Trial Outcomes & Findings for Improving Treatment Outcomes for Prescription Opioid Dependence (NCT NCT02543944)

NCT ID: NCT02543944

Last Updated: 2022-07-28

Results Overview

Thrice weekly urine samples obtained during weeks 1-3; data include assessments from week 1 day 1 through week 4 day 1 (up to 10 total samples per participant)

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

117 participants

Primary outcome timeframe

Week 1 day 1 (study entry) through Week 4 day 1 (first day of NTX transition)

Results posted on

2022-07-28

Participant Flow

Participant milestones

Participant milestones
Measure
Gabapentin
Gabapentin started on day 3 of week 1, increased up to a maximum dose of 800 mg BID by day 3 of week 2 and maintained for 2 weeks followed by 5-day taper. Buprenorphine (BUP) stabilization up to 12 mg (day 2 of week 1) then a 10-day BUP taper by the end of week 3. During week 4, detoxed subjects get 0.1 mg of clonidine followed by oral naltrexone (NTX) at 6.25 mg and another 6.25 mg (day 1), 25 mg (day 2) and 50 mg (day 3) then depot NTX injection (later on day 3 or day 4). Gabapentin: N-type calcium channel blocker being examined for its potential efficacy to alleviate opioid withdrawal during buprenorphine-assisted detox and transition to depot naltrexone. Buprenorphine: All participants are stabilized on buprenorphine and then undergo a 10 day taper off buprenorphine. Clonidine: All participants who successfully taper off buprenorphine receive Clonidine (0.1 mg) prior to induction onto oral naltrexone. Naltrexone (oral): All participants receive increasing doses of oral naltrexone over a 3 day period (day 1: 6.25 and 6.25 mg; day 2: 25 mg; day 3: 50 mg) Naltrexone (depot): All participants who tolerate oral naltrexone at 50 mg will receive the naltrexone injection on either the same day as the 50 mg dose or the day after.
Placebo
Participants in this arm begin receiving placebo (microcrystalline cellulose) in twice daily capsules on day 3 of week 1 and continue to do so through the beginning of week 5. Buprenorphine (BUP) stabilization up to 12 mg (day 2 of week 1) then a 10-day BUP taper by the end of week 3. During week 4, detoxed subjects get 0.1 mg of clonidine followed by oral naltrexone (NTX) at 6.25 mg and another 6.25 mg (day 1), 25 mg (day 2) and 50 mg (day 3) then depot NTX injection (later on day 3 or day 4). Buprenorphine: All participants are stabilized on buprenorphine and then undergo a 10 day taper off buprenorphine. Clonidine: All participants who successfully taper off buprenorphine receive Clonidine (0.1 mg) prior to induction onto oral naltrexone. Naltrexone (oral): All participants receive increasing doses of oral naltrexone over a 3 day period (day 1: 6.25 and 6.25 mg; day 2: 25 mg; day 3: 50 mg) Naltrexone (depot): All participants who tolerate oral naltrexone at 50 mg will receive the naltrexone injection on either the same day as the 50 mg dose or the day after. Placebo: Microcrystalline cellulose
Phase 1: GBN/BUP Induction and BUP Detox
STARTED
60
57
Phase 1: GBN/BUP Induction and BUP Detox
COMPLETED
41
34
Phase 1: GBN/BUP Induction and BUP Detox
NOT COMPLETED
19
23
Phase 2: Transition From BUP to XR-NTX
STARTED
33
29
Phase 2: Transition From BUP to XR-NTX
COMPLETED
12
12
Phase 2: Transition From BUP to XR-NTX
NOT COMPLETED
21
17
Phase 3: XR-NTX Maintenance
STARTED
12
12
Phase 3: XR-NTX Maintenance
COMPLETED
7
3
Phase 3: XR-NTX Maintenance
NOT COMPLETED
5
9

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Improving Treatment Outcomes for Prescription Opioid Dependence

