Page last updated: 2024-11-04

naltrexone

Description Research Excerpts Clinical Trials Roles Classes Pathways Study Profile Bioassays Related Drugs Related Conditions Protein Interactions Research Growth

Description

Naltrexone: Derivative of noroxymorphone that is the N-cyclopropylmethyl congener of NALOXONE. It is a narcotic antagonist that is effective orally, longer lasting and more potent than naloxone, and has been proposed for the treatment of heroin addiction. The FDA has approved naltrexone for the treatment of alcohol dependence. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

naltrexone : An organic heteropentacyclic compound that is naloxone substituted in which the allyl group attached to the nitrogen is replaced by a cyclopropylmethyl group. A mu-opioid receptor antagonist, it is used to treat alcohol dependence. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID5360515
CHEMBL ID19019
CHEBI ID7465
SCHEMBL ID34681
MeSH IDM0014445

Synonyms (110)

Synonym
BIDD:GT0405
HY-76711
AB00174152-14
BRD-K88172511-310-03-8
3,14-dihydroxy-17-(cyclopropylmethyl)-4,5alpha-epoxymorphinan-6-one
CHEBI:7465 ,
(4r,4as,7ar,12bs)-3-(cyclopropylmethyl)-4a,9-dihydroxy-2,4,5,6,7a,13-hexahydro-1h-4,12-methanobenzofuro[3,2-e]isoquinolin-7-one
(-)naltrexone
gtpl1639
vivitrex
celupan
nemexin
vivitrol
revia
SMP1_000206
hsdb 6750
morphinan-6-one, 17-(cyclopropylmethyl)-4,5-alpha-epoxy-3,14-dihydroxy-
naltrexone [usan:inn:ban]
ccris 3506
naltrexonum [inn-latin]
um-792
einecs 240-649-9
naltrexona [inn-spanish]
morphinan-6-one, 17-(cyclopropylmethyl)-4,5-epoxy-3,14-dihydroxy-, (5alpha)-
brn 3596648
BPBIO1_000146
PDSP2_000847
vivitrol (tn)
naltrexone (usan/inn)
D05113
PRESTWICK3_000116
BSPBIO_000132
17-(cyclopropylmethyl)-4,5-epoxy-3,14-dihydroxmorphinan-6-one, (5.alpha.)-
cyclopropylmethyl(dihydroxy)[?]one
C07253
naltrexone
16590-41-3
DB00704
17-(cyclopropylmethyl)-4,5-epoxy-3,14-dihydroxymorphinan-6-one
n-cyclopropylmethylnoroxymorphone
17-(cyclopropylmethyl)-4,5alpha-epoxy-3,14-dihydroxymorphinan-6-one
n-cyclopropylmethyl-14-hydroxydihydromorphinone
PRESTWICK2_000116
PRESTWICK1_000116
SPBIO_002071
PRESTWICK0_000116
HMS2089O11
bdbm50000787
(1s,5r,13r,17s)-4-(cyclopropylmethyl)-10,17-dihydroxy-12-oxa-4-azapentacyclo[9.6.1.0^{1,13}.0^{5,17}.0^{7,18}]octadeca-7(18),8,10-trien-14-one
CHEMBL19019
nsc-758439
en-1639a free base
NCGC00024427-03
NCGC00024427-04
naltrexonum
nsc 758439
unii-5s6w795cqm
5s6w795cqm ,
naltrexona
dtxcid2026313
tox21_112007
dtxsid4046313 ,
cas-16590-41-3
AKOS015994596
pti-555
naltrexone [hsdb]
naltrexone [who-dd]
morphinan-6-one, 17-(cyclopropylmethyl)-4,5-epoxy-3,14-dihydroxy-, (5.alpha.)-
naltrexone [usp-rs]
naltrexone [mi]
naltrexone [vandf]
naltrexone [orange book]
naltrexone [inn]
naltrexone [usan]
naltrexone component of contrave
naltrexone [mart.]
CS-0880
(-)-naltrexone
DQCKKXVULJGBQN-XFWGSAIBSA-N
SCHEMBL34681
tox21_112007_1
NCGC00024427-05
HS-0002
us9107954, naltrexone
(4r,4as,7ar,12bs)-3-(cyclopropylmethyl)-4a,9-dihydroxy-2,4,5,6,7a,13-hexahydro-1h-4,12-methanobenzofuro[3,2-e]isoquinoline-7-one;hydrochloride
bdbm60212
cid_5485201
(4r,4as,7ar,12bs)-3-(cyclopropylmethyl)-4a,9-bis(oxidanyl)-2,4,5,6,7a,13-hexahydro-1h-4,12-methanobenzofuro[3,2-e]isoquinoline-7-one;hydrochloride
AB00174152_17
mfcd00242996
(4r,4as,7ar)-3-(cyclopropylmethyl)-4a,9-dihydroxy-2,4,5,6,7a,13-hexahydro-1h-4,12-methanobenzofuro[3,2-e]isoquinolin-7-one
BCP07022
Q409587
BRD-K88172511-003-21-1
AR-270/43507956
4-(cyclopropylmethyl)-10,17-dihydroxy-12-oxa-4-azapentacyclo[9.6.1.0~1,13~.0~5,17~.0~7,18~]octadeca-7(18),8,10-trien-14-one
EX-A4863
(4R,4AS,7AR,12BS)-3-(CYCLOPROPYLMETHYL)-4A,9-DIHYDROXY-2,3,4,4A,5,6-HEXAHYDRO-1H-4,12-METHANOBENZOFURO[3,2-E]ISOQUINOLIN-7(7AH)-ONE
EN300-19748946
AC-36726
(5alpha)-17-(cyclopropylmethyl)-4,5-epoxy-3,14-dihydroxymorphinan-6-one
naltrexone (usp-rs)
(5-alpha)-17-(cyclopropylmethyl-4,5-epoxy-3,14-dihydroxy morphinan-6-one
naltrexonum (inn-latin)
naltrexona (inn-spanish)
naltrexone (mart.)
addex-1000
n07bb04
naltrexon
naltrexonum (latin)

Research Excerpts

Toxicity

The combined use of scopolamine, naltrexone and naloxone is a rapid, safe and effective detoxification treatment protocol for heroin addicts. The aim of this review was to extensively evaluate the safety of oral n saltrexone by examining the risk of serious adverse events and adverse events in randomised controlled trials.

ExcerptReferenceRelevance
" Naltrexone (10 mg/kg, ip) given 5 min before pentobarbital did not alter the LD50 of the latter."( Studies of the possible role of brain endorphins in pentobarbital anesthesia and toxicity in mice.
Bhargava, HN, 1979
)
0.26
"61 mg/kg while the LD50 of cocaine in buprenorphine (0."( Antagonism of acute cocaine toxicity by buprenorphine.
Bansinath, M; Goldfrank, LR; Shukla, VK; Turndorf, H, 1991
)
0.28
" The drug was well tolerated by all subjects, and no clinically significant adverse effects were observed during the seven-day administration period."( Nalmefene: safety and kinetics after single and multiple oral doses of a new opioid antagonist.
Dixon, R; Garg, D; Gentile, J; Howes, J; Hsiao, J; Hsu, HB; Weidler, D, 1987
)
0.27
" We found no side-effect or toxicity due to naltrexone."( Naltrexone treatment of heroin addiction: efficacy and safety in a double-blind dosage comparison.
Carney, TM; Goldstein, A; Judson, BA, 1981
)
0.26
" Nalmefene was well tolerated, with no serious adverse drug reactions."( A double-blind, placebo-controlled pilot study to evaluate the efficacy and safety of oral nalmefene HCl for alcohol dependence.
Goldberg, G; Mantero-Atienza, E; Mason, BJ; Morgan, RO; Ritvo, EC; Salvato, FR; Welch, B, 1994
)
0.29
" No serious adverse events were judged to be related to nalmefene."( Effectiveness and safety of intravenous nalmefene for emergency department patients with suspected narcotic overdose: a pilot study.
Kaplan, JL; Marx, JA, 1993
)
0.29
"Nalmefene is effective in the reversal of opiate overdose and appears to be safe in the management of patients with altered sensorium."( Effectiveness and safety of intravenous nalmefene for emergency department patients with suspected narcotic overdose: a pilot study.
Kaplan, JL; Marx, JA, 1993
)
0.29
" We observed no adverse clinical effects in elk receiving < or = 500 mg naltrexone/mg carfentanil."( Efficacy and safety of naltrexone hydrochloride for antagonizing carfentanil citrate immobilization in captive Rocky Mountain elk (Cervus elaphus nelsoni).
Lance, WR; Miller, MW; Wild, MA, 1996
)
0.29
" This study was designed to examine the safety and tolerance of methylnaltrexone in healthy human participants over a range of doses and to identify any adverse effects or toxicity associated with methylnaltrexone and the doses at which these adverse effects occur."( Safety and tolerance of methylnaltrexone in healthy humans: a randomized, placebo-controlled, intravenous, ascending-dose, pharmacokinetic study.
Foss, JF; Moss, J; Murphy, M; O'Connor, MF; Roizen, MF; Yuan, CS, 1997
)
0.3
" An important clinical issue with naltrexone treatment is predicting patient compliance, which may be influenced by adverse side effects experienced during the medication."( Naltrexone biotransformation and incidence of subjective side effects: a preliminary study.
Gunduz, M; King, AC; Kreek, MJ; O'Brien, CP; Volpicelli, JR, 1997
)
0.3
" The most common new-onset adverse clinical events in the naltrexone group were nausea (9."( The safety profile of naltrexone in the treatment of alcoholism. Results from a multicenter usage study. The Naltrexone Usage Study Group.
Croop, RS; Faulkner, EB; Labriola, DF, 1997
)
0.3
" Adverse drug effects were restricted to the first 2 weeks of treatment and included nausea (11/50), fatigue (3/50), dizziness, heartburn, and diarrhea (1/50 each)."( Efficacy and safety of naltrexone, an oral opiate receptor antagonist, in the treatment of pruritus in internal and dermatological diseases.
Beissert, S; Luger, T; Metze, D; Reimann, S, 1999
)
0.3
"Rapid opiate detoxification under general anaesthesia is a safe and efficient method to suppress withdrawal symptoms."( Safety, efficacy, and long-term results of a modified version of rapid opiate detoxification under general anaesthesia: a prospective study in methadone, heroin, codeine and morphine addicts.
Hensel, M; Kox, WJ, 2000
)
0.31
"Anesthesia in the white rhinoceros (Ceratotherium simum) has routinely involved potent narcotic anesthetic agents such as etorphine or carfentanil with their associated adverse side effects."( Butorphanol and azaperone as a safe alternative for repeated chemical restraint in captive white rhinoceros (Ceratotherium simum).
Childs, SE; Ferrell, ST; Radcliffe, RW, 2000
)
0.31
"Naltrexone treatment of alcohol dependence is associated with adverse events that may limit its effectiveness."( Adverse effects of oral naltrexone: analysis of data from two clinical trials.
Kranzler, HR; Oncken, C; Van Kirk, J, 2001
)
0.31
"To examine the relations among adverse events, drinking behavior, medication compliance and study retention in alcoholics receiving naltrexone for relapse prevention."( Adverse effects of oral naltrexone: analysis of data from two clinical trials.
Kranzler, HR; Oncken, C; Van Kirk, J, 2001
)
0.31
" Moderate or severe adverse effects were monitored weekly and categorized as either neuropsychiatric (NP) or gastrointestinal (GI)."( Adverse effects of oral naltrexone: analysis of data from two clinical trials.
Kranzler, HR; Oncken, C; Van Kirk, J, 2001
)
0.31
" NP adverse events exerted little influence on medication compliance (beta = -0."( Adverse effects of oral naltrexone: analysis of data from two clinical trials.
Kranzler, HR; Oncken, C; Van Kirk, J, 2001
)
0.31
"Future studies aimed at enhancing the effectiveness of naltrexone should examine ways of reducing both NP and GI adverse events, in order to enhance both medication compliance and treatment retention."( Adverse effects of oral naltrexone: analysis of data from two clinical trials.
Kranzler, HR; Oncken, C; Van Kirk, J, 2001
)
0.31
"1%) had some adverse event (AA) during the study, including nausea/vomiting (13."( [Naltrexone in the treatment of alcoholism. Clinical evolution, safety and efficacy in a sample of 198 patients].
Gual Solé, A, 2001
)
0.31
"The combined use of scopolamine, naltrexone and naloxone is a rapid, safe and effective detoxification treatment protocol for heroin addicts."( [The combined use of scopolamine, naltrexone and naloxone as a rapid, safe and effective detoxification treatment for heroin addicts].
Xu, K; Yang, G; Zhou, W, 1999
)
0.3
" Most of the adverse events that occurred during the first 48 h of naltrexone therapy were consistent with opioid withdrawal-like phenomena and spontaneously disappeared 2 days after starting treatment."( Efficacy and safety of oral naltrexone treatment for pruritus of cholestasis, a crossover, double blind, placebo-controlled study.
Coronel, E; Findor, J; Muñoz, AE; Sordá, J; Terg, R, 2002
)
0.31
"The study estimated serious adverse event (SAE) rates among entrants to pharmacotherapies for opioid dependence, during treatment and after leaving treatment."( Serious adverse events in the Australian National Evaluation of Pharmacotherapies for Opioid Dependence (NEPOD).
Digiusto, E; Mattick, RP; O'Brien, S; Ritter, A; Shakeshaft, A, 2004
)
0.32
" Both drugs are safe and acceptably tolerated but issues of compliance need to be addressed adequately to assure their usefulness in clinical practice."( Efficacy and safety of naltrexone and acamprosate in the treatment of alcohol dependence: a systematic review.
Amate, JM; Angeles, M; Bouza, C; Magro, A; Muñoz, A, 2004
)
0.32
" During the past decade, NTX has been shown to be safe and effective in the treatment of pruritus associated with severe jaundice caused by severe and sometimes life-threatening cirrhosis and other liver diseases."( Naltrexone: report of lack of hepatotoxicity in acute viral hepatitis, with a review of the literature.
Brewer, C; Wong, VS, 2004
)
0.32
"Opioids are associated with a number of adverse effects, constipation being the most common long-term adverse effect in patients with advanced cancer."( Clinical status of methylnaltrexone, a new agent to prevent and manage opioid-induced side effects.
Yuan, CS,
)
0.13
": Injectable naltrexone was generally safe and well tolerated."( A pilot evaluation of the safety and tolerability of repeat dose administration of long-acting injectable naltrexone (Vivitrex) in patients with alcohol dependence.
Ait-Daoud, N; Aubin, HJ; Ehrich, E; Guzzetta, R; Johnson, BA; Loewy, J; Silverman, B; Van Den Brink, W, 2004
)
0.32
" The most common side effect experienced was injection site complications."( Pharmacokinetics, safety, and tolerability of a depot formulation of naltrexone in alcoholics: an open-label trial.
Cello, R; Galloway, GP; Koch, M; Smith, DE, 2005
)
0.33
"Naltrexone Depot is safe and well tolerated in alcoholics and these findings support the further investigation of its utility in larger double-blind placebo controlled trials."( Pharmacokinetics, safety, and tolerability of a depot formulation of naltrexone in alcoholics: an open-label trial.
Cello, R; Galloway, GP; Koch, M; Smith, DE, 2005
)
0.33
"In the many clinical studies conducted in the alcoholism field with psychotropic drugs--and throughout the drug development field in medicine, where evaluation of adverse events can be incomplete, arbitrary or misleading--few standardized methods have been developed for assessing adverse events, whereas defining standardized methods for evaluating clinical efficacy is typical."( The COMBINE SAFTEE: a structured instrument for collecting adverse events adapted for clinical studies in the alcoholism field.
Ait-Daoud, N; Johnson, BA; Roache, JD, 2005
)
0.33
"We standardized use of the SAFTEE with training, supervision and clear guidelines for its implementation, including development of a nomenclature for the typical adverse events associated with these medications and a format for examining symptom severity."( The COMBINE SAFTEE: a structured instrument for collecting adverse events adapted for clinical studies in the alcoholism field.
Ait-Daoud, N; Johnson, BA; Roache, JD, 2005
)
0.33
"The COMBINE SAFTEE was incorporated into the Medical Management therapy and showed high fidelity with its utility, consistency of deliverability and flexibility in measuring adverse events in both the human laboratory and clinical trial settings using intervals that varied from daily to weekly use."( The COMBINE SAFTEE: a structured instrument for collecting adverse events adapted for clinical studies in the alcoholism field.
Ait-Daoud, N; Johnson, BA; Roache, JD, 2005
)
0.33
"The protocol of the prospective study may be recommended as a safe and effective detoxification method."( [Safety and effectiveness of opiate antagonist detoxification under general anesthesia].
Badaras, R; Ivaskevicius, J; Jovaisa, T; Laurinenas, G; Sipylaite, J; Vosylius, S, 2005
)
0.33
"5 million adverse drug reaction (ADR) reports for 8620 drugs/biologics that are listed for 1191 Coding Symbols for Thesaurus of Adverse Reaction (COSTAR) terms of adverse effects."( Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
Benz, RD; Contrera, JF; Kruhlak, NL; Matthews, EJ; Weaver, JL, 2004
)
0.32
"Although limited in scope, these findings support the hypothesis that long-term use of high-dose oral naltrexone is safe in otherwise healthy patients with impulse-control disorders who restrict their intake of acetaminophen, aspirin, or nonaspirin nonsteroidal anti-inflammatory drugs (NSAID)."( Safety of high-dose naltrexone treatment: hepatic transaminase profiles among outpatients.
Grant, JE; Kim, SW; Remmel, RP; Williams, KA; Yoon, G,
)
0.13
" Transient sedation was the most commonly reported adverse event."( Efficacy and safety of naltrexone use in pediatric patients with autistic disorder.
Augusto, LM; Elchaar, GM; Maisch, NM; Wehring, HJ, 2006
)
0.33
" Serious adverse effects have not been reported in short-term studies."( Efficacy and safety of naltrexone use in pediatric patients with autistic disorder.
Augusto, LM; Elchaar, GM; Maisch, NM; Wehring, HJ, 2006
)
0.33
"To review the mechanisms of action of methylnaltrexone and its effects on opioid bowel dysfunction, as well as its effects on other opioid-induced adverse effects (ADEs), and its potential roles in clinical practice."( Methylnaltrexone mechanisms of action and effects on opioid bowel dysfunction and other opioid adverse effects.
Yuan, CS, 2007
)
0.34
" Both high (>3 times the upper limit of normal) liver chemistry tests (LCTs) and hepatic-related adverse events were infrequent in all study groups."( Hepatic safety of once-monthly injectable extended-release naltrexone administered to actively drinking alcoholics.
Illeperuma, A; Lucey, MR; O'Brien, CP; Silverman, BL, 2008
)
0.35
" As part of the study of the safety profile of this therapy, we were interested to review both the treatment correlates of previously presented mortality data and of adverse events."( Comparative treatment and mortality correlates and adverse event profile of implant naltrexone and sublingual buprenorphine.
Reece, AS, 2009
)
0.35
"31), WOMAC change-from-baseline (mean pain, physical function, composite scores), and adverse event frequency were similar."( ALO-01 (morphine sulfate and naltrexone hydrochloride) extended-release capsules in the treatment of chronic pain of osteoarthritis of the hip or knee: pharmacokinetics, efficacy, and safety.
Johnson, F; Katz, N; Stauffer, J; Sun, S, 2010
)
0.36
" An understanding of structure-activity relationships (SARs) of chemicals can make a significant contribution to the identification of potential toxic effects early in the drug development process and aid in avoiding such problems."( Developing structure-activity relationships for the prediction of hepatotoxicity.
Fisk, L; Greene, N; Naven, RT; Note, RR; Patel, ML; Pelletier, DJ, 2010
)
0.36
"Safety assessments included determining adverse events (AEs), laboratory assessments, and the Clinical Opiate Withdrawal Scale (COWS)."( Long-term safety and efficacy of morphine sulfate and naltrexone hydrochloride extended release capsules, a novel formulation containing morphine and sequestered naltrexone, in patients with chronic, moderate to severe pain.
Brewer, R; Johnson, FK; Morris, D; Sekora, D; Stauffer, J; Wang, C; Webster, LR, 2010
)
0.36
"High-dose naltrexone was safe and well tolerated using the procedure described."( Safety, tolerability, and feasibility of high-dose naltrexone in alcohol dependence: an open-label study.
Kim, SW; Thuras, P; Westermeyer, J; Yoon, G, 2011
)
0.37
" Safety was evaluated via standard assessments (ie, adverse events and related withdrawals, physical examinations, laboratory tests, vital signs, electrocardiograms) and assessment of surgical complications."( Safety and efficacy of methylnaltrexone in shortening the duration of postoperative ileus following segmental colectomy: results of two randomized, placebo-controlled phase 3 trials.
Carpenito, J; Chun, HK; Randazzo, B; Schulman, S; Stambler, N; Tzanis, E; Yu, CS, 2011
)
0.37
" Rates of adverse events and serious adverse events were comparable across all treatment groups in both studies."( Safety and efficacy of methylnaltrexone in shortening the duration of postoperative ileus following segmental colectomy: results of two randomized, placebo-controlled phase 3 trials.
Carpenito, J; Chun, HK; Randazzo, B; Schulman, S; Stambler, N; Tzanis, E; Yu, CS, 2011
)
0.37
"To review postmarketing adverse event (AE) reports received during first year following approval."( Safety of EMBEda (morphine sulfate and naltrexone hydrochloride) extended-release capsules: review of postmarketing adverse events during the first year.
Badalamenti, VC; Buckley, JW; Smith, ET,
)
0.13
"There is an unmet need for safe and effective medicines to treat children with Crohn's disease."( Safety and tolerability of low-dose naltrexone therapy in children with moderate to severe Crohn's disease: a pilot study.
Bingaman, SI; Evans, R; Field, D; Mauger, DT; Smith, JP, 2013
)
0.39
"Oral naltrexone was well tolerated without any serious adverse events in children with moderate to severe Crohn's disease."( Safety and tolerability of low-dose naltrexone therapy in children with moderate to severe Crohn's disease: a pilot study.
Bingaman, SI; Evans, R; Field, D; Mauger, DT; Smith, JP, 2013
)
0.39
"Naltrexone therapy seems safe with limited toxicity when given to children with Crohn's disease and may reduce disease activity."( Safety and tolerability of low-dose naltrexone therapy in children with moderate to severe Crohn's disease: a pilot study.
Bingaman, SI; Evans, R; Field, D; Mauger, DT; Smith, JP, 2013
)
0.39
"The completeness of self-reported serious adverse events (SAEs) in clinical trials can be reduced by inaccuracies in subject reporting and lost to follow-up."( Assessing the usefulness of health data linkage in obtaining adverse event data in a randomised controlled trial of oral and implant naltrexone in the treatment of heroin dependence.
Hulse, G; Kelty, E; Ngo, H, 2013
)
0.39
"Monthly urine samples; reports of craving and functioning; adverse events."( Injectable extended-release naltrexone (XR-NTX) for opioid dependence: long-term safety and effectiveness.
Gastfriend, DR; Krupitsky, E; Ling, W; Memisoglu, A; Nunes, EV; Silverman, BL, 2013
)
0.39
"4%); two patients discontinued as a result of lack of efficacy and one because of adverse events."( Injectable extended-release naltrexone (XR-NTX) for opioid dependence: long-term safety and effectiveness.
Gastfriend, DR; Krupitsky, E; Ling, W; Memisoglu, A; Nunes, EV; Silverman, BL, 2013
)
0.39
" Taken together, these results demonstrate that MPClE is a novel, potent, orally active and safe analgesic drug that targets κ-opioid receptors."( A novel, potent, oral active and safe antinociceptive pyrazole targeting kappa opioid receptors.
Athayde, ML; Boligon, AA; Bonacorso, HG; Calixto, JB; Ferreira, J; Machado, P; Martins, MA; Oliveira, SM; Rosa, F; Rossato, MF; Rubin, MA; Silva, CR; Tonello, R; Trevisan, G; Walker, CI; Zanatta, N, 2013
)
0.39
" Most adverse events were mild or moderate, and transient; adverse events, including those leading to dropout, were more common with nalmefene."( Long-term efficacy, tolerability and safety of nalmefene as-needed in patients with alcohol dependence: A 1-year, randomised controlled study.
Gual, A; Mann, K; Sørensen, P; Torup, L; van den Brink, W, 2014
)
0.4
" Although the weight loss produced by phentermine/topiramate is superior to naltrexone/bupropion, the safety profile of naltrexone/bupropion has less severe adverse effects."( Drug safety evaluation of naltrexone/bupropion for the treatment of obesity.
Bello, NT; Verpeut, JL, 2014
)
0.4
"It is now generally recognized that upon activation by an agonist, β-arrestin associates with G protein-coupled receptors and acts as a scaffold in creating a diverse signaling network that could lead to adverse effects."( Putative kappa opioid heteromers as targets for developing analgesics free of adverse effects.
Benneyworth, MA; Kalyuzhny, AE; Le Naour, M; Lunzer, MM; Portoghese, PS; Powers, MD; Thomas, MJ, 2014
)
0.4
" However, in the existing studies PHEN/TPM ER had a superior weight loss profile to lorcaserin but the incidence of adverse effects was lower with lorcaserin."( Tolerability and safety of the new anti-obesity medications.
Aldhoon-Hainerová, I; Hainer, V, 2014
)
0.4
" The main measurements were monthly urine samples (efficacy) and adverse events (safety)."( [Injectable extended-release naltrexone for opioid dependence: an open label study of long-term safety and efficacy].
Blokhina, EA; Gastfriend, DR; Krupitsky, EM; Ling, W; Memisoglu, A; Nunes, EV; Silverman, BL, 2014
)
0.4
" Adverse events were reported by 21."( [Injectable extended-release naltrexone for opioid dependence: an open label study of long-term safety and efficacy].
Blokhina, EA; Gastfriend, DR; Krupitsky, EM; Ling, W; Memisoglu, A; Nunes, EV; Silverman, BL, 2014
)
0.4
"7% on nalmefene in the total population had treatment-emergent adverse events (TEAEs)."( Safety and tolerability of as-needed nalmefene in the treatment of alcohol dependence: results from the Phase III clinical programme.
Gual, A; Jensen, TJ; Mann, K; Strang, J; Sørensen, P; van den Brink, W, 2015
)
0.42
" There were no serious adverse events."( Reduction of alcohol drinking in young adults by naltrexone: a double-blind, placebo-controlled, randomized clinical trial of efficacy and safety.
Corbin, WR; DeMartini, KS; Fucito, LM; Gueorguieva, R; Ikomi, J; Kranzler, HR; Leeman, RF; O'Malley, SS; Romano, DM; Sher, KJ; Toll, BA; Wu, R, 2015
)
0.42
" Thus, if following the appropriate guidelines according to package labels, the practitioner can feel safe in prescribing these medications."( Safety and tolerability of medications approved for chronic weight management.
Fujioka, K, 2015
)
0.42
"0% of patients in the placebo group experienced a treatment-emergent adverse event (TEAE)."( A randomized double-blind, placebo-controlled efficacy and safety study of ALO-02 (extended-release oxycodone surrounding sequestered naltrexone) for moderate-to-severe chronic low back pain treatment.
Bass, A; Bramson, C; Hale, ME; Malhotra, BK; Meisner, P; Pixton, G; Rauck, RL; Setnik, B; Sommerville, KW; Wilson, JG; Wolfram, G, 2015
)
0.42
" Serious adverse effects, which were very rare, included suicidal thoughts and seizures."( The efficacy and safety of the naltrexone/bupropion combination for the treatment of obesity: an update.
Christou, GA; Kiortsis, DN,
)
0.13
" The most common adverse events during methylnaltrexone treatment were abdominal pain (9."( Efficacy and Safety of Methylnaltrexone for Opioid-Induced Constipation in Patients With Chronic Noncancer Pain: A Placebo Crossover Analysis.
Barrett, AC; Forbes, WP; Paterson, C; Viscusi, ER,
)
0.13
"Subgroup analysis of patients aged ≥65 years and <65 years was performed on pooled data for adverse events (AEs), potentially clinically significant laboratory values (hematology/chemistry), and signs/symptoms of opioid withdrawal using the Clinical Opiate Withdrawal Scale (COWS) (phase 3 trials only) for patients who received at least one dose (short-term studies, maximum dose was 160 mg/d or 320 mg/d depending on study; long-term study, no maximum dose) of study medication during titration and maintenance phases."( Safety profile of extended-release morphine sulfate with sequestered naltrexone hydrochloride in older patients: pooled analysis of three clinical trials.
Pixton, GC; Setnik, B; Webster, LR, 2016
)
0.43
" This case should pinpoint our attention on this adverse event for a careful choice of anticraving therapy in patients with severe alcohol use disorder."( Clinical experience about an unexpected adverse event during nalmefene treatment in two patients with alcohol use disorder.
Martelli, A; Mattioli, F; Milano, G; Natta, WM; Zavan, V, 2016
)
0.43
"To compare weight loss and adverse events among drug treatments for obesity using a systematic review and network meta-analysis."( Association of Pharmacological Treatments for Obesity With Weight Loss and Adverse Events: A Systematic Review and Meta-analysis.
Camilleri, M; Chandar, AK; Dulai, PS; Khera, R; Loomba, R; Murad, MH; Prokop, LJ; Singh, S; Wang, Z, 2016
)
0.43
"Proportions of patients with at least 5% weight loss and at least 10% weight loss, magnitude of decrease in weight, and discontinuation of therapy because of adverse events at 1 year."( Association of Pharmacological Treatments for Obesity With Weight Loss and Adverse Events: A Systematic Review and Meta-analysis.
Camilleri, M; Chandar, AK; Dulai, PS; Khera, R; Loomba, R; Murad, MH; Prokop, LJ; Singh, S; Wang, Z, 2016
)
0.43
"35) were associated with the highest odds of adverse event-related treatment discontinuation."( Association of Pharmacological Treatments for Obesity With Weight Loss and Adverse Events: A Systematic Review and Meta-analysis.
Camilleri, M; Chandar, AK; Dulai, PS; Khera, R; Loomba, R; Murad, MH; Prokop, LJ; Singh, S; Wang, Z, 2016
)
0.43
"Nephrotoxicity is a major side effect of cisplatin, a widely used chemotherapy agent."( Enhancement of Cisplatin Nephrotoxicity by Morphine and Its Attenuation by the Opioid Antagonist Naltrexone.
Aminian, A; Asadi Amoli, F; Dehpour, AR; Ejtemaei Mehr, S; Javadi, S; Moghaddas, P; Rahimian, R, 2016
)
0.43
" Unfortunately, we have shown that morphine administered in the acute phase of SCI results in significant, adverse secondary consequences including compromised locomotor and sensory recovery."( Nor-Binaltorphimine Blocks the Adverse Effects of Morphine after Spinal Cord Injury.
Aceves, AR; Aceves, M; Bancroft, EA; Hook, MA, 2017
)
0.46
"Extended-release naltrexone (XR-NTX) is feasible and safe for treatment of opioid use disorder and alcohol use disorder in HIV clinics."( Feasibility and safety of extended-release naltrexone treatment of opioid and alcohol use disorder in HIV clinics: a pilot/feasibility randomized trial.
Ahamad, K; Arenas, V; Ha, D; Korthuis, PT; Kunkel, LE; Lindblad, R; Lum, PJ; Mandler, RN; McCarty, D; Oden, NL; Sorensen, JL; Vergara-Rodriguez, P; Wood, E, 2017
)
0.46
" Often the only therapeutic option is to use class 2 or 3 analgesic opioids in the WHO classification, as class 1 analgesics may be toxic or of limited efficacy."( [Management of adverse effects of opioid therapy].
Wirz, S, 2017
)
0.46
" Safety parameters assessed included adverse events, effects on analgesia, and opioid withdrawal symptoms."( A Phase 2b, Randomized, Double-Blind Placebo-Controlled Study to Evaluate the Efficacy and Safety of Naldemedine for the Treatment of Opioid-Induced Constipation in Patients with Chronic Noncancer Pain.
Arjona Ferreira, JC; Webster, LR; Yamada, T, 2017
)
0.46
" Treatment-emergent adverse events were generally mild to moderate in severity; incidences increased with naldemedine dose."( A Phase 2b, Randomized, Double-Blind Placebo-Controlled Study to Evaluate the Efficacy and Safety of Naldemedine for the Treatment of Opioid-Induced Constipation in Patients with Chronic Noncancer Pain.
Arjona Ferreira, JC; Webster, LR; Yamada, T, 2017
)
0.46
"This is the first study to compare frequency of sexual side effect reporting between paroxetine and desipramine."( A Comparison of Sexual Side Effects of Antidepressants With and Without Naltrexone.
Petrakis, I; Ralevski, E; Thapa, M,
)
0.13
"The most common adverse events were gastrointestinal related (e."( Long-Term Safety and Efficacy of Subcutaneous Methylnaltrexone in Patients with Opioid-Induced Constipation and Chronic Noncancer Pain: A Phase 3, Open-Label Trial.
Harper, JR; Israel, RJ; Khan, A; Michna, E; Webster, LR, 2017
)
0.46
"Naldemedine (S-297995) is a peripherally acting μ-opioid receptor antagonist for the treatment of opioid-induced constipation, a common side effect of opioid therapy."( Phase 1, Randomized, Double-Blind, Placebo-Controlled Studies on the Safety, Tolerability, and Pharmacokinetics of Naldemedine in Healthy Volunteers.
Arjona Ferreira, JC; Baba, Y; Fukumura, K; Yokota, T, 2018
)
0.48
"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
)
0.48
"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
)
0.48
"Constipation is the most common chronic adverse effect of opioid pain medications in patients who require long-term opioid administration, such as patients with advanced cancer, but conventional measures for ameliorating constipation often are insufficient."( Identifying and Treating Opioid Side Effects: The Development of Methylnaltrexone.
Moss, J, 2019
)
0.51
" No opioid withdrawal was observed in any subject, and no significant adverse effects were reported by the subjects during the study."( Identifying and Treating Opioid Side Effects: The Development of Methylnaltrexone.
Moss, J, 2019
)
0.51
") of amfetamine or methamfetamine after naltrexone treatment, adverse events and physiological changes (e."( Efficacy and safety of naltrexone for amfetamine and methamfetamine use disorder: a systematic review of randomized controlled trials.
Anand, S; Chan, EW; Lam, L; Li, X; Tse, ML; Zhao, JX, 2019
)
0.51
" Both amfetamine and methamfetamine studies showed good tolerability of naltrexone, with few adverse events seen."( Efficacy and safety of naltrexone for amfetamine and methamfetamine use disorder: a systematic review of randomized controlled trials.
Anand, S; Chan, EW; Lam, L; Li, X; Tse, ML; Zhao, JX, 2019
)
0.51
" The aim of this review was to extensively evaluate the safety of oral naltrexone by examining the risk of serious adverse events and adverse events in randomised controlled trials of naltrexone compared to placebo."( Serious adverse events reported in placebo randomised controlled trials of oral naltrexone: a systematic review and meta-analysis.
Boda, S; Bolton, M; Hodkinson, A; Mould, A; Panagioti, M; Rhodes, S; Riste, L; van Marwijk, H, 2019
)
0.51
" Twenty-six studies (4,960 participants) recorded serious adverse events occurring by arm of study."( Serious adverse events reported in placebo randomised controlled trials of oral naltrexone: a systematic review and meta-analysis.
Boda, S; Bolton, M; Hodkinson, A; Mould, A; Panagioti, M; Rhodes, S; Riste, L; van Marwijk, H, 2019
)
0.51
"Naltrexone does not appear to increase the risk of serious adverse events over placebo."( Serious adverse events reported in placebo randomised controlled trials of oral naltrexone: a systematic review and meta-analysis.
Boda, S; Bolton, M; Hodkinson, A; Mould, A; Panagioti, M; Rhodes, S; Riste, L; van Marwijk, H, 2019
)
0.51
" Central nervous system-active medications have the potential to affect mood; therefore, post hoc analysis of clinical trial data was conducted to evaluate psychiatric adverse events (PAEs) and effects on mood of NB therapy versus placebo."( Psychiatric adverse events and effects on mood with prolonged-release naltrexone/bupropion combination therapy: a pooled analysis.
Acevedo, LM; Apovian, CM; Dunayevich, E; Greenway, FL; McElroy, SL; Pi-Sunyer, X, 2019
)
0.51
"An investigational new eye drop containing 20 μg/ml NTX effectively reversed tear film deficits and restored corneal surface sensitivity in diabetic animals without causing toxic side effects."( Efficacy and safety of a novel naltrexone treatment for dry eye in type 1 diabetes.
McLaughlin, PJ; Sassani, JW; Titunick, MB; Zagon, IS, 2019
)
0.51
" Three patients had adverse outcomes or complications, with only one (0."( Methylnaltrexone is safe in cancer patients with peritoneal carcinomatosis.
Mendelsohn, RB; Nelson, KK; Schattner, MA, 2019
)
0.51
"Opioid-induced constipation (OIC), the most common side effect of opioid treatment, is under-recognized and undertreated in older patients."( Safety and Efficacy of Naldemedine for the Treatment of Opioid-Induced Constipation in Patients with Chronic Non-Cancer Pain Receiving Opioid Therapy: A Subgroup Analysis of Patients ≥ 65 Years of Age.
Hale, M; Webster, L; Wild, J; Yamada, T, 2020
)
0.56
" Safety assessments included overall incidence of treatment-emergent adverse events (TEAEs), TEAEs in the gastrointestinal disorders System Organ Class, and TEAEs of opioid withdrawal or possible opioid withdrawal."( Safety and Efficacy of Naldemedine for the Treatment of Opioid-Induced Constipation in Patients with Chronic Non-Cancer Pain Receiving Opioid Therapy: A Subgroup Analysis of Patients ≥ 65 Years of Age.
Hale, M; Webster, L; Wild, J; Yamada, T, 2020
)
0.56
" We analyzed adverse event data from ART-naïve participants (N = 155) who were randomized (2:1) to initiate ART plus NTX (N = 103) or ART plus placebo (N = 52)."( Safety of oral naltrexone in HIV-positive men who have sex with men and transgender women with alcohol use disorder and initiating antiretroviral therapy.
Altice, FL; Ding, R; Duerr, A; Gonzales, P; Grieco, A; Ignacio, RB; Lama, JR; Pinto-Santini, D; White, E, 2020
)
0.56
" Adverse events (AEs) occurred in 54."( Efficacy and Safety of a Combination of Olanzapine and Samidorphan in Adult Patients With an Acute Exacerbation of Schizophrenia: Outcomes From the Randomized, Phase 3 ENLIGHTEN-1 Study.
DiPetrillo, L; Jiang, Y; Kunovac, J; McDonnell, D; Potkin, SG; Silverman, BL; Simmons, A, 2020
)
0.56
"Over the past several decades, many antiobesity drugs have been withdrawn from the market due to unanticipated adverse events, often involving cardiotoxicity."( The cardiovascular safety of antiobesity drugs-analysis of signals in the FDA Adverse Event Report System Database.
Gorelik, B; Gorelik, E; Hirsh-Raccah, B; Masarwa, R; Matok, I; Perlman, A, 2020
)
0.56
"We used the US Food and Drug Administration Adverse Event Reporting System (FAERS) database and retrieved data from January 2013 through December 2018."( The cardiovascular safety of antiobesity drugs-analysis of signals in the FDA Adverse Event Report System Database.
Gorelik, B; Gorelik, E; Hirsh-Raccah, B; Masarwa, R; Matok, I; Perlman, A, 2020
)
0.56
"During the evaluated period, a total of 6,787,840 adverse event reports were submitted to FAERS."( The cardiovascular safety of antiobesity drugs-analysis of signals in the FDA Adverse Event Report System Database.
Gorelik, B; Gorelik, E; Hirsh-Raccah, B; Masarwa, R; Matok, I; Perlman, A, 2020
)
0.56
" Treatment-emergent adverse events during the study period were recorded and change from baseline in the number of heavy drinking days and total alcohol consumption were calculated."( Long-term safety and efficacy of nalmefene in Japanese patients with alcohol dependence.
Higuchi, S; Meulien, D; Miyata, H; Murai, Y; Nakamura, I; Takahashi, M; Tsuneyoshi, K, 2020
)
0.56
"Overall, long-term nalmefene 20 mg was well tolerated; the main treatment-emergent adverse events reported in ≥5% of patients included nasopharyngitis (37."( Long-term safety and efficacy of nalmefene in Japanese patients with alcohol dependence.
Higuchi, S; Meulien, D; Miyata, H; Murai, Y; Nakamura, I; Takahashi, M; Tsuneyoshi, K, 2020
)
0.56
" Assessments included adverse events (AEs), weight, vital signs, Positive and Negative Syndrome Scale (PANSS), and Clinical Global Impression-Severity (CGI-S) scores."( Long-term safety and durability of effect with a combination of olanzapine and samidorphan in patients with schizophrenia: results from a 1-year open-label extension study.
Arevalo, C; Graham, C; Jiang, Y; McDonnell, D; Simmons, A; Yagoda, S, 2021
)
0.62
" To offer more effective medical interventions to treat or prevent OUD, antiopioid vaccines are in development that reduce the distribution of the targeted opioids to brain and subsequently reduce the associated behavioral and toxic effects."( Combining a Candidate Vaccine for Opioid Use Disorders with Extended-Release Naltrexone Increases Protection against Oxycodone-Induced Behavioral Effects and Toxicity.
Accetturo, C; Pravetoni, M; Raleigh, MD, 2020
)
0.56
" However, opioids are associated with adverse events, such as constipation and emesis/vomiting."( Naldemedine: Peripherally Acting Opioid Receptor Antagonist for Treating Opioid-induced Adverse Effects.
Inagaki, M; Kanemasa, T; Yokota, T, 2020
)
0.56
" However, they are costly and may have adverse effects in some individuals."( Long-Term Efficacy and Safety of Anti-Obesity Treatment: Where Do We Stand?
Lee, SY; Tak, YJ, 2021
)
0.62
" The purpose of the study is to determine the relationship between these treatments and the risk of major cardiovascular adverse events (MACE)."( Cardiovascular safety of naltrexone and bupropion therapy: Systematic review and meta-analyses.
Aguilar-Salinas, C; Benchimol, A; Bonilha, I; Carvalho, LSF; Cercato, C; Geloneze, B; Hohl, A; Luchiari, B; Moura, F; Nadruz, W; Sposito, AC, 2021
)
0.62
" Eight and fifty-two adverse events were reported in the naltrexone and amitriptyline groups, respectively (P < ."( Efficacy and safety of low-dose naltrexone in painful diabetic neuropathy: A randomized, double-blind, active-control, crossover clinical trial.
Bansal, D; Bhansali, AK; Chakrabarti, A; Dutta, P; Hota, D; Srinivasan, A, 2021
)
0.62
" Assessments included adverse events (AEs; each visit), weight/waist circumference (every other week for the first 8 weeks, then every 4 weeks thereafter), metabolic laboratory parameters (weeks 4, 12, 24, 36, and 52), Positive and Negative Syndrome Scale (PANSS) scores (weeks 2, 4, 8, 12, 24, 36, and 52), and Clinical Global Impression-Severity (CGI-S) scores (weeks 2 and 4, then every 4 weeks thereafter through week 48, and at week 52)."( A phase 3, multicenter study to assess the 1-year safety and tolerability of a combination of olanzapine and samidorphan in patients with schizophrenia: Results from the ENLIGHTEN-2 long-term extension.
Bhupathi, V; DiPetrillo, L; Graham, C; Hopkinson, C; Jiang, Y; Kahn, RS; McDonnell, D; Silverman, BL; Simmons, A; Yagoda, S; Yin, J; Yu, B, 2021
)
0.62
" The most frequently reported adverse drug reactions (ADRs) were nausea (4."( Safety and Persistence of Nalmefene Treatment for Alcohol Dependence. Results from Two Post-authorisation Safety Studies.
Andersohn, F; Borchert, K; Braun, S; Chick, J; Guillo, S; Haas, JS; Kuppan, K; Lemming, OM; Reines, EH; Toussi, M; Tubach, F, 2021
)
0.62
" The purpose of this study was to determine if MNTX is effective and safe for POI treatment."( The Efficacy and Safety of Methylnaltrexone for the Treatment of Postoperative Ileus.
Atchison, L; Beavers, J; Dennis, B; Guillamondegui, O; Medvecz, A; Orton, L; Smith, MC, 2022
)
0.72
" In the safety analysis, adverse drug reactions (ADRs), including diarrhea as a special interest, were assessed."( Post-marketing surveillance of the safety and effectiveness of naldemedine in the management of opioid-induced constipation in patients with cancer pain in Japan.
Hashimoto, S; Honda, K; Nakazawa, M; Takata, K, 2022
)
0.72
" Preclinical data regarding the abuse potential and other opioid-like adverse effects of tianeptine at supratherapeutic doses are sparse."( Opioid-like adverse effects of tianeptine in male rats and mice.
Akbarali, HI; Baird, TR; Dewey, WL; Elder, H; Kang, M; Marsh, SA; Negus, SS; Peace, MR; Poklis, JL; Santos, EJ, 2022
)
0.72
"The present study evaluated tianeptine in a rat model of abuse potential assessment and in mouse models of motor, gastrointestinal, and respiratory adverse effects."( Opioid-like adverse effects of tianeptine in male rats and mice.
Akbarali, HI; Baird, TR; Dewey, WL; Elder, H; Kang, M; Marsh, SA; Negus, SS; Peace, MR; Poklis, JL; Santos, EJ, 2022
)
0.72
" Nonetheless, tianeptine produces MOR agonist-like acute adverse effects that include motor impairment, constipation, and respiratory depression."( Opioid-like adverse effects of tianeptine in male rats and mice.
Akbarali, HI; Baird, TR; Dewey, WL; Elder, H; Kang, M; Marsh, SA; Negus, SS; Peace, MR; Poklis, JL; Santos, EJ, 2022
)
0.72
" Diarrhea was the most common adverse event in all grades, occurring in 11 patients (27."( A retrospective study of the efficacy and safety of naldemedine for opioid-induced constipation in thoracic cancer patients.
Arai, K; Fujita, Y; Hiruta, E; Imai, H; Kaira, K; Kamiya, T; Masuno, T; Minato, K; Mogi, J; Nishiba, H; Sandoh, M; Takei, S; Tanaka, H; Yamazaki, S, 2022
)
0.72
" While they can offer excellent analgesia, their use can be limited by adverse effects, including constipation, respiratory depression, tolerance, and abuse liability."( OREX-1038: a potential new treatment for pain with low abuse liability and limited adverse effects.
Acevedo, L; Belli, B; Cami-Kobeci, G; Flynn, P; France, CP; Gerak, LR; Husbands, SM; Maguire, DR; Olson, KM; Traynor, JR, 2022
)
0.72
" Conclusion: Naltrexone is safe to use in patients with underlying LD, including those with compensated cirrhosis."( Naltrexone for alcohol use disorder: Hepatic safety in patients with and without liver disease.
Ayyala, D; Bottyan, T; Dodge, JL; Gonzalez, JL; Han, H; Pimienta, M; Stager, K; Stolz, A; Terrault, NA; Tien, C; Yoo, J, 2022
)
0.72

Pharmacokinetics

The pharmacokinetic parameters of carfentanil and naltrexone were determined in the common eland (Taurotragus oryx) This is the first human pharmacokinetics and pharmacodynamic drug interaction study of acamprosate and nALTrexone. Pharmacokinetic analysis indicated that naltxone has a terminal elimination half-life of 4.

