Page last updated: 2024-10-14

buprenorphine, naloxone drug combination

Description

Buprenorphine, Naloxone Drug Combination: A pharmaceutical preparation that combines buprenorphine, an OPIOID ANALGESICS with naloxone, a NARCOTIC ANTAGONISTS to reduce the potential for NARCOTIC DEPENDENCE in the treatment of pain. It may also be used for OPIOID SUBSTITUTION THERAPY. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

Cross-References

ID SourceID
PubMed CID11274356
MeSH IDM0498625

Synonyms (12)

Synonym
buprenorphine-naloxone combination
buprenorphine hydrochloride and naloxone hydrochloride
naloxone-buprenorphine
bunavail
buprenorphine-naloxone
buprenorphine / naloxone
zubsolv
buprenorphine and naloxone
buprenorphine, naloxone drug combination
352020-56-5
DTXSID50188706
(4r,4as,7ar,12bs)-4a,9-dihydroxy-3-prop-2-enyl-2,4,5,6,7a,13-hexahydro-1h-4,12-methanobenzofuro[3,2-e]isoquinolin-7-one;(1s,2s,6r,14r,15r,16r)-5-(cyclopropylmethyl)-16-[(2s)-2-hydroxy-3,3-dimethylbutan-2-yl]-15-methoxy-13-oxa-5-azahexacyclo[13.2.2.12,8.01

Toxicity

ExcerptReference
" Two participants experienced grade 3 clinical adverse events, which were categorized as probably not related to the study drug."( Short-term safety of buprenorphine/naloxone in HIV-seronegative opioid-dependent Chinese and Thai drug injectors enrolled in HIV Prevention Trials Network 058.
Aramrattana, A; Beauchamp, G; Celentano, DD; Fu, L; Jackson, JB; Liu, W; Lucas, GM; Metzger, D; Richardson, P; Shao, Y, 2012
)
"In Chinese and Thai opioid-dependent injectors, we found BUP/NX to be effective in reducing opioid withdrawal symptoms and safe during short-term use."( Short-term safety of buprenorphine/naloxone in HIV-seronegative opioid-dependent Chinese and Thai drug injectors enrolled in HIV Prevention Trials Network 058.
Aramrattana, A; Beauchamp, G; Celentano, DD; Fu, L; Jackson, JB; Liu, W; Lucas, GM; Metzger, D; Richardson, P; Shao, Y, 2012
)
"8%) reported 557 treatment-emergent adverse events, most commonly headache (3."( Safety of a Rapidly Dissolving Buprenorphine/Naloxone Sublingual Tablet (BNX-RDT) for Treatment of Opioid Dependence: A Multicenter, Open-label Extension Study.
Hoffman, K; Peyton, ML; Sumner, M,
)
" In Norway, there has been vocal patient resistance to the newest medication, buprenorphine-naloxone (BNX), and complaints have focused on the side effect profile."( Dissatisfaction with opioid maintenance treatment partly explains reported side effects of medications.
Bjørnestad, R; Clausen, T; Muller, AE, 2018
)
" Among each medication group, dissatisfaction with medications or OMT in general along with poor health status increased the relative risk ratio of reporting the heaviest side effect burden."( Dissatisfaction with opioid maintenance treatment partly explains reported side effects of medications.
Bjørnestad, R; Clausen, T; Muller, AE, 2018
)
"Data on retention, use of heroin and other illicit substances, opioid craving, treatment satisfaction, addiction-related problems and adverse events were reported every fourth week."( Effectiveness, safety and feasibility of extended-release naltrexone for opioid dependence: a 9-month follow-up to a 3-month randomized trial.
Benth, JŠ; Krajci, P; Kunoe, N; Latif, ZE; Opheim, A; Sharma-Haase, K; Solli, KK; Tanum, L, 2018
)
"Opioid-dependent individuals who elect to switch from buprenorphine-naltrexone treatment after 3 months to extended-release naltrexone treatment for 9 months appear to experience similar treatment completion and abstinence rates and similar adverse event profiles to individuals who had been on extended-release naltrexone from the start of treatment."( Effectiveness, safety and feasibility of extended-release naltrexone for opioid dependence: a 9-month follow-up to a 3-month randomized trial.
Benth, JŠ; Krajci, P; Kunoe, N; Latif, ZE; Opheim, A; Sharma-Haase, K; Solli, KK; Tanum, L, 2018
)
" However, adverse effects of BNX can be a cause of inconsistent use or discontinuation."( Prescribing the Buprenorphine Monoproduct for Adverse Effects of Buprenorphine-Naloxone.
Grande, LA,
)
" Although a comprehensive evaluation of TiOAT is of critical importance (including an assessment of the program's adverse events), completion of the evaluation should not preclude scale-up of the program in the interim as a strategy to reduce opioid-related harms."( Supervised Tablet Injectable Opioid Agonist Therapy (TiOAT): A Strategy to Address Safer Supply for Individuals With an Opioid Use Disorder?
Fairbairn, N; Johnson, C; Nolan, S; Sutherland, C; Weng, J,
)
" This study assessed (1) the current medication storage practices among a sample of pregnant and parenting people receiving BUP-NAL for OUD; (2) the feasibility and acceptability of providing a lockbox for safe medication storage."( Harm Reduction Approach to Increasing Self-reported Safe Medication Storage Among Pregnant and Parenting People Receiving Opioid Use Disorder Treatment.
Dacha, P; Grist, E; Lutins, E; Martin, CE; Maxwell, M; Thakkar, B,
)
" The primary outcome of current self-reported safe medication storage practice was defined by storing BUP-NAL in a locked/latched place "almost always" or "always" on the baseline survey."( Harm Reduction Approach to Increasing Self-reported Safe Medication Storage Among Pregnant and Parenting People Receiving Opioid Use Disorder Treatment.
Dacha, P; Grist, E; Lutins, E; Martin, CE; Maxwell, M; Thakkar, B,
)
"6%) were practicing safe BUP-NAL medication storage practices."( Harm Reduction Approach to Increasing Self-reported Safe Medication Storage Among Pregnant and Parenting People Receiving Opioid Use Disorder Treatment.
Dacha, P; Grist, E; Lutins, E; Martin, CE; Maxwell, M; Thakkar, B,
)
" We examined associations between highest BUP-NX and methadone doses, and (1) percentage of opioid-positive urine drug screens (UDS); (2) retention in the assigned treatment; and (3) adverse events (AEs)."( Associations of methadone and buprenorphine-naloxone doses with unregulated opioid use, treatment retention, and adverse events in prescription-type opioid use disorders: Exploratory analyses of the OPTIMA study.
Ahamad, K; Bakouni, H; Foll, BL; Jutras-Aswad, D; Lim, R; McAnulty, C; Socias, ME; Tatar, O, 2023
)

Pharmacokinetics

ExcerptReference
" The addition of naloxone does not affect the efficacy of buprenorphine for two reasons: (1) naloxone is poorly absorbed sublingually relative to buprenorphine and (2) the half-life for buprenorphine is much longer than for naloxone (32 vs."( Pharmacokinetics of the combination tablet of buprenorphine and naloxone.
Chiang, CN; Hawks, RL, 2003
)
" Serial blood samples were taken for pharmacokinetic analysis."( Effect of steady-state faldaprevir on the pharmacokinetics of steady-state methadone and buprenorphine-naloxone in subjects receiving stable addiction management therapy.
Adeniji, A; Elgadi, M; Huang, F; Joseph, D; Riesenberg, RR; Schobelock, MJ; Vince, BD; Webster, LR, 2015
)
" Blood samples were collected up to 168 h and pharmacokinetic parameters were calculated using non-compartmental analysis."( Pharmacokinetics of Sublingual Buprenorphine and Naloxone in Subjects with Mild to Severe Hepatic Impairment (Child-Pugh Classes A, B, and C), in Hepatitis C Virus-Seropositive Subjects, and in Healthy Volunteers.
Fudala, PJ; Heidbreder, C; Liu, Y; Nasser, AF, 2015
)
" The authors evaluated the pharmacokinetic interaction of boceprevir with methadone or buprenorphine/naloxone in patients on stable maintenance therapy."( Pharmacokinetic interaction between HCV protease inhibitor boceprevir and methadone or buprenorphine in subjects on stable maintenance therapy.
Bruce, RD; Butterton, JR; Feng, HP; Hulskotte, EG; Lin, WH; O'Mara, E; Wagner, JA; Webster, LR; Xuan, F, 2015
)
"Study 206216 (NCT02666001) was a Phase I, open-label study, assessing the effect of FTR 600 mg (extended-release formulation) twice daily on pharmacokinetics of MET or BUP and norBUP, in non-HIV-infected participants on stable maintenance therapy with MET (40-120 mg; n = 16) or BUP plus naloxone (8-24 mg plus 2-6 mg; n = 16); pharmacodynamic response was assessed using standard opioid rating scales."( Methadone and buprenorphine pharmacokinetics and pharmacodynamics when coadministered with fostemsavir to opioid-dependent, human immunodeficiency virus seronegative participants.
Ackerman, P; Chang, M; Llamoso, C; Lubin, S; Magee, M; Moore, K; Myers, E; Sevinsky, H, 2019
)
" Opioid pharmacodynamic scores were similar with and without MET/BUP with no symptoms of withdrawal/overdose; no new safety signal for FTR when combined with a stable opioid regimen."( Methadone and buprenorphine pharmacokinetics and pharmacodynamics when coadministered with fostemsavir to opioid-dependent, human immunodeficiency virus seronegative participants.
Ackerman, P; Chang, M; Llamoso, C; Lubin, S; Magee, M; Moore, K; Myers, E; Sevinsky, H, 2019
)
" As such, kratom may precipitate pharmacokinetic drug interactions when co-consumed with certain medications."( A Case of Potential Pharmacokinetic Kratom-drug Interactions Resulting in Toxicity and Subsequent Treatment of Kratom Use Disorder With Buprenorphine/Naloxone.
Brogdon, HD; Burns, AG; Cox, EJ; McPhee, MM; Paine, MF,
)

Compound-Compound Interactions

ExcerptReference
" Daclatasvir is a potent pangenotypic inhibitor of the HCV NS5A replication complex recently approved for HCV treatment in Europe and Japan in combination with other antivirals."( Assessment of drug-drug interactions between daclatasvir and methadone or buprenorphine-naloxone.
Bertz, R; Bifano, M; Bruce, RD; DeMicco, M; Garimella, T; Hwang, C; Kandoussi, H; Luo, WL; Wang, R; Wastall, P, 2015
)
" Subjects received methadone (arm 1) or buprenorphine-naloxone (arm 2) once daily (QD) per their existing individual prescriptions alone (days 1 to 9) and then in combination with glecaprevir at 300 mg QD and pibrentasvir at 120 mg QD (days 10 to 16) each morning."( No Clinically Relevant Drug-Drug Interactions between Methadone or Buprenorphine-Naloxone and Antiviral Combination Glecaprevir and Pibrentasvir.
Asatryan, A; Geoffroy, P; Kort, J; Kosloski, MP; Liu, W; Zhao, W, 2017
)
" Opioid pharmacodynamic scores were similar with and without MET/BUP with no symptoms of withdrawal/overdose; no new safety signal for FTR when combined with a stable opioid regimen."( Methadone and buprenorphine pharmacokinetics and pharmacodynamics when coadministered with fostemsavir to opioid-dependent, human immunodeficiency virus seronegative participants.
Ackerman, P; Chang, M; Llamoso, C; Lubin, S; Magee, M; Moore, K; Myers, E; Sevinsky, H, 2019
)
" FTR can be administered with MET or BUP without dose adjustment."( Methadone and buprenorphine pharmacokinetics and pharmacodynamics when coadministered with fostemsavir to opioid-dependent, human immunodeficiency virus seronegative participants.
Ackerman, P; Chang, M; Llamoso, C; Lubin, S; Magee, M; Moore, K; Myers, E; Sevinsky, H, 2019
)

Bioavailability

ExcerptReference
" The addition of naloxone does not affect the efficacy of buprenorphine for two reasons: (1) naloxone is poorly absorbed sublingually relative to buprenorphine and (2) the half-life for buprenorphine is much longer than for naloxone (32 vs."( Pharmacokinetics of the combination tablet of buprenorphine and naloxone.
Chiang, CN; Hawks, RL, 2003
)
" We compared the bioavailability and pharmaceutical properties of BNX-RDT with conventional buprenorphine/naloxone sublingual tablets (BNX)."( Pharmacokinetic and pharmaceutical properties of a novel buprenorphine/naloxone sublingual tablet for opioid substitution therapy versus conventional buprenorphine/naloxone sublingual tablet in healthy volunteers.
Jönsson, M; Mundin, G; Sumner, M, 2018
)
" These include higher bioavailability transmucosal tablets and films and also 6-month implantable and monthly injectable products."( Buprenorphine Pharmacology Review: Update on Transmucosal and Long-acting Formulations.
Coe, MA; Lofwall, MR; Walsh, SL,
)
" Because naloxone has relatively low sublingual bioavailability compared with buprenorphine, adverse effects are generally considered mild and rare."( The Naloxone Component of Buprenorphine/Naloxone: Discouraging Misuse, but at What Cost?
Blazes, C; Gregg, J; Hartley, J; Lawrence, D; Risser, A,
)
"Due to the poor oral bioavailability of buprenorphine, an oral formulation has not been thought possible."( A novel long-acting formulation of oral buprenorphine/naloxone produces prolonged decreases in fentanyl self-administration by rhesus monkeys.
Comer, SD; Foltin, RW; Nagaraj, N; Scranton, RE; Sykes, KA; Zale, S, 2022
)

Dosage Studied

ExcerptReference
"To compare the effectiveness and cost-effectiveness of unobserved versus observed dosing of patients seeking treatment of heroin dependence."( A randomized trial of effectiveness and cost-effectiveness of observed versus unobserved administration of buprenorphine-naloxone for heroin dependence.
Batey, R; Bell, J; Dunlop, A; Mutch, C; Rea, F; Ryan, A; Shanahan, M; Winstock, A, 2007
)
"Participants were allocated randomly to observed or unobserved dosing for 3 months."( A randomized trial of effectiveness and cost-effectiveness of observed versus unobserved administration of buprenorphine-naloxone for heroin dependence.
Batey, R; Bell, J; Dunlop, A; Mutch, C; Rea, F; Ryan, A; Shanahan, M; Winstock, A, 2007
)
"Retention and heroin use was not significantly different between observed and unobserved dosing groups."( A randomized trial of effectiveness and cost-effectiveness of observed versus unobserved administration of buprenorphine-naloxone for heroin dependence.
Batey, R; Bell, J; Dunlop, A; Mutch, C; Rea, F; Ryan, A; Shanahan, M; Winstock, A, 2007
)
"Non-blinded dosing with Suboxone during the 1-month stabilization phase included 3 weeks of flexible dosing as determined appropriate by the study physicians."( Buprenorphine tapering schedule and illicit opioid use.
Annon, J; Bilangi, R; Boverman, J; Domier, C; Doraimani, G; Hasson, A; Hillhouse, M; Hunter, J; Jenkins, J; Ling, W; Saxon, A; Selzer, J; Thomas, C, 2009
)
" Development of opioid withdrawal symptoms was the primary outcome, however the only symptom that was significantly associated with BPN/NLX dosage was the report of "stomach pains" (p = ."( Lack of reduction in buprenorphine injection after introduction of co-formulated buprenorphine/naloxone to the Malaysian market.
Altice, FL; Bruce, RD; Govindasamy, S; Kamarulzaman, A; Sylla, L, 2009
)
"After 3 weeks of flexible dosing, 516 participants were categorized by dose provided in the final dosing week (9."( Participant characteristics and buprenorphine dose.
Canamar, CP; Doraimani, G; Hasson, A; Hillhouse, M; Ling, W; Thomas, C, 2011
)
" These groups also differed in opioid use during the four dosing weeks, with the lowest use in the 8 mg group and highest use in the 24 mg group (p < ."( Participant characteristics and buprenorphine dose.
Canamar, CP; Doraimani, G; Hasson, A; Hillhouse, M; Ling, W; Thomas, C, 2011
)
"The dosing of opioid receptor agonist medications adequately and on an individual basis is crucial in the pharmacotherapy of opioid dependence."( Evaluation of buprenorphine dosage adequacy in opioid receptor agonist substitution therapy for heroin dependence: first use of the BUprenorphine-naloxone Dosage Adequacy eVAluation (BUDAVA) questionnaire.
Amato, P; Armenante, C; Auriemma, F; Biancolillo, V; Cassese, F; D'Amore, A; Del Tufo, S; Lauro, G; Oliva, P; Pizzirusso, A; Romano, F; Ruoppolo, C, 2012
)
" Dosage adequacy was assessed with the BUDAVA questionnaire."( Evaluation of buprenorphine dosage adequacy in opioid receptor agonist substitution therapy for heroin dependence: first use of the BUprenorphine-naloxone Dosage Adequacy eVAluation (BUDAVA) questionnaire.
Amato, P; Armenante, C; Auriemma, F; Biancolillo, V; Cassese, F; D'Amore, A; Del Tufo, S; Lauro, G; Oliva, P; Pizzirusso, A; Romano, F; Ruoppolo, C, 2012
)
"The buprenorphine-naloxone dosage was found to be inadequate in 61 of the 196 patients."( Evaluation of buprenorphine dosage adequacy in opioid receptor agonist substitution therapy for heroin dependence: first use of the BUprenorphine-naloxone Dosage Adequacy eVAluation (BUDAVA) questionnaire.
Amato, P; Armenante, C; Auriemma, F; Biancolillo, V; Cassese, F; D'Amore, A; Del Tufo, S; Lauro, G; Oliva, P; Pizzirusso, A; Romano, F; Ruoppolo, C, 2012
)
" At the longest trial duration, a bell-shaped dose-response curve was obtained with buprenorphine, which was shifted significantly to the right with naloxone combination."( Rewarding or aversive effects of buprenorphine/naloxone combination (Suboxone) depend on conditioning trial duration.
Canestrelli, C; Marie, N; Noble, F, 2014
)
" Adequate dosing levels are important to control cravings, prevent withdrawal syndrome, and maintain patients in treatment."( Analysis of buprenorphine/naloxone dosing impact on treatment duration, resource use and costs in the treatment of opioid-dependent adults: a retrospective study of US public and private health care claims.
Kharitonova, E; Khemiri, A; Ruby, J; Toumi, M; Zah, V, 2014
)
" The threshold for differentiating the dosing groups was set at 15 and 15."( Analysis of buprenorphine/naloxone dosing impact on treatment duration, resource use and costs in the treatment of opioid-dependent adults: a retrospective study of US public and private health care claims.
Kharitonova, E; Khemiri, A; Ruby, J; Toumi, M; Zah, V, 2014
)
" Although individual data showed moderate variability in the exposures between subjects and treatments, there was no evidence of symptoms of opiate overdose or withdrawal either during the coadministration of faldaprevir with methadone or buprenorphine-naloxone or after faldaprevir dosing was stopped."( Effect of steady-state faldaprevir on the pharmacokinetics of steady-state methadone and buprenorphine-naloxone in subjects receiving stable addiction management therapy.
Adeniji, A; Elgadi, M; Huang, F; Joseph, D; Riesenberg, RR; Schobelock, MJ; Vince, BD; Webster, LR, 2015
)
" Given that sub-optimal dosing of BNX increases the risk of diversion, more attention should be paid to providing patients with an optimal medical dose."( Diversion of opioid maintenance treatment medications and predictors for diversion among Finnish maintenance treatment patients.
Alho, H; Kotovirta, E; Launonen, E; Simojoki, K; Wallace, I, 2015
)
" This study examined (i) how initiations and transfers were implemented, (ii) the profile and predictors of adverse effects as self-reported by BNX film clients, and (iii) dosing issues."( The introduction of buprenorphine-naloxone film in opioid substitution therapy in Australia: Uptake and issues arising from changing buprenorphine formulations.
Ali, R; Degenhardt, L; Dietze, P; Jenkinson, R; Larance, B; Lintzeris, N; White, N, 2015
)
"BUP induction dosing was guided by an objective measure of opioid withdrawal."( Treatment outcomes in opioid dependent patients with different buprenorphine/naloxone induction dosing patterns and trajectories.
Ang, A; Blaine, JD; Hillhouse, MP; Jacobs, P; Mai, BE; Mooney, LJ; Nielsen, S; S Potter, J; Saxon, AJ; Wakim, PG, 2015
)
"The objective of this systematic review is to compare the effectiveness of OST with supervised dosing relative to dispensing of medication for off-site consumption."( Supervised dosing with a long-acting opioid medication in the management of opioid dependence.
Gowing, L; Saulle, R; Vecchi, S, 2017
)
"Randomised controlled trials (RCTs), controlled clinical trials (CCTs), and prospective controlled cohort studies, involving people who are receiving OST (methadone, buprenorphine) and comparing supervised dosing with dispensing of medication to be consumed away from the dispensing point, usually without supervision."( Supervised dosing with a long-acting opioid medication in the management of opioid dependence.
Gowing, L; Saulle, R; Vecchi, S, 2017
)
" There is uncertainty about the effects of supervised dosing compared with unsupervised medication due to the low and very low quality of the evidence for the primary outcomes of interest for this review."( Supervised dosing with a long-acting opioid medication in the management of opioid dependence.
Gowing, L; Saulle, R; Vecchi, S, 2017
)
"The Opiate Dosage Adequacy Scale (ODAS) is a clinical tool to individually measure the "adequacy" of opioid doses in patients on maintenance treatment."( Evidence of validity and reliability of the Opiate Dosage Adequacy Scale (ODAS) in a sample of heroin addicted patients in buprenorphine/naloxone maintenance treatment.
Alcaraz, S; González-Saiz, F; Lozano Rojas, O; Pérez de Los Cobos, J; Siñol, N; Trujols, J, 2018
)
" Most studies to date have been conducted among heroin users, in controlled settings, and using similar strict dosing schedules (i."( The OPTIMA study, buprenorphine/naloxone and methadone models of care for the treatment of prescription opioid use disorder: Study design and rationale.
Ahamad, K; Bruneau, J; Fischer, B; Jutras-Aswad, D; Le Foll, B; Lim, R; Socias, ME; Wild, TC; Wood, E, 2018
)
"Buprenorphine dosage is a crucial factor influencing outcomes of buprenorphine treatment for heroin use disorders."( A cluster-analytic profiling of heroin-dependent patients based on level, clinical adequacy, and patient-desired adjustment of buprenorphine dosage during buprenorphine-naloxone maintenance treatment in sixteen Spanish centers.
Alcaraz, S; González-Saiz, F; Pérez de Los Cobos, J; Siñol, N; Trujols, J; Vergara-Moragues, E, 2018
)
" Patients were grouped using cluster analysis based on three key indicators of buprenorphine dosage management: dose, adequacy according to physician, and adjustment according to patient."( A cluster-analytic profiling of heroin-dependent patients based on level, clinical adequacy, and patient-desired adjustment of buprenorphine dosage during buprenorphine-naloxone maintenance treatment in sixteen Spanish centers.
Alcaraz, S; González-Saiz, F; Pérez de Los Cobos, J; Siñol, N; Trujols, J; Vergara-Moragues, E, 2018
)
"Our results show notable differences between clusters of heroin-dependent patients regarding buprenorphine dosage management."( A cluster-analytic profiling of heroin-dependent patients based on level, clinical adequacy, and patient-desired adjustment of buprenorphine dosage during buprenorphine-naloxone maintenance treatment in sixteen Spanish centers.
Alcaraz, S; González-Saiz, F; Pérez de Los Cobos, J; Siñol, N; Trujols, J; Vergara-Moragues, E, 2018
)
" Future studies require standardized reporting of median doses, details on the route of delivery, dosing schedules and any dosing changes, and rates of addiction relapse, including long-term morbidity and mortality where possible."( The perioperative patient on buprenorphine: a systematic review of perioperative management strategies and patient outcomes.
Azargive, S; Bordman, J; Clarke, H; Di Renna, T; Duggan, S; Englesakis, M; Goel, A; Hanlon, J; Ladha, K; Lamba, W; Peng, P; Shanthanna, H; Srikandarajah, S, 2019
)
"Extended-release naltrexone hydrochloride, 380 mg, administered as an injection every 4 weeks or flexible doses (4-24 mg; target dosage 16 mg/d) of daily oral combined BP-NLX."( Anxiety, Depression, and Insomnia Among Adults With Opioid Dependence Treated With Extended-Release Naltrexone vs Buprenorphine-Naloxone: A Randomized Clinical Trial and Follow-up Study.
Krajci, P; Kunoe, N; Latif, ZE; Opheim, A; Šaltyte Benth, J; Sharma-Haase, K; Solli, KK; Tanum, L, 2019
)
"We recruited 3,620 patients in 27 addiction units in Italy and collected data on the self-reported rate of intravenous injection of methadone (MET), buprenorphine (BUP), BUP-naloxone (NLX), OMT dosage and type, experience of and reason for misuse, concurrent intravenous benzodiazepine misuse, pattern of -misuse in relation to admission to the addiction unit and ER -admissions because of misuse."( Intravenous Misuse of Methadone, Buprenorphine and Buprenorphine-Naloxone in Patients Under Opioid Maintenance Treatment: A Cross-Sectional Multicentre Study.
Cibin, M; Lugoboni, F; Tamburin, S; Zamboni, L, 2019
)
" OMT dosage was lower than the recommended maintenance dosage."( Intravenous Misuse of Methadone, Buprenorphine and Buprenorphine-Naloxone in Patients Under Opioid Maintenance Treatment: A Cross-Sectional Multicentre Study.
Cibin, M; Lugoboni, F; Tamburin, S; Zamboni, L, 2019
)
"Following coadministration with FTR, dose-normalized MET (R-, S- and total) exposures (maximum concentration in plasma, area under the plasma concentration-time curve over the dosing interval and concentration in plasma at 24 hours) increased 9-15% and BUP and norBUP exposures increased 24-39%."( Methadone and buprenorphine pharmacokinetics and pharmacodynamics when coadministered with fostemsavir to opioid-dependent, human immunodeficiency virus seronegative participants.
Ackerman, P; Chang, M; Llamoso, C; Lubin, S; Magee, M; Moore, K; Myers, E; Sevinsky, H, 2019
)
" Supervised dosage and other control measures are important provisions in the prevention of drug diversion and non-prescribed use among people not undergoing OST."( Non-prescribed use of methadone and buprenorphine prior to opioid substitution treatment: lifetime prevalence, motives, and drug sources among people with opioid dependence in five Swedish cities.
Johnson, B; Richert, T, 2019
)
" Study outcomes were based on presence of withdrawal symptoms, instances of unauthorized substances in urine drug tests (UDTs), and sublingual buprenorphine/naloxone (SBN) dose with standard-of-care (SOC) dosing versus pharmacogenomics (PGx)-based dosing."( Pharmacogenomics and Opioid Use Disorder: Clinical Decision Support in an African American Cohort.
Briggs, J; Chapman, E; Ettienne, EB; Ezeude, G; Maneno, MK; Ofoegbu, A; Walker, C; Williams, S, 2019
)
"We aimed to use a microdosing regimen to initiate regular dosing of buprenorphine/naloxone in a high-risk patient with a history of failed initiations due, in part, to withdrawal symptoms."( Case report: Successful induction of buprenorphine/naloxone using a microdosing schedule and assertive outreach.
Azar, P; Barbic, SP; Durante, SE; Lin, D; Mathias, S; Mitchell, K; Nikoo, M; Rozylo, J, 2020
)
" The aims of this review were to summarize eligibility criteria for entry to OAT, doses in routine clinical practice, access to and eligibility for unsupervised dosing and urine drug screening practices in OAT programs globally."( Global opioid agonist treatment: a review of clinical practices by country.
Ali, R; Bruneau, J; Degenhardt, L; Fiellin, DA; Hickman, M; Jin, H; Larney, S; Marshall, BDL; Strang, J, 2020
)
" Access to unsupervised dosing under some conditions was reported in 18 of 27 countries."( Global opioid agonist treatment: a review of clinical practices by country.
Ali, R; Bruneau, J; Degenhardt, L; Fiellin, DA; Hickman, M; Jin, H; Larney, S; Marshall, BDL; Strang, J, 2020
)
" According to the Canadian National clinical practice guideline on the management of opioid use disorders, given the superior safety profile of buprenorphine/naloxone and its potential for flexible take-home dosing in comparison to other opioid agonist medication it is strongly recommended to initiate opioid agonist treatment with buprenorphine/naloxone as the preferred first-line treatment when possible."( Rapid Micro-induction of Buprenorphine/Naloxone for Opioid Use Disorder in a Critically ill Intubated Patient: A Case Report.
Griesdale, D; Hamata, B; Hann, J; Rezazadeh-Azar, P, 2020
)
" Our primary objective is to synthesize available evidence on the effectiveness of micro-inductions on patient and clinical outcomes compared to standard dosing or other approaches, or evaluated without a comparator group."( Effectiveness of micro-induction approaches to buprenorphine initiation: A systematic review protocol.
Azar, P; Doyle-Waters, MM; Hohl, CM; Moe, J; O'Sullivan, F, 2020
)
"Dynamic, adaptive pharmacologic treatment for opioid use disorder (OUD) has been previously recommended over static dosing to prevent relapse, and is aligned with personalized medicine."( Association between dynamic dose increases of buprenorphine for treatment of opioid use disorder and risk of relapse.
Díaz, I; Fishman, M; Nunes, EV; Rotrosen, J; Rudolph, KE; Shulman, M, 2022
)
" counterfactual) intervention in which their BUP-NX dosage would be increased following their own subject-specific opioid use during the first 12 weeks of treatment versus a hypothetical intervention in which dose would remain constant."( Association between dynamic dose increases of buprenorphine for treatment of opioid use disorder and risk of relapse.
Díaz, I; Fishman, M; Nunes, EV; Rotrosen, J; Rudolph, KE; Shulman, M, 2022
)
" The secondary aim was to identify if comorbidities, sex, co-prescribed medications, or dosing site and observation were associated with BPN detection."( Buprenorphine not detected on urine drug screening in supervised treatment.
Athavale, A; Jamshidi, N; Murnion, B, 2021
)
"Data extracted included UDS results, age, sex, indication for BPN, frequency of observed doses, dose of BPN, dosing site, comorbid medical conditions, and medications."( Buprenorphine not detected on urine drug screening in supervised treatment.
Athavale, A; Jamshidi, N; Murnion, B, 2021
)
" No significant association between median dose, dosing site, and observed dosing and BPN detection was identified."( Buprenorphine not detected on urine drug screening in supervised treatment.
Athavale, A; Jamshidi, N; Murnion, B, 2021
)
" We also examine the effect of buprenorphine dosage on retention."( Association of Counseling and Psychotherapy on Retention in Medication for Addiction Treatment Within a Large Medicaid Population.
Eren, K; Herschell, A; Houck, P; Hurford, M; Loveland, D; Mihalyo, M; Neimark, G; Ryan, N; Schuster, J,
)
"The addition of counseling and psychotherapy within the first 8 weeks of treatment was associated with greater total retention in treatment and there was a dose-response relationship."( Association of Counseling and Psychotherapy on Retention in Medication for Addiction Treatment Within a Large Medicaid Population.
Eren, K; Herschell, A; Houck, P; Hurford, M; Loveland, D; Mihalyo, M; Neimark, G; Ryan, N; Schuster, J,
)
" During the transition, she experienced some withdrawal in the setting of swallowed buprenorphine/naloxone tablets, which were intended to be dosed sublingually."( Transition from Oxycodone to Buprenorphine/Naloxone in a Hospitalized Patient with Sickle Cell Disease: A Case Report.
DeFries, T; Leyde, S; Pratt, L; Suen, L, 2022
)
"Clinical studies examining once-daily versus multiple-daily dosing of buprenorphine/naloxone in patients with opioid use disorder (OUD) in the absence of comorbid pain are lacking."( Outcomes associated with once-daily versus multiple-daily dosing of buprenorphine/naloxone for opioid use disorder.
Allen, SM; Fawcett, J; Lin, S; Nichols, TA, 2022
)
"This retrospective chart review aimed to compare 100 patients prescribed single-daily buprenorphine/naloxone (n = 50) to those prescribed multiple-daily buprenorphine/naloxone (n = 50) to elucidate the impact that dosing frequency has on negative urine drug screens (UDS) and the number of relapses in OUD."( Outcomes associated with once-daily versus multiple-daily dosing of buprenorphine/naloxone for opioid use disorder.
Allen, SM; Fawcett, J; Lin, S; Nichols, TA, 2022
)
"Once-daily dosing was associated with more negative UDSs and fewer opioid relapses compared with multiple-daily dosing."( Outcomes associated with once-daily versus multiple-daily dosing of buprenorphine/naloxone for opioid use disorder.
Allen, SM; Fawcett, J; Lin, S; Nichols, TA, 2022
)
"This was the first study to evaluate buprenorphine/naloxone dosing frequency for opioid use disorder, in the absence of chronic pain."( Outcomes associated with once-daily versus multiple-daily dosing of buprenorphine/naloxone for opioid use disorder.
Allen, SM; Fawcett, J; Lin, S; Nichols, TA, 2022
)
" However, given that changes were small, strategies to improve retention in OAT and ensure equitable access to take-home dosing should continue."( Impact of the COVID-19 pandemic on the provision of take-home doses of opioid agonist therapy in Ontario, Canada: A population-based time-series analysis.
Antoniou, T; Bozinoff, N; Campbell, TJ; Gomes, T; Kitchen, SA; Men, S; Munro, C; Tadrous, M; Werb, D; Wyman, J, 2022
)
"Flexible take-home dosing buprenorphine/naloxone or supervised methadone models of care for 24 weeks."( Impact of fentanyl use on initiation and discontinuation of methadone and buprenorphine/naloxone among people with prescription-type opioid use disorder: secondary analysis of a Canadian treatment trial.
Bozinoff, N; Bruneau, J; Choi, JC; Hassan, A; Jutras-Aswad, D; Le Foll, B; Lim, R; Mok, WY; Rehm, J; Socias, ME; Wild, TC; Wood, E, 2022
)
" Once young people initiated OAT, staying on it was difficult and complicated by daily witnessed dosing requirements and strict rules around repeated missed doses, especially for those receiving methadone."( Navigating Opioid Agonist Therapy among Young People who use Illicit Opioids in Vancouver, Canada.
Buxton, JA; DeBeck, K; Fast, D; Joe, R; Kwa, Y; Pilarinos, A; Thulien, M, 2022
)
" Complete fentanyl dose-response functions were determined during each session."( A novel long-acting formulation of oral buprenorphine/naloxone produces prolonged decreases in fentanyl self-administration by rhesus monkeys.
Comer, SD; Foltin, RW; Nagaraj, N; Scranton, RE; Sykes, KA; Zale, S, 2022
)
"We analyzed data from a multicentric, pragmatic, 24-week open-label randomized controlled trial conducted in participants with POUD (N = 272) who were randomly assigned to BUP/NX model of care with flexible take-home dosing (n = 138) or the standard model of care with closely supervised methadone (n = 134)."( Buprenorphine/naloxone and methadone effectiveness for reducing craving in individuals with prescription opioid use disorder: Exploratory results from an open-label, pragmatic randomized controlled trial.
Bastien, G; Brissette, S; Bruneau, J; Eugenia Socias, M; Foll, BL; Jutras-Aswad, D; Ledjiar, O; Lim, R; Marsan, S; McAnulty, C; Talbot, A, 2022
)
"Compared to the standard methadone model of care, flexible take-home dosing of BUP/NX was associated with lower craving in individuals with POUD."( Buprenorphine/naloxone and methadone effectiveness for reducing craving in individuals with prescription opioid use disorder: Exploratory results from an open-label, pragmatic randomized controlled trial.
Bastien, G; Brissette, S; Bruneau, J; Eugenia Socias, M; Foll, BL; Jutras-Aswad, D; Ledjiar, O; Lim, R; Marsan, S; McAnulty, C; Talbot, A, 2022
)
" Participants receive inpatient rotation to either BuNa or methadone with a flexible dosing regimen."( Buprenorphine/naloxone versus methadone opioid rotation in patients with prescription opioid use disorder and chronic pain: study protocol for a randomized controlled trial.
Dahan, A; Ellerbroek, H; Kramers, C; Schellekens, AFA; Timmerman, H; van den Heuvel, SAS, 2022
)
" We estimated the extent to which different dosing strategies would affect risk of relapse over 12 weeks of treatment, separately for BUP-NX and methadone."( Buprenorphine & methadone dosing strategies to reduce risk of relapse in the treatment of opioid use disorder.
Díaz, I; Fishman, M; Goodwin, ATS; Luo, S; Nunes, EV; Rotrosen, J; Rudolph, KE; Shulman, M; Williams, NT, 2022
)
" We examined four dosing strategies: 1) increasing dose in response to participant-specific opioid use, 2) increasing dose weekly until some minimum dose (16 mg BUP, 100 mg methadone) was reached, 3) increasing dose weekly until some minimum and increasing dose in response to opioid use thereafter (referred to as the "hybrid strategy"), and 4) keeping dose constant after the first 2 weeks of treatment."( Buprenorphine & methadone dosing strategies to reduce risk of relapse in the treatment of opioid use disorder.
Díaz, I; Fishman, M; Goodwin, ATS; Luo, S; Nunes, EV; Rotrosen, J; Rudolph, KE; Shulman, M; Williams, NT, 2022
)
"This study aimed to evaluate the effectiveness of flexible take-home dosing of buprenorphine/naloxone (BUP/NX) and methadone standard model of care in reducing depressive symptoms in people with prescription-type opioid use disorder (POUD)."( Effects of Buprenorphine/Naloxone and Methadone on Depressive Symptoms in People with Prescription Opioid Use Disorder: A Pragmatic Randomised Controlled Trial.
Bastien, G; Brissette, S; Hassan, AN; Jutras-Aswad, D; Le Foll, B; Ledjiar, O; Lim, R; Marsan, S; McAnulty, C; Socias, ME; Talbot, A, 2023
)
"gov identifier: NCT03033732), a pragmatic randomised controlled trial comparing flexible take-home dosing of BUP/NX and methadone standard model of care for reducing opioid use in people with POUD."( Effects of Buprenorphine/Naloxone and Methadone on Depressive Symptoms in People with Prescription Opioid Use Disorder: A Pragmatic Randomised Controlled Trial.
Bastien, G; Brissette, S; Hassan, AN; Jutras-Aswad, D; Le Foll, B; Ledjiar, O; Lim, R; Marsan, S; McAnulty, C; Socias, ME; Talbot, A, 2023
)
"The introduction of depot buprenorphine for the treatment of opioid dependence allows for reduced dosing frequency compared with conventional treatments, such as oral methadone and sublingual buprenorphine-naloxone."( Exploring patient experience and satisfaction with depot buprenorphine formulations: A mixed-methods study.
Allen, E; Altobelli, G; Holmwood, C; Johnson, J; Samadian, S, 2023
)
" There were mixed experiences with the ability for depot buprenorphine to 'hold' participants throughout the dosing interval."( Exploring patient experience and satisfaction with depot buprenorphine formulations: A mixed-methods study.
Allen, E; Altobelli, G; Holmwood, C; Johnson, J; Samadian, S, 2023
)
" The potential for disconnection from services and mixed experiences of efficacy throughout the dosing period may negatively influence patient experience."( Exploring patient experience and satisfaction with depot buprenorphine formulations: A mixed-methods study.
Allen, E; Altobelli, G; Holmwood, C; Johnson, J; Samadian, S, 2023
)
" In this exploratory analysis, we examined the effect of recent cannabis use on opioid use, craving, and withdrawal symptoms, in individuals participating in a trial comparing flexible buprenorphine/naloxone (BUP/NX) take-home dosing model to witnessed ingestion of methadone."( Differential effect of cannabis use on opioid agonist treatment outcomes: Exploratory analyses from the OPTIMA study.
Bakouni, H; Bastien, G; Brissette, S; Elkrief, L; Hébert, FO; Jutras-Aswad, D; Le Foll, B; Ledjiar, O; Lim, R; Marsan, S; McAnulty, C; Socias, ME, 2023
)
" A coding tool was developed based on a review of a sample of forms, including fields for behavioral health treatment recommendations or mandates, drug screening requirements, and dosage limitations."( Thematic Analysis of State Medicaid Buprenorphine Prior Authorization Requirements.
Abrams, M; Aronowitz, SV; Dolan, A; Meisel, Z; Nguemeni Tiako, MJ; Oyekanmi, K, 2023
)
" Eighteen states (36%) specified dosage maximums; among them, 11 (22%) required additional steps for a daily dosage higher than 16 mg."( Thematic Analysis of State Medicaid Buprenorphine Prior Authorization Requirements.
Abrams, M; Aronowitz, SV; Dolan, A; Meisel, Z; Nguemeni Tiako, MJ; Oyekanmi, K, 2023
)
"In this qualitative study of state Medicaid PA requirements for buprenorphine, themes were identified that included patient surveillance with drug screenings and pill counts, behavioral health treatment recommendations or mandates, patient education, and dosing guidance."( Thematic Analysis of State Medicaid Buprenorphine Prior Authorization Requirements.
Abrams, M; Aronowitz, SV; Dolan, A; Meisel, Z; Nguemeni Tiako, MJ; Oyekanmi, K, 2023
)
"Describe case series of successful management of kratom use disorder using telehealth followed by unobserved buprenorphine-naloxone home induction and highlight implications for future management, including maintenance dosage and induction method."( Kratom use disorder: case reports on successful treatment with home induction of buprenorphine-naloxone.
Cape, MC; Kiyokawa, M; Kwon, AK; Streltzer, JM, 2023
)
"In clinical practice, sublingual (SL) buprenorphine-naloxone is prescribed as once daily or split daily dosing for the management of opioid use disorder (OUD)."( Evaluation of opioid use disorder treatment outcomes in patients receiving split daily versus once daily dosing of buprenorphine-naloxone.
Borris, JB; Bowman, LA; Dowd-Green, C; Fingerhood, M; Nesbit, SA; Stewart, RW, 2024
)
" We characterized study groups by dosing frequency, either once daily or split dosing."( Evaluation of opioid use disorder treatment outcomes in patients receiving split daily versus once daily dosing of buprenorphine-naloxone.
Borris, JB; Bowman, LA; Dowd-Green, C; Fingerhood, M; Nesbit, SA; Stewart, RW, 2024
)
"8 %) were prescribed once daily dosing and 193 patients (77."( Evaluation of opioid use disorder treatment outcomes in patients receiving split daily versus once daily dosing of buprenorphine-naloxone.
Borris, JB; Bowman, LA; Dowd-Green, C; Fingerhood, M; Nesbit, SA; Stewart, RW, 2024
)
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (455)

