Trial Outcomes & Findings for Oxytocin Treatment of Opioid Dependence (NCT NCT02548728)
NCT ID: NCT02548728
Last Updated: 2019-08-07
Results Overview
The Clinical Opiate Withdrawal Scale (COWS) is an 11-item, observer-rated tool for quantifying withdrawal symptoms. Each section is rated from 0 (no symptom) to 4 or 5 (most severe symptom). Total score is classified into a 4 point rating scale (mild 5-12, moderate 13-24, moderately severe 25-36 and severe more than 36 points). Lower scores are more favorable.
COMPLETED
PHASE1/PHASE2
12 participants
From days 1-5, the measure includes scores starting at time 0 through the maximal final time of up to 120 hours.
2019-08-07
Participant Flow
Participant milestones
| Measure |
Oxytocin
Self administration three times on the first day, then twice daily treatment with intranasal oxytocin spray for 4 days.
Intranasal Oxytocin Spray: 10 insufflations (40IU of oxytocin total) given three times on day of enrollment and then twice daily for 4 days
|
Placebo
Self administration three times on the first day, then twice daily treatment with intranasal spray that does not contain oxytocin for 4 days.
Placebo: 10 insufflations (40IU of placebo, same solution as active treatment minus oxytocin) given three times on day of enrollment and then twice daily for 4 day
|
|---|---|---|
|
Overall Study
STARTED
|
6
|
6
|
|
Overall Study
COMPLETED
|
6
|
6
|
|
Overall Study
NOT COMPLETED
|
0
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Oxytocin Treatment of Opioid Dependence
Baseline characteristics by cohort
| Measure |
Oxytocin
n=6 Participants
Self administration three times on the first day, then twice daily treatment with intranasal oxytocin spray for 4 days.
Intranasal Oxytocin Spray: 10 insufflations (40IU of oxytocin total) given three times on day of enrollment and then twice daily for 4 days
|
Placebo
n=6 Participants
Self administration three times on the first day, then twice daily treatment with intranasal spray that does not contain oxytocin for 4 days.
Placebo: 10 insufflations (40IU of placebo, same solution as active treatment minus oxytocin) given three times on day of enrollment and then twice daily for 4 day
|
Total
n=12 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
6 Participants
n=5 Participants
|
6 Participants
n=7 Participants
|
12 Participants
n=5 Participants
|
|
Age, Categorical
>=65 years
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Sex: Female, Male
Female
|
1 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
2 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
5 Participants
n=5 Participants
|
5 Participants
n=7 Participants
|
10 Participants
n=5 Participants
|
|
Region of Enrollment
United States
|
6 Participants
n=5 Participants
|
6 Participants
n=7 Participants
|
12 Participants
n=5 Participants
|
PRIMARY outcome
Timeframe: From days 1-5, the measure includes scores starting at time 0 through the maximal final time of up to 120 hours.The Clinical Opiate Withdrawal Scale (COWS) is an 11-item, observer-rated tool for quantifying withdrawal symptoms. Each section is rated from 0 (no symptom) to 4 or 5 (most severe symptom). Total score is classified into a 4 point rating scale (mild 5-12, moderate 13-24, moderately severe 25-36 and severe more than 36 points). Lower scores are more favorable.
Outcome measures
| Measure |
Oxytocin
n=6 Participants
Self administration three times on the first day, then twice daily treatment with intranasal oxytocin spray for 4 days.
Intranasal Oxytocin Spray: 10 insufflations (40IU of oxytocin total) given three times on day of enrollment and then twice daily for 4 days
|
Placebo
n=6 Participants
Self administration three times on the first day, then twice daily treatment with intranasal spray that does not contain oxytocin for 4 days.
Placebo: 10 insufflations (40IU of placebo, same solution as active treatment minus oxytocin) given three times on day of enrollment and then twice daily for 4 day
|
|---|---|---|
|
Area Under the Curve (AUC) in COWS Total Score on Days 1 to 5 Inclusive
|
4.2 Average COWS score * hours
Standard Error 1.5
|
3.4 Average COWS score * hours
Standard Error 1.5
|
SECONDARY outcome
Timeframe: 5 daysPopulation: SOWS data not collected due to subject noncompliance in adhering to form completion.
Least squares mean AUC day 1 pre-dose through Day 5 in SOWS; SOWS scores range from 0-64, with a lower score being more favorable
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: Days 1-5, the AUC includes data starting from time 0 hours up to 120 hours post-dose.Craving levels were measured using the VAS score on Days 1 to 5; the VAS scores range from 0 ("no cravings") to 100 ("most intense craving I have ever had"). Note that the value of AUC is a product of time multiplied by VAS scale score thus the numeric values are higher than the highest value on the scale.
