.53
-6.2 beats per minute (bpm)
Standard Deviation 13.75
-9.1 beats per minute (bpm)
Standard Deviation 14.30
-8.6 beats per minute (bpm)
Standard Deviation 14.30
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 3 Observed
213 beats per minute (bpm)
Standard Deviation 70.0
67.5 beats per minute (bpm)
Standard Deviation 12.97
68.7 beats per minute (bpm)
Standard Deviation 11.57
66.6 beats per minute (bpm)
Standard Deviation 12.03
68.3 beats per minute (bpm)
Standard Deviation 12.23
65.9 beats per minute (bpm)
Standard Deviation 11.68
67.4 beats per minute (bpm)
Standard Deviation 12.01
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 1 Observed
73.3 beats per minute (bpm)
Standard Deviation 10.89
68.8 beats per minute (bpm)
Standard Deviation 11.92
69.2 beats per minute (bpm)
Standard Deviation 11.08
69.9 beats per minute (bpm)
Standard Deviation 12.57
70.5 beats per minute (bpm)
Standard Deviation 12.28
67.6 beats per minute (bpm)
Standard Deviation 12.55
67.7 beats per minute (bpm)
Standard Deviation 12.08
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 1 Change
NA beats per minute (bpm)
Standard Deviation NA
Prior to first dose.
-6.1 beats per minute (bpm)
Standard Deviation 12.75
-5.7 beats per minute (bpm)
Standard Deviation 12.11
-4.9 beats per minute (bpm)
Standard Deviation 13.47
-4.3 beats per minute (bpm)
Standard Deviation 13.63
-7.3 beats per minute (bpm)
Standard Deviation 13.59
-7.0 beats per minute (bpm)
Standard Deviation 12.82
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 3 Change
-5.0 beats per minute (bpm)
Standard Deviation 15.10
-7.5 beats per minute (bpm)
Standard Deviation 15.52
-6.4 beats per minute (bpm)
Standard Deviation 14.42
-8.5 beats per minute (bpm)
Standard Deviation 14.77
-6.8 beats per minute (bpm)
Standard Deviation 14.26
-9.2 beats per minute (bpm)
Standard Deviation 14.25
-7.8 beats per minute (bpm)
Standard Deviation 13.70
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 4 Observed
70.1 beats per minute (bpm)
Standard Deviation 13.60
68.3 beats per minute (bpm)
Standard Deviation 12.46
70.6 beats per minute (bpm)
Standard Deviation 12.98
67.8 beats per minute (bpm)
Standard Deviation 13.00
70.0 beats per minute (bpm)
Standard Deviation 12.01
67.8 beats per minute (bpm)
Standard Deviation 13.80
69.9 beats per minute (bpm)
Standard Deviation 12.80
70.6 beats per minute (bpm)
Standard Deviation 11.83
72.4 beats per minute (bpm)
Standard Deviation 12.46
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 4 Change
-5.0 beats per minute (bpm)
Standard Deviation 16.11
-6.8 beats per minute (bpm)
Standard Deviation 15.56
-4.5 beats per minute (bpm)
Standard Deviation 15.43
-7.3 beats per minute (bpm)
Standard Deviation 15.44
-5.0 beats per minute (bpm)
Standard Deviation 15.35
-6.8 beats per minute (bpm)
Standard Deviation 16.59
-4.5 beats per minute (bpm)
Standard Deviation 14.74
-5.2 beats per minute (bpm)
Standard Deviation 13.76
-3.3 beats per minute (bpm)
Standard Deviation 13.25
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 5 Observed
70.9 beats per minute (bpm)
Standard Deviation 13.70
69.1 beats per minute (bpm)
Standard Deviation 11.03
71.4 beats per minute (bpm)
Standard Deviation 11.78
69.0 beats per minute (bpm)
Standard Deviation 13.35
68.7 beats per minute (bpm)
Standard Deviation 11.08
68.3 beats per minute (bpm)
Standard Deviation 12.84
70.0 beats per minute (bpm)
Standard Deviation 11.20
76.3 beats per minute (bpm)
Standard Deviation 13.49
73.3 beats per minute (bpm)
Standard Deviation 11.44
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 5 Change
-3.4 beats per minute (bpm)
Standard Deviation 16.28
-5.3 beats per minute (bpm)
Standard Deviation 13.57
-2.8 beats per minute (bpm)
Standard Deviation 13.92
-5.2 beats per minute (bpm)
Standard Deviation 15.23
-5.5 beats per minute (bpm)
Standard Deviation 12.29
-6.0 beats per minute (bpm)
Standard Deviation 15.26
-4.4 beats per minute (bpm)
Standard Deviation 13.53
-0.3 beats per minute (bpm)
Standard Deviation 15.14
-3.2 beats per minute (bpm)
Standard Deviation 13.70
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 6 Observed
70.5 beats per minute (bpm)
Standard Deviation 11.24
69.8 beats per minute (bpm)
Standard Deviation 12.46
70.6 beats per minute (bpm)
Standard Deviation 12.24
68.6 beats per minute (bpm)
Standard Deviation 11.43
69.7 beats per minute (bpm)
Standard Deviation 10.67
68.9 beats per minute (bpm)
Standard Deviation 13.05
71.2 beats per minute (bpm)
Standard Deviation 12.43
75.2 beats per minute (bpm)
Standard Deviation 12.24
74.8 beats per minute (bpm)
Standard Deviation 13.10
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 6 Change
-3.6 beats per minute (bpm)
Standard Deviation 14.98
-4.1 beats per minute (bpm)
Standard Deviation 14.44
-3.3 beats per minute (bpm)
Standard Deviation 13.62
-5.3 beats per minute (bpm)
Standard Deviation 14.37
-4.3 beats per minute (bpm)
Standard Deviation 12.88
-5.1 beats per minute (bpm)
Standard Deviation 14.79
-2.8 beats per minute (bpm)
Standard Deviation 13.55
-1.6 beats per minute (bpm)
Standard Deviation 14.82
-1.6 beats per minute (bpm)
Standard Deviation 14.29
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 7 Observed
73.2 beats per minute (bpm)
Standard Deviation 13.34
73.9 beats per minute (bpm)
Standard Deviation 11.70
73.6 beats per minute (bpm)
Standard Deviation 11.55
73.0 beats per minute (bpm)
Standard Deviation 12.53
73.6 beats per minute (bpm)
Standard Deviation 11.74
67.4 beats per minute (bpm)
Standard Deviation 13.44
69.8 beats per minute (bpm)
Standard Deviation 11.59
73.6 beats per minute (bpm)
Standard Deviation 11.46
67.1 beats per minute (bpm)
Standard Deviation 8.84
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 7 Change
-1.1 beats per minute (bpm)
Standard Deviation 16.86
0.0 beats per minute (bpm)
Standard Deviation 13.60
-3.1 beats per minute (bpm)
Standard Deviation 13.15
-3.8 beats per minute (bpm)
Standard Deviation 12.93
-3.4 beats per minute (bpm)
Standard Deviation 11.72
-9.5 beats per minute (bpm)
Standard Deviation 13.96
24 beats per minute (bpm)
Standard Deviation 13.29
-3.4 beats per minute (bpm)
Standard Deviation 15.07
-7.7 beats per minute (bpm)
Standard Deviation 10.63
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 8 Observed
77.7 beats per minute (bpm)
Standard Deviation 12.71
72.6 beats per minute (bpm)
Standard Deviation 13.45
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 8 Change
1.6 beats per minute (bpm)
Standard Deviation 15.25
-3.8 beats per minute (bpm)
Standard Deviation 13.48
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 9 Observed
79.6 beats per minute (bpm)
Standard Deviation 10.77
75.1 beats per minute (bpm)
Standard Deviation 11.19
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 9 Change
2.8 beats per minute (bpm)
Standard Deviation 11.80
-1.7 beats per minute (bpm)
Standard Deviation 11.18
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 10 Observed
80.0 beats per minute (bpm)
Standard Deviation 13.29
77.9 beats per minute (bpm)
Standard Deviation 16.42
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 10 Change
3.2 beats per minute (bpm)
Standard Deviation 14.82
1.1 beats per minute (bpm)
Standard Deviation 16.97
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 11 Observed
79.3 beats per minute (bpm)
Standard Deviation 13.93
74.5 beats per minute (bpm)
Standard Deviation 12.49
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 11 Change
3.2 beats per minute (bpm)
Standard Deviation 13.40
-1.4 beats per minute (bpm)
Standard Deviation 12.92
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 12 Observed
79.7 beats per minute (bpm)
Standard Deviation 11.89
72.3 beats per minute (bpm)
Standard Deviation 11.68
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 12 Change
4.0 beats per minute (bpm)
Standard Deviation 14.22
-3.6 beats per minute (bpm)
Standard Deviation 12.29
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 13 Observed
76.6 beats per minute (bpm)
Standard Deviation 13.20
75.5 beats per minute (bpm)
Standard Deviation 13.61
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 13 Change
2.4 beats per minute (bpm)
Standard Deviation 14.79
0.8 beats per minute (bpm)
Standard Deviation 11.75
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 14 Observed
76.4 beats per minute (bpm)
Standard Deviation 11.66
Mean Observed and Change From Screening in Seated Pulse (Bpm): Vital Signs
Day 14 Change
2.4 beats per minute (bpm)
Standard Deviation 14.27