TimeframeStudies, This Drug (%)All Drugs %
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's24 (5.27)29.6817
2010's247 (54.29)24.3611
2020's184 (40.44)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials119 (22.00%)5.53%
Reviews39 (7.21%)6.00%
Case Studies80 (14.79%)4.05%
Observational12 (2.22%)0.25%
Other291 (53.79%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (114)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Buprenorphine Loading in the Emergency Department[NCT04283500]Phase 415 participants (Actual)Interventional2020-11-01Completed
A Phase III Randomized Controlled Trial to Evaluate the Efficacy of Drug Treatment in Prevention of HIV Infection and Death Among Opiate Dependent Injectors[NCT00270257]Phase 31,251 participants (Actual)Interventional2008-05-31Terminated(stopped due to DSMB halted the study due to futility as a result of lower than anticipated HIV incidence rates)
Suboxone and Methadone for HIV Risk Reduction in Subutex Injectors[NCT01131273]Phase 368 participants (Actual)Interventional2010-06-30Completed
A Randomized, Double-blind, Double-dummy, Active-drug-controlled, Parallel-group, Multicentre Acceptability and Safety Study of the Transfer From Subutex/Suboxone to RBP-6300 in Opioid-dependent Subjects[NCT01582347]Phase 2143 participants (Actual)Interventional2012-03-31Completed
Phase 1b Randomized, Placebo-controlled Study to Assess the Effect of a Single Dose of ASP8062 on the Multiple Dose Safety, Tolerability and Pharmacokinetics of Buprenorphine/Naloxone in Subjects With Opioid Use Disorder[NCT04447287]Phase 123 participants (Actual)Interventional2020-06-29Completed
Time to Detox: A Patient-Centered Comparison of Length of Detoxification Treatment and Time to Naltrexone Maintenance Therapy in Opioid-Dependent Individuals[NCT03678792]Phase 30 participants (Actual)Interventional2019-11-15Withdrawn(stopped due to Infeasible to conduct at this time.)
A Method to Increase Buprenorphine Treatment Capacity[NCT03580902]Phase 1/Phase 251 participants (Actual)Interventional2019-01-22Completed
Comparing Medication Maintenance in Comprehensive Community and Pharmacy Settings to Enhance Engagement[NCT03766893]Early Phase 111 participants (Actual)Interventional2018-09-01Completed
Addiction, HIV and Tuberculosis in Malaysian Criminal Justice Settings[NCT03089983]1,129 participants (Actual)Interventional2017-08-21Active, not recruiting
Measures to Improve Outcomes After an Opioid Overdose[NCT03968237]200 participants (Anticipated)Observational2019-08-01Recruiting
Buprenorphine Extended-release in Jail and at Re-entry: Open-label Randomized Controlled Trial vs. Daily Sublingual Buprenorphine-naloxone[NCT03604159]Phase 452 participants (Actual)Interventional2019-06-24Completed
Opioid Use Disorder Treatment Linkage at Sexual Health Clinics Using Buprenorphine[NCT04991974]Phase 2/Phase 3360 participants (Anticipated)Interventional2021-09-17Enrolling by invitation
Adolescent Community Reinforcement Approach (A-CRA) Implementation in Combination With Buprenorphine/Naloxone for Young Adults Ages 18 to 25 With Severe Opioid Use Disorder[NCT03287180]0 participants (Actual)Interventional2019-01-01Withdrawn(stopped due to unable to enroll any participants)
Neuroimaging Predictors of Relapse During Treatment for Opiate Dependence[NCT02696096]Phase 321 participants (Actual)Interventional2016-08-31Completed
An Open-Label, Long-Term Safety and Tolerability Study of Depot Buprenorphine (RBP-6000) in Treatment-Seeking Subjects With Opioid Use Disorder[NCT02510014]Phase 3775 participants (Actual)Interventional2015-07-27Completed
Feasibility of Pediatric Emergency Department-Initiated Treatment for Adolescents With Opioid Use Disorder[NCT04737603]Phase 224 participants (Anticipated)Interventional2024-07-30Not yet recruiting
Pilot Study to Look at Feasibility of Testing and Treatment of Combination Fentanyl and Opioid Dependent Individuals With Different Buprenorphine Induction Methods[NCT04794790]Early Phase 130 participants (Anticipated)Interventional2022-05-09Recruiting
Treatment for Opioid Dependent Offenders[NCT01082679]Phase 2/Phase 316 participants (Actual)Interventional2009-06-30Completed
Houston Emergency Engagement System for Youths and Adolescents[NCT04811014]Phase 415 participants (Anticipated)Interventional2021-04-19Recruiting
Comparison of Buprenorphine vs Buprenorphine/Naloxone on the Effects of Maternal Symptomatology[NCT03740243]Phase 40 participants (Actual)Interventional2018-11-30Withdrawn(stopped due to No enrollment)
A Single-Center, Randomized, Open-Label, Single-Dose Study to Evaluate the Pharmacokinetics, Safety, and Tolerability of Depot Buprenorphine (RBP-6000) Using Poly (DL-lactide-co-glycolide) Polymer of Two Different Molecular Weights (Low and High Molecular[NCT02559973]Phase 147 participants (Actual)Interventional2015-09-30Completed
Evaluation of Transfer From Subutex or Other Treatment for Opioid Drug Dependence to Suboxone: Acceptability, Safety and Impact on Medication Dispensing[NCT00725608]339 participants (Actual)Observational2008-05-31Completed
Providing A Resource: Telemedicine at Needle Exchanges to Reach Under-served Populations - Greensboro[NCT05108935]17 participants (Actual)Interventional2022-02-17Completed
Evaluating the Pharmacokinetics and Patient Outcomes of Buprenorphine Microdosing[NCT05307458]20 participants (Anticipated)Observational2022-07-01Recruiting
Phase Ib/2a Drug-drug Interaction Study of Lemborexant as an Adjunctive Treatment for Buprenorphine/Naloxone for Opioid Use Disorder[NCT04818086]Phase 1/Phase 248 participants (Actual)Interventional2021-05-03Completed
A Prospective, Randomized Trial of the Effect of Standard of Care Reduced Dose Versus Full Dose Buprenorphine/Naloxone in the Perioperative Period on Pain Control and Post Operative Opioid Use Disorder Symptoms[NCT03266445]Phase 476 participants (Anticipated)Interventional2018-10-05Not yet recruiting
A Randomized Controlled Trial Comparing Buprenorphine/Naloxone With Naltrexone for Treatment in Opioid Dependent Adolescents and Young Adults[NCT01015066]Phase 40 participants (Actual)Interventional2009-11-30Withdrawn(stopped due to Study personnel left institution, anticipated funding did not occur)
A Phase 2 Multi-Center Open-label Study to Assess the Safety and Tolerability of a Buprenorphine/Naloxone Film Strip Administered by the Sublingual and Buccal Routes[NCT00640835]Phase 2382 participants (Actual)Interventional2008-02-29Completed
Comparative Effectiveness of Patient-Centered Strategies to Improve Pain Management and Opioid Safety for Veterans[NCT03026790]Phase 2820 participants (Actual)Interventional2017-10-19Completed
Rapid Initiation of Buprenorphine/Naloxone to Optimize MAT Utilization in Philadelphia[NCT03908437]Phase 4104 participants (Actual)Interventional2019-07-15Completed
Buprenorphine Stabilization and Induction Onto Vivitrol for Heroin-dependent Individuals[NCT03711318]Phase 38 participants (Actual)Interventional2018-11-01Terminated(stopped due to continuing study was no longer feasible)
A Randomized Controlled Trial Comparing Buprenorphine and Methadone for Opioid Dependent Chronic Pain Patients[NCT00879996]Phase 454 participants (Actual)Interventional2009-04-30Completed
A Single-Dose, 1-Period, 1-Treatment Pilot Study of an Investigational Capsule Formulation of 2 mg/.05 mg Buprenorphine/Naloxone Under Fasting Conditions[NCT00880841]6 participants (Actual)Observational2009-04-30Completed
A Randomized Acceptability and Safety Study of the Transfer From Subutex to Suboxone in Opioid- Dependent Subjects[NCT00605033]Phase 4241 participants (Actual)Interventional2008-03-31Completed
Reinforcing Effects of Intravenous Buprenorphine Versus Buprenorphine/Naloxone in Buprenorphine-maintained Intravenous Drug Users (P05207)[NCT00710385]Phase 319 participants (Actual)Interventional2007-09-30Completed
The Impact of Intravenous Heroin Use on Immune Activation in Treated HIV[NCT03976258]190 participants (Actual)Observational2017-07-14Completed
Functional Brain Mechanisms Underlying the Anti-suicidal Effects of Buprenorphine in Opioid Use Disorder[NCT04234516]Phase 40 participants (Actual)Interventional2020-01-20Withdrawn(stopped due to PI leaving the institute)
A Multicentre, Randomised, Open-label, Active-controlled Trial of the Effectiveness of Buprenorphine/Naloxone in Reducing Intravenous Buprenorphine Misuse in France[NCT00955162]Phase 4270 participants (Actual)Interventional2009-08-31Completed
An Open Multi-center Trial of Suboxone® (Buprenorphine/Naloxone) Treatment Among Opiate-Dependent Subjects[NCT00901875]Phase 4127 participants (Actual)Interventional2009-03-31Completed
A Prospective, Randomized Trial of the Effect of Standard of Care Reduced Dose Versus Full Dose Buprenorphine/Naloxone in the Perioperative Period on Pain Control and Post-Operative Opioid Use Disorder Symptoms[NCT04091009]Phase 476 participants (Anticipated)Interventional2020-01-31Not yet recruiting
CS1008A Efficacy/Safety Trial of Buprenorphine/Naloxone[NCT00015028]Phase 20 participants Interventional1996-11-30Completed
Buprenorphine/Nx Treatment of Heroin Dependence-A Compassionate Use Study[NCT00015340]Phase 4582 participants (Actual)Interventional1999-08-31Completed
A Randomized Acceptability and Safety Study of Suboxone Induction in Heroin Users[NCT00604188]Phase 4188 participants (Actual)Interventional2008-02-22Completed
Effects of Mu-opiate Receptor Engagement on Microbial Translocation and Residual Immune Activation in HIV-infected, ART Suppressed Opioid Use Disorder Patients Initiating Medication-assisted Treatment[NCT04480554]Phase 2225 participants (Anticipated)Interventional2023-01-30Recruiting
Optimizing Outcomes Using Suboxone for Opiate Dependence[NCT00591617]202 participants (Actual)Interventional2006-09-30Completed
Attenuation of Opioid Effects of Three Different Doses of Sublingual Buprenorphine / Naloxone by Oral Naltrexone in Healthy Volunteers[NCT00733720]Phase 18 participants (Anticipated)Interventional2008-08-31Completed
A Pilot Implementation Project of Methadone and Suboxone® for Injecting Drug Users in Ho Chi Minh City, Vietnam[NCT05368675]Phase 4448 participants (Actual)Interventional2013-12-18Completed
Comparing Rapid Micro-Induction and Standard Induction of Buprenorphine/Naloxone for Treatment of Opioid Use Disorder: A Randomized Controlled Trial[NCT04234191]Phase 250 participants (Anticipated)Interventional2021-08-18Recruiting
Evaluating Microdosing in Emergency Departments: A Randomized Controlled Trial Comparing the Effectiveness of Buprenorphine/Naloxone Microdosing vs. Standard Dosing (EMED Study)[NCT04893525]Phase 2/Phase 3658 participants (Anticipated)Interventional2021-07-23Recruiting
Efficacy of Computer Delivered CRA (Bup II) Grant No. R01DA012997-10[NCT00929253]170 participants (Actual)Interventional2007-09-30Completed
Randomized Controlled Pilot Trial of Extended-released Buprenorphine vs. Sublingual Buprenorphine-naloxone in Rural Settings[NCT06023459]Phase 3144 participants (Anticipated)Interventional2024-01-01Not yet recruiting
HCV Treatment of IDUs After Buprenorphine Stabilization[NCT00249574]10 participants (Anticipated)Interventional2003-06-30Completed
Maternal Buprenorphine-naloxone Treatment During the Perinatal Period: Fetal and Infant Effects[NCT03291847]Phase 242 participants (Actual)Interventional2018-06-01Active, not recruiting
The Acute and Protracted Blockade Efficacy of Buprenorphine/Naloxone[NCT00134888]8 participants (Actual)Interventional2000-12-31Completed
Optimizing Patient Centered-Care: A Pragmatic Randomized Control Trial Comparing Models of Care in the Management of Prescription Opioid Misuse (OPTIMA Trial)[NCT03033732]Phase 4272 participants (Actual)Interventional2017-10-02Completed
Biobehavioral Studies of Opioid Seeking: Effects of Buprenorphine/Naloxone Dose on Experimental Stress Reactivity and Opioid Abstinence[NCT03015246]Phase 1/Phase 226 participants (Actual)Interventional2016-12-31Completed
Integrated Outpatient Treatment of Opioid Use Disorder and Severe Injection Related Infections[NCT04677114]Phase 290 participants (Anticipated)Interventional2021-03-16Recruiting
Buprenorphine/Naloxone Versus Clonidine For Out-patient Opiate Detoxification[NCT00032968]Phase 3341 participants Interventional2001-01-31Completed
CS1008 A&B Eff/Safety Trial of BUP/NX for the Treatment of Opiate Dependence[NCT00015171]Phase 30 participants Interventional1996-04-30Completed
PK0496 Pharmacokinetics of Buprenorphine[NCT00015288]Phase 10 participants Interventional1996-11-30Completed
Bup/Nx - Facilitated Rehab for Opioid Dependent Adolescents[NCT00078130]Phase 3223 participants Interventional2003-07-31Completed
Buprenorphine/Naloxone Versus Clonidine for Inpatient Opiate Detoxification[NCT00032955]Phase 3163 participants Interventional2001-02-28Completed
Abuse Potential of Parenteral Buprenorphine/Naloxone in Non-Dependent Opioid Abusers[NCT00134875]9 participants (Actual)Interventional2000-12-31Terminated
Abuse Potential of Buprenorphine/Naloxone as a Function of Maintenance Dose of Buprenorphine/Naloxone[NCT00149539]Phase 212 participants (Actual)Interventional2004-06-30Terminated(stopped due to Funding ended for the study)
Starting Treatment With Agonist Replacement Therapies (START)[NCT00315341]Phase 41,269 participants (Actual)Interventional2006-04-30Completed
Pilot for Improved Office Based Treatment of Opioid-Dependence[NCT03586466]80 participants (Anticipated)Interventional2018-12-01Recruiting
A Multi-center, Open-Label, 24-Week, Follow-Up Study to Assess Safety, Efficacy, and Treatment Adherence For Maintenance Treatment of Opioid Dependence With OX219[NCT01903005]Phase 4668 participants (Actual)Interventional2013-07-31Completed
Buprenorphine for Prisoners[NCT00574067]Phase 3213 participants (Actual)Interventional2008-09-30Completed
Buprenorphine/Naloxone Stabilization and Induction Onto Injection Naltrexone: An Outpatient Detoxification for Opioid Dependence.[NCT02294253]Phase 2/Phase 330 participants (Actual)Interventional2014-09-30Completed
Post-marketing Surveillance Study (Paper-AWB) for GPs and Clinics: Treatment of Opioid-dependent Patients With SUBOXONE® 2 mg / 8 mg Sublingual Tablets - Acceptability and Safety Data From a Real Life Scenario.[NCT00723749]384 participants (Actual)Observational2008-03-31Completed
A Phase 1, Open-Label, Single-Sequence Study to Examine the Effect of Telaprevir on the Pharmacokinetics of Buprenorphine in Subjects on Stable Buprenorphine/Naloxone Maintenance Therapy[NCT01275599]Phase 116 participants (Anticipated)Interventional2011-01-31Completed
Novel Induction to Buprenorphine/Naloxone: A Quasi-Experimental Study With Comparison Group[NCT05644587]Phase 4170 participants (Anticipated)Interventional2023-02-06Enrolling by invitation
A Randomized, Blinded, Active-controlled Non-inferiority Study of the Efficacy and Safety of OX219 for the Induction of Treatment of Opioid Dependence[NCT01848054]Phase 3313 participants (Actual)Interventional2013-06-30Completed
Buprenorphine for Probationers and Parolees: Bridging the Gap Into Treatment[NCT03616236]Phase 3320 participants (Anticipated)Interventional2019-03-01Active, not recruiting
SPNS - An Evaluation of Innovative Methods for Integrating Buprenorphine Opioid Abuse Treatment in HIV Primary Care[NCT00227357]101 participants (Actual)Observational2005-07-31Completed
Providing Comprehensive Harm Reduction Via Telemedicine for PWID Using Syringe Services Programs: a Feasibility Study[NCT04521920]17 participants (Actual)Interventional2020-11-09Completed
A Phase I Double-Blind, Placebo-Controlled Randomized Study to Assess Repeated Doses of INDV-2000 (C4X_3256) up to 28 Days in Healthy Volunteers, and an Open-Label Study of INDV-2000 up to 11 Days in Treatment Seeking Individuals With Opioid Use Disorder[NCT04976855]Phase 164 participants (Actual)Interventional2022-08-17Completed
Optimal Prevention of Overdose Deaths and Opioid Relapse Following Discharge: A Multi-Center RCT of Naltrexone Versus Buprenorphine in Norway[NCT01717963]Phase 3166 participants (Actual)Interventional2012-10-31Completed
Buprenorphine Maintenance vs. Detoxification in Prescription Opioid Dependence[NCT00555425]Phase 4113 participants (Actual)Interventional2008-07-31Completed
A Randomized Pilot Study of Long Acting Buprenorphine Injection Compared to Sublingual Buprenorphine/Naloxone Films[NCT03744663]Phase 20 participants (Actual)Interventional2022-06-30Withdrawn(stopped due to Funding for uninsured subjects could not be realized and staffing after COVID hit was also a problem.)
CTN-0051: Extended-Release Naltrexone vs. Buprenorphine for Opioid Treatment[NCT02032433]Phase 4570 participants (Actual)Interventional2014-01-29Completed
A Randomized Controlled Trial Testing Buprenorphine as a Treatment in Opiate Dependent Pain Patients[NCT00552578]Phase 412 participants (Actual)Interventional2007-10-31Terminated(stopped due to "Tapering doses protocol arm was not effective for treatment retention outcome.")
Buprenorphine Tx:A Safe Alternative for Opioid Dependent Pain Patients[NCT01841931]4 participants (Actual)Interventional2013-02-28Terminated(stopped due to Principal Investigator is no longer at this site)
Remote Observed Dosing of Suboxone to Improve Clinical Practice[NCT03769025]Phase 1/Phase 216 participants (Actual)Interventional2019-04-01Completed
Medications Development for Drug Abuse Disorders[NCT01188421]Phase 1/Phase 2106 participants (Actual)Interventional2010-10-31Completed
Buprenorphine Combination Tablet Feasibility[NCT00000298]Phase 20 participants Interventional1995-08-31Completed
Evaluation of Preference for a Buprenorphine-based Maintenance Therapy, After a Switch From Buprenorphine Alone (Subutex®) to the Buprenorphine/Naloxone Combination (Suboxone®), in Opioid-dependent Patients With Buprenorphine Maintenance Therapy[NCT00684073]Phase 460 participants (Actual)Interventional2007-07-31Completed
A Multicenter, Open-Label, Single Ascending-Dose Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Depot Buprenorphine (RBP-6000) in Opioid-Dependent Subjects[NCT03002961]Phase 148 participants (Actual)Interventional2012-07-31Completed
Comparing Medication Maintenance in Comprehensive Community and Pharmacy Settings to Enhance Engagement[NCT04139213]Phase 2/Phase 3250 participants (Anticipated)Interventional2019-07-25Active, not recruiting
A Pilot Study Comparing a Low-dose Versus a High-dose Sublingual Buprenorphine Induction Dosing Scheme in Fentanyl Using Patients With Opioid Use Disorder (OUD)[NCT05944952]Phase 440 participants (Anticipated)Interventional2023-10-01Not yet recruiting
Buprenorphine Pharmacology Related to Addiction Treatment[NCT00000236]Phase 20 participants InterventionalCompleted
Trial of Buprenorphine/Naloxone for Treatment of Opiate Dependence[NCT00000344]Phase 240 participants InterventionalCompleted
A Randomized, Double-Blind, Placebo-Controlled, Multicenter Study To Assess the Efficacy, Safety, and Tolerability of Multiple Subcutaneous Injections of Depot Buprenorphine (RBP-6000 [100 mg and 300 mg]) Over 24 Weeks in Treatment-Seeking Subjects With O[NCT02357901]Phase 3665 participants (Actual)Interventional2015-01-28Completed
Efficacy/Safety Trial of Buprenorphine/Nx for Opiate Dependence[NCT00000353]Phase 20 participants Interventional1996-10-31Completed
A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study to Assess the Safety and Efficacy of ASP8062 as an Add-on Therapy to Buprenorphine/Naloxone in Participants With Opioid Use Disorder[NCT05062577]Phase 20 participants (Actual)Interventional2021-11-08Withdrawn(stopped due to Due to corporate strategic considerations)
Prescription Opioid Abuse Among Pain Patients: Predictors of Relapse[NCT01967641]Phase 251 participants (Actual)Interventional2005-11-30Completed
Efficacy of Buprenorphine and XR-Naltrexone Combination for Relapse Prevention in Opioid Use Disorder[NCT05011266]Phase 2/Phase 3180 participants (Anticipated)Interventional2022-08-01Recruiting
Buprenorphine Physician-Pharmacist Collaboration in the Management of Patients With Opioid Use Disorder: Clinical Trials Network 0075[NCT03248947]Early Phase 171 participants (Actual)Interventional2018-03-28Completed
A Pivotal, Phase 1, Open-Label, Randomized, Crossover, Single-Dose, Comparative Bioavailability Study of Buprenorphine-Naloxone Sublingual Spray and Suboxone® Sublingual Film in Healthy Volunteers[NCT02477267]Phase 147 participants (Actual)Interventional2015-06-30Completed
Health Promotion and Public Safety: Community-based Collaborative Services to Addicted Offenders[NCT01843751]Phase 324 participants (Actual)Interventional2013-03-31Completed
Buprenorphine vs. Opioid Dose Escalation Among Patients With Chronic Pain[NCT01875848]Phase 47 participants (Actual)Interventional2013-12-31Terminated(stopped due to Data safety monitoring board recommended due to low recruitment yield.)
Induction of Opioid-Dependent Individuals Onto Buprenorphine and Buprenorphine/Naloxone[NCT00637000]Phase 238 participants (Actual)Interventional2008-03-31Completed
Randomized Trial of Buprenorphine Microdose Initiation for Ambulatory Settings[NCT05450718]Phase 470 participants (Anticipated)Interventional2024-01-31Not yet recruiting
An Open-Label, One-Period Study in Patients Receiving Methadone or Buprenorphine/Naloxone Maintenance Therapy to Evaluate the Effect of SCH 503034 (Boceprevir) on Either Methadone or Buprenorphine/Naloxone Plasma Concentrations (Protocol No. P08123)[NCT01396005]Phase 121 participants (Actual)Interventional2011-09-30Completed
Houston Emergency Opioid Engagement System (HEROES)[NCT03396276]Phase 41,500 participants (Anticipated)Interventional2018-04-01Enrolling by invitation
A Randomized Controlled Trial Comparing Buprenorphine and Methadone for Treatment in Opioid Dependent Chronic Back Pain Patients[NCT01559454]Phase 419 participants (Actual)Interventional2012-02-29Completed
HIV, Buprenorphine, and the Criminal Justice System[NCT01550341]50 participants (Actual)Interventional2012-02-23Completed
Cocaine Use Reduction With Buprenorphine (CURB)[NCT01402492]Phase 2/Phase 3302 participants (Actual)Interventional2011-09-30Completed
Sublingual Buprenorphine Treatment for Neonatal Abstinence Syndrome - Pilot Study[NCT02249026]Phase 1/Phase 240 participants (Anticipated)Interventional2014-10-31Recruiting
An Open Label, Flexible Dose Study of Very Low Doses of Naltrexone-Buprenorphine Transfer to Extend-Release Naltrexone (VIVITROL®) in Opioid Addiction[NCT01690546]Phase 238 participants (Actual)Interventional2012-09-30Completed
Assess the Efficacy of Buprenorphine/Naloxone Micro-Dosing for Postoperative Pain Management in Opioid-Tolerant Patients[NCT04771689]Phase 460 participants (Anticipated)Interventional2022-07-01Not yet recruiting
Interim Buprenorphine Treatment to Bridge Waitlist Delays: Stage II Evaluation[NCT03420313]Phase 2100 participants (Anticipated)Interventional2018-03-01Recruiting
Buprenorphine to Improve HIV Care Engagement and Outcomes: A Randomized Trial (BRAVO)[NCT01936857]Phase 4281 participants (Actual)Interventional2015-07-31Completed
A Single Center, Randomized, 2 Way Cross-Over, Phase 4 Study Comparing Usability of Zubsolv Sublingual Tablets 5.7/1.4 to Suboxone Sublingual Film 8/2 Including Ease of Use, Taste Preference, Dissolution Time, Desire to Abuse, and Overall Acceptance In Bu[NCT02038790]Phase 433 participants (Actual)Interventional2013-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00270257 (7) [back to overview]Incident Hepatitis B Infections
NCT00270257 (7) [back to overview]Incident Hepatitis C Infections for Thailand and China
NCT00270257 (7) [back to overview]Number of Participants Reported Using Injection Equipment (Needles, Syringes, Cookers, Cottons, and Rinse Water) in the Prior 6 Months
NCT00270257 (7) [back to overview]Number of Participants With Urinalysis Results Positive for Opiates
NCT00270257 (7) [back to overview]Self-report of Continued Injection Opiate Use in the Last 30 Days
NCT00270257 (7) [back to overview]Self-reported Number of Injections in the Last Month
NCT00270257 (7) [back to overview]Evidence of HIV-1 Infection or Death for Visits up to 104 Weeks
NCT00315341 (1) [back to overview]Hepatic Safety
NCT00552578 (3) [back to overview]Number of Participants With Better Overall Quality of Life at Six Months as Compared to Baseline.
NCT00552578 (3) [back to overview]Relapse to Substance Abuse
NCT00552578 (3) [back to overview]Treatment Retention.
NCT00555425 (7) [back to overview]Health Status
NCT00555425 (7) [back to overview]Changes in HIV Risk
NCT00555425 (7) [back to overview]Retention in Treatment
NCT00555425 (7) [back to overview]Reduction in Cocaine Use
NCT00555425 (7) [back to overview]Proportion of Patients Protectively Transferred
NCT00555425 (7) [back to overview]Patient Satisfaction
NCT00555425 (7) [back to overview]Illicit Opioid Use
NCT00574067 (7) [back to overview]Criminal Activity
NCT00574067 (7) [back to overview]Drug Abuse Treatment Entry and Retention in the Community
NCT00574067 (7) [back to overview]Employment Status
NCT00574067 (7) [back to overview]HIV Risk Behavior
NCT00574067 (7) [back to overview]HIV Risk Behavior Needle Sharing
NCT00574067 (7) [back to overview]Number of Days of Cocaine Use
NCT00574067 (7) [back to overview]Number of Days of Heroin Use
NCT00604188 (8) [back to overview]Addiction-related Severity Index (ASI-Lite): A Composite Score to Evaluate Seven Potential Problem Areas: Medical, Employment/Support Status, Alcohol, Drug, Legal, Family/Social, and Psychiatric
NCT00604188 (8) [back to overview]Illicit Opioid and Non-opioid Drug Use: Substance Use Inventory (SUI)
NCT00604188 (8) [back to overview]Illicit Opioid and Non-opioid Drug Use: Urine Drug Screen (UDS)
NCT00604188 (8) [back to overview]Observer-rated Opioid Withdrawal Symptoms (OOWS)
NCT00604188 (8) [back to overview]Responders at Day 28
NCT00604188 (8) [back to overview]Responders at Day 3
NCT00604188 (8) [back to overview]Self-reported Opioid Withdrawal Symptoms (SOWS)
NCT00604188 (8) [back to overview]Compliance Rate
NCT00605033 (1) [back to overview]Response Rate
NCT00637000 (18) [back to overview]"CVisual Analog Scale (VAS) Score at Baseline and the Peak (Maximum Increase) VAS up to 23.5 Hours After First Administration for the Question: Do You Like the Drug?"
NCT00637000 (18) [back to overview]"Visual Analog Scale (VAS) Score at Baseline and the Peak (Maximum Increase) VAS up to 23.5 Hours After First Administration for the Question: Do You Feel Any Drug Effect?"
NCT00637000 (18) [back to overview]"Visual Analog Scale (VAS) Score at Baseline and the Peak (Maximum Increase) VAS up to 23.5 Hours After First Administration for the Question: Does the Drug Have Any Bad Effects?"
NCT00637000 (18) [back to overview]Pupil Diameter Measurements At End of Induction (End of Day 2) and the Minimum Pupil Diameter During the Post Induction Period (Days 3-5)
NCT00637000 (18) [back to overview]Severity of Withdrawal Symptoms Measured Using the Clinical Opiate Withdrawal Scale (COWS) at Baseline and the Peak COWS up to 23.5 Hours After the First Administration
NCT00637000 (18) [back to overview]Severity of Withdrawal Symptoms Measured Using the Clinical Opiate Withdrawal Scale (COWS) at the End of Induction and the Peak COWS Post Induction
NCT00637000 (18) [back to overview]Summary of Participants With Treatment-Emergent Adverse Events (TEAEs)
NCT00637000 (18) [back to overview]"Visual Analog Scale (VAS) Score at Baseline and the Peak (Maximum Increase) VAS up to 23.5 Hours After First Administration for the Question: How High Are You?"