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Gabapentin
n=60 Participants
Gabapentin started on day 3 of week 1, increased up to a maximum dose of 800 mg BID by day 3 of week 2 and maintained for 2 weeks followed by 5-day taper. Buprenorphine (BUP) stabilization up to 12 mg (day 2 of week 1) then a 10-day BUP taper by the end of week 3. During week 4, detoxed subjects get 0.1 mg of clonidine followed by oral naltrexone (NTX) at 6.25 mg and another 6.25 mg (day 1), 25 mg (day 2) and 50 mg (day 3) then depot NTX injection (later on day 3 or day 4). Gabapentin: N-type calcium channel blocker being examined for its potential efficacy to alleviate opioid withdrawal during buprenorphine-assisted detox and transition to depot naltrexone. Buprenorphine: All participants are stabilized on buprenorphine and then undergo a 10 day taper off buprenorphine. Clonidine: All participants who successfully taper off buprenorphine receive Clonidine (0.1 mg) prior to induction onto oral naltrexone. Naltrexone (oral): All participants receive increasing doses of oral naltrexone over a 3 day period (day 1: 6.25 and 6.25 mg; day 2: 25 mg; day 3: 50 mg) Naltrexone (depot): All participants who tolerate oral naltrexone at 50 mg will receive the naltrexone injection on either the same day as the 50 mg dose or the day after.
Placebo
n=57 Participants
Participants in this arm begin receiving placebo (microcrystalline cellulose) in twice daily capsules on day 3 of week 1 and continue to do so through the beginning of week 5. Buprenorphine (BUP) stabilization up to 12 mg (day 2 of week 1) then a 10-day BUP taper by the end of week 3. During week 4, detoxed subjects get 0.1 mg of clonidine followed by oral naltrexone (NTX) at 6.25 mg and another 6.25 mg (day 1), 25 mg (day 2) and 50 mg (day 3) then depot NTX injection (later on day 3 or day 4). Buprenorphine: All participants are stabilized on buprenorphine and then undergo a 10 day taper off buprenorphine. Clonidine: All participants who successfully taper off buprenorphine receive Clonidine (0.1 mg) prior to induction onto oral naltrexone. Naltrexone (oral): All participants receive increasing doses of oral naltrexone over a 3 day period (day 1: 6.25 and 6.25 mg; day 2: 25 mg; day 3: 50 mg) Naltrexone (depot): All participants who tolerate oral naltrexone at 50 mg will receive the naltrexone injection on either the same day as the 50 mg dose or the day after. Placebo: Microcrystalline cellulose
Total
n=117 Participants
Total of all reporting groups
Age, Continuous
33.0 years
STANDARD_DEVIATION 8.3 • n=5 Participants
32.5 years
STANDARD_DEVIATION 7.3 • n=7 Participants
32.7 years
STANDARD_DEVIATION 7.8 • n=5 Participants
Sex: Female, Male
Female
28 Participants
n=5 Participants
25 Participants
n=7 Participants
53 Participants
n=5 Participants
Sex: Female, Male
Male
32 Participants
n=5 Participants
32 Participants
n=7 Participants
64 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
57 Participants
n=5 Participants
53 Participants
n=7 Participants
110 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
6 Participants
n=5 Participants
6 Participants
n=7 Participants
12 Participants
n=5 Participants
Race (NIH/OMB)
White
52 Participants
n=5 Participants
50 Participants
n=7 Participants
102 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
60 Participants
n=5 Participants
57 Participants
n=7 Participants
117 Participants
n=5 Participants
Education Level
Less than High School
8 Participants
n=5 Participants
4 Participants
n=7 Participants
12 Participants
n=5 Participants
Education Level
High School/Some College/Vocational School
43 Participants
n=5 Participants
46 Participants
n=7 Participants
89 Participants
n=5 Participants
Education Level
College Degree or higher
8 Participants
n=5 Participants
5 Participants
n=7 Participants
13 Participants
n=5 Participants
Education Level
Unknown
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Week 1 day 1 (study entry) through Week 4 day 1 (first day of NTX transition)

Population: those starting on study medication

Thrice weekly urine samples obtained during weeks 1-3; data include assessments from week 1 day 1 through week 4 day 1 (up to 10 total samples per participant)