ExcerptReferenceRelevance
" From our pharmacokinetic data an apparent chronic release rate (ACRR) for a sustained release preparation of naltrexone was calculated as 11."( Estimation of the systemic availability and other pharmacokinetic parameters of naltrexone in man after acute and chronic oral administration.
Kogan, MJ; Mule, SJ; Verebey, K, 1977
)
0.26
" Although morphine coadministration did not significantly affect the terminal half-life of naltrexone, its clearances or apparent volumes of distribution by t-test of the differences between averages (with each dog equally weighted), drug coadministration did significantly (by t-test) affect the fraction of naltrexone dose secreted into bile as conjugate (fB), the fraction of the dose excreted as conjugate in urine, and the fraction excreted elsewhere (f'B)."( Pharmacokinetics of morphine and its surrogates. XI: Effect of simultaneously administered naltrexone and morphine on the pharmacokinetics and pharmacodynamics of each in the dog.
Garrett, ER; Khan, PJ; Langguth, P, 1990
)
0.28
" The method requires calibration of the pharmacokinetic parameters of each monkey utilizing an intravenous bolus dose and assay of unchanged naltrexone levels in plasma as a function of time after dosing."( Pharmacokinetic quantitation of naltrexone controlled release from a copolymer delivery system.
Ashcraft, SB; Downs, DA; Harrigan, SE; Liao, SH; Reuning, RH; Staubus, AE; Wiley, JN; Wise, DL, 1983
)
0.27
" The method consists of two phases: a single intravenous bolus dose quantitation of each monkey's pharmacokinetic parameters coupled with a delivery system study in which plasma naltrexone levels are measured throughout the time period of sustained-release."( Pharmacokinetic quantitation of naltrexone release from several sustained-release delivery systems.
Liao, SH; Reuning, RH; Staubus, AE, 1981
)
0.26
"33 hours every hour, respectively), the area under the serum fentanyl concentration curve appeared to be independent of the time of infusion."( Evaluation of diurnal variation in fentanyl clearance.
Gupta, SK; Hwang, SS; Southam, MA, 1995
)
0.29
"5 mg/kg) on the pharmacokinetic parameters area under the serum morphine concentration time curve (AUC0-->infinity), serum levels of morphine extrapolated to zero time (Cmax), half-life (t1/2), mean residence time (MRT), total body clearance (Clt), and volume of distribution at steady state (Vss) of morphine in serum was determined."( Effects of naltrexone on pharmacodynamics and pharmacokinetics of intravenously administered morphine in the rat.
Bhargava, HN; Larsen, AK; Rahmani, NH; Villar, VM, 1993
)
0.29
" To determine the applicability of this method for human pharmacokinetic studies, nalmefene levels in plasma were measured at time points up to 24 h following oral and intravenous administration of 30 mg of nalmefene hydrochloride to two subjects."( Determination of nalmefene in plasma by high-performance liquid chromatography with electrochemical detection and its application in pharmacokinetic studies.
Albeck, H; Chou, JZ; Kreek, MJ, 1993
)
0.29
" The concentration-time data were analyzed by noncompartmental methods and subsequently linked to the pharmacodynamic effect data by a competitive antagonism link model."( Duration of opioid antagonism by nalmefene and naloxone in the dog: an integrated pharmacokinetic/pharmacodynamic comparison.
Osifchin, E; Veng-Pedersen, P; Waters, SJ; Wilhelm, JA; Zakszewski, TB, 1995
)
0.29
"The opioid antagonist nalmefene was compared in its pharmacodynamic properties to the structurally similar antagonist naloxone in a 2 x 2 cross-over study with 8 dogs."( Duration of opioid antagonism by nalmefene and naloxone in the dog. A nonparametric pharmacodynamic comparison based on generalized cross-validated spline estimation.
Osifchin, E; Veng-Pedersen, P; Waters, SJ; Wilhelm, JA; Zakszewski, TB, 1995
)
0.29
" Terminal elimination half-life (t1/2) of both nalmefene and nalmefene glucuronide was prolonged in patients with ESRD compared with that in participants with normal renal function."( The effect of renal insufficiency and hemodialysis on the pharmacokinetics of nalmefene.
Alexander, AC; Dixon, R; Frye, RF; Johnston, J; Matzke, GR; Rault, RM; Reynolds, R, 1996
)
0.29
" The elderly volunteers also had a significantly shorter distributional half-life (t1/2 lambda 1) than young volunteers (0."( The effect of age on the pharmacokinetics of the opioid antagonist nalmefene.
Bikhazi, GB; Frye, RF; Jallad, NS; Matzke, GR; Wilhelm, JA, 1996
)
0.29
" Pharmacokinetic analysis revealed an elimination half-life of 117."( Safety and tolerance of methylnaltrexone in healthy humans: a randomized, placebo-controlled, intravenous, ascending-dose, pharmacokinetic study.
Foss, JF; Moss, J; Murphy, M; O'Connor, MF; Roizen, MF; Yuan, CS, 1997
)
0.3
" Pharmacodynamic endpoints evaluated were respiratory depression, measured as the change in arterial blood pCO(2), pO(2), and pH levels; and antinociception, measured by the tail-flick technique."( Pharmacokinetic-pharmacodynamic modeling of the antinociceptive effects of main active metabolites of tramadol, (+)-O-desmethyltramadol and (-)-O-desmethyltramadol, in rats.
Calvo, R; Garrido, MJ; Pavón, JM; Trocóniz, IF; Valle, M, 2000
)
0.31
" Concentration-time data were analyzed by a limited sampling strategy with adult pharmacokinetic parameters used as Bayesian priors."( Nalmefene to prevent epidural narcotic side effects in pediatric patients: a pharmacokinetic and safety study.
Chang, CT; Frye, RF; Gustafson, RA; Morris, JL; Nelson, ER; Rosen, DA; Rosen, KR; Steelman, RJ; Thackara, JW; Wilhelm, JA, 2000
)
0.31
"5 Hz frequency band of the EEG as pharmacodynamic endpoint."( Pharmacokinetic-pharmacodynamic analysis of the EEG effect of alfentanil in rats following beta-funaltrexamine-induced mu-opioid receptor "knockdown" in vivo.
Cox, E; Danhof, M; Garrido, M; Gubbens-Stibbe, J; IJzerman, A; Künzel, D; Tukker, E; van der Graaf, PH; von Frijtag, J, 2000
)
0.31
" The serum drug concentration-time profile fitted a two-compartment pharmacokinetic model."( Pharmacokinetic profile of epidurally administered methylnaltrexone, a novel peripheral opioid antagonist in a rabbit model.
Chan, VW; El Behiery, H; Foss, JF; Murph, DB, 2001
)
0.31
" Thus, this is the first human pharmacokinetic and pharmacodynamic drug interaction study of acamprosate and naltrexone."( A pharmacokinetic and pharmacodynamic drug interaction study of acamprosate and naltrexone.
Boyeson, MG; Dixon, RM; Goodman, AM; Hameed, MH; Hulot, T; Hunter, JA; Mason, BJ; Wesnes, K, 2002
)
0.31
" Pharmacokinetic studies in rats demonstrated that this formulation produced stable, pharmacologically relevant plasma levels of naltrexone for approximately 1 month following either subcutaneous or intramuscular injections."( Vivitrex, an injectable, extended-release formulation of naltrexone, provides pharmacokinetic and pharmacodynamic evidence of efficacy for 1 month in rats.
Bartus, RT; Basile, AS; Blaustein, M; Dean, RL; Emerich, DF; Hotz, J; Perdomo, B, 2003
)
0.32
" The Cmax at the inlet and at the outlet the dialyzer were higher (255+/-117 ng/mL and 206+/-137 ng/ml respectively) in comparison with healthy subjects (9 - 44 ng/mL)."( Pharmacokinetics and dialysability of naltrexone in patients undergoing hemodialysis.
Azar, R; Bah, S; Brunet, C; Dine, T; Dupin-Spriet, T; Gressier, B; Kambia, NK; Luyckx, M; Odou, P,
)
0.13
"Human pharmacokinetic parameters are often predicted prior to clinical study from in vivo preclinical pharmacokinetic data."( Extrapolation of human pharmacokinetic parameters from rat, dog, and monkey data: Molecular properties associated with extrapolative success or failure.
Jolivette, LJ; Ward, KW, 2005
)
0.33
" Based on pharmacokinetic considerations, the dose of long-acting naltrexone does not need to be adjusted in patients with mild or moderate hepatic impairment."( Pharmacokinetics of long-acting naltrexone in subjects with mild to moderate hepatic impairment.
Dilzer, SC; Dong, Q; Dunbar, JL; Ehrich, EW; Lasseter, KC; Silverman, BL; Turncliff, RZ, 2005
)
0.33
" Steady state was reached within 5 days, consistent with the observed median half-life of approximately 22 hours following multiple doses."( Single-dose and steady-state pharmacokinetics of fentanyl buccal tablet in healthy volunteers.
Darwish, M; Hellriegel, E; Jiang, JG; Kirby, M; Robertson, P, 2007
)
0.34
"The objective of this study was to compare the pharmacokinetic profile of a novel, once-daily, controlled-release formulation of hydromorphone (OROS hydromorphone) under fasting conditions with that immediately after a high-fat breakfast in healthy volunteers."( Pharmacokinetic profile of a 24-hour controlled-release OROS formulation of hydromorphone in the presence and absence of food.
Gupta, SK; Sathyan, G; Thipphawong, J; Xu, E, 2007
)
0.34
" Confidence intervals were within 80% to 125% for AUC0-t and AUC0-infinity but were slightly higher for Cmax (105."( Pharmacokinetic profile of a 24-hour controlled-release OROS formulation of hydromorphone in the presence and absence of food.
Gupta, SK; Sathyan, G; Thipphawong, J; Xu, E, 2007
)
0.34
"The pharmacokinetic parameters of carfentanil and naltrexone were determined in the common eland (Taurotragus oryx)."( Pharmacokinetics and pharmacodynamics of carfentanil and naltrexone in female common eland (Taurotragus oryx).
Carpenter, JW; Cole, A; Dresser, BL; Hunter, RP; Isaza, R; Koch, DE; Mutlow, A, 2006
)
0.33
" A population pharmacokinetic (PPK) analysis examined the possibility of altered pharmacokinetics for naltrexone and its primary metabolite, 6beta-naltrexol, in subpopulations with a potential for alcohol-dependence treatment."( Population pharmacokinetics of extended-release injectable naltrexone (XR-NTX) in patients with alcohol dependence.
Dunbar, JL; Farrell, CB; Hayes, SC; Turncliff, RZ, 2007
)
0.34
" pharmacokinetic data on 670 drugs representing, to our knowledge, the largest publicly available set of human clinical pharmacokinetic data."( Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
Lombardo, F; Obach, RS; Waters, NJ, 2008
)
0.35
" After the single intravenous dose trial, 8 healthy volunteers received intravenous nalmefene at 2 mg once daily for 6 consecutive days, and the plasma drug concentrations were determined on the morning of days 4, 5 and 6 using liquid chromatography/tandem mass spectrometry and the pharmacokinetic parameters were calculated using PKS program."( [Pharmacokinetics of nalmefene after a single or multiple intravenous doses in Chinese healthy volunteers].
Liao, RF; Wen, YG; Zeng, ZP, 2008
)
0.35
" These results showed that plasma 6beta-naltrexol fits to a two compartment model with first-order absorption in dog after intramuscular administration and their pharmacokinetic parameters were reported."( [Pharmacokinetics of 6beta-naltrexol after single and multiple intramuscular injections in Beagle dogs].
Cui, MX; Dong, HJ; Gong, ZH; Liu, J; Liu, YS; Yan, LD; Yao, XJ, 2009
)
0.35
" Plasma samples were collected just before dosing through 72 hours postdose for pharmacokinetic analyses of morphine, and through 168 hours postdose for naltrexone and its major metabolite 6-β-naltrexol."( Food effects on the pharmacokinetics of morphine sulfate and naltrexone hydrochloride extended release capsules.
Boudriau, S; Ciric, S; Johnson, F; Stauffer, J; Swearingen, D, 2010
)
0.36
"Studies conducted to date indicate that methylnaltrexone has high bioavailability after subcutaneous administration at therapeutic dose levels, a terminal half-life of ∼ 8 - 9 h, minimal metabolism, elimination involving renal and non-renal routes, and a limited potential for drug-drug interactions."( Methylnaltrexone bromide: research update of pharmacokinetics following parenteral administration.
Boyd, TA; Rotshteyn, Y; Yuan, CS, 2011
)
0.37
" Furthermore, pharmacokinetic parameters of the drug in human plasma samples of healthy volunteers following the administration of an oral single dose of 50mg NAL."( Voltammetry of naltrexone in commercial formulation and human body fluids: Quantification and pharmacokinetic studies.
Abdel-Galeil, MM; El-Desoky, HS; Ghoneim, MM, 2011
)
0.37
" This open-label, single-dose, 4-way crossover, pharmacokinetic drug interaction study compared the relative bioavailability of morphine and naltrexone when MS-sNT is administered (under fasting conditions) with increasing doses of alcohol."( Effects of alcohol on the pharmacokinetics of morphine sulfate and naltrexone hydrochloride extended release capsules.
Boudriau, S; Ciric, S; Johnson, FK; Kisicki, J; Stauffer, J, 2012
)
0.38
" The oral pharmacodynamic study assessed drug liking and euphoria and pharmacokinetic properties of MS-sNTC and MS-sNTW compared with morphine sulfate solution (MSS) and placebo."( Morphine sulfate and naltrexone hydrochloride extended-release capsules: naltrexone release, pharmacodynamics, and tolerability.
Johnson, F; Setnik, B,
)
0.13
" Tramadol is thought to have limited abuse potential compared to mu opioid agonists, but laboratory data indicate that it shares some of their pharmacodynamic effects."( Pharmacodynamic profile of tramadol in humans: influence of naltrexone pretreatment.
Craig, LB; Lofwall, MR; Nuzzo, PA; Siegel, AJ; Stoops, WW; Walsh, SL, 2012
)
0.38
"This study evaluated the effect of mu opioid receptor blockade with naltrexone on the pharmacodynamic action of tramadol in humans."( Pharmacodynamic profile of tramadol in humans: influence of naltrexone pretreatment.
Craig, LB; Lofwall, MR; Nuzzo, PA; Siegel, AJ; Stoops, WW; Walsh, SL, 2012
)
0.38
" Pharmacodynamic effects were measured before and for 7 h after initial drug administration."( Pharmacodynamic profile of tramadol in humans: influence of naltrexone pretreatment.
Craig, LB; Lofwall, MR; Nuzzo, PA; Siegel, AJ; Stoops, WW; Walsh, SL, 2012
)
0.38
"The results of the current study of an ER formulation revealed no pharmacokinetic features that would preclude dosing in the elderly."( An open-label pharmacokinetic study of oxymorphone extended release in the presence of naltrexone in the older adult.
Gould, EM; Labhsetwar, S; Nagar, S; Pergolizzi, JV; Raffa, RB; Sinclair, N; Taylor, R,
)
0.13
"The in vivo preclinical pharmacodynamic profile of TD-1211, a selective opioid receptor antagonist currently under development for the treatment of opioid-induced constipation, was compared to that of the clinically studied opioid antagonists, naltrexone, alvimopan, and ADL 08-0011 (the primary active metabolite of alvimopan)."( The in vivo pharmacodynamics of the novel opioid receptor antagonist, TD-1211, in models of opioid-induced gastrointestinal and CNS activity.
Armstrong, SR; Beattie, DT; Campbell, CB; Hegde, SS; Long, DD; Richardson, CL; Tsuruda, PR; Vickery, RG, 2013
)
0.39
"To compare the pharmacodynamic effects, including self-reports of "drug liking" and "high," of crushed morphine sulfate and naltrexone hydrochloride extended-release capsules (MSN), crushed morphine sulfate controlled-release (CR) tablets, and placebo in an abuse potential study."( Assessment of pharmacodynamic effects following oral administration of crushed morphine sulfate and naltrexone hydrochloride extended-release capsules compared with crushed morphine sulfate controlled-release tablets and placebo in nondependent recreation
Goli, V; Han, L; Setnik, B; Sommerville, K; Webster, L, 2013
)
0.39
"Subjective ratings (100-point visual analog scales) of positive drug effects (drug liking, high, good effects, take drug again, and overall drug liking), any effects, and negative effects (bad effects, feel sick, nausea, sleepy, and dizzy), along with pupillometry, pharmacokinetic (PK), and safety assessments."( Assessment of pharmacodynamic effects following oral administration of crushed morphine sulfate and naltrexone hydrochloride extended-release capsules compared with crushed morphine sulfate controlled-release tablets and placebo in nondependent recreation
Goli, V; Han, L; Setnik, B; Sommerville, K; Webster, L, 2013
)
0.39
" PK analysis of morphine plasma concentrations indicated that Cmax was significantly lower and tmax significantly longer for crushed MSN compared with crushed morphine sulfate CR."( Assessment of pharmacodynamic effects following oral administration of crushed morphine sulfate and naltrexone hydrochloride extended-release capsules compared with crushed morphine sulfate controlled-release tablets and placebo in nondependent recreation
Goli, V; Han, L; Setnik, B; Sommerville, K; Webster, L, 2013
)
0.39
" These results provide pharmacokinetic support for the long-lasting antagonistic effects of nor-BNI."( Pharmacokinetic evidence for the long-lasting effect of nor-binaltorphimine, a potent kappa opioid receptor antagonist, in mice.
Kiguchi, N; Kishioka, S; Ko, MC; Kobayashi, Y; Saika, F; Wakida, N; Woods, JH; Yamamoto, C, 2013
)
0.39
" In both studies, samidorphan was rapidly absorbed, with a Tmax of 1 hour, and AUC increased with increasing dose."( Single- and multiple-dose pharmacokinetics of samidorphan, a novel opioid antagonist, in healthy volunteers.
DiPetrillo, L; Ehrich, E; Silverman, B; Turncliff, R, 2015
)
0.42
"In these single- and multiple-dose studies in healthy volunteers, samidorphan exhibited a pharmacokinetic profile consistent with once-daily dosing."( Single- and multiple-dose pharmacokinetics of samidorphan, a novel opioid antagonist, in healthy volunteers.
DiPetrillo, L; Ehrich, E; Silverman, B; Turncliff, R, 2015
)
0.42
" The 90 % confidence intervals (CIs) for AUC∞ and Cmax ratios of ALO-02 with 20 % ethanol versus water were within 80-125 %; upper 90 % CIs were >125 % for ALO-02 with 40 % ethanol versus water."( Effects of ethanol on the pharmacokinetics of extended-release oxycodone with sequestered naltrexone (ALO-02).
Bramson, C; Malhotra, BK; Matschke, K; Salageanu, J; Wang, Q, 2015
)
0.42
"Oxycodone exposures (Cmax) were unaffected when ALO-02 was administered with 20 % ethanol but Cmax increased by 37 % with 40 % ethanol versus water."( Effects of ethanol on the pharmacokinetics of extended-release oxycodone with sequestered naltrexone (ALO-02).
Bramson, C; Malhotra, BK; Matschke, K; Salageanu, J; Wang, Q, 2015
)
0.42
"The aims of this study were to develop a population pharmacokinetic (PK) model to describe the PK of nalmefene in healthy subjects and to relate the exposure of nalmefene to the μ-opioid receptor occupancy by simulations in the target population."( Population pharmacokinetics of nalmefene in healthy subjects and its relation to μ-opioid receptor occupancy.
Areberg, J; Faerch, KU; Kyhl, LE; Larsen, F; Li, S; Soegaard, B, 2016
)
0.43
"The t1/2 and Tmax values for oxycodone were similar for all 3 treatments."( Effect of food on the pharmacokinetics of oxycodone and naltrexone from ALO-02, an extended release formulation of oxycodone with sequestered naltrexone.
Bramson, C; Gandelman, K; Lamson, M; Malhotra, B; Matschke, K; Salageanu, J, 2015
)
0.42
" We determined the safety, tolerability, and pharmacokinetic profiles of oral naldemedine in healthy volunteers in 2 randomized, double-blind, placebo-controlled, phase 1 studies."( Phase 1, Randomized, Double-Blind, Placebo-Controlled Studies on the Safety, Tolerability, and Pharmacokinetics of Naldemedine in Healthy Volunteers.
Arjona Ferreira, JC; Baba, Y; Fukumura, K; Yokota, T, 2018
)
0.48
"To characterize population pharmacokinetic (PK) of naldemedine, to identify factors which influence naldemedine PK, and to evaluate their clinical relevancy based on exposure-response relationships."( Population Pharmacokinetics and Exposure-Response Relationships of Naldemedine.
Fukumura, K; Kubota, R; Wajima, T, 2018
)
0.48
" Pharmacokinetic parameters were calculated according to noncompartmental analysis."( Pharmacokinetics and Short-term Safety of ALKS 3831, a Fixed-dose Combination of Olanzapine and Samidorphan, in Adult Subjects with Schizophrenia.
McDonnell, D; Sun, L; von Moltke, L, 2018
)
0.48
" At steady state, exposure to olanzapine increased dose proportionally from 10 mg (ALKS 3831 10/10) to 20 mg (ALKS 3831 20/10), and exposure to samidorphan was similar between the 2 ALKS 3831 dose groups, indicating that different dose levels of olanzapine in ALKS 3831 had no impact on the pharmacokinetic profile of samidorphan."( Pharmacokinetics and Short-term Safety of ALKS 3831, a Fixed-dose Combination of Olanzapine and Samidorphan, in Adult Subjects with Schizophrenia.
McDonnell, D; Sun, L; von Moltke, L, 2018
)
0.48
" The present data indicate that combining olanzapine with samidorphan does not affect the pharmacokinetic profile of either drug and support continued clinical evaluation of ALKS 3831."( Pharmacokinetics and Short-term Safety of ALKS 3831, a Fixed-dose Combination of Olanzapine and Samidorphan, in Adult Subjects with Schizophrenia.
McDonnell, D; Sun, L; von Moltke, L, 2018
)
0.48
" Olanzapine and samidorphan pharmacokinetic parameters were determined after OLZ/SAM dosing on days 1 and 22."( A Phase I Open-Label Study to Evaluate the Effects of Rifampin on the Pharmacokinetics of Olanzapine and Samidorphan Administered in Combination in Healthy Human Subjects.
Kumar, V; McDonnell, D; Sun, L; von Moltke, L; Yu, M, 2019
)
0.51
" We report clinical pharmacokinetic (PK) properties of SAM following different routes of administration, and the effects of food and age on the PK of SAM following oral administration in healthy volunteers."( Characterization of the Pharmacokinetics of Samidorphan in Healthy Volunteers: Absolute Bioavailability and the Effect of Food and Age.
Hard, M; Kumar, V; Lu, H; von Moltke, L, 2019
)
0.51
"7 L/h, volume of distribution of 341 L, and elimination half-life of 7-8 h."( Characterization of the Pharmacokinetics of Samidorphan in Healthy Volunteers: Absolute Bioavailability and the Effect of Food and Age.
Hard, M; Kumar, V; Lu, H; von Moltke, L, 2019
)
0.51
" Pharmacokinetic parameters of lithium and valproate, including maximum plasma concentration and area under the plasma concentration-time curve over a 12-h dosing interval, were calculated."( Combination of Olanzapine and Samidorphan Has No Clinically Significant Effect on the Pharmacokinetics of Lithium or Valproate.
Graham, C; Sun, L; von Moltke, L; Yagoda, S; Yao, B, 2020
)
0.56
" This study aimed to investigate the pharmacokinetic properties of the new OTR tablets and evaluate the bioequivalence of oxycodone from OTR and the original extended release (ER) formulation tablets administered with an opioid antagonist in patients with chronic pain."( Pharmacokinetics and Bioequivalence Evaluation of a New Oxycodone Tamper-Resistant Tablet Administered with an Opioid Antagonist in Patients with Chronic Pain.
Hu, C; Luo, Z; Miao, J; Shen, Y; Shu, S; Wang, Y; Zhu, X, 2020
)
0.56
" After a single dose of 40 mg tablets, pharmacokinetic results of the new OTR tablet were found to be similar to those of original extended-release oxycodone tablet."( Pharmacokinetics and Bioequivalence Evaluation of a New Oxycodone Tamper-Resistant Tablet Administered with an Opioid Antagonist in Patients with Chronic Pain.
Hu, C; Luo, Z; Miao, J; Shen, Y; Shu, S; Wang, Y; Zhu, X, 2020
)
0.56
" As cytochrome P450 (CYP) 1A2 and CYP3A4 are the major enzymes involved in metabolism of olanzapine and samidorphan, respectively, physiologically-based pharmacokinetic (PBPK) modeling was applied to predict any drug-drug interaction (DDI) potential between olanzapine and samidorphan or between OLZ/SAM and CYP3A4/CYP1A2 inhibitors/inducers."( Physiologically-Based Pharmacokinetic Modeling for Predicting Drug Interactions of a Combination of Olanzapine and Samidorphan.
Rowland Yeo, K; Sun, L; von Moltke, L, 2020
)
0.56
" Blood samples were collected for pharmacokinetic analysis, and rectal temperature and sedation were assessed to evaluate opioid effects at predetermined times up to 24 hours after treatment."( Pharmacokinetics and pharmacodynamics of a novel analgesic with a deterrent to human opioid abuse (methadone-fluconazole-naltrexone) after oral administration in dogs.
Joo, H; KuKanich, B; KuKanich, K; Locuson, CW; Rankin, DC, 2020
)
0.56
" Complementary to the clinical findings, physiologically based pharmacokinetic modeling was used to assess the effects of varying degrees of renal impairment on the pharmacokinetics of olanzapine and samidorphan."( Application of Physiologically Based Pharmacokinetic Modeling to Predict the Effect of Renal Impairment on the Pharmacokinetics of Olanzapine and Samidorphan Given in Combination.
Rowland Yeo, K; Sun, L; von Moltke, L, 2021
)
0.62
"A physiologically based pharmacokinetic model for OLZ/SAM was developed and validated by comparing model-simulated data with observed clinical data."( Application of Physiologically Based Pharmacokinetic Modeling to Predict the Effect of Renal Impairment on the Pharmacokinetics of Olanzapine and Samidorphan Given in Combination.
Rowland Yeo, K; Sun, L; von Moltke, L, 2021
)
0.62
"Physiologically based pharmacokinetic modeling extended the findings from a clinical study in severe renal impairment to other untested clinical scenarios; these data could be of interest to clinicians treating patients with renal impairment."( Application of Physiologically Based Pharmacokinetic Modeling to Predict the Effect of Renal Impairment on the Pharmacokinetics of Olanzapine and Samidorphan Given in Combination.
Rowland Yeo, K; Sun, L; von Moltke, L, 2021
)
0.62
" Population pharmacokinetic models for olanzapine and samidorphan were developed using data from 11 clinical studies in healthy subjects or patients with schizophrenia."( Population Pharmacokinetics of Olanzapine and Samidorphan When Administered in Combination in Healthy Subjects and Patients With Schizophrenia.
Mills, R; Rege, B; Sadler, BM; Sun, L, 2021
)
0.62
" Physiologically-based pharmacokinetic (PBPK) modeling was used to extend the clinical findings to predict the effects of varying degrees of hepatic impairment on the PKs of olanzapine and samidorphan."( Using physiologically-based pharmacokinetic modeling for predicting the effects of hepatic impairment on the pharmacokinetics of olanzapine and samidorphan given as a combination tablet.
Barter, Z; Rowland Yeo, K; Sun, L; von Moltke, L, 2021
)
0.62
" The in vitro release of NTX and its pharmacokinetic results in rats indicted that the LLC-SMO system is more uniform than LLC-GDO and Vivitrol® during 35 days."( Comparison of lipid liquid crystal formulation and Vivitrol® for sustained release of Naltrexone: In vitro evaluation and pharmacokinetics in rats.
Abbaspour, M; Eisvand, F; Hadizadeh, F; Kamali, H; Karimi, M; Khodaverdi, E; Nadim, A, 2022
)
0.72

Compound-Compound Interactions

This double-blind, placebo-controlled human laboratory study examined the effects of varenicline and naltrexone on alcohol-primed smoking behavior. Lofexidine (LFX), an α2A adrenergic receptor agonist, was assessed for effects on opioid use outcomes and NTX treatment compliance.

ExcerptReferenceRelevance
"Effects of the kappa opioid agonists, spiradoline (U62,066), enadoline (CI-977) and U69,593, were examined alone and in combination with the opioid antagonists quadazocine and beta-funaltrexamine in squirrel monkeys that responded under a schedule of shock titration."( Antinociceptive and response rate-altering effects of kappa opioid agonists, spiradoline, enadoline and U69,593, alone and in combination with opioid antagonists in squirrel monkeys.
Dykstra, LA; Pitts, RC, 1994
)
0.29
"Opiate receptor avidity (B(max)'/K(D)) was measured in four rhesus monkeys following unilateral lesioning of the optic tract combined with transection of the corpus callosum and the hippocampal and anterior commissures depriving one hemisphere of visual input (Tract and Split), two animals with transection of commissures only (Split), and nine healthy monkeys with positron emission tomography (PET) and 6-deoxy-6-beta-[(18)F]fluoronaltrexone (cyclofoxy, CF), a mu- and kappa-opiate receptor antagonist."( Opiate receptor avidity is increased in rhesus monkeys following unilateral optic tract lesion combined with transections of corpus callosum and hippocampal and anterior commissures.
Carson, RE; Cohen, RM; Doudet, DJ; Saunders, RC, 2000
)
0.31
" The effects of this compound are probably more favorable when combined with a psychosocial intervention such as the Community Reinforcement Approach (CRA)."( Experiences with an outpatient relapse program (community reinforcement approach) combined with naltrexone in the treatment of opioid-dependence: effect on addictive behaviors and the predictive value of psychiatric comorbidity.
Kerkhof, AJ; Roozen, HG; van den Brink, W, 2003
)
0.32
"5 mg/kg), a GABAB agonist, administered alone or in combination with a single dose of naltrexone (1."( The effect of baclofen alone and in combination with naltrexone on ethanol consumption in the rat.
Stromberg, MF, 2004
)
0.32
"Although naltrexone has been shown to be effective in the treatment of alcohol dependence, less is known about its efficacy when combined with different behavioral therapies."( Naltrexone combined with either cognitive behavioral or motivational enhancement therapy for alcohol dependence.
Anton, RF; Latham, P; Moak, DH; Myrick, H; Thevos, A; Voronin, K; Waid, LR; Wang, W; Woolson, R, 2005
)
0.33
" The present study evaluated the effect of chronic (once a day for 12 days) intragastric administration of a CO2 Hypericum perforatum extract (HPCO2), given alone or combined with naltrexone (NTX), on ethanol intake offered 2h/day in msP rats."( Reduction of ethanol intake by chronic treatment with Hypericum perforatum, alone or combined with naltrexone in rats.
Cucculelli, M; Massi, M; Mattioli, L; Perfumi, M, 2005
)
0.33
" The opioid antagonist naltrexone (NTX) may work in combination with nicotine replacement therapy (NRT) to block the effects of smoking stimuli in abstinent smokers."( Effects on smoking cessation: naltrexone combined with a cognitive behavioral treatment based on the community reinforcement approach.
Breteler, MH; Kerkhof, AJ; Postmus, PE; Roozen, HG; Van Beers, SE; Weevers, HJ; Willemsen, MC, 2006
)
0.33
" GHB is frequently combined with other recreational drugs although these interactions are not well characterised."( Sedative and hypothermic effects of gamma-hydroxybutyrate (GHB) in rats alone and in combination with other drugs: assessment using biotelemetry.
McGregor, IS; van Nieuwenhuijzen, PS, 2009
)
0.35
"We describe the first case of stress cardiomyopathy secondary to a drug-drug interaction."( First case of stress cardiomyopathy as a result of methadone withdrawal secondary to drug-drug interaction.
Lemesle, F; Nicola, W; Pierre Jonville-Béra, A, 2010
)
0.36
"Preclinical and clinical studies have shown that opioids combined with ultra-low-dose naltrexone (NTX) may have increased analgesic potency and have suggested reduced abuse or dependence liability."( Human abuse liability assessment of oxycodone combined with ultra-low-dose naltrexone.
Bigelow, GE; Harrison, JA; Lanier, RK; Strain, EC; Tompkins, DA, 2010
)
0.36
" The present study examined whether modulation of opioid systems by the opioid antagonist naltrexone (NTX), alone or in combination with standard of care therapies (taxol/paclitaxel, cisplatin), alters human ovarian cancer cell proliferation in tissue culture and tumor progression in mice."( Low-dose naltrexone suppresses ovarian cancer and exhibits enhanced inhibition in combination with cisplatin.
Donahue, RN; McLaughlin, PJ; Zagon, IS, 2011
)
0.37
"This study investigated whether ethanol combined with low doses of morphine produces rewarding effects in rats."( Rewarding effects of ethanol combined with low doses of morphine through dopamine D1 receptors.
Ise, Y; Katayama, S; Mori, T; Nagase, H; Suzuki, T, 2013
)
0.39
"0 mg/kg, intraperitoneally (IP)), or prazosin in combination with propranolol (5 mg/kg (IP); Exp."( Low-dose prazosin alone and in combination with propranolol or naltrexone: effects on ethanol and sucrose seeking and self-administration in the P rat.
Czachowski, CL; Verplaetse, TL, 2015
)
0.42
" Prazosin in combination with propranolol or naltrexone was more effective than either drug alone and also reduced sucrose-reinforced behaviors."( Low-dose prazosin alone and in combination with propranolol or naltrexone: effects on ethanol and sucrose seeking and self-administration in the P rat.
Czachowski, CL; Verplaetse, TL, 2015
)
0.42
"Determine the abuse potential of intravenous oxycodone combined with naltrexone, which represents simulated crushed ALO-02 in solution, compared with intravenous oxycodone in nondependent, recreational opioid users."( Intravenous abuse potential study of oxycodone alone or in combination with naltrexone in nondependent recreational opioid users.
Backonja, M; Bass, A; Malhotra, BK; Matschke, K; Setnik, B; Sommerville, KW; Webster, LR; Wolfram, G, 2016
)
0.43
"This double-blind, placebo-controlled human laboratory study examined the effects of varenicline (2 mg/d) and varenicline (2 mg/d), combined with a low dose of naltrexone (25 mg/d) on alcohol-primed smoking behavior in a laboratory model of smoking relapse in heavy-drinking tobacco users (n = 30)."( Effects of Varenicline Alone and in Combination With Low-dose Naltrexone on Alcohol-primed Smoking in Heavy-drinking Tobacco Users: A Preliminary Laboratory Study.
McKee, SA; Roberts, W; Shi, JM; Tetrault, JM,
)
0.13
"3-3 mg/kg) or in combination with naltrexone (mu-opioid receptor antagonist at 1 mg/kg) altered alcohol "relapse" drinking using a mouse ADE paradigm."( Effects of mesyl salvinorin B alone and in combination with naltrexone on alcohol deprivation effect in male and female mice.
Crowley, R; Kreek, MJ; Prisinzano, T; Zhou, Y, 2018
)
0.48
" This open-label trial compared the outcomes of patients with opioid use disorder treated with XR-naltrexone or oral naltrexone in combination with behavioral therapy."( A Randomized Trial Comparing Extended-Release Injectable Suspension and Oral Naltrexone, Both Combined With Behavioral Therapy, for the Treatment of Opioid Use Disorder.
Bisaga, A; Carpenter, KM; Choi, CJ; Levin, FR; Mariani, JJ; Mishlen, K; Nunes, EV; Pavlicova, M; Sullivan, MA, 2019
)
0.51
" These results support the use of XR-naltrexone combined with behavioral therapy as an effective treatment for patients seeking opioid withdrawal and nonagonist treatment for preventing relapse to opioid use disorder."( A Randomized Trial Comparing Extended-Release Injectable Suspension and Oral Naltrexone, Both Combined With Behavioral Therapy, for the Treatment of Opioid Use Disorder.
Bisaga, A; Carpenter, KM; Choi, CJ; Levin, FR; Mariani, JJ; Mishlen, K; Nunes, EV; Pavlicova, M; Sullivan, MA, 2019
)
0.51
" In SD rats, a low, but not a high, dose of SAM in combination with BUP counteracted swim-stress induced immobility."( Locomotor and anti-immobility effects of buprenorphine in combination with the opioid receptor modulator samidorphan in rats.
Burke, NN; Deaver, DR; Ferdousi, M; Finn, DP; Kelly, JP; Roche, M, 2019
)
0.51
" Here, we assessed the effectiveness of the dopamine/norepinephrine re-uptake inhibitor, bupropion (BUP), alone and in combination with naltrexone (NAL), to reduce binge-like and chronic ethanol (EtOH) intake in mice."( Bupropion, Alone and in Combination with Naltrexone, Blunts Binge-Like Ethanol Drinking and Intake Following Chronic Intermittent Access to Ethanol in Male C57BL/6J Mice.
Garbutt, JC; Kampov-Polevoy, AB; Luhn, KL; Navarro, M; Thiele, TE, 2019
)
0.51
"BUP, alone and in combination with NAL, may represent a novel approach to treating binge EtOH intake."( Bupropion, Alone and in Combination with Naltrexone, Blunts Binge-Like Ethanol Drinking and Intake Following Chronic Intermittent Access to Ethanol in Male C57BL/6J Mice.
Garbutt, JC; Kampov-Polevoy, AB; Luhn, KL; Navarro, M; Thiele, TE, 2019
)
0.51
"Lofexidine (LFX), an α2A adrenergic receptor agonist, known to alleviate opioid withdrawal symptoms, was assessed in combination with oral naltrexone (NTX) for effects on opioid use outcomes and NTX treatment compliance."( Lofexidine in Combination With Oral Naltrexone for Opioid Use Disorder Relapse Prevention: A Pilot Randomized, Double-Blind, Placebo-Controlled Study.
Fogelman, N; Hermes, G; Hyman, SM; Kosten, TR; Sinha, R, 2019
)
0.51
" Here, we further investigated whether NFF alone (1-10 μg/kg) or in combination with naltrexone (NTX, mu-opioid receptor [MOP-r] antagonist) altered alcohol relapse-like drinking using a mouse alcohol deprivation effect (ADE) paradigm to mimic the relapse episodes in human alcoholics."( Clinically utilized kappa-opioid receptor agonist nalfurafine combined with low-dose naltrexone prevents alcohol relapse-like drinking in male and female mice.
Kreek, MJ; Zhou, Y, 2019
)
0.51
"1 mg/kg, subcutaneous) alone or in combination with samidorphan (0."( Chronic administration of buprenorphine in combination with samidorphan produces sustained effects in olfactory bulbectomised rats and Wistar-Kyoto rats.
Burke, NN; Deaver, DR; Eyerman, DJ; Finn, DP; Kelly, JP; Li, Y; Roche, M; Sanchez, C, 2019
)
0.51
"Olfactory bulbectomised-induced hyperactivity was attenuated by chronic administration of buprenorphine alone and in combination with samidorphan, to that of sham control activity levels."( Chronic administration of buprenorphine in combination with samidorphan produces sustained effects in olfactory bulbectomised rats and Wistar-Kyoto rats.
Burke, NN; Deaver, DR; Eyerman, DJ; Finn, DP; Kelly, JP; Li, Y; Roche, M; Sanchez, C, 2019
)
0.51
" This study aimed to investigate the pharmacokinetic properties of the new OTR tablets and evaluate the bioequivalence of oxycodone from OTR and the original extended release (ER) formulation tablets administered with an opioid antagonist in patients with chronic pain."( Pharmacokinetics and Bioequivalence Evaluation of a New Oxycodone Tamper-Resistant Tablet Administered with an Opioid Antagonist in Patients with Chronic Pain.
Hu, C; Luo, Z; Miao, J; Shen, Y; Shu, S; Wang, Y; Zhu, X, 2020
)
0.56
" As cytochrome P450 (CYP) 1A2 and CYP3A4 are the major enzymes involved in metabolism of olanzapine and samidorphan, respectively, physiologically-based pharmacokinetic (PBPK) modeling was applied to predict any drug-drug interaction (DDI) potential between olanzapine and samidorphan or between OLZ/SAM and CYP3A4/CYP1A2 inhibitors/inducers."( Physiologically-Based Pharmacokinetic Modeling for Predicting Drug Interactions of a Combination of Olanzapine and Samidorphan.
Rowland Yeo, K; Sun, L; von Moltke, L, 2020
)
0.56
"To assess the potential for drug-drug interactions between a single oral dose of naldemedine and the oral P-glycoprotein inhibitor cyclosporine, cytochrome P450 (CYP) 3A inhibitors itraconazole and fluconazole, and CYP3A inducer rifampin."( Clinical Drug-Drug Interaction Studies to Evaluate the Effects of a P-Glycoprotein Inhibitor, CYP3A Inhibitors, and a CYP3A Inducer on the Pharmacokinetics of Naldemedine in Healthy Subjects.
Fukumura, K; Ishibashi, T; Kawaguchi, N; Kubota, R; Ogura, E; Tada, Y, 2020
)
0.56
" This is commonly known as drug-drug interactions."( Clinical Drug-Drug Interaction Studies to Evaluate the Effects of a P-Glycoprotein Inhibitor, CYP3A Inhibitors, and a CYP3A Inducer on the Pharmacokinetics of Naldemedine in Healthy Subjects.
Fukumura, K; Ishibashi, T; Kawaguchi, N; Kubota, R; Ogura, E; Tada, Y, 2020
)
0.56
"In order to study the clinical effect of sufentanil combined with nalmefene in fiberoptic bronchoscopy tracheal intubation in airway patients, a method based on sufentanil combined with nalmefene-assisted topical anesthesia for fiberoptic bronchoscopy-guided nasotracheal intubation method is proposed."( Effect of Sufentanil Combined with Nalmefene Assisted Surface Anesthesia on Transnasal Endotracheal Intubation Guided by Fiberoptic Bronchoscope.
Wang, Z; Zhan, Y; Zhang, J; Zhao, Z, 2022
)
0.72

Bioavailability

The primary aim of this study was to compare the oral bioavailability of naltrexone and its metabolite 6-beta-naltrexol. Secondary objectives were to assess food effects on the pharmacokinetics of IRO-A tablets. The results fail to support the view that naloxone has reduced bioavailability after oral administration.