NCT00637000 (18) [back to overview]"Visual Analog Scale (VAS) Score at Baseline and the Peak (Maximum Increase) VAS up to 23.5 Hours After First Administration for the Question: Does the Drug Make You Sick?"
NCT00637000 (18) [back to overview]"Visual Analog Scale (VAS) Score at Baseline and the Peak (Maximum Increase) VAS up to 23.5 Hours After First Administration for the Question: Does the Drug Have Any Good Effects?"
NCT00637000 (18) [back to overview]Pupil Diameter Measurements at Baseline and the Minimum Pupil Diameter up to 23.5 Hours After the First Administration
NCT00637000 (18) [back to overview]Pupil Diameter Measurements at Baseline and the Maximum Pupil Diameter up to 23.5 Hours After the First Administration
NCT00637000 (18) [back to overview]"Visual Analog Scale (VAS) Scores at End of Induction Period and the Post-induction Period (Maximum Increase) for the Question: How High Are You?"
NCT00637000 (18) [back to overview]"Visual Analog Scale (VAS) Scores at End of Induction Period and the Post-induction Period (Maximum Increase) for the Question: Does the Drug Make You Sick?"
NCT00637000 (18) [back to overview]"Visual Analog Scale (VAS) Scores at End of Induction Period and the Post-induction Period (Maximum Increase) for the Question: Does the Drug Have Any Bad Effects?"
NCT00637000 (18) [back to overview]"Visual Analog Scale (VAS) Scores at End of Induction Period and the Post-induction Period (Maximum Increase) for the Question: Do You Like the Drug?"
NCT00637000 (18) [back to overview]"Visual Analog Scale (VAS) Scores at End of Induction Period and the Post-induction Period (Maximum Increase) for the Question: Do You Feel Any Good Effects?"
NCT00637000 (18) [back to overview]"Visual Analog Scale (VAS) Scores at End of Induction Period and the Post-induction Period (Maximum Increase) for the Question: Do You Feel Any Drug Effect?"
NCT00640835 (2) [back to overview]Number of Subjects With Treatment-emergent Adverse Events Associated With the Oral Cavity.
NCT00640835 (2) [back to overview]Number of Subjects With Mild, Moderate or Severe Treatment-emergent Adverse Events Associated With the Oral Cavity
NCT00684073 (1) [back to overview]Subject's Self Assessment Using 10 cm Visual Analogue Scale (VAS) of Overall Preference for One of the Two Buprenorphine-based Maintenance Therapies (Suboxone® or Subutex®).
NCT00710385 (2) [back to overview]"Drug Liking"
NCT00710385 (2) [back to overview]Drug's Breakpoint
NCT00723749 (4) [back to overview]Retention Rate After 12 Months of Treatment With Suboxone
NCT00723749 (4) [back to overview]Dosage of SUBOXONE®
NCT00723749 (4) [back to overview]Drug Craving (Subjective Effects of Therapy)
NCT00723749 (4) [back to overview]Take Home Prescriptions of SUBOXONE®
NCT00725608 (3) [back to overview]Retention Rate
NCT00725608 (3) [back to overview]Dispensing of Suboxone (Buprenorphine Plus Naloxone)
NCT00725608 (3) [back to overview]Dosing of Suboxone (Buprenorphine Plus Naloxone)
NCT00879996 (4) [back to overview]Self-reported Illicit Opioid Use
NCT00879996 (4) [back to overview]Number of Participants Retained in Treatment
NCT00879996 (4) [back to overview]Numerical Rating Score for Functioning
NCT00879996 (4) [back to overview]Numerical Rating Score for Pain
NCT00929253 (1) [back to overview]Abstinence
NCT01188421 (1) [back to overview]Mean Ratings on Clinical Opiate Withdrawal Scale (COWS) Measure of Withdrawal During Double-blind Taper (7-days) and Post-taper (7-days) Period.
NCT01396005 (6) [back to overview]AUC of Buprenorphine (Administered in Combination With Naloxone) at Steady State With or Without Boceprevir
NCT01396005 (6) [back to overview]AUC of Naloxone (Administered in Combination With Buprenorphine) at Steady State With or Without Boceprevir
NCT01396005 (6) [back to overview]Cmax of Buprenorphine (Administered in Combination With Naloxone) at Steady State With or Without Boceprevir
NCT01396005 (6) [back to overview]Cmax of Naloxone (Administered in Combination With Buprenorphine) at Steady State With or Without Boceprevir
NCT01396005 (6) [back to overview]Area Under the Concentration Versus Time Curve (AUC) at Steady State of Methadone Enantiomers When Administered With or Without Boceprevir
NCT01396005 (6) [back to overview]Maximum Concentration (Cmax) at Steady State of Methadone Enantiomers When Administered With or Without Boceprevir
NCT01402492 (1) [back to overview]Cocaine Use Days as Measured by Self-report, Corroborated by Thrice-weekly Urine Drug Screens
NCT01550341 (12) [back to overview]Log Viral Load
NCT01550341 (12) [back to overview]Log Viral Load
NCT01550341 (12) [back to overview]Viral Load
NCT01550341 (12) [back to overview]Viral Load
NCT01550341 (12) [back to overview]Viral Load
NCT01550341 (12) [back to overview]CD4 Count Absolute
NCT01550341 (12) [back to overview]Log Viral Load
NCT01550341 (12) [back to overview]CD4 Percent
NCT01550341 (12) [back to overview]CD4 Percent
NCT01550341 (12) [back to overview]CD4 Percent
NCT01550341 (12) [back to overview]CD4 Count Absolute
NCT01550341 (12) [back to overview]CD4 Count Absolute
NCT01559454 (6) [back to overview]Analgesia
NCT01559454 (6) [back to overview]Cravings
NCT01559454 (6) [back to overview]Illicit Drug Use
NCT01559454 (6) [back to overview]Functioning
NCT01559454 (6) [back to overview]Depression
NCT01559454 (6) [back to overview]Treatment Retention
NCT01690546 (10) [back to overview]Withdrawal Intensity as Measured by the Clinical Opiate Withdrawal Scale (COWS)
NCT01690546 (10) [back to overview]Satisfaction With Treatment, Measured by a Treatment Satisfaction Questionnaire
NCT01690546 (10) [back to overview]Number of Participants That Self Reported Illicit Drug Use
NCT01690546 (10) [back to overview]Craving
NCT01690546 (10) [back to overview]Illicit Drug Use, Measured by Urine Drug Testing
NCT01690546 (10) [back to overview]Percentage of Participants Who Adhered to Study Visits.
NCT01690546 (10) [back to overview]Percentage of Participants With Adherence to Medication (Naltrexone)
NCT01690546 (10) [back to overview]Retention in Treatment
NCT01690546 (10) [back to overview]Use of Ancillary Medications.
NCT01690546 (10) [back to overview]Withdrawal Intensity as Measured by the Subjective Opiate Withdrawal Scale (SOWS)
NCT01843751 (5) [back to overview]Number of Emergency Room Visits
NCT01843751 (5) [back to overview]Number of Participants With New Crime
NCT01843751 (5) [back to overview]Human Immunodeficiency Virus (HIV) Risk Behavior Assessment by Assessing Change in Risk Assessment Battery (RAB) Score
NCT01843751 (5) [back to overview]Initiation of Medication Assisted Treatment
NCT01843751 (5) [back to overview]Number of Days From Treatment Initiation to First Drug Use
NCT01848054 (8) [back to overview]Mean Change From Baseline in the VAS Score for Cravings After Day 3 (Maintenance Phase)
NCT01848054 (8) [back to overview]Area Under the Curve (AUC) in Clinical Opiate Withdrawal Scale (COWS) Total Score on Days 1 to 3 Inclusive
NCT01848054 (8) [back to overview]AUC in Subjective Opiate Withdrawal Scale (SOWS) Total Score on Days 1 to 3 Inclusive
NCT01848054 (8) [back to overview]AUC in Visual Analog Scale (VAS) Score for Craving on Days 1 to 3 Inclusive
NCT01848054 (8) [back to overview]Retention in Treatment in the Full Analysis Population
NCT01848054 (8) [back to overview]Retention in Treatment in the Per Protocol Population
NCT01848054 (8) [back to overview]Mean Change From Baseline in COWS Total Score After Day 3 (Maintenance Phase)
NCT01848054 (8) [back to overview]Mean Change From Baseline in SOWS Total Score After Day 3 (Maintenance Phase)
NCT01875848 (2) [back to overview]Patient Global Impression of Change (PGIC)
NCT01875848 (2) [back to overview]Change in Numeric Rating Scale of Pain Severity
NCT01903005 (11) [back to overview]Number of Patient Discontinuations Due to Treatment-Emergent Adverse Events
NCT01903005 (11) [back to overview]Mean Change From Primary Study Baseline (OX219-006 or OX219-007) in Subjective Opioid Withdrawal Scale (SOWS) Score
NCT01903005 (11) [back to overview]Number of Patients Reporting Treatment-Emergent Adverse Events
NCT01903005 (11) [back to overview]Number of Patients Reporting Treatment-Emergent Serious Adverse Events
NCT01903005 (11) [back to overview]Number of Patients Reporting Treatment-Related, Treatment-Emergent Adverse Events
NCT01903005 (11) [back to overview]Percent Change From Primary Study Baseline (OX219-006 or OX219-007) for Question 1 of the Work Productivity/Activity Impairment: 6-Question Specific Health Problem Questionnaire (WPAI:SHP)
NCT01903005 (11) [back to overview]Retention in Treatment in the Safety Population
NCT01903005 (11) [back to overview]Mean Change From Primary Study Baseline (OX219-006 and OX219-007) in Visual Analog Scale (VAS) Craving Scores
NCT01903005 (11) [back to overview]Mean Change From Primary Study Baseline (OX219-006 or OX219-007) for Questions 2-4 of the WPAI:SHP
NCT01903005 (11) [back to overview]Mean Change From Primary Study Baseline (OX219-006 or OX219-007) for Questions 5-6 of the WPAI:SHP
NCT01903005 (11) [back to overview]Mean Change From Primary Study Baseline (OX219-006 or OX219-007) in Clinical Opioid Withdrawal Scale (COWS) Score
NCT01936857 (5) [back to overview]Number of Participants With HIV Viral Suppression
NCT01936857 (5) [back to overview]Participants With Heroin Use (Urine Drug Screen)
NCT01936857 (5) [back to overview]Participants With Heroin Use (Self-report)
NCT01936857 (5) [back to overview]Number of Participants in Retention in HIV Care
NCT01936857 (5) [back to overview]Number of Participants in Receipt of Antiretroviral Therapy (ART)
NCT01967641 (3) [back to overview]Pain Measurement
NCT01967641 (3) [back to overview]Number of Participants Retained in Study
NCT01967641 (3) [back to overview]Number of Participants Abstinent From Opioids
NCT02032433 (58) [back to overview]Time to Relapse (Intent to Treat Population)
NCT02032433 (58) [back to overview]Time to Relapse (Per Protocol Population)
NCT02032433 (58) [back to overview]Cigarette Smoking, W24 31 or More
NCT02032433 (58) [back to overview]Cigarette Smoking, W24 21-30
NCT02032433 (58) [back to overview]Cigarette Smoking, W24 11-20
NCT02032433 (58) [back to overview]Opioid Abstinence Over Time While on Study Medication (Objective)
NCT02032433 (58) [back to overview]Cigarette Smoking, W0 31 or More
NCT02032433 (58) [back to overview]Score on Trail Making Test Part B
NCT02032433 (58) [back to overview]Cigarette Smoking, W0, 10 or Less
NCT02032433 (58) [back to overview]Cigarette Smoking, W24 0
NCT02032433 (58) [back to overview]Score on Trail Making Test Part B
NCT02032433 (58) [back to overview]Opioid Abstinence Over Time While on Study Medication (Subjective)
NCT02032433 (58) [back to overview]Number Successfully Inducted Onto Assigned Study Medication
NCT02032433 (58) [back to overview]Adverse Events Related to Study Medications
NCT02032433 (58) [back to overview]Alcohol Use Over Time, Drinks Per Day
NCT02032433 (58) [back to overview]Alcohol Use Over Time, Drinks Per Day, Past 30 Days, W0
NCT02032433 (58) [back to overview]Cigarette Smoking
NCT02032433 (58) [back to overview]Cigarette Smoking, W0 0
NCT02032433 (58) [back to overview]Cigarette Smoking, W0 11-20
NCT02032433 (58) [back to overview]Cigarette Smoking, W0 21-30
NCT02032433 (58) [back to overview]Score on Word Card of Stoop Test
NCT02032433 (58) [back to overview]Score on Word Card of Stoop Test
NCT02032433 (58) [back to overview]Other Drug Use Over Time, Cannabis, W0
NCT02032433 (58) [back to overview]Other Drug Use Over Time, Cannabis, W24
NCT02032433 (58) [back to overview]Other Drug Use Over Time, Cocaine, W0
NCT02032433 (58) [back to overview]Other Drug Use Over Time, Cocaine, W24
NCT02032433 (58) [back to overview]Other Drug Use Over Time, Stimulant, W0
NCT02032433 (58) [back to overview]Other Drug Use Over Time, Stimulant, W24
NCT02032433 (58) [back to overview]Score of Alcohol Subscale Within Addiction Severity Index (ASI) Scale
NCT02032433 (58) [back to overview]Score of Alcohol Subscale Within Addiction Severity Index (ASI) Scale
NCT02032433 (58) [back to overview]Score of Condom Use Subscale Within HIV Risk-Taking Behavior Scale (HRBS)
NCT02032433 (58) [back to overview]Score of Condom Use Subscale Within HIV Risk-Taking Behavior Scale (HRBS)
NCT02032433 (58) [back to overview]Score of Drug Use Subscale Within Addiction Severity Index (ASI) Scale
NCT02032433 (58) [back to overview]Score of Drug Use Subscale Within Addiction Severity Index (ASI) Scale
NCT02032433 (58) [back to overview]Score of Family / Social Relationship Subscale Within Addiction Severity Index (ASI) Scale
NCT02032433 (58) [back to overview]Score of Legal Status Subscale Within Addiction Severity Index (ASI) Scale
NCT02032433 (58) [back to overview]Score of Legal Status Subscale Within Addiction Severity Index (ASI) Scale
NCT02032433 (58) [back to overview]Score of Medical Status Subscale Within Addiction Severity Index (ASI) Scale
NCT02032433 (58) [back to overview]Score of Medical Status Subscale Within Addiction Severity Index (ASI) Scale
NCT02032433 (58) [back to overview]Score of Psychiatric Status Subscale Within Addiction Severity Index (ASI) Scale
NCT02032433 (58) [back to overview]Score of Psychiatric Status Subscale Within Addiction Severity Index (ASI) Scale
NCT02032433 (58) [back to overview]Score of Sexual Behavior Subscale Within HIV Risk-Taking Behavior Scale (HRBS)
NCT02032433 (58) [back to overview]Score of Sexual Behavior Subscale Within HIV Risk-Taking Behavior Scale (HRBS)
NCT02032433 (58) [back to overview]Score of Social Relationship Subscale Within Addiction Severity Index (ASI) Scale
NCT02032433 (58) [back to overview]Score of Subacute Withdrawal Symptoms Subscale Within Hamilton Depression (HAM-D) Rating Scale
NCT02032433 (58) [back to overview]Score of Subacute Withdrawal Symptoms Subscale Within Hamilton Depression (HAM-D) Rating Scale
NCT02032433 (58) [back to overview]Score on Color Card of Stoop Test
NCT02032433 (58) [back to overview]Score on Color Card of Stoop Test
NCT02032433 (58) [back to overview]Score on Color Word Card of Stoop Test
NCT02032433 (58) [back to overview]Score on Color Word Card of Stoop Test
NCT02032433 (58) [back to overview]Score on EuroQOL EQ-5D Questionnaire
NCT02032433 (58) [back to overview]Score on EuroQOL EQ-5D Questionnaire
NCT02032433 (58) [back to overview]Score on Opioid Craving Scale (OCS)
NCT02032433 (58) [back to overview]Score on Subjective Opiate Withdrawal Scale (SOWS)
NCT02032433 (58) [back to overview]Score on Subjective Opiate Withdrawal Scale (SOWS)
NCT02032433 (58) [back to overview]Score on Trail Making Test Part A
NCT02032433 (58) [back to overview]Score on Trail Making Test Part A
NCT02032433 (58) [back to overview]Opioid Craving Over Time W0
NCT02038790 (14) [back to overview]Percentage of Participant Response to the Request: Please Rate the Medication You Received Today in Terms of the Drug's Ability to Product a 'High'
NCT02038790 (14) [back to overview]Percentage of Participant Response to the Request: When Thinking About the Medication You Used Today, Indicate on the Line Below Your Ability to Abuse This Medication
NCT02038790 (14) [back to overview]Dissolution Time of Intervention as Recorded by a Trained Observer
NCT02038790 (14) [back to overview]Overall Intervention Preference As Assessed by Participants
NCT02038790 (14) [back to overview]Participant Assessments With Regard to Ease of Dissolution of Interventions
NCT02038790 (14) [back to overview]Participant Preference With Regard to Overall Taste of Interventions
NCT02038790 (14) [back to overview]Percentage of Participant Favorable and Unfavorable Response to the Question: How Comfortable Did It Feel In Your Mouth?
NCT02038790 (14) [back to overview]Percentage of Participant Favorable and Unfavorable Response to the Question: How Easily Did the Medication Dissolve in Your Mouth?
NCT02038790 (14) [back to overview]Percentage of Participant Favorable and Unfavorable Response to the Question: How Easy or Difficult Was it to Open the Package?
NCT02038790 (14) [back to overview]Percentage of Participant Favorable and Unfavorable Response to the Question: How Easy or Difficult Were the Package Instructions to Follow?
NCT02038790 (14) [back to overview]Percentage of Participant Response to the Question: Compared to the Medication That You Are Currently Using for Treatment of Opioid Dependence, The Study Medication You Just Used Was.....
NCT02038790 (14) [back to overview]Percentage of Participant Response to the Question: Did You Experience Any Uncomfortable Effects of Burning or Stinging?
NCT02038790 (14) [back to overview]Percentage of Participant Response to the Question: Did You Experience Any Uncomfortable Effects of Skin Irritation or Blisters?
NCT02038790 (14) [back to overview]Percentage of Participant Response to the Question: If You Did Want to Abuse This Medication, Would You Prefer to......
NCT02294253 (1) [back to overview]Successful Induction Onto XR-NTX
NCT02357901 (15) [back to overview]Percentage of Participants Considered A Treatment Success
NCT02357901 (15) [back to overview]Participants Who Are Abstinent at Week 24
NCT02357901 (15) [back to overview]Change From Baseline in the Opioid Craving Visual Analog Scale (VAS) Prior to Injections From Week 5 Through Week 24 Analyzed by Mixed Model for Repeated Measures
NCT02357901 (15) [back to overview]Total Number of Weeks of Abstinence as Assessed From Urine Samples Negative for Opioids Combined With Self-Reports Negative for Illicit Opioid Use Collected From Week 5 Through Week 24
NCT02357901 (15) [back to overview]Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Through Week 24 Analyzed by Mixed Model for Repeated Measures
NCT02357901 (15) [back to overview]Change From Baseline in the Clinical Global Impression - Severity Scale (CGI-S) Prior to Injections From Week 5 Through Week 24 Analyzed by Mixed Model for Repeated Measures
NCT02357901 (15) [back to overview]Suicidality Using the Columbia Suicide Severity Rating Scale (C-SSRS) From Week 2 - 24
NCT02357901 (15) [back to overview]Participants With Adverse Events During the Treatment Period
NCT02357901 (15) [back to overview]Change From Baseline in the Clinical Global Impression - Improvement Scale (CGI-I) Prior to Injections From Week 5 Through Week 24 Analyzed by Mixed Model for Repeated Measures
NCT02357901 (15) [back to overview]Cumulative Distribution Function (CDF) of the Percentage of Urine Samples Negative for Opioids From Week 5 Through Week 24
NCT02357901 (15) [back to overview]Cumulative Distribution Function (CDF) of the Percentage of Urine Samples Negative for Opioids Combined With Self-Reports Negative for Illicit Opioid Use Collected From Week 5 Through Week 24
NCT02357901 (15) [back to overview]Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Through Week 24 Analyzed by Mixed Model for Repeated Measures
NCT02357901 (15) [back to overview]Cumulative Distribution Function (CDF) of the Percentage of Self-Reports Negative for Illicit Opioid Use From Week 5 Through Week 24
NCT02357901 (15) [back to overview]Worst Injection Site Pain From Injections 1-6 as Measured by Participant-Reported Visual Analog Scale (VAS)
NCT02357901 (15) [back to overview]"Participants Who Complete the Week 24 Visit (Completers)"
NCT02510014 (11) [back to overview]Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) at End of Study (Weeks 25 and 49)
NCT02510014 (11) [back to overview]Worst Local Injection Site Pain From Injections as Measured by Participant-Reported Visual Analog Scale (VAS)
NCT02510014 (11) [back to overview]Percentage Change From Baseline to End of Study (Weeks 25 and 49) in Vital Signs
NCT02510014 (11) [back to overview]Participants With Treatment-Emergent Adverse Events (TEAE) During the Treatment Period
NCT02510014 (11) [back to overview]Cumulative Distribution Function (CDF) of the Percentage Abstinence Collected From Week 1 Through End of Study (Weeks 25 and 49)
NCT02510014 (11) [back to overview]Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) at End of Study (Weeks 25 and 49)
NCT02510014 (11) [back to overview]Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) at End of Study (Weeks 25 and 49)
NCT02510014 (11) [back to overview]Change From Baseline in the Opioid Craving Visual Analog Scale (VAS) at End of Study (Weeks 25 and 49)
NCT02510014 (11) [back to overview]Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) at End of Study (Weeks 25 and 49)
NCT02510014 (11) [back to overview]Worst Local Injection Site Pain From Injections as Measured by Participant-Reported Visual Analog Scale (VAS)
NCT02510014 (11) [back to overview]Change From Baseline in the Opioid Craving Visual Analog Scale (VAS) at End of Study (Weeks 25 and 49)
NCT02696096 (3) [back to overview]Changes in Working Memory - Within Groups During Satiation and Withdrawal
NCT02696096 (3) [back to overview]Working Memory - Between Groups at Baseline by Lapsed Category
NCT02696096 (3) [back to overview]Changes in Resting State Disorganization Between Baseline and One Week by Person by Lapsed Category
NCT03026790 (14) [back to overview]PODS Concerns
NCT03026790 (14) [back to overview]Pain Response
NCT03026790 (14) [back to overview]PHQ-8
NCT03026790 (14) [back to overview]50% Reduction in Opioid Daily Dose
NCT03026790 (14) [back to overview]GAD-7
NCT03026790 (14) [back to overview]PODS Problems
NCT03026790 (14) [back to overview]Brief Pain Inventory (BPI) Total Score
NCT03026790 (14) [back to overview]VR-12 Physical Component Score
NCT03026790 (14) [back to overview]Composite Response
NCT03026790 (14) [back to overview]VR-12 Mental Component Score
NCT03026790 (14) [back to overview]Symptom Checklist
NCT03026790 (14) [back to overview]PROMIS Sleep Disturbance
NCT03026790 (14) [back to overview]PROMIS Fatigue
NCT03026790 (14) [back to overview]Headache Impact Test
NCT03248947 (8) [back to overview]Pharmacists' Use of the Prescription Drug Monitoring Program (PDMP)
NCT03248947 (8) [back to overview]Treatment Fidelity
NCT03248947 (8) [back to overview]Number of Participants With Opioid and Other Substance Use
NCT03248947 (8) [back to overview]Number of Medication-Compliant Months Across All Participants
NCT03248947 (8) [back to overview]Treatment Retention
NCT03248947 (8) [back to overview]Treatment Satisfaction
NCT03248947 (8) [back to overview]Recruitment Rate
NCT03248947 (8) [back to overview]Participant Safety
NCT03291847 (8) [back to overview]Fetal Heart Rate at 24 Weeks
NCT03291847 (8) [back to overview]Fetal Heart Rate at 28 Weeks Gestation
NCT03291847 (8) [back to overview]Fetal Heart Rate at 32 Weeks Gestation
NCT03291847 (8) [back to overview]Total Fetal Movement at 24 Weeks Gestation
NCT03291847 (8) [back to overview]Total Fetal Movement at 28 Weeks Gestation
NCT03291847 (8) [back to overview]Total Fetal Movement at 36 Weeks Gestation
NCT03291847 (8) [back to overview]Total Fetal Movement at 32 Weeks Gestation
NCT03291847 (8) [back to overview]Fetal Heart Rate at 36 Weeks Gestation
NCT03604159 (8) [back to overview]# of Participants Retained on Any Form of Community Buprenorphine (Not Randomzied tx) at Week 8
NCT03604159 (8) [back to overview]# of Participants Retained on Their Randomly Assigned Treatment at Week 8
NCT03604159 (8) [back to overview]Mean # of Weeks (0-8) on Any Buprenorphine Treatment
NCT03604159 (8) [back to overview]The # of Participants That Received Their Randomly Assigned Study Medication
NCT03604159 (8) [back to overview]the # of Participants Re-incarcerated
NCT03604159 (8) [back to overview]Urine Samples Opioid-negative
NCT03604159 (8) [back to overview]The Mean In-jail Medical Visits Per Day Following Randomization and Induction on Study Medication
NCT03604159 (8) [back to overview]The # of Participants Who Received Their Randomly Assigned Study Medication Prior to Release From Jail as Scheduled
NCT03711318 (1) [back to overview]Proportion of Heroin-dependent Patients Successfully Inducted Onto Vivitrol
NCT03769025 (2) [back to overview]Percent of Urine Positive Drug Screens
NCT03769025 (2) [back to overview]Mean Urinary Buprenorphine Levels
NCT03908437 (4) [back to overview]Overdose During the 6-month Follow-up
NCT03908437 (4) [back to overview]Enrollment in Medication Assisted Treatment at 6-month Post-enrollment
NCT03908437 (4) [back to overview]Change in Opioid Use From Baseline to 6-month Follow-up
NCT03908437 (4) [back to overview]Enrollment in Medication Assisted Treatment at 1-month Post-enrollment
NCT04447287 (22) [back to overview]Change From Baseline in Blood Oxygen Saturation (SpO2) at 1 Hour Postdose
NCT04447287 (22) [back to overview]Pharmacokinetics (PK) of ASP8062 in Plasma: Area Under the Concentration-time Curve From the Time of Dosing Extrapolated to Time Infinity (AUCinf)
NCT04447287 (22) [back to overview]Pharmacokinetics (PK) of ASP8062 in Plasma: Maximum Concentration (Cmax)
NCT04447287 (22) [back to overview]Pharmacokinetics (PK) of ASP8062 in Plasma: Area Under the Concentration-time Curve From the Time of Dosing to the Last Measurable Concentration (AUClast)
NCT04447287 (22) [back to overview]Number of Participants With Suicidal Ideation and/or Suicidal Behavior as Assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS)
NCT04447287 (22) [back to overview]Pharmacokinetics (PK) of Norbuprenorphine (Buprenorphine's Metabolite) in Plasma: AUC24
NCT04447287 (22) [back to overview]Pharmacokinetics (PK) of Naloxone in Plasma: Cmax
NCT04447287 (22) [back to overview]Pharmacokinetics (PK) of Naloxone in Plasma: AUC24
NCT04447287 (22) [back to overview]Pharmacokinetics (PK) of Buprenorphine in Plasma: Cmax
NCT04447287 (22) [back to overview]Pharmacokinetics (PK) of Buprenorphine in Plasma: Area Under the Concentration-time Curve From the Time of Dosing to 24 Hours (AUC24)
NCT04447287 (22) [back to overview]Change From Baseline in End Tidal Carbon Dioxide (CO2) at Predose
NCT04447287 (22) [back to overview]Number of Participants With Adverse Events (AEs)
NCT04447287 (22) [back to overview]Pharmacokinetics (PK) of Norbuprenorphine (Buprenorphine's Metabolite) in Plasma: Cmax
NCT04447287 (22) [back to overview]Change From Baseline in End Tidal Carbon Dioxide (CO2) at 8 Hour Postdose
NCT04447287 (22) [back to overview]Change From Baseline in End Tidal Carbon Dioxide (CO2) at 4 Hour Postdose
NCT04447287 (22) [back to overview]Change From Baseline in End Tidal Carbon Dioxide (CO2) at 2 Hour Postdose
NCT04447287 (22) [back to overview]Change From Baseline in End Tidal Carbon Dioxide (CO2) at 1 Hour Postdose
NCT04447287 (22) [back to overview]Change From Baseline in Blood Oxygen Saturation (SpO2) at Predose
NCT04447287 (22) [back to overview]Change From Baseline in Blood Oxygen Saturation (SpO2) at 8 Hour Postdose
NCT04447287 (22) [back to overview]Change From Baseline in Blood Oxygen Saturation (SpO2) at 4 Hour Postdose
NCT04447287 (22) [back to overview]Change From Baseline in Blood Oxygen Saturation (SpO2) at 2 Hour Postdose
NCT04447287 (22) [back to overview]Change From Baseline in Blood Oxygen Saturation (SpO2) at 12 Hour Postdose
NCT04521920 (6) [back to overview]Number of Participants Who Demonstrate no or Minimal Opioid Use at 6 Months
NCT04521920 (6) [back to overview]Number of Participants Who Remain HIV Negative at 3 Months
NCT04521920 (6) [back to overview]Number of Participants Who Remain HIV Negative at 6 Months
NCT04521920 (6) [back to overview]Persistence in Care at 6 Months
NCT04521920 (6) [back to overview]Persistence in Care at 3 Months
NCT04521920 (6) [back to overview]Number of Participants Who Demonstrate no or Minimal Opioid Use at 3 Months