PRIMARY outcome

Timeframe: Day 1 to Day 14

Population: Participant Number Analyzed does not match the Participant Flow because some patient data was not captured for the visit.

Baseline vital signs were defined by the assessment value at screening when subjects were not experiencing opioid withdrawal to reduce the potential for variability from the effects of different states of withdrawal that may have been present before dosing on Day 1. Overall screening values are captured in the column "Inpatient: Pre 8AM"; these values were recorded at various times for each participant during the screening visit, not necessarily at 8AM. Serial vital sign assessments required for inpatient visits on days 1-3, either inpatient or outpatient for days 4-7, and outpatient only for days 8-14. Day 14 only required pre-dose vital signs measurement. Day 1 Change, Pre 8AM was prior to the first dose.

Outcome measures

Outcome measures
Measure
OL: Lofexidine HCl
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 8AM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 1PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 1PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 6PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 6PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 11PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: Predose
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: 3.5 hr Postdose
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 1 Observed
82.8 beats per minute (bpm)
Standard Deviation 13.74
79.6 beats per minute (bpm)
Standard Deviation 14.29
80.1 beats per minute (bpm)
Standard Deviation 13.72
81.3 beats per minute (bpm)
Standard Deviation 14.42
81.2 beats per minute (bpm)
Standard Deviation 14.17
78.9 beats per minute (bpm)
Standard Deviation 14.14
79.4 beats per minute (bpm)
Standard Deviation 14.03
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 1 Change
NA beats per minute (bpm)
Standard Deviation NA
Prior to first dose.
-1.8 beats per minute (bpm)
Standard Deviation 15.18
-1.3 beats per minute (bpm)
Standard Deviation 14.38
0.0 beats per minute (bpm)
Standard Deviation 16.41
-0.1 beats per minute (bpm)
Standard Deviation 15.89
-2.5 beats per minute (bpm)
Standard Deviation 16.25
-1.8 beats per minute (bpm)
Standard Deviation 16.00
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 2 Observed
82.4 beats per minute (bpm)
Standard Deviation 15.13
80.6 beats per minute (bpm)
Standard Deviation 15.19
81.1 beats per minute (bpm)
Standard Deviation 13.74
80.5 beats per minute (bpm)
Standard Deviation 14.44
80.8 beats per minute (bpm)
Standard Deviation 14.46
78.0 beats per minute (bpm)
Standard Deviation 14.67
78.4 beats per minute (bpm)
Standard Deviation 13.95
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 2 Change
1.0 beats per minute (bpm)
Standard Deviation 16.81
-0.5 beats per minute (bpm)
Standard Deviation 17.61
0.0 beats per minute (bpm)
Standard Deviation 16.22
-0.6 beats per minute (bpm)
Standard Deviation 15.44
-0.4 beats per minute (bpm)
Standard Deviation 16.00
-3.3 beats per minute (bpm)
Standard Deviation 16.49
-3.0 beats per minute (bpm)
Standard Deviation 16.62
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 3 Observed
81.1 beats per minute (bpm)
Standard Deviation 14.82
79.0 beats per minute (bpm)
Standard Deviation 14.24
80.0 beats per minute (bpm)
Standard Deviation 14.67
78.1 beats per minute (bpm)
Standard Deviation 15.09
79.1 beats per minute (bpm)
Standard Deviation 15.36
76.4 beats per minute (bpm)
Standard Deviation 13.75
78.3 beats per minute (bpm)
Standard Deviation 13.92
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 3 Change
-0.2 beats per minute (bpm)
Standard Deviation 16.77
-2.6 beats per minute (bpm)
Standard Deviation 16.59
-1.5 beats per minute (bpm)
Standard Deviation 15.95
-3.3 beats per minute (bpm)
Standard Deviation 17.08
-2.3 beats per minute (bpm)
Standard Deviation 16.27
-5.0 beats per minute (bpm)
Standard Deviation 16.31
-3.2 beats per minute (bpm)
Standard Deviation 16.32
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 4 Observed
81.2 beats per minute (bpm)
Standard Deviation 14.93
80.1 beats per minute (bpm)
Standard Deviation 14.67
81.5 beats per minute (bpm)
Standard Deviation 15.40
79.9 beats per minute (bpm)
Standard Deviation 15.42
80.8 beats per minute (bpm)
Standard Deviation 16.34
78.2 beats per minute (bpm)
Standard Deviation 15.52
80.4 beats per minute (bpm)
Standard Deviation 16.16
82.0 beats per minute (bpm)
Standard Deviation 11.75
83.3 beats per minute (bpm)
Standard Deviation 15.43
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 4 Change
-0.2 beats per minute (bpm)
Standard Deviation 16.09
-1.3 beats per minute (bpm)
Standard Deviation 16.36
0.0 beats per minute (bpm)
Standard Deviation 16.85
-1.5 beats per minute (bpm)
Standard Deviation 17.75
-0.7 beats per minute (bpm)
Standard Deviation 18.62
-2.7 beats per minute (bpm)
Standard Deviation 17.29
-0.2 beats per minute (bpm)
Standard Deviation 17.49
0.9 beats per minute (bpm)
Standard Deviation 15.06
2.1 beats per minute (bpm)
Standard Deviation 18.73
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 5 Observed
83.1 beats per minute (bpm)
Standard Deviation 16.31
81.0 beats per minute (bpm)
Standard Deviation 14.06
82.3 beats per minute (bpm)