ExcerptReferenceRelevance
" Long bioavailability of the new metabolite is indicated by its slower excretion rate into the urine than naltrexone and beta-naltrexol."( Isolation and identification of a new metabolite of naltrexone in human blood and urine.
Chedekel, MA; Mule, SJ; Rosenthal, D; Verebely, K, 1975
)
0.25
"), a slowly metabolized, orally bioavailable opiate antagonist, with 30 times the potency of naloxone."( The effects of nalmefene, a potent oral opiate antagonist, on exercise-induced bronchospasm.
Christopher, MA; Harman, E; Hendeles, L; Wyzan, D, 1988
)
0.27
" Plasma concentration-time data for nalmefene indicate good oral bioavailability and a prolonged terminal elimination phase (mean t1/2 11."( Prolonged blockade of opioid effect with oral nalmefene.
DiFazio, CA; Dixon, R; Gal, TJ, 1986
)
0.27
"In an effort to improve the oral bioavailability of naltrexone [17-(cyclopropylmethyl)-4,5 alpha-epoxy-3,14-dihydroxymorphinan-6-one;1], a number of prodrug esters on the 3-hydroxyl group were prepared: the anthranilate (2), acetylsalicylate (3), benzoate (4), and pivalate (5)."( Improvement of the oral bioavailability of naltrexone in dogs: a prodrug approach.
Hussain, MA; Koval, CA; Myers, MJ; Shami, EG; Shefter, E, 1987
)
0.27
" This finding indicates the excellent bioavailability of naltrexone following oral or subcutaneous administration 3H-naltrexone and/or its metabolites were predominately excreted in the urine, and the renal excretion was similar for all three routes of administration."( A comparative study of the oral, intravenous, and subcutaneous administration of 3H-naltrexone to normal male volunteers.
Perez-Reyes, M; Wall, ME, 1981
)
0.26
" Oral naltrexone and nalmefene have significantly more central nervous system (CNS) bioavailability than oral naloxone."( Orally administered opioid antagonists reverse both mu and kappa opioid agonist delay of gastrointestinal transit in the guinea pig.
Culpepper-Morgan, JA; Holt, PR; Kreek, MJ; LaRoche, D, 1995
)
0.29
"Twenty-three normal volunteers who received morphine sulphate (MS Contin) with naltrexone completed this randomized, analytically blinded, two-way crossover comparison of the bioavailability of one 200-mg oral controlled-release morphine sulfate tablet with two 100-mg MSC tablets."( A bioequivalence study of oral controlled-release morphine using naltrexone blockade.
Goldenheim, PD; Grandy, RP; Kaiko, RF; Reder, RF; Sackler, RS, 1995
)
0.29
"The effect of naltrexone hydrochloride on the bioavailability of 60 mg controlled-release oral morphine sulfate in normal volunteers was determined using a randomized, 2-way crossover, analytically blinded study design."( Relative bioavailability of controlled-release oral morphine sulfate during naltrexone blockade.
Bashaw, ED; Goldenheim, PD; Grandy, RP; Kaiko, RF; Reder, RF, 1995
)
0.29
" The high mu receptor binding affinity and in vitro pharmacological selectivity of 5 coupled with its presumed low central nervous system bioavailability suggest that it may be a useful antagonist for the investigation of peripheral mu opioid receptors."( Opioid antagonist activity of naltrexone-derived bivalent ligands: importance of a properly oriented molecular scaffold to guide "address" recognition at kappa opioid receptors.
Bolognesi, ML; Farouz-Grant, F; Gleason, WB; Griffin, JF; Larson, DL; Ojala, WH; Portoghese, PS; Takemori, AE, 1996
)
0.29
"5 to 2 g/kg of alcohol did not alter blood alcohol concentrations significantly, suggesting that the interactions between alcohol and naltrexone were unrelated to gross changes in alcohol metabolism or bioavailability factors."( Interactions between alcohol- and opioid-induced suppression of rat testicular steroidogenesis in vivo.
Adams, ML; Cicero, TJ; Meyer, ER, 1997
)
0.3
" Although NTX could be absorbed rapidly in the dog after po administration, the plasma concentration of the parent drug was very low and its absolute bioavailability was 15."( [Pharmacokinetics of naltrexone hydrochloride and naltrexone glucuronide in the dog].
Ge, ZH; Li, H; Wang, N; Zhao, SF, 1996
)
0.29
" The increased bioavailability of the drug is not very important for opioid receptor antagonist activity but may play a role in naltrexone treatment safety."( Serum time course of naltrexone and 6 beta-naltrexol levels during long-term treatment in drug addicts.
Avico, U; Bertolotti, M; Dell'Utri, A; Ferrari, A; Sternieri, E, 1998
)
0.3
"The bioavailability of a generic preparation of naltrexone (Narpan) was compared with the innovator product, Trexan."( Comparative bioavailability study of a generic naltrexone tablet preparation.
Billa, N; Peh, KK; Yuen, KH, 1999
)
0.3
"These results fail to support the view that naloxone has reduced bioavailability after oral administration, as compared to naltrexone, or that its pharmacokinetic profile is particularly advantageous for some therapeutic settings (e."( The discriminative stimulus effects of naloxone and naltrexone in morphine-treated rhesus monkeys: comparison of oral and subcutaneous administration.
France, CP; Gauthier, CA, 1999
)
0.3
"Intravenous naloxone frequently ameliorates the pruritus of cholestasis, but its low oral bioavailability precludes its use as a long-term therapy."( Oral nalmefene therapy reduces scratching activity due to the pruritus of cholestasis: a controlled study.
Alling, DW; Bergasa, NV; Jones, EA; Talbot, TL; Wells, MC, 1999
)
0.3
"The quantitative structure-bioavailability relationship of 232 structurally diverse drugs was studied to evaluate the feasibility of constructing a predictive model for the human oral bioavailability of prospective new medicinal agents."( QSAR model for drug human oral bioavailability.
Topliss, JG; Yoshida, F, 2000
)
0.31
" Bioavailability of MNTX is low after oral administration, and plasma levels do not correlate with its actions in the gut, suggesting a predominantly local luminal action of MNTX on the gut."( A review of the potential role of methylnaltrexone in opioid bowel dysfunction.
Foss, JF, 2001
)
0.31
" NAL's excellent oral bioavailability and linear increases in the area under plasma concentration-time curve make it ideal for use in experimental studies."( Efficacy of naltrexone on acetylcholine-induced alloknesis in atopic eczema.
Groene, D; Heyer, G; Martus, P, 2002
)
0.31
"Standard bioavailability measures show minimal effect of food on the bioavailability of hydromorphone from OROS hydromorphone."( Pharmacokinetic profile of a 24-hour controlled-release OROS formulation of hydromorphone in the presence and absence of food.
Gupta, SK; Sathyan, G; Thipphawong, J; Xu, E, 2007
)
0.34
" ELN441958 is a novel small molecule bradykinin B(1) receptor antagonist exhibiting high oral bioavailability and potent systemic efficacy in rhesus monkey inflammatory pain."( Pharmacological, pharmacokinetic, and primate analgesic efficacy profile of the novel bradykinin B1 Receptor antagonist ELN441958.
Bova, MP; Butelman, ER; Chavez, RA; Chen, L; Dreyer, M; Fukuda, JY; Garofalo, AW; Hawkinson, JE; Holcomb, R; Hom, DS; Ko, MC; Liao, A; Malmberg, AB; Ruslim, L; Samant, B; Simmonds, S; Szoke, BG; Wadsworth, A; Zeitz, KP; Zhang, H; Zmolek, W, 2007
)
0.34
" Human oral bioavailability is an important pharmacokinetic property, which is directly related to the amount of drug available in the systemic circulation to exert pharmacological and therapeutic effects."( Hologram QSAR model for the prediction of human oral bioavailability.
Andricopulo, AD; Moda, TL; Montanari, CA, 2007
)
0.34
"The poor oral bioavailability of the opioid receptor antagonist naloxone (NA) when compared with naltrexone (NX) may be related to a greater interaction of naloxone with the efflux drug transporter P-glycoprotein (P-gp)."( P-glycoprotein is not involved in the differential oral potency of naloxone and naltrexone.
Daali, Y; Dayer, P; Desmeules, J; Kanaan, M, 2009
)
0.35
" Our results demonstrate that cyclization might be a promising strategy to enhance bioavailability of peptides and may serve a role in the development of novel endomorphin analogs with increased therapeutic potential."( Synthesis and biological evaluation of cyclic endomorphin-2 analogs.
Cravezic, A; do-Rego, JC; Fichna, J; Janecka, A; Perlikowska, R; Toth, G; Wyrebska, A, 2010
)
0.36
" Its current peroral administration induces various adverse side effects and has limited efficacy since bioavailability and patient compliance are poor."( Bioavailability in vivo of naltrexone following transbuccal administration by an electronically-controlled intraoral device: a trial on pigs.
Campisi, G; De Caro, V; Florena, AM; Giannola, LI; Göttsche, T; Paderni, C; Schumacher, A; Wolff, A, 2010
)
0.36
"The primary aim of this study was to compare the oral bioavailability of naltrexone and its metabolite 6-beta-naltrexol, derived from crushed pellets from MS-sNT capsules, to naltrexone solution."( Relative oral bioavailability of morphine and naltrexone derived from crushed morphine sulfate and naltrexone hydrochloride extended-release capsules versus intact product and versus naltrexone solution: a single-dose, randomized-sequence, open-label, thr
Bieberdorf, FA; Johnson, FK; Stark, JG; Stauffer, J, 2010
)
0.36
" The analysis of relative bioavailability was based on conventional FDA criteria for assuming bioequivalence; that is, 90% CIs for ratios of geometric means (natural logarithm [In]-transformed C(max) and AUC) fell within the range of 80% to 125%."( Relative oral bioavailability of morphine and naltrexone derived from crushed morphine sulfate and naltrexone hydrochloride extended-release capsules versus intact product and versus naltrexone solution: a single-dose, randomized-sequence, open-label, thr
Bieberdorf, FA; Johnson, FK; Stark, JG; Stauffer, J, 2010
)
0.36
" The primary objective of this study was to assess single-dose relative bioavailability of morphine when morphine sulfate and naltrexone hydrochloride extended release capsules were taken under fed and fasting conditions and when pellets were sprinkled on apple sauce."( Food effects on the pharmacokinetics of morphine sulfate and naltrexone hydrochloride extended release capsules.
Boudriau, S; Ciric, S; Johnson, F; Stauffer, J; Swearingen, D, 2010
)
0.36
"Morphine bioavailability was similar for all treatments."( Food effects on the pharmacokinetics of morphine sulfate and naltrexone hydrochloride extended release capsules.
Boudriau, S; Ciric, S; Johnson, F; Stauffer, J; Swearingen, D, 2010
)
0.36
" This study shows that the bioavailability of extended-release hydromorphone is not affected by food and that the bioavailability of extended-release hydromorphone under fasting conditions is comparable with that of the immediate-release formulation when administered at the same total daily dose."( A randomized study of the effects of food on the pharmacokinetics of once-daily extended-release hydromorphone in healthy volunteers.
Ariyawansa, J; Marricco, NC; Moore, KT; Morelli, G; Natarajan, J; Pagé, V; Richarz, U; St-Fleur, D, 2011
)
0.37
"Studies conducted to date indicate that methylnaltrexone has high bioavailability after subcutaneous administration at therapeutic dose levels, a terminal half-life of ∼ 8 - 9 h, minimal metabolism, elimination involving renal and non-renal routes, and a limited potential for drug-drug interactions."( Methylnaltrexone bromide: research update of pharmacokinetics following parenteral administration.
Boyd, TA; Rotshteyn, Y; Yuan, CS, 2011
)
0.37
" This open-label, single-dose, 4-way crossover, pharmacokinetic drug interaction study compared the relative bioavailability of morphine and naltrexone when MS-sNT is administered (under fasting conditions) with increasing doses of alcohol."( Effects of alcohol on the pharmacokinetics of morphine sulfate and naltrexone hydrochloride extended release capsules.
Boudriau, S; Ciric, S; Johnson, FK; Kisicki, J; Stauffer, J, 2012
)
0.38
"The naltrexone bioavailability study compared naltrexone release from MS-sNTC with that from whole intact MS-sNT capsules (MS-sNTW) and an equal naltrexone solution (NS) dose."( Morphine sulfate and naltrexone hydrochloride extended-release capsules: naltrexone release, pharmacodynamics, and tolerability.
Johnson, F; Setnik, B,
)
0.13
"Naltrexone from MS-sNTC met criteria for equivalent bioavailability to NS."( Morphine sulfate and naltrexone hydrochloride extended-release capsules: naltrexone release, pharmacodynamics, and tolerability.
Johnson, F; Setnik, B,
)
0.13
" Secondary objectives were to assess food effects on the pharmacokinetics of IRO-A tablets, to compare the relative bioavailability of oxycodone in IRO-A tablets versus marketed oxycodone hydrochloride (IRO) tablets under fed conditions and to evaluate the single-dose safety profile of the IRO-A tablets in healthy volunteers pretreated with naltrexone."( Dose proportionality and the effects of food on bioavailability of an immediate-release oxycodone hydrochloride tablet designed to discourage tampering and its relative bioavailability compared with a marketed oxycodone tablet under fed conditions: a sing
Bass, A; Leibowitz, M; Pixton, GC; Rolleri, R; Sommerville, KW; Stark, JG; Zamora, CA, 2012
)
0.38
" Dose proportionality (IRO-A), food effects (IRO-A), and relative bioavailability in a fed state (IRO-A and IRO) were assessed by using bioequivalence criteria (90% CIs between 80% and 125% for C(max) and AUC)."( Dose proportionality and the effects of food on bioavailability of an immediate-release oxycodone hydrochloride tablet designed to discourage tampering and its relative bioavailability compared with a marketed oxycodone tablet under fed conditions: a sing
Bass, A; Leibowitz, M; Pixton, GC; Rolleri, R; Sommerville, KW; Stark, JG; Zamora, CA, 2012
)
0.38
" The bioavailability of oxycodone from IRO-A tablets in the fed state was comparable with IRO tablets based on AUC parameters, although C(max) was ~16."( Dose proportionality and the effects of food on bioavailability of an immediate-release oxycodone hydrochloride tablet designed to discourage tampering and its relative bioavailability compared with a marketed oxycodone tablet under fed conditions: a sing
Bass, A; Leibowitz, M; Pixton, GC; Rolleri, R; Sommerville, KW; Stark, JG; Zamora, CA, 2012
)
0.38
" Administration of IRO-A with food suggested increased overall bioavailability relative to fasting conditions and a reduction in peak systemic exposure of oxycodone that is not expected to be clinically significant."( Dose proportionality and the effects of food on bioavailability of an immediate-release oxycodone hydrochloride tablet designed to discourage tampering and its relative bioavailability compared with a marketed oxycodone tablet under fed conditions: a sing
Bass, A; Leibowitz, M; Pixton, GC; Rolleri, R; Sommerville, KW; Stark, JG; Zamora, CA, 2012
)
0.38
" Since the bioavailability of oral MNTX is low, it is necessary to explore the oral formulations of MNTX that increase its bioavailability."( Bioavailability of oral methylnaltrexone increases with a phosphatidylcholine-based formulation.
Gu, M; Lin, DH; McEntee, E; Qin, LF; Wang, CZ; Wang, JT; Xie, XX; Yuan, CS, 2014
)
0.4
" The physicochemical properties of MNTX-PC were analyzed, and its bioavailability was evaluated in rats."( Bioavailability of oral methylnaltrexone increases with a phosphatidylcholine-based formulation.
Gu, M; Lin, DH; McEntee, E; Qin, LF; Wang, CZ; Wang, JT; Xie, XX; Yuan, CS, 2014
)
0.4
" Thus, the relative bioavailability after the oral administration of MNTX-PC was 410% compared to that of control."( Bioavailability of oral methylnaltrexone increases with a phosphatidylcholine-based formulation.
Gu, M; Lin, DH; McEntee, E; Qin, LF; Wang, CZ; Wang, JT; Xie, XX; Yuan, CS, 2014
)
0.4
"MNTX-PC formulation significantly enhanced the oral bioavailability of MNTX."( Bioavailability of oral methylnaltrexone increases with a phosphatidylcholine-based formulation.
Gu, M; Lin, DH; McEntee, E; Qin, LF; Wang, CZ; Wang, JT; Xie, XX; Yuan, CS, 2014
)
0.4
"The primary objective of this study was to determine the pharmacokinetics and dose proportionality of 5 different doses (100, 200, 400, 600, and 800 μg) of fentanyl sublingual spray in healthy subjects under fasted conditions (part A); the secondary objective was to assess the effects of temperature and pH in the oral cavity on relative bioavailability of fentanyl (part B)."( Pharmacokinetics and dose proportionality of fentanyl sublingual spray: a single-dose 5-way crossover study.
Chavan, A; Dillaha, L; Goskonda, V; Parikh, N, 2013
)
0.39
" Altering the local environment of the oral cavity (temperature and pH) showed no effects on the bioavailability of fentanyl."( Pharmacokinetics and dose proportionality of fentanyl sublingual spray: a single-dose 5-way crossover study.
Chavan, A; Dillaha, L; Goskonda, V; Parikh, N, 2013
)
0.39
"Naltrexone is widely used in the treatment of opiate addiction but its current peroral administration is characterized by low bioavailability with various side effects."( Controlled delivery of naltrexone by an intraoral device: in vivo study on human subjects.
Campisi, G; De Caro, V; Giannola, LI; Göttsche, T; Paderni, C; Schumacher, A; Wolff, A, 2013
)
0.39
" Absolute oral bioavailability was estimated to 41% without food intake and with food about 53%."( Population pharmacokinetics of nalmefene in healthy subjects and its relation to μ-opioid receptor occupancy.
Areberg, J; Faerch, KU; Kyhl, LE; Larsen, F; Li, S; Soegaard, B, 2016
)
0.43
"The objective of this study was to evaluate the relative bioavailability of olanzapine in 3 olanzapine-containing tablet formulations."( Bioequivalence of Olanzapine Given in Combination With Samidorphan as a Bilayer Tablet (ALKS 3831) Compared With Olanzapine-Alone Tablets: Results From a Randomized, Crossover Relative Bioavailability Study.
Liu, J; McDonnell, D; Sun, L; von Moltke, L, 2019
)
0.51
"SAM has high bioavailability that is comparable following sublingual and oral administration and is not subject to extensive first-pass metabolism."( Characterization of the Pharmacokinetics of Samidorphan in Healthy Volunteers: Absolute Bioavailability and the Effect of Food and Age.
Hard, M; Kumar, V; Lu, H; von Moltke, L, 2019
)
0.51
"The ATP-binding cassette transporter P-glycoprotein (P-gp) is known to limit both brain penetration and oral bioavailability of many chemotherapy drugs."( A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
Ambudkar, SV; Brimacombe, KR; Chen, L; Gottesman, MM; Guha, R; Hall, MD; Klumpp-Thomas, C; Lee, OW; Lee, TD; Lusvarghi, S; Robey, RW; Shen, M; Tebase, BG, 2019
)
0.51
" Given the greater KOR potency and improved bioavailability compared to NTX, NMF may be a promising pharmacotherapeutic for cocaine use disorder (CUD)."( Nalmefene, a mu opioid receptor antagonist/kappa opioid receptor partial agonist, potentiates cocaine motivation but not intake with extended access self-administration in adult male mice.
Kreek, MJ; Morochnik, M; Reed, B; Windisch, KA, 2021
)
0.62
" Modifications to model parameters, including absorption rate constant and fraction unbound to plasma protein, were made to recover the observed change in the PKs of olanzapine and samidorphan in individuals with moderate hepatic impairment."( Using physiologically-based pharmacokinetic modeling for predicting the effects of hepatic impairment on the pharmacokinetics of olanzapine and samidorphan given as a combination tablet.
Barter, Z; Rowland Yeo, K; Sun, L; von Moltke, L, 2021
)
0.62
"25% (w/v) HP-β-CD, with absolute bioavailability of 76."( Effect of Different Absorption Enhancers on the Nasal Absorption of Nalmefene Hydrochloride.
Han, X; Li, M; Nie, G; Zhang, T; Zheng, A, 2022
)
0.72

Dosage Studied

Dogs were randomly allocated (6 dogs/group) to receive 1 of 2 oral dosing regimens of methadone-fluconazole-naltrexone. A taste of alcohol and a series of alcohol-related pictures, neutral beverage pictures, and visual control images were provided to volunteers after 7 days of double-blind randomly assigned daily dosing. No change was observed in the rate of naltrex one disposition during chronic dosing vs. acute.