Incident Hepatitis B Infections

Serum samples were tested at baseline and between 26-52 weeks later for Hepatitis B surface antigen (HBsAg) using a commercial enzyme immunoassay (EIA) (Abbott Murex HBsAg version 3.0). If the HBsAg test was initially non-reactive, then the participant was considered to be negative for HBsAg. If the HBsAg test was initially reactive, then it was repeated in duplicate. If at least two of 3 tests were reactive, then the participant was considered to be positive for HBsAg. (NCT00270257)
Timeframe: Measured through week 52

Interventionparticipants with HBsAg (Number)
China9
Thailand0

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Incident Hepatitis C Infections for Thailand and China

"HCV antibody using two different HCV EIA assays (Ortho HCV antibody version 3.0 and Wantai HCV antibody assay) at baseline and between 26-156 weeks later.~If both HCV EIA antibody assays were nonreactive, then the participant was considered not to be HCV infected. If either assay was reactive, then the Ortho HCV assay was repeated in duplicate. If two of 3 Ortho HCV assays were reactive, then the participant was considered to be HCV infected. Samples that were repeatedly reactive for HCV antibody at a follow-up visit were tested for HCV RNA by the Roche COBAS® AmpliPrep/COBAS® TaqMan® HCV assay. Not all participants had follow-up testing performed in China due to early closure of the study by the Data Safety Monitoring Board on account of futility due to a low HIV incidence (the primary study endpoint).~Analysis was done separately for both countries" (NCT00270257)
Timeframe: Measured through week 156 in Thailand and 104 weeks in China

Interventionparticipants with HCV antibody (Number)
China41
Thailand8

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Number of Participants Reported Using Injection Equipment (Needles, Syringes, Cookers, Cottons, and Rinse Water) in the Prior 6 Months

(NCT00270257)
Timeframe: Measured through Week 104

Interventionparticipants (Number)
Long Term Medication Assisted Treatment (LT-MAT)23
Short Term Medication Assisted Treatment (ST-MAT)28

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Number of Participants With Urinalysis Results Positive for Opiates

Urine drug screen were assessed monthly and semiannually. (NCT00270257)
Timeframe: Measured through Week 104

Interventionparticipants (Number)
Long Term Medication Assisted Treatment (LT-MAT)138
Short Term Medication Assisted Treatment (ST-MAT)141

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Self-report of Continued Injection Opiate Use in the Last 30 Days

All participants completed interviewer-administered assessments of injection and non-injection drug use at baseline and at semi-annual visits. (NCT00270257)
Timeframe: Measured through Week 104

Interventionparticipants (Number)
Long Term Medication Assisted Treatment (LT-MAT)102
Short Term Medication Assisted Treatment (ST-MAT)107

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Self-reported Number of Injections in the Last Month

(NCT00270257)
Timeframe: Measured through Week 104

Interventioninjections (Median)
Long Term Medication Assisted Treatment (LT-MAT)30
Short Term Medication Assisted Treatment (ST-MAT)30

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Evidence of HIV-1 Infection or Death for Visits up to 104 Weeks

The primary endpoint for the study was cumulative HIV infection or death after a second year of follow-up (i.e. at week 104), one year after completion of the treatment phase, designed to test a durable intervention effect. (NCT00270257)
Timeframe: For visits up to week 104

,
Interventionparticipants (Number)
# of HIV infections# of Deaths
Long Term Medication Assisted Treatment (LT-MAT)28
Short Term Medication Assisted Treatment (ST-MAT)59

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Hepatic Safety

"Participants were categorized according liver transaminase (ALT, AST) levels in blood comparing the baseline sample to any and all subsequent samples in the following manner:~A: both ALT and AST started at less than or equal to two times the ULN and remained at two times or less ULN throughout the study~B: either ALT or AST started at less than or equal to 2 x ULN and at any point in study exceeded 2 x ULN~C: Either ALT or AST started > 2 x ULN, decreased (both ALT and AST) to < 2 x ULN, and remained < 2 x ULN~D: Either ALT or AST started > 2 x ULN and remained above 2 x ULN throughout the study" (NCT00315341)
Timeframe: 24 Weeks

,
Interventionparticipants (Number)
ALT - A (low, stays low)ALT - B (low, goes high)ALT - C (high, goes low, stays low)ALT - D (high, stays high)AST - A (low, stay low)AST - B (low, goes high)AST - C (high, goes low, stays low)AST - D (high, stays high)
Buprenorphine/Nx278414172913739
Methadone318621103285418

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Number of Participants With Better Overall Quality of Life at Six Months as Compared to Baseline.

Qualitative measure (better/no change/worse) of participant's perception of overall quality of life related to assigned study protocol arm. (NCT00552578)
Timeframe: Baseline and six months

InterventionParticipants (Number)
Tapering Doses of Buprenorphine4
Steady Dose of Buprenorphine4

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Relapse to Substance Abuse

Relapse to substance abuse (yes/no) was determined by participant self-report or by a positive urine toxicology. (NCT00552578)
Timeframe: Six months

Interventionparticipants (Number)
Tapering Doses of Buprenorphine2
Steady Dose of Buprenorphine4

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Treatment Retention.

"Treatment retention was defined as the completion of the buprenorphine dosing protocol (i.e., tapering doses vs. steady doses)." (NCT00552578)
Timeframe: Six months

InterventionParticipants (Number)
Tapering Doses of Buprenorphine0
Steady Dose of Buprenorphine5

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Health Status

Measured by the SF-36 overall transformed measure. In the SF-36 all items are scored so that a high score defines a more favorable health state. In addition, each item is scored on a 0 to 100 range so that the lowest and highest possible scores are 0 and 100, respectively. (NCT00555425)
Timeframe: 18 weeks

,
Interventionunits on a scale (Mean)
BaselineIn-Treatment
Maintenance Condition67.666.6
Taper Condition67.268.7

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Changes in HIV Risk

"As measured by the AIDS Risk Inventory. The AIDS Risk Inventory (ARI) is a 166 item structured interview that assesses the number and frequency of drug-related and sexual risk behaviors in the preceding 3 months. Calculation of the ARI total score is based on the frequency of occurrence of a given behavior and on the recency of this behavior, with recency being weighted more than a life-time occurrence of the same behavior. Higher values are associated with greater risk of HIV transmission (worse).~There are 10 subscales comprised of between 8 and 24 items. Subscales scores are based on the sum of the individual items and the overall ARI total score is the sum of the subscales.~Scores can range from 0 to 350, although among opioid dependent patients most values are below 100 with means between 50 and 60 depending on characteristics of the patients and treatment status." (NCT00555425)
Timeframe: Baseline and 18 weeks

,
Interventionunits on a scale (Mean)
Baseline18 weeks
Maintenance Condition67.674.4
Taper Condition66.774.5

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Retention in Treatment

Mean number of days from randomization to last clinical contact (NCT00555425)
Timeframe: 18 weeks

Interventionnumber of days (Mean)
Taper Condition57.5
Maintenance Condition98.7

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Reduction in Cocaine Use

As measured by the percent of provided urines positive for cocaine (NCT00555425)
Timeframe: 18 weeks

Interventionpercent of cocaine positive urines (Mean)
Taper Condition11.5
Maintenance Condition11.1

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Proportion of Patients Protectively Transferred

>= 2 consecutive weeks of daily illicit opioid use and opioid positive urine samples after completion of the first 6 weeks of the study (NCT00555425)
Timeframe: 18 weeks

Interventionparticipants (Number)
Taper Condition16
Maintenance Condition3

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Patient Satisfaction

Patient satisfaction as measured by survey. Primary Care Buprenorphine Satisfaction Scale (PCBSS). Comprises of 19 items evaluating satisfaction with staff expertise, concern, and responsiveness. Range of scores from 15-95. I higher score indicates greater satisfaction. (NCT00555425)
Timeframe: 18 weeks

Interventionunits on a scale (Mean)
Taper Condition78.7
Maintenance Condition79.9

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Illicit Opioid Use

Urinalysis based on scheduled weekly urine screenings during treatment period (NCT00555425)
Timeframe: 18 weeks

Interventionpercent of opioid negative urine samples (Mean)
Taper Condition35.2
Maintenance Condition53.2

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Criminal Activity

Days of crime during the past 30 days (NCT00574067)
Timeframe: 1 year

Interventiondays (Mean)
Bup+OTP3.4
Bup+CHC5.4
Counseling+OTP3.3
Counseling+CHC3.2

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Drug Abuse Treatment Entry and Retention in the Community

entered community treatment within 10 days of release from prison (yes vs. no) (NCT00574067)
Timeframe: 1 year

Interventionparticipants (Number)
B+OTP22
B+CHC26
C+OTP23
C+CHC11

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Employment Status

Number of days employed during the past year (NCT00574067)
Timeframe: 1 year

Interventiondays (Mean)
B+OTP30.0
B+CHC29.6
C+OTP22.3
C+CHC31.4

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HIV Risk Behavior

Number of times had sex without using a condom during the past year (NCT00574067)
Timeframe: 1 year

Interventiontimes (Mean)
B+OTP59.7
B+CHC36.1
C+OTP33.3
C+CHC50.4

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HIV Risk Behavior Needle Sharing

Number of times shared a needle during the past year (NCT00574067)
Timeframe: 1 year

Interventiontimes (Mean)
B+OTP2.9
B+CHC.1
C+OTP2.1
C+CHC.1

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Number of Days of Cocaine Use

Number of days used cocaine during the past 30 days. (NCT00574067)
Timeframe: 1 year

Interventiondays (Mean)
Bup+OTP1.1
Bup+CHC4.1
Counseling+OTP4.7
Counseling+CHC2.7

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Number of Days of Heroin Use

mean days used heroin during the past 30 days (NCT00574067)
Timeframe: 1 year

Interventiondays (Mean)
Bup+OTP6.0
Bup+CHC6.4
Counseling+OTP6.5
Counseling+CHC4.0

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Illicit Opioid and Non-opioid Drug Use: Substance Use Inventory (SUI)

Number of participants with intravenous use of drug as measured by self-reported SUI from Days 3-28. The SUI form consisted of questions addressing the number of days and times a drug was used, and the route of drug use. For suboxone the use of scheduled study medication was not considered illicit use. (NCT00604188)
Timeframe: Days 3 to 28

,
InterventionParticipants (Number)
Subutex - Non prescription sourceSuboxone - Non prescription sourceSuboxone - Illicit use from study suppliesHeroinOther opioidsMethadoneMethamphetamineCocaineBenzodiazepines/Tranquilizers
Direct Suboxone Induction0001200020
Subutex-to-Suboxone Induction0001400040

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Illicit Opioid and Non-opioid Drug Use: Urine Drug Screen (UDS)

Number of participants who tested negative on UDS during open-label phase on Day 28. The drugs screened on Day 28 included amphetamines, methamphetamines, cocaine, morphine, methadone, benzodiazepines, and tetrahydrocannabinol. Buprenorphine was only tested at screening and randomization according to protocol, therefore no values for buprenorphine are available for Day 28. (NCT00604188)
Timeframe: 28 days

,
InterventionParticipants (Number)
TetrahydrocannabinolCocaineAmphetaminesBenzodiazepinesMethamphetaminesMorphineMethadoneBuprenorphine
Direct Suboxone Induction65707759796676NA
Subutex-to-Suboxone Induction59698164806781NA

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Observer-rated Opioid Withdrawal Symptoms (OOWS)

The OOWS were 13 physically observable signs that were present (scored 1) or absent (scored 0). A total score of 0 represented the best outcome and a total score of 13 represented the worst outcome. Participants were scored for OOWS at baseline (prior to randomization) and on Day 28. Reported are the total score for Day 28, and the change in scores from baseline to Day 28. (NCT00604188)
Timeframe: Baseline and 28 days

,
InterventionScore on a scale (Mean)
OOWS Score on Day 28Change from Baseline
Direct Suboxone Induction0.6-5.9
Subutex-to-Suboxone Induction0.5-5.9

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Responders at Day 28

Responders were the number of participants in each group who received the scheduled 8- to 24-mg dose of Suboxone at study visit day. A participant who discontinued from the study was treated as a non-responder at the timepoint after the participant discontinued. (NCT00604188)
Timeframe: 28 days

,
InterventionParticipants (Number)
ResponderNon-responder
Direct Suboxone Induction4647
Subutex-to-Suboxone Induction5539

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Responders at Day 3

"Responders included the number of participants who received the scheduled dose of Suboxone at the Day 3 study visit. Participants who discontinued the study at Day 3 were considered non-responders.~All participants that continued the study received Suboxone tablets on Day 3." (NCT00604188)
Timeframe: 3 days

,
InterventionParticipants (Number)
RespondersNon responders
Direct Suboxone Induction858
Subutex-to-Suboxone Induction859

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Self-reported Opioid Withdrawal Symptoms (SOWS)

SOWS were 16 items whose intensity was scored on a scale from 0 (not at all) to 4 (extremely) for a maximum possible score of 64. A total score of 0 represented the best outcome and a score of 64 represented the worst outcome. Participants were scored for SOWS at baseline (prior to randomization) and on Day 28. Reported are the scores for Day 28, and the change in scores from baseline to Day 28. (NCT00604188)
Timeframe: Baseline and 28 days

,
InterventionScore on a scale (Mean)
Score on Day 28Change from Baseline to Day 28
Direct Suboxone Induction3.8-23.3
Subutex-to-Suboxone Induction3.4-21.9

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Compliance Rate

Compliance rate was calculated as the number of days study medication was taken divided by the number of days study medication should have been taken X 100. The number of days study medication should have been taken was equal to the duration of treatment. (NCT00604188)
Timeframe: 28 days

InterventionPercentage of days (Mean)
Direct Suboxone Induction98.7
Subutex-to-Suboxone Induction98.4

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Response Rate

Response rate was defined as the percentage of participants who did not receive a dose increase from the dose given at the first dosing date by Day 7 of a one-week, randomized, double-blind, double-dummy treatment transfer phase. (NCT00605033)
Timeframe: Assessed by Day 7 of double-blind, double-dummy treatment period.

InterventionPercentage of participants (Number)
Suboxone83.2
Subutex88.7

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"CVisual Analog Scale (VAS) Score at Baseline and the Peak (Maximum Increase) VAS up to 23.5 Hours After First Administration for the Question: Do You Like the Drug?"

"A visual analog scale (VAS) was used by participants to answer the subjective question, Do you like the drug?. The question was one of six used to measure the extent of opioid blockade following study intervention. VAS questions were selected based on previous demonstration of their sensitivity to opioid agonist and antagonist effects (Preston et al., 1988). Participants indicated how high they feel by marking a score on a horizontal line with 0=no liking and 100=maximum liking." (NCT00637000)
Timeframe: Baseline: 30 minutes prior to first administration on Day 1. Peak: up to 23.5 hours post administration on Day 1

,
Interventionunits on a scale (Mean)
BaselinePeak
Sublingual Buprenorphine Soluble Film0.061.2
Sublingual Buprenorphine/Naloxone Soluble Film0.059.4

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"Visual Analog Scale (VAS) Score at Baseline and the Peak (Maximum Increase) VAS up to 23.5 Hours After First Administration for the Question: Do You Feel Any Drug Effect?"

"A visual analog scale (VAS) was used by participants to answer the subjective question, Do you feel any drug effect?. The question was one of six used to measure the extent of opioid blockade following study intervention. VAS questions were selected based on previous demonstration of their sensitivity to opioid agonist and antagonist effects (Preston et al., 1988). Participants indicated how high they feel by marking a score on a horizontal line with 0=no effect and 100=maximum effect." (NCT00637000)
Timeframe: Baseline: 30 minutes prior to first administration on Day 1. Peak: up to 23.5 hours post administration on Day 1

,
Interventionunits on a scale (Mean)
BaselinePeak
Sublingual Buprenorphine Soluble Film0.044.3
Sublingual Buprenorphine/Naloxone Soluble Film0.050.4

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"Visual Analog Scale (VAS) Score at Baseline and the Peak (Maximum Increase) VAS up to 23.5 Hours After First Administration for the Question: Does the Drug Have Any Bad Effects?"

"A visual analog scale (VAS) was used by participants to answer the subjective question, Does the drug have any bad effects?. The question was one of six used to measure the extent of opioid blockade following study intervention. VAS questions were selected based on previous demonstration of their sensitivity to opioid agonist and antagonist effects (Preston et al., 1988). Participants indicated how high they feel by marking a score on a horizontal line with 0=no bad effects and 100=maximum bad effects." (NCT00637000)
Timeframe: Baseline: 30 minutes prior to first administration on Day 1. Peak: up to 23.5 hours post administration on Day 1

,
Interventionunits on a scale (Mean)
BaselinePeak
Sublingual Buprenorphine Soluble Film0.04.4
Sublingual Buprenorphine/Naloxone Soluble Film12.56.1

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Pupil Diameter Measurements At End of Induction (End of Day 2) and the Minimum Pupil Diameter During the Post Induction Period (Days 3-5)

Pupil diameter was measured at the end of induction (47.5 hours after the first administration of study intervention) and at intervals during the post-induction period (Days 3-5). Peak post induction measurement is the minimum pupil diameter recorded during days 3-5. (NCT00637000)
Timeframe: End of Induction: 47.5 hours after first administration Peak Post Induction: Days 3-5

,
Interventionmm (Mean)
End of InductionPeak Post Induction
Sublingual Buprenorphine Soluble Film5.34.1
Sublingual Buprenorphine/Naloxone Soluble Film5.13.6

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Severity of Withdrawal Symptoms Measured Using the Clinical Opiate Withdrawal Scale (COWS) at Baseline and the Peak COWS up to 23.5 Hours After the First Administration

"The COWS is an 11-item instrument used to assess symptoms of opioid withdrawal (Wesson et al., 1999). The score is the sum of the response to each of the 11 items and cover a range of 0-48. The COWS is commonly used by clinicians treating patients with buprenorphine to monitor the severity of withdrawal. COWS scores below 5 are considered not indicative of withdrawal. Scores from 5 to 12 are considered mild withdrawal; from 13 to 24 moderate withdrawal; 25 to 36 moderate/severe withdrawal, and 37-48 severe withdrawal.~The baseline COWS was the score obtained 30 minutes prior to administration of soluble films on Day 1. Peak COWS was the highest COWS score obtained between 1-23.5 hours post administration on Day 1." (NCT00637000)
Timeframe: Baseline: 30 minutes prior to first administration on Day 1. Peak: up to 23.5 hours post administration on Day 1

,
Interventionunits on a scale (Mean)
BaselinePeak
Sublingual Buprenorphine Soluble Film9.14.2
Sublingual Buprenorphine/Naloxone Soluble Film10.15.7

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Severity of Withdrawal Symptoms Measured Using the Clinical Opiate Withdrawal Scale (COWS) at the End of Induction and the Peak COWS Post Induction

"The COWS is an 11-item instrument used to assess symptoms of opioid withdrawal (Wesson et al., 1999). The score is the sum of the response to each of the 11 items and cover a range of 0-48. The COWS is commonly used by clinicians treating patients with buprenorphine to monitor the severity of withdrawal. COWS scores below 5 are considered not indicative of withdrawal. Scores from 5 to 12 are considered mild withdrawal; from 13 to 24 moderate withdrawal; 25 to 36 moderate/severe withdrawal, and 37-48 severe withdrawal.~The end of induction COWS was the score obtained 47.5 hours after first administration of soluble films on Day 1. Peak post induction COWS was the highest COWS score obtained on Days 2-5." (NCT00637000)
Timeframe: End of Induction: 47.5 hours after first administration Peak Post Induction: Days 3-5

,
Interventionunits on a scale (Mean)
End of InductionPeak Post Induction
Sublingual Buprenorphine Soluble Film0.61.0
Sublingual Buprenorphine/Naloxone Soluble Film1.02.6

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Summary of Participants With Treatment-Emergent Adverse Events (TEAEs)

"Treatment-emergent AEs were defined as those starting on the day of the first treatment with buprenorphine soluble films or buprenorphine/ naloxone soluble films until residential research facility release, which typically happened on Day 6.~Severity was graded by the investigator as mild (grade 1), moderate (grade 2) and severe (grade 3)." (NCT00637000)
Timeframe: Day 1-6

,
Interventionparticipants (Number)
With any TEAEWith grade 1 TEAEWith grade 2 TEAEWith grade 3 TEAE
Sublingual Buprenorphine Soluble Film2015190
Sublingual Buprenorphine/Naloxone Soluble Film1816160

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"Visual Analog Scale (VAS) Score at Baseline and the Peak (Maximum Increase) VAS up to 23.5 Hours After First Administration for the Question: How High Are You?"

"A visual analog scale (VAS) was used by participants to answer the subjective question, How high are you?. The question was one of six used to measure the extent of opioid blockade following study intervention. VAS questions were selected based on previous demonstration of their sensitivity to opioid agonist and antagonist effects (Preston et al., 1988). Participants indicated how high they feel by marking a score on a horizontal line with 0=not high and 100=extremely high.~The baseline VAS was the score obtained 30 minutes prior to administration of soluble films on Day 1. Peak VAS was the highest VAS score obtained between 1-23.5 hours post administration on Day 1." (NCT00637000)
Timeframe: Baseline: 30 minutes prior to first administration on Day 1. Peak: up to 23.5 hours post administration on Day 1

,
Interventionunits on a scale (Mean)
BaselinePeak
Sublingual Buprenorphine Soluble Film0.05.8
Sublingual Buprenorphine/Naloxone Soluble Film0.013.7

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"Visual Analog Scale (VAS) Score at Baseline and the Peak (Maximum Increase) VAS up to 23.5 Hours After First Administration for the Question: Does the Drug Make You Sick?"

"A visual analog scale (VAS) was used by participants to answer the subjective question, Does the drug make you sick?. The question was one of six used to measure the extent of opioid blockade following study intervention. VAS questions were selected based on previous demonstration of their sensitivity to opioid agonist and antagonist effects (Preston et al., 1988). Participants indicated how high they feel by marking a score on a horizontal line with 0=no effect and 100=maximum effect." (NCT00637000)
Timeframe: Baseline: 30 minutes prior to first administration on Day 1. Peak: up to 23.5 hours post administration on Day 1

,
Interventionunits on a scale (Mean)
BaselinePeak
Sublingual Buprenorphine Soluble Film0.02.1
Sublingual Buprenorphine/Naloxone Soluble Film12.54.5

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"Visual Analog Scale (VAS) Score at Baseline and the Peak (Maximum Increase) VAS up to 23.5 Hours After First Administration for the Question: Does the Drug Have Any Good Effects?"

"A visual analog scale (VAS) was used by participants to answer the subjective question, Do you feel any good effects?. The question was one of six used to measure the extent of opioid blockade following study intervention. VAS questions were selected based on previous demonstration of their sensitivity to opioid agonist and antagonist effects (Preston et al., 1988). Participants indicated how high they feel by marking a score on a horizontal line with 0=no good effects and 100=maximum good effects." (NCT00637000)
Timeframe: Baseline: 30 minutes prior to first administration on Day 1. Peak: up to 23.5 hours post administration on Day 1

,
Interventionunits on a scale (Mean)
BaselinePeak
Sublingual Buprenorphine Soluble Film0.062.3
Sublingual Buprenorphine/Naloxone Soluble Film0.057.6

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Pupil Diameter Measurements at Baseline and the Minimum Pupil Diameter up to 23.5 Hours After the First Administration

Pupil diameter was measured at baseline and at intervals post drug administration on Day 1. Peak measurement is the minimum pupil diameter recorded from 15 minutes to 23.5 hours post administration of study intervention. (NCT00637000)
Timeframe: Baseline: 15 minutes prior to first administration on Day 1. Peak: 15 minutes - 23.5 hours post administration on Day 1

,
Interventionmm (Mean)
BaselinePeak
Sublingual Buprenorphine Soluble Film6.244.39
Sublingual Buprenorphine/Naloxone Soluble Film6.114.32

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Pupil Diameter Measurements at Baseline and the Maximum Pupil Diameter up to 23.5 Hours After the First Administration

Pupil diameter was measured at baseline and at intervals post drug administration on Day 1. Peak measurement is the maximum pupil diameter recorded from 15 minutes to 23.5 hours post administration of study intervention. (NCT00637000)
Timeframe: Baseline: 15 minutes prior to first administration on Day 1. Peak: 15 minutes - 23.5 hours post administration on Day 1

,
Interventionmm (Mean)
BaselinePeak
Sublingual Buprenorphine Soluble Film6.244.39
Sublingual Buprenorphine/Naloxone Soluble Film6.115.99

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"Visual Analog Scale (VAS) Scores at End of Induction Period and the Post-induction Period (Maximum Increase) for the Question: How High Are You?"

"A visual analog scale (VAS) was used by participants to answer the subjective question, How high are you?. The question was one of six used to measure the extent of opioid blockade following study intervention. VAS questions were selected based on previous demonstration of their sensitivity to opioid agonist and antagonist effects (Preston et al., 1988). Participants indicated how high they feel by marking a score on a horizontal line with 0=not high and 100=extremely high." (NCT00637000)
Timeframe: End of Induction: 47.5 hours after first administration Peak Post Induction: Days 3-5

,
Interventionunits on a scale (Mean)
End of InductionPeak Post Induction
Sublingual Buprenorphine Soluble Film0.08.2
Sublingual Buprenorphine/Naloxone Soluble Film6.312.9

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"Visual Analog Scale (VAS) Scores at End of Induction Period and the Post-induction Period (Maximum Increase) for the Question: Does the Drug Make You Sick?"

"A visual analog scale (VAS) was used by participants to answer the subjective question, Does the drug make you sick?. The question was one of six used to measure the extent of opioid blockade following study intervention. VAS questions were selected based on previous demonstration of their sensitivity to opioid agonist and antagonist effects (Preston et al., 1988). Participants indicated how high they feel by marking a score on a horizontal line with 0=no effect and 100=maximum effect." (NCT00637000)
Timeframe: End of Induction: 47.5 hours after first administration Peak Post Induction: Days 3-5

,
Interventionunits on a scale (Mean)
End of InductionPeak Post Induction
Sublingual Buprenorphine Soluble Film00
Sublingual Buprenorphine/Naloxone Soluble Film0.30.7

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"Visual Analog Scale (VAS) Scores at End of Induction Period and the Post-induction Period (Maximum Increase) for the Question: Does the Drug Have Any Bad Effects?"

"A visual analog scale (VAS) was used by participants to answer the subjective question, Does the drug have any bad effects?. The question was one of six used to measure the extent of opioid blockade following study intervention. VAS questions were selected based on previous demonstration of their sensitivity to opioid agonist and antagonist effects (Preston et al., 1988). Participants indicated how high they feel by marking a score on a horizontal line with 0=no bad effects and 100=maximum bad effects." (NCT00637000)
Timeframe: End of Induction: 47.5 hours after first administration Peak Post Induction: Days 3-5

,
Interventionunits on a scale (Mean)
End of InductionPeak Post Induction
Sublingual Buprenorphine Soluble Film0.00.4
Sublingual Buprenorphine/Naloxone Soluble Film0.30.4

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"Visual Analog Scale (VAS) Scores at End of Induction Period and the Post-induction Period (Maximum Increase) for the Question: Do You Like the Drug?"

