Trial Outcomes & Findings for Remote Observed Dosing of Suboxone to Improve Clinical Practice (NCT NCT03769025)

NCT ID: NCT03769025

Last Updated: 2023-07-27

Results Overview

compare the mean urinary buprenorphine level obtained over 12 weeks between the two groups

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

16 participants

Primary outcome timeframe

12 weeks

Results posted on

2023-07-27

Participant Flow

Participant milestones

Participant milestones
Measure
Remote Observed Dosing
One group will be assigned to Remote Observed Dosing (ROD) and will have all of their Suboxone® doses remotely observed. The intervention is remote observed dosing Suboxone Remote Observed Dosing: The remote observed dosing group will use the provided smartphone to video record themselves taking their Suboxone dose each day
Attention Control
The attention control (AC) group will not have their dosing observed but will send a text message confirming they have taken their study medication to the study team daily matching contact with the study team. Text message confirming that they have taken their study medication is the intervention Suboxone Attention Control: Attention control group will send a text message daily confirming that they have taken their Suboxone dose
Overall Study
STARTED
8
8
Overall Study
COMPLETED
3
4
Overall Study
NOT COMPLETED
5
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Remote Observed Dosing
One group will be assigned to Remote Observed Dosing (ROD) and will have all of their Suboxone® doses remotely observed. The intervention is remote observed dosing Suboxone Remote Observed Dosing: The remote observed dosing group will use the provided smartphone to video record themselves taking their Suboxone dose each day
Attention Control
The attention control (AC) group will not have their dosing observed but will send a text message confirming they have taken their study medication to the study team daily matching contact with the study team. Text message confirming that they have taken their study medication is the intervention Suboxone Attention Control: Attention control group will send a text message daily confirming that they have taken their Suboxone dose
Overall Study
Withdrawal by Subject
1
1
Overall Study
Lost to Follow-up
4
3

Baseline Characteristics

Remote Observed Dosing of Suboxone to Improve Clinical Practice

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Remote Observed Dosing
n=8 Participants
One group will be assigned to Remote Observed Dosing (ROD) and will have all of their Suboxone® doses remotely observed. The intervention is remote observed dosing Suboxone Remote Observed Dosing: The remote observed dosing group will use the provided smartphone to video record themselves taking their Suboxone dose each day
Attention Control
n=8 Participants
The attention control (AC) group will not have their dosing observed but will send a text message confirming they have taken their study medication to the study team daily matching contact with the study team. Text message confirming that they have taken their study medication is the intervention Suboxone Attention Control: Attention control group will send a text message daily confirming that they have taken their Suboxone dose
Total
n=16 Participants
Total of all reporting groups
Age, Continuous
34 years
STANDARD_DEVIATION 5.1 • n=5 Participants
34 years
STANDARD_DEVIATION 8.4 • n=7 Participants
34 years
STANDARD_DEVIATION 6.8 • n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
6 Participants
n=7 Participants
12 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
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 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
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
White
5 Participants
n=5 Participants
7 Participants
n=7 Participants
12 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 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
8 participants
n=5 Participants
8 participants
n=7 Participants
16 participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 weeks

compare the mean urinary buprenorphine level obtained over 12 weeks between the two groups

Outcome measures

Outcome measures
Measure
Remote Observed Dosing
n=8 Participants
One group will be assigned to Remote Observed Dosing (ROD) and will have all of their Suboxone® doses remotely observed. The intervention is remote observed dosing Suboxone Remote Observed Dosing: The remote observed dosing group will use the provided smartphone to video record themselves taking their Suboxone dose each day
Attention Control
n=8 Participants
The attention control (AC) group will not have their dosing observed but will send a text message confirming they have taken their study medication to the study team daily matching contact with the study team. Text message confirming that they have taken their study medication is the intervention Suboxone Attention Control: Attention control group will send a text message daily confirming that they have taken their Suboxone dose
Mean Urinary Buprenorphine Levels
861 ng/ml
Standard Deviation 1656
287 ng/ml
Standard Deviation 253

