Evaluating the Pharmacokinetics and Patient Outcomes of Buprenorphine Microdosing

NCT ID: NCT05307458

Last Updated: 2023-05-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

20 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-07-01

Study Completion Date

2024-12-31

Brief Summary

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There are more than 2.1 million people in the United States with opioid use disorder, and according to preliminary data from the US Centers for Disease Control and Prevention opioid overdose deaths rose 36% to more than 69,000 deaths in 2020. Treatment with buprenorphine or methadone reduces overdose deaths in patients with opioid use disorder. However, most patients with opioid use disorder do not receive treatment. In addition to the rising rates of morbidity and mortality, the healthcare, social, and societal costs of the opioid epidemic are roughly one trillion dollars annually. Rapidly scalable strategies are needed to increase access to treatment and improve treatment retention.

The investigators propose a novel buprenorphine micro-dosing study to evaluate the pharmacokinetics, treatment retention, and qualitative outcomes in participants transitioning from methadone maintenance therapy to buprenorphine using a micro-dosing initiation in the outpatient setting. The proposed study will report participant pharmacokinetics, treatment retention, Clinical Opiate Withdrawal Scale (COWS) score, Treatment Satisfaction Questionnaire for Medication (TSQM) score, and other qualitative outcomes.

Detailed Description

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Conditions

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Opioid Use Disorder Opioid Withdrawal

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Buprenorphine Microdosing

Participants transitioning to buprenorphine from methadone using a microdosing protocol.

Buprenorphine/naloxone

Intervention Type DRUG

Participants will receive gradually increasing doses of buprenorphine while tapering down on their methadone dose.

Interventions

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Buprenorphine/naloxone

Participants will receive gradually increasing doses of buprenorphine while tapering down on their methadone dose.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participants will include adults (at least 18 years of age) who have been enrolled and receiving consistent treatment in the methadone program for at least 6 months.

Exclusion Criteria

* Participants will be excluded if they are on a methadone dose \> 80 mg, have concurrent alcohol use or benzodiazepine use disorder, require opioids for a pain-related diagnosis, are a current suicide or homicide risk, have a current psychotic disorder (DSM-V) or untreated major depression, have a life-threatening or unstable medical problem, or are pregnant.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Binghamton University

OTHER

Sponsor Role collaborator

United Health Services Hospitals, Inc.

OTHER

Sponsor Role lead

Responsible Party

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William Eggleston

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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UHS Addiction Medicine

Binghamton, New York, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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William Eggleston, PharmD

Role: CONTACT

607-777-5848

Terri K Peters, RN MSN CCRP

Role: CONTACT

6077635697

Facility Contacts

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Terri K Peters, RN MSN CCRP

Role: primary

607-763-5697

Kathy A Hughes, RN MS

Role: backup

607-763-5368

Other Identifiers

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11453

Identifier Type: -

Identifier Source: org_study_id

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