"A visual analog scale (VAS) was used by participants to answer the subjective question, Do you like the drug?. The question was one of six used to measure the extent of opioid blockade following study intervention. VAS questions were selected based on previous demonstration of their sensitivity to opioid agonist and antagonist effects (Preston et al., 1988). Participants indicated how high they feel by marking a score on a horizontal line with 0=no liking and 100=maximum liking." (NCT00637000)
Timeframe: End of Induction: 47.5 hours after first administration Peak Post Induction: Days 3-5

,
Interventionunits on a scale (Mean)
End of InductionPeak Post Induction
Sublingual Buprenorphine Soluble Film14.961.7
Sublingual Buprenorphine/Naloxone Soluble Film24.355.4

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"Visual Analog Scale (VAS) Scores at End of Induction Period and the Post-induction Period (Maximum Increase) for the Question: Do You Feel Any Good Effects?"

"A visual analog scale (VAS) was used by participants to answer the subjective question, Do you feel any good effects?. The question was one of six used to measure the extent of opioid blockade following study intervention. VAS questions were selected based on previous demonstration of their sensitivity to opioid agonist and antagonist effects (Preston et al., 1988). Participants indicated how high they feel by marking a score on a horizontal line with 0=no good effects and 100=maximum good effects." (NCT00637000)
Timeframe: End of Induction: 47.5 hours after first administration Peak Post Induction: Days 3-5

,
Interventionunits on a scale (Mean)
End of InductionPeak Post Induction
Sublingual Buprenorphine Soluble Film11.061.7
Sublingual Buprenorphine/Naloxone Soluble Film20.252.9

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"Visual Analog Scale (VAS) Scores at End of Induction Period and the Post-induction Period (Maximum Increase) for the Question: Do You Feel Any Drug Effect?"

"A visual analog scale (VAS) was used by participants to answer the subjective question, Do you feel any drug effect?. The question was one of six used to measure the extent of opioid blockade following study intervention. VAS questions were selected based on previous demonstration of their sensitivity to opioid agonist and antagonist effects (Preston et al., 1988). Participants indicated how high they feel by marking a score on a horizontal line with 0=no effect and 100=maximum effect." (NCT00637000)
Timeframe: End of Induction: 47.5 hours after first administration Peak Post Induction: Days 3-5

,
Interventionunits on a scale (Mean)
End of InductionPeak Post Induction
Sublingual Buprenorphine Soluble Film7.953.2
Sublingual Buprenorphine/Naloxone Soluble Film15.947.4

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Number of Subjects With Treatment-emergent Adverse Events Associated With the Oral Cavity.

"Safety and tolerability were evaluated during the 12-week Treatment Phase by oral cavity examination and assessment. Oral mucosa was graded as follows:~Grade 0: Normal mucosa Grade 1: Localized mucosal erythema and/or irritation without ulceration Grade 2: Erythema and/or irritation and induration without ulceration Grade 3: Ulceration, with or without any other combination of signs" (NCT00640835)
Timeframe: 12 weeks

InterventionParticipants (Number)
Buprenorphine/Naloxone Film Strip Administered Sublingually11
Buprenorphine/Naloxone Film Strip Administered Buccally16

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Number of Subjects With Mild, Moderate or Severe Treatment-emergent Adverse Events Associated With the Oral Cavity

Safety and tolerability were evaluated during the 12-week Treatment Phase by oral cavity examination and assessment. (NCT00640835)
Timeframe: 12 weeks

,
InterventionParticipants (Number)
MildModerateSevere
Buprenorphine/Naloxone Film Strip Administered Buccally1231
Buprenorphine/Naloxone Film Strip Administered Sublingually920

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Subject's Self Assessment Using 10 cm Visual Analogue Scale (VAS) of Overall Preference for One of the Two Buprenorphine-based Maintenance Therapies (Suboxone® or Subutex®).

"Score of 0 = Not satisfied at all; Score of 10 = Totally satisfied" (NCT00684073)
Timeframe: Each treatment Day (post-dose on days 1-5)

Interventioncentimeters (Mean)
Day 1 (Subutex®)7.04
Day 2 (Subutex®)6.83
Day 3 (Suboxone®)7.38
Day 4 (Suboxone®)6.89
Day 5 (Suboxone®)7.12

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"Drug Liking"

"Participant's subjective ratings of how much they Like the dose they just received on a scale of 0 -100." (NCT00710385)
Timeframe: Peak (highest) rating obtained following drug administration throughout the entire 3 hr session

Interventionunits on a scale (Mean)
Heroin41.5
Naloxone3
Low Bup Dose29.8
High Bup Dose42.5
Lower Bup/Nal Dose10.5
High Bup/Nal Dose27
Placebo1

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Drug's Breakpoint

"Measure of a drug's reinforcing effects. The Breakpoint is the point at which the participant stop performing an operant task (clicks on a mouse) in order to received the drug. Therefore, the reported breakpoint is the total amount of work the participant was willing to perform to receive the dose being tested" (NCT00710385)
Timeframe: Single measurement taken following each of the 7 IV experimental doses

Interventionnumber of clicks on a mouse (Mean)
Heroin1200
Naloxone10
Low Bup Dose1100
High Bup Dose1200
Lower Bup/Nal Dose300
High Bup/Nal Dose750
Placebo0

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Retention Rate After 12 Months of Treatment With Suboxone

The primary aim of the SUBOXONE® NIS was to document the 12-month retention rate for at least N = 300 subjects with opioid dependence in a real-life scenario in at least N = 70 sites throughout Germany. (NCT00723749)
Timeframe: 12 months

Intervention% of participants (Number)
Suboxone59.9

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Dosage of SUBOXONE®

Circumstances of switching to SUBOXONE®: Analyse induction and maintenance dose of SUBOXONE®. (NCT00723749)
Timeframe: Day 1 and Final Assessment (month 12 or time of dropout)

Interventionmg daily dosage of Suboxone (Mean)
Dosage: Day 1Dosage: Final Assessment
Suboxone9.27.7

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Drug Craving (Subjective Effects of Therapy)

Circumstances of switching to SUBOXONE®: Analyse change of drug craving for opiates by using a 100mm visual analog scale (minimum: 0 = no craving; maximum: 100 = high craving) (NCT00723749)
Timeframe: Baseline and Final Assessment (month 12 or time of dropout)

InterventionUnits on a scale (Mean)
Craving: BaselineCraving: Final Assessment
Suboxone32.37.1

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Take Home Prescriptions of SUBOXONE®

"Circumstances of switching to SUBOXONE®: Analyze if the number of take home prescriptions of SUBOXONE®, reported by the treating physician, increase between day 1 and the final assessment.~Take Home prescription is defined as a prescription of up to 7 daily dosages SUBOXONE® from the treating physician which allows the patients to receive the prescribed amount of daily dosages SUBOXONE® from a pharmacy to take home and dispense the medication on his own on a daily basis.~A patient can receive only one take home prescription for up to 7 days at the time." (NCT00723749)
Timeframe: Day 1 and Final Assessment (month 12 or time of dropout)

Interventionparticipants with take home prescription (Number)
Frequency: Day 1Frequency: Final Assessment
Suboxone2882

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Retention Rate

The primary objective of this study was to determine the retention rate of patients after 6 and 12 months of treatment with buprenorphine/naloxone measured by the percentage of patients remaining in the study (NCT00725608)
Timeframe: month 6, month 12

Interventionpercentage of patients (Number)
Retention rate after 6 months of treatmentRetention rate after 12 months of treatment
Opioid Dependent Patients57.345.6

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Dispensing of Suboxone (Buprenorphine Plus Naloxone)

Another of the secondary objectives was to evaluate the effect of the switch to Suboxone (buprenorphine plus naloxone) on medication dispensing measured by frequency of visits to the treating physician or pharmacy to receive the medication (daily, biweekly, once weekly, monthly, other) (NCT00725608)
Timeframe: month 6, month 12

InterventionParticipants (Number)
N patients with dispensing data at month 66 month: DailyMonth 6: BiweeklyMonth 6: Once weeklyMonth 6: MonthlyMonth 6: OtherN patients with dispensing data at month 12Month 12: DailyMonth 12: BiweeklyMonth 12: Once weeklyMonth 12: MonthlyMonth 12: Other
Opioid Dependent Patients18396179251426816319

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Dosing of Suboxone (Buprenorphine Plus Naloxone)

One of the secondary objectives was to evaluate the effect of the switch to buprenorphine/naloxone on medication dispensing measured by dose. (NCT00725608)
Timeframe: day 1, month 6, month 12

InterventionDose of Suboxone® in mg (Mean)
Suboxone® dose day 1 (mg)Suboxone® dose month 6 (mg)Suboxone® dose month 12 (mg)
Opioid Dependent Patients7.79.18.5

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Self-reported Illicit Opioid Use

(NCT00879996)
Timeframe: 6 months

Interventionnumber of participants (Number)
Methadone0
Buprenorphine/Naloxone5

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Number of Participants Retained in Treatment

This outcome assesses the number of participants who completed the treatment after 6 months. (NCT00879996)
Timeframe: 6 months

Interventionparticipants (Number)
Methadone13
Buprenorphine/Naloxone13

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Numerical Rating Score for Functioning

We assessed functioning measured on a 0-10 point numerical rating scale (NRS)with 0 being the least amount of functioning and 10 the best amount of functioning. (NCT00879996)
Timeframe: 6 months

Interventionunits on a 0-10 point NRS scale (Mean)
Methadone5.0
Buprenorphine/Naloxone5.3

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Numerical Rating Score for Pain

Pain was measured using a 0-10 point numerical rating scale (NRS) with 0 representing no pain and 10 representing worst pain possible. (NCT00879996)
Timeframe: 6 months

Interventionunits on a 0-10 NRS scale (Mean)
Methadone5.4
Buprenorphine/Naloxone5.6

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Abstinence

Abstinence defined as the longest documented period of continuous abstinence from opioids and cocaine (NCT00929253)
Timeframe: 12 weeks

Interventiondays (Mean)
Computer Delivered CRA + CM + Suboxone55.0
CM + Suboxone49.5

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Mean Ratings on Clinical Opiate Withdrawal Scale (COWS) Measure of Withdrawal During Double-blind Taper (7-days) and Post-taper (7-days) Period.

Outcomes represent mean peak withdrawal as rated on the Clinical Opiate Withdrawal Scale (COWS) total score. Withdrawal was collected 7 times daily and daily peak values were identified for each participant and averaged together as a function of group. Primary outcomes were mean peak results from the 7-day taper period and first 7 days post-taper. The COWS is an 11-item observer-rated measure of opioid withdrawal severity. Items are rated on individual Likert scales and the total score range is 0-47. Higher values indicate more severe withdrawal. (NCT01188421)
Timeframe: 14 days total

,,
Interventionunits on a scale (Mean)
Taper Day 1Taper Day 2Taper Day 3Taper Day 4Taper Day 5Taper Day 6Taper Day 7Post Taper Day 1Post Taper Day 2Post Taper Day 3Post Taper Day 4Post Taper Day 5Post Taper Day 6Post Taper Day 7
Buprenorphine7.796.164.764.214.314.063.514.825.626.235.495.874.914.91
Clonidine8.288.005.854.703.323.573.863.274.093.683.823.272.912.41
Tramadol ER8.416.103.774.253.253.393.693.364.483.283.132.752.572.30

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AUC of Buprenorphine (Administered in Combination With Naloxone) at Steady State With or Without Boceprevir

AUC is a measure of the amount of drug in the blood over time, measured at steady state (time at which the amount of drug eliminated by the body is in equilibrium with the amount taken in). The Day 1, 0 through 24 hour samples were for buprenorphine/naloxone levels in the absence of boceprevir co-administration. The Day 7, 0 through 24 hour samples were for buprenorphine/naloxone levels in the presence of boceprevir co-administration. The Day 5 and 6 predose samples were to check steady state for buprenorphine/naloxone + boceprevir. (NCT01396005)
Timeframe: Buprenorphine/naloxone samples collected Day 1, 0 (predose) through 24 hours post-dose (Day 2). Boceprevir and buprenorphine/naloxone samples collected Day 7, 0 (predose) through 24 hours post-dose (Day 8). Predose samples also collected on Days 5-6.

Intervention(pg.hr/mL)/mg (Geometric Mean)
Buprenorphine/Naloxone Alone3020
Buprenorphine/Naloxone + Boceprevir4040

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AUC of Naloxone (Administered in Combination With Buprenorphine) at Steady State With or Without Boceprevir

AUC is a measure of the amount of drug in the blood over time, measured at steady state (time at which the amount of drug eliminated by the body is in equilibrium with the amount taken in). The Day 1, 0 through 24 hour samples were for buprenorphine/naloxone levels in the absence of boceprevir co-administration. The Day 7, 0 through 24 hour samples were for buprenorphine/naloxone levels in the presence of boceprevir co-administration. The Day 5 and 6 predose samples were to check steady state for buprenorphine/naloxone + boceprevir. (NCT01396005)
Timeframe: Buprenorphine/naloxone samples collected Day 1, 0 (predose) through 24 hours post-dose (Day 2). Boceprevir and buprenorphine/naloxone samples collected Day 7, 0 (predose) through 24 hours post-dose (Day 8). Predose samples also collected on Days 5-6.

Intervention(pg.hr/mL)/mg (Geometric Mean)
Buprenorphine/Naloxone Alone157
Buprenorphine/Naloxone + Boceprevir224

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Cmax of Buprenorphine (Administered in Combination With Naloxone) at Steady State With or Without Boceprevir

Cmax is a measure of the maximum level of drug in the blood, measured at steady state (time at which the amount of drug eliminated by the body is in equilibrium with the amount taken in). The Day 1, 0 through 24 hour samples were for buprenorphine/naloxone levels in the absence of boceprevir co-administration. The Day 7, 0 through 24 hour samples were for buprenorphine/naloxone levels in the presence of boceprevir co-administration. The Day 5 and 6 predose samples were to check steady state for buprenorphine/naloxone + boceprevir. (NCT01396005)
Timeframe: Buprenorphine/naloxone samples collected Day 1, 0 (predose) through 24 hours post-dose (Day 2). Boceprevir and buprenorphine/naloxone samples collected Day 7, 0 (predose) through 24 hours post-dose (Day 8). Predose samples also collected on Days 5-6.

Intervention(pg/mL)/mg (Geometric Mean)
Buprenorphine/Naloxone Alone440
Buprenorphine/Naloxone + Boceprevir545

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Cmax of Naloxone (Administered in Combination With Buprenorphine) at Steady State With or Without Boceprevir

Cmax is a measure of the maximum level of drug in the blood, measured at steady state (time at which the amount of drug eliminated by the body is in equilibrium with the amount taken in). The Day 1, 0 through 24 hour samples were for buprenorphine/naloxone levels in the absence of boceprevir co-administration. The Day 7, 0 through 24 hour samples were for buprenorphine/naloxone levels in the presence of boceprevir co-administration. The Day 5 and 6 predose samples were to check steady state for buprenorphine/naloxone + boceprevir. (NCT01396005)
Timeframe: Buprenorphine/naloxone samples collected Day 1, 0 (predose) through 24 hours post-dose (Day 2). Boceprevir and buprenorphine/naloxone samples collected Day 7, 0 (predose) through 24 hours post-dose (Day 8). Predose samples also collected on Days 5-6.

Intervention(pg/mL)/mg (Geometric Mean)
Buprenorphine/Naloxone Alone58.5
Buprenorphine/Naloxone + Boceprevir65.2

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Area Under the Concentration Versus Time Curve (AUC) at Steady State of Methadone Enantiomers When Administered With or Without Boceprevir

AUC is a measure of the amount of drug in the blood over time, measured at steady state (time at which the amount of drug eliminated by the body is in equilibrium with the amount taken in). The Day 1, 0 through 24 hour samples were for methadone levels in the absence of boceprevir co-administration. The Day 7, 0 through 24 hour samples were for methadone levels in the presence of boceprevir co-administration. The Day 5 and 6 predose samples were to check steady state for methadone + boceprevir. (NCT01396005)
Timeframe: Methadone samples collected Day 1, 0 (predose) through 24 hours post-dose (Day 2). Boceprevir and methadone samples collected Day 7, 0 (predose) through 24 hours post-dose (Day 8). Predose samples also collected on Days 5-6.

,
Intervention(ng.hr/mL)/mg (Geometric Mean)
R-methadoneS-methadone
Methadone + Boceprevir42.444.6
Methadone Alone50.156.9

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Maximum Concentration (Cmax) at Steady State of Methadone Enantiomers When Administered With or Without Boceprevir

Cmax is a measure of the maximum level of drug in the blood, measured at steady state (time at which the amount of drug eliminated by the body is in equilibrium with the amount taken in). The Day 1, 0 through 24 hour samples were for methadone levels in the absence of boceprevir co-administration. The Day 7, 0 through 24 hour samples were for methadone levels in the presence of boceprevir co-administration. The Day 5 and 6 predose samples were to check steady state for methadone + boceprevir. (NCT01396005)
Timeframe: Methadone samples collected Day 1, 0 (predose) through 24 hours post-dose (Day 2). Boceprevir and methadone samples collected Day 7, 0 (predose) through 24 hours post-dose (Day 8). Predose samples also collected on Days 5-6.

,
Intervention(ng/mL)/mg (Geometric Mean)
R-methadoneS-methadone
Methadone + Boceprevir2.633.07
Methadone Alone2.943.69

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Cocaine Use Days as Measured by Self-report, Corroborated by Thrice-weekly Urine Drug Screens

Self-reported days of cocaine use corroborated with urine drug screens (UDS). (NCT01402492)
Timeframe: final 30 days of Treatment Phase, study days 25-54

Interventiondays of cocaine use (Mean)
BUP4+XR-NTX6.6
BUP16+XR-NTX7.2
PLB+XR-NTX7.7

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Log Viral Load

Log Viral Load (NCT01550341)
Timeframe: 6 Months

Interventionlog(IU/mL) (Mean)
Buprenorphine2.22
Placebo1.79

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Log Viral Load

Log Viral Load (NCT01550341)
Timeframe: Baseline

Interventionlog(IU/mL) (Mean)
Buprenorphine2.12
Placebo2.00

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Viral Load

Viral Load (NCT01550341)
Timeframe: 12 Months

InterventionIU/mL (Mean)
Buprenorphine8122.10
Placebo19425.71

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Viral Load

Viral Load (NCT01550341)
Timeframe: 6 Months

InterventionIU/mL (Mean)
Buprenorphine9269.04
Placebo7891.08

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Viral Load

Viral Load (NCT01550341)
Timeframe: Baseline

InterventionIU/mL (Mean)
Buprenorphine1465.00
Placebo896.50

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CD4 Count Absolute

CD4 Count Absolute (NCT01550341)
Timeframe: Baseline

Interventioncells/uL (Mean)
Buprenorphine486.15
Placebo403.92

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Log Viral Load

Log Viral Load (NCT01550341)
Timeframe: 12 Months

Interventionlog(IU/mL) (Mean)
Buprenorphine2.40
Placebo1.84

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CD4 Percent

CD4 Percent (NCT01550341)
Timeframe: Baseline

InterventionCD4 Percent (Mean)
Buprenorphine23.36
Placebo25.7

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CD4 Percent

CD4 Percent (NCT01550341)
Timeframe: 6 Months

InterventionCD4 Percent (Mean)
Buprenorphine21.33
Placebo28.56

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CD4 Percent

CD4 Percent (NCT01550341)
Timeframe: 12 Months

InterventionCD4 Percent (Mean)
Buprenorphine22.14
Placebo27.95

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CD4 Count Absolute

CD4 Count Absolute (NCT01550341)
Timeframe: 6 Months

Interventioncells/uL (Mean)
Buprenorphine455.52
Placebo551.23

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CD4 Count Absolute

CD4 Count (NCT01550341)
Timeframe: 12 Months

Interventioncells/uL (Mean)
Buprenorphine490.25
Placebo492.33

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Analgesia

Pain severity will be measured using the Visual Analogue Scale (VAS) which has a range of 0-100 with 0 being no pain and 100 being worse possible pain. (NCT01559454)
Timeframe: 6 months

Interventionunits on a VAS scale (Mean)
Methadone36.3
Buprenorphine/Naloxone71.8

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Cravings

Cravings will be assessed using the Visual Analogue Scale (VAS) with 0 being no cravings and 100 being worse possible cravings (NCT01559454)
Timeframe: at 6 months

Interventionunits on a VAS scale (Mean)
Methadone11.7
Buprenorphine/Naloxone27.2

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Illicit Drug Use

Illicit opioid use will be measured by self-report and confirmed with urine toxicology. (NCT01559454)
Timeframe: 6 months

,
Interventionparticipants (Number)
illicit drug use at 6 monthsno illicit drug use at 6 months
Buprenorphine/Naloxone04
Methadone06

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Functioning

"Functioning will be assessed using the Visual Analogue Scale (VAS) with 0 being no limits and 100 being bedridden." (NCT01559454)
Timeframe: at 6 months

Interventionunits on a VAS scale (Mean)
Methadone31.7
Buprenorphine/Naloxone71.3

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Depression

"Depression will be assessed using the Beck Depression Inventory, a 63 point scale with 0 being none and 63 being severe." (NCT01559454)
Timeframe: at 6 months

Interventionunits on a BDI scale (Mean)
Methadone17.0
Buprenorphine/Naloxone15.3

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Treatment Retention

Number of participants that completed the study protocol (NCT01559454)
Timeframe: 6 months

,
Interventionparticipants (Number)
completeddid not complete
Buprenorphine/Naloxone46
Methadone63

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Withdrawal Intensity as Measured by the Clinical Opiate Withdrawal Scale (COWS)

"After the initial titration period for opioid withdrawal (of up to 8 days), patients will receive the Vivitrol injection. Then, we will follow patients for retention out to 4 weeks and record the total time they remained in treatment.~COWS rates eleven common opiate withdrawal signs or symptoms. The summed scores ranged from 0-48, with 5-12 = mild; 13-24 = moderate; 25-36 = moderately severe; more than 36 = severe withdrawal." (NCT01690546)
Timeframe: 4 weeks

Interventionunits on a scale (Mean)
BUP/VLNXT to VIVITROL0.64

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Satisfaction With Treatment, Measured by a Treatment Satisfaction Questionnaire

"Questionnaire consisted of 3 questions.~Were you satisfied with the treatment (range 1-5): Completely satisfied (1) to completely dissatisfied (5).~Were you satisfied with withdrawal treatment (range 1-5): Minimal withdrawal (1) to worse than ever (5).~Did the medication help (range 1-5): Helped a lot (1) to No it did not help (5).~Lower scores represent greater satisfaction." (NCT01690546)
Timeframe: Day 9

Interventionunits on a scale (Mean)
Were you satisfied with the treatmentWere you satisfied with withdrawal treatmentDid the medication help
BUP/VLNXT to VIVITROL1.312.041.69

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Number of Participants That Self Reported Illicit Drug Use

Participants reported on any illicit drug use to include Cocaine marijuana opiates (NCT01690546)
Timeframe: 4 weeks

Interventionparticipants (Number)
MarijuanaCocaineOpiates
BUP/VLNXT to VIVITROL1034

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Craving

Craving, assessed with a 100-point Visual Analog Scale (VAS), ranging from 'not at all' (0) to 'more than ever' (100). The higher the score the higher the craving. (NCT01690546)
Timeframe: 4 weeks

Interventionunits on a scale (Mean)
BUP/VLNXT to VIVITROL5.12

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Illicit Drug Use, Measured by Urine Drug Testing

number of participants that tested positive for marijuana, cocaine, and opiates. (NCT01690546)
Timeframe: 4 weeks

Interventionparticipants (Number)
MarijuanaCocaineOpiates
BUP/VLNXT to VIVITROL1134

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Percentage of Participants Who Adhered to Study Visits.

(NCT01690546)
Timeframe: baseline to end of study (approximately 40 days)

Interventionpercentage of participants (Number)
BUP/VLNXT to VIVITROL74

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Percentage of Participants With Adherence to Medication (Naltrexone)

Participant who took Naltrexone as prescribed. (NCT01690546)
Timeframe: Day 1 to Day 8 (+/- 2 days)

Interventionpercentage of participants (Number)
BUP/VLNXT to VIVITROL100

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Retention in Treatment

After the initial titration period for opioid withdrawal (of up to 8 days), patients will receive the Vivitrol injection. Then, we will follow patients for retention out to 4 weeks. (NCT01690546)
Timeframe: 4 weeks

Interventionparticipants (Number)
BUP/VLNXT to VIVITROL26

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Use of Ancillary Medications.

Number of participants that took ancillary medication (NCT01690546)
Timeframe: baseline to week 1

Interventionparticipants (Number)
BUP/VLNXT to VIVITROL35

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Withdrawal Intensity as Measured by the Subjective Opiate Withdrawal Scale (SOWS)

"After the initial titration period for opioid withdrawal (of up to 8 days), patients will receive the Vivitrol injection. Then, we will follow patients for retention out to 4 weeks and record the total time they remained in treatment.~SOWS contains 16 symptoms whose intensity the patient rates on a scale of 0 (not at all) to 4 (extremely). Total score range is 0 - 64; the higher the score the more withdrawal symptoms." (NCT01690546)
Timeframe: 4 weeks

Interventionunits on a scale (Mean)
BUP/VLNXT to VIVITROL1.52

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Number of Emergency Room Visits

Number of emergency room visits over 6 months (NCT01843751)
Timeframe: 6 months

Interventionvisits (Mean)
Physician Office0
Specialist Center0.2

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Number of Participants With New Crime

The primary outcome will be measured via the publicly available Wisconsin Circuit Court Consolidated Court Automation Program (CCAP) database. The Wisconsin Circuit Court Access website provides access to certain public records of the circuit courts of Wisconsin. The information displayed on the website is an exact copy of the case information entered into CCAP case management system by court staff in the counties where the case files are located. The court record summaries viewed are all public records under Wisconsin open records law and freely accessible to the public. The CCAP database will searched periodically for all enrolled study participants until data analysis has been complete. (NCT01843751)
Timeframe: 2 years

InterventionParticipants (Count of Participants)
Physician Office5
Specialist Center3

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Human Immunodeficiency Virus (HIV) Risk Behavior Assessment by Assessing Change in Risk Assessment Battery (RAB) Score

"The RAB is a self-administered, multiple choice questionnaire. It offers a quick and confidential assessment of both needle sharing practices and sexual activity associated with HIV transmission.~The RAB is composed of 45 simple questions which uses discrete response. The questions have different numbers of items, and scores for a single question can range from 0 to 7, with higher values reflecting more instances of risk behavior. The RAB is scored by adding the values that correspond to the responses selected by the subject for the items. This total score is then divided by 40, the highest possible score for the overall instrument, yielding a score from 0 to 1.~HIV risk behaviors will be assessed via score on the Risk Assessment Battery at baseline and month 6--difference between baseline and month 6." (NCT01843751)
Timeframe: baseline and 6 months

Interventionscore on a scale (Mean)
Physician Office0.01
Specialist Center0.12

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Initiation of Medication Assisted Treatment

Initiation of medication assisted treatment (yes/no) (NCT01843751)
Timeframe: 6 months

InterventionParticipants (Count of Participants)
Physician Office11
Specialist Center10

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Number of Days From Treatment Initiation to First Drug Use

Number of days from treatment initiation to first drug use thereafter (NCT01843751)
Timeframe: 6 months

Interventiondays (Mean)
Physician Office24
Specialist Center15

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Mean Change From Baseline in the VAS Score for Cravings After Day 3 (Maintenance Phase)

"Mean change from baseline in VAS scores for cravings during the maintenance phase (Days 4, 8, 15, 22, and 29); the VAS craving scores range from 0 (no cravings) to 100 (most intense craving I have ever had)" (NCT01848054)
Timeframe: Pre-dose on Days 4, 8, 15, 22, and 29

,
Interventionunits on a scale (Mean)
Day 4Day 8Day 15Day 22Day 29
BNX Sublingual Tablets Induction-40.1-46.1-48.5-53.3-52.7
Buprenorphine Induction-34.2-39.9-44.3-47.2-45.1

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Area Under the Curve (AUC) in Clinical Opiate Withdrawal Scale (COWS) Total Score on Days 1 to 3 Inclusive

Least squares mean AUC in COWS total score on Days 1 to 3; COWS scores range from 0-48, with a lower score being more favorable (NCT01848054)
Timeframe: Pre-dose on Days 1-3 and 0.5, 1, 1.5, 3, and 6 hours post-dose on Day 1

Interventionscore x hour (Least Squares Mean)
BNX Sublingual Tablets Induction7.21
Buprenorphine Induction6.88

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AUC in Subjective Opiate Withdrawal Scale (SOWS) Total Score on Days 1 to 3 Inclusive

Least squares mean AUC day 1 pre-dose through Day 3 in SOWS; SOWS scores range from 0-64, with a lower score being more favorable (NCT01848054)
Timeframe: Pre-dose on Days 1-3 and 0.5, 1, 1.5, 3, and 6 hours post-dose on Day 1

Interventionscore x hour (Least Squares Mean)
BNX Sublingual Tablets Induction17.7
Buprenorphine Induction17.4

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AUC in Visual Analog Scale (VAS) Score for Craving on Days 1 to 3 Inclusive

"Least squares mean AUC measurement in VAS score for cravings on Days 1 to 3; the VAS craving scores range from 0 (no cravings) to 100 (most intense craving I have ever had)" (NCT01848054)
Timeframe: Pre-dose on Days 1-3 and 0.5, 1, 1.5, 3, and 6 hours post-dose on Day 1

Interventionscore x hour (Least Squares Mean)
BNX Sublingual Tablets Induction40.0
Buprenorphine Induction39.5

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Retention in Treatment in the Full Analysis Population

Retention in treatment at Day 3 in the full analysis population (N=310) was defined as the number of patients in each induction arm completing the induction phase and who received study medication on Day 3. Treatment with BNX sublingual tablets was considered non-inferior to generic buprenorphine if the lower limit of the 95% confidence interval for the difference between BNX and generic buprenorphine was ≥-10% in the number of patients retained in treatment on Day 3. (NCT01848054)
Timeframe: Day 3

Interventionparticipants (Number)
BNX Sublingual Tablets Induction132
Buprenorphine Induction147

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Retention in Treatment in the Per Protocol Population

Retention in treatment at Day 3 in the per protocol population (n=256) was defined as the number of patients in each induction arm completing the induction phase and who received study medication on Day 3. Treatment with BNX sublingual tablets was considered non-inferior to generic buprenorphine if the lower limit of the 95% confidence interval for the difference between BNX and generic buprenorphine was ≥-10% in the number of patients retained in treatment on Day 3. (NCT01848054)
Timeframe: Day 3

Interventionparticipants (Number)
BNX Sublingual Tablets Induction113
Buprenorphine Induction122

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Mean Change From Baseline in COWS Total Score After Day 3 (Maintenance Phase)

Mean change from baseline in COWS total scores during the maintenance phase (Days 4, 8, 15, 22, and 29); COWS scores range from 0-48, with a lower score being more favorable (NCT01848054)
Timeframe: Predose on Days 4, 8, 15, 22, and 29

,
Interventionunits on a scale (Mean)
Day 4Day 8Day 15Day 22Day 29/premature discontinuation
BNX Sublingual Tablets Induction-9.4-11.2-11.9-12.5-12.5
Buprenorphine Induction-8.5-10.1-11.1-11.6-11.4

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Mean Change From Baseline in SOWS Total Score After Day 3 (Maintenance Phase)

Mean change from baseline in SOWS total scores during the maintenance phase (Days 4, 8, 15, 22, and 29); SOWS scores range from 0-64, with a lower score being more favorable (NCT01848054)
Timeframe: Pre-dose on Days 4, 8, 15, 22, and 29

,
Interventionunits on a scale (Mean)
Day 4Day 8Day 15Day 22Day 29/premature discontinuation
BNX Induction-24.7-27.0-29.2-30.8-30.4
Buprenorphine Induction-18.9-21.3-23.3-24.1-24.3