ExcerptRelevanceReference
"Neonatal mice were injected once daily with d,l-methadone in a dosage of 2 mg/kg."( Inhibition by d,l-methadone of RNA and protein synthesis in neonatal mice: antagonism by naloxone or naltrexone.
Hui, FW; Krikun, E; Smith, AA, 1978
)
0.26
"In a controlled double-blind clinical study, 42 patients reported side effects and severity of side effects to naltrexone on three different first-day doses and maintenance dosage regimens."( Controlled clinical study of naltrexone side effects comparing first-day doses and maintenance regimens.
Brahen, LS; Capone, T; Heller, RC; Landy, HJ; Lewis, MJ; Linden, SL, 1978
)
0.26
" Naltrexone appears to be a safe, nontoxic medication in the dosage range examined."( Naltrexone: physiological and psychological effects of single doses.
Charuvastra, VC; Gritz, ER; Jarvik, ME; Schlesinger, J; Shiffman, SM, 1976
)
0.26
" Dosage forms of small implantable cylinders, 1/16'' diameter, (25 mg/rod, one rod/mouse) containing 33% by weight naltrexone pamoate in 90 L(+)/10 polylactic/glycolic acid have sustained the delivery of chemical for 20 days."( Development of polylactic/glycolic acid delivery systems for use in treatment of narcotic addiction.
Howes, JF; Schwope, AD; Wise, DL, 1976
)
0.26
" These studies were carried out with a twice-a-day dosage regimen."( Naltrexone and cyclazocine. A controlled treatment study.
Brahen, LS; Capone, T; Desiderio, D; Wiechert, V, 1977
)
0.26
" Thus far, the most useful of several dosage forms studied is a suspension in an aluminum monostearate gel."( Long-acting narcotic antagonist complexes.
Gray, AP; Guardina, WJ, 1976
)
0.26
" We have demonstrated that the polypeptides can be fabricated into dosage forms that are amenable to administration by trochar."( Use of synthetic polypeptides in the preparation of biodegradable delivery vehicles for narcotic antagonists.
Arnold, DL; Granchelli, FE; Nelsen, L; Sheth, SG; Sidman, KR; Steber, WD; Strong, P, 1976
)
0.26
" Thus far, the most useful of several dosage forms studied is s suspension in an aluminum monostearate gel."( Long-acting narcotic antagonist complexes.
Gray, AP; Guardina, WJ, 1975
)
0.25
" We have demonstrated that the polypeptides can be fabricated into dosage forms that are amenable to administration by trochar."( Use of synthetic polypeptides in the preparation of biodegradable delivery vehicles for narcotic antagonists.
Arnold, DL; Granchelli, FE; Nelsen, L; Sheth, SG; Sidman, KR; Steber, WD; Strong, P, 1975
)
0.25
" Dosage forms of small inplantable cylinders, 1/16 inch diameter, (25 mg/rod, one rod/mouse) containing 33 per cent by weight naltrexone pamoate in 90 L(+)/10 polylactic/glycolic acid have sustained the delivery of chemical for 200 days."( Development of polylactic/glycolic acid delivery systems for use in treatment of narcotic addiction.
Howes, JF; Schwope, AD; Wise, DL, 1975
)
0.25
" At all pretreatment times, the antinociceptive dose-response lines for these kappa agonists were displaced to the right to various degrees in a parallel fashion; an increasing rightward displacement of the U69,593 and bremazocine antinociceptive dose-response lines was observed at 1 and 3 days after a single nor-BNI pretreatment, with a gradual return toward the control level at later times after pretreatment."( Extremely long-lasting antagonistic actions of nor-binaltorphimine (nor-BNI) in the mouse tail-flick test.
Horan, P; Porreca, F; Taylor, J; Yamamura, HI, 1992
)
0.28
" Within regions intermediate between the dorsal posterior, mesencephalic tegmentum and posterior medulla, (-)-nicotine produced biphasic dose-response and time action curves."( Opioid and nicotinic analgesic and hyperalgesic loci in the rat brain stem.
Hamann, SR; Martin, WR, 1992
)
0.28
" A dose-response curve was also made for the mu-opioid receptor agonist, morphine."( Spinal antinociception by Tyr-D-Ser(otbu)-Gly-Phe-Leu-Thr, a selective delta-opioid receptor agonist.
Dickenson, AH; Kalso, EA; McQuay, HJ; Sullivan, AF, 1992
)
0.28
" 1) In the presence of a fixed dose of DPDPE (150 nmol), there was a left shift in the dose-response curve of the mu agonist, with the magnitude of the shifts being greater than those anticipated from a simple additive interaction: PL017 (31-fold) > or = DAMGO (20-fold) > morphine (6."( Isobolographic and dose-response analyses of the interaction between intrathecal mu and delta agonists: effects of naltrindole and its benzofuran analog (NTB).
Malmberg, AB; Yaksh, TL, 1992
)
0.28
" The dextrorphan-trained birds generalized to l-cyclorphan at 10 mg/kg; naltrexone did not alter the l-cyclorphan dose-response curve for this effect."( Discriminative stimulus effects of cyclorphan: selective antagonism with naltrexone.
Bertalmio, AJ; Woods, JH, 1992
)
0.28
" Further investigations need to be done to establish the most appropriate dosage rates for these preparations in ostriches."( Ostrich (Struthio camelus) immobilisation using carfentanil and xylazine and reversal with yohimbine and naltrexone.
Malan, JH; Quandt, SK; Raath, JP, 1992
)
0.28
" catheters, dose-response curves were carried out using the hot plate (HP) test for a number of receptor-preferring opioids."( Characteristics of dose-dependent antagonism by beta-funaltrexamine of the antinociceptive effects of intrathecal mu agonists.
Mjanger, E; Yaksh, TL, 1991
)
0.28
") of a 15 mg naltrexone pellet there was a significant shift to the right of the fentanyl dose-response curves for analgesia and lethality."( Evaluation of receptor mechanism mediating fentanyl analgesia and toxicity.
Jang, Y; Yoburn, BC, 1991
)
0.28
"3 nmol/rat of DADELT II and shifted the dose-response curve to the right, without decreasing the maximum effect."( Behavioural effects of deltorphins in rats.
Angelucci, F; Negri, L; Noviello, V, 1991
)
0.28
" The influence of chronic naltrexone treatment upon the antinociceptive effects of fentanyl was assessed in drug-naive (control) rats and in rats which had received fentanyl in the same dosage schedule as those in drug discrimination experiments."( Paradoxical effect of chronic fentanyl treatment on naltrexone-induced supersensitivity and upregulation.
Ableitner, A; Ayesta, FJ; Emmett-Oglesby, MW; Herz, A; Shippenberg, TS, 1992
)
0.28
" In dose-response studies, beta-FNA antagonized all the actions with similar potencies (ID50 values of 12."( Comparison of naloxonazine and beta-funaltrexamine antagonism of mu 1 and mu 2 opioid actions.
Pasternak, GW; Paul, D; Pick, CG, 1991
)
0.28
" The drug dosage was 50 mg/daily (100 mg/die)."( [The role of opioid antagonists in the treatment of obesity. Results of a clinical trial with naltrexone].
Ardizzone, A; Francesetti, G; Lamberto, M; Mantovan, M; Maurino, M; Meluzzi, A; Molinatti, GM; Novi, RF; Visconti, P,
)
0.13
" In Long-Evans rats, BW942C produced a biphasic dose-response curve for urine output with lower doses increasing and higher doses suppressing output."( Kappa opioid partial agonist activity of the enkephalin-like pentapeptide BW942C based on urination and in vitro studies in humans and animals.
Cone, EJ; Johnson, RE; Su, TP; Vaupel, DB, 1990
)
0.28
" Butorphanol resulted in partial reversal of sedation at both dosage levels."( Reversal of oxymorphone sedation by naloxone, nalmefene, and butorphanol.
Anderson, GI; Doherty, T; Dyson, DH; McDonell, WN,
)
0.13
" Using a cumulative dosing procedure, morphine and naltrexone were tested weekly for effects on rates of responding."( Tolerance and dependence after continuous morphine infusion from osmotic pumps measured by operant responding in rats.
Adams, JU; Holtzman, SG, 1990
)
0.28
" The return to normal naltrexone sensitivity after elimination of the two highest doses suggests that a reliable association between the lower and higher doses in a cumulative dosing procedure can result in conditioned effects to the lower doses."( Enhanced sensitivity to behavioral effects of naltrexone in rats.
Goldberg, SR; Katz, JL; Schindler, CW; Su, TP; Wu, XZ, 1990
)
0.28
" The naltrexone stimulus-generalization curve and dose-response curve for loss of body weight were shifted to the left by IBMX and Ro 20-1724, which produce quasi-withdrawal, but not by papaverine, which does not."( Phosphodiesterase inhibitors potentiate opiate-antagonist discrimination by morphine-dependent rats.
Holtzman, SG, 1989
)
0.28
" However, in mice tested with the naltrexone pellets still implanted, the 15 mg naltrexone pellet was able to shift the dose-response function for morphine analgesia more than 300-fold."( Chronic opioid antagonist treatment: assessment of receptor upregulation.
Lutfy, K; Sierra, V; Yoburn, BC, 1989
)
0.28
" Antinociceptive dose-response curves were constructed for mu ([D-Ala2,NMePhe4,Gly-ol]enkephalin, DAGO; morphine) and delta ([D-Pen2,D-Pen5]enkephalin, DPDPE)-agonists in the absence, and in the presence of the mu non-surmountable antagonist, beta-funaltrexamine (beta-FNA) or the delta-antagonist ICI 174,864 (N,N-diallyl-Tyr-Aib-Aib-Phe-Leu-OH, where Aib is alpha-amino-isobutyric acid)."( Opioid delta-receptor involvement in supraspinal and spinal antinociception in mice.
Heyman, JS; Mosberg, HI; Mulvaney, SA; Porreca, F, 1987
)
0.27
" After drug combinations had been tested, the nicotine dose-response curve was unchanged from its previous values, and naltrexone alone produced no tendency to decrease response rate."( Evidence for opioid mechanisms in the behavioral effects of nicotine.
Coen, KM; Corrigall, WA; Herling, S, 1988
)
0.27
" However, the dose-response curve for naltrexone was not parallel to the morphine or fentanyl dose-response curves."( An analysis of naltrexone and naloxone's possible agonistic actions in the dog.
Martin, WR; Wettstein, JG, 1985
)
0.27
" Throughout the first 3 weeks of life, Sprague-Dawley rats were given daily subcutaneous injections of either 50 mg/kg naltrexone, a dosage that invoked a complete (24 hours/day) receptor blockade, or 1 mg/kg naltrexone, a dosage which intermittently blocked (4-6 hours/day) opioid receptors and exacerbated opioid action; animals injected with sterile water served as controls."( Endogenous opioid systems and the regulation of dendritic growth and spine formation.
Hauser, KF; McLaughlin, PJ; Zagon, IS, 1989
)
0.28
" An inverted-U dose-response curve was obtained."( Pharmacological evidence of a central effect of naltrexone, morphine, and beta-endorphin and a peripheral effect of met- and leu-enkephalin on retention of an inhibitory response in mice.
Baratti, CM; Introini, IB; McGaugh, JL, 1985
)
0.27
" Pretreatment with the opiate receptor antagonist naltrexone resulted in a parallel shift to the right of the dose-response curve for alpha-methyldopa, both for blood pressure and heart rate."( Antagonism by naltrexone of the hypotension and bradycardia induced by alpha-methyldopa in conscious normotensive rats.
de Jong, W; van Giersbergen, PL, 1988
)
0.27
" However, these challenges have been conducted after relatively acute dosing with naltrexone, and tolerance to this antagonism after chronic treatment is possible."( Nontolerance to the opioid antagonism of naltrexone.
Gaspari, J; Kleber, HD; Kosten, TR; Topazian, M, 1985
)
0.27
" In the mouse vas deferens, pre-treatment with beta-FNA (1 X 10(-6)M) produced a similar shift in the dose-response curves for normorphine as in the guinea-pig ileum."( Determination of the receptor selectivity of opioid agonists in the guinea-pig ileum and mouse vas deferens by use of beta-funaltrexamine.
Hayes, AG; Sheehan, MJ; Tyers, MB, 1985
)
0.27
" In the dosage used, naltrexone appears not to be useful in Alzheimer-type dementia."( Effect of naltrexone on senile dementia of the Alzheimer type.
Damasio, AR; Eslinger, PJ; Hyman, BT, 1985
)
0.27
" The dosage of beta-FNA utilized (5 mg/kg) blocked morphine-induced analgesia (2 mg/kg morphine sulfate, SC) for each injection period (i."( beta-Funaltrexamine (beta-FNA) and the regulation of body and brain development in rats.
McLaughlin, PJ; Zagon, IS, 1986
)
0.27
"The effects of the delta-selective antagonist ICI 174864 and naltrexone on the dose-response curves to the mu-selective agonist RX 783006 and D-ala-D-leucine enkephalin (DADL) have been investigated in the rat isolated vas deferens preparation (RVD) set up in Krebs solution containing half the normal Ca++ concentration."( Delta receptors in the rat vas deferens.
Carter, A; Smith, CF, 1986
)
0.27
"Systemic administration of beta-funaltrexamine (beta-FNA) 24 hr before analgesic testing produced approximately a 10-fold parallel shift in the dose-response curves of the prototypic mu agonists morphine, I-methadone, fentanyl and etorphine in the mouse abdominal constriction test."( Use of beta-funaltrexamine to determine mu opioid receptor involvement in the analgesic activity of various opioid ligands.
Hynes, MD; Leander, JD; Reel, JK; Zimmerman, DM, 1987
)
0.27
" The daily dosage of naltrexone recommended for opioid addiction did not cause abnormalities of serum transaminase values in these studies."( Naltrexone hydrochloride (Trexan): a review of serum transaminase elevations at high dosage.
Allen, JI; Atkinson, RL; Knopman, DS; Malcolm, RJ; Mitchell, JE; Morley, JE; Pfohl, DN, 1986
)
0.27
" To determine if these failures were due to inadequate dosage (pharmacokinetic failure) or lack of an inherent pharmacologic effect (pharmacodynamic failure), the present study was conducted with nalmefene (Key Pharmaceuticals, Inc."( The effects of nalmefene, a potent oral opiate antagonist, on exercise-induced bronchospasm.
Christopher, MA; Harman, E; Hendeles, L; Wyzan, D, 1988
)
0.27
" Both antagonists produced large shifts in the dose-response curves to the mu-agonists, morphine and fentanyl, confirming their mu-antagonist activity."( Reversal by beta-funaltrexamine and 16-methyl cyprenorphine of the antinociceptive effects of opioid agonists in the mouse and guinea-pig.
Birch, PJ; Hayes, AG, 1988
)
0.27
"32 days, despite lower clonidine dosage and significantly lower diazepam dosage on the second day."( Opioid withdrawal and naltrexone induction in 48-72 hours with minimal drop-out, using a modification of the naltrexone-clonidine technique.
Bailey, C; Brewer, C; Rezae, H, 1988
)
0.27
" We communicate here findings demonstrating that (a) three different inbred strains of mice possess a clear-cut cycle of melatonin levels in serum, (b) that melatonin administered in the evening enhances primary antibody response (IgM and IgG immunoglobulins) in vivo according to a dose-response behaviour and that (c) the opioid receptors blocker naltrexone antagonizes the immunostimulatory effect of melatonin."( Role of the pineal gland in immunity: II. Melatonin enhances the antibody response via an opiatergic mechanism.
Conti, A; Maestroni, GJ; Pierpaoli, W, 1987
)
0.27
" Any patient who showed cognitive/behavioral improvement on a given dose of naltrexone was then treated with this dosage in a double-blind crossover comparison to placebo."( Naltrexone and Alzheimer's disease.
Adler, J; Corwin, J; Jordan, B; Resnick, R; Rotrosen, JP; Serby, M, 1986
)
0.27
" A dosing schedule of 20 mg q12h was then started and continued for seven days."( Nalmefene: safety and kinetics after single and multiple oral doses of a new opioid antagonist.
Dixon, R; Garg, D; Gentile, J; Howes, J; Hsiao, J; Hsu, HB; Weidler, D, 1987
)
0.27
" Comparisons of dose-response curves and efficacies demonstrated that d-NANM was more similar to PCP in its effectiveness in depressing the flexor and skin twitch reflexes than was l-NANM."( Pharmacologic and reinforcing properties of phencyclidine and the enantiomers of N-allylnormetazocine in the dog.
Risner, ME; Shannon, HE; Vaupel, DB, 1986
)
0.27
" However, the naltrexone was associated with hepatotoxicity when used at this dosage in this population."( High-dose naltrexone therapy and dietary counseling for obesity.
Gannon, M; Hatsukami, D; Levine, AS; Mitchell, JE; Morley, JE; Pfohl, D, 1987
)
0.27
" In the present study naltrexone at a daily dosage of 200 mg did not appear to have efficacy in producing weight loss after eight weeks of treatment."( A controlled trial of naltrexone in obese humans.
Counts, C; Currey, HS; Malcolm, R; O'Neil, PM; Riddle, FE; Sexauer, JD, 1985
)
0.27
" This dosing method produced high plasma naltrexone levels (350 ng/ml) by 1 hr which declined over an implant period of 192 hr (24 ng/ml)."( Pharmacokinetics and pharmacodynamics of subcutaneous naltrexone pellets in the rat.
Cohen, AH; Inturrisi, CE; Yoburn, BC, 1986
)
0.27
" At 30 min, the dose-response curve was shifted to the right."( Chronic stress, aging and morphine analgesia: chronic stress affects the reactivity to morphine in young mature but not old rats.
Girardot, MN; Holloway, FA, 1985
)
0.27
" Although the same organs in males and females within a dosage group were influenced by naltrexone, and usually to a similar degree, a dosage of 1 mg/kg naltrexone often affected different organ systems than the 50 mg/kg dosage."( Opioid antagonist-induced regulation of organ development.
McLaughlin, PJ; Zagon, IS, 1985
)
0.27
" These results show that tumorigenic events are dictated by the duration of opiate receptor blockade rather than the dosage of opiate antagonist, and provide compelling evidence that endogenous opioid systems play a crucial role in neuro-oncogenic expression."( Duration of opiate receptor blockade determines tumorigenic response in mice with neuroblastoma: a role for endogenous opioid systems in cancer.
McLaughlin, PJ; Zagon, IS, 1984
)
0.27
" Repetitive administration of low dosages (3 mg/kg naltrexone, 3 times daily), which blocked the receptor 24 hr/day, increased body and brain development by 31% and 10%, respectively, whereas a cumulative dosage of 9 mg/kg naltrexone given once daily retarded growth."( Naltrexone modulates body and brain development in rats: a role for endogenous opioid systems in growth.
McLaughlin, PJ; Zagon, IS, 1984
)
0.27
" Thus, the interactions between these drugs and the narcotic antagonists allow the classification of the drugs into three groups, based on a marked shift, a moderate shift or no shift in the dose-response curve."( Interactions between narcotic agonists, partial agonists and antagonists evaluated by schedule-controlled behavior.
Harris, RA, 1980
)
0.26
") produced a dose-response curve with a reduced maximum effect."( Relative involvement of receptor subtypes in opioid-induced inhibition of intestinal motility in mice.
Takemori, AE; Ward, SJ,
)
0.13
"3 mg/kg) produced a 3-fold shift to the right of the cyclazocine dose-response curve but did not completely block the cyclazocine-like stimulus effects of either SKF 10,047 or ethylketocyclazocine."( Discriminative stimulus effects of prototype opiate receptor agonists in monkeys.
Holtzman, SG; Teal, JJ, 1980
)
0.26
" A dose-response investigation of morphine's action (5, 10, 15 and 20 mg/kg) in additional animals receiving 10 daily administrations of ECS reveals that a greater tolerance to morphine's motor inhibitory effect than to its analgesic effect results from repeated ECS administration."( Different opioid systems may participate in post-electro-convulsive shock (ECS) analgesia and catalepsy.
Frenk, H; Urca, G; Yitzhaky, J, 1981
)
0.26
" 2 Buprenorphine revealed a bell-shaped dose-response curve for antinociception peaking at approx."( In vivo receptor binding of the opiate partial agonist, buprenorphine, correlated with its agonistic and antagonistic actions.
Dum, JE; Herz, A, 1981
)
0.26
" Naltrexone in a dosage of 1 mg/kg, which blocked morphine-induced analgesia for 4 hr/day, had the opposite effects."( Naltrexone modulates growth in infant rats.
McLaughlin, PJ; Zagon, IS, 1983
)
0.27
"The basis for using narcotic antagonists for the treatment of opiate addiction is discussed briefly, and the chemistry, pharmacology, pharmacokinetics, clinical efficacy, adverse effects, and dosage of naltrexone hydrochloride, an opiate antagonist drug, are reviewed."( Review of naltrexone, a long-acting opiate antagonist.
Crabtree, BL,
)
0.13
" Patients randomly assigned to the gradual group (group G) began 4-mg/wk reduction the Monday of week 9 and reached zero dosage (placebo) the Monday of week 23; patients in the abrupt group (group A) continued to receive 50, 50, and 65 mg until the Monday of week 23, when their dosage was dropped to zero (placebo)."( Methadyl acetate (LAAM) in the treatment of heroin addicts. II. Double-blind comparison of gradual and abrupt detoxification.
Goldstein, A; Inturrisi, CE; Judson, BA, 1983
)
0.27
"0 mg/kg) produced dose-related shifts to the right in the dose-response curves for the discriminative stimulus and rate-decreasing effects of morphine and ethylketazocine without affecting the response produced by meperidine."( Narcotic discrimination in pigeons: antagonism by naltrexone.
Herling, S; Solomon, RE; Valentino, RJ; Woods, JH, 1984
)
0.27
" Our observations indicate that, despite the continuous infusion of a dosage of 5 alpha-dihydrotestosterone that significantly suppresses LH pulse frequency, co-administration of an opiate-receptor antagonist effectively reinstates LH pulse frequency to control levels."( Role of endogenous opiates in the expression of negative feedback actions of androgen and estrogen on pulsatile properties of luteinizing hormone secretion in man.
Ertel, NH; Rogol, AD; Samojlik, E; Veldhuis, JD, 1984
)
0.27
" The highest dosage administered produced transient weight depression and possibly increased resorption."( Reproductive toxicity and teratology evaluations of naltrexone.
Christian, MS, 1984
)
0.27
"From birth to day 21, rat offspring received daily injections of naltrexone at a dosage that blocked morphine-induced analgesia 24 hours a day."( Increased brain size and cellular content in infant rats treated with an opiate antagonist.
McLaughlin, PJ; Zagon, IS, 1983
)
0.27
" Furthermore, we observed that the antagonism between ethanol and naloxone appeared to be competitive in nature since a fixed dose of ethanol (1 g/kg, blood ethanol concentration 60 mg/dl) shifted the naloxone dose-response curve significantly to the right and high doses of the antagonist overcame ethanol's effects."( Ethanol inhibits the naloxone-induced release of luteinizing hormone-releasing hormone from the hypothalamus of the male rat.
Bell, RD; Cicero, TJ; Gerrity, M; Newman, KS; Schmoeker, PF, 1982
)
0.26
" No change was observed in the rate of naltrexone disposition during chronic dosing vs."( The clinical pharmacology of naltrexone: pharmacology and pharmacodynamics.
Verebey, K, 1981
)
0.26
" Maintaining particulate-free products and sterilization methods are two problems with all parenteral dosage forms."( A review of parenteral sustained-release naltrexone systems.
Kincl, FA; Olsen, JL, 1981
)
0.26
" The factors affecting the release of drug from the delivery system were the ratio of cholesterol to naltrexone, drug loading level and surface area to unit volume of dosage form."( An improved long-acting delivery system for narcotic antagonists.
Misra, AL; Pontani, RB, 1981
)
0.26
" At age 14, naloxone reduced the food consumed by all the pretreatment groups, and pretreatment with morphine altered the dose-response curves for feeding modulation induced by naloxone."( Effects of chronic antenatal and postnatal administration of narcotics on naloxone-induced anorexia in preweanling rats.
Aroyewun, OO; Barr, GA, 1983
)
0.27
" Under controlled inpatient conditions established to assess dosage guidelines and to examine specific signs and symptoms of withdrawal, ten (91%) of 11 patients were able to withdraw completely from methadone therapy by the end of a six-day period."( Clonidine and naltrexone. A safe, effective, and rapid treatment of abrupt withdrawal from methadone therapy.
Braverman, P; Charney, DS; Heninger, GR; Kleber, HD; Murburg, M; Redmond, DE; Riordan, CE; Sternberg, DE, 1982
)
0.26
" This insensitivity to morphine satisfied the two pharmacological criteria for tolerance: a parallel shift to the right in the morphine dose-response curve and a reduced effect of the drug at the same brain concentration."( Development of tolerance to the effects of morphine on luteinizing hormone secretion as a function of castration in the male rat.
Cicero, TJ; Meyer, ER; Schmoeker, PF, 1982
)
0.26
"Naltrexone was given to ten opiate-free volunteer subjects following the same dosage schedule used for initiating treatment of opiate-dependent persons."( Aversive effects of naltrexone in subjects not dependent on opiates.
Boukhabza, D; Gillespie, HK; Hollister, LE; Johnson, K, 1981
)
0.26
"01) compared to vehicle level resulted in a shallow dose-response curve across the dose range tested (0."( Nitrous oxide induces feeding in the nondeprived rat that is antagonized by naltrexone.
Czech, DA, 1995
)
0.29
" Then all patients were administered naltrexone at the dosage 50 mg/d orally for 6 months."( Naltrexone treatment restores menstrual cycles in patients with weight loss-related amenorrhea.
Gamba, O; Gastaldi, M; Genazzani, AD; Genazzani, AR; Petraglia, F; Volpogni, C, 1995
)
0.29
", the morphine dose-response curve shifted to the left and the ED50 value of morphine decreased."( Effects of a highly selective nonpeptide delta opioid receptor agonist, TAN-67, on morphine-induced antinociception in mice.
Endoh, T; Misawa, M; Mori, T; Nagase, H; Suzuki, T; Tsuji, M, 1995
)
0.29
" The first dose of naltrexone was given 24 hours before MSC dosing, followed by a second dose at the time of MSC dosing and a third dose 24 hours after MSC administration."( A bioequivalence study of oral controlled-release morphine using naltrexone blockade.
Goldenheim, PD; Grandy, RP; Kaiko, RF; Reder, RF; Sackler, RS, 1995
)
0.29
" Administration of U50,488H (3 mg/kg), in conjunction with several doses of cocaine, did not shift the cocaine dose-response curve."( Assessment of the discriminative stimulus effects of cocaine in the rat: lack of interaction with opioids.
Broadbent, J; Dworkin, SI; Gaspard, TM,
)
0.13
" Dose-response curves were subsequently determined under conditions of no stress, restraint, corticosterone (3 mg/kg, IP), and saline."( Effects of restraint stress and intra-ventral tegmental area injections of morphine and methyl naltrexone on the discriminative stimulus effects of heroin in the rat.
Shaham, Y; Stewart, J,
)
0.13
" The pellets were removed and 24 h later, mice were sacrificed and binding studies were conducted, or mice were tested in analgesia (tail-flick) dose-response studies."( Supersensitivity to opioid analgesics following chronic opioid antagonist treatment: relationship to receptor selectivity.
Chan, K; Davis, T; Duttaroy, A; Shah, S; Yoburn, BC,
)
0.13
" These effects were gone 24 h after dosing in one child, but persisted in the other."( Clinical case report: opiate antagonist and event-related desynchronization in 2 autistic boys.
Klimesch, W; Klingler, D; Lensing, P; Panksepp, J; Pap, V; Schimke, H; Szemes, G, 1995
)
0.29
"5 micrograms), parallel rightward shifts of both morphine and RB 101 (mixed enkephalin-degrading-enzyme inhibitor) dose-response curves, were observed, but the concentration of beta-FNA required to reduce the analgesic responses was about 10 times higher for RB 101 (0."( Assessment of endogenous enkephalins efficacy in the hot plate test in mice: comparative study with morphine.
Noble, F; Roques, BP, 1995
)
0.29
" Although it was possible that the clinical findings in these horses may have resulted from use of an inadequate dosage of carfentanil or xylazine, or both, analysis of the results more likely indicated that domestic and exotic horses may respond differently to carfentanil, and domestic horses may not be a good model for use in studies of carfentanil."( Complications with the use of carfentanil citrate and xylazine hydrochloride to immobilize domestic horses.
Carpenter, JW; Leith, DE; Shaw, ML, 1995
)
0.29
"4 mg/kg) reduced final ratios and an inverted U dose-response relationship was established for the unit heroin doses 12."( Heroin self-administration in rats under a progressive ratio schedule of reinforcement.
Bennett, SA; Roberts, DC, 1993
)
0.29
" This EEG activation was greatly attenuated at DPDPE doses greater than 154 nmol/h, resulting in a U-shaped dose-response curve."( Effects of the delta-opioid agonist, [D-Pen2,D-Pen5]-enkephalin, on fetal lamb EEG.
Cheng, PY; Soong, Y; Szeto, HH; Wu, DL, 1994
)
0.29
" Dose-response curves were generated for both delta 9-THC (i."( Interactions between delta 9-tetrahydrocannabinol and kappa opioids in mice.
Martin, BR; Smith, PB; Welch, SP, 1994
)
0.29
" Case descriptions highlight some of the many changes veterans experienced on nalmefene dosage increases."( A preliminary trial of nalmefene for the treatment of emotional numbing in combat veterans with post-traumatic stress disorder.
Glover, H, 1993
)
0.29
" dose-response studies with TCTAP (mu), naltrindole (delta) and norbinaltorphimine (kappa)."( The role of multiple opioid receptors in the maintenance of stimulation-induced feeding.
Carr, KD; Papadouka, V, 1994
)
0.29
" dose-response studies with TCTAP (mu), norbinaltorphimine (kappa), and naltrindole (delta)."( The role of multiple opioid receptors in the potentiation of reward by food restriction.
Carr, KD; Papadouka, V, 1994
)
0.29
"03 microgram of DAMGO resulting in a steeper dose-response relationship."( Evidence for delta opioid receptor subtypes in rat spinal cord: studies with intrathecal naltriben, cyclic[D-Pen2, D-Pen5] enkephalin and [D-Ala2, Glu4]deltorphin.
Hammond, DL; Stewart, PE, 1993
)
0.29
" Multiple venous blood samples were taken throughout the dosing regimen, and the resulting fentanyl, nalmefene, or naloxone plasma concentrations were determined."( Duration of opioid antagonism by nalmefene and naloxone in the dog: an integrated pharmacokinetic/pharmacodynamic comparison.
Osifchin, E; Veng-Pedersen, P; Waters, SJ; Wilhelm, JA; Zakszewski, TB, 1995
)
0.29
" Dose-response and antagonist testing commenced once stable rates of cocaine SA were achieved."( Lack of involvement of delta-opioid receptors in mediating the rewarding effects of cocaine.
Babovic-Vuksanovic, D; de Vries, TJ; Elmer, G; Shippenberg, TS, 1995
)
0.29
" A naltrexone-insensitive component to beta-endorphin antinociception also was identified in studies which evaluated the ability of the antagonist to shift the beta-endorphin dose-response curve."( Biochemical and pharmacological characterization of multiple beta-endorphinergic antinociceptive systems in the rat periaqueductal gray.
Hawranko, AA; Monroe, PJ; Smith, DJ; Smith, DL, 1996
)
0.29
" Preliminary experiments established the pharmacodynamics and dose-response for NorBNI."( Cardiorespiratory and sleep-wake behavior in developing swine: kappa-opioid influence.
Faltus, RE; Inman, JD; Laferrière, A; Moss, IR, 1995
)
0.29
" When the regenerated cellulose acetate device filled with osmotic filler was implanted in rabbits which were subsequently dosed at day 7 and day 14 post-implant with 150 mg kg(-1) morphine sulphate, the concentration of morphine in the device was only about 10-fold less than that measured in rabbit blood."( Biocompatibility and in vivo morphine diffusion into a placebo morphine-triggered naltrexone delivery device in rabbits.
Fritzinger, BK; Heller, J; Nakayama, GR; Roskos, KV; Tefft, JA, 1995
)
0.29
"8 micrograms carfentanil/kg, the lowest dosage used, was very excited during induction and required intravenous (IV) ketamine to permit safe examination."( Immobilization of black bears (Ursus americanus) with orally administered carfentanil citrate.
Clyde, VL; Ramsay, EC; Sleeman, JM, 1995
)
0.29
" With all opioids, time course experiments showed that this analgesic effect lasted for at least 4 hr, with no untoward effects observed within each dosage range used."( Relative analgesic potency of mu, delta and kappa opioids after spinal administration in amphibians.
Stevens, CW, 1996
)
0.29
" The decreases in labeling index evoked by OGF were blocked by concomitant administration of the opioid antagonist, naloxone (10 mg/kg); naloxone alone at the dosage utilized had no influence on cell replicative processes."( The opioid growth factor, [Met5]-enkephalin, and the zeta opioid receptor are present in human and mouse skin and tonically act to inhibit DNA synthesis in the epidermis.
McLaughlin, PJ; Wu, Y; Zagon, IS, 1996
)
0.29
" Fifteen min after each elk became recumbent, we administered naltrexone HCl (25% of dose intravenously, 75% subcutaneously) dosed at 0 (control), 25, 50, or 100 mg/mg carfentanil; after an additional 15 min of immobilization, controls received 500 mg naltrexone HCl/mg carfentanil."( Efficacy and safety of naltrexone hydrochloride for antagonizing carfentanil citrate immobilization in captive Rocky Mountain elk (Cervus elaphus nelsoni).
Lance, WR; Miller, MW; Wild, MA, 1996
)
0.29
" This regimen of dosing and daily opportunities to drink continued for 30 days."( Naltrexone persistently reduces rats' intake of a palatable alcoholic beverage.
Gardell, LR; Hubbell, CL; Reid, LD, 1996
)
0.29
"In a double-blind placebo-controlled crossover trial 23 autistic children, aged 3-7 years, were treated with a mean daily dosage of 1 mg/kg naltrexone for 4 weeks."( The effects of chronic naltrexone treatment in young autistic children: a double-blind placebo-controlled crossover study.
Buitelaar, JK; van Engeland, H; Willemsen-Swinkels, SH, 1996
)
0.29
"0 mg/kg) if the dosing interval was 10 min, whereas 30."( Opioid antagonist profile of SC nor-binaltorphimine in the formalin paw assay.
Grouhel, A; Wettstein, JG, 1996
)
0.29
"A procedure was employed in the present study to obtain dose-response curves for heroin self-administration within each experimental session."( Within-session determination of dose-response curves for heroin self-administration in rats: Comparison with between-session determination and effects of naltrexone.
Dworkin, SI; Martin, TJ; Sizemore, GM; Smith, JE; Walker, LE, 1996
)
0.29
" In rat, tissue distribution and metabolite plasma concentration-time data were obtained following intravenous bolus dosing of nalmefene."( Disposition of the opioid antagonist, nalmefene, in rat and dog.
Kvalo, LT; Lessor, RA; Mathur, C; Murthy, SS; Wilhelm, JA, 1996
)
0.29
"1-fold leftward shift in the dose-response curve."( Intrathecal Tyr-W-MIF-1 produces potent, naloxone-reversible analgesia modulated by alpha 2-adrenoceptors.
Gergen, KA; Kastin, AJ; Paul, D; Zadina, JE, 1996
)
0.29
" Once rats had acquired the discrimination an ethanol dose-response test was conducted."( The influence of opioid antagonists on the discriminative stimulus effects of ethanol.
Spanagel, R, 1996
)
0.29
" We conclude that no dosage alteration is warranted in elderly patients."( The effect of age on the pharmacokinetics of the opioid antagonist nalmefene.
Bikhazi, GB; Frye, RF; Jallad, NS; Matzke, GR; Wilhelm, JA, 1996
)
0.29
" The parallelism of the dose-response curves indicates activation of a common receptor subtype."( alpha-Adrenoceptor and opioid receptor modulation of clonidine-induced antinociception.
Miranda, HF; Naquira, D; Pinardi, G; Sierralta, F, 1996
)
0.29
" Determining the best dosing strategy has been the goal of recent treatment studies with alcohol-dependent patients."( Dosing issues in the pharmacotherapy of alcoholism.
Mason, BJ, 1996
)
0.29
" The most common adverse effects reported with the use of naltrexone at a dosage of 50 mg/day include nausea and vomiting."( A risk-benefit assessment of naltrexone in the treatment of alcohol dependence.
Berg, BJ; Pettinati, HM; Volpicelli, JR, 1996
)
0.29
"Local perfusion with ibogaine (10(-6) M-10(-3) M) via microdialysis probes in the nucleus accumbens or striatum of rats produced a biphasic dose-response effect on extracellular dopamine levels."( Neuropharmacological characterization of local ibogaine effects on dopamine release.
Berger, SP; Broderick, PA; Hsu, K; Reid, MS; Souza, KH, 1996
)
0.29
" However, because nalmefene will be primarily used in the acute care setting for reversal of opioid-induced effects, it is not likely that these alterations will necessitate a dosage modification."( Effects of liver disease on the disposition of the opioid antagonist nalmefene.
Dixon, R; Frye, RF; Matzke, GR; Rabinovitz, M; Schade, R, 1997
)
0.3
" However, inhibition reached the maximal level only at 50 mM sodium, and typical sigmoidal dose-response curves were obtained only in the presence of 118 mM sodium."( Regulation of mu-opioid receptor in neural cells by extracellular sodium.
Medzihradsky, F; Yabaluri, N, 1997
)
0.3
" At 7 weeks of age, dose-response curves were obtained with morphine (10, 31."( Influence of chronic prenatal and postnatal administration of naltrexone in locomotor activity induced by morphine in mice.
Luján Estrada, M; Medina Jiménez, M; Rodríguez, R, 1997
)
0.3
" Antagonist dose-response curves were plotted."( 5-HT spinal antinociception involves mu opioid receptors: cross tolerance and antagonist studies.
Freeman, J; Gent, JP; Goodchild, CS; Guo, Z, 1997
)
0.3
"5 g/kg) inhibited naltrexone-induced stimulation of testosterone secretion and shifted the naltrexone dose-response curve to the right."( Interactions between alcohol- and opioid-induced suppression of rat testicular steroidogenesis in vivo.
Adams, ML; Cicero, TJ; Meyer, ER, 1997
)
0.3
" Little information seems to have been collected regarding the most effective dosing regimen for reducing alcohol craving and consumption, and the usefulness of opiate antagonists in the prevention of alcohol dependence in nonaddicts, rather than just as a treatment agent in addicted individuals, also deserves further study."( Naltrexone effects on ethanol drinking acquisition and on established ethanol consumption in C57BL/6J mice.
Dorow, JD; Phillips, TJ; Wenger, CD, 1997
)
0.3
" The present study provides systematic dose-response analyses indicating that NTX elicited optimal enhancement of morphine's antinociceptive potency in mice when co-administered (i."( Ultra-low doses of naltrexone or etorphine increase morphine's antinociceptive potency and attenuate tolerance/dependence in mice.
Crain, SM; Shen, KF, 1997
)
0.3
" In dose-response studies, 3-methoxynaltrexone (2."( 3-Methoxynaltrexone, a selective heroin/morphine-6beta-glucuronide antagonist.
Brown, GP; Chang, A; King, MA; Leventhal, L; Pasternak, GW; Rossi, GC; Yang, K, 1997
)
0.3
" Females received daily injections of 50 mg/kg naltrexone (NTX), a dosage found to block opioids from interacting with opioid receptors for 24 h, throughout pregnancy."( Chronic exposure to the opioid antagonist naltrexone during pregnancy: maternal and offspring effects.
Lang, CM; McLaughlin, PJ; Tobias, SW; Zagon, IS, 1997
)
0.3
" The usual dosage is 50 mg per day."( Naltrexone for the treatment of alcoholism.
Alpert, N; Ciraulo, AM; Franko, KJ, 1997
)
0.3
" The formulation prepared from tablets provides flexible dosing in patients undergoing rapid withdrawal from methadone."( Formulation and stability of naltrexone oral liquid for rapid withdrawal from methadone.
Fawcett, JP; Morgan, NC; Woods, DJ, 1997
)
0.3
" In dose-response tests, subjects rarely responded on the U-50,488H-appropriate key when morphine was administered or on the morphine-appropriate key when they received U-50,488H."( Establishing morphine and U-50,488H as discriminative stimuli in a three-choice assay with pigeons.
Makhay, MM; Poling, A; Young, AM, 1998
)
0.3
" Dose-response curves for 1DMe in the presence of naltrindole or naltrexone, delta- and mu-opioid selective antagonists respectively, indicate that 1DMe preferentially reversed mu-receptor-mediated but increased delta-receptor-mediated analgesia."( Differential modulation of mu- and delta-opioid antinociception by neuropeptide FF receptors in young mice.
Desprat, C; Zajac, JM, 1997
)
0.3
" The dissolution parameters were calculated "in vitro", then a correlation model was applied to determine the relationship between these parameters and the "in vivo" pharmacokinetic parameters of Naltrexone at each dosage level and also their degree of association."( [The solubility and in vivo-in vitro correlation of naltrexone].
Lorduy Oses, L; Navarro Guerrero, J; Ruiz Ramirez, JC, 1998
)
0.3
" Nalmefene has been shown to reverse opioid intoxication for as long as 8 h, reducing the need for continuous monitoring of intoxicated patients and repeated dosing of naloxone."( Nalmefene: a long-acting opioid antagonist. Clinical applications in emergency medicine.
Sternbach, G; Varon, J; Wang, DS,
)
0.13
" Twenty-one patients meeting DSM-III criteria for schizophrenia were enrolled; all patients had been stabilized for at least 2 weeks on their dosage of neuroleptic medicine before entering the study."( Naltrexone augmentation of neuroleptics in schizophrenia.
Charney, DS; Glazer, WM; Heninger, GR; Krystal, JH; Petrakis, IL; Price, LH; Sernyak, MJ; Woods, SW, 1998
)
0.3
"), shifted the dose-response relationships to the right for each of the antidepressant agents (dothiepin, amitriptyline, sibutramine, (+)-oxaprotiline and paroxetine)."( The involvement of the opioidergic system in the antinociceptive mechanism of action of antidepressant compounds.
Gray, AM; Sewell, RD; Spencer, PS, 1998
)
0.3
" In particular, issues addressed include alternative dosage regimens, necessary duration of treatment, employment of medications in combination, integration of pharmacologic agents with behavioral interventions, enhancement of patient compliance, and concurrent treatment of psychiatric comorbidity."( Advances in development of medications for alcoholism treatment.
Allen, JP; Litten, RZ, 1998
)
0.3
" We conclude that, due to behavioral, neurochemical, or other factors, individuals with both alcohol and cocaine use disorders are distinct from those dependent on alcohol alone, and that NTX at a dosage of 50 mg/day is not efficacious in this patient population."( Naltrexone treatment of comorbid alcohol and cocaine use disorders.
Hersh, D; Kranzler, HR; Van Kirk, JR, 1998
)
0.3
" For patients in maintenance, methadone dosage and clinic policy were the most important factors for retention."( Retention in treatment of heroin users in Italy: the role of treatment type and of methadone maintenance dosage.
Bargagli, AM; D'Ippoliti, D; Davoli, M; Pasqualini, F; Perucci, CA, 1998
)
0.3
" Significant increases in ACTH and cortisol were observed after both antagonists, without an apparent dose-response relationship; however, both doses of nalmefene resulted in greater HPA axis activation than either dose of naloxone (ACTH: p <0."( Nalmefene causes greater hypothalamic-pituitary-adrenal axis activation than naloxone in normal volunteers: implications for the treatment of alcoholism.
Borg, L; Gunduz, M; Ho, A; King, A; Kreek, MJ; Maniar, S; Perret, G; Porter, M; Schluger, JH, 1998
)
0.3
" It is concluded that blockade of the kappa-opioid receptor by nor-binaltorphimine may produce a rightward shift of the unit dose-response relationship of cocaine reward, thus decreasing the sensitivity to cocaine reward."( Kappa-opioid receptor blockade with nor-binaltorphimine modulates cocaine self-administration in drug-naive rats.
Gerrits, MA; Kuzmin, AV; Van Ree, JM, 1998
)
0.3
" In the presence of the opioid receptor antagonists, naloxone or naltrindole, the resulting nefopam dose-response relationships were shifted to the right."( The involvement of opioidergic and noradrenergic mechanisms in nefopam antinociception.
Gray, AM; Nevinson, MJ; Sewell, RD, 1999
)
0.3
" Thus, under similar motivational and dosing conditions, the opiate antagonist attenuated the reinforcing, but not the discriminative properties of ethanol, suggesting that the latter is mediated by either different or additional neural mechanisms in C57BL/6 mice."( Naltrexone effects on ethanol reward and discrimination in C57BL/6 mice.
Cuison, ER; Groseclose, CH; Kelley, BM; Middaugh, LD, 1999
)
0.3
" This study was designed to determine the dose-response relation for nalmefene for the prevention of morphine-related side effects in patients receiving intravenous patient-controlled analgesia."( Effects of prophylactic nalmefene on the incidence of morphine-related side effects in patients receiving intravenous patient-controlled analgesia.
Chehade, J; Duffy, L; Gajraj, N; Johnson, ER; Joshi, GP; Wesevich, J, 1999
)
0.3
" Naltrexone, an opioid receptor antagonist, was administered to three female patients with Borderline Personality Disorder in a dosage of 50 mg (q."( [Treatment of dissociative symptoms in borderline patients with naltrexone].
Böhme, R; Bohus, M; Schmahl, C; Stiglmayr, C, 1999
)
0.3
" The 2 d agonist exposure (1 microM) caused a shift in the U69,593 dose-response curve that was greater in the potassium-stimulated paradigm (140-fold) than in the spontaneous release assay (sixfold)."( kappa-Opioid tolerance and dependence in cultures of dopaminergic midbrain neurons.
Dalman, FC; O'Malley, KL, 1999
)
0.3
" with a placebo or 15 mg naltrexone pellet for 8 days, the pellets removed and 24 hr later opioid receptor density (mu, delta) and receptor mRNA level (mu) determined in whole brain; or morphine dose-response studies conducted."( Opioid receptor upregulation in mu-opioid receptor deficient CXBK and outbred Swiss Webster mice.
Carroll, J; Chen, B; Duttaroy, A; Sehba, F; Shah, S; Shen, J; Yoburn, BC, 1999
)
0.3
" Tachyphylaxis was infrequent (6/50), occurred late, and could be counterbalanced by raising the dosage in 2 patients."( Efficacy and safety of naltrexone, an oral opiate receptor antagonist, in the treatment of pruritus in internal and dermatological diseases.
Beissert, S; Luger, T; Metze, D; Reimann, S, 1999
)
0.3
"5 mg kg-1) and the time point at which nociceptive responses were recorded (30 min after the administration of the drug) were chosen on the basis of dose-response (0."( Preweanling naltrindole administration differentially affects clonidine induced antinociception and plasma adrenaline levels in male and female neonatal rats.
Aguilar, A; Alberti, I; Alguacil, LF; Caamaño, M; Fernández, B; Romero, EM; Viveros, MP, 1999
)
0.3
" Inclusion of a fixed dose of 3-O-methylnaltrexone significantly shifted the analgesic dose-response curves for 6-acetylmorphine and heroin without altering the morphine dose-response curves."( Antagonism of heroin and morphine self-administration in rats by the morphine-6beta-glucuronide antagonist 3-O-methylnaltrexone.
Izzo, E; King, M; Koob, GF; Pasternak, GW; Walker, JR, 1999
)
0.3
" Diazoxide (2 microg/mouse) shifted morphine's dose-response curve 47-fold, while levcromakalim (0."( ATP-gated K(+) channel openers enhance opioid antinociception: indirect evidence for the release of endogenous opioid peptides.
Lohmann, AB; Welch, SP, 1999
)
0.3
" The dose-response of intrathecal morphine (1-320 microg) for both scratching and antinociception in all subjects was established."( An experimental itch model in monkeys: characterization of intrathecal morphine-induced scratching and antinociception.
Ko, MC; Naughton, NN, 2000
)
0.31
" Pretreatment with nalmefene (32 microg/kg subcutaneously) produced approximately 10-fold rightward shifts of intrathecal morphine dose-response curves for both behavioral effects."( An experimental itch model in monkeys: characterization of intrathecal morphine-induced scratching and antinociception.
Ko, MC; Naughton, NN, 2000
)
0.31
" TAPA dose-response curve for antinociception."( Selective antagonism by naloxonazine of antinociception by Tyr-D-Arg-Phe-beta-Ala, a novel dermorphin analogue with high affinity at mu-opioid receptors.
Hayashi, T; Kisara, K; Kutsuwa, M; Sakurada, C; Sakurada, S; Sakurada, T; Sato, T; Takeda, S; Tan-No, K; Yuki, M, 2000
)
0.31
" Electroacupuncture enhanced the antinociceptive effect of intrathecal endomorphin-1 in the formalin test, resulting in a significant leftward shift in the dose-response curves for intrathecal endomorphin-1 antinociception."( Electroacupuncture potentiates the antinociceptive effect of intrathecal endomorphin-1 in the rat formalin test.
Hao, S; Iwasaki, H; Takahata, O, 2000
)
0.31
" Concomitant administration of naloxone (10 mg/kg) with OGF blocked the inhibition of DNA synthesis; naloxone alone at the dosage utilized had no effect on cell labelling."( The opioid growth factor, [Met5]-enkephalin, inhibits DNA synthesis during recornification of mouse tail skin.
Lang, CM; McLaughlin, PJ; Wilson, RP; Zagon, IS, 2000
)
0.31
" The relative paucity of dose-response studies on naltrexone's effects in treating alcoholics is an important gap in the literature."( Neuropharmacological treatments for alcoholism: scientific basis and clinical findings.
Ait-Daoud, N; Johnson, BA, 2000
)
0.31
" An optimal dosage regimen is critical for the treatment patient compliance in ambulatory opiate detoxification programs."( Preclinical study of an oral controlled release naltrexone complex in mice.
Alvarez-Fuentes, J; Caraballo, I; Fernández-Arévalo, M; Holgado, MA; Micó, JA; Rojas-Corrales, MO, 2000
)
0.31
" Twenty-four hours later, a morphine dose-response study was conducted (tail flick); or mice were sacrificed and saturation binding studies ([3H]DAMGO) were performed in whole brain."( The effect of nimodipine on opioid antagonist-induced upregulation and supersensitivity.
Lee, SC; Yoburn, BC, 2000
)
0.31
" In contrast, agonist-stimulated coupling was diminished (desensitization), resulting in a substantially flattened morphine dose-response curve."( Calmodulin regulation of basal and agonist-stimulated G protein coupling by the mu-opioid receptor (OP(3)) in morphine-pretreated cell.
Sadée, W; Surratt, CK; Wang, D, 2000
)
0.31
"8 mg/kg) produced a 74-fold increase in the ED(50) of morphine while showing no effect on bremazocine or BW373U86 dose-response curves."( Methocinnamox is a potent, long-lasting, and selective antagonist of morphine-mediated antinociception in the mouse: comparison with clocinnamox, beta-funaltrexamine, and beta-chlornaltrexamine.
Broadbear, JH; Burke, TF; Husbands, SM; Lewis, JW; Sumpter, TL; Traynor, JR; Woods, JH, 2000
)
0.31
" Once rats had acquired the ethanol-saline discrimination, ethanol dose-response tests were conducted with 15-min pretest injections."( Opiate delta-2-receptor antagonist naltriben does not alter discriminative stimulus effects of ethanol.
Carl, K; Garrett, KM; Holloway, FA; Mhatre, MC, 2000
)
0.31
" Naltrexone attenuated the expression of ethanol place conditioning in a U-shaped dose-response function."( Naltrexone effects on ethanol consumption and response to ethanol conditioned cues in C57BL/6 mice.
Bandy, AL; Middaugh, LD, 2000
)
0.31
") that was inactive against DAMGO, did not affect endomorphin-1-induced antinociception but shifted the dose-response curve of endomorphin-2 3-fold to the right."( Differential antagonism of endomorphin-1 and endomorphin-2 spinal antinociception by naloxonazine and 3-methoxynaltrexone.
Fujimura, T; Hayashi, T; Kastin, AJ; Murayama, K; Sakurada, C; Sakurada, S; Sakurada, T; Takeshita, M; Yonezawa, A; Yuhki, M; Zadina, JE, 2000
)
0.31
" However, since inadequate dosing and other modifiable factors may limit its deterrent effects, the identification of a more potent metabolite of disulfiram appears to warrant further evaluation."( Pharmacotherapy of alcoholism: gaps in knowledge and opportunities for research.
Kranzler, HR,
)
0.13
" In adults, results found with the use of naltrexone in eating disorders are different, when considering the duration and the dosage of the treatment and the kind of eating disorder (bulimia, binge eating or anorexia nervosa)."( Opiate antagonists in children and adolescents.
Chabane, N; Leboyer, M; Mouren-Simeoni, MC, 2000
)
0.31
"1 times more potent during acute and chronic CO, and the E(max) values of the dose-response curves increased 35% during inflammation."( Intestinal inflammation enhances the inhibitory effects of opioids on intestinal permeability in mice.
Pol, O; Puig, MM; Valle, L, 2001
)
0.31
" NTB (30 nM) shifted the dose-response curve of DAMGO to the right and attenuated the maximal effect."( Pharmacological effects of naltriben as a ligand for opioid mu and kappa receptors in rat cerebral cortex.
Cho, KP; Kim, KW; Shin, BS; Son, Y, 2001
)
0.31
" Daily dosing clearly is effective in reducing intakes, and suspension of dosing leads to higher intakes."( Research with rats germane to medication for alcoholism: consequences of noncompliance.
Boedeker, KL; Douglass, AV; Hubbell, CL; Reid, LD; Reid, ML, 2001
)
0.31
" Various dosage forms of nicotine replacement therapy increase smoking quit rates relative to placebo, but they generally do not result in 1-year quit rates of over 20%."( Effect of nonnicotine pharmacotherapy on smoking behavior.
Golding, M; Hatsukami, DK; Jamerson, BD; Kotlyar, M, 2001
)
0.31
"Stimulus control by buprenorphine was maintained throughout the study and was not changed by repeated daily dosing or by an acute injection of large doses of buprenorphine."( Characterization of the discriminative stimulus effects of buprenorphine in pigeons.
Brandt, MR; France, CP; Galici, R, 2002
)
0.31
" Because its pharmacological characterization has not been fully identified, the present study examined whether a dose-response range of general and selective opioid antagonists as well as antisense oligodeoxynucleotide (AS ODN) opioid probes altered daytime feeding over a 4-h time course elicited by dynorphin."( Dynorphin A(1-17)-induced feeding: pharmacological characterization using selective opioid antagonists and antisense probes in rats.
Bodnar, RJ; Grossman, HC; Hadjimarkou, MM; Pasternak, GW; Rossi, GC; Silva, RM, 2002
)
0.31
" Anesthesia was rapidly and completely reversed by intravenous injections of naltrexone at 30 times the THAI dosage (0."( Anesthesia of boma-captured Lichtenstein's hartebeest (Sigmoceros lichtensteinii) with a combination of thiafentanil, medetomidine, and ketamine.
Bush, M; Citino, SB; Grobler, D; Lance, W, 2002
)
0.31
" and co-administration of 3-methylnaltrexone shifted the dose-response curves for endomorphin-2 induced antinociception to the right by 4-fold."( Differential antagonism of endomorphin-1 and endomorphin-2 supraspinal antinociception by naloxonazine and 3-methylnaltrexone.
Fujimura, T; Hayashi, T; Kastin, AJ; Murayama, K; Sakurada, C; Sakurada, S; Sakurada, T; Sato, T; Takeshita, M; Yonezawa, A; Yuhki, M; Zadina, JE, 2002
)
0.31
"01) extension indicates an appropriate dosage of our treatment for this experiment."( Efficacy of naltrexone on acetylcholine-induced alloknesis in atopic eczema.
Groene, D; Heyer, G; Martus, P, 2002
)
0.31
" Antinociceptive dose-response curves were constructed for spinal Delta(9)-THC and WIN 55,212-2 in prodynorphin knock-out mice and in wild-type littermates."( Dynorphin-independent spinal cannabinoid antinociception.
Gardell, LR; Lai, J; Ossipov, MH; Porreca, F; Vanderah, TW, 2002
)
0.31
" Additional preclinical and clinical work is warranted to identify dosing strategies that ensure adequate drug levels while reducing the possibility of developing tolerance to naltrexone."( Advances in the use of naltrexone: an integration of preclinical and clinical findings.
Froehlich, JC; O'Malley, SS, 2003
)
0.32
" However, injection of nifedipine into the vPAG potentiated the antinociceptive effect of endomorphin-1, producing a significant leftward shift in the dose-response curve of endomorphin-1 in both the tail-flick and tail-pressure tests."( Nifedipine potentiates the antinociceptive effect of endomorphin-1 microinjected into the periaqueductal gray in rats.
Cousins, MJ; Fink, DJ; Hao, S; Iwasaki, H; Mamiya, K; Mata, M; Takahata, O, 2003
)
0.32
" Using three human cancer cell lines: MIA PaCa-2 pancreatic adenocarcinoma, HT-29 colon adenocarcinoma, and CAL-27 squamous cell carcinoma of the head and neck, and OGF and the opioid antagonist naltrexone (NTX) at a dosage (10(-6)M) selected because it is known to repress or increase, respectively, cell replication, the effects on apoptosis (TUNEL, Annexin V) and necrosis (trypan blue) were investigated on days 2, 5, and 7 of exposure."( Opioids and the apoptotic pathway in human cancer cells.
McLaughlin, PJ; Zagon, IS, 2003
)
0.32
" COMBINE incorporates a number of innovative design aspects, including a no-pill psychotherapy-alone condition, behavioral interventions that are both manual-guided and individualized, and pharmacotherapy dosing that is greater than in some previous trials."( Testing combined pharmacotherapies and behavioral interventions in alcohol dependence: rationale and methods.
, 2003
)
0.32
" Patients were trained to develop personal cues as dosing reminders."( Medication compliance feedback and monitoring in a clinical trial: predictors and outcomes.
Cramer, J; Kirk, G; Krol, W; Krystal, J; Rosenheck, R,
)
0.13
" 5-HT-evoked scratching was significantly reduced by systemic administration of the opiate antagonist naltrexone but was not affected by systemic morphine at a dosage (3 mg/kg) that induces analgesia."( Opioid modulation of scratching and spinal c-fos expression evoked by intradermal serotonin.
Carstens, E; Carstens, MI; Cuellar, JM; Moore, JA; Nojima, H; Simons, CT, 2003
)
0.32
" However, combined oral dosing of nalmefene and subthreshold doses of AM251, a cannabinoid CB1 receptor inverse agonist, led to a significant reduction in food intake in both lean and diet-induced obese (DIO) mice."( Synergistic effects of cannabinoid inverse agonist AM251 and opioid antagonist nalmefene on food intake in mice.
Chen, RZ; Fong, TM; Huang, RR; MacNeil, DJ; Shen, CP, 2004
)
0.32
" Experiment 3 confirmed the differential involvement of micro and delta receptors in ethanol intake through a more comprehensive dose-response analysis of beta-FNA and naltrindole."( Social learning about ethanol in preweanling rats: role of endogenous opioids.
Hallmark, RA; Hunt, PS, 2004
)
0.32
" Naltrexone produced significant and surmountable dose-dependent rightward shifts in the morphine dose-response curves for both groups, but did not differ in potency across diets."( Naltrexone antagonism of morphine antinociception in sucrose- and chow-fed rats.
D'Anci, KE; Kanarek, RB, 2004
)
0.32
" Thirty patients were randomized to treatment with injectable naltrexone (400 mg; n = 25) or a matching placebo injection (n = 5) and were dosed once every 28 days over 4 months."( A pilot evaluation of the safety and tolerability of repeat dose administration of long-acting injectable naltrexone (Vivitrex) in patients with alcohol dependence.
Ait-Daoud, N; Aubin, HJ; Ehrich, E; Guzzetta, R; Johnson, BA; Loewy, J; Silverman, B; Van Den Brink, W, 2004
)
0.32
" The rapid disappearance from human plasma of dolasetron given intravenously and its virtual absence after oral dosage are explained by its liability to reduction by several enzymes, including CR which shows widespread expression in human tissues."( Carbonyl reduction of naltrexone and dolasetron by oxidoreductases isolated from human liver cytosol.
Breyer-Pfaff, U; Nill, K, 2004
)
0.32
" These two compounds also exhibited nanomolar potencies in dose-response experiments performed on wild-type, M262T, Y308H, and C328R CAM receptors."( Inverse agonism and neutral antagonism at wild-type and constitutively active mutant delta opioid receptors.
Befort, K; Décaillot, FM; Filliol, D; Kieffer, BL; Lazarus, LH; Schiller, PW; Schmidhammer, H; Tryoen-Tóth, P, 2005
)
0.33
" However, heroin, but not SNC-80 or U50488, significantly shifted the dose-response curve for THC discrimination to the left."( Involvement of mu-, delta- and kappa-opioid receptor subtypes in the discriminative-stimulus effects of delta-9-tetrahydrocannabinol (THC) in rats.
Goldberg, SR; Solinas, M, 2005
)
0.33
" ICR mice were used to generate full antagonist dose-response curves for naloxone, naltrexone, nalbuphine, and 6beta-naltrexol in blocking acute antinociceptive effects of morphine and precipitating opioid withdrawal in models of physical dependence."( In vivo characterization of 6beta-naltrexol, an opioid ligand with less inverse agonist activity compared with naltrexone and naloxone in opioid-dependent mice.
Bhamidipati, CM; Bilsky, EJ; Blair, JR; Lowery, JJ; Paolino, RM; Raehal, KM; Sadée, W; Wang, D, 2005
)
0.33
" Thus, dosage adjustement is not required in the presence of advanced dialysis-dependant renal failure."( Pharmacokinetics and dialysability of naltrexone in patients undergoing hemodialysis.
Azar, R; Bah, S; Brunet, C; Dine, T; Dupin-Spriet, T; Gressier, B; Kambia, NK; Luyckx, M; Odou, P,
