Low-Dose Naltrexone For ME/CFS: Dose-Finding

NCT ID: NCT07285473

Last Updated: 2025-12-30

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

NOT_YET_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-04-01

Study Completion Date

2028-04-01

Brief Summary

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This exploratory clinical trial tests low-dose naltrexone (LDN) for the treatment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS). A remote trial approach is used, with eligibility open to the entire U.S.

Detailed Description

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This study uses a remote design where individuals can participate from anywhere in the United States. Study medications will be received by mail. All participants must meet ME-ICC criteria. This study will be tested on participants recruited nationwide, with a total of 75 participants enrolled for the entire study. Participation will last 10 months.

The first stage of the study is the baseline phase. During this time, participants will complete weekly outcome measurements but will not take any medications. The baseline stage will last for 30 days. This period is used to calculate a stable baseline for determining treatment effects. After the 30-day baseline, the treatment stage will begin.

After the baseline period, participants will receive LDN capsules at one of four doses: 1.5mg/day, 3.0mg/day, 4.5mg/day, and 6.0mg/day in a blinded fashion. Capsules are sent by FedEx every two months and are taken daily without breaks. Participants and research assistants dealing with participants are blinded to the dose schedule. Data on adherence to the treatment protocol is monitored weekly using REDCap surveys. This treatment stage is the longest, lasting 8 months, with participants continuing to complete weekly outcome measures.

After eight months of study capsules, participants will enter a one-month endline phase where no medications are taken. Outcomes will still be completed once per week.

Conditions

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Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

Keywords

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Myalgic Encephalomyelitis/Chronic Fatigue Syndrome ME/CFS

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

This study is single-blind, participants will not know when they received 1.5mg/day, 3.0mg/day, 4.5mg/day, or 6.0mg/day low-dose naltrexone.

Study Groups

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Participants Receiving Low-Dose Naltrexone

Participants Receiving Low-Dose Naltrexone

Group Type EXPERIMENTAL

Low-Dose Naltrexone, 1.5mg

Intervention Type DRUG

Low-Dose Naltrexone (LDN) is not a commercially available drug and will be compounded for this study. LDN will be taken orally, up to once per day.

Low-Dose Naltrexone, 3.0mg

Intervention Type DRUG

Low-Dose Naltrexone (LDN) is not a commercially available drug and will be compounded for this study. LDN will be taken orally, up to once per day.

Low-Dose Naltrexone, 4.5mg

Intervention Type DRUG

Low-Dose Naltrexone (LDN) is not a commercially available drug and will be compounded for this study. LDN will be taken orally, up to once per day.

Low-Dose Naltrexone, 6.0mg

Intervention Type DRUG

Low-Dose Naltrexone (LDN) is not a commercially available drug and will be compounded for this study. LDN will be taken orally, up to once per day.

Interventions

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Low-Dose Naltrexone, 1.5mg

Low-Dose Naltrexone (LDN) is not a commercially available drug and will be compounded for this study. LDN will be taken orally, up to once per day.

Intervention Type DRUG

Low-Dose Naltrexone, 3.0mg

Low-Dose Naltrexone (LDN) is not a commercially available drug and will be compounded for this study. LDN will be taken orally, up to once per day.

Intervention Type DRUG

Low-Dose Naltrexone, 4.5mg

Low-Dose Naltrexone (LDN) is not a commercially available drug and will be compounded for this study. LDN will be taken orally, up to once per day.

Intervention Type DRUG

Low-Dose Naltrexone, 6.0mg

Low-Dose Naltrexone (LDN) is not a commercially available drug and will be compounded for this study. LDN will be taken orally, up to once per day.

Intervention Type DRUG

Other Intervention Names

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Naltrexone Naltrexone Naltrexone Naltrexone

Eligibility Criteria

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Inclusion Criteria

* Between ages of 18 and 65
* Living in the United States
* Meets ME-ICC criteria

Exclusion Criteria

* Abnormal hepatic function
* Abnormal renal function
* Abnormal complete blood count
* Evidence of active or chronic systemic infection
* A1C \> 9.0%
* Current opioid analgesic use
* Pregnant or plans to become pregnant during the study participation period
* Auto-immune disorder
* Enrolled in other experimental treatment study
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Alabama at Birmingham

OTHER

Sponsor Role lead

Responsible Party

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Jarred Younger

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jarred Younger, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Alabama at Birmingham

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Countries

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United States

Central Contacts

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Jarred Younger, PhD

Role: CONTACT

Phone: 205-975-5821

Email: [email protected]

Facility Contacts

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Catherine Burley

Role: primary

Other Identifiers

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1UG3NS141843

Identifier Type: OTHER

Identifier Source: secondary_id

IRB-300015917

Identifier Type: -

Identifier Source: org_study_id