Outcome measures
| Measure |
Oxytocin
n=6 Participants
Self administration three times on the first day, then twice daily treatment with intranasal oxytocin spray for 4 days.
Intranasal Oxytocin Spray: 10 insufflations (40IU of oxytocin total) given three times on day of enrollment and then twice daily for 4 days
|
Placebo
n=6 Participants
Self administration three times on the first day, then twice daily treatment with intranasal spray that does not contain oxytocin for 4 days.
Placebo: 10 insufflations (40IU of placebo, same solution as active treatment minus oxytocin) given three times on day of enrollment and then twice daily for 4 day
|
|---|---|---|
|
AUC in Visual Analog Scale (VAS) Score for Craving on Days 1 to 5 Inclusive
|
1498 Average VAS score * hours
Standard Deviation 839
|
2037 Average VAS score * hours
Standard Deviation 2253
|
SECONDARY outcome
Timeframe: Daily up to 5 daysPopulation: STAI data not collected due to subject noncompliance in adhering to form completion.
The Spielberger State and Trait Anxiety Inventory (STAI) is a validated self-reporting instrument used to assess anxiety in adults. The inventory consists of state anxiety, which evaluates how the subject feels currently (transient anxiety). The State scale consists of 20 questions, each question rated 1-4, and a higher score indicates greater anxiety. Total score ranges from 20 (no anxiety) to 80 (maximum anxiety).
Outcome measures
Outcome data not reported
Adverse Events
Oxytocin
Placebo
Serious adverse events
| Measure |
Oxytocin
n=6 participants at risk
Self administration three times on the first day, then twice daily treatment with intranasal oxytocin spray for 4 days.
Intranasal Oxytocin Spray: 10 insufflations (40IU of oxytocin total) given three times on day of enrollment and then twice daily for 4 days
|
Placebo
n=6 participants at risk
Self administration three times on the first day, then twice daily treatment with intranasal spray that does not contain oxytocin for 4 days.
Placebo: 10 insufflations (40IU of placebo, same solution as active treatment minus oxytocin) given three times on day of enrollment and then twice daily for 4 day
|
|---|---|---|
|
Psychiatric disorders
Psychosis
|
16.7%
1/6
|
0.00%
0/6
|
Other adverse events
| Measure |
Oxytocin
n=6 participants at risk
Self administration three times on the first day, then twice daily treatment with intranasal oxytocin spray for 4 days.
Intranasal Oxytocin Spray: 10 insufflations (40IU of oxytocin total) given three times on day of enrollment and then twice daily for 4 days
|
Placebo
n=6 participants at risk
Self administration three times on the first day, then twice daily treatment with intranasal spray that does not contain oxytocin for 4 days.
Placebo: 10 insufflations (40IU of placebo, same solution as active treatment minus oxytocin) given three times on day of enrollment and then twice daily for 4 day
|
|---|---|---|
|
Psychiatric disorders
Insomnia
|
16.7%
1/6 • Number of events 1
|
16.7%
1/6 • Number of events 1
|
|
Musculoskeletal and connective tissue disorders
Aching
|
33.3%
2/6 • Number of events 2
|
33.3%
2/6 • Number of events 2
|
|
Nervous system disorders
Chills
|
16.7%
1/6 • Number of events 1
|
16.7%
1/6 • Number of events 1
|
|
Gastrointestinal disorders
Abdominal cramps
|
33.3%
2/6 • Number of events 2
|
33.3%
2/6 • Number of events 2
|
|
Psychiatric disorders
Restlessnes
|
16.7%
1/6 • Number of events 1
|
0.00%
0/6
|
|
Psychiatric disorders
Anxiety
|
50.0%
3/6 • Number of events 3
|
66.7%
4/6 • Number of events 4
|
|
General disorders
Sweats
|
16.7%
1/6 • Number of events 1
|
0.00%
0/6
|
|
Nervous system disorders
Tremor
|
0.00%
0/6
|
16.7%
1/6 • Number of events 1
|
|
Gastrointestinal disorders
Diarrhea
|
16.7%
1/6 • Number of events 1
|
0.00%
0/6
|
|
Gastrointestinal disorders
Nausea
|
16.7%
1/6 • Number of events 1
|
16.7%
1/6 • Number of events 1
|
|
Gastrointestinal disorders
Constipation
|
0.00%
0/6
|
16.7%
1/6 • Number of events 1
|
|
Nervous system disorders
Restless legs
|
16.7%
1/6 • Number of events 1
|
0.00%
0/6
|
Additional Information
Cort Pedersen, MD
University of North Carolina at Chapel Hill
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place