)
0.13
"Naltrexone is an effective medication for treatment of alcohol dependence, but its efficacy is limited by lack of adherence to the oral dosage form."( Pharmacokinetics, safety, and tolerability of a depot formulation of naltrexone in alcoholics: an open-label trial.
Cello, R; Galloway, GP; Koch, M; Smith, DE, 2005
)
0.33
" Steady state was achieved rapidly, and after repeated dosing for 3 days, methylnaltrexone decreased oral-cecal transit time from a pretreatment baseline value of 101."( Tolerability, gut effects, and pharmacokinetics of methylnaltrexone following repeated intravenous administration in humans.
Charney, MR; Doshan, H; Israel, RJ; Karrison, T; Maleckar, SA; Moss, J; O'connor, M; Yuan, CS, 2005
)
0.33
" In this Phase II dose-ranging study, Oxytrex bid demonstrated greater pain relief with a more convenient dosing schedule compared to oxycodone qid."( Adding ultralow-dose naltrexone to oxycodone enhances and prolongs analgesia: a randomized, controlled trial of Oxytrex.
Burns, LH; Butera, PG; Chindalore, VL; Craven, RA; Friedmann, N; Yu, KP, 2005
)
0.33
" Pharmacokinetics and mu-opioid receptor occupancy of nalmefene after single and repeated dosing over 7 days was studied in 12 healthy subjects."( Prolonged central mu-opioid receptor occupancy after single and repeated nalmefene dosing.
Aalto, S; Hagelberg, N; Hietala, J; Ingman, K; Juhakoski, A; Kallio, A; Karhuvaara, S; Någren, K; Oikonen, V; Scheinin, H, 2005
)
0.33
" Three human cancer cell lines (SK-N-SH neuroblastoma and SCC-1 and CAL-27 squamous cell carcinoma of the head and neck), along with OGF and the opioid antagonist naltrexone (NTX) at a dosage (10(-6) M) known to repress or increase, respectively, cell replication, were utilized."( Opioids and differentiation in human cancer cells.
McLaughlin, PJ; Zagon, IS, 2005
)
0.33
" Data from dose-response studies for acamprosate alone suggest that the augmentation of acamprosate plasma levels by co-administration of naltrexone may have clinical benefits."( Rationale for combining acamprosate and naltrexone for treating alcohol dependence.
Mason, BJ, 2005
)
0.33
" A dose-response study with the selective kappa antagonist nor-binaltorphimine (nor-BNI) showed that a low dose (1."( The dynamic relationship between mu and kappa opioid receptors in body temperature regulation.
Adler, MW; Chen, X; Geller, EB; McClatchy, DB; Tallarida, RJ, 2005
)
0.33
"2 mg/kg) dose-dependently produced parallel rightward shifts of the dose-response curve of alfentanil-induced antinociception."( Differential in vivo potencies of naltrexone and 6beta-naltrexol in the monkey.
Divin, MF; Ko, MC; Lee, H; Traynor, JR; Woods, JH, 2006
)
0.33
"5-5 mg/kg) produced a rightward shift of a heroin dose-response curve, while vigabatrin (75-300 mg/kg), baclofen (0."( Role of opioidergic mechanisms and GABA uptake inhibition in the heroin-induced discriminative stimulus effects in rats.
Filip, M; Krówka, T; Przewłocki, R; Solecki, W,
)
0.13
"0 mg/kg) dose-response and time-course (10, 20, and 30 min) effects in a thermal nociceptive assay, and 2) the ability for the KOP antagonist norBNI (10."( Antinociceptive profile of salvinorin A, a structurally unique kappa opioid receptor agonist.
McCurdy, CR; Nieto, MJ; Smith, GH; Sufka, KJ; Warnick, JE, 2006
)
0.33
"Oral naltrexone is effective in the treatment of alcohol dependence; however, a major limitation of its clinical utility is poor patient adherence to the daily dosing schedule."( Single- and multiple-dose pharmacokinetics of long-acting injectable naltrexone.
Dong, Q; Dunbar, JL; Ehrich, EW; Lasseter, KC; Silverman, BL; Turncliff, RZ, 2006
)
0.33
" In chronic studies, the morphine dosing regimen was adjusted in each strain/sex to produce comparable levels of tolerance."( Influence of low doses of naltrexone on morphine antinociception and morphine tolerance in male and female rats of four strains.
Barrett, AC; Lomas, LM; Negus, SS; Picker, MJ; Terner, JM, 2006
)
0.33
" A dose-response was constructed by administering the delta-receptor opioid methionine-enkephalin-arginine-phenylalanine (MEAP) by microdialysis into the interstitium of the canine sinoatrial node during vagal and sympathetic stimulation."( Vagotonic effects of enkephalin are not mediated by sympatholytic mechanisms.
Barlow, MA; Caffrey, JL; Deo, S; Johnson, S, 2006
)
0.33
" During the treatment period, differential effects on alcohol intake were seen between periadolescent and adult animals: (a) lower doses of NTX were more effective in the periadolescent than the adult P rats, and (b) greater tolerance to repeated dosing was displayed by adult, compared with periadolescent, rats."( Effects of naltrexone on the acquisition of alcohol intake in male and female periadolescent and adult alcohol-preferring (P) rats.
Bell, RL; McBride, WJ; Rodd, ZA; Sable, HJ,
)
0.13
"A variety of factors have been recognized that influence media optimization for drug release studies of implant dosage forms."( Characterization of a potential medium for 'biorelevant' in vitro release testing of a naltrexone implant, employing a validated stability-indicating HPLC method.
Barr, WH; Iyer, SS; Karnes, HT, 2007
)
0.34
" Progenics is conducting clinical trials with three methylnaltrexone dosage forms: subcutaneous, IV and oral."( Methylnaltrexone: MNTX.
, 2006
)
0.33
" In the presence of fixed doses of 1 or 10 microg CTAP, increasing doses of naltrexone produced dose-dependent shifts to the right in the morphine dose-response curve."( In vivo pharmacological resultant analysis reveals noncompetitive interactions between opioid antagonists in the rat tail-withdrawal assay.
Walker, EA, 2006
)
0.33
"Topical application of NTX over a 10,000-fold range of dosage had no overt toxicity for the parameters studied, indicating that efficacy studies for the use of NTX in corneal wound healing are warranted."( Corneal safety of topically applied naltrexone.
Klocek, MS; Mauger, DT; McLaughlin, PJ; Sassani, JW; Zagon, IS, 2006
)
0.33
" Intracerebroventricular 14-methoxymetopon administration rapidly altered ethanol intake per an inverted U-shaped dose-response function, increasing it at a 10 pg dose, while suppressing it at a 10,000-fold higher dose."( 14-Methoxymetopon, a highly potent mu opioid agonist, biphasically affects ethanol intake in Sardinian alcohol-preferring rats.
Cottone, P; Sabino, V; Schmidhammer, H; Steardo, L; Zorrilla, EP, 2007
)
0.34
"OXC at a dosage of 1500-1800 mg/day might be beneficial in terms of alcohol relapse prevention."( High and low dosage oxcarbazepine versus naltrexone for the prevention of relapse in alcohol-dependent patients.
Andreoli, S; Di Nicola, M; Janiri, L; Martinotti, G; Moroni, N; Pozzi, G; Romanelli, R, 2007
)
0.34
" The feeding adaptations were dissociable in onset, across individuals, and in their dose-response to the opioid-receptor antagonist nalmefene, suggesting that they represent distinct palatability-motivated processes."( Opioid-dependent anticipatory negative contrast and binge-like eating in rats with limited access to highly preferred food.
Cottone, P; Sabino, V; Steardo, L; Zorrilla, EP, 2008
)
0.35
"Topically applied NTX is not only feasible, but also effective over a one hundredfold dosage for accelerating corneal wound healing in diabetic subjects."( Topically applied naltrexone restores corneal reepithelialization in diabetic rats.
Klocek, MS; McLaughlin, PJ; Sassani, JW; Zagon, IS, 2007
)
0.34
" Buccal tablets containing NLX may represent a potential alternative dosage form in addiction management."( Release of naltrexone on buccal mucosa: permeation studies, histological aspects and matrix system design.
Campisi, G; De Caro, V; Florena, AM; Giandalia, G; Giannola, LI; Siragusa, MG; Tripodo, C, 2007
)
0.34
"2-20 mg/kg/day), and spinal micro-opioid receptor density was examined, or morphine analgesia dose-response studies were conducted."( Mu-opioid receptor up-regulation and functional supersensitivity are independent of antagonist efficacy.
Kumar, P; Sirohi, S; Yoburn, BC, 2007
)
0.34
" Outcomes for XR-NTX 190 mg (n = 26) were generally intermediate, demonstrating a dose-response effect."( Efficacy of extended-release naltrexone in alcohol-dependent patients who are abstinent before treatment.
Dong, Q; Garbutt, JC; Gastfriend, DR; Kranzler, HR; O'Malley, SS, 2007
)
0.34
"Although statistically significant covariate-parameter relationships were identified, they were not considered clinically meaningful, suggesting that dosing adjustments of XR-NTX based on weight, age, gender, health status, smoking status, creatinine CL, and hepatic function differences should not be necessary."( Population pharmacokinetics of extended-release injectable naltrexone (XR-NTX) in patients with alcohol dependence.
Dunbar, JL; Farrell, CB; Hayes, SC; Turncliff, RZ, 2007
)
0.34
" This study was carried out in order to determine percutaneous absorption of a transdermal codrug of naltrexol, 6-beta-naltrexol-hydroxybupropion codrug (CB-NTXOL-BUPOH), in hairless guinea pigs as well as to evaluate the safety of 6-beta-naltrexol for development as a transdermal dosage form."( In vivo evaluation of a transdermal codrug of 6-beta-naltrexol linked to hydroxybupropion in hairless guinea pigs.
Crooks, PA; Hamad, MO; Hammell, DC; Kiptoo, PK; Paudel, KS; Stinchcomb, AL, 2008
)
0.35
" A dose-response effect was observed, with intermediate results for XR-NTX 190 mg."( Early treatment response in alcohol dependence with extended-release naltrexone.
Ciraulo, DA; Dong, Q; Gastfriend, DR; Pettinati, HM; Silverman, BL, 2008
)
0.35
" Methadone maintenance dosage was generally dispensed daily by registered community pharmacies."( Comparing drug-related hospital morbidity following heroin dependence treatment with methadone maintenance or naltrexone implantation.
Hulse, GK; Ngo, HT; Tait, RJ, 2008
)
0.35
" There was no apparent dose-response above 5mg."( Subcutaneous methylnaltrexone for the treatment of opioid-induced constipation in patients with advanced illness: a double-blind, randomized, parallel group, dose-ranging study.
Galasso, FL; Israel, RJ; Moehl Boatwright, ML; Portenoy, RK; Stambler, N; Thomas, J; Tran, D; Von Gunten, CF, 2008
)
0.35
" In cumulative dosing studies (0."( The effects of herkinorin, the first mu-selective ligand from a salvinorin A-derived scaffold, in a neuroendocrine biomarker assay in nonhuman primates.
Butelman, ER; Kreek, MJ; Prisinzano, TE; Rus, S; Simpson, DS; Wolf, A, 2008
)
0.35
" Further analyses of these data, clinical trial designs and the various dosage forms are necessary to determine the potential role of methylnaltrexone in the treatment of POI."( Methylnaltrexone, a new peripherally acting mu-opioid receptor antagonist being evaluated for the treatment of postoperative ileus.
Kraft, MD, 2008
)
0.35
" Conclusions This case suggests that, in some circumstances, the opioid blockade may be overcome when naltrexone levels drop towards the end of the dosing interval, producing vulnerability to subsequent naltrexone-induced withdrawal."( Precipitated withdrawal during maintenance opioid blockade with extended release naltrexone.
Fishman, M, 2008
)
0.35
"), dose-dependently produced rightward shifts of the dose-response curve of Ro 64-6198-induced antinociception."( Behavioral effects of a synthetic agonist selective for nociceptin/orphanin FQ peptide receptors in monkeys.
Fantegrossi, WE; Galuska, CM; Ko, MC; Prinssen, EP; Wichmann, J; Woods, JH, 2009
)
0.35
"To review the chemistry, pharmacodynamics, pharmacokinetics, clinical efficacy, tolerability, indications, and dosing and administration of methylnaltrexone methobromide, the first approved peripherally selective opioid receptor-antagonist."( Methylnaltrexone methobromide: the first peripherally active, centrally inactive opioid receptor-antagonist.
Guay, DR, 2009
)
0.35
"Methylnaltrexone methobromide is administered into the upper arm, abdomen, or thigh once every other day, with the frequency of dosing being increased, if needed, to a maximum of once daily."( Methylnaltrexone methobromide: the first peripherally active, centrally inactive opioid receptor-antagonist.
Guay, DR, 2009
)
0.35
" Following 14 ethanol consumption sessions during adulthood, a naltrexone dose-response challenge (0-0."( Appetitive motivational experience during adolescence results in enhanced alcohol consumption during adulthood.
Ehlers, CL; Walker, BM, 2009
)
0.35
" The main parameters of single dosing were as follows: t1/2alpha was (0."( [Pharmacokinetics of 6beta-naltrexol after single and multiple intramuscular injections in Beagle dogs].
Cui, MX; Dong, HJ; Gong, ZH; Liu, J; Liu, YS; Yan, LD; Yao, XJ, 2009
)
0.35
"0 mg/kg) attenuated the priming effects of cocaine, shifting the cocaine dose-response function rightward and downward."( Attenuation of cocaine-induced reinstatement of drug seeking in squirrel monkeys: kappa opioid and serotonergic mechanisms.
Platt, DM; Rowlett, JK; Rüedi-Bettschen, D; Spealman, RD, 2010
)
0.36
" The same sequence of experiments was repeated in the isolated heart model using the maximal protective dose of remifentanil from the dose-response studies."( Remifentanil post-conditioning attenuates cardiac ischemia-reperfusion injury via kappa or delta opioid receptor activation.
Irwin, MG; Jiang, LL; Li, R; Wong, GT, 2010
)
0.36
" Also, an analysis of medians was calculated for each of the dosage groupings using Bonett-Price confidence intervals for both raw and adjusted LC-MS-MS values."( Use of an algorithm applied to urine drug screening to assess adherence to an oxycontin regimen.
Couto, JE; Leider, HL; Linden, A; Romney, MC; Webster, L,
)
0.13
"ICR mice were used to generate antagonist dose-response curves with intraperitoneal (i."( In vivo characterization of the opioid antagonist nalmefene in mice.
Bilsky, EJ; Giuvelis, D; Lowery, JJ; Osborn, MD; Skorput, AG, 2010
)
0.36
" Microinjection of dynamin-DN and ConA also decreased the antinociceptive potency of the unlabeled opioid agonist dermorphin when microinjected into the vlPAG as demonstrated by rightward shifts in the dose-response curves."( Opioid receptor internalization contributes to dermorphin-mediated antinociception.
Aicher, SA; Arttamangkul, S; Bobeck, EN; Hegarty, DM; Ingram, SL; Macey, TA; Morgan, MM, 2010
)
0.36
" Sustained release naltrexone seems promising in reducing opioid use, but the extent to which patients remain in treatment beyond the first dosage of naltrexone is not clear."( Retention in naltrexone implant treatment for opioid dependence.
Gossop, M; Hegstad, S; Hjerkinn, B; Kristensen, O; Kunøe, N; Lobmaier, P; Vederhus, JK; Waal, H, 2010
)
0.36
" When subjects who vomited during the 12-hour dosing interval were excluded, the confidence interval for AUC0-t and AUCinf fell within the 80%-125% range, but the lower limit for Cmax was 76."( The relative bioavailability of morphine sulfate and naltrexone hydrochloride extended release capsules (EMBEDA®) and an extended release morphine sulfate capsule formulation (KADIAN®) in healthy adults under fasting conditions.
Boudriau, S; Ciric, S; Johnson, FK; Kisicki, JC; Stauffer, J, 2011
)
0.37
" These findings suggest that medication dosing may be an important consideration in achieving symptom control."( Nalmefene in the treatment of pathological gambling: multicentre, double-blind, placebo-controlled study.
Grant, JE; Hollander, E; Kim, SW; Odlaug, BL; Potenza, MN, 2010
)
0.36
" Plasma samples were collected just before dosing through 72 hours postdose for pharmacokinetic analyses of morphine, and through 168 hours postdose for naltrexone and its major metabolite 6-β-naltrexol."( Food effects on the pharmacokinetics of morphine sulfate and naltrexone hydrochloride extended release capsules.
Boudriau, S; Ciric, S; Johnson, F; Stauffer, J; Swearingen, D, 2010
)
0.36
"The main objective of this study was to investigate thermosensitive Pluronic F-127 (PF-127) hydrogel for the modified release of a potent alcohol and opioid antagonist, naltrexone (NTX) hydrochloride, in a subcutaneous injectable dosage form."( Thermosensitive Pluronic hydrogel: prolonged injectable formulation for drug abuse.
Derakhshandeh, K; Fashi, M; Seifoleslami, S, 2010
)
0.36
"Twenty healthy volunteers received 20, 60 and 120 mg daily doses of hydrocodone dosed to steady-state at each level while under a naltrexone blockade."( Use of an algorithm applied to urine drug screening to assess adherence to a hydrocodone regimen.
Couto, JE; Leider, HL; Linden, A; Romney, MC; Webster, L, 2011
)
0.37
" Plasma fentanyl reached steady state within the 72-hour dosing period and accumulation was approximately 2-fold."( Pharmacokinetics, safety, and tolerability of ascending doses of sublingual fentanyl, with and without naltrexone, in Japanese subjects.
Boyce, M; Eriksson, C; Kilborn, J; Lister, N; Tamaoka, M; Warrington, S, 2011
)
0.37
"A total of 469 subjects on opioids for chronic non-malignant pain with opioid-induced constipation were randomized to methylnaltrexone SC with once daily (QD) or every other day (QOD) dosing or placebo for 4 weeks."( Effect of subcutaneous methylnaltrexone on patient-reported constipation symptoms.
Iyer, SS; Manley, AL; Randazzo, BP; Schulman, SL; Tzanis, EL; Wang, W; Zhang, H, 2011
)
0.37
" Differences in change from baseline in abdominal symptoms and pain scores between the methylnaltrexone SC QD or QOD dosing arms and placebo were not significant."( Effect of subcutaneous methylnaltrexone on patient-reported constipation symptoms.
Iyer, SS; Manley, AL; Randazzo, BP; Schulman, SL; Tzanis, EL; Wang, W; Zhang, H, 2011
)
0.37
"The results of our study indicate significant improvement in constipation symptoms with methylnaltrexone QD or QOD dosing compared to placebo without a significant effect on pain scores."( Effect of subcutaneous methylnaltrexone on patient-reported constipation symptoms.
Iyer, SS; Manley, AL; Randazzo, BP; Schulman, SL; Tzanis, EL; Wang, W; Zhang, H, 2011
)
0.37
" Patients of the group 1 received naltrexone (N) in dosage 50 mg/day and fluoxetine (F) in dosage 20 mg/day during 6 months."( [Naltrexone and fluoxetine for maintenance of remission in patients with heroin addiction: a double-blind randomized placebo-controlled trial].
Bespalov, AIu; Burakov, AM; Didenko, TIu; Egorova, VIu; Grineneko, AIa; Ivanova, EB; Krupitskiĭ, EM; Masalov, DV; Neznanov, NG; O'Brien, C; Romanova, TN; Tsoĭ-Podosenin, MV; Verbitskaia, EV; Woody, D; Zvartau, EE, 2010
)
0.36
" Administration of a low dosage of NTX (LDN) blocks endogenous opioids from opioid receptors for a short period of time (4-6 h) each day, providing a window of 18-20 h for the upregulated opioids and receptors to interact."( The opioid growth factor (OGF) and low dose naltrexone (LDN) suppress human ovarian cancer progression in mice.
Donahue, RN; McLaughlin, PJ; Zagon, IS, 2011
)
0.37
" We proposed a systematic classification scheme using FDA-approved drug labeling to assess the DILI potential of drugs, which yielded a benchmark dataset with 287 drugs representing a wide range of therapeutic categories and daily dosage amounts."( FDA-approved drug labeling for the study of drug-induced liver injury.
Chen, M; Fang, H; Liu, Z; Shi, Q; Tong, W; Vijay, V, 2011
)
0.37
" Mice with established ovarian tumors and treated with a low dosage of NTX (LDN), which invokes a short period of opioid receptor blockade, repressed tumor progression in a non-toxic fashion by reducing DNA synthesis and angiogenesis but not altering cell survival."( Low-dose naltrexone suppresses ovarian cancer and exhibits enhanced inhibition in combination with cisplatin.
Donahue, RN; McLaughlin, PJ; Zagon, IS, 2011
)
0.37
" Dose-response curves were generally quantal under the FR and graded under the FI schedules, but highly variable among subjects under the FI."( Drug discrimination in pigeons trained to discriminate among morphine, U50488, a combination of these drugs, and saline.
Li, M; McMillan, DE; Wessinger, WD, 2011
)
0.37
" Based on conservative extrapolation of data from adult dosing, a methylnaltrexone dosing regimen was selected and the naloxone was weaned over two days in an effort to avoid a relative opioid overdose."( Methylnaltrexone in treatment of opioid-induced constipation in a pediatric patient.
Lee, JM; Mooney, J, 2012
)
0.38
" If an increase in thermal threshold was found, naltrexone administration was repeated at decreasing intervals in the next experiment (all cats were not used for all dosing intervals)."( Use of naltrexone to antagonize high doses of remifentanil in cats: a dose-finding study.
Brosnan, RJ; Ilkiw, JE; Pypendop, BH, 2011
)
0.37
" Of the three high-assurance studies, one used direct supervision of thrice-weekly oral dosing of naltrexone, and two used extended-release injectable formulations of naltrexone administered once per month."( Adherence monitoring in naltrexone pharmacotherapy trials: a systematic review.
Alexander, M; Forman, R; Oslin, DW; Swift, R, 2011
)
0.37
"To evaluate error processing in contrasting opioid treatment samples by finding the relative risk of fatal dosing errors leading to opioid overdose in a controlled cohort of detoxified patients with opioid dependence."( Opioid-dependent error processing.
Fellows-Smith, J,
)
0.13
"Naltrexone increases vulnerability to overdose as enhanced opioid effects following neuroanatomical blockade can reverse behavioral tolerance and lead to greater fatal dosing errors on reinstatement of opioid dependence."( Opioid-dependent error processing.
Fellows-Smith, J,
)
0.13
" In one patient, higher dose of naltrexone resulted in hepatic abnormalities, which resolved after dosage reduction."( Opioid antagonist naltrexone for the treatment of pathological gambling in Parkinson disease.
Arianna, S; Bosco, D; Bosco, F; Colica, C; Consoli, A; Consoli, D; Cristiano, D; Galati, F; Plastino, M; Vecchio, A,
)
0.13
" When rats were co-infused with MOR and NAL, MOR-induced effects were not reversed by either dosage of NAL, and some measures of MOR-induced movement suppression were enhanced by NAL at the 1x dosage."( The role of mu-opioid receptor signaling in the dorsolateral periaqueductal gray on conditional and unconditional responding to threatening and aversive stimuli.
Blair, HT; Halladay, LR, 2012
)
0.38
"Of the 35 adults enrolled in the study, 33 completed at least 1 dosing period."( Dose proportionality and the effects of food on bioavailability of an immediate-release oxycodone hydrochloride tablet designed to discourage tampering and its relative bioavailability compared with a marketed oxycodone tablet under fed conditions: a sing
Bass, A; Leibowitz, M; Pixton, GC; Rolleri, R; Sommerville, KW; Stark, JG; Zamora, CA, 2012
)
0.38
" While the addition of naloxone to oxycodone seems to act by preventing OIC, the intermittent dosing of methylnaltrexone every other day seems to stimulate defaecation by provoking an intestinal withdrawal response."( Non-analgesic effects of opioids: management of opioid-induced constipation by peripheral opioid receptor antagonists: prevention or withdrawal?
Holzer, P, 2012
)
0.38
" MOPr agonist efficacy was evaluated by microinjecting the irreversible opioid receptor antagonist β-funaltrexamine hydrochloride (β-FNA) into the vlPAG prior to a dose-response analysis of morphine and fentanyl antinociception."( Differential development of antinociceptive tolerance to morphine and fentanyl is not linked to efficacy in the ventrolateral periaqueductal gray of the rat.
Bobeck, EN; Haseman, RA; Hong, D; Ingram, SL; Morgan, MM, 2012
)
0.38
" The results suggest that the combination of buprenorphine and naltrexone at an appropriate dosage decreases compulsive cocaine self-administration with minimal liability to produce opioid dependence and may be useful as a treatment for cocaine addiction."( A combination of buprenorphine and naltrexone blocks compulsive cocaine intake in rodents without producing dependence.
Koob, GF; Misra, KK; Schlosburg, JE; Vendruscolo, LF; Wee, S, 2012
)
0.38
" In March 2011, all dosage forms of Embeda® were recalled because the product failed to meet routine stability standards, and its return date to the market is currently unknown."( Will abuse-deterrent formulations of opioid analgesics be successful in achieving their purpose?
Bannwarth, B, 2012
)
0.38
"Nalmefene provides clinical benefit, constitutes a potential new pharmacological treatment paradigm in terms of the treatment goal and dosing regimen, and provides a method to address the unmet medical need in patients with alcohol dependence that need to reduce their alcohol consumption."( Extending the treatment options in alcohol dependence: a randomized controlled study of as-needed nalmefene.
Bladström, A; Gual, A; Mann, K; Torup, L; van den Brink, W, 2013
)
0.39
"The results of the current study of an ER formulation revealed no pharmacokinetic features that would preclude dosing in the elderly."( An open-label pharmacokinetic study of oxymorphone extended release in the presence of naltrexone in the older adult.
Gould, EM; Labhsetwar, S; Nagar, S; Pergolizzi, JV; Raffa, RB; Sinclair, N; Taylor, R,
)
0.13
" Here, we used clinically relevant dosing to examine the effects of maternally administered sustained-release naltrexone on the rat brain by examining offspring at birth and in adulthood."( Maternally administered sustained-release naltrexone in rats affects offspring neurochemistry and behaviour in adulthood.
Dunlop, SA; Farid, WO; Hulse, GK; Krstew, EV; Lawrence, AJ; Tait, RJ, 2012
)
0.38
" This study provides evidence for the efficacy of nalmefene, which constitutes a new pharmacological treatment paradigm in terms of treatment goal (reduced drinking) and dosing regimen (as-needed), in alcohol dependent patients unable to reduce alcohol consumption on their own."( A randomised, double-blind, placebo-controlled, efficacy study of nalmefene, as-needed use, in patients with alcohol dependence.
Gual, A; He, Y; Mann, K; Torup, L; van den Brink, W, 2013
)
0.39
" To test this hypothesis, separate cohorts of male Wistar rats were trained in one of the two animal models of impulsivity: delay-discounting (DD) or stop-signal reaction time (SSRT) tasks, and once stable responding was observed, received intracerebroventricular (ICV) infusions of the KOR agonist U50,488 (0-50 μg) according to a within-subject dosing regimen."( Dissociable effects of kappa-opioid receptor activation on impulsive phenotypes in wistar rats.
Kissler, JL; Walker, BM, 2013
)
0.39
" One way to interpret this pattern of effects is that pretreatment with naloxone appeared to produce a shift in the dose-response curve for METH."( The selective μ opioid receptor antagonist β-funaltrexamine attenuates methamphetamine-induced stereotypical biting in mice.
Fukushima, Y; Hall, FS; Kitanaka, J; Kitanaka, N; Kubo, H; Morita, Y; Nishiyama, N; Sawai, T; Takahashi, H; Takemura, M; Tanaka, K; Tatsuta, T; Uhl, GR; Watabe, K, 2013
)
0.39
" Demographic, clinical, efficacy, and safety data were collected, including; opioid, laxative, and methylnatrexone dosing and frequency."( Methylnaltrexone for opioid-induced constipation in pediatric oncology patients.
Alexander, S; Dupuis, LL; Lau, E; Mattiussi, A; Rodrigues, A; Wong, C, 2013
)
0.39
" At once, daily dosing NTX is systemically absorbed; however, the degree of systemic absorption is not likely to be clinically significant."( Effect of topical naltrexone 0.3% on corneal sensitivity and tear parameters in normal brachycephalic dogs.
Arnold, TS; Powell, CC; Wittenburg, LA, 2014
)
0.4
" Adequate dosage appears important, as low-dose naltrexone resembled the placebo group; opiate positive urines were likely to be followed by dropout from treatment."( Naltrexone treatment for opioid dependence: does its effectiveness depend on testing the blockade?
Bisaga, A; Comer, SD; Glass, A; Levin, FR; Mariani, JJ; Nunes, EV; Sullivan, MA, 2013
)
0.39
" OGF treatment inhibited TNBC cells in a dosage related, receptor mediated, and reversible manner."( Opioid growth factor - opioid growth factor receptor axis inhibits proliferation of triple negative breast cancer.
McLaughlin, PJ; Porterfield, NK; Zagon, IS, 2013
)
0.39
"7, respectively) following dosing compared with MS (Emax 87."( Assessing the subjective and physiological effects of intranasally administered crushed extended-release morphine formulations with and without a sequestered naltrexone core in recreational opioid users.
Goli, V; Levy-Cooperman, N; Mills, C; Setnik, B; Shram, M; Smith, I,
)
0.13
" A distinct dose-response effects of these peptides on cocaine locomotion probably arise from differential functional activation (targeting) of the DOR and MOR by both deltorphins analogs."( Involvement of delta and mu opioid receptors in the acute and sensitized locomotor action of cocaine in mice.
Gibula-Bruzda, E; Izdebski, J; Kotlinska, JH; Witkowska, E, 2013
)
0.39
" Experiment 1 characterised the dose-response profile of mCPP (0."( On the behavioural specificity of hypophagia induced in male rats by mCPP, naltrexone, and their combination.
Rodgers, RJ; Wright, FL, 2014
)
0.4
" This approach is intended to reduce the opioid subjective rewarding effects such as euphoria which are prominent following swallowing the dosage form without tampering."( Sequestered naltrexone in sustained release morphine or oxycodone - a way to inhibit illicit use?
Pergolizzi, JV; Raffa, RB; Taylor, R, 2014
)
0.4
"Although conventional pharmaceuticals have many drug dosage forms on the market, the development of new therapeutic molecules and the low efficacy of instant release formulations for the treatment of some chronic diseases and specific conditions encourage scientists to invent different delivery systems."( Hydrogels composed of cyclodextrin inclusion complexes with PLGA-PEG-PLGA triblock copolymers as drug delivery systems.
Esmaeel, H; Hadizadeh, F; Khodaverdi, E; Mirzazadeh Tekie, FS; Mohajeri, SA; Sajadi Tabassi, SA; Zohuri, G, 2014
)
0.4
" The markedly delayed efficacy of all 3 glial modulatory drugs may prove instructive for interpretation of apparent drug failures after shorter dosing regimens."( Systemic administration of propentofylline, ibudilast, and (+)-naltrexone each reverses mechanical allodynia in a novel rat model of central neuropathic pain.
Ellis, A; Falci, S; Favret, J; Johnson, KW; Maier, SF; Rice, KC; Watkins, LR; Wieseler, J, 2014
)
0.4
"The present results support the continued evaluation of an opioid receptor antagonist combined with a GABAA-positive modulator using more clinically relevant experimental conditions like examining the effect of chronic dosing with these drugs on methamphetamine self-administration."( Separate and combined impact of acute naltrexone and alprazolam on subjective and physiological effects of oral d-amphetamine in stimulant users.
Lile, JA; Marks, KR; Rush, CR; Stoops, WW, 2014
)
0.4
"Experiment 1 examined the dose-response effects of exendin-4 (0."( Behavioural profile of exendin-4/naltrexone dose combinations in male rats during tests of palatable food consumption.
Rodgers, RJ; Wright, FL, 2014
)
0.4
" Factors such as dosing frequency, potential adverse events, and availability of treatments may guide medication choice."( Pharmacotherapy for adults with alcohol use disorders in outpatient settings: a systematic review and meta-analysis.
Amick, HR; Bobashev, G; Feltner, C; Garbutt, JC; Gass, CE; Jonas, DE; Kim, MM; Rowe, CJ; Shanahan, E; Thomas, K; Wines, R, 2014
)
0.4
" As-needed dosage is a novel concept in the addictions field, which may overcome limitations of traditional regimens."( Nalmefene and its use in alcohol dependence.
Bruguera, P; Gual, A; López-Pelayo, H, 2014
)
0.4
"We found no studies that assessed the clinical utility of genotype-guided dosing strategies or genotype-guided medication selection, and none randomized by genotype."( Genetic polymorphisms and response to medications for alcohol use disorders: a systematic review and meta-analysis.
Amick, HR; Feltner, C; Garbutt, JC; Jonas, DE; Rowe, CJ; Shanahan, E; Wines, R, 2014
)
0.4
"3-10 µg/kg/infusion) generated a biphasic dose-response curve, characteristic of drugs with reinforcing properties."( Effects of the NOP agonist SCH221510 on producing and attenuating reinforcing effects as measured by drug self-administration in rats.
Ko, MC; Lagorio, CH; Sukhtankar, DD, 2014
)
0.4
" We compared the efficacy and safety of naltrexone administered daily plus targeted dosing with placebo to reduce drinking in young adults who engage in heavy drinking."( Reduction of alcohol drinking in young adults by naltrexone: a double-blind, placebo-controlled, randomized clinical trial of efficacy and safety.
Corbin, WR; DeMartini, KS; Fucito, LM; Gueorguieva, R; Ikomi, J; Kranzler, HR; Leeman, RF; O'Malley, SS; Romano, DM; Sher, KJ; Toll, BA; Wu, R, 2015
)
0.42
"Six-week old female mice were immunized with MOG35-55 and were injected intraperitoneally with OGF or a low dosage of naltrexone (LDN) beginning at the time of immunization; saline-injected immunized mice served as controls."( Endogenous opioid inhibition of proliferation of T and B cell subpopulations in response to immunization for experimental autoimmune encephalomyelitis.
Magister, MJ; McHugh, DP; McLaughlin, PJ; Zagon, IS, 2015
)
0.42
"Subcutaneous methylnaltrexone (MNTX), dosed based on body weight, is efficacious and well tolerated in inducing bowel movements in patients with advanced illness and opioid-induced constipation (OIC); however, fixed-dose administration of MNTX may improve ease of administration."( Fixed-Dose Subcutaneous Methylnaltrexone in Patients with Advanced Illness and Opioid-Induced Constipation: Results of a Randomized, Placebo-Controlled Study and Open-Label Extension.
Barrett, AC; Bull, J; Forbes, WP; Israel, RJ; Paterson, C; Wellman, CV, 2015
)
0.42
"A secondary descriptive data analysis of demographics, substance use history, current substance use behaviors, health-related variables, and dosing records was conducted on 609 patients who received XR-NTX from Los Angeles County substance use disorder (SUD) treatment facilities from April 2010 through July 2013."( A demonstration project implementing extended-release naltrexone in Los Angeles County.
Barger, J; Cousins, SJ; Crèvecoeur-MacPhail, D; Denering, L; Kim, T; Rawson, RA; Sugita, W; Viernes, J; Weimann, S, 2016
)
0.43
" The OGF-OGFr axis can be activated through exogenous administration of OGF or a low dosage of naltrexone (LDN), an opioid antagonist."( Opioid growth factor and low-dose naltrexone impair central nervous system infiltration by CD4 + T lymphocytes in established experimental autoimmune encephalomyelitis, a model of multiple sclerosis.
Hammer, LA; McLaughlin, PJ; Waldner, H; Zagon, IS, 2016
)
0.43
" Hits were evaluated in direct and orthogonal dose-response counterscreens using a standard recRSV reporter strain expressing Renilla luciferase."( Replication-Competent Influenza Virus and Respiratory Syncytial Virus Luciferase Reporter Strains Engineered for Co-Infections Identify Antiviral Compounds in Combination Screens.
Chung, HK; Lamb, K; Lin, MZ; Plemper, RK; Weisshaar, M; Yan, D, 2015
)
0.42
" MNTX in oral immediate-release (MNTX-IR) and extended-release (MNTX-ER) dosage forms may antagonize the opioid induced delay in oro-cecal transit time (OCT) as measured by using radiolabeled lactulose."( Extended-release but not immediate-release and subcutaneous methylnaltrexone antagonizes the loperamide-induced delay of whole-gut transit time in healthy subjects.
Kolbow, J; Maritz, MA; Modess, C; Oswald, S; Rey, H; Siegmund, W; Wegner, D; Weitschies, W, 2016
)
0.43
"Among the currently available agonist therapies, new dosage forms of buprenorphine can increase patient acceptability and compliance."( Therapies in early development for the treatment of opiate addiction.
Aguilar, MA; Miñarro, J; Rodríguez-Arias, M, 2015
)
0.42
" Its efficacy has been demonstrated in the treatment of alcohol and opioid dependence, but adherence to daily dosing has been recognized as a factor limiting long-term effectiveness."( Naltrexone: Not Just for Opioids Anymore.
Sudakin, D, 2016
)
0.43
" Possible genetic and epigenetic factors, and practical considerations including once-daily dosing also make naltrexone an appealing agent in this population."( Should naltrexone be the first-line medicine to treat alcohol dependence in Aboriginal and Torres Strait Islander populations? An Australian perspective.
Brett, J; Conigrave, K; Doyle, M; Ivers, R; Lawrence, L, 2015
)
0.42
" ECG data were extracted from a continuous recording predose and serially after dosing on the treatment day."( Differentiating the Effect of an Opioid Agonist on Cardiac Repolarization From µ-Receptor-mediated, Indirect Effects on the QT Interval: A Randomized, 3-way Crossover Study in Healthy Subjects.
Bai, SA; Darpo, B; Ferber, G; Finn, A; Xiang, Q; Zhou, M, 2016
)
0.43
"This study developed a stability-indicating reversed-phase HPLC method for the simultaneous determination of morphine sulfate and naltrexone hydrochloride content in bulk, Solid dosage forms and in-vitro dissolution samples to support product development and quality control efforts."( A stability-indicating HPLC method for simultaneous determination of morphine and naltrexone.
Barzin, J; Jafari-Nodoushan, M; Mobedi, H, 2016
)
0.43
" Participants were randomly assigned to receive adjunctive treatment with 2 mg/2 mg of buprenorphine/samidorphan (the 2/2 dosage group), 8 mg/8 mg of buprenorphine/samidorphan (the 8/8 dosage group), or placebo."( Opioid Modulation With Buprenorphine/Samidorphan as Adjunctive Treatment for Inadequate Response to Antidepressants: A Randomized Double-Blind Placebo-Controlled Trial.
Bodkin, JA; de Somer, M; DiPetrillo, L; Du, Y; Ehrich, E; Fava, M; Leigh-Pemberton, R; Memisoglu, A; Silverman, B; Thase, ME; Trivedi, MH, 2016
)
0.43
"Compared with the placebo group, there were significantly greater improvements in the 2/2 dosage group across the three depression outcome measures (HAM-D: -2."( Opioid Modulation With Buprenorphine/Samidorphan as Adjunctive Treatment for Inadequate Response to Antidepressants: A Randomized Double-Blind Placebo-Controlled Trial.
Bodkin, JA; de Somer, M; DiPetrillo, L; Du, Y; Ehrich, E; Fava, M; Leigh-Pemberton, R; Memisoglu, A; Silverman, B; Thase, ME; Trivedi, MH, 2016
)
0.43
"0ng/mL for a one-month period when dosed intramuscular to dogs or minipigs."( Lipophilic nalmefene prodrugs to achieve a one-month sustained release.
Annaert, PP; Atack, JR; Borghys, H; de Vries, R; De Zwart, LL; Embrechts, RC; Gaekens, T; Guillaume, M; Herdewijn, P; Leysen, JE; Megens, AA; Vermeulen, A, 2016
)
0.43
" Plasma samples were analyzed just before dosing through 48 hours postdose for oxycodone, and through 120 hours postdose for naltrexone and its major metabolite, 6-ß-naltrexol."( Effect of food on the pharmacokinetics of oxycodone and naltrexone from ALO-02, an extended release formulation of oxycodone with sequestered naltrexone.
Bramson, C; Gandelman, K; Lamson, M; Malhotra, B; Matschke, K; Salageanu, J, 2015
)
0.42
" From a clinical perspective, these results may provide additional evidence regarding naltrexone's efficacy in the context of acute or subacute dosing regimens."( Effects of naltrexone on alcohol self-administration and craving: meta-analysis of human laboratory studies.
Hendershot, CS; Rehm, J; Samokhvalov, AV; Wardell, JD, 2017
)
0.46
" Furthermore, when dosing was discontinued after ten once-daily doses, all nicotine groups (nicotine-only and nicotine+naloxone combination) demonstrated significant decreases in sucrose reinforcement compared to the saline group."( Nicotine enhancement and reinforcer devaluation: Interaction with opioid receptors.
Kirshenbaum, AP; Phillips, JL; Suhaka, JA; Voltolini de Souza Pinto, M,
)
0.13
"In this phase 3, double-blind trial, adults with chronic noncancer pain receiving opioid doses of ≥ 50 mg/day oral morphine equivalents with OIC were randomly assigned to oral methylnaltrexone (150, 300, or 450 mg) or placebo once daily (QD) for 4 weeks followed by as-needed dosing for 8 weeks."( Randomized, Double-Blind Trial of Oral Methylnaltrexone for the Treatment of Opioid-Induced Constipation in Patients with Chronic Noncancer Pain.
Harper, JR; Israel, RJ; Rauck, R; Slatkin, NE; Stambler, N, 2017
)
0.46
" A significantly greater percentage of patients had an increase in mean percentage of dosing days resulting in an RFBM within 4 hours of dosing during weeks 1 through 4 (QD period; primary endpoint) with methylnaltrexone (300 mg/day [24."( Randomized, Double-Blind Trial of Oral Methylnaltrexone for the Treatment of Opioid-Induced Constipation in Patients with Chronic Noncancer Pain.
Harper, JR; Israel, RJ; Rauck, R; Slatkin, NE; Stambler, N, 2017
)
0.46
"Post-hoc combined analysis of three earlier randomized controlled trials that showed individually that incentives for adherence to oral and to extended-release injection naltrexone dosing schedules increased naltrexone adherence, but not opiate abstinence."( Effects of incentives for naltrexone adherence on opiate abstinence in heroin-dependent adults.
Bigelow, GE; DeFulio, A; Dunn, KE; Everly, JJ; Fingerhood, M; Holtyn, AF; Jarvis, BP; Leoutsakos, JS; Silverman, K; Umbricht, A, 2017
)
0.46
"These results demonstrate the safety, efficacy, and tolerability of low-dose naltrexone, in conjunction with single-day buprenorphine dosing and adjunctive nonopioid medications, for initiating adults with opioid dependence to XR-naltrexone."( Long-Acting Injectable Naltrexone Induction: A Randomized Trial of Outpatient Opioid Detoxification With Naltrexone Versus Buprenorphine.
Bisaga, A; Carpenter, KM; Choi, CJ; Dakwar, E; Levin, FR; Mariani, JJ; Mishlen, K; Nunes, EV; Pavlicova, M; Sullivan, M, 2017
)
0.46
" In the rat, but not the mouse, 2-year carcinogenicity study a change in tumour pattern with an increase in testicular Leydig cell tumours (LCT) was observed after dosing at high (supra-pharmacological) concentrations."( Naloxegol, an opioid antagonist with reduced CNS penetration: Mode-of-action and human relevance for rat testicular tumours.
Andersson, H; Floettmann, E; Johnson, N; Mitchard, T, 2017
)
0.46
" Notably, chronic dosing of oral naltrexone decreases self-administration of cannabis in human laboratory studies."( Open-label pilot study of injectable naltrexone for cannabis dependence.
Brooks, DJ; Choi, CJ; Kelly, MA; Levin, FR; Mahony, AL; Mariani, JJ; Notzon, DP; Pavlicova, M, 2018
)
0.48
" ADFs have been created with chemical properties that make it difficult for people who non-medically use prescription drugs to crush and dissolve opioid tablets, as well as by combining opioids with antagonists such as naloxone or naltrexone, which are released only when the dosage form has been manipulated or the drug is taken by a non-intended route."( Abuse-Deterrent Opioid Formulations: A Key Ingredient in the Recipe to Prevent Opioid Disasters?
Hagemeier, NE; Harirforoosh, S; Salwan, AJ, 2018
)
0.48
" Within a specific dosage window, LDN can act as an immunomodulator in multiple autoimmune diseases and malignant tumors as well as alleviate the symptoms of some mental disorders."( Low-dose naltrexone (LDN): A promising treatment in immune-related diseases and cancer therapy.
Feng, J; Griffin, N; Li, Z; Shan, F; You, Y, 2018
)
0.48
" Expert opinion: Methylnaltrexone has both subcutaneous injection and oral dosage forms available in the market."( Methylnaltrexone bromide for the treatment of opioid-induced constipation.
Abdollahi, M; Mozaffari, S; Nikfar, S, 2018
)
0.48
" Low-dose naltrexone has the potential for the treatment of chronic inflammatory skin conditions; however, additional evidence is needed for dosing and long-term treatment guidelines."( Utility of Naltrexone Treatment for Chronic Inflammatory Dermatologic Conditions: A Systematic Review.
Ekelem, C; Juhasz, M; Khera, P; Mesinkovska, NA, 2019
)
0.51
"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
)
0.51
" A novel polytherapeutic proof-of-principle approach using PXT3003, a low-dose combination of baclofen, naltrexone and sorbitol, slowed disease progression after long-term dosing in adult Pmp22 transgenic rats, a known animal model of CMT1A."( Early short-term PXT3003 combinational therapy delays disease onset in a transgenic rat model of Charcot-Marie-Tooth disease 1A (CMT1A).
Adam, J; Cohen, D; Ewers, D; Hajj, R; Kungl, T; Mroczek, M; Nabirotchkin, S; Nave, KA; Prukop, T; Sereda, MW; Stenzel, J; Wernick, S, 2019
)
0.51
" Three weekly directly observed active or placebo oral naltrexone tablets (2 × 50 mg, Monday and Wednesday; 3 × 50 mg, Friday) at day 0 of study week 1 (for 4 weeks) and then an 8-week regimen of patient-administered dosing at the same dosing level."( Extended-release naltrexone versus standard oral naltrexone versus placebo for opioid use disorder: the NEAT three-arm RCT.
Byford, S; Day, E; Hellier, J; Kelleher, M; Marsden, J; Mayet, S; McLennan, B; Murphy, C; Ryan, E; Shearer, J; Strang, J, 2019
)
0.51
" We examine the feasibility, utility, and acceptability of using smartphones to capture dosing videos from the perspectives of participants and staff."( Medication Adherence Monitoring Using Smartphone Video Dosing in an Open-label Pilot Study of Monthly Naltrexone Plus Once-daily Bupropion for Methamphetamine Use Disorder: Feasibility and Acceptability.
Hillhouse, M; Ling, W; Mooney, L; Perrochet, B; Sparenborg, S; Walker, R,
)
0.13
" BRP was dispensed once weekly for dosing on nonclinic days."( Medication Adherence Monitoring Using Smartphone Video Dosing in an Open-label Pilot Study of Monthly Naltrexone Plus Once-daily Bupropion for Methamphetamine Use Disorder: Feasibility and Acceptability.
Hillhouse, M; Ling, W; Mooney, L; Perrochet, B; Sparenborg, S; Walker, R,
)
0.13
"6% of dispensed doses were confirmed via dosing video and in-person observations."( Medication Adherence Monitoring Using Smartphone Video Dosing in an Open-label Pilot Study of Monthly Naltrexone Plus Once-daily Bupropion for Methamphetamine Use Disorder: Feasibility and Acceptability.
Hillhouse, M; Ling, W; Mooney, L; Perrochet, B; Sparenborg, S; Walker, R,
)
0.13
"The use of smartphones for video-based oral medication dosing in this study provided a feasible and acceptable mechanism to encourage, monitor, and confirm medication adherence."( Medication Adherence Monitoring Using Smartphone Video Dosing in an Open-label Pilot Study of Monthly Naltrexone Plus Once-daily Bupropion for Methamphetamine Use Disorder: Feasibility and Acceptability.
Hillhouse, M; Ling, W; Mooney, L; Perrochet, B; Sparenborg, S; Walker, R,
)
0.13
" Olanzapine and samidorphan pharmacokinetic parameters were determined after OLZ/SAM dosing on days 1 and 22."( A Phase I Open-Label Study to Evaluate the Effects of Rifampin on the Pharmacokinetics of Olanzapine and Samidorphan Administered in Combination in Healthy Human Subjects.
Kumar, V; McDonnell, D; Sun, L; von Moltke, L; Yu, M, 2019
)
0.51
" The dosing schedule of naltrexone hydrochloride in detoxification protocols needs to be flexible to permit precise, customized dose titration for individual patients."( Physicochemical Stability of Compounded Naltrexone Hydrochloride Solutions in PCCA Base SuspendIt.
Bostanian, LA; Graves, RA; Mandal, TK; Morris, TC; Nguyen, AT; Pramar, YV,
)
0.13
" However, respective intragastrical administration of NTX (20 or 40 mg/kg) failed to alter the dose-response curve of METH under fixed ratio 2 program and intraperitoneal injection of METH (1."( Inhibition of naltrexone on relapse in methamphetamine self-administration and conditioned place preference in rats.
Dong, GM; Guo, LK; Li, J; Lu, GY; Ma, CM; Song, R; Wang, ZY; Wu, N; Zhang, RL, 2019
)
0.51
" Emergent themes were: (1) general satisfaction with XR-NTX's long-acting antagonist effects and control of cravings; (2) "testing" XR-NTX's blockade with heroin upon reentry was common; (3) early discontinuation of XR-NTX treatment was most common among persons with high self-efficacy and/or heavy exposure to drug use environments and peers; (4) similar satisfaction regarding effects of methadone and buprenorphine maintenance among retained-in-treatment individuals, alongside general dissatisfaction with daily observed dosing requirements and misinformation and stigmas regarding methadone adverse effects; (5) unstable housing, economic insecurity, and exposure to actively using peers were attributed to early termination of treatment and relapse; (6) individual motivation and willpower as central to long-term opioid abstinence and reentry success."( Perceptions of extended-release naltrexone, methadone, and buprenorphine treatments following release from jail.
Badolato, R; Flannery, M; Garment, AR; Giftos, J; Lee, JD; McDonald, RD; Tofighi, B; Velasquez, M; Vittitow, A, 2019
)
0.51
" Multiple daily doses of olanzapine do not affect the pharmacokinetics of lithium or valproate; therefore, concomitant olanzapine administration does not require dosage adjustment of lithium or valproate."( Combination of Olanzapine and Samidorphan Has No Clinically Significant Effect on the Pharmacokinetics of Lithium or Valproate.
Graham, C; Sun, L; von Moltke, L; Yagoda, S; Yao, B, 2020
)
0.56
" Pharmacokinetic parameters of lithium and valproate, including maximum plasma concentration and area under the plasma concentration-time curve over a 12-h dosing interval, were calculated."( Combination of Olanzapine and Samidorphan Has No Clinically Significant Effect on the Pharmacokinetics of Lithium or Valproate.
Graham, C; Sun, L; von Moltke, L; Yagoda, S; Yao, B, 2020
)
0.56
" absence of OLZ/SAM, were within the equivalence interval of 80-125% for both maximum plasma concentration and area under the plasma concentration-time curve over a 12-h dosing interval of lithium and of valproate."( Combination of Olanzapine and Samidorphan Has No Clinically Significant Effect on the Pharmacokinetics of Lithium or Valproate.
Graham, C; Sun, L; von Moltke, L; Yagoda, S; Yao, B, 2020
)
0.56
"5 mg naltrexone oral dose (SI group) or escalating dosage regimen starting from 50 μg up to a cumulative dose of 12."( Dose Escalation of Naltrexone to Reduce Stress Responses Associated With Opioid Antagonist Induction: A Double-blind Randomized Trial.
Badaras, R; Ivaskevicius, J; Jovaisa, T; Lapinskiene, I,
)
0.13
"5-mg dose, the escalating naltrexone dosing regimen produced no significant increase in stress response and withdrawal scores during antagonist induction."( Dose Escalation of Naltrexone to Reduce Stress Responses Associated With Opioid Antagonist Induction: A Double-blind Randomized Trial.
Badaras, R; Ivaskevicius, J; Jovaisa, T; Lapinskiene, I,
)
0.13
" There was a dose-response association between increasing LDN exposure and reductions in the number of users of antiepileptics, antipsychotics and antidepressants."( Changes in the consumption of antiepileptics and psychotropic medicines after starting low dose naltrexone: A nation-wide register-based controlled before-after study.
Raknes, G; Småbrekke, L, 2019
)
0.51
" Study durations ranged from 3 to 13 weeks, and memantine dosing ranged from 5 to 60 mg/day."( Adjunctive memantine for opioid use disorder treatment: A systematic review.
Brown, JN; Elias, AM; Pepin, MJ, 2019
)
0.51
"This study explores dose-response relationships when treating fibromyalgia with low-dose naltrexone."( Low-Dose Naltrexone for the Treatment of Fibromyalgia: Investigation of Dose-Response Relationships.
Amris, K; Blichfeldt-Eckhardt, MR; Bruun-Plesner, K; Lauridsen, JT; Toft, P; Vaegter, HB, 2020
)
0.56
"This study is the first to explore dose-response relationships in the treatment of fibromyalgia with low-dose naltrexone."( Low-Dose Naltrexone for the Treatment of Fibromyalgia: Investigation of Dose-Response Relationships.
Amris, K; Blichfeldt-Eckhardt, MR; Bruun-Plesner, K; Lauridsen, JT; Toft, P; Vaegter, HB, 2020
)
0.56
" Understanding these pharmacologically driven patterns then guides the judicious choice of drug and dosing schedule and the proactive risk management that is crucial to minimising the risk of death in treatment."( Impact of Pharmacological Treatments for Opioid Use Disorder on Mortality.
Hulse, G; Joyce, D; Kelty, E; Preen, DB, 2020
)
0.56
" Several factors at the individual, interpersonal, and institutional levels, such as concurrent substance use, MOUD adherence, family conflict, and MOUD dosage and flexibility, appeared to have roles in MOUD retention among adolescents and young adults."( Adherence to and Retention in Medications for Opioid Use Disorder Among Adolescents and Young Adults.
Altice, FL; Bromberg, DJ; Nyhan, K; Refsland, BM; Stanojlović, M; Viera, A; Whittaker, S, 2020
)
0.56
"8-fold compared to saline; this effect was similar to that obtained with daily naltrexone injections, demonstrating the formulation efficacy and its ability to reduce dosing frequency."( Bioresponsive nanostructured systems for sustained naltrexone release and treatment of alcohol use disorder: Development and biological evaluation.
Camarini, R; Dartora, VFMC; Lopes, LB; Matos, JKR; Rae, M; Santos, RA, 2020
)
0.56
" These effects appear to unique at low dosage compared to dosage for food and drug administration approved use for alcohol and opioid dependence."( Low-Dose Naltrexone for Chronic Pain: Update and Systemic Review.
Fishman, MA; Kim, PS, 2020
)
0.56
" Buprenorphine's bell-shaped dose-response curve may also result from opposing effects on MOR-μ and MOR-μ*."( Biased Opioid Antagonists as Modulators of Opioid Dependence: Opportunities to Improve Pain Therapy and Opioid Use Management.
Oberdick, J; Sadee, W; Wang, Z, 2020
)
0.56
" XR-NTX appealed to participants due to the autonomy it affords with once-monthly dosing and no physical dependence."( Patients' perspectives on initiating treatment with extended-release naltrexone (XR-NTX).
Desai, A; Gauthier, P; Greco, P; Meyers-Ohki, S; Rotrosen, J, 2021
)
0.62
" Patients may be vulnerable to opioid overdose if they attempt to override the blockade during treatment, at the end of a dosing interval, after missing a dose, or after discontinuing treatment."( Evaluation of Opioid Overdose Reports in Patients Treated with Extended-Release Naltrexone: Postmarketing Data from 2006 to 2018.
Akerman, SC; Bloomgren, G; Desai, A; Fratantonio, J; Jain, P; Liles-Burden, MA; Marino, R; McKinnell, K; Sullivan, MA; Vunnava, P; Wenten, M, 2021
)
0.62
" Nalmefene provides a clinical benefit, constitutes a potential pharmacological treatment paradigm in terms of the treatment goal and dosing regimen, and addresses an unmet medical need in patients with alcohol dependence who need to reduce their alcohol consumption."( [Four cases of alcoholic liver cirrhosis in alcohol-dependent patients treated with nalmefene].
Tamaki, K, 2021
)
0.62
"To assess the pharmacokinetics and opioid effects of methadone after administration of multiple doses by means of 2 dosing regimens of methadone-fluconazole-naltrexone."( Multiple-dose pharmacokinetics and opioid effects of a novel analgesic with a deterrent to human opioid abuse (methadone-fluconazole-naltrexone) after oral administration in dogs.
Cho, P; Fitzgerald, AH; Komp, MS; KuKanich, B; KuKanich, K; Locuson, CW; Rankin, DC, 2021
)
0.62
"Dogs were randomly allocated (6 dogs/group) to receive 1 of 2 oral dosing regimens of methadone-fluconazole-naltrexone."( Multiple-dose pharmacokinetics and opioid effects of a novel analgesic with a deterrent to human opioid abuse (methadone-fluconazole-naltrexone) after oral administration in dogs.
Cho, P; Fitzgerald, AH; Komp, MS; KuKanich, B; KuKanich, K; Locuson, CW; Rankin, DC, 2021
)
0.62
" Additional studies will be needed to identify effective opioid receptor antagonist dosing regimens for patients undergoing either short- or long-segment spinal arthrodesis procedures."( Perioperative subcutaneous methylnaltrexone does not enhance gastrointestinal recovery after posterior short-segment spinal arthrodesis surgery: a randomized controlled trial.
Farhadi, HF; Gifford, CS; McGahan, BG; Minnema, AJ; Miracle, SD; Murphy, CV; Vazquez, DE; Weaver, TE, 2022
)
0.72
" Recent reports, however, suggest that higher doses or repeated dosing of naloxone (due to recurrence of respiratory depression) may be required to reverse fully fentanyl-induced respiratory depression, rendering this treatment inadequate."( Design, synthesis, and preliminary evaluation of a potential synthetic opioid rescue agent.
Baynard, C; Butelman, ER; Hedrick, SL; Horn, J; Jackson, K; Kaska, S; Kreek, MJ; Leggas, M; Luo, D; Niloy, KK; Prisinzano, TE; Sarma, R, 2021
)
0.62
"This review details the pharmacologic, pharmacokinetic, associated dosing and indications, and adverse effects for the drug combination olanzapine/samidorphan."( Olanzapine/Samidorphan: New Drug Approved for Treating Bipolar I Disorder and Schizophrenia.
Gums, JG; McCoy, L; Monahan, C; Powell, J, 2022
)
0.72
" placebo) and medication dosage (i."( Within- and between-person effects of naltrexone on the subjective response to alcohol and craving: A daily diary investigation.
Corbin, WR; DeMartini, KS; Fucito, LM; Kranzler, HR; Leeman, RF; MacKinnon, DP; O'Malley, SS; Waddell, JT, 2022
)
0.72
" Treatment condition did not moderate the within-person effects of dosing on outcomes."( Within- and between-person effects of naltrexone on the subjective response to alcohol and craving: A daily diary investigation.
Corbin, WR; DeMartini, KS; Fucito, LM; Kranzler, HR; Leeman, RF; MacKinnon, DP; O'Malley, SS; Waddell, JT, 2022
)
0.72
"Adequate dosing of MOUD leads to improved retention on MOUD."( Factors associated with retention on medications for opioid use disorder among a cohort of adults seeking treatment in the community.
Biondi, BE; Schlossberg, EF; Shaw, A; Springer, SA; Vander Wyk, B, 2022
)
0.72
" The effects of buprenorphine on sleep-like measures resulted in a biphasic dose-response function, with the highest doses not disrupting actigraphy-based sleep."( Effects of methadone, buprenorphine, and naltrexone on actigraphy-based sleep-like parameters in male rhesus monkeys.
Berro, LF; Freeman, KB; Rowlett, JK; Talley, JT; Zamarripa, CA, 2022
)
0.72
" Moreover, there were insufficient studies to conduct meta-analyses on many outcome measures; to compare efficacy across and within major categories of interventions; to explore dosage effects; or to examine effects beyond post-treatment."( Pharmacological interventions for the treatment of disordered and problem gambling.
Bowden-Jones, H; Cowlishaw, S; Dowling, N; Lubman, D; Merkouris, S; Thomas, S, 2022
)
0.72
"3 mg/kg) produced the same degree of rightward shift in the dose-response curves for heroin- and THC-induced antinociception, respectively."( Functional consequences of short-term exposure to opioids versus cannabinoids in nonhuman primates.
Ding, H; Kiguchi, N; Kishioka, S; Ko, MC; Mabry, KM, 2023
)
0.91
" Oral and injectable naltrexone administration is the most widely used, presenting some inconveniences: poor patient adherence to the oral daily dosing schedule, cases of hepatitis and clinically significant liver dysfunction."( Promising biomedical subcutaneous delivery system in opioid disaccustom process: In vitro/in vivo evaluation of naloxone microparticles on antagonist effect of morphine.
Benéitez García, MC; Colmena Crespo, I; Díez-Orejas, RM; Gil-Alegre, ME; Girón Moreno, R; Goicoechea García, C; Martín Fontelles, MI; Sánchez-Robles, EM, 2023
)
0.91
"0-10 mg/kg) were studied in combination with the peak oxycodone dose and a dose on the descending limb of the dose-effect curve; NTX and (±)VK4-40 were also studied at the peak of the PR dose-response curve (N = 4)."( Effects of selective dopamine D3 receptor partial agonist/antagonists on oxycodone self-administration and antinociception in monkeys.
Allen, MI; Banks, ML; Cornelissen, JC; Nader, MA; Newman, AH; Woodlief, K, 2023
)
0.91
" Variability in dosing paradigms and the time to patient response was present in the reviewed studies."( Low-dose naltrexone's utility for non-cancer centralized pain conditions: a scoping review.
Chadwick, AL; Rupp, A; Young, E, 2023
)
0.91
"4 mg were found to reduce pain in 95% of patients with fibromyalgia (SOR, B; single prospective dose-response study)."( Is low-dose naltrexone effective in chronic pain management?
DeSanto, K; Huang, H; Lyon, C; Radi, R; Rivera, J, 2023
)
0.91
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (5)