Outcome measures

Outcome measures
Measure
Gabapentin
n=455 urine samples
Gabapentin started on day 3 of week 1, increased up to a maximum dose of 800 mg BID by day 3 of week 2 and maintained for 2 weeks followed by 5-day taper. Buprenorphine (BUP) stabilization up to 12 mg (day 2 of week 1) then a 10-day BUP taper by the end of week 3. During week 4, detoxed subjects get 0.1 mg of clonidine followed by oral naltrexone (NTX) at 6.25 mg and another 6.25 mg (day 1), 25 mg (day 2) and 50 mg (day 3) then depot NTX injection (later on day 3 or day 4). Gabapentin: N-type calcium channel blocker being examined for its potential efficacy to alleviate opioid withdrawal during buprenorphine-assisted detox and transition to depot naltrexone. Buprenorphine: All participants are stabilized on buprenorphine and then undergo a 10 day taper off buprenorphine. Clonidine: All participants who successfully taper off buprenorphine receive Clonidine (0.1 mg) prior to induction onto oral naltrexone. Naltrexone (oral): All participants receive increasing doses of oral naltrexone over a 3 day period (day 1: 6.25 and 6.25 mg; day 2: 25 mg; day 3: 50 mg) Naltrexone (depot): All participants who tolerate oral naltrexone at 50 mg will receive the naltrexone injection on either the same day as the 50 mg dose or the day after.
Placebo
n=421 urine samples
Participants in this arm begin receiving placebo (microcrystalline cellulose) in twice daily capsules on day 3 of week 1 and continue to do so through the beginning of week 5. Buprenorphine (BUP) stabilization up to 12 mg (day 2 of week 1) then a 10-day BUP taper by the end of week 3. During week 4, detoxed subjects get 0.1 mg of clonidine followed by oral naltrexone (NTX) at 6.25 mg and another 6.25 mg (day 1), 25 mg (day 2) and 50 mg (day 3) then depot NTX injection (later on day 3 or day 4). Buprenorphine: All participants are stabilized on buprenorphine and then undergo a 10 day taper off buprenorphine. Clonidine: All participants who successfully taper off buprenorphine receive Clonidine (0.1 mg) prior to induction onto oral naltrexone. Naltrexone (oral): All participants receive increasing doses of oral naltrexone over a 3 day period (day 1: 6.25 and 6.25 mg; day 2: 25 mg; day 3: 50 mg) Naltrexone (depot): All participants who tolerate oral naltrexone at 50 mg will receive the naltrexone injection on either the same day as the 50 mg dose or the day after. Placebo: Microcrystalline cellulose
Detoxification Phase: Changes in Percent of Illicit Opioid-positive Urine Samples Over Time
35.0 percentage of urine positive samples
Standard Deviation 36.7
41.6 percentage of urine positive samples
Standard Deviation 38.5

SECONDARY outcome

Timeframe: 3 days (wk 4 day 1 - week 4 day 3)

% of Participants who completed the detox and started the NTX transition

Outcome measures

Outcome measures
Measure
Gabapentin
n=41 Participants
Gabapentin started on day 3 of week 1, increased up to a maximum dose of 800 mg BID by day 3 of week 2 and maintained for 2 weeks followed by 5-day taper. Buprenorphine (BUP) stabilization up to 12 mg (day 2 of week 1) then a 10-day BUP taper by the end of week 3. During week 4, detoxed subjects get 0.1 mg of clonidine followed by oral naltrexone (NTX) at 6.25 mg and another 6.25 mg (day 1), 25 mg (day 2) and 50 mg (day 3) then depot NTX injection (later on day 3 or day 4). Gabapentin: N-type calcium channel blocker being examined for its potential efficacy to alleviate opioid withdrawal during buprenorphine-assisted detox and transition to depot naltrexone. Buprenorphine: All participants are stabilized on buprenorphine and then undergo a 10 day taper off buprenorphine. Clonidine: All participants who successfully taper off buprenorphine receive Clonidine (0.1 mg) prior to induction onto oral naltrexone. Naltrexone (oral): All participants receive increasing doses of oral naltrexone over a 3 day period (day 1: 6.25 and 6.25 mg; day 2: 25 mg; day 3: 50 mg) Naltrexone (depot): All participants who tolerate oral naltrexone at 50 mg will receive the naltrexone injection on either the same day as the 50 mg dose or the day after.
Placebo
n=34 Participants
Participants in this arm begin receiving placebo (microcrystalline cellulose) in twice daily capsules on day 3 of week 1 and continue to do so through the beginning of week 5. Buprenorphine (BUP) stabilization up to 12 mg (day 2 of week 1) then a 10-day BUP taper by the end of week 3. During week 4, detoxed subjects get 0.1 mg of clonidine followed by oral naltrexone (NTX) at 6.25 mg and another 6.25 mg (day 1), 25 mg (day 2) and 50 mg (day 3) then depot NTX injection (later on day 3 or day 4). Buprenorphine: All participants are stabilized on buprenorphine and then undergo a 10 day taper off buprenorphine. Clonidine: All participants who successfully taper off buprenorphine receive Clonidine (0.1 mg) prior to induction onto oral naltrexone. Naltrexone (oral): All participants receive increasing doses of oral naltrexone over a 3 day period (day 1: 6.25 and 6.25 mg; day 2: 25 mg; day 3: 50 mg) Naltrexone (depot): All participants who tolerate oral naltrexone at 50 mg will receive the naltrexone injection on either the same day as the 50 mg dose or the day after. Placebo: Microcrystalline cellulose
NTX Transition Initiation
33 Participants
29 Participants