Standard Deviation 15.43
84.7 beats per minute (bpm)
Standard Deviation 51.39
80.2 beats per minute (bpm)
Standard Deviation 14.86
79.5 beats per minute (bpm)
Standard Deviation 14.08
80.6 beats per minute (bpm)
Standard Deviation 14.74
85.2 beats per minute (bpm)
Standard Deviation 15.23
80.8 beats per minute (bpm)
Standard Deviation 14.81
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 5 Change
2.4 beats per minute (bpm)
Standard Deviation 18.58
0.3 beats per minute (bpm)
Standard Deviation 15.33
1.6 beats per minute (bpm)
Standard Deviation 16.77
4.2 beats per minute (bpm)
Standard Deviation 50.96
-0.4 beats per minute (bpm)
Standard Deviation 14.80
-1.2 beats per minute (bpm)
Standard Deviation 15.68
-0.1 beats per minute (bpm)
Standard Deviation 16.33
2.8 beats per minute (bpm)
Standard Deviation 16.75
-1.7 beats per minute (bpm)
Standard Deviation 15.90
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 6 Observed
81.7 beats per minute (bpm)
Standard Deviation 14.96
79.9 beats per minute (bpm)
Standard Deviation 14.89
81.8 beats per minute (bpm)
Standard Deviation 14.90
79.5 beats per minute (bpm)
Standard Deviation 14.00
81.5 beats per minute (bpm)
Standard Deviation 13.93
80.9 beats per minute (bpm)
Standard Deviation 14.54
80.9 beats per minute (bpm)
Standard Deviation 15.77
86.4 beats per minute (bpm)
Standard Deviation 15.08
84.8 beats per minute (bpm)
Standard Deviation 14.77
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 6 Change
1.4 beats per minute (bpm)
Standard Deviation 16.05
-0.5 beats per minute (bpm)
Standard Deviation 16.33
1.4 beats per minute (bpm)
Standard Deviation 15.99
-0.9 beats per minute (bpm)
Standard Deviation 16.16
1.0 beats per minute (bpm)
Standard Deviation 15.28
0.4 beats per minute (bpm)
Standard Deviation 15.68
0.4 beats per minute (bpm)
Standard Deviation 16.97
2.6 beats per minute (bpm)
Standard Deviation 16.42
1.6 beats per minute (bpm)
Standard Deviation 15.33
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 7 Observed
84.5 beats per minute (bpm)
Standard Deviation 15.44
80.3 beats per minute (bpm)
Standard Deviation 12.44
83.4 beats per minute (bpm)
Standard Deviation 13.89
79.0 beats per minute (bpm)
Standard Deviation 13.45
80.0 beats per minute (bpm)
Standard Deviation 14.40
75.1 beats per minute (bpm)
Standard Deviation 13.69
74.3 beats per minute (bpm)
Standard Deviation 12.41
83.2 beats per minute (bpm)
Standard Deviation 13.11
76.9 beats per minute (bpm)
Standard Deviation 11.29
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 7 Change
3.5 beats per minute (bpm)
Standard Deviation 18.07
0.2 beats per minute (bpm)
Standard Deviation 14.16
-0.5 beats per minute (bpm)
Standard Deviation 16.23
-4.9 beats per minute (bpm)
Standard Deviation 14.53
-3.6 beats per minute (bpm)
Standard Deviation 16.19
-8.6 beats per minute (bpm)
Standard Deviation 17.80
-9.7 beats per minute (bpm)
Standard Deviation 16.75
-0.5 beats per minute (bpm)
Standard Deviation 16.99
-4.3 beats per minute (bpm)
Standard Deviation 12.54
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 8 Observed
85.3 beats per minute (bpm)
Standard Deviation 15.03
80.7 beats per minute (bpm)
Standard Deviation 14.61
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 8 Change
2.5 beats per minute (bpm)
Standard Deviation 18.08
-2.9 beats per minute (bpm)
Standard Deviation 15.07
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 9 Observed
90.7 beats per minute (bpm)
Standard Deviation 16.51
82.8 beats per minute (bpm)
Standard Deviation 15.66
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 9 Change
6.8 beats per minute (bpm)
Standard Deviation 15.74
-1.1 beats per minute (bpm)
Standard Deviation 14.94
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 10 Observed
88.7 beats per minute (bpm)
Standard Deviation 15.73
85.1 beats per minute (bpm)
Standard Deviation 17.87
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 10 Change
5.1 beats per minute (bpm)
Standard Deviation 17.47
1.6 beats per minute (bpm)
Standard Deviation 18.66
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 11 Observed
89.3 beats per minute (bpm)
Standard Deviation 16.55
82.0 beats per minute (bpm)
Standard Deviation 16.84
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 11 Change
6.4 beats per minute (bpm)
Standard Deviation 16.75
-0.1 beats per minute (bpm)
Standard Deviation 17.81
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 12 Observed
90.8 beats per minute (bpm)
Standard Deviation 16.25
80.0 beats per minute (bpm)
Standard Deviation 13.91
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
0Day 12 Change
9.2 beats per minute (bpm)
Standard Deviation 17.91
-1.4 beats per minute (bpm)
Standard Deviation 16.75
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 13 Observed
86.6 beats per minute (bpm)
Standard Deviation 13.51
81.4 beats per minute (bpm)
Standard Deviation 13.21
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 13 Change
6.2 beats per minute (bpm)
Standard Deviation 17.17
1.1 beats per minute (bpm)
Standard Deviation 15.14
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 14 Observed
87.0 beats per minute (bpm)
Standard Deviation 17.66
Mean Observed and Change From Screening in Standing Pulse (Bpm): Vital Signs
Day 14 Change
7.2 beats per minute (bpm)
Standard Deviation 19.63