RoleDescription
mu-opioid receptor antagonistAny compound that exhibits antagonist activity at the mu-opioid receptor
central nervous system depressantA loosely defined group of drugs that tend to reduce the activity of the central nervous system.
environmental contaminantAny minor or unwanted substance introduced into the environment that can have undesired effects.
xenobioticA xenobiotic (Greek, xenos "foreign"; bios "life") is a compound that is foreign to a living organism. Principal xenobiotics include: drugs, carcinogens and various compounds that have been introduced into the environment by artificial means.
antidote to opioid poisoningA role borne by a molecule that acts to counteract or neutralise the deleterious effects of opioids.
[role information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Drug Classes (3)

ClassDescription
organic heteropentacyclic compound
morphinane-like compoundAny organonitrogen heterocyclic compound based on a morphinan skeleton. These are synthetic or semi-synthetic compounds that resemble the morphinane (opioid) alkaloids in their pharmacological effects.
cyclopropanesCyclopropane and its derivatives formed by substitution.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Pathways (3)

PathwayProteinsCompounds
Naltrexone Action Pathway3111
Differentiation pathway012
Pluripotent stem cell differentiation pathway011

Protein Targets (28)

Potency Measurements

ProteinTaxonomyMeasurementAverage (µ)Min (ref.)Avg (ref.)Max (ref.)Bioassay(s)
RAR-related orphan receptor gammaMus musculus (house mouse)Potency25.63580.006038.004119,952.5996AID1159521; AID1159523
glucocorticoid receptor [Homo sapiens]Homo sapiens (human)Potency10.68220.000214.376460.0339AID720691
retinoic acid nuclear receptor alpha variant 1Homo sapiens (human)Potency21.54910.003041.611522,387.1992AID1159552; AID1159555
cytochrome P450 2D6Homo sapiens (human)Potency9.77170.00108.379861.1304AID1645840
nuclear factor erythroid 2-related factor 2 isoform 1Homo sapiens (human)Potency25.15470.000627.21521,122.0200AID743202; AID743219
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
5-hydroxytryptamine receptor 3EHomo sapiens (human)Ki0.06000.00100.88359.9000AID239162
Solute carrier family 22 member 1 Homo sapiens (human)IC50 (µMol)157.51000.21005.553710.0000AID1526751
5-hydroxytryptamine receptor 3BHomo sapiens (human)Ki0.06000.00100.87119.9000AID239162
Bile salt export pumpHomo sapiens (human)IC50 (µMol)1,000.00000.11007.190310.0000AID1449628
Cytochrome P450 2D6Homo sapiens (human)IC50 (µMol)1.00000.00002.015110.0000AID625249
Delta-type opioid receptorMus musculus (house mouse)IC50 (µMol)0.00510.00010.729810.0000AID148621; AID148624; AID148748
Delta-type opioid receptorMus musculus (house mouse)Ki0.04660.00000.53939.4000AID1194121; AID148739; AID149086; AID149087; AID395294; AID622100; AID692551; AID767592
Delta-type opioid receptorRattus norvegicus (Norway rat)IC50 (µMol)0.00630.00030.38877.0000AID149041; AID149626; AID150392
Delta-type opioid receptorRattus norvegicus (Norway rat)Ki0.03770.00000.60689.2330AID149795; AID149918; AID149927; AID149934; AID149944; AID150044; AID150398
Kappa-type opioid receptorMus musculus (house mouse)IC50 (µMol)0.00600.00131.538010.0000AID148748
Kappa-type opioid receptorMus musculus (house mouse)Ki0.00270.00030.35942.7500AID1194120; AID148739; AID767593
Mu-type opioid receptorRattus norvegicus (Norway rat)IC50 (µMol)0.00050.00010.887410.0000AID149041; AID150392
Mu-type opioid receptorRattus norvegicus (Norway rat)Ki0.00260.00000.38458.6000AID141762; AID150044; AID150398; AID151889; AID151894; AID151909; AID152204; AID152386; AID152388; AID152389; AID224588
Kappa-type opioid receptorRattus norvegicus (Norway rat)IC50 (µMol)0.00050.00050.36987.0000AID149041; AID150392
Kappa-type opioid receptorRattus norvegicus (Norway rat)Ki0.00400.00000.18683.9500AID148584; AID148585; AID148586; AID150398
Mu-type opioid receptorHomo sapiens (human)IC50 (µMol)0.00600.00010.813310.0000AID1121819; AID1194142; AID148621; AID148624; AID148748; AID150239; AID1713965; AID1726158; AID273141; AID274396; AID274417; AID286314; AID417162; AID625163; AID779520
Mu-type opioid receptorHomo sapiens (human)Ki0.00090.00000.419710.0000AID1054699; AID1121821; AID1181414; AID1191373; AID1268024; AID1268040; AID148739; AID150841; AID150852; AID152204; AID152386; AID1611793; AID238974; AID239328; AID269569; AID273130; AID274390; AID274411; AID286302; AID298631; AID301031; AID301034; AID303905; AID317853; AID347309; AID395293; AID410718; AID415721; AID416813; AID450016; AID450029; AID551424; AID603169; AID603170; AID603171; AID625163; AID756080; AID779520
Delta-type opioid receptorHomo sapiens (human)IC50 (µMol)0.03190.00020.75218.0140AID148621; AID148624; AID148748; AID149626; AID149748; AID149750; AID150239; AID273143; AID417164; AID625161
Delta-type opioid receptorHomo sapiens (human)Ki0.02900.00000.59789.9300AID1054697; AID1181416; AID148220; AID148229; AID148739; AID149901; AID149906; AID149913; AID149918; AID150032; AID150033; AID150034; AID150044; AID152386; AID1611794; AID239162; AID239407; AID269569; AID269571; AID273131; AID273132; AID274392; AID274413; AID286304; AID298633; AID301033; AID301036; AID303907; AID317854; AID347310; AID395294; AID410719; AID415722; AID416814; AID450017; AID450030; AID551425; AID625161; AID756078
Kappa-type opioid receptorCavia porcellus (domestic guinea pig)IC50 (µMol)0.00930.00030.71237.0700AID147958; AID147963; AID148688; AID148692; AID148748; AID148849
Kappa-type opioid receptorCavia porcellus (domestic guinea pig)Ki0.00420.00000.20186.4240AID148739; AID149113; AID149262; AID149266; AID149274; AID149276; AID149277; AID149409; AID149415; AID149420; AID149427; AID149428; AID149431; AID149435; AID149546; AID149552; AID149968; AID1611795; AID223587; AID223596; AID269571
Kappa-type opioid receptorHomo sapiens (human)IC50 (µMol)0.03770.00001.201110.0000AID148621; AID148624; AID148748; AID150239; AID273145; AID286310; AID417165; AID625162
Kappa-type opioid receptorHomo sapiens (human)Ki0.00240.00000.362410.0000AID1054698; AID1181415; AID147987; AID147999; AID148739; AID152386; AID239076; AID239386; AID269573; AID273131; AID274391; AID274412; AID286303; AID298632; AID301032; AID301035; AID303906; AID317855; AID347311; AID395295; AID410720; AID415723; AID416815; AID450018; AID450031; AID551426; AID625162; AID756079
Nociceptin receptorHomo sapiens (human)Ki10.00000.00000.03370.5000AID450032
Mu-type opioid receptorMus musculus (house mouse)IC50 (µMol)0.00760.00081.699210.0000AID148748; AID1820200; AID779522
Mu-type opioid receptorMus musculus (house mouse)Ki0.00130.00000.12281.3000AID1194119; AID148739; AID1694865; AID1713966; AID1726155; AID1820198; AID395293; AID622099; AID692550; AID692551; AID767594; AID779522
5-hydroxytryptamine receptor 3AHomo sapiens (human)Ki0.06000.00000.74119.9000AID239162
Mu-type opioid receptorCavia porcellus (domestic guinea pig)IC50 (µMol)0.00040.00020.660310.0000AID141490; AID148992; AID149863
Mu-type opioid receptorCavia porcellus (domestic guinea pig)Ki0.00110.00000.27869.0000AID141506; AID141511; AID148030; AID148038; AID148045; AID148055; AID148056; AID148057; AID148182; AID152226; AID273132; AID348692; AID354251; AID452924; AID456914; AID484374
5-hydroxytryptamine receptor 3DHomo sapiens (human)Ki0.06000.00100.88359.9000AID239162
5-hydroxytryptamine receptor 3CHomo sapiens (human)Ki0.06000.00100.88359.9000AID239162
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Activation Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Histidine decarboxylaseRattus norvegicus (Norway rat)EC50 (µMol)0.00050.00050.00150.0030AID1133438
Delta-type opioid receptorMus musculus (house mouse)EC50 (µMol)0.00440.00110.40144.8000AID1194135
Delta-type opioid receptorRattus norvegicus (Norway rat)EC50 (µMol)0.00050.00050.36496.9000AID1133438
Kappa-type opioid receptorMus musculus (house mouse)EC50 (µMol)0.00080.00080.80564.8860AID1194131
Mu-type opioid receptorRattus norvegicus (Norway rat)EC50 (µMol)0.00050.00000.06470.9320AID1133438
Kappa-type opioid receptorRattus norvegicus (Norway rat)EC50 (µMol)0.00050.00040.00390.0180AID1133438
Mu-type opioid receptorHomo sapiens (human)EC50 (µMol)0.00570.00000.32639.4000AID148339; AID417156; AID756075
Mu-type opioid receptorHomo sapiens (human)Kd0.00010.00010.18250.8300AID317858
Delta-type opioid receptorHomo sapiens (human)EC50 (µMol)0.00910.00000.43328.3000AID1054691; AID1181424; AID148065; AID417158
Delta-type opioid receptorHomo sapiens (human)Kd0.00160.00040.51471.9800AID317859
Kappa-type opioid receptorHomo sapiens (human)EC50 (µMol)0.00200.00000.22448.9900AID1054701; AID149987; AID417160
Mu-type opioid receptorMus musculus (house mouse)EC50 (µMol)0.00020.00020.03930.2030AID1194124; AID767589
Mu-type opioid receptorCavia porcellus (domestic guinea pig)EC50 (µMol)0.00190.00000.04930.9320AID149987
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Other Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Cytochrome P450 2D6Homo sapiens (human)Kb0.00060.00000.00030.0006AID303908
UDP-glucuronosyltransferase 1A1 Homo sapiens (human)Km1,310.00004.49006.51339.0000AID624630
Delta-type opioid receptorMus musculus (house mouse)Ke0.03180.00010.14726.1080AID148389; AID148810; AID148930; AID148933; AID148937; AID238168
Mu-type opioid receptorHomo sapiens (human)Kb0.00060.00000.03310.1792AID303908
Mu-type opioid receptorHomo sapiens (human)Ke0.00180.00000.24883.0700AID1181420; AID238166; AID256843; AID269581; AID298652; AID298654; AID311281; AID317858; AID395299; AID577293; AID595125
Delta-type opioid receptorHomo sapiens (human)Kb0.01110.00120.10000.5502AID303910
Delta-type opioid receptorHomo sapiens (human)Ke0.02750.00010.69799.0700AID149760; AID238168; AID256844; AID269582; AID311282; AID317859; AID395300; AID595126
Kappa-type opioid receptorCavia porcellus (domestic guinea pig)Ke0.00410.00000.03891.1570AID148835; AID148841; AID148966
Kappa-type opioid receptorHomo sapiens (human)Kb0.00300.00030.05000.2640AID303909
Kappa-type opioid receptorHomo sapiens (human)Ke0.00260.00000.35405.8100AID1181423; AID238169; AID256845; AID269583; AID298653; AID311280; AID317860; AID395301; AID595127
Kappa-type opioid receptorHomo sapiens (human)pA20.00970.00970.00970.0097AID317860
Mu-type opioid receptorMus musculus (house mouse)Ke0.00020.00020.02330.0554AID151148
Mu-type opioid receptorCavia porcellus (domestic guinea pig)Ke0.00100.00000.01590.0430AID147884; AID150010; AID150018
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (146)

Processvia Protein(s)Taxonomy
serotonin receptor signaling pathway5-hydroxytryptamine receptor 3EHomo sapiens (human)
monoatomic ion transmembrane transport5-hydroxytryptamine receptor 3EHomo sapiens (human)
excitatory postsynaptic potential5-hydroxytryptamine receptor 3EHomo sapiens (human)
inorganic cation transmembrane transport5-hydroxytryptamine receptor 3EHomo sapiens (human)
regulation of membrane potential5-hydroxytryptamine receptor 3EHomo sapiens (human)
chemical synaptic transmission5-hydroxytryptamine receptor 3EHomo sapiens (human)
xenobiotic metabolic processSolute carrier family 22 member 1 Homo sapiens (human)
neurotransmitter transportSolute carrier family 22 member 1 Homo sapiens (human)
serotonin transportSolute carrier family 22 member 1 Homo sapiens (human)
establishment or maintenance of transmembrane electrochemical gradientSolute carrier family 22 member 1 Homo sapiens (human)
organic cation transportSolute carrier family 22 member 1 Homo sapiens (human)
quaternary ammonium group transportSolute carrier family 22 member 1 Homo sapiens (human)
prostaglandin transportSolute carrier family 22 member 1 Homo sapiens (human)
monoamine transportSolute carrier family 22 member 1 Homo sapiens (human)
putrescine transportSolute carrier family 22 member 1 Homo sapiens (human)
spermidine transportSolute carrier family 22 member 1 Homo sapiens (human)
acetylcholine transportSolute carrier family 22 member 1 Homo sapiens (human)
dopamine transportSolute carrier family 22 member 1 Homo sapiens (human)
norepinephrine transportSolute carrier family 22 member 1 Homo sapiens (human)
thiamine transportSolute carrier family 22 member 1 Homo sapiens (human)
xenobiotic transportSolute carrier family 22 member 1 Homo sapiens (human)
epinephrine transportSolute carrier family 22 member 1 Homo sapiens (human)
serotonin uptakeSolute carrier family 22 member 1 Homo sapiens (human)
norepinephrine uptakeSolute carrier family 22 member 1 Homo sapiens (human)
thiamine transmembrane transportSolute carrier family 22 member 1 Homo sapiens (human)
metanephric proximal tubule developmentSolute carrier family 22 member 1 Homo sapiens (human)
purine-containing compound transmembrane transportSolute carrier family 22 member 1 Homo sapiens (human)
dopamine uptakeSolute carrier family 22 member 1 Homo sapiens (human)
monoatomic cation transmembrane transportSolute carrier family 22 member 1 Homo sapiens (human)
transport across blood-brain barrierSolute carrier family 22 member 1 Homo sapiens (human)
(R)-carnitine transmembrane transportSolute carrier family 22 member 1 Homo sapiens (human)
acyl carnitine transmembrane transportSolute carrier family 22 member 1 Homo sapiens (human)
spermidine transmembrane transportSolute carrier family 22 member 1 Homo sapiens (human)
cellular detoxificationSolute carrier family 22 member 1 Homo sapiens (human)
xenobiotic transport across blood-brain barrierSolute carrier family 22 member 1 Homo sapiens (human)
serotonin receptor signaling pathway5-hydroxytryptamine receptor 3BHomo sapiens (human)
monoatomic ion transmembrane transport5-hydroxytryptamine receptor 3BHomo sapiens (human)
excitatory postsynaptic potential5-hydroxytryptamine receptor 3BHomo sapiens (human)
inorganic cation transmembrane transport5-hydroxytryptamine receptor 3BHomo sapiens (human)
chemical synaptic transmission5-hydroxytryptamine receptor 3BHomo sapiens (human)
regulation of membrane potential5-hydroxytryptamine receptor 3BHomo sapiens (human)
fatty acid metabolic processBile salt export pumpHomo sapiens (human)
bile acid biosynthetic processBile salt export pumpHomo sapiens (human)
xenobiotic metabolic processBile salt export pumpHomo sapiens (human)
xenobiotic transmembrane transportBile salt export pumpHomo sapiens (human)
response to oxidative stressBile salt export pumpHomo sapiens (human)
bile acid metabolic processBile salt export pumpHomo sapiens (human)
response to organic cyclic compoundBile salt export pumpHomo sapiens (human)
bile acid and bile salt transportBile salt export pumpHomo sapiens (human)
canalicular bile acid transportBile salt export pumpHomo sapiens (human)
protein ubiquitinationBile salt export pumpHomo sapiens (human)
regulation of fatty acid beta-oxidationBile salt export pumpHomo sapiens (human)
carbohydrate transmembrane transportBile salt export pumpHomo sapiens (human)
bile acid signaling pathwayBile salt export pumpHomo sapiens (human)
cholesterol homeostasisBile salt export pumpHomo sapiens (human)
response to estrogenBile salt export pumpHomo sapiens (human)
response to ethanolBile salt export pumpHomo sapiens (human)
xenobiotic export from cellBile salt export pumpHomo sapiens (human)
lipid homeostasisBile salt export pumpHomo sapiens (human)
phospholipid homeostasisBile salt export pumpHomo sapiens (human)
positive regulation of bile acid secretionBile salt export pumpHomo sapiens (human)
regulation of bile acid metabolic processBile salt export pumpHomo sapiens (human)
transmembrane transportBile salt export pumpHomo sapiens (human)
xenobiotic metabolic processCytochrome P450 2D6Homo sapiens (human)
steroid metabolic processCytochrome P450 2D6Homo sapiens (human)
cholesterol metabolic processCytochrome P450 2D6Homo sapiens (human)
estrogen metabolic processCytochrome P450 2D6Homo sapiens (human)
coumarin metabolic processCytochrome P450 2D6Homo sapiens (human)
alkaloid metabolic processCytochrome P450 2D6Homo sapiens (human)
alkaloid catabolic processCytochrome P450 2D6Homo sapiens (human)
monoterpenoid metabolic processCytochrome P450 2D6Homo sapiens (human)
isoquinoline alkaloid metabolic processCytochrome P450 2D6Homo sapiens (human)
xenobiotic catabolic processCytochrome P450 2D6Homo sapiens (human)
retinol metabolic processCytochrome P450 2D6Homo sapiens (human)
long-chain fatty acid biosynthetic processCytochrome P450 2D6Homo sapiens (human)
negative regulation of bindingCytochrome P450 2D6Homo sapiens (human)
oxidative demethylationCytochrome P450 2D6Homo sapiens (human)
negative regulation of cellular organofluorine metabolic processCytochrome P450 2D6Homo sapiens (human)
arachidonic acid metabolic processCytochrome P450 2D6Homo sapiens (human)
liver developmentUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
bilirubin conjugationUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
xenobiotic metabolic processUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
acute-phase responseUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
response to nutrientUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
steroid metabolic processUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
estrogen metabolic processUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
animal organ regenerationUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
response to lipopolysaccharideUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
retinoic acid metabolic processUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
response to starvationUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
negative regulation of steroid metabolic processUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
flavone metabolic processUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
cellular glucuronidationUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
flavonoid glucuronidationUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
xenobiotic glucuronidationUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
biphenyl catabolic processUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
cellular response to ethanolUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
cellular response to glucocorticoid stimulusUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
cellular response to estradiol stimulusUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
G protein-coupled receptor signaling pathway, coupled to cyclic nucleotide second messengerMu-type opioid receptorHomo sapiens (human)
adenylate cyclase-inhibiting G protein-coupled acetylcholine receptor signaling pathwayMu-type opioid receptorHomo sapiens (human)
phospholipase C-activating G protein-coupled receptor signaling pathwayMu-type opioid receptorHomo sapiens (human)
sensory perceptionMu-type opioid receptorHomo sapiens (human)
negative regulation of cell population proliferationMu-type opioid receptorHomo sapiens (human)
sensory perception of painMu-type opioid receptorHomo sapiens (human)
G protein-coupled opioid receptor signaling pathwayMu-type opioid receptorHomo sapiens (human)
behavioral response to ethanolMu-type opioid receptorHomo sapiens (human)
positive regulation of neurogenesisMu-type opioid receptorHomo sapiens (human)
negative regulation of Wnt protein secretionMu-type opioid receptorHomo sapiens (human)
positive regulation of ERK1 and ERK2 cascadeMu-type opioid receptorHomo sapiens (human)
calcium ion transmembrane transportMu-type opioid receptorHomo sapiens (human)
cellular response to morphineMu-type opioid receptorHomo sapiens (human)
regulation of cellular response to stressMu-type opioid receptorHomo sapiens (human)
regulation of NMDA receptor activityMu-type opioid receptorHomo sapiens (human)
neuropeptide signaling pathwayMu-type opioid receptorHomo sapiens (human)
immune responseDelta-type opioid receptorHomo sapiens (human)
G protein-coupled receptor signaling pathwayDelta-type opioid receptorHomo sapiens (human)
G protein-coupled receptor signaling pathway, coupled to cyclic nucleotide second messengerDelta-type opioid receptorHomo sapiens (human)
adenylate cyclase-inhibiting G protein-coupled receptor signaling pathwayDelta-type opioid receptorHomo sapiens (human)
phospholipase C-activating G protein-coupled receptor signaling pathwayDelta-type opioid receptorHomo sapiens (human)
adult locomotory behaviorDelta-type opioid receptorHomo sapiens (human)
negative regulation of gene expressionDelta-type opioid receptorHomo sapiens (human)
negative regulation of protein-containing complex assemblyDelta-type opioid receptorHomo sapiens (human)
positive regulation of CREB transcription factor activityDelta-type opioid receptorHomo sapiens (human)
positive regulation of peptidyl-serine phosphorylationDelta-type opioid receptorHomo sapiens (human)
response to nicotineDelta-type opioid receptorHomo sapiens (human)
G protein-coupled opioid receptor signaling pathwayDelta-type opioid receptorHomo sapiens (human)
eating behaviorDelta-type opioid receptorHomo sapiens (human)
regulation of mitochondrial membrane potentialDelta-type opioid receptorHomo sapiens (human)
regulation of calcium ion transportDelta-type opioid receptorHomo sapiens (human)
cellular response to growth factor stimulusDelta-type opioid receptorHomo sapiens (human)
cellular response to hypoxiaDelta-type opioid receptorHomo sapiens (human)
cellular response to toxic substanceDelta-type opioid receptorHomo sapiens (human)
neuropeptide signaling pathwayDelta-type opioid receptorHomo sapiens (human)
immune responseKappa-type opioid receptorHomo sapiens (human)
adenylate cyclase-inhibiting G protein-coupled receptor signaling pathwayKappa-type opioid receptorHomo sapiens (human)
phospholipase C-activating G protein-coupled receptor signaling pathwayKappa-type opioid receptorHomo sapiens (human)
chemical synaptic transmissionKappa-type opioid receptorHomo sapiens (human)
sensory perceptionKappa-type opioid receptorHomo sapiens (human)
locomotory behaviorKappa-type opioid receptorHomo sapiens (human)
sensory perception of painKappa-type opioid receptorHomo sapiens (human)
adenylate cyclase-inhibiting opioid receptor signaling pathwayKappa-type opioid receptorHomo sapiens (human)
response to insulinKappa-type opioid receptorHomo sapiens (human)
positive regulation of dopamine secretionKappa-type opioid receptorHomo sapiens (human)
negative regulation of luteinizing hormone secretionKappa-type opioid receptorHomo sapiens (human)
response to nicotineKappa-type opioid receptorHomo sapiens (human)
G protein-coupled opioid receptor signaling pathwayKappa-type opioid receptorHomo sapiens (human)
maternal behaviorKappa-type opioid receptorHomo sapiens (human)
eating behaviorKappa-type opioid receptorHomo sapiens (human)
response to estrogenKappa-type opioid receptorHomo sapiens (human)
estrous cycleKappa-type opioid receptorHomo sapiens (human)
response to ethanolKappa-type opioid receptorHomo sapiens (human)
regulation of saliva secretionKappa-type opioid receptorHomo sapiens (human)
behavioral response to cocaineKappa-type opioid receptorHomo sapiens (human)
sensory perception of temperature stimulusKappa-type opioid receptorHomo sapiens (human)
defense response to virusKappa-type opioid receptorHomo sapiens (human)
cellular response to lipopolysaccharideKappa-type opioid receptorHomo sapiens (human)
cellular response to glucose stimulusKappa-type opioid receptorHomo sapiens (human)
positive regulation of p38MAPK cascadeKappa-type opioid receptorHomo sapiens (human)
positive regulation of potassium ion transmembrane transportKappa-type opioid receptorHomo sapiens (human)
response to acrylamideKappa-type opioid receptorHomo sapiens (human)
positive regulation of eating behaviorKappa-type opioid receptorHomo sapiens (human)
conditioned place preferenceKappa-type opioid receptorHomo sapiens (human)
neuropeptide signaling pathwayKappa-type opioid receptorHomo sapiens (human)
calcium-mediated signalingNociceptin receptorHomo sapiens (human)
adenylate cyclase-inhibiting G protein-coupled receptor signaling pathwayNociceptin receptorHomo sapiens (human)
phospholipase C-activating G protein-coupled receptor signaling pathwayNociceptin receptorHomo sapiens (human)
sensory perceptionNociceptin receptorHomo sapiens (human)
sensory perception of painNociceptin receptorHomo sapiens (human)
response to estradiolNociceptin receptorHomo sapiens (human)
positive regulation of urine volumeNociceptin receptorHomo sapiens (human)
G protein-coupled opioid receptor signaling pathwayNociceptin receptorHomo sapiens (human)
eating behaviorNociceptin receptorHomo sapiens (human)
negative regulation of cAMP-mediated signalingNociceptin receptorHomo sapiens (human)
estrous cycleNociceptin receptorHomo sapiens (human)
negative regulation of blood pressureNociceptin receptorHomo sapiens (human)
negative regulation of adenylate cyclase-activating G protein-coupled receptor signaling pathwayNociceptin receptorHomo sapiens (human)
regulation of locomotor rhythmNociceptin receptorHomo sapiens (human)
conditioned place preferenceNociceptin receptorHomo sapiens (human)
neuropeptide signaling pathwayNociceptin receptorHomo sapiens (human)
serotonin receptor signaling pathway5-hydroxytryptamine receptor 3AHomo sapiens (human)
monoatomic ion transmembrane transport5-hydroxytryptamine receptor 3AHomo sapiens (human)
excitatory postsynaptic potential5-hydroxytryptamine receptor 3AHomo sapiens (human)
inorganic cation transmembrane transport5-hydroxytryptamine receptor 3AHomo sapiens (human)
regulation of presynaptic membrane potential5-hydroxytryptamine receptor 3AHomo sapiens (human)
chemical synaptic transmission5-hydroxytryptamine receptor 3AHomo sapiens (human)
regulation of membrane potential5-hydroxytryptamine receptor 3AHomo sapiens (human)
serotonin receptor signaling pathway5-hydroxytryptamine receptor 3DHomo sapiens (human)
monoatomic ion transmembrane transport5-hydroxytryptamine receptor 3DHomo sapiens (human)
excitatory postsynaptic potential5-hydroxytryptamine receptor 3DHomo sapiens (human)
inorganic cation transmembrane transport5-hydroxytryptamine receptor 3DHomo sapiens (human)
chemical synaptic transmission5-hydroxytryptamine receptor 3DHomo sapiens (human)
regulation of membrane potential5-hydroxytryptamine receptor 3DHomo sapiens (human)
serotonin receptor signaling pathway5-hydroxytryptamine receptor 3CHomo sapiens (human)
monoatomic ion transmembrane transport5-hydroxytryptamine receptor 3CHomo sapiens (human)
excitatory postsynaptic potential5-hydroxytryptamine receptor 3CHomo sapiens (human)
inorganic cation transmembrane transport5-hydroxytryptamine receptor 3CHomo sapiens (human)
regulation of membrane potential5-hydroxytryptamine receptor 3CHomo sapiens (human)
chemical synaptic transmission5-hydroxytryptamine receptor 3CHomo sapiens (human)
fatty acid metabolic processUDP-glucuronosyltransferase 1A8Homo sapiens (human)
steroid metabolic processUDP-glucuronosyltransferase 1A8Homo sapiens (human)
coumarin metabolic processUDP-glucuronosyltransferase 1A8Homo sapiens (human)
retinoic acid metabolic processUDP-glucuronosyltransferase 1A8Homo sapiens (human)
negative regulation of fatty acid metabolic processUDP-glucuronosyltransferase 1A8Homo sapiens (human)
negative regulation of steroid metabolic processUDP-glucuronosyltransferase 1A8Homo sapiens (human)
flavone metabolic processUDP-glucuronosyltransferase 1A8Homo sapiens (human)
flavonoid glucuronidationUDP-glucuronosyltransferase 1A8Homo sapiens (human)
xenobiotic glucuronidationUDP-glucuronosyltransferase 1A8Homo sapiens (human)
liver developmentUDP-glucuronosyltransferase 1A8Homo sapiens (human)
cellular glucuronidationUDP-glucuronosyltransferase 1A8Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (59)

Processvia Protein(s)Taxonomy
serotonin-gated monoatomic cation channel activity5-hydroxytryptamine receptor 3EHomo sapiens (human)
excitatory extracellular ligand-gated monoatomic ion channel activity5-hydroxytryptamine receptor 3EHomo sapiens (human)
transmitter-gated monoatomic ion channel activity involved in regulation of postsynaptic membrane potential5-hydroxytryptamine receptor 3EHomo sapiens (human)
acetylcholine transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
neurotransmitter transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
dopamine:sodium symporter activitySolute carrier family 22 member 1 Homo sapiens (human)
norepinephrine:sodium symporter activitySolute carrier family 22 member 1 Homo sapiens (human)
protein bindingSolute carrier family 22 member 1 Homo sapiens (human)
monoamine transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
secondary active organic cation transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
organic anion transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
organic cation transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
prostaglandin transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
pyrimidine nucleoside transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
thiamine transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
putrescine transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
spermidine transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
quaternary ammonium group transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
toxin transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
identical protein bindingSolute carrier family 22 member 1 Homo sapiens (human)
xenobiotic transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
(R)-carnitine transmembrane transporter activitySolute carrier family 22 member 1 Homo sapiens (human)
serotonin-gated monoatomic cation channel activity5-hydroxytryptamine receptor 3BHomo sapiens (human)
transmitter-gated monoatomic ion channel activity involved in regulation of postsynaptic membrane potential5-hydroxytryptamine receptor 3BHomo sapiens (human)
excitatory extracellular ligand-gated monoatomic ion channel activity5-hydroxytryptamine receptor 3BHomo sapiens (human)
protein bindingBile salt export pumpHomo sapiens (human)
ATP bindingBile salt export pumpHomo sapiens (human)
ABC-type xenobiotic transporter activityBile salt export pumpHomo sapiens (human)
bile acid transmembrane transporter activityBile salt export pumpHomo sapiens (human)
canalicular bile acid transmembrane transporter activityBile salt export pumpHomo sapiens (human)
carbohydrate transmembrane transporter activityBile salt export pumpHomo sapiens (human)
ABC-type bile acid transporter activityBile salt export pumpHomo sapiens (human)
ATP hydrolysis activityBile salt export pumpHomo sapiens (human)
monooxygenase activityCytochrome P450 2D6Homo sapiens (human)
iron ion bindingCytochrome P450 2D6Homo sapiens (human)
oxidoreductase activityCytochrome P450 2D6Homo sapiens (human)
oxidoreductase activity, acting on paired donors, with incorporation or reduction of molecular oxygen, reduced flavin or flavoprotein as one donor, and incorporation of one atom of oxygenCytochrome P450 2D6Homo sapiens (human)
heme bindingCytochrome P450 2D6Homo sapiens (human)
anandamide 8,9 epoxidase activityCytochrome P450 2D6Homo sapiens (human)
anandamide 11,12 epoxidase activityCytochrome P450 2D6Homo sapiens (human)
anandamide 14,15 epoxidase activityCytochrome P450 2D6Homo sapiens (human)
retinoic acid bindingUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
enzyme inhibitor activityUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
steroid bindingUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
glucuronosyltransferase activityUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
enzyme bindingUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
protein homodimerization activityUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
protein heterodimerization activityUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
G-protein alpha-subunit bindingMu-type opioid receptorHomo sapiens (human)
G protein-coupled receptor activityMu-type opioid receptorHomo sapiens (human)
beta-endorphin receptor activityMu-type opioid receptorHomo sapiens (human)
voltage-gated calcium channel activityMu-type opioid receptorHomo sapiens (human)
protein bindingMu-type opioid receptorHomo sapiens (human)
morphine receptor activityMu-type opioid receptorHomo sapiens (human)
G-protein beta-subunit bindingMu-type opioid receptorHomo sapiens (human)
neuropeptide bindingMu-type opioid receptorHomo sapiens (human)
G protein-coupled opioid receptor activityDelta-type opioid receptorHomo sapiens (human)
protein bindingDelta-type opioid receptorHomo sapiens (human)
receptor serine/threonine kinase bindingDelta-type opioid receptorHomo sapiens (human)
G protein-coupled enkephalin receptor activityDelta-type opioid receptorHomo sapiens (human)
neuropeptide bindingDelta-type opioid receptorHomo sapiens (human)
G protein-coupled opioid receptor activityKappa-type opioid receptorHomo sapiens (human)
protein bindingKappa-type opioid receptorHomo sapiens (human)
receptor serine/threonine kinase bindingKappa-type opioid receptorHomo sapiens (human)
dynorphin receptor activityKappa-type opioid receptorHomo sapiens (human)
neuropeptide bindingKappa-type opioid receptorHomo sapiens (human)
nociceptin receptor activityNociceptin receptorHomo sapiens (human)
G protein-coupled receptor activityNociceptin receptorHomo sapiens (human)
protein bindingNociceptin receptorHomo sapiens (human)
neuropeptide bindingNociceptin receptorHomo sapiens (human)
protein binding5-hydroxytryptamine receptor 3AHomo sapiens (human)
serotonin-gated monoatomic cation channel activity5-hydroxytryptamine receptor 3AHomo sapiens (human)
identical protein binding5-hydroxytryptamine receptor 3AHomo sapiens (human)
serotonin binding5-hydroxytryptamine receptor 3AHomo sapiens (human)
ligand-gated monoatomic ion channel activity involved in regulation of presynaptic membrane potential5-hydroxytryptamine receptor 3AHomo sapiens (human)
transmitter-gated monoatomic ion channel activity involved in regulation of postsynaptic membrane potential5-hydroxytryptamine receptor 3AHomo sapiens (human)
excitatory extracellular ligand-gated monoatomic ion channel activity5-hydroxytryptamine receptor 3AHomo sapiens (human)
protein binding5-hydroxytryptamine receptor 3DHomo sapiens (human)
serotonin-gated monoatomic cation channel activity5-hydroxytryptamine receptor 3DHomo sapiens (human)
excitatory extracellular ligand-gated monoatomic ion channel activity5-hydroxytryptamine receptor 3DHomo sapiens (human)
transmitter-gated monoatomic ion channel activity involved in regulation of postsynaptic membrane potential5-hydroxytryptamine receptor 3DHomo sapiens (human)
protein binding5-hydroxytryptamine receptor 3CHomo sapiens (human)
serotonin-gated monoatomic cation channel activity5-hydroxytryptamine receptor 3CHomo sapiens (human)
excitatory extracellular ligand-gated monoatomic ion channel activity5-hydroxytryptamine receptor 3CHomo sapiens (human)
transmitter-gated monoatomic ion channel activity involved in regulation of postsynaptic membrane potential5-hydroxytryptamine receptor 3CHomo sapiens (human)
retinoic acid bindingUDP-glucuronosyltransferase 1A8Homo sapiens (human)
enzyme inhibitor activityUDP-glucuronosyltransferase 1A8Homo sapiens (human)
steroid bindingUDP-glucuronosyltransferase 1A8Homo sapiens (human)
fatty acid bindingUDP-glucuronosyltransferase 1A8Homo sapiens (human)
glucuronosyltransferase activityUDP-glucuronosyltransferase 1A8Homo sapiens (human)
enzyme bindingUDP-glucuronosyltransferase 1A8Homo sapiens (human)
protein homodimerization activityUDP-glucuronosyltransferase 1A8Homo sapiens (human)
protein heterodimerization activityUDP-glucuronosyltransferase 1A8Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (45)

Processvia Protein(s)Taxonomy
plasma membrane5-hydroxytryptamine receptor 3EHomo sapiens (human)
postsynaptic membrane5-hydroxytryptamine receptor 3EHomo sapiens (human)
serotonin-activated cation-selective channel complex5-hydroxytryptamine receptor 3EHomo sapiens (human)
neuron projection5-hydroxytryptamine receptor 3EHomo sapiens (human)
transmembrane transporter complex5-hydroxytryptamine receptor 3EHomo sapiens (human)
synapse5-hydroxytryptamine receptor 3EHomo sapiens (human)
plasma membrane5-hydroxytryptamine receptor 3EHomo sapiens (human)
plasma membraneSolute carrier family 22 member 1 Homo sapiens (human)
basal plasma membraneSolute carrier family 22 member 1 Homo sapiens (human)
membraneSolute carrier family 22 member 1 Homo sapiens (human)
basolateral plasma membraneSolute carrier family 22 member 1 Homo sapiens (human)
apical plasma membraneSolute carrier family 22 member 1 Homo sapiens (human)
lateral plasma membraneSolute carrier family 22 member 1 Homo sapiens (human)
presynapseSolute carrier family 22 member 1 Homo sapiens (human)
plasma membrane5-hydroxytryptamine receptor 3BHomo sapiens (human)
postsynaptic membrane5-hydroxytryptamine receptor 3BHomo sapiens (human)
serotonin-activated cation-selective channel complex5-hydroxytryptamine receptor 3BHomo sapiens (human)
cell surface5-hydroxytryptamine receptor 3BHomo sapiens (human)
transmembrane transporter complex5-hydroxytryptamine receptor 3BHomo sapiens (human)
synapse5-hydroxytryptamine receptor 3BHomo sapiens (human)
plasma membrane5-hydroxytryptamine receptor 3BHomo sapiens (human)
neuron projection5-hydroxytryptamine receptor 3BHomo sapiens (human)
basolateral plasma membraneBile salt export pumpHomo sapiens (human)
Golgi membraneBile salt export pumpHomo sapiens (human)
endosomeBile salt export pumpHomo sapiens (human)
plasma membraneBile salt export pumpHomo sapiens (human)
cell surfaceBile salt export pumpHomo sapiens (human)
apical plasma membraneBile salt export pumpHomo sapiens (human)
intercellular canaliculusBile salt export pumpHomo sapiens (human)
intracellular canaliculusBile salt export pumpHomo sapiens (human)
recycling endosomeBile salt export pumpHomo sapiens (human)
recycling endosome membraneBile salt export pumpHomo sapiens (human)
extracellular exosomeBile salt export pumpHomo sapiens (human)
membraneBile salt export pumpHomo sapiens (human)
mitochondrionCytochrome P450 2D6Homo sapiens (human)
endoplasmic reticulumCytochrome P450 2D6Homo sapiens (human)
endoplasmic reticulum membraneCytochrome P450 2D6Homo sapiens (human)
cytoplasmCytochrome P450 2D6Homo sapiens (human)
intracellular membrane-bounded organelleCytochrome P450 2D6Homo sapiens (human)
endoplasmic reticulumUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
endoplasmic reticulum membraneUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
plasma membraneUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
perinuclear region of cytoplasmUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
endoplasmic reticulum chaperone complexUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
cytochrome complexUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
endoplasmic reticulumUDP-glucuronosyltransferase 1A1 Homo sapiens (human)
plasma membraneKappa-type opioid receptorMus musculus (house mouse)
endosomeMu-type opioid receptorHomo sapiens (human)
endoplasmic reticulumMu-type opioid receptorHomo sapiens (human)
Golgi apparatusMu-type opioid receptorHomo sapiens (human)
plasma membraneMu-type opioid receptorHomo sapiens (human)
axonMu-type opioid receptorHomo sapiens (human)
dendriteMu-type opioid receptorHomo sapiens (human)
perikaryonMu-type opioid receptorHomo sapiens (human)
synapseMu-type opioid receptorHomo sapiens (human)
plasma membraneMu-type opioid receptorHomo sapiens (human)
neuron projectionMu-type opioid receptorHomo sapiens (human)
plasma membraneDelta-type opioid receptorHomo sapiens (human)
synaptic vesicle membraneDelta-type opioid receptorHomo sapiens (human)
dendrite membraneDelta-type opioid receptorHomo sapiens (human)
presynaptic membraneDelta-type opioid receptorHomo sapiens (human)
axon terminusDelta-type opioid receptorHomo sapiens (human)
spine apparatusDelta-type opioid receptorHomo sapiens (human)
postsynaptic density membraneDelta-type opioid receptorHomo sapiens (human)
neuronal dense core vesicleDelta-type opioid receptorHomo sapiens (human)
plasma membraneDelta-type opioid receptorHomo sapiens (human)
neuron projectionDelta-type opioid receptorHomo sapiens (human)
nucleoplasmKappa-type opioid receptorHomo sapiens (human)
mitochondrionKappa-type opioid receptorHomo sapiens (human)
cytosolKappa-type opioid receptorHomo sapiens (human)
plasma membraneKappa-type opioid receptorHomo sapiens (human)
membraneKappa-type opioid receptorHomo sapiens (human)
sarcoplasmic reticulumKappa-type opioid receptorHomo sapiens (human)
T-tubuleKappa-type opioid receptorHomo sapiens (human)
dendriteKappa-type opioid receptorHomo sapiens (human)
synaptic vesicle membraneKappa-type opioid receptorHomo sapiens (human)
presynaptic membraneKappa-type opioid receptorHomo sapiens (human)
perikaryonKappa-type opioid receptorHomo sapiens (human)
axon terminusKappa-type opioid receptorHomo sapiens (human)
postsynaptic membraneKappa-type opioid receptorHomo sapiens (human)
plasma membraneKappa-type opioid receptorHomo sapiens (human)
neuron projectionKappa-type opioid receptorHomo sapiens (human)
plasma membraneNociceptin receptorHomo sapiens (human)
cytoplasmic vesicleNociceptin receptorHomo sapiens (human)
plasma membraneNociceptin receptorHomo sapiens (human)
neuron projectionNociceptin receptorHomo sapiens (human)
plasma membraneMu-type opioid receptorMus musculus (house mouse)
plasma membrane5-hydroxytryptamine receptor 3AHomo sapiens (human)
cleavage furrow5-hydroxytryptamine receptor 3AHomo sapiens (human)
postsynaptic membrane5-hydroxytryptamine receptor 3AHomo sapiens (human)
serotonin-activated cation-selective channel complex5-hydroxytryptamine receptor 3AHomo sapiens (human)
synapse5-hydroxytryptamine receptor 3AHomo sapiens (human)
plasma membrane5-hydroxytryptamine receptor 3AHomo sapiens (human)
transmembrane transporter complex5-hydroxytryptamine receptor 3AHomo sapiens (human)
neuron projection5-hydroxytryptamine receptor 3AHomo sapiens (human)
plasma membrane5-hydroxytryptamine receptor 3DHomo sapiens (human)
postsynaptic membrane5-hydroxytryptamine receptor 3DHomo sapiens (human)
serotonin-activated cation-selective channel complex5-hydroxytryptamine receptor 3DHomo sapiens (human)
synapse5-hydroxytryptamine receptor 3DHomo sapiens (human)
transmembrane transporter complex5-hydroxytryptamine receptor 3DHomo sapiens (human)
plasma membrane5-hydroxytryptamine receptor 3DHomo sapiens (human)
neuron projection5-hydroxytryptamine receptor 3DHomo sapiens (human)
plasma membrane5-hydroxytryptamine receptor 3CHomo sapiens (human)
postsynaptic membrane5-hydroxytryptamine receptor 3CHomo sapiens (human)
serotonin-activated cation-selective channel complex5-hydroxytryptamine receptor 3CHomo sapiens (human)
synapse5-hydroxytryptamine receptor 3CHomo sapiens (human)
transmembrane transporter complex5-hydroxytryptamine receptor 3CHomo sapiens (human)
neuron projection5-hydroxytryptamine receptor 3CHomo sapiens (human)
plasma membrane5-hydroxytryptamine receptor 3CHomo sapiens (human)
endoplasmic reticulumUDP-glucuronosyltransferase 1A8Homo sapiens (human)
endoplasmic reticulum membraneUDP-glucuronosyltransferase 1A8Homo sapiens (human)
endoplasmic reticulumUDP-glucuronosyltransferase 1A8Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (713)