SECONDARY outcome

Timeframe: 5 days (week 4 day 1 to week 4 day 5)

% of participants starting the NTX transition who received Vivitrol injection

Outcome measures

Outcome measures
Measure
Gabapentin
n=33 Participants
Gabapentin started on day 3 of week 1, increased up to a maximum dose of 800 mg BID by day 3 of week 2 and maintained for 2 weeks followed by 5-day taper. Buprenorphine (BUP) stabilization up to 12 mg (day 2 of week 1) then a 10-day BUP taper by the end of week 3. During week 4, detoxed subjects get 0.1 mg of clonidine followed by oral naltrexone (NTX) at 6.25 mg and another 6.25 mg (day 1), 25 mg (day 2) and 50 mg (day 3) then depot NTX injection (later on day 3 or day 4). Gabapentin: N-type calcium channel blocker being examined for its potential efficacy to alleviate opioid withdrawal during buprenorphine-assisted detox and transition to depot naltrexone. Buprenorphine: All participants are stabilized on buprenorphine and then undergo a 10 day taper off buprenorphine. Clonidine: All participants who successfully taper off buprenorphine receive Clonidine (0.1 mg) prior to induction onto oral naltrexone. Naltrexone (oral): All participants receive increasing doses of oral naltrexone over a 3 day period (day 1: 6.25 and 6.25 mg; day 2: 25 mg; day 3: 50 mg) Naltrexone (depot): All participants who tolerate oral naltrexone at 50 mg will receive the naltrexone injection on either the same day as the 50 mg dose or the day after.
Placebo
n=29 Participants
Participants in this arm begin receiving placebo (microcrystalline cellulose) in twice daily capsules on day 3 of week 1 and continue to do so through the beginning of week 5. Buprenorphine (BUP) stabilization up to 12 mg (day 2 of week 1) then a 10-day BUP taper by the end of week 3. During week 4, detoxed subjects get 0.1 mg of clonidine followed by oral naltrexone (NTX) at 6.25 mg and another 6.25 mg (day 1), 25 mg (day 2) and 50 mg (day 3) then depot NTX injection (later on day 3 or day 4). Buprenorphine: All participants are stabilized on buprenorphine and then undergo a 10 day taper off buprenorphine. Clonidine: All participants who successfully taper off buprenorphine receive Clonidine (0.1 mg) prior to induction onto oral naltrexone. Naltrexone (oral): All participants receive increasing doses of oral naltrexone over a 3 day period (day 1: 6.25 and 6.25 mg; day 2: 25 mg; day 3: 50 mg) Naltrexone (depot): All participants who tolerate oral naltrexone at 50 mg will receive the naltrexone injection on either the same day as the 50 mg dose or the day after. Placebo: Microcrystalline cellulose
Vivitrol Injection Receivers
12 Participants
12 Participants

SECONDARY outcome

Timeframe: 3 weeks (week 1-3)