PRIMARY outcome

Timeframe: Day 1 to Day 14

Population: Suicidality: The number and percentage of subjects reporting any suicidal ideation OR behavior throughout the assessment period, including baseline.

The C-SSRS measures both suicidal ideation and suicidal behavior and will be completed to assess lifetime suicidality before first dose of study drug, 3.5 hours after first daily dose of study drug on in-clinic treatment days, and then once a day before dosing during outpatient treatment days. C-SSRS will also be assessed at end of study/discontinuation.

Outcome measures

Outcome measures
Measure
OL: Lofexidine HCl
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 8AM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 1PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 1PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 6PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 6PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 11PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: Predose
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: 3.5 hr Postdose
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Columbia Suicide Severity Rating Scale Questionnaire (C-SSRS): Suicidal Ideation and Behavior Numbers
Suicidality
30 Participants
Columbia Suicide Severity Rating Scale Questionnaire (C-SSRS): Suicidal Ideation and Behavior Numbers
Suicidal ideation
27 Participants
Columbia Suicide Severity Rating Scale Questionnaire (C-SSRS): Suicidal Ideation and Behavior Numbers
Suicidal behavior
12 Participants
Columbia Suicide Severity Rating Scale Questionnaire (C-SSRS): Suicidal Ideation and Behavior Numbers
Emergence of suicidal ideation
2 Participants
Columbia Suicide Severity Rating Scale Questionnaire (C-SSRS): Suicidal Ideation and Behavior Numbers
Emergence of serious suicidal ideation
0 Participants
Columbia Suicide Severity Rating Scale Questionnaire (C-SSRS): Suicidal Ideation and Behavior Numbers
Worsening of suicidal ideation
2 Participants
Columbia Suicide Severity Rating Scale Questionnaire (C-SSRS): Suicidal Ideation and Behavior Numbers
Emergence of suicidal behavior
0 Participants

PRIMARY outcome

Timeframe: Day 1 to Day 14

Population: The number of participants analyzed for each parameter differs from the overall number of participants analyzed as a result of missing data for some participants.