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Patient Global Impression of Change (PGIC)

"The Patient Global Impression of Change Scale (PGIC) is one question capturing the individual's overall perception of efficacy of treatment in a clinical trial. It uses verbal outcome categories on a 7-point scale with very much worse and very much better as anchors and no change in the middle. The verbal categories were coded on a scale with -3 very much worse,+3 very much better, and 0 same. To calculate the mean and standard deviation of each group (Bup/Opioid Increase) we took the sum of each participants final PGIC score and divided by the total number of participants." (NCT01875848)
Timeframe: 12 wks

Interventionunits on a scale (Mean)
Buprenorphine/Naloxone1
Opioid Dose Escalation1

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Change in Numeric Rating Scale of Pain Severity

Validated 11 pt scale 0-10, to evaluate a patient's current severity of pain. A rating of 0 indicates no pain while 10 indicates the worst pain imaginable. A score of 4 or above is considered a clinically significant pain level according to VHA treatment guidelines. (NCT01875848)
Timeframe: Baseline and 12 wks

Interventionunits on a scale (Mean)
Buprenorphine/Naloxone-2
Opioid Dose Escalation0.5

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Number of Patient Discontinuations Due to Treatment-Emergent Adverse Events

Study discontinuations due to treatment-emergent adverse events that occurred during treatment with bioavailability BNX sublingual tablets (NCT01903005)
Timeframe: Day 1 through week 24

Interventionparticipants (Number)
Safety Population14

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Mean Change From Primary Study Baseline (OX219-006 or OX219-007) in Subjective Opioid Withdrawal Scale (SOWS) Score

Mean change from primary study baseline in SOWS total scores during the 24-week open-label, extension study; SOWS scores range from 0 to 64, with a lower score being more favorable; study endpoint was defined as the last post-baseline value recorded for SOWS (NCT01903005)
Timeframe: Prior to dosing on day 1, at weeks 4, 8,12,16, 20, and 24, and at study endpoint

Interventionunits on a scale (Mean)
Day 1 (n=650)Week 4 (n=550)Week 8 (n=472)Week 12 (n=418)Week 16 (n=376)Week 20 (n=331)Week 24 (n=282)Study Endpoint (n=588)
Safety Population-26.8-27.4-28.0-27.7-28.7-28.9-27.7-27.3

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Number of Patients Reporting Treatment-Emergent Adverse Events

Number of patients reporting treatment-emergent adverse events during open-label, extension treatment with higher bioavailability BNX sublingual tablets (NCT01903005)
Timeframe: Day 1 through week 24

Interventionparticipants (Number)
ConstipationHeadache
Safety Population2021

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Number of Patients Reporting Treatment-Emergent Serious Adverse Events

Patients reporting treatment-emergent serious adverse events considered either related or not related to treatment with the higher bioavailability BNX sublingual tablets (NCT01903005)
Timeframe: Day 1 throught week 24

Interventionparticipants (Number)
Possibly treatment-relatedNot treatment-related
Safety Population18

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Number of Patients Reporting Treatment-Related, Treatment-Emergent Adverse Events

Treatment-emergent adverse events considered related to treatment with the higher bioavailability BNX sublingual tablets (NCT01903005)
Timeframe: Day 1 through week 24

Interventionparticipants (Number)
Gastrointestinal disordersConstipation
Safety Population3219

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Percent Change From Primary Study Baseline (OX219-006 or OX219-007) for Question 1 of the Work Productivity/Activity Impairment: 6-Question Specific Health Problem Questionnaire (WPAI:SHP)

"Question 1 of the WPAI:SHP asks patients to provide a yes or no response to the question Are you employed?; The percentage of patients employed at the end of the 24-week open-label, extension study was calculated by subtracting the percentage of previously employed patients not employed at study end from the percentage of previously unemployed patients who were employed by study end" (NCT01903005)
Timeframe: Study Endpoint

Interventionpercentage of patients (Number)
Unemployed at baseline; employed at study endpointEmployed at baseline; unemployed at study endpointIncrease in patients employed at study endpoint
Safety Population21.36.015.3

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Retention in Treatment in the Safety Population

Retention in treatment by visit in the safety population at weeks 4, 8, 12, 16, 20, and 24, defined as the number of patients receiving treatment on the day of the visit (± 5 days for each visit) (NCT01903005)
Timeframe: Treatment retention was assessed at weeks 4, 8, 12, 16, 20, and 24

Interventionparticipants (Number)
Week 4Week 8Week 12Week 16Week 20Week 24
Safety Population563483425383333292

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Mean Change From Primary Study Baseline (OX219-006 and OX219-007) in Visual Analog Scale (VAS) Craving Scores

"Mean change from primary study baseline in VAS craving scores during the 24-week open-label, extension study; VAS craving scores range from 0 (no cravings) to 100 mm (most intense craving I have ever had); study endpoint was defined as the last post-baseline value recorded for VAS craving" (NCT01903005)
Timeframe: Prior to dosing on day 1, at weeks 4, 8, 12, 16, 20, and 24, and at study endpoint

Interventionunits on a scale (Mean)
Day 1 (n=646)Week 4 (n=563)Week 8 (n=479)Week 12 (n=426)Week 16 (n=384)Week 20 (n=338)Week 24 (n=289)Study Endpoint (n=598)
Safety Population-52.8-56.6-59.4-59.4-61.5-61.4-60.5-57.3

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Mean Change From Primary Study Baseline (OX219-006 or OX219-007) for Questions 2-4 of the WPAI:SHP

Mean change from primary study baseline to week 24 of the open-label, extension study for questions 2-4 of the WPAI:SHP; Question 2: During the past 7 days, how many hours did you miss from work because of problems associated with your opioid dependence?; Question 3: During the past 7 days, how many hours did you miss from work because of any other reason, such as vacation, holidays, time off to participate in this study?; Question 4: During the past 7 days, how many hours did you actually work? (NCT01903005)
Timeframe: Week 24

Interventionhours (Mean)
Missed work hours due to opioid dependence (n=79)Missed work hours due to other reason (n=79)Number of hours actually worked (n=78)
Safety Population-4.8-0.27.7

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Mean Change From Primary Study Baseline (OX219-006 or OX219-007) for Questions 5-6 of the WPAI:SHP

Mean change from primary study baseline to week 24 of the open-label extension study for questions 5-6 of the WPAI:SHP; Question 5: During the past 7 days, how much did your opioid dependence affect your productivity while you were working?; Question 6: During the past 7 days, how much did your opioid dependence affect your ability to do regular daily activities, other than work at a job?; Questions 5 and 6 of the WPAI:SHP are scored on an 11-point scale (0 = problem had no effect; 10 = problem completely prevented me from doing my work/daily activities) (NCT01903005)
Timeframe: Week 24

Interventionunits on a scale (Mean)
Problem affects work productivity (n=70)Problem affects daily activities (n=283)
Safety Population-3.9-4.3

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Mean Change From Primary Study Baseline (OX219-006 or OX219-007) in Clinical Opioid Withdrawal Scale (COWS) Score

Mean change from primary study baseline in COWS total scores during the 24-week open-label, extension study; COWS scores range from 0 to 48, with a lower score being more favorable; study endpoint was defined as the last post-baseline value recorded for COWS (NCT01903005)
Timeframe: Prior to dosing on day 1, at weeks 4, 8,12,16, 20, 24, and at study endpoint

Interventionunits on a scale (Mean)
Day 1 (n=658)Week 4 (n=557)Week 8 (n=477)Week 12 (n=423)Week 16 (n=384)Week 20 (n=336)Week 24 (completers only; n=288)Study Endpoint (n=597)
Safety Population-12.0-12.2-12.7-12.9-13.1-13.3-13.1-12.5

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Number of Participants With HIV Viral Suppression

HIV-1 RNA < 200 copies/mL (NCT01936857)
Timeframe: 12 months

,
InterventionParticipants (Count of Participants)
Viral suppression at baselineViral suppression at 12 months
Buprenorphine/Naloxone9774
Methadone Maintenance Therapy9299

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Participants With Heroin Use (Urine Drug Screen)

(NCT01936857)
Timeframe: 12 months

InterventionParticipants (Count of Participants)
Buprenorphine/Naloxone66
Methadone Maintenance Therapy72

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Participants With Heroin Use (Self-report)

(NCT01936857)
Timeframe: 12 months

InterventionParticipants (Count of Participants)
Buprenorphine/Naloxone64
Methadone Maintenance Therapy67

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Number of Participants in Retention in HIV Care

HIV clinic visit in past 3 months (NCT01936857)
Timeframe: 12 months

InterventionParticipants (Count of Participants)
Buprenorphine/Naloxone111
Methadone Maintenance Therapy118

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Number of Participants in Receipt of Antiretroviral Therapy (ART)

Initiation of and retention on treatment with antiretroviral medications. (NCT01936857)
Timeframe: 12 months

InterventionParticipants (Count of Participants)
Buprenorphine/Naloxone108
Methadone Maintenance Therapy116

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Pain Measurement

The primary pain measure was the Pain Assessment and Documentation Tool (PADT). Total score ranging from 0-11 reported. Higher score considered indicative of more pain. Lower score is indicative of less pain. (NCT01967641)
Timeframe: assessed twice weekly during course of 19 weeks or length of participation, only screening and last assessment reported.

Interventionunits on a scale (Mean)
screeningend of study
Buprenorphine/Naloxone Combination6.14.3

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Number of Participants Retained in Study

Retention was number of participants retained at study end (Week 19). (NCT01967641)
Timeframe: week 19

Interventionparticipants (Number)
Buprenorphine/Naloxone Combination18

[back to top]

Number of Participants Abstinent From Opioids

Relapse was number of participants with opioid-negative urine toxicology in last week of study participation. (NCT01967641)
Timeframe: at week 19 or length of study participation

Interventionparticipants (Number)
Buprenorphine/Naloxone Combination17

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Time to Relapse (Intent to Treat Population)

Relapse occurs if the participant is using any non-protocol prescribed opioids regularly starting at day 21 post-randomization or thereafter. Operationally, relapse is defined as either: (a) four consecutive opioid use weeks, or (b) seven consecutive days of use by self-report. A use week is defined as any week during which a participant self-reports at least one day of use during that week, provides a urine sample positive for non-protocol opioids, or fails to provide a urine sample. Self-report of opioid (heroin or prescription opioids) and other substance use is ascertained at each weekly study visit using the Timeline Follow-Back for each day leading back to the previous visit. Urine is collected at each study visit and tested for opioids. A missed UDS counts as a use week. (NCT02032433)
Timeframe: Weeks 3-24

Interventionweeks (Median)
Extended-Release Naltrexone8.4
Buprenorphine-Naloxone14.4

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Time to Relapse (Per Protocol Population)

Relapse occurs if the participant is using any non-protocol prescribed opioids regularly starting at day 21 post-randomization or thereafter. Operationally, relapse is defined as either: (a) four consecutive opioid use weeks, or (b) seven consecutive days of use by self-report. A use week is defined as any week during which a participant self-reports at least one day of use during that week, provides a urine sample positive for non-protocol opioids, or fails to provide a urine sample. Self-report of opioid (heroin or prescription opioids) and other substance use is ascertained at each weekly study visit using the Timeline Follow-Back for each day leading back to the previous visit. Urine is collected at each study visit and tested for opioids. A missed UDS counts as a use week. (NCT02032433)
Timeframe: Weeks 3-24

Interventionweeks (Median)
Extended-Release Naltrexone20.4
Buprenorphine-Naloxone15.2

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Cigarette Smoking, W24 31 or More

Participants average cigarettes/day, in past 4 weeks, at week 24, equals 31 or more (NCT02032433)
Timeframe: Week 24

InterventionParticipants (Count of Participants)
Extended-Release Naltrexone1
Buprenorphine-Naloxone5

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Cigarette Smoking, W24 21-30

Participants average cigarettes/day, in past 4 weeks, at week 24, equals 21-30 (NCT02032433)
Timeframe: Week 24

InterventionParticipants (Count of Participants)
Extended-Release Naltrexone2
Buprenorphine-Naloxone11

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Cigarette Smoking, W24 11-20

Participants average cigarettes/day, in past 4 weeks, at week 24, equals 11-20. (NCT02032433)
Timeframe: Week 24

InterventionParticipants (Count of Participants)
Extended-Release Naltrexone57
Buprenorphine-Naloxone71

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Opioid Abstinence Over Time While on Study Medication (Objective)

A urine sample was obtained and tested for opioids at each in person visit; screening, prior to induction onto study medication, weekly through week 24 and at each of the follow up visits. (NCT02032433)
Timeframe: Weeks 0-24

InterventionWeeks (Median)
Extended-Release Naltrexone13
Buprenorphine-Naloxone11

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Cigarette Smoking, W0 31 or More

Participants average cigarettes/day, in past 4 weeks, at week 0, equals 31 or more (NCT02032433)
Timeframe: Week 0

InterventionParticipants (Count of Participants)
Extended-Release Naltrexone3
Buprenorphine-Naloxone8

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Score on Trail Making Test Part B

Part B consists of 25 circles distributed over a sheet of paper. In Part B, the circles include both numbers (1-13) and letters (A-L); the patient draws lines to connect the circles in an ascending pattern, by alternating between the numbers and letters. Results are reported as the number of seconds required to complete the task. (NCT02032433)
Timeframe: Week 24

Interventionseconds (Mean)
Extended-Release Naltrexone61.2
Buprenorphine-Naloxone58.1

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Cigarette Smoking, W0, 10 or Less

Participants average cigarettes/day, in past 4 weeks, at week 0, equals 10 or less. (NCT02032433)
Timeframe: Week 0

InterventionParticipants (Count of Participants)
Extended-Release Naltrexone112
Buprenorphine-Naloxone109

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Cigarette Smoking, W24 0

Participants average cigarettes/day, in past 4 weeks, at week 24, equals none (NCT02032433)
Timeframe: Week 24

InterventionParticipants (Count of Participants)
Extended-Release Naltrexone32
Buprenorphine-Naloxone29

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Score on Trail Making Test Part B

Part B consists of 25 circles distributed over a sheet of paper. In Part B, the circles include both numbers (1-13) and letters (A-L); the patient draws lines to connect the circles in an ascending pattern, by alternating between the numbers and letters. Results are reported as the number of seconds required to complete the task. (NCT02032433)
Timeframe: Week 0

Interventionseconds (Mean)
Extended-Release Naltrexone79.1
Buprenorphine-Naloxone78.3

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Opioid Abstinence Over Time While on Study Medication (Subjective)

Self report of opioid use by participants using the TLFB. At each visit, the TLFB was completed for dates going back to the last participant encounter. (NCT02032433)
Timeframe: Weeks 0-24

Interventiondays (Median)
Extended-Release Naltrexone123
Buprenorphine-Naloxone87

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Number Successfully Inducted Onto Assigned Study Medication

Binary Y/N assessment of whether the participant was or was not able to initiate their assigned study medication. (NCT02032433)
Timeframe: Weeks 0-24

Interventionparticipants (Number)
Extended-Release Naltrexone204
Buprenorphine-Naloxone270

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Alcohol Use Over Time, Drinks Per Day

Alcohol use over time, drinks per day (NCT02032433)
Timeframe: Week 24

Interventiondrinks per day (Mean)
Extended-Release Naltrexone.1
Buprenorphine-Naloxone.4

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Alcohol Use Over Time, Drinks Per Day, Past 30 Days, W0

Alcohol use over time, drinks per day, past 30 days, at week 0 (NCT02032433)
Timeframe: Week 0

Interventiondrinks per day (Mean)
Extended-Release Naltrexone.8
Buprenorphine-Naloxone1.2

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Cigarette Smoking

Participants average cigarettes/day, in past 4 weeks, at week 24, equals 10 or less. (NCT02032433)
Timeframe: Week 24

InterventionParticipants (Count of Participants)
Extended-Release Naltrexone70
Buprenorphine-Naloxone78

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Cigarette Smoking, W0 0

Participants average cigarettes/day, in past 4 weeks, at week 0, equals none (NCT02032433)
Timeframe: Week 0

InterventionParticipants (Count of Participants)
Extended-Release Naltrexone17
Buprenorphine-Naloxone18

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Cigarette Smoking, W0 11-20

Participants average cigarettes/day, in past 4 weeks, at week 0, equals 11-20. (NCT02032433)
Timeframe: Week 0

InterventionParticipants (Count of Participants)
Extended-Release Naltrexone106
Buprenorphine-Naloxone112

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Cigarette Smoking, W0 21-30

Participants average cigarettes/day, in past 4 weeks, at week 0, equals 21-30 (NCT02032433)
Timeframe: Week 0

InterventionParticipants (Count of Participants)
Extended-Release Naltrexone18
Buprenorphine-Naloxone21

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Score on Word Card of Stoop Test

"The word card of the Stoop Test has the names of colors printed in black and white (100 items to be named). The patient's basic score is the total time he/she takes to utter the 100 words on the card." (NCT02032433)
Timeframe: Week 0

Interventionseconds (Mean)
Extended-Release Naltrexone95.8
Buprenorphine-Naloxone96.4

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Score on Word Card of Stoop Test

"The word card of the Stoop Test has the names of colors printed in black and white (100 items to be named). The patient's basic score is the total time he/she takes to utter the 100 words on the card." (NCT02032433)
Timeframe: Week 24

Interventionseconds (Mean)
Extended-Release Naltrexone103.2
Buprenorphine-Naloxone102.9

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Other Drug Use Over Time, Cannabis, W0

Other drug use over time measuring cannabis at week 0 (NCT02032433)
Timeframe: week 0

InterventionParticipants (Count of Participants)
Extended-Release Naltrexone123
Buprenorphine-Naloxone135

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Other Drug Use Over Time, Cannabis, W24

Other drug use over time measuring cannabis at week 24 (NCT02032433)
Timeframe: week 24

InterventionParticipants (Count of Participants)
Extended-Release Naltrexone20
Buprenorphine-Naloxone20

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Other Drug Use Over Time, Cocaine, W0

Other drug use over time measuring cocaine at week 0 (NCT02032433)
Timeframe: week 0

InterventionParticipants (Count of Participants)
Extended-Release Naltrexone61
Buprenorphine-Naloxone80

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Other Drug Use Over Time, Cocaine, W24

Other drug use over time measuring cocaine at week 0 (NCT02032433)
Timeframe: week 24

InterventionParticipants (Count of Participants)
Extended-Release Naltrexone5
Buprenorphine-Naloxone2

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Other Drug Use Over Time, Stimulant, W0

Other drug use over time measuring stimulant (cocaine, crack and amphetamine) at week 0 (NCT02032433)
Timeframe: week 0

InterventionParticipants (Count of Participants)
Extended-Release Naltrexone132
Buprenorphine-Naloxone166

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Other Drug Use Over Time, Stimulant, W24

Other drug use over time measuring stimulant (cocaine, crack and amphetamine) at week 24 (NCT02032433)
Timeframe: week 24

InterventionParticipants (Count of Participants)
Extended-Release Naltrexone5
Buprenorphine-Naloxone3

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Score of Alcohol Subscale Within Addiction Severity Index (ASI) Scale

The Alcohol Subscale within ASI is one question that asks how bothered one has been by alcohol problems. The total range of the subscale is 0-4. The higher the score, the bigger the problem. (NCT02032433)
Timeframe: Week 0

Interventionscore on a scale (Mean)
Extended-Release Naltrexone.1
Buprenorphine-Naloxone.1

[back to top]

Score of Alcohol Subscale Within Addiction Severity Index (ASI) Scale

The Alcohol Subscale within ASI is one question that asks how bothered one has been by alcohol problems. The total range of the subscale is 0-4. The higher the score, the bigger the problem. (NCT02032433)
Timeframe: Week 24

Interventionscore on a scale (Mean)
Extended-Release Naltrexone.1
Buprenorphine-Naloxone0.0

[back to top]

Score of Condom Use Subscale Within HIV Risk-Taking Behavior Scale (HRBS)

The Sexual Behavior Subscale consists of 3 questions. Each question is scored from 0-5, for a total score range of 0-15. Higher scores indicate a greater degree of risk-taking behavior. (NCT02032433)
Timeframe: Week 0

Interventionscore on a scale (Mean)
Extended-Release Naltrexone3.6
Buprenorphine-Naloxone4.3

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Score of Condom Use Subscale Within HIV Risk-Taking Behavior Scale (HRBS)

The Sexual Behavior Subscale consists of 3 questions. Each question is scored from 0-5, for a total score range of 0-15. Higher scores indicate a greater degree of risk-taking behavior. (NCT02032433)
Timeframe: Week 24

Interventionscore on a scale (Mean)
Extended-Release Naltrexone4.8
Buprenorphine-Naloxone4.3

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Score of Drug Use Subscale Within Addiction Severity Index (ASI) Scale

The Drug Use Subscale within ASI is one question that asks how bothered one has been by drug use problems. The total range of the subscale is 0-4. The higher the score, the bigger the problem. (NCT02032433)
Timeframe: Week 0

Interventionscore on a scale (Mean)
Extended-Release Naltrexone0.3
Buprenorphine-Naloxone.3

[back to top]

Score of Drug Use Subscale Within Addiction Severity Index (ASI) Scale

The Drug Use Subscale within ASI is one question that asks how bothered one has been by drug use problems. The total range of the subscale is 0-4. The higher the score, the bigger the problem. (NCT02032433)
Timeframe: Week 24

Interventionscore on a scale (Mean)
Extended-Release Naltrexone.1
Buprenorphine-Naloxone.1

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Score of Family / Social Relationship Subscale Within Addiction Severity Index (ASI) Scale

The Family / Social Relationship Subscale within ASI contains 2 questions that ask how bothered one has been by family or social problems. The total range of the subscale is 0-8. The higher the score, the bigger the problem. (NCT02032433)
Timeframe: Week 24

Interventionscore on a scale (Mean)
Extended-Release Naltrexone.1
Buprenorphine-Naloxone.1

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Score of Medical Status Subscale Within Addiction Severity Index (ASI) Scale

The Medical Status Subscale within ASI is one question that asks how bothered one has been by medical problems. The total range of the subscale is 0-4. The higher the score, the bigger the problem. (NCT02032433)
Timeframe: Week 0

Interventionscore on a scale (Mean)
Extended-Release Naltrexone.2
Buprenorphine-Naloxone.2

[back to top]

Score of Medical Status Subscale Within Addiction Severity Index (ASI) Scale

The Medical Status Subscale within ASI is one question that asks how bothered one has been by medical problems. The total range of the subscale is 0-4. The higher the score, the bigger the problem. (NCT02032433)
Timeframe: Week 24

Interventionscore on a scale (Mean)
Extended-Release Naltrexone.1
Buprenorphine-Naloxone.2

[back to top]

Score of Psychiatric Status Subscale Within Addiction Severity Index (ASI) Scale

The Psychiatric Status Subscale within ASI is one question that asks how bothered one has been by psychiatric or emotional problems. The total range of the subscale is 0-4. The higher the score, the bigger the problem. (NCT02032433)
Timeframe: Week 0

Interventionscore on a scale (Mean)
Extended-Release Naltrexone.3
Buprenorphine-Naloxone.3

[back to top]

Score of Psychiatric Status Subscale Within Addiction Severity Index (ASI) Scale

The Psychiatric Status Subscale within ASI is one question that asks how bothered one has been by psychiatric or emotional problems. The total range of the subscale is 0-4. The higher the score, the bigger the problem. (NCT02032433)
Timeframe: Week 24

Interventionscore on a scale (Mean)
Extended-Release Naltrexone.2
Buprenorphine-Naloxone.2

[back to top]

Score of Sexual Behavior Subscale Within HIV Risk-Taking Behavior Scale (HRBS)

The Sexual Behavior Subscale consists of 5 questions. Each question is scored from 0-5, for a total score range of 0-25. Higher scores indicate a greater degree of risk-taking behavior. (NCT02032433)
Timeframe: Week 0

Interventionscore on a scale (Mean)
Extended-Release Naltrexone5.5
Buprenorphine-Naloxone5.9

[back to top]

Score of Sexual Behavior Subscale Within HIV Risk-Taking Behavior Scale (HRBS)

The Sexual Behavior Subscale consists of 5 questions. Each question is scored from 0-5, for a total score range of 0-25. Higher scores indicate a greater degree of risk-taking behavior. (NCT02032433)
Timeframe: Week 24

Interventionscore on a scale (Mean)
Extended-Release Naltrexone7.3
Buprenorphine-Naloxone6.0

[back to top]

Score of Social Relationship Subscale Within Addiction Severity Index (ASI) Scale

The Social Relationship Subscale within ASI contains 2 questions that ask how bothered one has been by family or social problems. The total range of the subscale is 0-8. The higher the score, the bigger the problem. (NCT02032433)
Timeframe: Week 0

Interventionscore on a scale (Mean)
Extended-Release Naltrexone.3
Buprenorphine-Naloxone.3

[back to top]

Score of Subacute Withdrawal Symptoms Subscale Within Hamilton Depression (HAM-D) Rating Scale

The Subacute Withdrawal Symptoms Subscale consists of 6 symptoms. Classification of symptoms can be scored as: 0 - absent, 1 - doubtful or trivial, 2 - present. The total range of scores is 0 - 12, and the higher the total score the more severe the depression. (NCT02032433)
Timeframe: Week 0

Interventionscore on a scale (Mean)
Extended-Release Naltrexone8.6
Buprenorphine-Naloxone9.3

[back to top]

Score of Subacute Withdrawal Symptoms Subscale Within Hamilton Depression (HAM-D) Rating Scale

The Subacute Withdrawal Symptoms Subscale consists of 6 symptoms. Classification of symptoms can be scored as: 0 - absent, 1 - doubtful or trivial, 2 - present. The total range of scores is 0 - 12, and the higher the total score the more severe the depression. (NCT02032433)
Timeframe: Week 24

Interventionscore on a scale (Mean)
Extended-Release Naltrexone5.2
Buprenorphine-Naloxone4.8

[back to top]

Score on Color Card of Stoop Test

"The color card contains 100 patches of between 3-5 different colors. The patient's task is to utter the names of the colored patches as rapidly as possible, scanning the rows from left to right. The score is the total time (in seconds) it takes to utter the 100 colors." (NCT02032433)
Timeframe: Week 0

Interventionseconds (Mean)
Extended-Release Naltrexone69.3
Buprenorphine-Naloxone70.5

[back to top]

Score on Color Card of Stoop Test

"The color card contains 100 patches of between 3-5 different colors. The patient's task is to utter the names of the colored patches as rapidly as possible, scanning the rows from left to right. The score is the total time (in seconds) it takes to utter the 100 colors." (NCT02032433)
Timeframe: Week 24

Interventionseconds (Mean)
Extended-Release Naltrexone75.3
Buprenorphine-Naloxone76.1

[back to top]

Score on Color Word Card of Stoop Test

"The color-word card contains the printed names of colors, but printed in an ink of a conflicting color (e.g. the word RED might be printed in green, yellow, or blue). The patient is required to name the colors of the inks while ignoring the conflicting printed color names. The basic score is the total time (in seconds) to utter the 100 colors." (NCT02032433)
Timeframe: Week 0

Interventionseconds (Mean)
Extended-Release Naltrexone41.1
Buprenorphine-Naloxone42.2

[back to top]

Score on Color Word Card of Stoop Test

"The color-word card contains the printed names of colors, but printed in an ink of a conflicting color (e.g. the word RED might be printed in green, yellow, or blue). The patient is required to name the colors of the inks while ignoring the conflicting printed color names. The basic score is the total time (in seconds) to utter the 100 colors." (NCT02032433)
Timeframe: Week 24

Interventionseconds (Mean)
Extended-Release Naltrexone47.6
Buprenorphine-Naloxone48.8

[back to top]

Score on EuroQOL EQ-5D Questionnaire

Problems related to drug abuse is assessed through this questionnaire, which consists of 5 conditions. Each condition is scored from 0-2 for a total score range of 0-10. The higher the score, the more problems. (NCT02032433)
Timeframe: Week 0

Interventionscore on a scale (Mean)
Extended-Release Naltrexone6.8
Buprenorphine-Naloxone6.8

[back to top]

Score on EuroQOL EQ-5D Questionnaire

Problems related to drug abuse is assessed through this questionnaire, which consists of 5 conditions. Each condition is scored from 0-2 for a total score range of 0-10. The higher the score, the more problems. (NCT02032433)
Timeframe: Week 24

Interventionscore on a scale (Mean)
Extended-Release Naltrexone5.8
Buprenorphine-Naloxone6.1

[back to top]

Score on Opioid Craving Scale (OCS)

OCS is a brief 3-item measure used to measure opioid craving. The scale consists of 3 items rated on a visual analogue scale (VAS) from 1-10. The total range of score is 0-30, and a higher score indicates a stronger craver / desire to use opiates. (NCT02032433)
Timeframe: Week 24

Interventionscore on a scale (Mean)
Extended-Release Naltrexone9.9
Buprenorphine-Naloxone9.4

[back to top]

Score on Subjective Opiate Withdrawal Scale (SOWS)

The SOWS is a self-administered scale for grading opioid withdrawal symptoms. It contains 16 symptoms whose intensity the patient rates on a scale of 0 (not at all) to 4 (extremely). The total range of scores is 0-64; the higher the score, the more intense the withdrawal. (NCT02032433)
Timeframe: Week 0

Interventionscore on a scale (Mean)
Extended-Release Naltrexone15.6
Buprenorphine-Naloxone15.6

[back to top]

Score on Subjective Opiate Withdrawal Scale (SOWS)

The SOWS is a self-administered scale for grading opioid withdrawal symptoms. It contains 16 symptoms whose intensity the patient rates on a scale of 0 (not at all) to 4 (extremely). The total range of scores is 0-64; the higher the score, the more intense the withdrawal. (NCT02032433)
Timeframe: Week 24

Interventionscore on a scale (Mean)
Extended-Release Naltrexone4.5
Buprenorphine-Naloxone5.3

[back to top]

Score on Trail Making Test Part A

Trail Making Test Part A consists of 25 circles distributed over a sheet of paper. The circles are number 1-25, and the patient is asked to draw lines to connect the numbers in ascending order. The patient is instructed to connect the circles as quickly as possible, without lifting the pen or pencil from the paper. Higher scores reveal greater impairment. (NCT02032433)
Timeframe: Week 0

Interventionseconds (Mean)
Extended-Release Naltrexone26.8
Buprenorphine-Naloxone25.8

[back to top]

Score on Trail Making Test Part A

Trail Making Test Part A consists of 25 circles distributed over a sheet of paper. The circles are number 1-25, and the patient is asked to draw lines to connect the numbers in ascending order. The patient is instructed to connect the circles as quickly as possible, without lifting the pen or pencil from the paper. Higher scores reveal greater impairment. (NCT02032433)
Timeframe: Week 24

Interventionseconds (Mean)
Extended-Release Naltrexone21.6
Buprenorphine-Naloxone20.3

[back to top]

Opioid Craving Over Time W0

Opioid craving over time via VAS at week 0 (NCT02032433)
Timeframe: Week 0

Interventionscore on a scale (Mean)
Extended-Release Naltrexone68.7
Buprenorphine-Naloxone68.8

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Percentage of Participant Response to the Request: Please Rate the Medication You Received Today in Terms of the Drug's Ability to Product a 'High'

Participant responses were captured on a 10-point scale with 0 = No high and 9= Extremely strong high. (NCT02038790)
Timeframe: Days 0-1

,
Interventionpercentage of participants (Number)
0 (no high)123456789 (extremely strong high)
Suboxone Sublingual Film 8/270.9716.139.68003.230000
Zubsolv Sublingual Tablets 5.7/1.461.2932.266.450000000

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Percentage of Participant Response to the Request: When Thinking About the Medication You Used Today, Indicate on the Line Below Your Ability to Abuse This Medication

Participant responses were captured on a 10-point scale with 0 = No desire to abuse and 9= Extremely high desire to abuse. (NCT02038790)
Timeframe: Days 0-1

,
Interventionpercentage of participants (Number)
0 (no high)123456789 (extremely strong high)
Suboxone Sublingual Film 8/270.9716.139.68003.230000
Zubsolv Sublingual Tablets 5.7/1.461.2935.483.230000000

[back to top]

Dissolution Time of Intervention as Recorded by a Trained Observer

The subject was observed and times documented for time of administration and time dissolution (recorded in minutes and seconds) was completed by designated qualified study personnel at the site. (NCT02038790)
Timeframe: Days 0-1

Interventionminutes (Mean)
Suboxone Sublingual Film 8/26.59
Zubsolv Sublingual Tablets 5.7/1.42.98

[back to top]

Overall Intervention Preference As Assessed by Participants

At the conclusion of Study Day 1, participants completed a study exit product comparison questionnaire. This outcome summarizes the percentage of participant answers to the question: When thinking about the two medications you evaluated over the last two days, which medication type did you prefer? (NCT02038790)
Timeframe: Day 1

Interventionpercentage of participants (Number)
SuboxoneZubsolv
All Participants54.8445.16

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Participant Assessments With Regard to Ease of Dissolution of Interventions

At the conclusion of Study Day 1, participants completed a study exit product comparison questionnaire. This outcome summarizes the percentage of participant answers to the question: Which one did you think dissolve easier in your mouth? (NCT02038790)
Timeframe: Day 1

Interventionpercentage of participants (Number)
SuboxoneZubsolv
All Participants19.3580.65

[back to top]

Participant Preference With Regard to Overall Taste of Interventions

At the conclusion of Study Day 1, participants completed a study exit product comparison questionnaire. This outcome summarizes the percentage of participant answers to the question: Which one did you prefer in regards to overall taste? (NCT02038790)
Timeframe: Day 1

Interventionpercentage of participants (Number)
SuboxoneZubsolv
All Participants29.0370.97

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Percentage of Participant Favorable and Unfavorable Response to the Question: How Comfortable Did It Feel In Your Mouth?