% of enrolled participants who completed the Detox Phase

Outcome measures

Outcome measures
Measure
Gabapentin
n=60 Participants
Gabapentin started on day 3 of week 1, increased up to a maximum dose of 800 mg BID by day 3 of week 2 and maintained for 2 weeks followed by 5-day taper. Buprenorphine (BUP) stabilization up to 12 mg (day 2 of week 1) then a 10-day BUP taper by the end of week 3. During week 4, detoxed subjects get 0.1 mg of clonidine followed by oral naltrexone (NTX) at 6.25 mg and another 6.25 mg (day 1), 25 mg (day 2) and 50 mg (day 3) then depot NTX injection (later on day 3 or day 4). Gabapentin: N-type calcium channel blocker being examined for its potential efficacy to alleviate opioid withdrawal during buprenorphine-assisted detox and transition to depot naltrexone. Buprenorphine: All participants are stabilized on buprenorphine and then undergo a 10 day taper off buprenorphine. Clonidine: All participants who successfully taper off buprenorphine receive Clonidine (0.1 mg) prior to induction onto oral naltrexone. Naltrexone (oral): All participants receive increasing doses of oral naltrexone over a 3 day period (day 1: 6.25 and 6.25 mg; day 2: 25 mg; day 3: 50 mg) Naltrexone (depot): All participants who tolerate oral naltrexone at 50 mg will receive the naltrexone injection on either the same day as the 50 mg dose or the day after.
Placebo
n=57 Participants
Participants in this arm begin receiving placebo (microcrystalline cellulose) in twice daily capsules on day 3 of week 1 and continue to do so through the beginning of week 5. Buprenorphine (BUP) stabilization up to 12 mg (day 2 of week 1) then a 10-day BUP taper by the end of week 3. During week 4, detoxed subjects get 0.1 mg of clonidine followed by oral naltrexone (NTX) at 6.25 mg and another 6.25 mg (day 1), 25 mg (day 2) and 50 mg (day 3) then depot NTX injection (later on day 3 or day 4). Buprenorphine: All participants are stabilized on buprenorphine and then undergo a 10 day taper off buprenorphine. Clonidine: All participants who successfully taper off buprenorphine receive Clonidine (0.1 mg) prior to induction onto oral naltrexone. Naltrexone (oral): All participants receive increasing doses of oral naltrexone over a 3 day period (day 1: 6.25 and 6.25 mg; day 2: 25 mg; day 3: 50 mg) Naltrexone (depot): All participants who tolerate oral naltrexone at 50 mg will receive the naltrexone injection on either the same day as the 50 mg dose or the day after. Placebo: Microcrystalline cellulose
Detox Phase Completers
41 Participants
34 Participants