Hematology Parameters with Shifts in ≥3% of Subjects from Screening to End of Study

Outcome measures

Outcome measures
Measure
OL: Lofexidine HCl
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 8AM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 1PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 1PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 6PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 6PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 11PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: Predose
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: 3.5 hr Postdose
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Clinical Laboratory Test Change From Baseline: Hematology
Hemoglobin (g/dL) : Below (Baseline)
25 Participants
27 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Hemoglobin (g/dL) : Normal (Baseline)
8 Participants
124 Participants
8 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Hemoglobin (g/dL) : Above (Baseline)
0 Participants
1 Participants
9 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Hematocrit (%) : Below (Baseline)
11 Participants
23 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Hematocrit (%) : Normal (Baseline)
6 Participants
120 Participants
20 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Hematocrit (%) : Above (Baseline)
0 Participants
10 Participants
12 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Platelet count (x10^9/L) : Below (Baseline)
11 Participants
0 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Platelet count (x10^9/L) : Normal (Baseline)
4 Participants
166 Participants
10 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Platelet count (x10^9/L) : Above (Baseline)
0 Participants
4 Participants
2 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Erythrocytes (x10^12/L) : Below (Baseline)
14 Participants
20 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Erythrocytes (x10^12/L) : Normal (Baseline)
11 Participants
122 Participants
16 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Erythrocytes (x10^12/L) : Above (Baseline)
0 Participants
8 Participants
11 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Erythrocytes distribution width (%) : Below (Baseline)
0 Participants
0 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Erythrocytes distribution width (%) : Normal (Baseline)
0 Participants
150 Participants
22 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Erythrocytes distribution width (%) : Above (Baseline)
0 Participants
8 Participants
22 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Mean corpuscular volume (fL) : Below (Baseline)
4 Participants
2 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Mean corpuscular volume (fL) : Normal (Baseline)
0 Participants
173 Participants
6 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Mean corpuscular volume (fL) : Above (Baseline)
0 Participants
4 Participants
13 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Leukocytes (x10^9/L) : Below (Baseline)
0 Participants
2 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Leukocytes (x10^9/L) : Normal (Baseline)
2 Participants
167 Participants
23 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Leukocytes (x10^9/L) : Above (Baseline)
0 Participants
4 Participants
4 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Neutrophils/Leukocytes (%) : Below (Baseline)
0 Participants
4 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Neutrophils/Leukocytes (%) : Normal (Baseline)
2 Participants
163 Participants
19 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Neutrophils/Leukocytes (%) : Above (Baseline)
0 Participants
8 Participants
6 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Neutrophils (x10^9/L) : Below (Baseline)
0 Participants
0 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Neutrophils (x10^9/L) : Normal (Baseline)
1 Participants
182 Participants
13 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Neutrophils (x10^9/L) : Above (Baseline)
0 Participants
3 Participants
3 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Lymphocytes/Leukocytes (%) : Below (Baseline)
23 Participants
15 Participants
1 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Lymphocytes/Leukocytes (%) : Normal (Baseline)
32 Participants
103 Participants
10 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Lymphocytes/Leukocytes (%) : Above (Baseline)
1 Participants
12 Participants
5 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Lymphocytes, absolute (x10^9/L) : Below (Baseline)
1 Participants
2 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Lymphocytes, absolute (x10^9/L) : Normal (Baseline)
3 Participants
192 Participants
2 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Lymphocytes, absolute (x10^9/L) : Above (Baseline)
0 Participants
1 Participants
1 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Monocytes/Leukocytes (%) : Below (Baseline)
0 Participants
0 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Monocytes/Leukocytes (%) : Normal (Baseline)
1 Participants
159 Participants
19 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Monocytes/Leukocytes (%) : Above (Baseline)
0 Participants
17 Participants
6 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Monocytes (x10^9/L) : Below (Baseline)
0 Participants
0 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Monocytes (x10^9/L) : Normal (Baseline)
0 Participants
192 Participants
7 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Monocytes (x10^9/L) : Above (Baseline)
0 Participants
2 Participants
1 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Eosinophils absolute (x10^9/L) : Below (Baseline)
0 Participants
0 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Eosinophils absolute (x10^9/L) : Normal (Baseline)
0 Participants
176 Participants
9 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Eosinophils absolute (x10^9/L) : Above (Baseline)
0 Participants
10 Participants
7 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Eosinophils/Leukocytes (%) : Below (Baseline)
0 Participants
0 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Eosinophils/Leukocytes (%) : Normal (Baseline)
0 Participants
140 Participants
12 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Eosinophils/Leukocytes (%) : Above (Baseline)
0 Participants
31 Participants
19 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Prothrombin time (seconds) : Below (Baseline)
0 Participants
0 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Prothrombin time (seconds) : Normal (Baseline)
0 Participants
154 Participants
20 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Prothrombin time (seconds) : Above (Baseline)
0 Participants
17 Participants
14 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Activated Partial Thromboplastin Time (seconds) : Below (Baseline)
0 Participants
1 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Activated Partial Thromboplastin Time (seconds) : Normal (Baseline)
0 Participants
154 Participants
13 Participants
Clinical Laboratory Test Change From Baseline: Hematology
Activated Partial Thromboplastin Time (seconds) : Above (Baseline)
0 Participants
19 Participants
18 Participants

PRIMARY outcome

Timeframe: Day 1 to Day 14

Population: Participants Analyzed does not match the Participant Flow as a result of missing data for some participants.