Assay IDTitleYearJournalArticle
AID1346987P-glycoprotein substrates identified in KB-8-5-11 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1296008Cytotoxic Profiling of Annotated Libraries Using Quantitative High-Throughput Screening2020SLAS discovery : advancing life sciences R & D, 01, Volume: 25, Issue:1
Cytotoxic Profiling of Annotated and Diverse Chemical Libraries Using Quantitative High-Throughput Screening.
AID1346986P-glycoprotein substrates identified in KB-3-1 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1346364Human mu receptor (Opioid receptors)2015Psychopharmacology, Jan, Volume: 232, Issue:1
The opioid receptor pharmacology of GSK1521498 compared to other ligands with differential effects on compulsive reward-related behaviours.
AID1346341Mouse kappa receptor (Opioid receptors)1993Proceedings of the National Academy of Sciences of the United States of America, Jul-15, Volume: 90, Issue:14
Cloning and functional comparison of kappa and delta opioid receptors from mouse brain.
AID1346329Human kappa receptor (Opioid receptors)1995Proceedings of the National Academy of Sciences of the United States of America, Jul-18, Volume: 92, Issue:15
kappa-Opioid receptor in humans: cDNA and genomic cloning, chromosomal assignment, functional expression, pharmacology, and expression pattern in the central nervous system.
AID1346373Mouse delta receptor (Opioid receptors)1994Molecular pharmacology, Feb, Volume: 45, Issue:2
Pharmacological characterization of the cloned kappa-, delta-, and mu-opioid receptors.
AID1346364Human mu receptor (Opioid receptors)1998NIDA research monograph, Mar, Volume: 178Standard binding and functional assays related to medications development division testing for potential cocaine and opiate narcotic treatment medications.
AID1346329Human kappa receptor (Opioid receptors)1998NIDA research monograph, Mar, Volume: 178Standard binding and functional assays related to medications development division testing for potential cocaine and opiate narcotic treatment medications.
AID1346361Human delta receptor (Opioid receptors)1998NIDA research monograph, Mar, Volume: 178Standard binding and functional assays related to medications development division testing for potential cocaine and opiate narcotic treatment medications.
AID148030Binding affinity towards Opioid receptor mu 1 of guinea pig brain membranes using radioligand 0.25 nM [3H]DAMGO2001Bioorganic & medicinal chemistry letters, Jul-09, Volume: 11, Issue:13
3-Carboxamido analogues of morphine and naltrexone. synthesis and opioid receptor binding properties.
AID301034Displacement of [3H]diprenorphine from human mu opioid receptor expressed in CHO cells in presence of high sodium by SPA2007Bioorganic & medicinal chemistry letters, Oct-01, Volume: 17, Issue:19
Structure-activity relationship studies of carboxamido-biaryl ethers as opioid receptor antagonists (OpRAs). Part 1.
AID756078Displacement of [3H]NTI from delta opioid receptor (unknown origin) after 1.5 hrs2013Bioorganic & medicinal chemistry letters, Jul-01, Volume: 23, Issue:13
Opioid receptor selectivity profile change via isosterism for 14-O-substituted naltrexone derivatives.
AID141490Tested for the binding affinity against the Mu opioid receptor in guinea pig brain using [3H]-DAMGO1994Journal of medicinal chemistry, Dec-09, Volume: 37, Issue:25
Synthesis and opioid receptor affinity of a series of aralkyl ethers of 6 alpha- and 6 beta-naltrexol.
AID269581Reversal of stimulation of [35S]GTP-gamma-S binding to human recombinant MOR transfected in CHO cells relative to DAMGO2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effect of substitution in the aromatic ring of cinnamoylaminomorphinones and codeinones.
AID150010Antagonist potency was determined as the ratio of [antagonist] to (IC50 ratio-1) for Opioid receptor mu 11990Journal of medicinal chemistry, Jun, Volume: 33, Issue:6
Design of peptidomimetic delta opioid receptor antagonists using the message-address concept.
AID149996Stimulation of U-69,593 binding at human recombinant Opioid receptor kappa 1 transfected into CHO cells.2003Journal of medicinal chemistry, Apr-10, Volume: 46, Issue:8
14-amino, 14-alkylamino, and 14-acylamino analogs of oxymorphindole. Differential effects on opioid receptor binding and functional profiles.
AID551425Antagonist activity at human delta opioid receptor expressed in CHO cells assessed as [35S]GTPgammaS binding by SPA2011Bioorganic & medicinal chemistry letters, Jan-15, Volume: 21, Issue:2
Tetrahydroquinoline derivatives as opioid receptor antagonists.
AID1194128Reversal of morphine-induced antinociceptive activity in sc dosed Swiss-Webster mouse administered 5 mins prior to morphine challenge measured after 20 mins by warm water tail-flick test relative to control2015Bioorganic & medicinal chemistry, Apr-15, Volume: 23, Issue:8
Design, syntheses, and pharmacological characterization of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan analogues as opioid receptor ligands.
AID150392Inhibition of [3H]naloxone binding to opioid receptor in presence of NaCl1989Journal of medicinal chemistry, Feb, Volume: 32, Issue:2
Synthesis and biological evaluation of 14-alkoxymorphinans. 2. (-)-N-(cyclopropylmethyl)-4,14-dimethoxymorphinan-6-one, a selective mu opioid receptor antagonist.
AID229500Ratio of IC50 morphine and antagonist binding to opioid receptor1988Journal of medicinal chemistry, Apr, Volume: 31, Issue:4
Binaltorphimine-related bivalent ligands and their kappa opioid receptor antagonist selectivity.
AID456916Displacement of [3H]U69,593 from kappa opioid receptor in guinea pig cerebellum2010Bioorganic & medicinal chemistry letters, Feb-01, Volume: 20, Issue:3
Investigation of Beckett-Casy model 1: synthesis of novel 16,17-seco-naltrexone derivatives and their pharmacology.
AID226742In vitro narcotic agonist potency of compound as ratio to normorphine (=1) was assessed in mouse vas deferens1982Journal of medicinal chemistry, Feb, Volume: 25, Issue:2
Common anionic receptor site hypothesis: its relevance to the antagonist action of naloxone.
AID320419Displacement of 3.0 nM [3H]etorphine from opioid receptor in rat cerebrum2008Bioorganic & medicinal chemistry, Jan-15, Volume: 16, Issue:2
The influence of esters and carboxylic acids as the N-substituent of opioids. Part 1: Benzomorphans.
AID1135653Residual inhibition of morphine-induced analgesia in mouse at 2.4 nmol, icv measured after 2 hrs by tail-flick assay1978Journal of medicinal chemistry, Jul, Volume: 21, Issue:7
6beta-[N,N-Bis(2-chloroethyl)amino]-17-(cyclopropylmethyl)-4,5alpha-epoxy-3,14-dihydroxymorphinan(chlornaltrexamine) a potent opioid receptor alkylating agent with ultralong narcotic antagonist actitivty.
AID301031Antagonist activity at human mu opioid receptor expressed in CHO cells by [35S]GTP-gamma-S binding assay2007Bioorganic & medicinal chemistry letters, Oct-01, Volume: 17, Issue:19
Structure-activity relationship studies of carboxamido-biaryl ethers as opioid receptor antagonists (OpRAs). Part 1.
AID148688Inhibitory concentration against Opioid receptor kappa 1 using [3H]- U-69,593 radioligand1995Journal of medicinal chemistry, Feb-03, Volume: 38, Issue:3
Isothiocyanate-substituted benzyl ether opioid receptor ligands derived from 6 beta-naltrexol.
AID228131Ratio of kappa/delta-opioid receptors Binding affinity2003Journal of medicinal chemistry, Jul-03, Volume: 46, Issue:14
Opioid binding and in vitro profiles of a series of 4-hdroxy-3-methoxyindolomorphinans. Transformation of a delta-selective ligand into a high affinity kappa-selective ligand by introduction of a 5,14-substituted bridge.
AID147882In vitro inhibitory activity against Opioid receptor mu 1 of guinea pig ileum was determined2004Journal of medicinal chemistry, Jan-29, Volume: 47, Issue:3
Structure-activity study on the Phe side chain arrangement of endomorphins using conformationally constrained analogues.
AID347309Displacement of [3H]naloxone from monocloned mu opioid receptor expressed in CHO cells2009Journal of medicinal chemistry, Mar-12, Volume: 52, Issue:5
Design, synthesis, and biological evaluation of 6alpha- and 6beta-N-heterocyclic substituted naltrexamine derivatives as mu opioid receptor selective antagonists.
AID1713966Displacement of [3H]NLX from mouse MOR expressed in CHO cell membrane incubated for 90 mins by liquid scintillation spectrophotometry2016Bioorganic & medicinal chemistry, 11-15, Volume: 24, Issue:22
Exploration of bivalent ligands targeting putative mu opioid receptor and chemokine receptor CCR5 dimerization.
AID149337In vito concentration required to displace [3H]DADLE (Kd = 1.6 nM and concentration is 1.9 nM) from high affinity delta-site in rat brain membranes.1992Journal of medicinal chemistry, Jul-24, Volume: 35, Issue:15
Probes for narcotic receptor mediated phenomena. 18. Epimeric 6 alpha- and 6 beta-iodo-3,14-dihydroxy-17-(cyclopropylmethyl)-4,5 alpha-epoxymorphinans as potential ligands for opioid receptor single photon emission computed tomography: synthesis, evaluati
AID1079938Chronic liver disease either proven histopathologically, or through a chonic elevation of serum amino-transferase activity after 6 months. Value is number of references indexed. [column 'CHRON' in source]
AID588216FDA HLAED, serum glutamic oxaloacetic transaminase (SGOT) increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID410718Displacement of [3H]DAMGO form human mu opioid receptor expressed in CHO cells2009Bioorganic & medicinal chemistry letters, Jan-01, Volume: 19, Issue:1
Syntheses and opioid receptor binding properties of carboxamido-substituted opioids.
AID148041Compound was evaluated for binding affinity at Opioid receptor mu 1 in guinea pig brain membranes1991Journal of medicinal chemistry, Jun, Volume: 34, Issue:6
An approach to the design of receptor-type-selective non-peptide antagonists of peptidergic receptors: delta opioid antagonists.
AID273136Displacement of [3H]U-69593 from kappa opioid receptor in guinea pig brain homogenate2006Journal of medicinal chemistry, Oct-05, Volume: 49, Issue:20
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effects of changes to the chain linking of the C14-amino group to the aryl ring.
AID1079942Steatosis, proven histopathologically. Value is number of references indexed. [column 'STEAT' in source]
AID1449628Inhibition of human BSEP expressed in baculovirus transfected fall armyworm Sf21 cell membranes vesicles assessed as reduction in ATP-dependent [3H]-taurocholate transport into vesicles incubated for 5 mins by Topcount based rapid filtration method2012Drug metabolism and disposition: the biological fate of chemicals, Dec, Volume: 40, Issue:12
Mitigating the inhibition of human bile salt export pump by drugs: opportunities provided by physicochemical property modulation, in silico modeling, and structural modification.
AID224576Antagonistic activity towards morphine induced mu-opioid receptor by mouse writhing assay at 1.25 mg/kg subcutaneously1993Journal of medicinal chemistry, Oct-01, Volume: 36, Issue:20
3,4-Dimethyl-4-(3-hydroxyphenyl)piperidines: opioid antagonists with potent anorectant activity.
AID148056Inhibition of [35S]GTP-gamma-S, binding from Opioid receptor mu 1 in Guinea pig Caudate stimulated by DAMGO1998Journal of medicinal chemistry, Dec-17, Volume: 41, Issue:26
Identification of an opioid kappa receptor subtype-selective N-substituent for (+)-(3R,4R)-dimethyl-4-(3-hydroxyphenyl)piperidine.
AID149026Selectivity ratio is Ki value of mu-opioid receptor to that of delta-opioid receptor1991Journal of medicinal chemistry, May, Volume: 34, Issue:5
Role of spacer and address components in peptidomimetic delta opioid receptor antagonists related to naltrindole.
AID149872Opioid receptor mu 1 antagonistic activity was measured by the displacement of morphine in the guinea pig ileum at a concentration of 100 nM1990Journal of medicinal chemistry, Jun, Volume: 33, Issue:6
Design of peptidomimetic delta opioid receptor antagonists using the message-address concept.
AID298654Agonist activity at human delta opioid receptor expressed in CHO cells assessed as effect on [35S]GTP-gamma-S binding2007Journal of medicinal chemistry, Oct-18, Volume: 50, Issue:21
Cinnamoyl derivatives of 7alpha-aminomethyl-6,14-endo-ethanotetrahydrothebaine and 7alpha-aminomethyl-6,14-endo-ethanotetrahydrooripavine and related opioid ligands.
AID1123204Inhibition of morphine-induced analgesia in Swiss Webster mouse assessed as change in morphine ED50 at 2.4 nmol, icv after 2 hrs by tail flick test1979Journal of medicinal chemistry, Feb, Volume: 22, Issue:2
Synthesis and pharmacologic characterization of an alkylating analogue (chlornaltrexamine) of naltrexone with ultralong-lasting narcotic antagonist properties.
AID274392Displacement of [3H]diprenorphine from human cloned delta opioid receptor expressed in CHO cells2006Journal of medicinal chemistry, Dec-14, Volume: 49, Issue:25
Synthesis and pharmacological evaluation of novel octahydro-1H-pyrido[1,2-a]pyrazine as mu-opioid receptor antagonists.
AID298633Displacement of [3H]DPDPE from human cloned delta opioid receptor2007Journal of medicinal chemistry, Oct-18, Volume: 50, Issue:21
Cinnamoyl derivatives of 7alpha-aminomethyl-6,14-endo-ethanotetrahydrothebaine and 7alpha-aminomethyl-6,14-endo-ethanotetrahydrooripavine and related opioid ligands.
AID229497Ratio of IC50 DADLE and antagonist binding to delta opioid receptor1988Journal of medicinal chemistry, Apr, Volume: 31, Issue:4
Binaltorphimine-related bivalent ligands and their kappa opioid receptor antagonist selectivity.
AID1474167Liver toxicity in human assessed as induction of drug-induced liver injury by measuring verified drug-induced liver injury concern status2016Drug discovery today, Apr, Volume: 21, Issue:4
DILIrank: the largest reference drug list ranked by the risk for developing drug-induced liver injury in humans.
AID1121814Binding affinity to CCR5/MOR in human astrocytes assessed as inhibition of R5 HIV-1 SF162 infection by measuring Tat protein expression at 1.5 uM preincubated for 30 to 60 mins followed by viral infection measured after 18 hrs by luciferase reporter gene 2013MedChemComm, May-01, Volume: 4, Issue:5
A Bivalent Ligand Targeting the Putative Mu Opioid Receptor and Chemokine Receptor CCR5 Heterodimers: Binding Affinity versus Functional Activities.
AID484375Displacement of [3H]U69493 from kappa opioid receptor in Hartley guinea pig cerebellum by liquid scintillation counter2010Bioorganic & medicinal chemistry letters, Jun-15, Volume: 20, Issue:12
Investigation of Beckett-Casy model 2: synthesis of novel 15-16 nornaltrexone derivatives and their pharmacology.
AID450016Displacement of [3H]DAMGO from mu opioid receptor expressed in HEK293 cells by visible spectrophotometry2009Bioorganic & medicinal chemistry, Sep-15, Volume: 17, Issue:18
Synthesis and pharmacological evaluation of 6-naltrexamine analogs for alcohol cessation.
AID149552The compound was tested for antagonist activity by selective inhibition of [35S]GTP-gamma-S, binding in Guinea pig caudate stimulated by U69,593 to Opioid receptor kappa 11998Journal of medicinal chemistry, May-21, Volume: 41, Issue:11
Investigation of the N-substituent conformation governing potency and mu receptor subtype-selectivity in (+)-(3R, 4R)-dimethyl-4-(3-hydroxyphenyl)piperidine opioid antagonists.
AID317856Selectivity ratio of Ki for human mu opioid receptor over Ki for human delta opioid receptor2008Journal of medicinal chemistry, Mar-27, Volume: 51, Issue:6
Synthesis and biological evaluation of alpha- and beta-6-amido derivatives of 17-cyclopropylmethyl-3, 14beta-dihydroxy-4, 5alpha-epoxymorphinan: potential alcohol-cessation agents.
AID1054680Induction of withdrawal symptoms in chronic morphine-exposed Swiss-Webster mouse assessed as decrease in escape jumps at 1 mg/kg, sc measured over 20 mins2013Journal of medicinal chemistry, Nov-27, Volume: 56, Issue:22
Design, synthesis, and biological evaluation of 14-heteroaromatic-substituted naltrexone derivatives: pharmacological profile switch from mu opioid receptor selectivity to mu/kappa opioid receptor dual selectivity.
AID273131Displacement of [3H]U-69593 from human recombinant kappa opioid receptor expressed in CHO cells2006Journal of medicinal chemistry, Oct-05, Volume: 49, Issue:20
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effects of changes to the chain linking of the C14-amino group to the aryl ring.
AID1133440Narcotic agonist activity in mouse by writhing test1978Journal of medicinal chemistry, Jan, Volume: 21, Issue:1
Quantum chemical studies of N-substituent variation in the oxymorphone series of opiate narcotics.
AID233094Ratio of antagonistic activity for delta and kappa receptors1988Journal of medicinal chemistry, Apr, Volume: 31, Issue:4
Binaltorphimine-related bivalent ligands and their kappa opioid receptor antagonist selectivity.
AID1054697Displacement of [3H]NTI from delta opioid receptor (unknown origin) expressed in CHO cell membranes after 1.5 hrs2013Journal of medicinal chemistry, Nov-27, Volume: 56, Issue:22
Design, synthesis, and biological evaluation of 14-heteroaromatic-substituted naltrexone derivatives: pharmacological profile switch from mu opioid receptor selectivity to mu/kappa opioid receptor dual selectivity.
AID595126Antagonist activity at human delta opioid receptor expressed in CHO cells assessed as inhibition of DPDPE stimulated [35S]GTPgammaS binding2010ACS medicinal chemistry letters, Oct-14, Volume: 1, Issue:7
1-Substituted 4-(3-Hydroxyphenyl)piperazines Are Pure Opioid Receptor Antagonists.
AID282143Reversal of 1'-benzyl-6,7-didehydro-3,14-dihydroxy-4,5alpha-epoxy-17-methyl-4',5',6',7'-tetrahydroindolo[2',3':6,7]morphinan-induced antinociceptive activity in mouse2004Journal of medicinal chemistry, Dec-16, Volume: 47, Issue:26
Effects of substitution on the pyrrole N atom in derivatives of tetrahydronaltrindole, tetrahydrooxymorphindole, and a related 4,5-epoxyphenylpyrrolomorphinan.
AID148220Displacement of [3H]C1-DPDPE from human recombinant Opioid receptor delta 1 on CHO cell membranes.2003Journal of medicinal chemistry, Apr-10, Volume: 46, Issue:8
14-amino, 14-alkylamino, and 14-acylamino analogs of oxymorphindole. Differential effects on opioid receptor binding and functional profiles.
AID303909Antagonist activity at cloned human kappa opioid receptor expressed in CHO cells assessed as inhibition of agonist-stimulated GTPgammaS binding2007Bioorganic & medicinal chemistry letters, Dec-15, Volume: 17, Issue:24
Structure activity relationship studies of carboxamido-biaryl ethers as opioid receptor antagonists (OpRAs). Part 2.
AID625287Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatomegaly2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID317853Displacement of [3H]DAMGO from human mu opioid receptor expressed in CHO cells2008Journal of medicinal chemistry, Mar-27, Volume: 51, Issue:6
Synthesis and biological evaluation of alpha- and beta-6-amido derivatives of 17-cyclopropylmethyl-3, 14beta-dihydroxy-4, 5alpha-epoxymorphinan: potential alcohol-cessation agents.
AID150393Inhibition of stereospecific [3H]diprenorphine binding to opioid receptors of rat brain homogenates by 50% in the absence of Na1982Journal of medicinal chemistry, Feb, Volume: 25, Issue:2
Common anionic receptor site hypothesis: its relevance to the antagonist action of naloxone.
AID625283Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for elevated liver function tests2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID149779Binding affinity determined on Opioid receptor delta 1 in Guinea pig brain membranes using radioligand [3H]DADLE1998Journal of medicinal chemistry, Dec-17, Volume: 41, Issue:26
Identification of an opioid kappa receptor subtype-selective N-substituent for (+)-(3R,4R)-dimethyl-4-(3-hydroxyphenyl)piperidine.
AID1079934Highest frequency of acute liver toxicity observed during clinical trials, expressed as a percentage. [column '% AIGUE' in source]
AID1194135Agonist activity at mouse DOR expressed in CHO cells after 1.5 hrs by [35S]GTPgammaS binding assay2015Bioorganic & medicinal chemistry, Apr-15, Volume: 23, Issue:8
Design, syntheses, and pharmacological characterization of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan analogues as opioid receptor ligands.
AID149918Compound was tested for the inhibition of [35S]GTP-gamma-S, binding in Guinea pig Caudate stimulated by the Opioid receptor delta 1 agonist Delta-SNC801998Bioorganic & medicinal chemistry letters, Nov-17, Volume: 8, Issue:22
N-substituted octahydro-4a-(3-hydroxyphenyl)-10a-methyl-benzo[g]isoquinolines are opioid receptor pure antagonists.
AID151436Evaluated for the inhibition of [3H]naltrexone binding to Opioid receptor mu 1 in rat brain homogenates.1985Journal of medicinal chemistry, Dec, Volume: 28, Issue:12
Hybromet: a ligand for purifying opioid receptors.
AID1611793Displacement of [3H]-DPN from recombinant human mu opioid receptor expressed in CHO-K1 cell membranes by radioligand binding assay2019ACS medicinal chemistry letters, Dec-12, Volume: 10, Issue:12
Discovery of Axelopran (TD-1211): A Peripherally Restricted μ-Opioid Receptor Antagonist.
AID149427Inhibition of [35S]GTP-gamma-S, binding in guinea pig caudate stimulated by U69,593 in Opioid receptor kappa 11998Journal of medicinal chemistry, Oct-08, Volume: 41, Issue:21
N-Substituted 9beta-methyl-5-(3-hydroxyphenyl)morphans are opioid receptor pure antagonists.
AID624636Drug glucuronidation reaction catalyzed by human recombinant UGT1A82005Pharmacology & therapeutics, Apr, Volume: 106, Issue:1
UDP-glucuronosyltransferases and clinical drug-drug interactions.
AID779522Binding affinity to MOR W318A mutant (unknown origin) expressed in CHO cells after 15 mins by Ca2+ mobilization assay2013Bioorganic & medicinal chemistry, Nov-01, Volume: 21, Issue:21
Binding mode characterization of 6α- and 6β-N-heterocyclic substituted naltrexamine derivatives via docking in opioid receptor crystal structures and site-directed mutagenesis studies: application of the 'message-address' concept in development of mu opio
AID233878Selectivity ratio was determined from Ke value of Opioid receptor mu 1 and Opioid receptor delta 11990Journal of medicinal chemistry, Jun, Volume: 33, Issue:6
Design of peptidomimetic delta opioid receptor antagonists using the message-address concept.
AID551424Antagonist activity at human mu opioid receptor expressed in CHO cells assessed as [35S]GTPgammaS binding by SPA2011Bioorganic & medicinal chemistry letters, Jan-15, Volume: 21, Issue:2
Tetrahydroquinoline derivatives as opioid receptor antagonists.
AID779521Binding affinity to MOR Y210A mutant (unknown origin) expressed in CHO cells after 15 mins by Ca2+ mobilization assay2013Bioorganic & medicinal chemistry, Nov-01, Volume: 21, Issue:21
Binding mode characterization of 6α- and 6β-N-heterocyclic substituted naltrexamine derivatives via docking in opioid receptor crystal structures and site-directed mutagenesis studies: application of the 'message-address' concept in development of mu opio
AID149913Binding affinity against Opioid receptor delta 1 of guinea pig brain membranes using 1 nM of [3H]DADLE as radioligand1986Journal of medicinal chemistry, Jul, Volume: 29, Issue:7
Peptides as receptor selectivity modulators of opiate pharmacophores.
AID417165Antagonist activity against human kappa opioid receptor expressed in CHO cells assessed as inhibition of U50488-stimulated [35S]GTPgammaS binding2009Bioorganic & medicinal chemistry letters, Apr-15, Volume: 19, Issue:8
Syntheses of novel high affinity ligands for opioid receptors.
AID540215Volume of distribution at steady state in rat after iv administration2005Journal of pharmaceutical sciences, Jul, Volume: 94, Issue:7
Extrapolation of human pharmacokinetic parameters from rat, dog, and monkey data: Molecular properties associated with extrapolative success or failure.
AID147884Inhibition of [35S]GTP-gamma-S, binding in guines pig caudate stimulated by DAMGO for Opioid receptor mu 12003Journal of medicinal chemistry, May-08, Volume: 46, Issue:10
2002 Medicinal Chemistry Division Award address: monoamine transporters and opioid receptors. Targets for addiction therapy.
AID624630Drug glucuronidation reaction catalyzed by human recombinant UGT1A12005Pharmacology & therapeutics, Apr, Volume: 106, Issue:1
UDP-glucuronosyltransferases and clinical drug-drug interactions.
AID229499Ratio of IC50 ethylketazocine and antagonist binding to opioid receptor1988Journal of medicinal chemistry, Apr, Volume: 31, Issue:4
Binaltorphimine-related bivalent ligands and their kappa opioid receptor antagonist selectivity.
AID147963Displacement of [3H]bremazocine from opioid receptor kappa of guinea pig membrane.1991Journal of medicinal chemistry, Aug, Volume: 34, Issue:8
Electrophilic gamma-lactone kappa-opioid receptor probes. Analogues of 2'-hydroxy-2-tetrahydrofurfuryl-5,9-dimethyl-6,7-benzomorphan diastereomers.
AID320417Displacement of [3H]etorphine from opioid receptor in rat cerebrum2008Bioorganic & medicinal chemistry, Jan-15, Volume: 16, Issue:2
The influence of esters and carboxylic acids as the N-substituent of opioids. Part 1: Benzomorphans.
AID416813Displacement of [3H]DAMGO from human mu opioid receptor expressed in CHO cells after 60 mins by scintillation counting2009Bioorganic & medicinal chemistry letters, Apr-15, Volume: 19, Issue:8
Syntheses of novel high affinity ligands for opioid receptors.
AID588217FDA HLAED, serum glutamic pyruvic transaminase (SGPT) increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID76403Beta-Funaltrexamine antagonism of morphine agonism in the presence of compound was determined in Guinea pig ileum at concentration of 20 nM1986Journal of medicinal chemistry, Aug, Volume: 29, Issue:8
Activity of N-methyl-alpha- and -beta-funaltrexamine at opioid receptors.
AID1194120Displacement of [3H]diprenorphine from mouse KOR expressed in CHO cells after 1.5 hrs by [35S]GTPgammaS binding assay2015Bioorganic & medicinal chemistry, Apr-15, Volume: 23, Issue:8
Design, syntheses, and pharmacological characterization of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan analogues as opioid receptor ligands.
AID1079940Granulomatous liver disease, proven histopathologically. Value is number of references indexed. [column 'GRAN' in source]
AID410720Displacement of [3H]U69593 form human kappa opioid receptor expressed in CHO cells2009Bioorganic & medicinal chemistry letters, Jan-01, Volume: 19, Issue:1
Syntheses and opioid receptor binding properties of carboxamido-substituted opioids.
AID540210Clearance in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID625282Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cirrhosis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID238168Antagonist potency towards human delta opioid receptor in [35S]GTP-gamma-S, assay2004Journal of medicinal chemistry, Oct-07, Volume: 47, Issue:21
Identification of a new scaffold for opioid receptor antagonism based on the 2-amino-1,1-dimethyl-7-hydroxytetralin pharmacophore.
AID148045Binding affinity against Opioid receptor mu 1 of guinea pig brain membranes using 0.5 nM of [3H]naloxone as radioligand1986Journal of medicinal chemistry, Jul, Volume: 29, Issue:7
Peptides as receptor selectivity modulators of opiate pharmacophores.
AID239407Inhibition of [3H]C1-DPDPE binding to human delta opioid receptor expressed in CHO cells2004Journal of medicinal chemistry, Oct-07, Volume: 47, Issue:21
Identification of a new scaffold for opioid receptor antagonism based on the 2-amino-1,1-dimethyl-7-hydroxytetralin pharmacophore.
AID317859Activity at human delta opioid receptor by [35S]GTPgammaS binding assay2008Journal of medicinal chemistry, Mar-27, Volume: 51, Issue:6
Synthesis and biological evaluation of alpha- and beta-6-amido derivatives of 17-cyclopropylmethyl-3, 14beta-dihydroxy-4, 5alpha-epoxymorphinan: potential alcohol-cessation agents.
AID149086Displacement of [3H]- diprenorphine from delta-W284E-receptor expressed in HEK 293 cells2001Journal of medicinal chemistry, Mar-15, Volume: 44, Issue:6
Investigation of the selectivity of oxymorphone- and naltrexone-derived ligands via site-directed mutagenesis of opioid receptors: exploring the "address" recognition locus.
AID150036Inhibitory binding constant in guinea pig brain homogenate was reported at Opioid receptor delta 1 at a a temperature 25 degree Celsius labeled with [3H](D-Ala2-D-Leu5)-enkephalin (0.7 nM)1985Journal of medicinal chemistry, Jul, Volume: 28, Issue:7
10-Ketonaltrexone and 10-ketooxymorphone.
AID625285Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatic necrosis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID269569Displacement of [3H]DAMGO from human recombinant MOR expressed in CHO cells2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effect of substitution in the aromatic ring of cinnamoylaminomorphinones and codeinones.
AID152406Inhibition of [3H]DADLE binding to opioid receptor1989Journal of medicinal chemistry, Feb, Volume: 32, Issue:2
Synthesis and biological evaluation of 14-alkoxymorphinans. 2. (-)-N-(cyclopropylmethyl)-4,14-dimethoxymorphinan-6-one, a selective mu opioid receptor antagonist.
AID151889Inhibition of [3H]DAMGO binding to Opioid receptor mu 1 of rat brain membranes1998Journal of medicinal chemistry, May-21, Volume: 41, Issue:11
Investigation of the N-substituent conformation governing potency and mu receptor subtype-selectivity in (+)-(3R, 4R)-dimethyl-4-(3-hydroxyphenyl)piperidine opioid antagonists.
AID148123Compound was evaluated for the binding affinity to opioid receptor kappa using [3H]EK as radioligand in guinea pig brain membrane1991Journal of medicinal chemistry, May, Volume: 34, Issue:5
Role of spacer and address components in peptidomimetic delta opioid receptor antagonists related to naltrindole.
AID286310Antagonist activity at human opioid kappa receptor expressed in CHO cells assessed as inhibition of U-50488-stimulated [35S]GTP-gamma-S binding2007Journal of medicinal chemistry, May-03, Volume: 50, Issue:9
Pharmacological properties of bivalent ligands containing butorphan linked to nalbuphine, naltrexone, and naloxone at mu, delta, and kappa opioid receptors.
AID625291Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver function tests abnormal2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1121820Agonist activity at human mu opioid receptor expressed in Gqi5 transfected CHO cells after 15 mins2013MedChemComm, May-01, Volume: 4, Issue:5
A Bivalent Ligand Targeting the Putative Mu Opioid Receptor and Chemokine Receptor CCR5 Heterodimers: Binding Affinity versus Functional Activities.
AID286307Agonist activity at human opioid kappa receptor expressed in CHO cells assessed as maximal stimulation of [35S]GTP-gamma-S binding2007Journal of medicinal chemistry, May-03, Volume: 50, Issue:9
Pharmacological properties of bivalent ligands containing butorphan linked to nalbuphine, naltrexone, and naloxone at mu, delta, and kappa opioid receptors.
AID410721Ratio of Ki for human mu opioid receptor to Ki for human kappa opioid receptor expressed in CHO cells2009Bioorganic & medicinal chemistry letters, Jan-01, Volume: 19, Issue:1
Syntheses and opioid receptor binding properties of carboxamido-substituted opioids.
AID149428Inhibition of [35S]GTP-gamma-S, binding from Opioid receptor kappa 1 in Guinea pig Caudate stimulated by U69,5931998Journal of medicinal chemistry, Dec-17, Volume: 41, Issue:26
Identification of an opioid kappa receptor subtype-selective N-substituent for (+)-(3R,4R)-dimethyl-4-(3-hydroxyphenyl)piperidine.
AID195694The ability of compound was measured to replace [3H]-labeled [D-Ala2, Met5]-enkephalinamide in rat brain homogenates by using [3H]-opiate binding assay1980Journal of medicinal chemistry, Jun, Volume: 23, Issue:6
Long-acting opiate agonists and antagonists: 14-hydroxydihydromorphinone hydrazones.
AID148344Stimulation of DAMGO binding in recombinant human Opioid receptor mu 1 transfected into CHO cells2003Journal of medicinal chemistry, Apr-10, Volume: 46, Issue:8
14-amino, 14-alkylamino, and 14-acylamino analogs of oxymorphindole. Differential effects on opioid receptor binding and functional profiles.
AID1123190Displacement of [3H]-naloxone from opioid receptor in rat brain homogenate at 1x10'-8 M preincubated for 5 mins measured after third washout by liquid scintillation counting analysis relative to control1979Journal of medicinal chemistry, Feb, Volume: 22, Issue:2
Synthesis and pharmacologic characterization of an alkylating analogue (chlornaltrexamine) of naltrexone with ultralong-lasting narcotic antagonist properties.
AID348692Binding affinity to mu opioid receptor in guinea pig forebrain2008Bioorganic & medicinal chemistry letters, Sep-15, Volume: 18, Issue:18
Synthesis of N-isobutylnoroxymorphone from naltrexone by a selective cyclopropane ring opening reaction.
AID149654Binding activity against Opioid receptor delta 1 using [3H]DADLE as radioligand in rat brain membranes.1998Journal of medicinal chemistry, Oct-08, Volume: 41, Issue:21
N-Substituted 9beta-methyl-5-(3-hydroxyphenyl)morphans are opioid receptor pure antagonists.
AID178685Inhibition of morphine analgesia in modified rat tail flick test.1981Journal of medicinal chemistry, Dec, Volume: 24, Issue:12
Analgesic narcotic antagonists. 9. 6-Methylene-8 beta-alkyl-N-(cycloalkylmethyl)-3-hydroxy- or -methoxymorphinans.
AID303908Antagonist activity at cloned human mu opioid receptor expressed in CHO cells assessed as inhibition of agonist-stimulated GTPgammaS binding2007Bioorganic & medicinal chemistry letters, Dec-15, Volume: 17, Issue:24
Structure activity relationship studies of carboxamido-biaryl ethers as opioid receptor antagonists (OpRAs). Part 2.
AID149113Binding activity against Opioid receptor kappa 1 using [3H]U-69593 as radioligand in guinea pig membranes. 1998Journal of medicinal chemistry, Oct-08, Volume: 41, Issue:21
N-Substituted 9beta-methyl-5-(3-hydroxyphenyl)morphans are opioid receptor pure antagonists.
AID229506Ratio of IC50 in the presence of morphine to that of control IC50 in guinea pig ileum at 100 nM1988Journal of medicinal chemistry, Jul, Volume: 31, Issue:7
Only one pharmacophore is required for the kappa opioid antagonist selectivity of norbinaltorphimine.
AID622103Selectivity ratio of Ki for mouse delta opioid receptor to mouse mu receptor2011Bioorganic & medicinal chemistry letters, Oct-15, Volume: 21, Issue:20
Synthesis of novel triplet drugs with 1,3,5-trioxazatriquinane skeletons and their pharmacologies. Part 2: Synthesis of novel triplet drugs with the epoxymethano structure (capped homotriplet).
AID151894Inhibition of [3H]DAGO binding to rat brain membrane Opioid receptor mu 11990Journal of medicinal chemistry, Sep, Volume: 33, Issue:9
Photoactivatable opiate derivatives as irreversible probes of the mu-opioid receptor.
AID756079Displacement of [3H]DPN from kappa opioid receptor (unknown origin) after 1.5 hrs2013Bioorganic & medicinal chemistry letters, Jul-01, Volume: 23, Issue:13
Opioid receptor selectivity profile change via isosterism for 14-O-substituted naltrexone derivatives.
AID147947Percent stimulation of [35S]GTP-gamma-S, binding in recombinant human Opioid receptor delta 1 transfected into CHO cells2003Journal of medicinal chemistry, Apr-10, Volume: 46, Issue:8
14-amino, 14-alkylamino, and 14-acylamino analogs of oxymorphindole. Differential effects on opioid receptor binding and functional profiles.
AID415721Displacement of [3H]DAMGO from mu opioid receptor expressed in CHO cells2009Bioorganic & medicinal chemistry letters, Mar-15, Volume: 19, Issue:6
14-O-Heterocyclic-substituted naltrexone derivatives as non-peptide mu opioid receptor selective antagonists: design, synthesis, and biological studies.
AID229502Ratio of IC50 in the presence of DADLE to that of control IC50 in guinea pig ileum at 100 nM1988Journal of medicinal chemistry, Jul, Volume: 31, Issue:7
Only one pharmacophore is required for the kappa opioid antagonist selectivity of norbinaltorphimine.
AID1079946Presence of at least one case with successful reintroduction. [column 'REINT' in source]
AID395293Displacement of [3H]DAMGO from human mu opioid receptor expressed in CHO cells2009Journal of medicinal chemistry, Mar-26, Volume: 52, Issue:6
14 beta-O-cinnamoylnaltrexone and related dihydrocodeinones are mu opioid receptor partial agonists with predominant antagonist activity.
AID148500Dose ratio due to Antagonist Effect at a concentration of 100 nM by (D-Ala2,D-Leu5)enkephalin Opioid receptor delta 1 in mouse vas deferens.1985Journal of medicinal chemistry, Jul, Volume: 28, Issue:7
10-Ketonaltrexone and 10-ketooxymorphone.
AID670417Displacement of [3H]U69593 from kappa opioid receptor in rat brain homogenate after 1 hr by liquid scintillation counting2012Bioorganic & medicinal chemistry, Jul-15, Volume: 20, Issue:14
Deconstructing 14-phenylpropyloxymetopon: minimal requirements for binding to mu opioid receptors.
AID223589Antagonism of opioid analgesia using a mouse writhing model to block U-50,488 (2.5 mg/kg) induced kappa-opioid receptor subcutaneously1993Journal of medicinal chemistry, Oct-01, Volume: 36, Issue:20
Structure-activity relationships of trans-3,4-dimethyl-4-(3-hydroxyphenyl)piperidine antagonists for mu- and kappa-opioid receptors.
AID148038Binding affinity was determined in a crude membrane preparation from guinea pig brain by displacement of [3H]DAMGO from Opioid receptor mu 11997Journal of medicinal chemistry, Feb-28, Volume: 40, Issue:5
(E)- and (Z)-7-arylidenenaltrexones: synthesis and opioid receptor radioligand displacement assays.
AID286311Agonist activity at human opioid gamma receptor expressed in CHO cells assessed as maximal stimulation of [35S]GTP-gamma-S binding2007Journal of medicinal chemistry, May-03, Volume: 50, Issue:9
Pharmacological properties of bivalent ligands containing butorphan linked to nalbuphine, naltrexone, and naloxone at mu, delta, and kappa opioid receptors.
AID450031Antagonist activity at kappa opioid receptor expressed in HEK293 cells assessed as inhibition of compound 16-induced [35S]GTPgammaS binding2009Bioorganic & medicinal chemistry, Sep-15, Volume: 17, Issue:18
Synthesis and pharmacological evaluation of 6-naltrexamine analogs for alcohol cessation.
AID149659Binding affinity at opioid receptor delta 1 by displacement of [3H]DADLE in rat brain membrane2004Journal of medicinal chemistry, Mar-11, Volume: 47, Issue:6
Identification of opioid ligands possessing mixed micro agonist/delta antagonist activity among pyridomorphinans derived from naloxone, oxymorphone, and hydromorphone [correction of hydropmorphone].
AID146644Blockage of Nicotinic acetylcholine receptor alpha4-beta2 noncompetitively in cultured hippocampal neurons2004Bioorganic & medicinal chemistry letters, Apr-19, Volume: 14, Issue:8
Sensitivity of neuronal nicotinic acetylcholine receptors to the opiate antagonists naltrexone and naloxone: receptor blockade and up-regulation.
AID148055Inhibition of [35S]GTP-gamma-S, binding in guinea pig caudate stimulated by DAMGO (Opioid receptor mu 1)1998Journal of medicinal chemistry, Oct-08, Volume: 41, Issue:21
N-Substituted 9beta-methyl-5-(3-hydroxyphenyl)morphans are opioid receptor pure antagonists.
AID320416Antinociceptive activity in sc dosed mouse assessed as inhibition of morphin response by tail flick assay2008Bioorganic & medicinal chemistry, Jan-15, Volume: 16, Issue:2
The influence of esters and carboxylic acids as the N-substituent of opioids. Part 1: Benzomorphans.
AID149907Binding affinity was measured by the displacement of [3H]- DADLE in guinea pig brain membrane of Opioid receptor delta 11990Journal of medicinal chemistry, Jun, Volume: 33, Issue:6
Design of peptidomimetic delta opioid receptor antagonists using the message-address concept.
AID456914Displacement of [3H]DAMGO from mu opioid receptor in guinea pig forebrain2010Bioorganic & medicinal chemistry letters, Feb-01, Volume: 20, Issue:3
Investigation of Beckett-Casy model 1: synthesis of novel 16,17-seco-naltrexone derivatives and their pharmacology.
AID149347In vito concentration required to displace [3H]DADLE (Kd = 12.2 nM and concentration is 2.1 nM) from low affinity delta-site in rat brain membranes.1992Journal of medicinal chemistry, Jul-24, Volume: 35, Issue:15
Probes for narcotic receptor mediated phenomena. 18. Epimeric 6 alpha- and 6 beta-iodo-3,14-dihydroxy-17-(cyclopropylmethyl)-4,5 alpha-epoxymorphinans as potential ligands for opioid receptor single photon emission computed tomography: synthesis, evaluati
AID220525Tested for binding affinity against delta-opioid receptor by displacement of [3H]-DADL1993Journal of medicinal chemistry, Oct-01, Volume: 36, Issue:20
3,4-Dimethyl-4-(3-hydroxyphenyl)piperidines: opioid antagonists with potent anorectant activity.
AID595125Antagonist activity at human mu opioid receptor expressed in CHO cells assessed as inhibition of DAMGO stimulated [35S]GTPgammaS binding2010ACS medicinal chemistry letters, Oct-14, Volume: 1, Issue:7
1-Substituted 4-(3-Hydroxyphenyl)piperazines Are Pure Opioid Receptor Antagonists.
AID551426Antagonist activity at human kappa opioid receptor expressed in CHO cells assessed as [35S]GTPgammaS binding by SPA2011Bioorganic & medicinal chemistry letters, Jan-15, Volume: 21, Issue:2
Tetrahydroquinoline derivatives as opioid receptor antagonists.
AID230902Ratio of antagonistic activity at mu to kappa receptor1988Journal of medicinal chemistry, Jul, Volume: 31, Issue:7
Only one pharmacophore is required for the kappa opioid antagonist selectivity of norbinaltorphimine.
AID1194124Stimulation of mouse MOR expressed in CHO cells after 1.5 hrs by [35S]GTPgammaS binding assay2015Bioorganic & medicinal chemistry, Apr-15, Volume: 23, Issue:8
Design, syntheses, and pharmacological characterization of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan analogues as opioid receptor ligands.
AID1611795Displacement of [3H]-DPN from guinea pig kappa opioid receptor expressed in CHO-K1 cell membranes by radioligand binding assay2019ACS medicinal chemistry letters, Dec-12, Volume: 10, Issue:12
Discovery of Axelopran (TD-1211): A Peripherally Restricted μ-Opioid Receptor Antagonist.
AID149439Inhibitory binding constant in guinea pig brain homogenate was reported at Opioid receptor kappa 1 at temperature 25 degree Celsius labeled with (-)-[3H]immazocine (0.1 nM).1985Journal of medicinal chemistry, Jul, Volume: 28, Issue:7
10-Ketonaltrexone and 10-ketooxymorphone.
AID617022Agonist activity against mu opioid receptor expressed in CHO cells assessed as stimulation of [35S]-GTPgammaS binding2011Bioorganic & medicinal chemistry letters, Sep-15, Volume: 21, Issue:18
Structure selectivity relationship studies of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6β-[(4'-pyridyl)carboxamido]morphinan derivatives toward the development of the mu opioid receptor antagonists.
AID148841Antagonistic activity for Opioid receptor kappa 1 of guinea pig ileal longitudinal muscle at 100 nM1988Journal of medicinal chemistry, Apr, Volume: 31, Issue:4
Binaltorphimine-related bivalent ligands and their kappa opioid receptor antagonist selectivity.
AID233096Ratio of antagonistic activity for mu and kappa receptors1988Journal of medicinal chemistry, Apr, Volume: 31, Issue:4
Binaltorphimine-related bivalent ligands and their kappa opioid receptor antagonist selectivity.
AID148621Tested for the binding affinity against the opioid receptor in guinea pig brain using [3H]bremazocine1994Journal of medicinal chemistry, Dec-09, Volume: 37, Issue:25
Synthesis and opioid receptor affinity of a series of aralkyl ethers of 6 alpha- and 6 beta-naltrexol.
AID303907Displacement of [3H]bremazocine from cloned human delta opioid receptor expressed in CHO cells2007Bioorganic & medicinal chemistry letters, Dec-15, Volume: 17, Issue:24
Structure activity relationship studies of carboxamido-biaryl ethers as opioid receptor antagonists (OpRAs). Part 2.
AID603171Displacement of [125I]-IBOxyA from MOR-1 expressed in CHO cells2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Generation of novel radiolabeled opiates through site-selective iodination.
AID1079949Proposed mechanism(s) of liver damage. [column 'MEC' in source]
AID112396Withdrawl jumping activity was measured in mice at the specified dose1989Journal of medicinal chemistry, Feb, Volume: 32, Issue:2
Synthesis and biological evaluation of 14-alkoxymorphinans. 2. (-)-N-(cyclopropylmethyl)-4,14-dimethoxymorphinan-6-one, a selective mu opioid receptor antagonist.
AID148835Antagonist potency was determined as the ratio of [antagonist] to (IC50 ratio-1) for Opioid receptor kappa 11990Journal of medicinal chemistry, Jun, Volume: 33, Issue:6
Design of peptidomimetic delta opioid receptor antagonists using the message-address concept.
AID415723Displacement of [3H]norBNI from kappa opioid receptor expressed in CHO cells2009Bioorganic & medicinal chemistry letters, Mar-15, Volume: 19, Issue:6
14-O-Heterocyclic-substituted naltrexone derivatives as non-peptide mu opioid receptor selective antagonists: design, synthesis, and biological studies.
AID149175In vito concentration required to displace [3H]DAGO (Kd = 0.7 nM and concentration is 1.7 nM) from opioid receptor mu in rat brain membranes.1992Journal of medicinal chemistry, Jul-24, Volume: 35, Issue:15
Probes for narcotic receptor mediated phenomena. 18. Epimeric 6 alpha- and 6 beta-iodo-3,14-dihydroxy-17-(cyclopropylmethyl)-4,5 alpha-epoxymorphinans as potential ligands for opioid receptor single photon emission computed tomography: synthesis, evaluati
AID1079939Cirrhosis, proven histopathologically. Value is number of references indexed. [column 'CIRRH' in source]
AID148937Ke value was obtained from IC50 ratio values when compared with delta opioid agonist in MVD preparations using DPDPE as radioligand1996Journal of medicinal chemistry, Apr-26, Volume: 39, Issue:9
Opioid antagonist activity of naltrexone-derived bivalent ligands: importance of a properly oriented molecular scaffold to guide "address" recognition at kappa opioid receptors.
AID273142Activity at human recombinant mu opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTP-gamma-S binding relative to DAMGO2006Journal of medicinal chemistry, Oct-05, Volume: 49, Issue:20
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effects of changes to the chain linking of the C14-amino group to the aryl ring.
AID273143Activity at human recombinant delta opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTP-gamma-S binding2006Journal of medicinal chemistry, Oct-05, Volume: 49, Issue:20
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effects of changes to the chain linking of the C14-amino group to the aryl ring.
AID148849In vito concentration required to displace [3H]BRM (Kd = 1.0 nM and concentration is 1.8 nM) from opioid receptor kappa 2 in guinea brain membranes.1992Journal of medicinal chemistry, Jul-24, Volume: 35, Issue:15
Probes for narcotic receptor mediated phenomena. 18. Epimeric 6 alpha- and 6 beta-iodo-3,14-dihydroxy-17-(cyclopropylmethyl)-4,5 alpha-epoxymorphinans as potential ligands for opioid receptor single photon emission computed tomography: synthesis, evaluati
AID779520Binding affinity to wild type MOR (unknown origin) expressed in CHO cells after 15 mins by Ca2+ mobilization assay2013Bioorganic & medicinal chemistry, Nov-01, Volume: 21, Issue:21
Binding mode characterization of 6α- and 6β-N-heterocyclic substituted naltrexamine derivatives via docking in opioid receptor crystal structures and site-directed mutagenesis studies: application of the 'message-address' concept in development of mu opio
AID1526752Passive membrane permeability by LC-MS/MS analysis based PAMPA2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID232963Ke selectivity ratio (mu/delta) of the compound1991Journal of medicinal chemistry, Jun, Volume: 34, Issue:6
An approach to the design of receptor-type-selective non-peptide antagonists of peptidergic receptors: delta opioid antagonists.
AID603513Displacement of [3H]-U69593 from kappa opioid receptor in guinea pig cerebellum homogenates2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Synthesis of novel triplet drugs with 1,3,5-trioxazatriquinane skeletons and their pharmacologies. 1: Synthesis of triplet drugs with morphinan skeletons.
AID417158Agonist activity at human delta opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTPgammaS binding2009Bioorganic & medicinal chemistry letters, Apr-15, Volume: 19, Issue:8
Syntheses of novel high affinity ligands for opioid receptors.
AID1194131Agonist activity at mouse KOR expressed in CHO cells after 1.5 hrs by [35S]GTPgammaS binding assay2015Bioorganic & medicinal chemistry, Apr-15, Volume: 23, Issue:8
Design, syntheses, and pharmacological characterization of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan analogues as opioid receptor ligands.
AID1133441Narcotic antagonist activity in sc dosed rat assessed as inhibition of oxymorphone-induced straub tail effect1978Journal of medicinal chemistry, Jan, Volume: 21, Issue:1
Quantum chemical studies of N-substituent variation in the oxymorphone series of opiate narcotics.
AID1194136Agonist activity at mouse DOR expressed in CHO cells after 1.5 hrs by [35S]GTPgammaS binding assay relative to SNC802015Bioorganic & medicinal chemistry, Apr-15, Volume: 23, Issue:8
Design, syntheses, and pharmacological characterization of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan analogues as opioid receptor ligands.
AID622100Displacement of [3H]DPDPE from mouse delta opioid receptor in whole brain without cerebellum2011Bioorganic & medicinal chemistry letters, Oct-15, Volume: 21, Issue:20
Synthesis of novel triplet drugs with 1,3,5-trioxazatriquinane skeletons and their pharmacologies. Part 2: Synthesis of novel triplet drugs with the epoxymethano structure (capped homotriplet).
AID1820199Agonist activity at mouse MOR expressed in CHO cell membranes assessed as stimulation of [35S]-GTPgammaS binding measured after 1 hr by scintillation counting analysis relative to DAMGO2021Journal of medicinal chemistry, 06-10, Volume: 64, Issue:11
Structure-Based Design and Development of Chemical Probes Targeting Putative MOR-CCR5 Heterodimers to Inhibit Opioid Exacerbated HIV-1 Infectivity.
AID395301Antagonist activity against human kappa opioid receptor expressed in CHO cells assessed as inhibition of U69593-induced [35S]GTPgammaS binding2009Journal of medicinal chemistry, Mar-26, Volume: 52, Issue:6
14 beta-O-cinnamoylnaltrexone and related dihydrocodeinones are mu opioid receptor partial agonists with predominant antagonist activity.
AID224715Antagonism of opioid analgesia using a mouse writhing model to block morphine (2.5 mg/kg) induced mu-opioid receptor (subcutaneously dosed)1993Journal of medicinal chemistry, Oct-01, Volume: 36, Issue:20
Structure-activity relationships of trans-3,4-dimethyl-4-(3-hydroxyphenyl)piperidine antagonists for mu- and kappa-opioid receptors.
AID624611Specific activity of expressed human recombinant UGT1A82000Annual review of pharmacology and toxicology, , Volume: 40Human UDP-glucuronosyltransferases: metabolism, expression, and disease.
AID148993Inhibition of opioid receptor mu by displacing 1 nM [3H]DAGO in guinea pig brain membrane1992Journal of medicinal chemistry, Nov-27, Volume: 35, Issue:24
O3-(2-carbomethoxyallyl) ethers of opioid ligands derived from oxymorphone, naltrexone, etorphine, diprenorphine, norbinaltorphimine, and naltrindole. Unexpected O3-dealkylation in the opioid radioligand displacement assay.