Adverse Events

Gabapentin

Serious events: 0 serious events
Other events: 43 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 37 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Gabapentin
n=60 participants at risk
Gabapentin started on day 3 of week 1, increased up to a maximum dose of 800 mg BID by day 3 of week 2 and maintained for 2 weeks followed by 5-day taper. Buprenorphine (BUP) stabilization up to 12 mg (day 2 of week 1) then a 10-day BUP taper by the end of week 3. During week 4, detoxed subjects get 0.1 mg of clonidine followed by oral naltrexone (NTX) at 6.25 mg and another 6.25 mg (day 1), 25 mg (day 2) and 50 mg (day 3) then depot NTX injection (later on day 3 or day 4). Gabapentin: N-type calcium channel blocker being examined for its potential efficacy to alleviate opioid withdrawal during buprenorphine-assisted detox and transition to depot naltrexone. Buprenorphine: All participants are stabilized on buprenorphine and then undergo a 10 day taper off buprenorphine. Clonidine: All participants who successfully taper off buprenorphine receive Clonidine (0.1 mg) prior to induction onto oral naltrexone. Naltrexone (oral): All participants receive increasing doses of oral naltrexone over a 3 day period (day 1: 6.25 and 6.25 mg; day 2: 25 mg; day 3: 50 mg) Naltrexone (depot): All participants who tolerate oral naltrexone at 50 mg will receive the naltrexone injection on either the same day as the 50 mg dose or the day after.
Placebo
n=57 participants at risk
Participants in this arm begin receiving placebo (microcrystalline cellulose) in twice daily capsules on day 3 of week 1 and continue to do so through the beginning of week 5. Buprenorphine (BUP) stabilization up to 12 mg (day 2 of week 1) then a 10-day BUP taper by the end of week 3. During week 4, detoxed subjects get 0.1 mg of clonidine followed by oral naltrexone (NTX) at 6.25 mg and another 6.25 mg (day 1), 25 mg (day 2) and 50 mg (day 3) then depot NTX injection (later on day 3 or day 4). Buprenorphine: All participants are stabilized on buprenorphine and then undergo a 10 day taper off buprenorphine. Clonidine: All participants who successfully taper off buprenorphine receive Clonidine (0.1 mg) prior to induction onto oral naltrexone. Naltrexone (oral): All participants receive increasing doses of oral naltrexone over a 3 day period (day 1: 6.25 and 6.25 mg; day 2: 25 mg; day 3: 50 mg) Naltrexone (depot): All participants who tolerate oral naltrexone at 50 mg will receive the naltrexone injection on either the same day as the 50 mg dose or the day after. Placebo: Microcrystalline cellulose
Gastrointestinal disorders
Nausea
0.00%
0/60 • 12 weeks
8.8%
5/57 • Number of events 5 • 12 weeks
Gastrointestinal disorders
Vomiting
6.7%
4/60 • Number of events 4 • 12 weeks
5.3%
3/57 • Number of events 3 • 12 weeks
Gastrointestinal disorders
Heartburn
1.7%
1/60 • Number of events 1 • 12 weeks
0.00%
0/57 • 12 weeks
Gastrointestinal disorders
Stomach cramps
0.00%
0/60 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
Gastrointestinal disorders
Abdominal pain/soreness
3.3%
2/60 • Number of events 2 • 12 weeks
0.00%
0/57 • 12 weeks
Gastrointestinal disorders
Loose, pale stools
0.00%
0/60 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
Gastrointestinal disorders
Diarrhea
6.7%
4/60 • Number of events 4 • 12 weeks
3.5%
2/57 • Number of events 2 • 12 weeks
Gastrointestinal disorders
Constipation
5.0%
3/60 • Number of events 3 • 12 weeks
3.5%
2/57 • Number of events 2 • 12 weeks
Renal and urinary disorders
Urination changes
10.0%
6/60 • Number of events 7 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
Renal and urinary disorders
Bright colored urine
1.7%
1/60 • Number of events 1 • 12 weeks
0.00%
0/57 • 12 weeks
General disorders
Sedation/drowsiness
13.3%
8/60 • Number of events 8 • 12 weeks
7.0%
4/57 • Number of events 4 • 12 weeks
General disorders
Listlessness/loss of energy
1.7%
1/60 • Number of events 1 • 12 weeks
0.00%
0/57 • 12 weeks
General disorders
Fatigue
1.7%
1/60 • Number of events 1 • 12 weeks
5.3%
3/57 • Number of events 3 • 12 weeks
General disorders
Weakness
0.00%
0/60 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
General disorders
Insomnia
1.7%
1/60 • Number of events 1 • 12 weeks
3.5%
2/57 • Number of events 2 • 12 weeks
General disorders
Sleep disturbance/sleep walking
1.7%
1/60 • Number of events 1 • 12 weeks
0.00%
0/57 • 12 weeks
General disorders