Chemistry Parameters with Shifts in ≥3% of Subjects from Screening to End of Study

Outcome measures

Outcome measures
Measure
OL: Lofexidine HCl
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 8AM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 1PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 1PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 6PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 6PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 11PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: Predose
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: 3.5 hr Postdose
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Clinical Laboratory Test Change From Baseline: Chemistry
Protein (g/dL) : Above (Baseline)
0 Participants
6 Participants
3 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Alanine aminotransferase (U/L) : Below (Baseline)
0 Participants
0 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Alanine aminotransferase (U/L) : Normal (Baseline)
0 Participants
153 Participants
17 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Alanine aminotransferase (U/L) : Above (Baseline)
0 Participants
12 Participants
22 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Aspartate Aminotransferase (U/L) : Below (Baseline)
0 Participants
0 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Aspartate Aminotransferase (U/L) : Normal (Baseline)
0 Participants
164 Participants
10 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Aspartate Aminotransferase (U/L) : Above (Baseline)
0 Participants
16 Participants
14 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Gamma-glutamyl transferase (U/L) : Below (Baseline)
9 Participants
13 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Gamma-glutamyl transferase (U/L) : Normal (Baseline)
2 Participants
139 Participants
11 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Gamma-glutamyl transferase (U/L) : Above (Baseline)
0 Participants
6 Participants
24 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Alkaline phosphatase (U/L) : Below (Baseline)
6 Participants
3 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Alkaline phosphatase (U/L) : Normal (Baseline)
9 Participants
170 Participants
3 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Alkaline phosphatase (U/L) : Above (Baseline)
0 Participants
5 Participants
8 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Lactate dehydrogenase (U/L) : Below (Baseline)
2 Participants
0 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Lactate dehydrogenase (U/L) : Normal (Baseline)
3 Participants
164 Participants
7 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Lactate dehydrogenase (U/L) : Above (Baseline)
0 Participants
19 Participants
9 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Blood urea nitrogen (mg/dL) : Below (Baseline)
9 Participants
28 Participants
1 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Blood urea nitrogen (mg/dL) : Normal (Baseline)
28 Participants
127 Participants
5 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Blood urea nitrogen (mg/dL) : Above (Baseline)
1 Participants
4 Participants
1 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Creatinine (mg/dL) : Below (Baseline)
29 Participants
17 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Creatinine (mg/dL) : Normal (Baseline)
8 Participants
147 Participants
2 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Creatinine (mg/dL) : Above (Baseline)
0 Participants
0 Participants
1 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Cholesterol (mg/dL) : Below (Baseline)
0 Participants
0 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Cholesterol (mg/dL) : Normal (Baseline)
0 Participants
153 Participants
18 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Cholesterol (mg/dL) : Above (Baseline)
0 Participants
13 Participants
20 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Triglycerides (mg/dL) : Below (Baseline)
0 Participants
0 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Triglycerides (mg/dL) : Normal (Baseline)
0 Participants
107 Participants
40 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Triglycerides (mg/dL) : Above (Baseline)
0 Participants
18 Participants
39 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Calcium (mg/dL) : Below (Baseline)
1 Participants
9 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Calcium (mg/dL) : Normal (Baseline)
7 Participants
182 Participants
3 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Calcium (mg/dL) : Above (Baseline)
0 Participants
2 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Sodium (mEq/L) : Below (Baseline)
3 Participants
6 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Sodium (mEq/L) : Normal (Baseline)
3 Participants
187 Participants
5 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Sodium (mEq/L) : Above (Baseline)
0 Participants
0 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Potassium (mEq/L) : Below (Baseline)
0 Participants
2 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Potassium (mEq/L) : Normal (Baseline)
2 Participants
183 Participants
11 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Potassium (mEq/L) : Above (Baseline)
0 Participants
6 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Chloride (mEq/L) : Below (Baseline)
0 Participants
5 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Chloride (mEq/L) : Normal (Baseline)
3 Participants
190 Participants
5 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Chloride (mEq/L) : Above (Baseline)
0 Participants
0 Participants
1 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Carbon dioxide (bicarbonate) (mEq/L) : Below (Baseline)
0 Participants
0 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Carbon dioxide (bicarbonate) (mEq/L) : Normal (Baseline)
3 Participants
134 Participants
7 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Carbon dioxide (bicarbonate) (mEq/L) : Above (Baseline)
0 Participants
52 Participants
8 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Glucose (mg/dL) : Below (Baseline)
0 Participants
5 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Glucose (mg/dL) : Normal (Baseline)
1 Participants
130 Participants
35 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Glucose (mg/dL) : Above (Baseline)
0 Participants
19 Participants
14 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Phosphate (mg/dL) : Below (Baseline)
1 Participants
4 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Phosphate (mg/dL) : Normal (Baseline)
6 Participants
138 Participants
22 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Phosphate (mg/dL) : Above (Baseline)
1 Participants
26 Participants
6 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Protein (g/dL) : Below (Baseline)
0 Participants
1 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Protein (g/dL) : Normal (Baseline)
0 Participants
190 Participants
4 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Thyroid Stimulating Hormone-3rd Generation (TSH Thyrotropin)(mU/L) : Below (Baseline)
11 Participants
18 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Thyroid Stimulating Hormone-3rd Generation (TSH Thyrotropin)(mU/L) : Normal (Baseline)
16 Participants
149 Participants
3 Participants
Clinical Laboratory Test Change From Baseline: Chemistry
Thyroid Stimulating Hormone-3rd Generation (TSH Thyrotropin)(mU/L) : Above (Baseline)
0 Participants
6 Participants
1 Participants