Responses were captured on a 5-point scale with the 5 representing the most favorable response, 3 representing a neutral response and 1 representing a negative response. 'Favorable' responses include assessments 5 and 4, while 'Unfavorable' responses include assessments 3, 2 and 1. (NCT02038790)
Timeframe: Days 0-1

,
Interventionpercentage of participants (Number)
Favorable responseUnfavorable response
Suboxone Sublingual Film 8/254.8445.16
Zubsolv Sublingual Tablets 5.7/1.477.4222.58

[back to top]

Percentage of Participant Favorable and Unfavorable Response to the Question: How Easily Did the Medication Dissolve in Your Mouth?

Responses were captured on a 5-point scale with the 5 representing the most favorable response, 3 representing a neutral response and 1 representing a negative response. 'Favorable' responses include assessments 5 and 4, while 'Unfavorable' responses include assessments 3, 2 and 1. (NCT02038790)
Timeframe: Days 0-1

,
Interventionpercentage of participants (Number)
Favorable responseUnfavorable response
Suboxone Sublingual Film 8/254.8445.16
Zubsolv Sublingual Tablets 5.7/1.496.773.23

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Percentage of Participant Favorable and Unfavorable Response to the Question: How Easy or Difficult Was it to Open the Package?

Responses were captured on a 5-point scale with the 5 representing the most favorable response, 3 representing a neutral response and 1 representing a negative response. 'Favorable' responses include assessments 5 and 4, while 'Unfavorable' responses include assessments 3, 2 and 1. (NCT02038790)
Timeframe: Days 0-1

,
Interventionpercentage of participants (Number)
Favorable responseUnfavorable response
Suboxone Sublingual Film 8/261.2938.71
Zubsolv Sublingual Tablets 5.7/1.451.6148.39

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Percentage of Participant Favorable and Unfavorable Response to the Question: How Easy or Difficult Were the Package Instructions to Follow?

Responses were captured on a 5-point scale with the 5 representing the most favorable response, 3 representing a neutral response and 1 representing a negative response. 'Favorable' responses include assessments 5 and 4, while 'Unfavorable' responses include assessments 3, 2 and 1. (NCT02038790)
Timeframe: Days 0-1

,
Interventionpercentage of participants (Number)
Favorable responseUnfavorable response
Suboxone Sublingual Film 8/21000
Zubsolv Sublingual Tablets 5.7/1.490.329.68

[back to top]

Percentage of Participant Response to the Question: Compared to the Medication That You Are Currently Using for Treatment of Opioid Dependence, The Study Medication You Just Used Was.....

"Choices to the question above are:~More effective as a treatment for opioid dependence~Equally effective as a treatment for opioid dependence~Less effective as a treatment for opioid dependence~The same medication that I normally use" (NCT02038790)
Timeframe: Days 0-1

,
Interventionpercentage of participants (Number)
More effectiveEqually effectiveLess effectiveSame medication I normally use
Suboxone Sublingual Film 8/23.2329.03067.74
Zubsolv Sublingual Tablets 5.7/1.4051.6132.2616.13

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Percentage of Participant Response to the Question: Did You Experience Any Uncomfortable Effects of Burning or Stinging?

Participant responses were captured on a 10-point scale with 0 = None and 9= Extreme. (NCT02038790)
Timeframe: Days 0-1

,
Interventionpercentage of participants (Number)
0 (none)123456789 (extreme)
Suboxone Sublingual Film 8/267.7419.356.453.2303.230000
Zubsolv Sublingual Tablets 5.7/1.458.0619.3516.13003.230003.23

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Percentage of Participant Response to the Question: Did You Experience Any Uncomfortable Effects of Skin Irritation or Blisters?

Participant responses were captured on a 10-point scale with 0 = None and 9= Extreme. (NCT02038790)
Timeframe: Days 0-1

,
Interventionpercentage of participants (Number)
0 (none)123456789 (extreme)
Suboxone Sublingual Film 8/270.9722.583.23003.230000
Zubsolv Sublingual Tablets 5.7/1.470.9729.0300000000

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Percentage of Participant Response to the Question: If You Did Want to Abuse This Medication, Would You Prefer to......

"Choices to the question above are:~Crush and snort~Liquefy and inject~Not able to abuse this formulation" (NCT02038790)
Timeframe: Days 0-1

,
Interventionpercentage of participants (Number)
Crush and snortLiquefy and injectNot able to abuse this formulation
Suboxone Sublingual Film 8/200100
Zubsolv Sublingual Tablets 5.7/1.425.813.2370.97

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Successful Induction Onto XR-NTX

Proportion of participants inducted onto XR-NTX at the end of the 30-day buprenorphine/naloxone stabilization/taper. (NCT02294253)
Timeframe: One week after completing 30-day buprenorphone/naloxone stabilization/taper.

InterventionParticipants (Count of Participants)
Buprenorphine/Naloxone Stabilization8

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Percentage of Participants Considered A Treatment Success

Treatment success is defined as a participant having ≥80% of urine samples negative for opioids combined with self-reports negative for illicit opioid use between weeks 5-24. (NCT02357901)
Timeframe: Weeks 5-24

Interventionpercentage of participants (Number)
RBP-6000 300mg/100mg28.4
RBP-6000 300mg/300mg29.1
Combined Placebo2.0

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Participants Who Are Abstinent at Week 24

Participants with both a negative urine sample and negative self-report for illicit opioid use at Week 24. (NCT02357901)
Timeframe: Week 24

InterventionParticipants (Count of Participants)
RBP-6000 300mg/100mg71
RBP-6000 300mg/300mg87
Combined Placebo2

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Change From Baseline in the Opioid Craving Visual Analog Scale (VAS) Prior to Injections From Week 5 Through Week 24 Analyzed by Mixed Model for Repeated Measures

"The opioid craving scale was a 100 mm scale with 0= 'no craving' on the left end and 100= 'strongest craving ever' on the right end of the scale. Participants marked where along the scale reflected their craving for opioids. The full range of the change from baseline scale was therefore 100 (no craving at baseline, strongest craving during study) to -100 (strongest craving at baseline, no craving during study).~Baseline was defined as the last non-missing value prior to subcutaneous injection on Day 1. The opioid craving VAS was completed each week; measurements were taken prior to dosing on weeks 5, 9, 13, 17 and 21.~Negative change from baseline values indicate a lessening of craving symptoms.~Change from baseline was analyzed using a mixed model for repeated measures (MMRM) with terms for treatment, visit, and treatment-by-visit interaction as factors and baseline value as a covariate. Center was included in the model as a random effect." (NCT02357901)
Timeframe: Baseline: Day 1 (prior to dosing), Weeks 5-24

Interventionunits on a scale (Least Squares Mean)
RBP-6000 300mg/100mg2.1
RBP-6000 300mg/300mg-0.9
Combined Placebo11.5

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Total Number of Weeks of Abstinence as Assessed From Urine Samples Negative for Opioids Combined With Self-Reports Negative for Illicit Opioid Use Collected From Week 5 Through Week 24

The total number of weeks of abstinence was assessed from urine samples negative for opioids combined with self-reports negative for illicit opioid use collected from week 5 through week 24. All missing reports for opioids were considered non-negative. (NCT02357901)
Timeframe: Weeks 5 through 24

Interventionweeks (Least Squares Mean)
RBP-6000 300mg/100mg8.5
RBP-6000 300mg/300mg8.5
Combined Placebo1.0

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Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Through Week 24 Analyzed by Mixed Model for Repeated Measures

"The Subjective Opiate Withdrawal Scale (SOWS) contains 16 symptoms whose intensity the participant rates on a scale of 0 (not at all) to 4 (extremely) for a full scale of 0 (no withdrawal symptoms) to 64 (extreme withdrawal symptoms). Negative change from baseline values indicate a lessening of withdrawal symptoms.~Baseline was defined as the last non-missing value prior to subcutaneous injection on Day 1. The SOWS was completed each week; measurements were taken prior to dosing on weeks 5, 9, 13, 17 and 21.~Change from baseline was analyzed using a mixed model for repeated measures (MMRM) with terms for treatment, visit, and treatment-by-visit interaction as factors and baseline value as a covariate." (NCT02357901)
Timeframe: Baseline: Day 1 (prior to dosing), Baseline: Day 1 (prior to dosing), Days 2, 8, 5, 22, 29, 30, 36, 43, 50, 57, 58, 64, 71, 78, 85, 86, 92, 99, 106, 113, 114, 120, 127, 134, 141, 142, 148, 155, 162, 169

Interventionunits on a scale (Least Squares Mean)
RBP-6000 300mg/100mg-0.9
RBP-6000 300mg/300mg-2.0
Combined Placebo0.7

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Change From Baseline in the Clinical Global Impression - Severity Scale (CGI-S) Prior to Injections From Week 5 Through Week 24 Analyzed by Mixed Model for Repeated Measures

"The CGI-S was an assessment completed by the clinician to rate the severity of symptoms on an ordinal scale ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill subjects; pathology drastically interferes in many life functions). Baseline was defined as the last non-missing value prior to subcutaneous injection on Day 1. Measurements taken during the treatment period were taken at the end of each 28 day treatment and prior to dosing of the next treatment.~Negative change from baseline values indicate an improvement in the severity of symptoms.~Change from baseline was analyzed using a mixed model for repeated measures (MMRM) with terms for treatment, visit, and treatment-by-visit interaction as factors and baseline value as a covariate. Center was included in the model as a random effect." (NCT02357901)
Timeframe: Baseline: Day 1 (prior to dosing), Days 29, 57, 85, 113, 141, 169

Interventionunits on a scale (Least Squares Mean)
RBP-6000 300mg/100mg-0.7
RBP-6000 300mg/300mg-0.7
Combined Placebo-0.0

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Suicidality Using the Columbia Suicide Severity Rating Scale (C-SSRS) From Week 2 - 24

The C-SSRS asks questions of study participants regarding whether they had suicidal ideation and/or suicidal behavior since the last visit using the electronic version of the scale. The C-SSRS was completed each week; measurements were taken prior to dosing on weeks 5, 9, 13, 17 and 21. (NCT02357901)
Timeframe: Weekly - Week 2 through Week 24

,,
InterventionParticipants (Count of Participants)
Suicidal Ideation: Wish to be deadNon-specific active suicidal thoughts(subset of above) No plan nor intent to act(subset of above) Non-specific plan, some intent(subset of above) Specific plan and intentSuicidal Behaviour: Preparatory acts or behaviourAborted attemptInterrupted attemptActual attempt
Combined Placebo921100110
RBP-6000 300mg/100mg1562300110
RBP-6000 300mg/300mg1110000110

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Participants With Adverse Events During the Treatment Period

Treatment-emergent adverse event (TEAE) = any untoward medical occurrence that develops or worsens in severity after dispensation of the study drug and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= a marked limitation in activity. Relation of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent one of the outcomes listed in this definition. (NCT02357901)
Timeframe: Day 1 through Week 24

,,
InterventionParticipants (Count of Participants)
>=1 TEAE>=1 TEAE related to study drug>=1 serious TEAE>=1 serious study treatment-related TEAEDeath>=1 severe TEAETEAE leading to study treatment discontinuation
Combined Placebo562350042
RBP-6000 300mg/100mg15567400157
RBP-6000 300mg/300mg134707011310

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Change From Baseline in the Clinical Global Impression - Improvement Scale (CGI-I) Prior to Injections From Week 5 Through Week 24 Analyzed by Mixed Model for Repeated Measures

"The CGI-I was used to rate the change in clinical status since the start of the treatment on an ordinal scale ranging from 1 (very much improved; nearly all better; good level of functioning; minimal symptoms; represents a very substantial change) to 7 (very much worse; severe exacerbation of symptoms and loss of functioning). Baseline was defined as the last non-missing value prior to subcutaneous injection on Day 1. Measurements taken during the treatment period were taken at the end of each 28 day treatment and prior to dosing of the next treatment.~Negative change from baseline values indicate an improved clinical global impression.~Change from baseline was analyzed using a mixed model for repeated measures (MMRM) with terms for treatment, visit, and treatment-by-visit interaction as factors and baseline value as a covariate. Center was included in the model as a random effect." (NCT02357901)
Timeframe: Baseline: Day 1 (prior to dosing), Days 29, 57, 85, 113, 141, 169

Interventionunits on a scale (Least Squares Mean)
RBP-6000 300mg/100mg1.6
RBP-6000 300mg/300mg1.5
Combined Placebo2.4

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Cumulative Distribution Function (CDF) of the Percentage of Urine Samples Negative for Opioids From Week 5 Through Week 24

Data represent the count of participants at various percentage levels in which urine samples tested negative for opioids. All missing reports for urine samples were considered non-negative. (NCT02357901)
Timeframe: Weekly from Weeks 5-24

,,
InterventionParticipants (Count of Participants)
>=0%>=10%>=20%>=30%>=40%>=50%>=60%>=70%>=80%>=90%
Combined Placebo991798765442
RBP-6000 300mg/100mg194140120106979182736447
RBP-6000 300mg/300mg196129114109988874696151

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Cumulative Distribution Function (CDF) of the Percentage of Urine Samples Negative for Opioids Combined With Self-Reports Negative for Illicit Opioid Use Collected From Week 5 Through Week 24

Data represent the count of participants at various percentage abstinence levels. Abstinence was defined as urine samples being negative for opioids AND negative self-reports (obtained from Timeline Followback (TLFB) interviews) for illicit opioid use. The primary endpoint was based on visits in which paired urine samples and self-reports were expected for each subject as specified in the schedule of events. Missing urine drug screen(s) (UDS) samples and/or self-reports were considered as non-negative. (NCT02357901)
Timeframe: Weekly from Weeks 5-24

,,
InterventionParticipants (Count of Participants)
>=0%>=10%>=20%>=30%>=40%>=50%>=60%>=70%>=80%>=90%
Combined Placebo991176644222
RBP-6000 300mg/100mg194139115101908678665541
RBP-6000 300mg/300mg196126111101908270675748

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Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Through Week 24 Analyzed by Mixed Model for Repeated Measures

"COWS is an 11-item instrument used to assess signs and symptoms of opioid withdrawal (Wesson et al., 1999). The score is the sum of the responses for a total range of 0-48. The COWS is commonly used by clinicians treating patients with buprenorphine to monitor the severity of withdrawal. COWS scores below 5 are considered not indicative of withdrawal. Scores from 5 to 12 are considered mild withdrawal; from 13 to 24 moderate withdrawal; 25 to 36 moderately severe withdrawal, and 37-48 severe withdrawal. Negative change from baseline values indicate a lessening of withdrawal symptoms.~Baseline was defined as the last non-missing value prior to subcutaneous injection on Day 1. The COWS was completed each week; measurements were taken prior to dosing on weeks 5, 9, 13, 17 and 21.~Change from baseline was analyzed using a mixed model for repeated measures (MMRM) with terms for treatment, visit, and treatment-by-visit interaction as factors and baseline value as a covariate." (NCT02357901)
Timeframe: Baseline: Day 1 (prior to dosing), Baseline: Day 1 (prior to dosing), Days 2, 8, 5, 22, 29, 30, 36, 43, 50, 57, 58, 64, 71, 78, 85, 86, 92, 99, 106, 113, 114, 120, 127, 134, 141, 142, 148, 155, 162, 169

Interventionunits on a scale (Least Squares Mean)
RBP-6000 300mg/100mg-0.5
RBP-6000 300mg/300mg-1.1
Combined Placebo-0.1

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Cumulative Distribution Function (CDF) of the Percentage of Self-Reports Negative for Illicit Opioid Use From Week 5 Through Week 24

Data represent the count of participants at various percentage levels in which self-reports were negative for illicit use of opioids. Self-reports were obtained from Timeline Followback (TLFB) interviews. All missing self-reports were considered non-negative. (NCT02357901)
Timeframe: Weekly from Weeks 5-24

,,
InterventionParticipants (Count of Participants)
>=0%>=10%>=20%>=30%>=40%>=50%>=60%>=70%>=80%>=90%
Combined Placebo993729242018171497
RBP-6000 300mg/100mg19416315513913212512010810292
RBP-6000 300mg/300mg19616215213913212511711210191

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Worst Injection Site Pain From Injections 1-6 as Measured by Participant-Reported Visual Analog Scale (VAS)

"Injection site pain as measured by participant-reported VAS The participant-reported VAS for injection site pain was measured on a 100 mm scale with 'no pain' on the left end and 'strongest pain ever' on the right end of the scale (total scale of 0-100). Participants marked where along the scale reflected their localized injection pain.~The injection site pain VAS scores were obtained (after the completion of the injection) within 1 minute and at 5, 10, 15, 30, 60 and 120 minutes (+- 5 minutes). The timing of the injection site pain VAS should have been measured from the end of the injection.~Data represents the worst pain recorded for each participant across all 6 injections and all VAS records. The mean value is presented." (NCT02357901)
Timeframe: Days 1, 29, 57, 85, 113, 141

Interventionunits on a scale (Mean)
RBP-6000 300mg/100mg55.8
RBP-6000 300mg/300mg63.3
Combined Placebo61.0

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"Participants Who Complete the Week 24 Visit (Completers)"

A completer was defined as a participant who completed either the urine drug screen (UDS) or Timeline Followback (TLFB) assessment at the Week 24 visit. (NCT02357901)
Timeframe: Week 24

InterventionParticipants (Count of Participants)
RBP-6000 300mg/100mg119
RBP-6000 300mg/300mg126
Combined Placebo33

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Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) at End of Study (Weeks 25 and 49)

"COWS is an 11-item instrument used to assess signs and symptoms of opioid withdrawal. The score is the sum of the responses for a total range of 0-48. The COWS is commonly used by clinicians treating patients with buprenorphine to monitor the severity of withdrawal. COWS scores below 5 are considered not indicative of withdrawal. Scores from 5 to 12 are considered mild withdrawal; from 13 to 24 moderate withdrawal; 25 to 36 moderately severe withdrawal, and 37-48 severe withdrawal. Negative change from baseline values indicate a lessening of withdrawal symptoms.~Baseline was defined as the last non-missing value prior to subcutaneous injection on Day 1. Baseline value is reported as an observed actual value. Weeks 25 and 49 represent change from baseline values." (NCT02510014)
Timeframe: Baseline (Day 1 predose), End of Study: Week 49 (De novo arm); Week 25 (Roll-over arm)

Interventionunits on a scale (Mean)
Baseline (actual value)Change from baseline: Week 25
Roll-over Subjects1.5-0.3

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Worst Local Injection Site Pain From Injections as Measured by Participant-Reported Visual Analog Scale (VAS)

"Injection site pain as measured by participant-reported VAS. The participant-reported VAS for injection site pain was measured on a 100 mm scale with 'no pain' at 0 mm and 'strongest pain ever' at 100 mm (total scale of 0-100). Participants marked where along the scale reflected their localized injection pain.~The injection site pain VAS scores were obtained (after the completion of the injection) within 1 minute and at 5, 10, 15, 30 and 60 minutes (+- 5 minutes). The timing of the injection site pain VAS should have been measured from the end of the injection.~Data represents the worst pain recorded for each participant across all injections and all VAS records. The mean value is presented.~De Novo subjects were given injections on Days 1, 29, 57, 85, 113, 141, 169, 197, 225, 253, 281 and 309.~Roll-over subjects were given injections on Days 1, 29, 57, 85, 113, 141." (NCT02510014)
Timeframe: De Novo Subjects: Days 1, 29, 57, 85, 113, 141, 169, 197, 225, 253, 281 and 309 Roll-over Subjects: Days 1, 29, 57, 85, 113, 141

Interventionunits on a scale (Mean)
Injection 1Injection 2Injection 3Injection 4Injection 5Injection 6Injection 7Injection 8Injection 9Injection 10Injection 11Injection 12
De Novo Subjects44.039.838.933.630.630.528.928.630.231.825.824.7

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Percentage Change From Baseline to End of Study (Weeks 25 and 49) in Vital Signs

"Vital signs include~systolic blood pressure (mmHg)~diastolic blood pressure (mmHg)~respiratory rate (breaths/minute)~weight (kg)~body mass index (kg/m^2)~waist-to-hip ratio~Baseline is defined as the last non-missing value prior to subcutaneous injection of RBP-6000 on Day 1." (NCT02510014)
Timeframe: Baseline (Day 1 predose) End of Study: Week 49 (De novo arm); Week 25 (Roll-over arm)

,
Interventionpercentage change from baseline (Mean)
Systolic blood pressureDiastolic blood pressureRespiratory rateBody weightBody mass indexWaist-to-hip ratio
De Novo Subjects0.20.1-1.21.521.531.828
Roll-over Subjects1.31.61.0-0.94-0.931.015

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Participants With Treatment-Emergent Adverse Events (TEAE) During the Treatment Period

TEAE=any untoward medical occurrence that develops or worsens in severity after dispensation of the study drug and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= a marked limitation in activity. Relation of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent one of the outcomes listed in this definition. (NCT02510014)
Timeframe: Day 1 to Week 49 (De novo arm); Day 1 to Week 25 (Roll-over arm)

,
InterventionParticipants (Count of Participants)
>=1 TEAE>=1 TEAE related to study drug>=1 serious TEAE>=1 serious study treatment-related TEAEDeath>=1 severe TEAETEAE leading to study treatment discontinuationTEAE leading to dose reduction
De Novo Subjects3021721600361329
Roll-over Subjects145619007417

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Cumulative Distribution Function (CDF) of the Percentage Abstinence Collected From Week 1 Through End of Study (Weeks 25 and 49)

"Participants' self-reported illicit opioid drug use from the timeline followback (TLFB) interview and results from the urine drug screens (UDS) for opioids were combined into a single endpoint. Opioids assessed included codeine, hydrocodone, hydromorphone, methadone, morphine, opiates, oxycodone, and oxymorphone (by UDS) and amphetamine/methadone, buprenorphine, methadone, and opioids in the TLFB.~Data represent the count of participants at various percentage abstinence levels. Abstinence was defined as urine samples being negative for opioids AND negative self-reports (obtained from Timeline Followback (TLFB) interviews) for illicit opioid use. The endpoint was based on visits in which paired urine samples and self-reports were expected for each subject as specified in the schedule of events. All missing reports for opioids were considered nonnegative." (NCT02510014)
Timeframe: Weekly during Month 1, Every other week from Month 2-6, Monthly from Month 7-12. De novo arm stopped at Week 49. Roll-over arm stopped at Week 25

,
InterventionParticipants (Count of Participants)
>=0%>=10%>=20%>=30%>=40%>=50%>=60%>=70%>=80%>=90%=100%
De Novo Subjects412315278239217187166132986232
Roll-over Subjects257206200189159150137110967447

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Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) at End of Study (Weeks 25 and 49)

"The Subjective Opiate Withdrawal Scale (SOWS) contains 16 symptoms whose intensity the participant rates on a scale of 0 (not at all) to 4 (extremely) for a full scale of 0 (no withdrawal symptoms) to 64 (extreme withdrawal symptoms). Negative change from baseline values indicate a lessening of withdrawal symptoms.~Baseline was defined as the last non-missing value prior to subcutaneous injection on Day 1. Baseline value is reported as an observed actual value. Weeks 25 and 49 represent change from baseline values." (NCT02510014)
Timeframe: Baseline (Day 1 predose), End of Study: Week 49 (De novo arm); Week 25 (Roll-over arm)

Interventionunits on a scale (Mean)
Baseline (actual value)Change from baseline: Week 25Change from baseline: Week 49
De Novo Subjects3.8-1.1-1.6

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Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) at End of Study (Weeks 25 and 49)

"The Subjective Opiate Withdrawal Scale (SOWS) contains 16 symptoms whose intensity the participant rates on a scale of 0 (not at all) to 4 (extremely) for a full scale of 0 (no withdrawal symptoms) to 64 (extreme withdrawal symptoms). Negative change from baseline values indicate a lessening of withdrawal symptoms.~Baseline was defined as the last non-missing value prior to subcutaneous injection on Day 1. Baseline value is reported as an observed actual value. Weeks 25 and 49 represent change from baseline values." (NCT02510014)
Timeframe: Baseline (Day 1 predose), End of Study: Week 49 (De novo arm); Week 25 (Roll-over arm)

Interventionunits on a scale (Mean)
Baseline (actual value)Change from baseline: Week 25
Roll-over Subjects2.81.1

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Change From Baseline in the Opioid Craving Visual Analog Scale (VAS) at End of Study (Weeks 25 and 49)

"The opioid craving scale was a 100 mm scale with 'no craving' indicated by 0 mm and 'strongest craving ever' indicated by 100 mm. Participants marked where along the scale reflected their craving for opioids.~Baseline was defined as the last non-missing value prior to subcutaneous injection on Day 1. Baseline value is reported as an observed actual value. Weeks 25 and 49 represent change from baseline values." (NCT02510014)
Timeframe: Baseline (Day 1 predose), End of Study: Week 49 (De novo arm); Week 25 (Roll-over arm)

Interventionunits on a scale (Mean)
Baseline (actual value)Change from baseline: Week 25Change from baseline: Week 49
De Novo Subjects5.9-0.2-2.0

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Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) at End of Study (Weeks 25 and 49)

"COWS is an 11-item instrument used to assess signs and symptoms of opioid withdrawal. The score is the sum of the responses for a total range of 0-48. The COWS is commonly used by clinicians treating patients with buprenorphine to monitor the severity of withdrawal. COWS scores below 5 are considered not indicative of withdrawal. Scores from 5 to 12 are considered mild withdrawal; from 13 to 24 moderate withdrawal; 25 to 36 moderately severe withdrawal, and 37-48 severe withdrawal. Negative change from baseline values indicate a lessening of withdrawal symptoms.~Baseline was defined as the last non-missing value prior to subcutaneous injection on Day 1. Baseline value is reported as an observed actual value. Weeks 25 and 49 represent change from baseline values." (NCT02510014)
Timeframe: Baseline (Day 1 predose), End of Study: Week 49 (De novo arm); Week 25 (Roll-over arm)

Interventionunits on a scale (Mean)
Baseline (actual value)Change from baseline: Week 25Change from baseline: Week 49
De Novo Subjects2.1-1.0-1.0

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Worst Local Injection Site Pain From Injections as Measured by Participant-Reported Visual Analog Scale (VAS)

"Injection site pain as measured by participant-reported VAS. The participant-reported VAS for injection site pain was measured on a 100 mm scale with 'no pain' at 0 mm and 'strongest pain ever' at 100 mm (total scale of 0-100). Participants marked where along the scale reflected their localized injection pain.~The injection site pain VAS scores were obtained (after the completion of the injection) within 1 minute and at 5, 10, 15, 30 and 60 minutes (+- 5 minutes). The timing of the injection site pain VAS should have been measured from the end of the injection.~Data represents the worst pain recorded for each participant across all injections and all VAS records. The mean value is presented.~De Novo subjects were given injections on Days 1, 29, 57, 85, 113, 141, 169, 197, 225, 253, 281 and 309.~Roll-over subjects were given injections on Days 1, 29, 57, 85, 113, 141." (NCT02510014)
Timeframe: De Novo Subjects: Days 1, 29, 57, 85, 113, 141, 169, 197, 225, 253, 281 and 309 Roll-over Subjects: Days 1, 29, 57, 85, 113, 141

Interventionunits on a scale (Mean)
Injection 1Injection 2Injection 3Injection 4Injection 5Injection 6
Roll-over Subjects33.532.730.231.332.230.5

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Change From Baseline in the Opioid Craving Visual Analog Scale (VAS) at End of Study (Weeks 25 and 49)

"The opioid craving scale was a 100 mm scale with 'no craving' indicated by 0 mm and 'strongest craving ever' indicated by 100 mm. Participants marked where along the scale reflected their craving for opioids.~Baseline was defined as the last non-missing value prior to subcutaneous injection on Day 1. Baseline value is reported as an observed actual value. Weeks 25 and 49 represent change from baseline values." (NCT02510014)
Timeframe: Baseline (Day 1 predose), End of Study: Week 49 (De novo arm); Week 25 (Roll-over arm)

Interventionunits on a scale (Mean)
Baseline (actual value)Change from baseline: Week 25
Roll-over Subjects4.44.2

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Changes in Working Memory - Within Groups During Satiation and Withdrawal

fMRI working memory differences under satiation vs withdrawal from opioids (NCT02696096)
Timeframe: Baseline and 1 week

,
Intervention% fMRI signal change (Mean)
Mean Brain Response in R middle frontal gyrusMean Brain Response in R inferior parietal lobuleMean Brain Response in L inferior parietal lobuleMean Brain Response in bilateral supplementary motor
fMRI During Opioid Use0.370.420.540.35
fMRI During Withdrawal0.350.330.470.34

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Working Memory - Between Groups at Baseline by Lapsed Category

fMRI working memory differences between participants who lapse back to opioid use and those who don't (NCT02696096)
Timeframe: Baseline

,
Intervention% fMRI signal change (Mean)
bilateral SMAR middle frontal gyrusR inferior parietal lobuleL inferior parietal lobuleL middle frontal gyrus (a)L middle frontal gyrus (b)L middle frontal gyrus (c)bilateral precuneusR anterior insula
Lapse0.420.400.330.320.490.330.360.370.39
No Lapse0.450.390.340.360.460.360.390.380.42

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Changes in Resting State Disorganization Between Baseline and One Week by Person by Lapsed Category

"The measure of resting state organization is a z-value derived from Pearson's r-values. They represent the effect of the association between the brain activity of the seed region and each brain voxel over time during the resting state FMRI scan. A central z-value of 0 means that there is no association between the seed region and the voxel.~Positive and negative z-values approaching 0 reflect increasingly weaker associations, and more extreme positive and negative values reflect stronger associations. Attributing the qualitative labels better or worse to these values depend upon the brain network and context. In many networks (eg, task-positive cognitive control network), a stronger positive correlation is thought to reflect better network organization. In the task-negative default mode network a stronger positive relationship is considered by some as worse. For this study, these are not yet used as clinical measures and there are not known cutoffs." (NCT02696096)
Timeframe: Baseline and 1 week

,
InterventionMean default mode network (DMN) z-scores (Mean)
DMN synchrony active useDMN synchrony abstinent
Lapse0.3280.394
No Lapse0.3150.384

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PODS Concerns

Prescribed Opioids Difficulty Scale (PODS) Concerns score (range 0-28; higher is worse) (NCT03026790)
Timeframe: 12 months

Interventionunits on a scale (Mean)
Active Comparator: Telecare Collaborative Management (TCM)3.8
Active Comparator: Integrated Pain Team (IPT)4

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Pain Response

Binary response variable defined by reduction of at least 30% in Brief Pain Inventory (BPI) total score from baseline (NCT03026790)
Timeframe: 12 months