Restlessness
1.7%
1/60 • Number of events 1 • 12 weeks
0.00%
0/57 • 12 weeks
Nervous system disorders
Muscle twitches/tremors
8.3%
5/60 • Number of events 6 • 12 weeks
3.5%
2/57 • Number of events 2 • 12 weeks
Nervous system disorders
Tingling extremities
1.7%
1/60 • Number of events 1 • 12 weeks
0.00%
0/57 • 12 weeks
Musculoskeletal and connective tissue disorders
Muscle/skeletal pain/discomfort
6.7%
4/60 • Number of events 5 • 12 weeks
1.8%
1/57 • Number of events 2 • 12 weeks
General disorders
Tooth pain
0.00%
0/60 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
General disorders
Changes in equilibrium
0.00%
0/60 • 12 weeks
3.5%
2/57 • Number of events 2 • 12 weeks
General disorders
Fall
1.7%
1/60 • Number of events 1 • 12 weeks
0.00%
0/57 • 12 weeks
General disorders
Headache
11.7%
7/60 • Number of events 7 • 12 weeks
14.0%
8/57 • Number of events 8 • 12 weeks
General disorders
Dry mouth
5.0%
3/60 • Number of events 3 • 12 weeks
3.5%
2/57 • Number of events 2 • 12 weeks
Eye disorders
Dry eyes
0.00%
0/60 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
Eye disorders
Burning sensation in eyes
1.7%
1/60 • Number of events 1 • 12 weeks
0.00%
0/57 • 12 weeks
Eye disorders
Blood shot eye
1.7%
1/60 • Number of events 1 • 12 weeks
0.00%
0/57 • 12 weeks
Eye disorders
Changes in vision
5.0%
3/60 • Number of events 3 • 12 weeks
0.00%
0/57 • 12 weeks
General disorders
Changes in taste
1.7%
1/60 • Number of events 1 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
Skin and subcutaneous tissue disorders
Itching
0.00%
0/60 • 12 weeks
3.5%
2/57 • Number of events 2 • 12 weeks
Skin and subcutaneous tissue disorders
Rash on knees
0.00%
0/60 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
Infections and infestations
Diagnosis of shingles
0.00%
0/60 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
Infections and infestations
Infection
1.7%
1/60 • Number of events 1 • 12 weeks
0.00%
0/57 • 12 weeks
Injury, poisoning and procedural complications
Injection site reaction
1.7%
1/60 • Number of events 1 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
Injury, poisoning and procedural complications
Bruising/laceration
3.3%
2/60 • Number of events 2 • 12 weeks
3.5%
2/57 • Number of events 3 • 12 weeks
Respiratory, thoracic and mediastinal disorders
Respiratory symptoms
3.3%
2/60 • Number of events 2 • 12 weeks
5.3%
3/57 • Number of events 3 • 12 weeks
General disorders
Hiccups
1.7%
1/60 • Number of events 1 • 12 weeks
0.00%
0/57 • 12 weeks
Cardiac disorders
Elevated heart rate
1.7%
1/60 • Number of events 1 • 12 weeks
3.5%
2/57 • Number of events 2 • 12 weeks
General disorders
Edema/swelling
1.7%
1/60 • Number of events 1 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
General disorders
Hot/cold sweats
0.00%
0/60 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
General disorders
Continuously hot all day
0.00%
0/60 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
General disorders
Fever
0.00%
0/60 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
Infections and infestations
Flu virus
1.7%
1/60 • Number of events 1 • 12 weeks
0.00%
0/57 • 12 weeks
General disorders
Sexual side effect
1.7%
1/60 • Number of events 1 • 12 weeks
0.00%
0/57 • 12 weeks
General disorders
Auditory and visual hallucinations
1.7%
1/60 • Number of events 1 • 12 weeks
0.00%
0/57 • 12 weeks
General disorders
Confusion/Disorientation
1.7%
1/60 • Number of events 1 • 12 weeks
0.00%
0/57 • 12 weeks
General disorders
Irritability
3.3%
2/60 • Number of events 2 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
General disorders
Agitation
1.7%
1/60 • Number of events 1 • 12 weeks
0.00%
0/57 • 12 weeks
General disorders
Anger
1.7%
1/60 • Number of events 1 • 12 weeks
0.00%
0/57 • 12 weeks
Psychiatric disorders
Symptoms of anxiety
1.7%
1/60 • Number of events 1 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
Psychiatric disorders
Dysphoria
1.7%
1/60 • Number of events 1 • 12 weeks
0.00%
0/57 • 12 weeks
Psychiatric disorders
Symptoms of depression and/or anhedonia
1.7%
1/60 • Number of events 1 • 12 weeks
5.3%
3/57 • Number of events 3 • 12 weeks
Psychiatric disorders
Suicidal ideation
1.7%
1/60 • Number of events 1 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
General disorders
Withdrawal symptoms
21.7%
13/60 • Number of events 14 • 12 weeks
33.3%
19/57 • Number of events 25 • 12 weeks
General disorders
Withdrawal symptoms: not specified