PRIMARY outcome

Timeframe: Day 1 to Day 7

Population: Participants Analyzed does not match the Participant Flow as a result of missing data for some participants.

Outcome measures

Outcome measures
Measure
OL: Lofexidine HCl
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 8AM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 1PM
n=286 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 1PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 6PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 6PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 11PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: Predose
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: 3.5 hr Postdose
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Clinical Laboratory Test Change From Baseline: Urinalysis
Specific Gravity : Below (Baseline)
0 Participants
2 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Urinalysis
Erythrocytes (/HPF) : Below (Baseline)
0 Participants
0 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Urinalysis
Erythrocytes (/HPF) : Normal (Baseline)
0 Participants
136 Participants
30 Participants
Clinical Laboratory Test Change From Baseline: Urinalysis
Erythrocytes (/HPF) : Above (Baseline)
0 Participants
28 Participants
13 Participants
Clinical Laboratory Test Change From Baseline: Urinalysis
Leukocytes (/HPF) : Below (Baseline)
0 Participants
0 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Urinalysis
Leukocytes (/HPF) : Normal (Baseline)
0 Participants
175 Participants
15 Participants
Clinical Laboratory Test Change From Baseline: Urinalysis
Leukocytes (/HPF) : Above (Baseline)
0 Participants
13 Participants
4 Participants
Clinical Laboratory Test Change From Baseline: Urinalysis
Specific Gravity : Normal (Baseline)
0 Participants
188 Participants
3 Participants
Clinical Laboratory Test Change From Baseline: Urinalysis
Specific Gravity : Above (Baseline)
0 Participants
13 Participants
1 Participants
Clinical Laboratory Test Change From Baseline: Urinalysis
pH : Below (Baseline)
0 Participants
0 Participants
0 Participants
Clinical Laboratory Test Change From Baseline: Urinalysis
pH : Normal (Baseline)
0 Participants
204 Participants
1 Participants
Clinical Laboratory Test Change From Baseline: Urinalysis
pH : Above (Baseline)
0 Participants
2 Participants
0 Participants

PRIMARY outcome

Timeframe: Day 1 and Day 14

Population: Participants Analyzed does not match the Participant Flow as a result of missing data for some participants.

For each 12-lead ECG obtained during the study, the investigator made an overall interpretation of the ECG (normal, abnormal NCS, and abnormal CS). Shifts from normal at baseline to abnormal NCS and abnormal CS at the end of study predose and postdose assessments were summarized.

Outcome measures

Outcome measures
Measure
OL: Lofexidine HCl
n=180 Participants
Lofexidine: All enrolled subjects will take lofexidine orally, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 8AM
n=103 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 1PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 1PM
n=283 Participants
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 6PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: 3.5 hr Post 6PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Inpatient: Pre 11PM
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: Predose
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Outpatient: 3.5 hr Postdose
Lofexidine: All enrolled subjects will take lofexidine orally for 7 days, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator.
Safety Electrocardiograms (ECG) Evaluation Shift From Baseline to Post Dose and End of Study
End of Study Post Dose · Abnormal (CS)
2 Participants
0 Participants
0 Participants
2 Participants
Safety Electrocardiograms (ECG) Evaluation Shift From Baseline to Post Dose and End of Study
Day 1 Post 8am Dose · Normal
139 Participants
16 Participants
0 Participants
155 Participants
Safety Electrocardiograms (ECG) Evaluation Shift From Baseline to Post Dose and End of Study
Day 1 Post 8am Dose · Abnormal (NCS)
41 Participants
87 Participants
0 Participants
128 Participants
Safety Electrocardiograms (ECG) Evaluation Shift From Baseline to Post Dose and End of Study
Day 1 Post 8am Dose · Abnormal (CS)
0 Participants
0 Participants
0 Participants
0 Participants
Safety Electrocardiograms (ECG) Evaluation Shift From Baseline to Post Dose and End of Study
End of Study Pre Dose · Normal
83 Participants
20 Participants
0 Participants
103 Participants
Safety Electrocardiograms (ECG) Evaluation Shift From Baseline to Post Dose and End of Study
End of Study Pre Dose · Abnormal (NCS)
19 Participants
38 Participants
0 Participants
57 Participants
Safety Electrocardiograms (ECG) Evaluation Shift From Baseline to Post Dose and End of Study
End of Study Pre Dose · Abnormal (CS)
1 Participants
0 Participants
0 Participants
1 Participants
Safety Electrocardiograms (ECG) Evaluation Shift From Baseline to Post Dose and End of Study
End of Study Post Dose · Normal
77 Participants
26 Participants
0 Participants
103 Participants
Safety Electrocardiograms (ECG) Evaluation Shift From Baseline to Post Dose and End of Study
End of Study Post Dose · Abnormal (NCS)
41 Participants
47 Participants
0 Participants
88 Participants

Adverse Events

OL: Lofexidine HCl

Serious events: 2 serious events
Other events: 270 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
OL: Lofexidine HCl
n=286 participants at risk
Lofexidine: All enrolled subjects will take lofexidine orally, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator. Subjects are given the option to receive lofexidine tablets for a minimum of 7 days, and up to 14 days if requested.
Psychiatric disorders
Delusion
0.35%
1/286 • AEs will be followed starting with dosing on Day 1 through Day 14, and will be evaluated as well on a 30-day post-last dose follow-up phone call.
Nervous system disorders
Cerebrovascular accident
0.35%
1/286 • AEs will be followed starting with dosing on Day 1 through Day 14, and will be evaluated as well on a 30-day post-last dose follow-up phone call.