SECONDARY outcome

Timeframe: 12 weeks

Percent of urine drug screens positive for opiates

Outcome measures

Outcome measures
Measure
Remote Observed Dosing
n=8 Participants
One group will be assigned to Remote Observed Dosing (ROD) and will have all of their Suboxone® doses remotely observed. The intervention is remote observed dosing Suboxone Remote Observed Dosing: The remote observed dosing group will use the provided smartphone to video record themselves taking their Suboxone dose each day
Attention Control
n=8 Participants
The attention control (AC) group will not have their dosing observed but will send a text message confirming they have taken their study medication to the study team daily matching contact with the study team. Text message confirming that they have taken their study medication is the intervention Suboxone Attention Control: Attention control group will send a text message daily confirming that they have taken their Suboxone dose
Percent of Urine Positive Drug Screens
.3 percent of urine positive drug screens
Standard Deviation .36
.29 percent of urine positive drug screens
Standard Deviation .49

Adverse Events

Remote Observed Dosing

Serious events: 1 serious events
Other events: 5 other events
Deaths: 0 deaths

Attention Control

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

Serious adverse events

Serious adverse events
Measure
Remote Observed Dosing
n=8 participants at risk
One group will be assigned to Remote Observed Dosing (ROD) and will have all of their Suboxone® doses remotely observed. The intervention is remote observed dosing Suboxone Remote Observed Dosing: The remote observed dosing group will use the provided smartphone to video record themselves taking their Suboxone dose each day
Attention Control
n=8 participants at risk
The attention control (AC) group will not have their dosing observed but will send a text message confirming they have taken their study medication to the study team daily matching contact with the study team. Text message confirming that they have taken their study medication is the intervention Suboxone Attention Control: Attention control group will send a text message daily confirming that they have taken their Suboxone dose
Endocrine disorders
Diabetic ketoacidosis
12.5%
1/8 • Number of events 1 • 12 week
0.00%
0/8 • 12 week
Renal and urinary disorders
nephrolithiasis
12.5%
1/8 • Number of events 1 • 12 week
0.00%
0/8 • 12 week

Other adverse events

Other adverse events
Measure
Remote Observed Dosing
n=8 participants at risk
One group will be assigned to Remote Observed Dosing (ROD) and will have all of their Suboxone® doses remotely observed. The intervention is remote observed dosing Suboxone Remote Observed Dosing: The remote observed dosing group will use the provided smartphone to video record themselves taking their Suboxone dose each day
Attention Control
n=8 participants at risk
The attention control (AC) group will not have their dosing observed but will send a text message confirming they have taken their study medication to the study team daily matching contact with the study team. Text message confirming that they have taken their study medication is the intervention Suboxone Attention Control: Attention control group will send a text message daily confirming that they have taken their Suboxone dose
Gastrointestinal disorders
nausea
37.5%
3/8 • Number of events 3 • 12 week
25.0%
2/8 • Number of events 2 • 12 week
Skin and subcutaneous tissue disorders
flushing
12.5%
1/8 • Number of events 1 • 12 week
12.5%
1/8 • Number of events 1 • 12 week
Musculoskeletal and connective tissue disorders
arthralgias
50.0%
4/8 • Number of events 4 • 12 week
25.0%
2/8 • Number of events 2 • 12 week
General disorders
fatigue
12.5%
1/8 • Number of events 1 • 12 week
25.0%
2/8 • Number of events 2 • 12 week
Infections and infestations
upper respiratory infection
0.00%
0/8 • 12 week
25.0%
2/8 • Number of events 2 • 12 week
Skin and subcutaneous tissue disorders
Hyperhidrosis
0.00%
0/8 • 12 week
25.0%
2/8 • Number of events 2 • 12 week
Skin and subcutaneous tissue disorders
edema
25.0%
2/8 • Number of events 2 • 12 week
0.00%
0/8 • 12 week
General disorders
drug withdrawal
25.0%
2/8 • Number of events 2 • 12 week
0.00%
0/8 • 12 week
Skin and subcutaneous tissue disorders
skin infection
25.0%
2/8 • Number of events 2 • 12 week
12.5%
1/8 • Number of events 1 • 12 week

Additional Information

Kyle M Kampman MD Principal Investigator

Perelman School of Medicine

Phone: 215 746 2764

Results disclosure agreements

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