Assessing Dose Taken in Opioid Use Disordered Patients With an Electrochemical Sensor

NCT ID: NCT05998876

Last Updated: 2023-08-21

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

45 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-02-29

Study Completion Date

2024-06-30

Brief Summary

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CARI Health aims to develop a methadone dose taken sensor that provides real-time data on interstitial fluid (ISF) levels that could be used as a methadone adherence monitor for daily doses. Use of such a monitor would allow for the physician, counselor, patient, and family member to remotely verify that a physician prescribed dose has been taken. Such a verification system can allow methadone clinics greater flexibility in the provision of take-home doses and thus retain more patients in the clinic.

Detailed Description

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Three specific phases and 9 aims are proposed for first-in-human studies of a remote medication monitor for dose taken in patients taking methadone for opiate use disorder.

Phase 1 detection over 3-6 hours (N=10)

Aim 1: Detect methadone and one or more of its metabolites in interstitial fluid (ISF) with differential pulse voltammetry (DPV) Aim 2: Correlate in vitro blood-based LC-MS and DPV Scans with Intradermal Microneedle based DPV Scans Aim 3: Accurately identify that a dose of methadone has been taken Aim 4: Determine the frequency and severity of any adverse events up to 6 hours.

Phase 2 detection over 12 hours (N=15)

Aim 5. Quantitate methadone and one or more of its metabolites in ISF with DPV over 12 hrs.

Aim 6: Determine the frequency and severity of any adverse events up to 12 hours

Phase 3 detection over 3 days N=20 ( 15 single dosed subjects, 5 split dosed subjects )

Aim 7. Quantitate methadone and one or more of its metabolites in ISF with DPV over 3 days.

Aim 8. Accurately identify a dose or half a dose has been taken Aim 9: Determine the frequency and severity of any adverse events up to 3 days

Conditions

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Adherence, Medication Opioid Use Disorder

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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3-6 HRS

Microneedle electrode array placed into dermis for up to 6 hours. DPV Scans performed at a frequency of 1-20 per hour.

Remote Medication Monitor (RMM) - Prototype

Intervention Type DEVICE

Inserted Microneedle Electrode Array for assaying dermal interstitial fluid.

Daily Methadone Dose

Intervention Type DRUG

patient takes their prescribed daily dose of methadone

12 HRS

Microneedle electrode array placed into dermis for up to 12 hrs. DPV Scans performed at a frequency of 1-20 per hour.

Remote Medication Monitor (RMM) - Prototype

Intervention Type DEVICE

Inserted Microneedle Electrode Array for assaying dermal interstitial fluid.

Daily Methadone Dose

Intervention Type DRUG

patient takes their prescribed daily dose of methadone

3 Days

Microneedle electrode array placed into dermis for up to 3 days. DPV Scans performed at a frequency of 1-20 per hour.

Remote Medication Monitor (RMM) - Prototype

Intervention Type DEVICE

Inserted Microneedle Electrode Array for assaying dermal interstitial fluid.

Daily Methadone Dose

Intervention Type DRUG

patient takes their prescribed daily dose of methadone

Interventions

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Remote Medication Monitor (RMM) - Prototype

Inserted Microneedle Electrode Array for assaying dermal interstitial fluid.

Intervention Type DEVICE

Daily Methadone Dose

patient takes their prescribed daily dose of methadone

Intervention Type DRUG

Other Intervention Names

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RMM Dose Taken

Eligibility Criteria

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Inclusion Criteria

Age 18-70. A prescription for liquid methadone at a dose of 10mg or more. Taken methadone as prescribed in the last 2 days. Has been prescribed at least 3 take homes

Exclusion Criteria

Age \<18 or \>70. A condition preventing or complicating ISF collection. Conditions may include dermatological (skin) condition, immunodeficiency, bleeding diathesis, recent blood donation, anemia, cancer, congestive heart failure, or tuberculosis. Any active severe depression (e.g., suicidal ideation) or mania symptoms.

Pregnancy, or intending to become pregnant during the course of the study. Patients determined to be unstable for enrollment or take homes by the Outpatient Treatment Program (OTP).

Under a conservatorship.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Cari Health Inc.

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mohammad Bari, MD

Role: PRINCIPAL_INVESTIGATOR

Synergy Research Inc.

Central Contacts

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Foster P Carr, MD

Role: CONTACT

6192343725

Patrik Schmidle

Role: CONTACT

Related Links

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http://www.carihealth.com

Cari Health Website

Other Identifiers

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IRB005

Identifier Type: -

Identifier Source: org_study_id

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