5.0%
3/60 • Number of events 3 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
General disorders
Withdrawal sx: Related to dehydration
0.00%
0/60 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
General disorders
Withdrawal sx: Leg pain
0.00%
0/60 • 12 weeks
3.5%
2/57 • Number of events 2 • 12 weeks
General disorders
Withdrawal sx: Muscle cramps
1.7%
1/60 • Number of events 1 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
General disorders
Withdrawal sx: Bone/muscle pain
3.3%
2/60 • Number of events 2 • 12 weeks
3.5%
2/57 • Number of events 2 • 12 weeks
General disorders
Withdrawal sx: Stomach cramps
3.3%
2/60 • Number of events 3 • 12 weeks
15.8%
9/57 • Number of events 9 • 12 weeks
Gastrointestinal disorders
Withdrawal sx: Nausea
3.3%
2/60 • Number of events 2 • 12 weeks
10.5%
6/57 • Number of events 6 • 12 weeks
Gastrointestinal disorders
Withdrawal sx: Vomiting
3.3%
2/60 • Number of events 2 • 12 weeks
7.0%
4/57 • Number of events 4 • 12 weeks
Gastrointestinal disorders
Withdrawal sx: Diarrhea
3.3%
2/60 • Number of events 3 • 12 weeks
15.8%
9/57 • Number of events 9 • 12 weeks
General disorders
Withdrawal sx: Abdominal pain
0.00%
0/60 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
General disorders
Withdrawal sx: Loss of appetite
0.00%
0/60 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
Gastrointestinal disorders
Withdrawal sx: Constipation
0.00%
0/60 • 12 weeks
0.00%
0/57 • 12 weeks
General disorders
Withdrawal sx: Runny nose/sneezing and/or watery eyes
1.7%
1/60 • Number of events 1 • 12 weeks
5.3%
3/57 • Number of events 3 • 12 weeks
General disorders
Withdrawal sx: Chills
1.7%
1/60 • Number of events 1 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
General disorders
Withdrawal sx: Hot/cold sweats
0.00%
0/60 • 12 weeks
8.8%
5/57 • Number of events 6 • 12 weeks
General disorders
Withdrawal sx: Excessive sweating
3.3%
2/60 • Number of events 2 • 12 weeks
5.3%
3/57 • Number of events 3 • 12 weeks
General disorders
Withdrawal sx: Fatigue
0.00%
0/60 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
General disorders
Withdrawal sx: Sedation
0.00%
0/60 • 12 weeks
3.5%
2/57 • Number of events 2 • 12 weeks
General disorders
Withdrawal sx: Nodding off
0.00%
0/60 • 12 weeks
0.00%
0/57 • 12 weeks
General disorders
Withdrawal sx: Insomnia
3.3%
2/60 • Number of events 2 • 12 weeks
5.3%
3/57 • Number of events 3 • 12 weeks
General disorders
Withdrawal sx: Restlessness
1.7%
1/60 • Number of events 1 • 12 weeks
5.3%
3/57 • Number of events 3 • 12 weeks
General disorders
Withdrawal sx: Yawning
1.7%
1/60 • Number of events 1 • 12 weeks
3.5%
2/57 • Number of events 2 • 12 weeks
General disorders
Withdrawal sx: Stretching
1.7%
1/60 • Number of events 1 • 12 weeks
0.00%
0/57 • 12 weeks
General disorders
Withdrawal sx: Muscle twiches/jerks
0.00%
0/60 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
General disorders
Withdrawal sx: Shakes/tremors
3.3%
2/60 • Number of events 2 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
General disorders
Withdrawal sx: Tingling extremities
1.7%
1/60 • Number of events 1 • 12 weeks
0.00%
0/57 • 12 weeks
General disorders
Withdrawal sx: Headache
1.7%
1/60 • Number of events 1 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
General disorders
Withdrawal sx: Lightheaded
0.00%
0/60 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
General disorders
Withdrawal sx: Short of breath
0.00%
0/60 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
General disorders
Withdrawal sx: Dizziness
1.7%
1/60 • Number of events 1 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
General disorders
Withdrawal sx: Clammy feet/hands
0.00%
0/60 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
General disorders
Withdrawal sx: Gooseflesh
0.00%
0/60 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
General disorders
Withdrawal sx: Depression
1.7%
1/60 • Number of events 1 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks
General disorders
Withdrawal sx: Anxiety
1.7%
1/60 • Number of events 1 • 12 weeks
3.5%
2/57 • Number of events 2 • 12 weeks
General disorders
Withdrawal sx: Irritability
1.7%
1/60 • Number of events 1 • 12 weeks
1.8%
1/57 • Number of events 1 • 12 weeks

Additional Information

Dr. Alison H. Oliveto, PhD

University of Arkansas for Medical Sciences

Phone: 501-526-8441

Results disclosure agreements

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