InterventionParticipants (Count of Participants)
Active Comparator: Telecare Collaborative Management (TCM)58
Active Comparator: Integrated Pain Team (IPT)54

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PHQ-8

Patient Health Questionnaire 8-item (PHQ-8) depression scale score (range 0-24; higher is worse) (NCT03026790)
Timeframe: 12 months

Interventionunits on a scale (Mean)
Active Comparator: Telecare Collaborative Management (TCM)8.79
Active Comparator: Integrated Pain Team (IPT)5.2

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50% Reduction in Opioid Daily Dose

Binary response variable defined by reduction of at least 50% in opioid daily dose (morphine-equivalent mg) from baseline (NCT03026790)
Timeframe: 12 months

InterventionParticipants (Count of Participants)
Active Comparator: Telecare Collaborative Management (TCM)102
Active Comparator: Integrated Pain Team (IPT)98

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GAD-7

General Anxiety Disorders 7-item questionnaire (GAD-7) score (range 0-21; higher is worse) (NCT03026790)
Timeframe: 12 months

Interventionunits on a scale (Mean)
Active Comparator: Telecare Collaborative Management (TCM)6.01
Active Comparator: Integrated Pain Team (IPT)5.55

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PODS Problems

Prescribed Opioids Difficulty Scale (PODS) Problems score (range 0-32; higher is worse) (NCT03026790)
Timeframe: 12 months

Interventionunits on a scale (Mean)
Active Comparator: Telecare Collaborative Management (TCM)3.4
Active Comparator: Integrated Pain Team (IPT)2.5

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Brief Pain Inventory (BPI) Total Score

Brief Pain Inventory (BPI) total score calculated as average of 11 items (range 0-10; higher is worse) (NCT03026790)
Timeframe: 12 months

Interventionunits on a scale (Mean)
Active Comparator: Telecare Collaborative Management (TCM)6.07
Active Comparator: Integrated Pain Team (IPT)6.01

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VR-12 Physical Component Score

Veterans RAND 12-item health survey (VR-12) Physical Component Score (range 0-100; higher is better) (NCT03026790)
Timeframe: 12 months

Interventionunits on a scale (Mean)
Active Comparator: Telecare Collaborative Management (TCM)41.9
Active Comparator: Integrated Pain Team (IPT)42.5

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Composite Response

Binary composite response variable defined by achieving at least a 30% reduction in BPI total score and at least 50% reduction in opioid daily dose from baseline. (NCT03026790)
Timeframe: 12 months

InterventionParticipants (Count of Participants)
Active Comparator: Telecare Collaborative Management (TCM)17
Active Comparator: Integrated Pain Team (IPT)17

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VR-12 Mental Component Score

Veterans RAND 12-item health survey (VR-12) Mental Component Score (range 0-100; higher is better) (NCT03026790)
Timeframe: 12 months

Interventionunits on a scale (Mean)
Active Comparator: Telecare Collaborative Management (TCM)41.9
Active Comparator: Integrated Pain Team (IPT)42.5

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Symptom Checklist

Medication-related adverse symptoms count (0-19; higher is worse) (NCT03026790)
Timeframe: 12 months

Interventionsymptom count (Mean)
Active Comparator: Telecare Collaborative Management (TCM)4
Active Comparator: Integrated Pain Team (IPT)3.5

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PROMIS Sleep Disturbance

Patient Reported Outcomes Measurement Information System (PROMIS) sleep disturbance short-form 4a T-score (higher is worse). Raw scores were rescaled into standardized T-scores with a mean of 50 representing the average for the US population and a standard deviation (SD) of 10. A person with a T-score of 40 is one SD below the mean. (NCT03026790)
Timeframe: 12 months

InterventionT-score (Mean)
Active Comparator: Telecare Collaborative Management (TCM)57.2
Active Comparator: Integrated Pain Team (IPT)55.5

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PROMIS Fatigue

Patient Reported Outcomes Measurement Information System (PROMIS) fatigue short-form 4a T-score (higher is worse). Raw scores were rescaled into standardized T-scores with a mean of 50 representing the average for the US population and a standard deviation (SD) of 10. A person with a T-score of 40 is one SD below the mean. (NCT03026790)
Timeframe: 12 months

InterventionT-score (Mean)
Active Comparator: Telecare Collaborative Management (TCM)57.1
Active Comparator: Integrated Pain Team (IPT)55.7

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Headache Impact Test

Headache Impact Test score (range 36-78; higher is worse) (NCT03026790)
Timeframe: 12 months

Interventionunits on a scale (Mean)
Active Comparator: Telecare Collaborative Management (TCM)50.77
Active Comparator: Integrated Pain Team (IPT)49.84

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Pharmacists' Use of the Prescription Drug Monitoring Program (PDMP)

Measured at each study visit via an action item checklist to confirm whether the PDMP was inquired to identify the following for each participant: measures of multiple buprenorphine prescriptions, any prescriptions for class II and III medications, and any other information that may be useful for the participant's treatment such as documented drug-related medical interventions or disciplinary charges. (NCT03248947)
Timeframe: Up to six months

InterventionVisits (Count of Units)
Pharmacist-administered Buprenorphine Maintenance Care396

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Treatment Fidelity

Number of monitored study visits with physicians and pharmacists showing 80% adherence or higher to study specific tasks and responsibilities. Adherence will be calculated as the number of items completed on the Buprenorphine Visit Checklist divided by the sum of the number of complete and incomplete items. (NCT03248947)
Timeframe: Up to six months

InterventionMonitored study visits (Count of Units)
Pharmacist-administered Buprenorphine Maintenance Care142

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Number of Participants With Opioid and Other Substance Use

Measured via a composite of urine drug screen (UDS) and self-report via Timeline Follow-Back over 30 days. (NCT03248947)
Timeframe: Up to six months

InterventionParticipants (Count of Participants)
Positive opioid UDS at month 6Positive other substance UDS at month 6Self-reported opioid use at month 6
Pharmacist-administered Buprenorphine Maintenance Care103810

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Number of Medication-Compliant Months Across All Participants

Medication compliance is defined as taking any of the dispensed medication during the past month as measured by pill count/dose reconciliation at each study visit. Medication compliance is calculated as the percentage of compliant months out of the overall number of expected study months. (NCT03248947)
Timeframe: Up to six months

InterventionMonths (Count of Units)
Pharmacist-administered Buprenorphine Maintenance Care406

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Treatment Retention

Number of scheduled visits completed. (NCT03248947)
Timeframe: Up to six months

InterventionVisits (Count of Units)
Pharmacist-administered Buprenorphine Maintenance Care406

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Treatment Satisfaction

Indicators of satisfaction with treatment delivery measured by participants, pharmacists, and physicians using the Treatment Satisfaction Scale after each study visit. A score of 5=very satisfied, 4=satisfied, 3=neither satisfied or dissatisfied, 2=dissatisfied, and 1=very dissatisfied. (NCT03248947)
Timeframe: Up to six months

InterventionParticipants (Count of Participants)
Overall satisfaction with experience in study72207790Overall satisfaction with experience in study72207791Overall satisfaction with quality of study treatmt72207791Overall satisfaction with quality of study treatmt72207790
Very SatisfiedSatisfiedNeither Satisfied or DissatisfiedDissatisfiedVery Dissatisfied
Pharmacist-administered Buprenorphine Maintenance Care59
Study Physicians and Pharmacists12
Pharmacist-administered Buprenorphine Maintenance Care3
Pharmacist-administered Buprenorphine Maintenance Care57
Study Physicians and Pharmacists11
Pharmacist-administered Buprenorphine Maintenance Care5
Study Physicians and Pharmacists1
Pharmacist-administered Buprenorphine Maintenance Care1
Study Physicians and Pharmacists0
Pharmacist-administered Buprenorphine Maintenance Care0

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Recruitment Rate

Measured by a composite of the number of participants with opioid use disorder recruited (i.e., signed the informed consent form) per month, and by site and the average monthly rate of participants enrolled among potential participants who were screened. (NCT03248947)
Timeframe: Up to six months

,
InterventionParticipants (Count of Participants)
Pre-screened participants consentedConsented participants enrolled into study
Consented ParticipantsNA71
Pre-screened Participants76NA

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Participant Safety

A composite of self-report and medical record abstraction to measure any fatal or non-fatal opioid overdose and any opioid or other substance-related emergency department visit or hospitalization. (NCT03248947)
Timeframe: Up to six months

InterventionParticipants (Count of Participants)
OverdosesSubstance-related ED visitsSubstance-related hospitalizations
Pharmacist-administered Buprenorphine Maintenance Care011

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Fetal Heart Rate at 24 Weeks

Fetal heart rate in beats per minute, mean over 60 minutes gestation. Fetal heart rate in msec at 24 weeks of gestation at times of peak maternal plasma drug concentrations (NCT03291847)
Timeframe: 24 weeks of gestation

Interventionbeats per minute (Mean)
Buprenorphine-naloxone Treated143.64

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Fetal Heart Rate at 28 Weeks Gestation

Fetal heart rate in beats per minute, mean over 60 minutes gestation. Fetal heart rate at 28 weeks of gestation at times of tpeak maternal plasma drug concentrations. (NCT03291847)
Timeframe: 28 weeks of gestation

Interventionbeats per minute (Mean)
Buprenorphine-naloxone Treated139.14

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Fetal Heart Rate at 32 Weeks Gestation

Fetal heart rate in beats per minute, mean over 60 minutes. Fetal heart rate at 32 weeks of gestation at times of peak maternal plasma drug concentrations (NCT03291847)
Timeframe: 32 weeks of gestation

Interventionbeats per minute (Mean)
Buprenorphine-naloxone Treated135.82

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Total Fetal Movement at 24 Weeks Gestation

Total fetal movement at 24 weeks of gestation. Total number of fetal moves over 60 minutes via fetal monitoring at time of peak maternal plasma drug concentrations at 24 weeks of gestation. (NCT03291847)
Timeframe: 24 weeks of gestation

Interventionfetal movements (Mean)
Buprenorphine-naloxone Treated71.91

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Total Fetal Movement at 28 Weeks Gestation

Total fetal movement over 60 minutes via fetal monitoring. Total fetal movement over 60 minutes via fetal monitoring at times of trough and peak maternal plasma drug concentrations at 28 weeks of gestation. (NCT03291847)
Timeframe: 28 weeks of gestation

Interventionfetal movements (Mean)
Buprenorphine-naloxone Treated70.06

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Total Fetal Movement at 36 Weeks Gestation

Total fetal movement over 60 minutes via fetal monitoring at 36 weeks of gestation. Nimber of fetal movements over 60 minutes via fetal monitoring at times of peak maternal plasma drug concentrations at 36 weeks of gestation. (NCT03291847)
Timeframe: 36 weeks of gestation

Interventionfetal movements (Mean)
Buprenorphine-naloxone Treated59.07

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Total Fetal Movement at 32 Weeks Gestation

Total fetal movement over 60 minutes via fetal monitoring at 32 weeks of gestation. Number of fetal moves over 60 minutes via fetal monitoring at times of peak maternal plasma drug concentrations at 32 weeks of gestation. (NCT03291847)
Timeframe: 32 weeks of gestation

Interventionfetal movements (Mean)
Buprenorphine-naloxone Treated66.00

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Fetal Heart Rate at 36 Weeks Gestation

Fetal heart rate in beats per minute, mean over 60 minutes. Fetal heart rate at 36 weeks of gestation at times of peak maternal plasma drug concentrations. (NCT03291847)
Timeframe: 36 weeks of gestation

Interventionbeats per minute (Mean)
Buprenorphine-naloxone Treated131.99

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# of Participants Retained on Any Form of Community Buprenorphine (Not Randomzied tx) at Week 8

Retained on any form of community buprenorphine treatment at Week 8 (NCT03604159)
Timeframe: 8 Weeks

InterventionParticipants (Count of Participants)
Buprenorphine Extended-Release18
Sublingual Buprenorphine9

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# of Participants Retained on Their Randomly Assigned Treatment at Week 8

Retained on assigned treatment at Week 8 (NCT03604159)
Timeframe: 8 weeks

InterventionParticipants (Count of Participants)
Buprenorphine Extended-Release15
Sublingual Buprenorphine9

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Mean # of Weeks (0-8) on Any Buprenorphine Treatment

Weeks (0-8) on buprenorphine treatment, mean (SD) (NCT03604159)
Timeframe: 8 weeks

Interventionweeks (Mean)
Buprenorphine Extended-Release6.1
Sublingual Buprenorphine2.6

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The # of Participants That Received Their Randomly Assigned Study Medication

Received assigned study medication (NCT03604159)
Timeframe: 8 Weeks

InterventionParticipants (Count of Participants)
Buprenorphine Extended-Release24
Sublingual Buprenorphine26

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the # of Participants Re-incarcerated

Re-incarceration (NCT03604159)
Timeframe: 8 weeks

InterventionParticipants (Count of Participants)
Buprenorphine Extended-Release2
Sublingual Buprenorphine4

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Urine Samples Opioid-negative

number of opioid-negative urine samples (NCT03604159)
Timeframe: 8 weeks

Interventionurine samples (Number)
Buprenorphine Extended-Release72
Sublingual Buprenorphine50

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The Mean In-jail Medical Visits Per Day Following Randomization and Induction on Study Medication

Jail medical clinic visits per day following study medication induciton, mean (NCT03604159)
Timeframe: Post-randomization and pre-release, (0-3 months)

Interventionjail clinic visits per day (Mean)
Buprenorphine Extended-Release0.11
Sublingual Buprenorphine1.06

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The # of Participants Who Received Their Randomly Assigned Study Medication Prior to Release From Jail as Scheduled

Received assigned study medication prior to release as scheduled (NCT03604159)
Timeframe: 0-3 months (pre-release)

InterventionParticipants (Count of Participants)
Buprenorphine Extended-Release21
Sublingual Buprenorphine26

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Proportion of Heroin-dependent Patients Successfully Inducted Onto Vivitrol

Number of patients who received the first Vivitrol injection among those who initiated the induction (NCT03711318)
Timeframe: 12 weeks

InterventionParticipants (Count of Participants)
Short-term Treatment With Buprenorphine3

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Percent of Urine Positive Drug Screens

Percent of urine drug screens positive for opiates (NCT03769025)
Timeframe: 12 weeks

Interventionpercent of urine positive drug screens (Mean)
Remote Observed Dosing.3
Attention Control.29

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Mean Urinary Buprenorphine Levels

compare the mean urinary buprenorphine level obtained over 12 weeks between the two groups (NCT03769025)
Timeframe: 12 weeks

Interventionng/ml (Mean)
Remote Observed Dosing861
Attention Control287

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Overdose During the 6-month Follow-up

Number of participants who experienced fatal and non-fatal overdoses between baseline and 6-month follow-up (NCT03908437)
Timeframe: 6 months

Interventionparticipants (Number)
Mobile Unit Intervention0
Crisis Response Center2

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Enrollment in Medication Assisted Treatment at 6-month Post-enrollment

Number of participants who are receiving treatment with medication for opioid use disorder at 6-month post-enrollment (NCT03908437)
Timeframe: 6-month follow-up

InterventionParticipants (Count of Participants)
Mobile Unit Intervention15
Crisis Response Center1

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Change in Opioid Use From Baseline to 6-month Follow-up

Number of participants with a positive urine drug screen and report opioid use (except treatment, e.g., methadone, buprenorphine, buprenorphine/naloxone) at 6-month follow-up (NCT03908437)
Timeframe: 6 months

InterventionParticipants (Count of Participants)
Mobile Unit Intervention14
Crisis Response Center18

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Enrollment in Medication Assisted Treatment at 1-month Post-enrollment

Number of participants receiving treatment with medication for opioid use disorder at 1-month post-enrollment (NCT03908437)
Timeframe: 1-month post-enrollment

Interventionparticipants (Number)
Mobile Unit Intervention33
Crisis Response Center1

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Change From Baseline in Blood Oxygen Saturation (SpO2) at 1 Hour Postdose

The blood oxygen saturation (SpO2) was measured using a pulse oximeter placed on the participant's fingertip. Change from baseline in SpO2 was calculated as Day 11 minus Baseline for arm 'buprenorphine/naloxone', and Day 12 minus Baseline for arms 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone'. Baseline observation was last non-missing observation prior to first dose. (NCT04447287)
Timeframe: 'buprenorphine/naloxone': Baseline and 1 hour postdose Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone': Baseline and 1 hour postdose Day 12

InterventionPercentage of oxygen saturation (Mean)
Buprenorphine/Naloxone (Run-in Period)0.1
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-0.6
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-0.7

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Pharmacokinetics (PK) of ASP8062 in Plasma: Area Under the Concentration-time Curve From the Time of Dosing Extrapolated to Time Infinity (AUCinf)

AUCinf was recorded from the PK plasma samples collected. Samples for AUCinf were collected for arm 'ASP8062 in combination with buprenorphine/naloxone' at Day 12. (NCT04447287)
Timeframe: Predose on day 12 and at the following postdose time points on day 12: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120, 144, 168, 216 and 264 hour(s)

Interventionh*ng/mL (Mean)
ASP8062 in Combination With Buprenorphine/Naloxone4450

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Pharmacokinetics (PK) of ASP8062 in Plasma: Maximum Concentration (Cmax)

Cmax was recorded from the PK plasma samples collected. Samples for Cmax were collected for arm 'ASP8062 in combination with buprenorphine/naloxone' at Day 12. (NCT04447287)
Timeframe: Predose on day 12 and at the following postdose time points on day 12: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120, 144, 168, 216 and 264 hour(s)

Interventionng/mL (Mean)
ASP8062 in Combination With Buprenorphine/Naloxone152

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Pharmacokinetics (PK) of ASP8062 in Plasma: Area Under the Concentration-time Curve From the Time of Dosing to the Last Measurable Concentration (AUClast)

AUClast was recorded from the PK plasma samples collected. Samples for AUClast were collected for arm 'ASP8062 in combination with buprenorphine/naloxone' at Day 12. (NCT04447287)
Timeframe: Predose on day 12 and at the following postdose time points on day 12: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120, 144, 168, 216 and 264 hour(s)

Interventionh*ng/mL (Mean)
ASP8062 in Combination With Buprenorphine/Naloxone4270

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Number of Participants With Suicidal Ideation and/or Suicidal Behavior as Assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS)

The Columbia-Suicide Severity Rating Scale (C-SSRS) is a clinician administered assessment tool that evaluates suicidal ideation and behavior. Number of participants that have an affirmative response to the 5 items for suicidal ideation (1. Wish to be dead, 2. Non-specific active suicidal thoughts, 3. Active suicidal ideation with any methods (not plan) without intent to act, 4. Active suicidal ideation with some intent to act, without specific plan, 5. Active suicidal ideation with specific plan and intent) and/or to the 5 items for suicidal behavior (1. Preparatory acts or behavior, 2. Aborted attempt, 3. Interrupted attempt, 4. Actual attempt, 5. Completed suicide) were reported. (NCT04447287)
Timeframe: Up to day 27

InterventionParticipants (Count of Participants)
Buprenorphine/Naloxone (Run-in Period)0
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)0
ASP8062 in Combination With Buprenorphine/Naloxone (Down-titration Period)0
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)0
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Down-titration Period)0

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Pharmacokinetics (PK) of Norbuprenorphine (Buprenorphine's Metabolite) in Plasma: AUC24

AUC24 was recorded from the PK plasma samples collected. Samples for AUC24 were collected for arm 'buprenorphine/naloxone' at Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'ASP8062 in combination with Placebo' at Day 12. (NCT04447287)
Timeframe: Predose on day 11 and at the following postdose time points on day 11: 0.25, 0.5, 1, 1.5, 2, 3, 4, 8, 12 and 16 hour(s)

Interventionh*pg/mL (Mean)
Buprenorphine/Naloxone97600
ASP8062 in Combination With Buprenorphine/Naloxone96200
Placebo ASP8062 in Combination With Buprenorphine/Naloxone104000

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Pharmacokinetics (PK) of Naloxone in Plasma: Cmax

Cmax was recorded from the PK plasma samples collected. Samples for Cmax were collected for arm 'buprenorphine/naloxone' at Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'ASP8062 in combination with Placebo' at Day 12. (NCT04447287)
Timeframe: Predose on day 12 and at the following postdose time points on day 12: 0.25, 0.5, 1, 1.5, 2, 3, 4, 8, 12, 16, 24, 168, 216 and 264 hour(s)

Interventionpg/mL (Mean)
Buprenorphine/Naloxone464
ASP8062 in Combination With Buprenorphine/Naloxone382
Placebo ASP8062 in Combination With Buprenorphine/Naloxone363

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Pharmacokinetics (PK) of Naloxone in Plasma: AUC24

AUC24 was recorded from the PK plasma samples collected. Samples for AUC24 were collected for arm 'buprenorphine/naloxone' at Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'ASP8062 in combination with Placebo' at Day 12. (NCT04447287)
Timeframe: Predose on day 12 and at the following postdose time points on day 12: 0.25, 0.5, 1, 1.5, 2, 3, 4, 8, 12, 16, 24, 168, 216 and 264 hour(s)

Interventionh*pg/mL (Mean)
Buprenorphine/Naloxone1270
ASP8062 in Combination With Buprenorphine/Naloxone1060
Placebo ASP8062 in Combination With Buprenorphine/Naloxone1090

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Pharmacokinetics (PK) of Buprenorphine in Plasma: Cmax

Cmax was recorded from the PK plasma samples collected. Samples for Cmax were collected for arm 'buprenorphine/naloxone' at Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'ASP8062 in combination with Placebo' at Day 12. (NCT04447287)
Timeframe: Predose on day 11 and at the following postdose time points on day 11: 0.25, 0.5, 1, 1.5, 2, 3, 4, 8, 12 and 16 hour(s)

Interventionpg/mL (Mean)
Buprenorphine/Naloxone7790
ASP8062 in Combination With Buprenorphine/Naloxone6790
Placebo ASP8062 in Combination With Buprenorphine/Naloxone8440

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Pharmacokinetics (PK) of Buprenorphine in Plasma: Area Under the Concentration-time Curve From the Time of Dosing to 24 Hours (AUC24)

AUC24 was recorded from the PK plasma samples collected. Samples for AUC24 were collected for arm 'buprenorphine/naloxone' at Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'ASP8062 in combination with Placebo' at Day 12. (NCT04447287)
Timeframe: Predose on day 11 and at the following postdose time points on day 11: 0.25, 0.5, 1, 1.5, 2, 3, 4, 8, 12 and 16 hour(s)

Interventionh*pg/mL (Mean)
Buprenorphine/Naloxone63800
ASP8062 in Combination With Buprenorphine/Naloxone53500
Placebo ASP8062 in Combination With Buprenorphine/Naloxone67700

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Change From Baseline in End Tidal Carbon Dioxide (CO2) at Predose

End tidal CO2 measurements was obtained per participant utilizing a portable bedside capnography device. Change from baseline in CO2 was calculated as Day 12 minus Baseline for arms 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone'. (NCT04447287)
Timeframe: 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone': Baseline and predose Day 12

InterventionmmHg (Mean)
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-1.3
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)0.5

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Number of Participants With Adverse Events (AEs)

An AE is defined as any untoward medical occurrence in a participant administered an Investigational Product (IP) and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding; abnormal laboratory test result or other safety assessment, symptom, or disease temporally associated with the use of IP whether or not considered related to the IP. A treatment-emergent adverse event (TEAE) was defined as an AE with onset at any time from first dosing until last scheduled procedure. AEs were considered serious (SAEs) if the AE resulted in death, was life-threatening, resulted in persistent or significant disability/incapacity or substantial disruption of the ability to conduct normal life functions, resulted in congenital anomaly, or birth defect or required inpatient hospitalization or led to prolongation of hospitalization. (NCT04447287)
Timeframe: From first dose of study drug up to end of study visit (up to day 27)

,,,,
InterventionParticipants (Number)
TEAEDrug-Related TEAESerious TEAEDrug-Related Serious TEAETEAE Leading to DeathDrug-Related TEAE Leading to DeathTEAE Leading to Withdrawal of TreatmentDrug-Related TEAE Leading to Withdrawal of TreatmentDeath
ASP8062 in Combination With Buprenorphine/Naloxone (Down-titration Period)750000000
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)660000000
Buprenorphine/Naloxone (Run-in Period)16120000000
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Down-titration Period)210000000
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)660000000

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Pharmacokinetics (PK) of Norbuprenorphine (Buprenorphine's Metabolite) in Plasma: Cmax

Cmax was recorded from the PK plasma samples collected. Samples for Cmax were collected for arm 'buprenorphine/naloxone' at Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'ASP8062 in combination with Placebo' at Day 12. (NCT04447287)
Timeframe: Predose on day 11 and at the following postdose time points on day 11: 0.25, 0.5, 1, 1.5, 2, 3, 4, 8, 12 and 16 hour(s)

Interventionpg/mL (Mean)
Buprenorphine/Naloxone5260
ASP8062 in Combination With Buprenorphine/Naloxone6060
Placebo ASP8062 in Combination With Buprenorphine/Naloxone5730

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Change From Baseline in End Tidal Carbon Dioxide (CO2) at 8 Hour Postdose

End tidal CO2 measurements was obtained per participant utilizing a portable bedside capnography device. Change from baseline in CO2 was calculated as Day 11 minus Baseline for arm 'buprenorphine/naloxone', and Day 12 minus Baseline for arms 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone'. (NCT04447287)
Timeframe: 'buprenorphine/naloxone': Baseline and 8 hour postdose Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone': Baseline and 8 hour postdose Day 12

InterventionmmHg (Mean)
Buprenorphine/Naloxone (Run-in Period)3.1
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)1.4
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)6.0

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Change From Baseline in End Tidal Carbon Dioxide (CO2) at 4 Hour Postdose

End tidal CO2 measurements was obtained per participant utilizing a portable bedside capnography device. Change from baseline in CO2 was calculated as Day 11 minus Baseline for arm 'buprenorphine/naloxone', and Day 12 minus Baseline for arms 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone'. (NCT04447287)
Timeframe: 'buprenorphine/naloxone': Baseline and 4 hour postdose Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone': Baseline and 4 hour postdose Day 12

InterventionmmHg (Mean)
Buprenorphine/Naloxone (Run-in Period)0.9
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-1.0
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)5.3

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Change From Baseline in End Tidal Carbon Dioxide (CO2) at 2 Hour Postdose

End tidal CO2 measurements was obtained per participant utilizing a portable bedside capnography device. Change from baseline in CO2 was calculated as Day 11 minus Baseline for arm 'buprenorphine/naloxone', and Day 12 minus Baseline for arms 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone'. (NCT04447287)
Timeframe: 'buprenorphine/naloxone': Baseline and 2 hour postdose Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone': Baseline and 2 hour postdose Day 12

InterventionmmHg (Mean)
Buprenorphine/Naloxone (Run-in Period)1.2
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)0.3
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)4.2

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Change From Baseline in End Tidal Carbon Dioxide (CO2) at 1 Hour Postdose

End tidal CO2 measurements was obtained per participant utilizing a portable bedside capnography device. Change from baseline in CO2 was calculated as Day 11 minus Baseline for arm 'buprenorphine/naloxone', and Day 12 minus Baseline for arms 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone'. (NCT04447287)
Timeframe: 'buprenorphine/naloxone': Baseline and 1 hour postdose Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone': Baseline and 1 hour postdose Day 12

InterventionmmHg (Mean)
Buprenorphine/Naloxone (Run-in Period)1.3
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-0.5
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)3.7

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Change From Baseline in Blood Oxygen Saturation (SpO2) at Predose

The blood oxygen saturation (SpO2 was measured using a pulse oximeter placed on the participant's fingertip. Change from baseline in SpO2 was calculated as Day 11 minus Baseline for arm 'buprenorphine/naloxone', and Day 12 minus Baseline for arms 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone'. Baseline observation was last non-missing observation prior to first dose. (NCT04447287)
Timeframe: 'buprenorphine/naloxone': Baseline and 1 hour postdose Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone': Baseline and 1 hour postdose Day 12

InterventionPercentage of oxygen saturation (Mean)
Buprenorphine/Naloxone (Run-in Period)0.2
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-0.4
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-0.3

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Change From Baseline in Blood Oxygen Saturation (SpO2) at 8 Hour Postdose

The blood oxygen saturation (SpO2) was measured using a pulse oximeter placed on the participant's fingertip. Change from baseline in SpO2 was calculated as Day 11 minus Baseline for arm 'buprenorphine/naloxone', and Day 12 minus Baseline for arms 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone'. Baseline observation was last non-missing observation prior to first dose. (NCT04447287)
Timeframe: 'buprenorphine/naloxone': Baseline and 8 hour postdose Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone': Baseline and 8 hour postdose Day 12

InterventionPercentage of oxygen saturation (Mean)
Buprenorphine/Naloxone (Run-in Period)0.1
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-0.1
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)0.7

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Change From Baseline in Blood Oxygen Saturation (SpO2) at 4 Hour Postdose

The blood oxygen saturation (SpO2) was measured using a pulse oximeter placed on the participant's fingertip. Change from baseline in SpO2 was calculated as Day 11 minus Baseline for arm 'buprenorphine/naloxone', and Day 12 minus Baseline for arms 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone'. Baseline observation was last non-missing observation prior to first dose. (NCT04447287)
Timeframe: 'buprenorphine/naloxone': Baseline and 4 hour postdose Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone': Baseline and 4 hour postdose Day 12

InterventionPercentage of oxygen saturation (Mean)
Buprenorphine/Naloxone (Run-in Period)0.3
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-0.4
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-0.2

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Change From Baseline in Blood Oxygen Saturation (SpO2) at 2 Hour Postdose

The blood oxygen saturation (SpO2) was measured using a pulse oximeter placed on the participant's fingertip. Change from baseline in SpO2 was calculated as Day 11 minus Baseline for arm 'buprenorphine/naloxone', and Day 12 minus Baseline for arms 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone'. Baseline observation was last non-missing observation prior to first dose. (NCT04447287)
Timeframe: 'buprenorphine/naloxone': Baseline and 2 hour postdose Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone': Baseline and 2 hour postdose Day 12

InterventionPercentage of oxygen saturation (Mean)
Buprenorphine/Naloxone (Run-in Period)0.2
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-0.8
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)0.3

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Change From Baseline in Blood Oxygen Saturation (SpO2) at 12 Hour Postdose

The blood oxygen saturation (SpO2) was measured using a pulse oximeter placed on the participant's fingertip. Change from baseline in SpO2 was calculated as Day 11 minus Baseline for arm 'buprenorphine/naloxone', and Day 12 minus Baseline for arms 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone'. Baseline observation was last non-missing observation prior to first dose. (NCT04447287)
Timeframe: 'buprenorphine/naloxone': Baseline and 12 hour postdose Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone': Baseline and 12 hour postdose Day 12

InterventionPercentage of oxygen saturation (Mean)
Buprenorphine/Naloxone (Run-in Period)-0.6
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-0.3
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-0.5

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Number of Participants Who Demonstrate no or Minimal Opioid Use at 6 Months

Defined as self-reported opioid use in prior month. (NCT04521920)
Timeframe: 6 months

InterventionParticipants (Count of Participants)
Medication and Telemedicine Follow up5

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Number of Participants Who Remain HIV Negative at 3 Months

Measured via negative HIV test. (NCT04521920)
Timeframe: 3 months

InterventionParticipants (Count of Participants)
Medication and Telemedicine Follow up8

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Number of Participants Who Remain HIV Negative at 6 Months

Measured via negative HIV test. (NCT04521920)
Timeframe: 6 months

InterventionParticipants (Count of Participants)
Medication and Telemedicine Follow up3

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Persistence in Care at 6 Months

Defined as the number of participants who remain on treatment (MOUD or PrEP). (NCT04521920)
Timeframe: 6 months

InterventionParticipants (Count of Participants)
Medication and Telemedicine Follow up12

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Persistence in Care at 3 Months

Defined as the number of participants who remain on treatment (MOUD or PrEP). (NCT04521920)
Timeframe: 3 months

InterventionParticipants (Count of Participants)
Medication and Telemedicine Follow up13

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Number of Participants Who Demonstrate no or Minimal Opioid Use at 3 Months

Defined as self-reported opioid use in prior month (NCT04521920)
Timeframe: 3 months

InterventionParticipants (Count of Participants)
Medication and Telemedicine Follow up6

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