Other adverse events

Other adverse events
Measure
OL: Lofexidine HCl
n=286 participants at risk
Lofexidine: All enrolled subjects will take lofexidine orally, starting on Day 1 at a dose of 3.2 mg per day (0.8 mg QID), with lowering of the dose allowed to 2.4 mg daily (0.6 mg QID) if required for tolerability based on the subject's individual treatment goal and response per clinical judgment of the Principal Investigator. Subjects are given the option to receive lofexidine tablets for a minimum of 7 days, and up to 14 days if requested.
Psychiatric disorders
Insomnia
50.3%
144/286 • AEs will be followed starting with dosing on Day 1 through Day 14, and will be evaluated as well on a 30-day post-last dose follow-up phone call.
Psychiatric disorders
Anxiety
37.4%
107/286 • AEs will be followed starting with dosing on Day 1 through Day 14, and will be evaluated as well on a 30-day post-last dose follow-up phone call.
Vascular disorders
Orthostatic hypotension
33.6%
96/286 • AEs will be followed starting with dosing on Day 1 through Day 14, and will be evaluated as well on a 30-day post-last dose follow-up phone call.
Vascular disorders
Hypotension
29.4%
84/286 • AEs will be followed starting with dosing on Day 1 through Day 14, and will be evaluated as well on a 30-day post-last dose follow-up phone call.
Cardiac disorders
Bradycardia
25.2%
72/286 • AEs will be followed starting with dosing on Day 1 through Day 14, and will be evaluated as well on a 30-day post-last dose follow-up phone call.
Gastrointestinal disorders
Diarrhea
18.9%
54/286 • AEs will be followed starting with dosing on Day 1 through Day 14, and will be evaluated as well on a 30-day post-last dose follow-up phone call.
Nervous system disorders
Sedation
16.1%
46/286 • AEs will be followed starting with dosing on Day 1 through Day 14, and will be evaluated as well on a 30-day post-last dose follow-up phone call.
Nervous system disorders
Headache
15.0%
43/286 • AEs will be followed starting with dosing on Day 1 through Day 14, and will be evaluated as well on a 30-day post-last dose follow-up phone call.
Gastrointestinal disorders
Abdominal pain upper
14.7%
42/286 • AEs will be followed starting with dosing on Day 1 through Day 14, and will be evaluated as well on a 30-day post-last dose follow-up phone call.
Musculoskeletal and connective tissue disorders
Myalgia
14.3%
41/286 • AEs will be followed starting with dosing on Day 1 through Day 14, and will be evaluated as well on a 30-day post-last dose follow-up phone call.
Gastrointestinal disorders
Constipation
5.2%
15/286 • AEs will be followed starting with dosing on Day 1 through Day 14, and will be evaluated as well on a 30-day post-last dose follow-up phone call.
Gastrointestinal disorders
Dry Mouth
8.4%
24/286 • AEs will be followed starting with dosing on Day 1 through Day 14, and will be evaluated as well on a 30-day post-last dose follow-up phone call.
Gastrointestinal disorders
Vomiting
9.1%
26/286 • AEs will be followed starting with dosing on Day 1 through Day 14, and will be evaluated as well on a 30-day post-last dose follow-up phone call.
General disorders
Pain
8.4%
24/286 • AEs will be followed starting with dosing on Day 1 through Day 14, and will be evaluated as well on a 30-day post-last dose follow-up phone call.
Nervous system disorders
Somnolence
7.3%
21/286 • AEs will be followed starting with dosing on Day 1 through Day 14, and will be evaluated as well on a 30-day post-last dose follow-up phone call.
Psychiatric disorders
Restlessness
7.7%
22/286 • AEs will be followed starting with dosing on Day 1 through Day 14, and will be evaluated as well on a 30-day post-last dose follow-up phone call.
General disorders
Fatigue
6.6%
19/286 • AEs will be followed starting with dosing on Day 1 through Day 14, and will be evaluated as well on a 30-day post-last dose follow-up phone call.
Musculoskeletal and connective tissue disorders
Back pain
5.2%
15/286 • AEs will be followed starting with dosing on Day 1 through Day 14, and will be evaluated as well on a 30-day post-last dose follow-up phone call.
Gastrointestinal disorders
Nausea
17.5%
50/286 • AEs will be followed starting with dosing on Day 1 through Day 14, and will be evaluated as well on a 30-day post-last dose follow-up phone call.
Nervous system disorders
Dizziness
16.4%
47/286 • AEs will be followed starting with dosing on Day 1 through Day 14, and will be evaluated as well on a 30-day post-last dose follow-up phone call.

Additional Information

Medical Affairs

USWM, LLC

Phone: 1-888-900-8796

Results disclosure agreements

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