AID1526733Substrate activity at human OCT1 expressed in HEK293 cells assessed as increase in compound uptake at 0.5 uM incubated for 2 mins by LC-MS/MS analysis relative to control empty vector transfected cells2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID711133Agonist activity at mu opioid receptor expressed in CHO cells assessed as stimulation of [35S]-GTP-gammaS binding at 100 nM relative to DAMGO2012Journal of medicinal chemistry, Nov-26, Volume: 55, Issue:22
Design, synthesis, and biological evaluation of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6β-[(4'-pyridyl)carboxamido]morphinan derivatives as peripheral selective μ opioid receptor Agents.
AID767593Displacement of [3H]-diprenorphine from mouse kappa opioid receptor expressed in CHO cells after 1.5 hrs2013Bioorganic & medicinal chemistry letters, Sep-15, Volume: 23, Issue:18
Structure activity relationship studies of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan (NAQ) analogues as potent opioid receptor ligands: preliminary results on the role of electronic characteristics for affin
AID622099Displacement of [3H]DAMGO from mouse mu opioid receptor in whole brain without cerebellum2011Bioorganic & medicinal chemistry letters, Oct-15, Volume: 21, Issue:20
Synthesis of novel triplet drugs with 1,3,5-trioxazatriquinane skeletons and their pharmacologies. Part 2: Synthesis of novel triplet drugs with the epoxymethano structure (capped homotriplet).
AID1611796Antagonist activity at human recombinant mu opioid receptor expressed in CHO-K1 cell membranes assessed as intrinsic activity at 10 pM to 20 uM incubated for 30 mins in presence of Eu-GTP by DELFIA GTP binding assay relative to DAMGO2019ACS medicinal chemistry letters, Dec-12, Volume: 10, Issue:12
Discovery of Axelopran (TD-1211): A Peripherally Restricted μ-Opioid Receptor Antagonist.
AID1726155Displacement of [3H]-NLX from mouse mu opioid receptor expressed in CHO cells measured after 1.5 hrs by competitive-binding assay2020ACS medicinal chemistry letters, Nov-12, Volume: 11, Issue:11
Bivalent Ligand Aiming Putative Mu Opioid Receptor and Chemokine Receptor CXCR4 Dimers in Opioid Enhanced HIV-1 Entry.
AID670415Displacement of [3H]DAMGO from mu opioid receptor in rat brain homogenate after 1 hr by liquid scintillation counting2012Bioorganic & medicinal chemistry, Jul-15, Volume: 20, Issue:14
Deconstructing 14-phenylpropyloxymetopon: minimal requirements for binding to mu opioid receptors.
AID88603Increase in the charge carried by ACh- induced currents in 68-day-old organotypic hippocampal cultures by naltrexone (0.3 uM)2004Bioorganic & medicinal chemistry letters, Apr-19, Volume: 14, Issue:8
Sensitivity of neuronal nicotinic acetylcholine receptors to the opiate antagonists naltrexone and naloxone: receptor blockade and up-regulation.
AID1181414Displacement of [3H]DAMGO from human recombinant mu opioid receptor expressed in CHO cell membranes after 60 mins by scintillation counting method2014Bioorganic & medicinal chemistry, Aug-01, Volume: 22, Issue:15
Pyrrolo- and pyridomorphinans: non-selective opioid antagonists and delta opioid agonists/mu opioid partial agonists.
AID149338In vito concentration required to displace [3H]-DADLE (Kd = 12.2 nM and concentration is 2.1 nM) from low affinity delta-site in rat brain membranes.1992Journal of medicinal chemistry, Jul-24, Volume: 35, Issue:15
Probes for narcotic receptor mediated phenomena. 18. Epimeric 6 alpha- and 6 beta-iodo-3,14-dihydroxy-17-(cyclopropylmethyl)-4,5 alpha-epoxymorphinans as potential ligands for opioid receptor single photon emission computed tomography: synthesis, evaluati
AID395299Antagonist activity against human mu opioid receptor expressed in CHO cells assessed as inhibition of DAMGO-induced [35S]GTPgammaS binding2009Journal of medicinal chemistry, Mar-26, Volume: 52, Issue:6
14 beta-O-cinnamoylnaltrexone and related dihydrocodeinones are mu opioid receptor partial agonists with predominant antagonist activity.
AID1179653Activity at human P-glycoprotein assessed as ATPase activity using firefly luciferase at 200 uM by Pgp-Glo assay in presence of MgATP2014Bioorganic & medicinal chemistry letters, Aug-01, Volume: 24, Issue:15
Opioids and efflux transporters. Part 4: influence of N-substitution on P-glycoprotein substrate activity of noroxymorphone analogues.
AID1611801Permeability coefficient, Kp in human Caco2 cells2019ACS medicinal chemistry letters, Dec-12, Volume: 10, Issue:12
Discovery of Axelopran (TD-1211): A Peripherally Restricted μ-Opioid Receptor Antagonist.
AID223591Tested for the antagonism of kappa opioid receptor diuresis at a dose of 0.08 mg/kg subcutaneously1993Journal of medicinal chemistry, Oct-01, Volume: 36, Issue:20
Structure-activity relationships of trans-3,4-dimethyl-4-(3-hydroxyphenyl)piperidine antagonists for mu- and kappa-opioid receptors.
AID320426Antagonist activity at delta opioid receptor in Swiss mouse vas deferens assessed as reversal of DSLET effect on electrically-induced driven twitch2008Bioorganic & medicinal chemistry, Jan-15, Volume: 16, Issue:2
The influence of esters and carboxylic acids as the N-substituent of opioids. Part 1: Benzomorphans.
AID1079935Cytolytic liver toxicity, either proven histopathologically or where the ratio of maximal ALT or AST activity above normal to that of Alkaline Phosphatase is > 5 (see ACUTE). Value is number of references indexed. [column 'CYTOL' in source]
AID588213Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in non-rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID231054Oral/parenteral ratio of the compound1982Journal of medicinal chemistry, Feb, Volume: 25, Issue:2
Common anionic receptor site hypothesis: its relevance to the antagonist action of naloxone.
AID228132Ratio of mu/delta-opioid receptors Binding affinity2003Journal of medicinal chemistry, Jul-03, Volume: 46, Issue:14
Opioid binding and in vitro profiles of a series of 4-hdroxy-3-methoxyindolomorphinans. Transformation of a delta-selective ligand into a high affinity kappa-selective ligand by introduction of a 5,14-substituted bridge.
AID149906Binding affinity was determined in a crude membrane preparation from guinea pig brain by displacement of [3H]DPDPE from Opioid receptor delta 11997Journal of medicinal chemistry, Feb-28, Volume: 40, Issue:5
(E)- and (Z)-7-arylidenenaltrexones: synthesis and opioid receptor radioligand displacement assays.
AID1611814Inhibition of morphine-induced delays in gastric emptying in po dosed ICR mouse administered via gavage pretreated with compound and 30 mins later injected with morphine followed 5 mins later by ingestion of test meal and measured after 60 mins2019ACS medicinal chemistry letters, Dec-12, Volume: 10, Issue:12
Discovery of Axelopran (TD-1211): A Peripherally Restricted μ-Opioid Receptor Antagonist.
AID148584Displacement of [3H]diprenorphine from k-E297A-receptor expressed in HEK 293 cells2001Journal of medicinal chemistry, Mar-15, Volume: 44, Issue:6
Investigation of the selectivity of oxymorphone- and naltrexone-derived ligands via site-directed mutagenesis of opioid receptors: exploring the "address" recognition locus.
AID228108Selectivity ratio between delta to that of mu opioid receptor1996Journal of medicinal chemistry, Apr-26, Volume: 39, Issue:9
Opioid antagonist activity of naltrexone-derived bivalent ligands: importance of a properly oriented molecular scaffold to guide "address" recognition at kappa opioid receptors.
AID238169Antagonist potency towards human kappa opioid receptor in [35S]GTP-gamma-S, assay2004Journal of medicinal chemistry, Oct-07, Volume: 47, Issue:21
Identification of a new scaffold for opioid receptor antagonism based on the 2-amino-1,1-dimethyl-7-hydroxytetralin pharmacophore.
AID603170Displacement of [125I]-IBNalA from MOR-1 expressed in CHO cells2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Generation of novel radiolabeled opiates through site-selective iodination.
AID625279Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for bilirubinemia2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID273144Activity at human recombinant delta opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTP-gamma-S binding relative to DPDPE2006Journal of medicinal chemistry, Oct-05, Volume: 49, Issue:20
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effects of changes to the chain linking of the C14-amino group to the aryl ring.
AID624621Specific activity of expressed human recombinant UGT2B7Y2000Annual review of pharmacology and toxicology, , Volume: 40Human UDP-glucuronosyltransferases: metabolism, expression, and disease.
AID150841Displacement of [3H]DAMGO from human recombinant Opioid receptor mu 1 on CHO cell membranes.2003Journal of medicinal chemistry, Apr-10, Volume: 46, Issue:8
14-amino, 14-alkylamino, and 14-acylamino analogs of oxymorphindole. Differential effects on opioid receptor binding and functional profiles.
AID233862Selectivity between mu opioid receptor and delta opioid receptor.2003Journal of medicinal chemistry, Apr-10, Volume: 46, Issue:8
14-amino, 14-alkylamino, and 14-acylamino analogs of oxymorphindole. Differential effects on opioid receptor binding and functional profiles.
AID1181423Antagonist activity at human recombinant kappa opioid receptor expressed in CHO cell membranes assessed as inhibition of U69593-induced response after 60 mins by [35S]GTPgammaS binding assay2014Bioorganic & medicinal chemistry, Aug-01, Volume: 22, Issue:15
Pyrrolo- and pyridomorphinans: non-selective opioid antagonists and delta opioid agonists/mu opioid partial agonists.
AID169599Antagonistic potency of compound after subcutaneous administration in rats1982Journal of medicinal chemistry, Feb, Volume: 25, Issue:2
Common anionic receptor site hypothesis: its relevance to the antagonist action of naloxone.
AID224718Binding affinity towards mu opioid receptor by displacement of [3H]NAL from rat brain homogenates1993Journal of medicinal chemistry, Oct-01, Volume: 36, Issue:20
Structure-activity relationships of trans-3,4-dimethyl-4-(3-hydroxyphenyl)piperidine antagonists for mu- and kappa-opioid receptors.
AID1054696Selectivity ratio of Ki for mu opioid receptor (unknown origin) to Ki for kappa opioid receptor (unknown origin)2013Journal of medicinal chemistry, Nov-27, Volume: 56, Issue:22
Design, synthesis, and biological evaluation of 14-heteroaromatic-substituted naltrexone derivatives: pharmacological profile switch from mu opioid receptor selectivity to mu/kappa opioid receptor dual selectivity.
AID1123210Effect on development of dependence to morphine in Swiss Webster mouse assessed as increase in naloxone ED50 for eliciting withdrawal jumping at 0.24 nmol, icv after 24 hrs relative to control1979Journal of medicinal chemistry, Feb, Volume: 22, Issue:2
Synthesis and pharmacologic characterization of an alkylating analogue (chlornaltrexamine) of naltrexone with ultralong-lasting narcotic antagonist properties.
AID417160Agonist activity at human kappa opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTPgammaS binding2009Bioorganic & medicinal chemistry letters, Apr-15, Volume: 19, Issue:8
Syntheses of novel high affinity ligands for opioid receptors.
AID135326BBB penetration classification2000Journal of medicinal chemistry, Jun-01, Volume: 43, Issue:11
Predicting blood-brain barrier permeation from three-dimensional molecular structure.
AID229504Ratio of IC50 in the presence of ethylketazocine to that of control IC50 in guinea pig ileum at 100 nM1988Journal of medicinal chemistry, Jul, Volume: 31, Issue:7
Only one pharmacophore is required for the kappa opioid antagonist selectivity of norbinaltorphimine.
AID149163Antagonistic potency at opioid receptor mu (100 nM) (Ke =IC50 in the presence of antagonist divided by the control IC50 value)1991Journal of medicinal chemistry, May, Volume: 34, Issue:5
Role of spacer and address components in peptidomimetic delta opioid receptor antagonists related to naltrindole.
AID395300Antagonist activity against human delta opioid receptor expressed in CHO cells assessed as inhibition of DPDPE-induced [35S]GTPgammaS binding2009Journal of medicinal chemistry, Mar-26, Volume: 52, Issue:6
14 beta-O-cinnamoylnaltrexone and related dihydrocodeinones are mu opioid receptor partial agonists with predominant antagonist activity.
AID29359Ionization constant (pKa)2000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
QSAR model for drug human oral bioavailability.
AID269573Displacement of [3H]U-69593 from human recombinant KOR expressed in CHO cells2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effect of substitution in the aromatic ring of cinnamoylaminomorphinones and codeinones.
AID347312Selectivity ratio of Ki for monocloned delta opioid receptor to Ki for monocloned mu opioid receptor2009Journal of medicinal chemistry, Mar-12, Volume: 52, Issue:5
Design, synthesis, and biological evaluation of 6alpha- and 6beta-N-heterocyclic substituted naltrexamine derivatives as mu opioid receptor selective antagonists.
AID178684Narcotic antagonist activity in heat stimulus rat tail flick assay after subcutaneous administration1981Journal of medicinal chemistry, Dec, Volume: 24, Issue:12
Analgesic narcotic antagonists. 8. 7 alpha-Alkyl-4,5 alpha-epoxymorphinan-6-ones.
AID148692Tested for the binding affinity against the Kappa opioid receptor in guinea pig brain using [3H]U-695931994Journal of medicinal chemistry, Dec-09, Volume: 37, Issue:25
Synthesis and opioid receptor affinity of a series of aralkyl ethers of 6 alpha- and 6 beta-naltrexol.
AID165733Percent change of volume in the respiratory activity was measured in rabbit at 0.1 mg/kg dose given intravenously1989Journal of medicinal chemistry, Feb, Volume: 32, Issue:2
Synthesis and biological evaluation of 14-alkoxymorphinans. 2. (-)-N-(cyclopropylmethyl)-4,14-dimethoxymorphinan-6-one, a selective mu opioid receptor antagonist.
AID1194121Displacement of [3H]naltrindole from mouse DOR expressed in CHO cells after 1.5 hrs by [35S]GTPgammaS binding assay2015Bioorganic & medicinal chemistry, Apr-15, Volume: 23, Issue:8
Design, syntheses, and pharmacological characterization of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan analogues as opioid receptor ligands.
AID227973Selectivity ratio between Ke value to that of DAMGO (using DPDPE as agonist; delta agonist/DAMGO)1996Journal of medicinal chemistry, Apr-26, Volume: 39, Issue:9
Opioid antagonist activity of naltrexone-derived bivalent ligands: importance of a properly oriented molecular scaffold to guide "address" recognition at kappa opioid receptors.
AID1054695Selectivity ratio of Ki for delta opioid receptor (unknown origin) to Ki for kappa opioid receptor (unknown origin)2013Journal of medicinal chemistry, Nov-27, Volume: 56, Issue:22
Design, synthesis, and biological evaluation of 14-heteroaromatic-substituted naltrexone derivatives: pharmacological profile switch from mu opioid receptor selectivity to mu/kappa opioid receptor dual selectivity.
AID148229Binding affinity for human Opioid receptor delta 1 transfected into chinese hamster ovary cells by displacing [3H]CI-DPDPE radioligand2003Journal of medicinal chemistry, Jul-03, Volume: 46, Issue:14
Opioid binding and in vitro profiles of a series of 4-hdroxy-3-methoxyindolomorphinans. Transformation of a delta-selective ligand into a high affinity kappa-selective ligand by introduction of a 5,14-substituted bridge.
AID670416Displacement of [3H]DPDPE from delta opioid receptor in rat brain homogenate after 1 hr by liquid scintillation counting2012Bioorganic & medicinal chemistry, Jul-15, Volume: 20, Issue:14
Deconstructing 14-phenylpropyloxymetopon: minimal requirements for binding to mu opioid receptors.
AID1526751Inhibition of human OCT1 expressed in HEK293 cells assessed as reduction in ASP+ substrate uptake by microplate reader based analysis2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID273132Displacement of [3H]Cl-DPDPE from human recombinant delta opioid receptor expressed in CHO cells2006Journal of medicinal chemistry, Oct-05, Volume: 49, Issue:20
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effects of changes to the chain linking of the C14-amino group to the aryl ring.
AID269571Displacement of [3H]Cl-DPDPE from human recombinant DOR expressed in CHO cells2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effect of substitution in the aromatic ring of cinnamoylaminomorphinones and codeinones.
AID1054701Agonist activity at kappa opioid receptor (unknown origin) expressed in CHO cell membranes assessed as stimulation of [35S]-GTPgammaS binding after 1.5 hrs2013Journal of medicinal chemistry, Nov-27, Volume: 56, Issue:22
Design, synthesis, and biological evaluation of 14-heteroaromatic-substituted naltrexone derivatives: pharmacological profile switch from mu opioid receptor selectivity to mu/kappa opioid receptor dual selectivity.
AID147886Ke value was obtained from IC50 ratio value when compared with Opioid receptor mu 1 agonist in Guinea pig Ileum using DAMGO as radioligand1996Journal of medicinal chemistry, Apr-26, Volume: 39, Issue:9
Opioid antagonist activity of naltrexone-derived bivalent ligands: importance of a properly oriented molecular scaffold to guide "address" recognition at kappa opioid receptors.
AID417164Antagonist activity against human delta opioid receptor expressed in CHO cells assessed as inhibition of SNC80-stimulated [35S]GTPgammaS binding2009Bioorganic & medicinal chemistry letters, Apr-15, Volume: 19, Issue:8
Syntheses of novel high affinity ligands for opioid receptors.
AID149324Selectivity ratio is IC50 value of mu-opioid receptor to that of delta-opioid receptor1991Journal of medicinal chemistry, May, Volume: 34, Issue:5
Role of spacer and address components in peptidomimetic delta opioid receptor antagonists related to naltrindole.
AID148065Agonistic activity towards Opioid receptor delta 12003Journal of medicinal chemistry, Jul-03, Volume: 46, Issue:14
Opioid binding and in vitro profiles of a series of 4-hdroxy-3-methoxyindolomorphinans. Transformation of a delta-selective ligand into a high affinity kappa-selective ligand by introduction of a 5,14-substituted bridge.
AID1123191Displacement of [3H]-naloxone from opioid receptor in rat brain homogenate at 1x10'-8 M preincubated for 5 mins measured after fourth washout by liquid scintillation counting analysis relative to control1979Journal of medicinal chemistry, Feb, Volume: 22, Issue:2
Synthesis and pharmacologic characterization of an alkylating analogue (chlornaltrexamine) of naltrexone with ultralong-lasting narcotic antagonist properties.
AID147088Blockage of Nicotinic acetylcholine receptor alpha-7 noncompetitively in hippocampal primary cultures2004Bioorganic & medicinal chemistry letters, Apr-19, Volume: 14, Issue:8
Sensitivity of neuronal nicotinic acetylcholine receptors to the opiate antagonists naltrexone and naloxone: receptor blockade and up-regulation.
AID317858Activity at human mu opioid receptor by [35S]GTPgammaS binding assay2008Journal of medicinal chemistry, Mar-27, Volume: 51, Issue:6
Synthesis and biological evaluation of alpha- and beta-6-amido derivatives of 17-cyclopropylmethyl-3, 14beta-dihydroxy-4, 5alpha-epoxymorphinan: potential alcohol-cessation agents.
AID149968In vito concentration required to displace 9 (Kd = 1.6 nM and concentration is 1.8 nM) from opioid receptor kappa 1 in guinea brain membranes.1992Journal of medicinal chemistry, Jul-24, Volume: 35, Issue:15
Probes for narcotic receptor mediated phenomena. 18. Epimeric 6 alpha- and 6 beta-iodo-3,14-dihydroxy-17-(cyclopropylmethyl)-4,5 alpha-epoxymorphinans as potential ligands for opioid receptor single photon emission computed tomography: synthesis, evaluati
AID138326Concentration required for antagonistic activity of normorphine in the mouse vas deferens at the dose ratio of 2.1982Journal of medicinal chemistry, Feb, Volume: 25, Issue:2
Common anionic receptor site hypothesis: its relevance to the antagonist action of naloxone.
AID603515Selectivity ratio of Ki for delta opioid receptor in guinea pig forebrain homogenates to Ki for mu opioid receptor in guinea pig forebrain homogenates2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Synthesis of novel triplet drugs with 1,3,5-trioxazatriquinane skeletons and their pharmacologies. 1: Synthesis of triplet drugs with morphinan skeletons.
AID239328Inhibition of [3H]DAMGO binding to human Mu opioid receptor expressed in CHO cells2004Journal of medicinal chemistry, Oct-07, Volume: 47, Issue:21
Identification of a new scaffold for opioid receptor antagonism based on the 2-amino-1,1-dimethyl-7-hydroxytetralin pharmacophore.
AID149626Inhibition of [3H]DPDPE binding to guinea pig brain membrane Opioid receptor delta 1 at 1.0 nM1992Journal of medicinal chemistry, Jun-26, Volume: 35, Issue:13
Electrophilic opioid ligands. Oxygen tethered alpha-methylene-gamma-lactone, acrylate, isothiocyanate, and epoxide derivatives of 6 beta-naltrexol.
AID298632Displacement of [3H]U-69593 from human cloned kappa opioid receptor2007Journal of medicinal chemistry, Oct-18, Volume: 50, Issue:21
Cinnamoyl derivatives of 7alpha-aminomethyl-6,14-endo-ethanotetrahydrothebaine and 7alpha-aminomethyl-6,14-endo-ethanotetrahydrooripavine and related opioid ligands.
AID540216Clearance in dog after iv administration2005Journal of pharmaceutical sciences, Jul, Volume: 94, Issue:7
Extrapolation of human pharmacokinetic parameters from rat, dog, and monkey data: Molecular properties associated with extrapolative success or failure.
AID147087Blockage of Nicotinic acetylcholine receptor alpha-7 noncompetitively in cultured hippocampal neurons2004Bioorganic & medicinal chemistry letters, Apr-19, Volume: 14, Issue:8
Sensitivity of neuronal nicotinic acetylcholine receptors to the opiate antagonists naltrexone and naloxone: receptor blockade and up-regulation.
AID111971Percent analgesia of compound was measured in mice by using tail-flick assay1980Journal of medicinal chemistry, Jun, Volume: 23, Issue:6
Long-acting opiate agonists and antagonists: 14-hydroxydihydromorphinone hydrazones.
AID767591Selectivity ratio of Ki for mouse kappa opioid receptor to Ki for mouse mu opioid receptor2013Bioorganic & medicinal chemistry letters, Sep-15, Volume: 23, Issue:18
Structure activity relationship studies of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan (NAQ) analogues as potent opioid receptor ligands: preliminary results on the role of electronic characteristics for affin
AID317860Activity at human kappa opioid receptor by [35S]GTPgammaS binding assay2008Journal of medicinal chemistry, Mar-27, Volume: 51, Issue:6
Synthesis and biological evaluation of alpha- and beta-6-amido derivatives of 17-cyclopropylmethyl-3, 14beta-dihydroxy-4, 5alpha-epoxymorphinan: potential alcohol-cessation agents.
AID1079941Liver damage due to vascular disease: peliosis hepatitis, hepatic veno-occlusive disease, Budd-Chiari syndrome. Value is number of references indexed. [column 'VASC' in source]
AID150029Compound was evaluated for antagonist potency in guinea pig ileum preparation using morphine (Opioid receptor mu 1)1991Journal of medicinal chemistry, Jun, Volume: 34, Issue:6
An approach to the design of receptor-type-selective non-peptide antagonists of peptidergic receptors: delta opioid antagonists.
AID416817Selectivity ratio of IC50 for human kappa opioid receptor to IC50 for human mu opioid receptor2009Bioorganic & medicinal chemistry letters, Apr-15, Volume: 19, Issue:8
Syntheses of novel high affinity ligands for opioid receptors.
AID1611794Displacement of [3H]-DPN from recombinant human delta opioid receptor expressed in CHO-K1 cell membranes by radioligand binding assay2019ACS medicinal chemistry letters, Dec-12, Volume: 10, Issue:12
Discovery of Axelopran (TD-1211): A Peripherally Restricted μ-Opioid Receptor Antagonist.
AID274413Displacement of [3H]diprenorphine from human cloned delta opioid receptor expressed in CHO cells2006Journal of medicinal chemistry, Dec-14, Volume: 49, Issue:25
Elucidation of the bioactive conformation of the N-substituted trans-3,4-dimethyl-4-(3-hydroxyphenyl)piperidine class of mu-opioid receptor antagonists.
AID588209Literature-mined public compounds from Greene et al multi-species hepatotoxicity modelling dataset2010Chemical research in toxicology, Jul-19, Volume: 23, Issue:7
Developing structure-activity relationships for the prediction of hepatotoxicity.
AID148058Inhibitory binding constant in guinea pig brain homogenate was reported at mu site at a temperature 25 degree Centigrade labeled with [3H](D-Ala2-MePhe4,Gly-ol5)enkephalin(1 nM)1985Journal of medicinal chemistry, Jul, Volume: 28, Issue:7
10-Ketonaltrexone and 10-ketooxymorphone.
AID149890Binding affinity against Delta Opioid receptor in Guinea pig brain membranes using [3H]DAMGO+DADLE1996Journal of medicinal chemistry, Apr-26, Volume: 39, Issue:9
Opioid antagonist activity of naltrexone-derived bivalent ligands: importance of a properly oriented molecular scaffold to guide "address" recognition at kappa opioid receptors.
AID1194138Selectivity ratio of EC50 for mouse DOR to EC50 for mouse MOR2015Bioorganic & medicinal chemistry, Apr-15, Volume: 23, Issue:8
Design, syntheses, and pharmacological characterization of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan analogues as opioid receptor ligands.
AID588219FDA HLAED, gamma-glutamyl transferase (GGT) increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID625280Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cholecystitis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID603731Selectivity ratio of Ki for mu opioid receptor in guinea pig forebrain homogenate to Ki for kappa opioid receptor in guinea pig cerebellum homogenate2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Synthesis of new opioid derivatives with a propellane skeleton and their pharmacology: part 1.
AID273130Displacement of [3H]DAMGO from human recombinant mu opioid receptor expressed in CHO cells2006Journal of medicinal chemistry, Oct-05, Volume: 49, Issue:20
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effects of changes to the chain linking of the C14-amino group to the aryl ring.
AID149934Opioid receptor delta 1 apparent binding constant from rat brain membranes using [3H]DADLE binding assay1990Journal of medicinal chemistry, Sep, Volume: 33, Issue:9
Photoactivatable opiate derivatives as irreversible probes of the mu-opioid receptor.
AID320424Antagonist activity at mu opioid receptor in Swiss mouse vas deferens assessed as reversal of Sufentanil effect on electrically-induced driven twitch2008Bioorganic & medicinal chemistry, Jan-15, Volume: 16, Issue:2
The influence of esters and carboxylic acids as the N-substituent of opioids. Part 1: Benzomorphans.
AID148627Displacement of [3H]bremazocine from opioid receptor of guinea pig membrane1991Journal of medicinal chemistry, Aug, Volume: 34, Issue:8
Electrophilic gamma-lactone kappa-opioid receptor probes. Analogues of 2'-hydroxy-2-tetrahydrofurfuryl-5,9-dimethyl-6,7-benzomorphan diastereomers.
AID274411Displacement of [3H]diprenorphine from human cloned mu opioid receptor expressed in CHO cells2006Journal of medicinal chemistry, Dec-14, Volume: 49, Issue:25
Elucidation of the bioactive conformation of the N-substituted trans-3,4-dimethyl-4-(3-hydroxyphenyl)piperidine class of mu-opioid receptor antagonists.
AID152407Inhibition of [3H]fluadom binding to opioid receptor1989Journal of medicinal chemistry, Feb, Volume: 32, Issue:2
Synthesis and biological evaluation of 14-alkoxymorphinans. 2. (-)-N-(cyclopropylmethyl)-4,14-dimethoxymorphinan-6-one, a selective mu opioid receptor antagonist.
AID484374Displacement of [3H]DAMGO from mu opioid receptor in Hartley guinea pig forebrain by liquid scintillation counting2010Bioorganic & medicinal chemistry letters, Jun-15, Volume: 20, Issue:12
Investigation of Beckett-Casy model 2: synthesis of novel 15-16 nornaltrexone derivatives and their pharmacology.
AID149277Binding affinity was determined in a crude membrane preparation from guinea pig brain by displacement of [3H]U-69593 from Opioid receptor kappa 11997Journal of medicinal chemistry, Feb-28, Volume: 40, Issue:5
(E)- and (Z)-7-arylidenenaltrexones: synthesis and opioid receptor radioligand displacement assays.
AID588214FDA HLAED, liver enzyme composite activity2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID269582Reversal of stimulation of [35S]GTP-gamma-S binding to human recombinant DOR transfected in CHO cells relative to DPDPE2006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effect of substitution in the aromatic ring of cinnamoylaminomorphinones and codeinones.
AID312068Antagonist activity at mu opioid receptor in NMRI mouse vas deferens assessed as effect on Tyr-(R)-spiro-Aba-Gly-Phe-NH2 induced muscle contraction2008Journal of medicinal chemistry, Jan-10, Volume: 51, Issue:1
Endomorphin-2 with a beta-turn backbone constraint retains the potent micro-opioid receptor agonist properties.
AID540213Half life in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID26304Partition coefficient (logD6.5)2000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
QSAR model for drug human oral bioavailability.
AID395297Antagonist activity against delta opioid receptor in mouse vas deferens assessed as effect on DPDPE -induced contraction2009Journal of medicinal chemistry, Mar-26, Volume: 52, Issue:6
14 beta-O-cinnamoylnaltrexone and related dihydrocodeinones are mu opioid receptor partial agonists with predominant antagonist activity.
AID301036Displacement of [3H]bremazocine from human delta opioid receptor expressed in CHO cells in presence of high sodium by SPA2007Bioorganic & medicinal chemistry letters, Oct-01, Volume: 17, Issue:19
Structure-activity relationship studies of carboxamido-biaryl ethers as opioid receptor antagonists (OpRAs). Part 1.
AID767590Selectivity ratio of Ki for mouse delta opioid receptor to Ki for mouse mu opioid receptor2013Bioorganic & medicinal chemistry letters, Sep-15, Volume: 23, Issue:18
Structure activity relationship studies of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan (NAQ) analogues as potent opioid receptor ligands: preliminary results on the role of electronic characteristics for affin
AID609328Antimalarial activity against chloroquine-resistant Plasmodium chabaudi infected in mouse assessed as parasitemia at 10 mg/kg, po administered for 3 consecutive days2011Bioorganic & medicinal chemistry letters, Aug-15, Volume: 21, Issue:16
Opioid δ₁ receptor antagonist 7-benzylidenenaltrexone as an effective resistance reverser for chloroquine-resistant Plasmodium chabaudi.
AID228110Selectivity ratio between kappa to that of mu opioid receptor1996Journal of medicinal chemistry, Apr-26, Volume: 39, Issue:9
Opioid antagonist activity of naltrexone-derived bivalent ligands: importance of a properly oriented molecular scaffold to guide "address" recognition at kappa opioid receptors.
AID232233Selectivity given as ratio of mu receptor to delta receptor2004Journal of medicinal chemistry, Mar-11, Volume: 47, Issue:6
Identification of opioid ligands possessing mixed micro agonist/delta antagonist activity among pyridomorphinans derived from naloxone, oxymorphone, and hydromorphone [correction of hydropmorphone].
AID148025Binding affinity against Opioid receptor mu 1 in Guinea pig brain membranes using [3H]DAMGO1996Journal of medicinal chemistry, Apr-26, Volume: 39, Issue:9
Opioid antagonist activity of naltrexone-derived bivalent ligands: importance of a properly oriented molecular scaffold to guide "address" recognition at kappa opioid receptors.
AID452922Displacement of [3H]U69593 from guinea pig cerebellum kappa opioid receptor2010Bioorganic & medicinal chemistry letters, Jan-01, Volume: 20, Issue:1
Drug design and synthesis of a novel kappa opioid receptor agonist with an oxabicyclo[2.2.2]octane skeleton and its pharmacology.
AID1054691Agonist activity at delta opioid receptor (unknown origin) expressed in CHO cell membranes assessed as stimulation of [35S]-GTPgammaS binding after 1.5 hrs2013Journal of medicinal chemistry, Nov-27, Volume: 56, Issue:22
Design, synthesis, and biological evaluation of 14-heteroaromatic-substituted naltrexone derivatives: pharmacological profile switch from mu opioid receptor selectivity to mu/kappa opioid receptor dual selectivity.
AID227058Competitive inhibition of the DADLE on mouse vas deferens for the opioid receptor delta at 300 nM1991Journal of medicinal chemistry, May, Volume: 34, Issue:5
Role of spacer and address components in peptidomimetic delta opioid receptor antagonists related to naltrindole.
AID151148Inhibition of Mu opioid receptor of mouse vas deferens2004Journal of medicinal chemistry, Jan-29, Volume: 47, Issue:3
Structure-activity study on the Phe side chain arrangement of endomorphins using conformationally constrained analogues.
AID232529Effect of protecte expressed as morphine IC50 ratio (IC50 after treatment/control IC50) at 200 nM concentration1983Journal of medicinal chemistry, Oct, Volume: 26, Issue:10
Different receptor sites mediate opioid agonism and antagonism.
AID232962Ke selectivity ratio (kappa/delta) of the compound1991Journal of medicinal chemistry, Jun, Volume: 34, Issue:6
An approach to the design of receptor-type-selective non-peptide antagonists of peptidergic receptors: delta opioid antagonists.
AID452923Displacement of [3H]NTI from guinea pig forebrain delta opioid receptor2010Bioorganic & medicinal chemistry letters, Jan-01, Volume: 20, Issue:1
Drug design and synthesis of a novel kappa opioid receptor agonist with an oxabicyclo[2.2.2]octane skeleton and its pharmacology.
AID148970Ke value was obtained from IC50 ratio values when compared with Opioid receptor kappa 1 agonist in Guinea pig Ileum using U-50488 as radioligand1996Journal of medicinal chemistry, Apr-26, Volume: 39, Issue:9
Opioid antagonist activity of naltrexone-derived bivalent ligands: importance of a properly oriented molecular scaffold to guide "address" recognition at kappa opioid receptors.
AID270159Intrinsic activity at kappa opioid receptor in presence of 1 uM GDP2006Journal of medicinal chemistry, Sep-07, Volume: 49, Issue:18
Highly potent and selective phenylmorphan-based inverse agonists of the opioid delta receptor.
AID149283Compound was evaluated for binding affinity of Opioid receptor kappa 1 in guinea pig brain membranes1991Journal of medicinal chemistry, Jun, Volume: 34, Issue:6
An approach to the design of receptor-type-selective non-peptide antagonists of peptidergic receptors: delta opioid antagonists.
AID588212Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID1133436Binding affinity to pig ileum opioid receptor1978Journal of medicinal chemistry, Jan, Volume: 21, Issue:1
Quantum chemical studies of N-substituent variation in the oxymorphone series of opiate narcotics.
AID147987Displacement of [3H]U-69593 from human recombinant Opioid receptor kappa 1 on CHO cell membranes.2003Journal of medicinal chemistry, Apr-10, Volume: 46, Issue:8
14-amino, 14-alkylamino, and 14-acylamino analogs of oxymorphindole. Differential effects on opioid receptor binding and functional profiles.
AID123368Narcotic antagonistic potency evaluated in morphine-induced Straub tail phenomenon in mice1981Journal of medicinal chemistry, Jul, Volume: 24, Issue:7
Allylprodine analogues as receptor probes. Evidence that phenolic and nonphenolic ligands interact with different subsites on identical opioid receptors.
AID603169Displacement of [125I]-IBNtxA from MOR-1 expressed in CHO cells2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Generation of novel radiolabeled opiates through site-selective iodination.
AID269583Reversal of stimulation of [35S]GTPgammaS binding to human recombinant KOR transfected in CHO cells relative to U695932006Journal of medicinal chemistry, Aug-24, Volume: 49, Issue:17
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effect of substitution in the aromatic ring of cinnamoylaminomorphinones and codeinones.
AID1611817Peripheral selectivity index, ratio of ID50 for inhibition of morphine-induced delays in gastric emptying in ICR mouse to ID50 for inhibition of morphine-induced delays in intestinal transit in ICR mouse2019ACS medicinal chemistry letters, Dec-12, Volume: 10, Issue:12
Discovery of Axelopran (TD-1211): A Peripherally Restricted μ-Opioid Receptor Antagonist.
AID151909Binding affinity for Opioid receptor mu 1 was determined by inhibition of binding of [3H]DAMGO (1.4-3 nM) to rat brain membranes1999Journal of medicinal chemistry, Sep-09, Volume: 42, Issue:18
Synthesis, opioid receptor binding, and biological activities of naltrexone-derived pyrido- and pyrimidomorphinans.
AID23449Partition coefficient (logP)1982Journal of medicinal chemistry, Feb, Volume: 25, Issue:2
Common anionic receptor site hypothesis: its relevance to the antagonist action of naloxone.
AID148475Inhibition of total opioid receptor by displacing 0.5 nM [3H]bremazocine in guinea pig brain membrane1992Journal of medicinal chemistry, Nov-27, Volume: 35, Issue:24
O3-(2-carbomethoxyallyl) ethers of opioid ligands derived from oxymorphone, naltrexone, etorphine, diprenorphine, norbinaltorphimine, and naltrindole. Unexpected O3-dealkylation in the opioid radioligand displacement assay.
AID150034Inhibition of binding of [3H]DADLE to Opioid receptor delta 1 in guinea pig membranes2003Journal of medicinal chemistry, May-08, Volume: 46, Issue:10
2002 Medicinal Chemistry Division Award address: monoamine transporters and opioid receptors. Targets for addiction therapy.
AID1191372Displacement of [3H]U69593 from rat recombinant kappa opioid receptor expressed in CHO cells after 60 mins2015European journal of medicinal chemistry, Jan-27, Volume: 90Novel fluoroalkyl derivatives of selective kappa opioid receptor antagonist JDTic: Design, synthesis, pharmacology and molecular modeling studies.
AID415722Displacement of [3H]NTI from delta opioid receptor expressed in CHO cells2009Bioorganic & medicinal chemistry letters, Mar-15, Volume: 19, Issue:6
14-O-Heterocyclic-substituted naltrexone derivatives as non-peptide mu opioid receptor selective antagonists: design, synthesis, and biological studies.
AID274390Displacement of [3H]diprenorphine from human cloned mu opioid receptor expressed in CHO cells2006Journal of medicinal chemistry, Dec-14, Volume: 49, Issue:25
Synthesis and pharmacological evaluation of novel octahydro-1H-pyrido[1,2-a]pyrazine as mu-opioid receptor antagonists.
AID625286Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatitis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1079947Comments (NB not yet translated). [column 'COMMENTAIRES' in source]
AID347310Displacement of [3H]NTI from monocloned delta opioid receptor expressed in CHO cells2009Journal of medicinal chemistry, Mar-12, Volume: 52, Issue:5
Design, synthesis, and biological evaluation of 6alpha- and 6beta-N-heterocyclic substituted naltrexamine derivatives as mu opioid receptor selective antagonists.
AID286303Displacement of [3H]U-69593 from human opioid kappa receptor expressed in CHO cells2007Journal of medicinal chemistry, May-03, Volume: 50, Issue:9
Pharmacological properties of bivalent ligands containing butorphan linked to nalbuphine, naltrexone, and naloxone at mu, delta, and kappa opioid receptors.
AID150398Inhibition of [3H]diprenorphine binding to rat brain membrane opioid receptors;(T= total opioid receptor family)1990Journal of medicinal chemistry, Sep, Volume: 33, Issue:9
Photoactivatable opiate derivatives as irreversible probes of the mu-opioid receptor.
AID417156Agonist activity at human mu opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTPgammaS binding2009Bioorganic & medicinal chemistry letters, Apr-15, Volume: 19, Issue:8
Syntheses of novel high affinity ligands for opioid receptors.
AID149546Tested for binding affinity towards kappa receptor in presence of [3H]EKC radioligand1994Journal of medicinal chemistry, Jul-22, Volume: 37, Issue:15
Discovery of a potent, peripherally selective trans-3,4-dimethyl-4-(3-hydroxyphenyl)piperidine opioid antagonist for the treatment of gastrointestinal motility disorders.
AID149140Binding affinity against Kappa Opioid receptor in Guinea pig brain membranes using [3H]-DAMGO+EKC1996Journal of medicinal chemistry, Apr-26, Volume: 39, Issue:9
Opioid antagonist activity of naltrexone-derived bivalent ligands: importance of a properly oriented molecular scaffold to guide "address" recognition at kappa opioid receptors.
AID1820198Displacement of [3H]-naloxone from mouse MOR expressed in CHO cells incubated for 1.5 hrs by competitive radioligand binding assay2021Journal of medicinal chemistry, 06-10, Volume: 64, Issue:11
Structure-Based Design and Development of Chemical Probes Targeting Putative MOR-CCR5 Heterodimers to Inhibit Opioid Exacerbated HIV-1 Infectivity.
AID348693Binding affinity to kappa opioid receptor in guinea pig cerebellum2008Bioorganic & medicinal chemistry letters, Sep-15, Volume: 18, Issue:18
Synthesis of N-isobutylnoroxymorphone from naltrexone by a selective cyclopropane ring opening reaction.
AID311284Selectivity for antagonist activity at human delta opioid receptor to kappa opioid receptor expressed in CHO cells by [35S]GTP-gamma-S assay2007Journal of natural products, Aug, Volume: 70, Issue:8
Flavonoids as opioid receptor ligands: identification and preliminary structure-activity relationships.
AID588218FDA HLAED, lactate dehydrogenase (LDH) increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID348694Binding affinity to delta opioid receptor in guinea pig forebrain2008Bioorganic & medicinal chemistry letters, Sep-15, Volume: 18, Issue:18
Synthesis of N-isobutylnoroxymorphone from naltrexone by a selective cyclopropane ring opening reaction.
AID227076Kappa opioid activity was evaluated on electrically stimulated guinea pig ileum by using ethylketazocine (EK) as standard.1996Journal of medicinal chemistry, Apr-26, Volume: 39, Issue:9
Opioid antagonist activity of naltrexone-derived bivalent ligands: importance of a properly oriented molecular scaffold to guide "address" recognition at kappa opioid receptors.
AID1121819Antagonist activity at human mu opioid receptor expressed in Gqi5 transfected CHO cells assessed as inhibition of DAMGO-stimulated Ca2+ influx preincubated for 15 mins followed by DAMGO challenge2013MedChemComm, May-01, Volume: 4, Issue:5
A Bivalent Ligand Targeting the Putative Mu Opioid Receptor and Chemokine Receptor CCR5 Heterodimers: Binding Affinity versus Functional Activities.
AID148992inhibition of 1.0 nM [3H]- DAGO binding to guinea pig brain membrane opioid receptor mu1992Journal of medicinal chemistry, Jun-26, Volume: 35, Issue:13
Electrophilic opioid ligands. Oxygen tethered alpha-methylene-gamma-lactone, acrylate, isothiocyanate, and epoxide derivatives of 6 beta-naltrexol.
AID320415Antinociceptive activity in sc dosed mouse by tail flick method2008Bioorganic & medicinal chemistry, Jan-15, Volume: 16, Issue:2
The influence of esters and carboxylic acids as the N-substituent of opioids. Part 1: Benzomorphans.
AID148040Binding affinity was measured by the displacement of [3H]- DAMGO in guinea pig brain membrane of Opioid receptor mu 11990Journal of medicinal chemistry, Jun, Volume: 33, Issue:6
Design of peptidomimetic delta opioid receptor antagonists using the message-address concept.
AID151914Binding constant for the antagonist state was measured for its ability to displace [3H]naloxone from opioid mu 1 receptor buffered homogenate of rat brain membranes1988Journal of medicinal chemistry, Mar, Volume: 31, Issue:3
Structure-activity relationships for drugs binding to the agonist and antagonist states of the primary morphine receptor.
AID23717Partition coefficient (logP)1988Journal of medicinal chemistry, Mar, Volume: 31, Issue:3
Structure-activity relationships for drugs binding to the agonist and antagonist states of the primary morphine receptor.
AID624620Specific activity of expressed human recombinant UGT2B7H2000Annual review of pharmacology and toxicology, , Volume: 40Human UDP-glucuronosyltransferases: metabolism, expression, and disease.
AID1181420Antagonist activity at human recombinant mu opioid receptor expressed in CHO cell membranes assessed as inhibition of DAMGO-induced response after 60 mins by [35S]GTPgammaS binding assay2014Bioorganic & medicinal chemistry, Aug-01, Volume: 22, Issue:15
Pyrrolo- and pyridomorphinans: non-selective opioid antagonists and delta opioid agonists/mu opioid partial agonists.
AID1054694Selectivity ratio of Ki for delta opioid receptor (unknown origin) to Ki for mu opioid receptor (unknown origin)2013Journal of medicinal chemistry, Nov-27, Volume: 56, Issue:22
Design, synthesis, and biological evaluation of 14-heteroaromatic-substituted naltrexone derivatives: pharmacological profile switch from mu opioid receptor selectivity to mu/kappa opioid receptor dual selectivity.
AID148543Dose ratio due to Antagonist Effect at a concentration of 100 nM by ethylketazocine, Opioid receptor kappa 1 in the guinea pig ileum longitudinal muscle myenteric plexus.1985Journal of medicinal chemistry, Jul, Volume: 28, Issue:7
10-Ketonaltrexone and 10-ketooxymorphone.
AID149910Compound was evaluated for binding affinity at Opioid receptor delta 1 in guinea pig brain membranes1991Journal of medicinal chemistry, Jun, Volume: 34, Issue:6
An approach to the design of receptor-type-selective non-peptide antagonists of peptidergic receptors: delta opioid antagonists.
AID417157Agonist activity at human mu opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTPgammaS binding relative to basal level2009Bioorganic & medicinal chemistry letters, Apr-15, Volume: 19, Issue:8
Syntheses of novel high affinity ligands for opioid receptors.
AID149320In vito concentration required to displace [3H]cyclofoxy (Kd = 0.8 nM and concentration is 1.3 nM) from mu and kappa2 receptor in rat brain membranes.1992Journal of medicinal chemistry, Jul-24, Volume: 35, Issue:15
Probes for narcotic receptor mediated phenomena. 18. Epimeric 6 alpha- and 6 beta-iodo-3,14-dihydroxy-17-(cyclopropylmethyl)-4,5 alpha-epoxymorphinans as potential ligands for opioid receptor single photon emission computed tomography: synthesis, evaluati
AID357091Antinociceptive effect in NY1DD transgenic mouse assessed as partial agonist response at 8 nmol, icv by heat tail flick test2007Proceedings of the National Academy of Sciences of the United States of America, Apr-03, Volume: 104, Issue:14
Naloxone acts as a potent analgesic in transgenic mouse models of sickle cell anemia.
AID303910Antagonist activity at cloned human delta opioid receptor expressed in CHO cells assessed as inhibition of agonist-stimulated GTPgammaS binding2007Bioorganic & medicinal chemistry letters, Dec-15, Volume: 17, Issue:24
Structure activity relationship studies of carboxamido-biaryl ethers as opioid receptor antagonists (OpRAs). Part 2.
AID395290Displacement of [3H]DAMGO from mu opioid receptor in Hartley guinea pig brain membrane2009Journal of medicinal chemistry, Mar-26, Volume: 52, Issue:6
14 beta-O-cinnamoylnaltrexone and related dihydrocodeinones are mu opioid receptor partial agonists with predominant antagonist activity.
AID617024Agonist activity against mu opioid receptor expressed in CHO cells assessed as stimulation of [35S]-GTPgammaS binding at 100 nM relative to DAMGO2011Bioorganic & medicinal chemistry letters, Sep-15, Volume: 21, Issue:18
Structure selectivity relationship studies of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6β-[(4'-pyridyl)carboxamido]morphinan derivatives toward the development of the mu opioid receptor antagonists.
AID1526731Substrate activity at human OCT1 expressed in HEK293 cells assessed as increase in compound uptake at 0.05 uM incubated for 2 mins by LC-MS/MS analysis relative to control empty vector transfected cells2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID482930Solubility in 0.3 M acetate buffer at pH 52010Bioorganic & medicinal chemistry letters, Jun-01, Volume: 20, Issue:11
Novel 3-O-pegylated carboxylate and 3-O-pegylated carbamate prodrugs of naltrexone for microneedle-enhanced transdermal delivery.
AID228107Selectivity ratio between delta and mu opioid receptor from guinea pig brain membrane1996Journal of medicinal chemistry, Apr-26, Volume: 39, Issue:9
Opioid antagonist activity of naltrexone-derived bivalent ligands: importance of a properly oriented molecular scaffold to guide "address" recognition at kappa opioid receptors.
AID450018Displacement of [3H]U69593 from kappa opioid receptor expressed in HEK293 cells by visible spectrophotometry2009Bioorganic & medicinal chemistry, Sep-15, Volume: 17, Issue:18
Synthesis and pharmacological evaluation of 6-naltrexamine analogs for alcohol cessation.
AID149420In vito concentration required to displace 9 (Kd = 1.6 nM and concentration is 1.8 nM) from opioid receptor kappa 1 in guinea brain membranes.1992Journal of medicinal chemistry, Jul-24, Volume: 35, Issue:15
Probes for narcotic receptor mediated phenomena. 18. Epimeric 6 alpha- and 6 beta-iodo-3,14-dihydroxy-17-(cyclopropylmethyl)-4,5 alpha-epoxymorphinans as potential ligands for opioid receptor single photon emission computed tomography: synthesis, evaluati
AID223587Binding affinity towards kappa-opioid receptor by displacement of [3H]-EKC at from guinea pig cortical tissue1993Journal of medicinal chemistry, Oct-01, Volume: 36, Issue:20
Structure-activity relationships of trans-3,4-dimethyl-4-(3-hydroxyphenyl)piperidine antagonists for mu- and kappa-opioid receptors.
AID147978Binding affinity was measured by the displacement of [3H]- EK in guinea pig brain membrane of opioid receptor kappa1990Journal of medicinal chemistry, Jun, Volume: 33, Issue:6
Design of peptidomimetic delta opioid receptor antagonists using the message-address concept.
AID540220Clearance in human after iv administration2005Journal of pharmaceutical sciences, Jul, Volume: 94, Issue:7
Extrapolation of human pharmacokinetic parameters from rat, dog, and monkey data: Molecular properties associated with extrapolative success or failure.
AID298653Antagonist activity at human kappa opioid receptor expressed in CHO cells assessed as effect on 35S]GTPgammaS binding2007Journal of medicinal chemistry, Oct-18, Volume: 50, Issue:21
Cinnamoyl derivatives of 7alpha-aminomethyl-6,14-endo-ethanotetrahydrothebaine and 7alpha-aminomethyl-6,14-endo-ethanotetrahydrooripavine and related opioid ligands.
AID149748Inhibitory concentration was determined against delta-opioid receptor using [3H]- DPDPE radioligand1995Journal of medicinal chemistry, Feb-03, Volume: 38, Issue:3
Isothiocyanate-substituted benzyl ether opioid receptor ligands derived from 6 beta-naltrexol.
AID150018Antagonistic activity for Opioid receptor mu 1 in guinea pig ileal longitudinal muscle at 100 nM1988Journal of medicinal chemistry, Apr, Volume: 31, Issue:4
Binaltorphimine-related bivalent ligands and their kappa opioid receptor antagonist selectivity.
AID1194125Stimulation of mouse MOR expressed in CHO cells after 1.5 hrs by [35S]GTPgammaS binding assay relative to DAMGO2015Bioorganic & medicinal chemistry, Apr-15, Volume: 23, Issue:8
Design, syntheses, and pharmacological characterization of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan analogues as opioid receptor ligands.
AID128214Narcotic agonistic activity in acetic acid mouse writhing assay after subcutaneous administration of the drug1981Journal of medicinal chemistry, Dec, Volume: 24, Issue:12
Analgesic narcotic antagonists. 8. 7 alpha-Alkyl-4,5 alpha-epoxymorphinan-6-ones.
AID588215FDA HLAED, alkaline phosphatase increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID1079936Choleostatic liver toxicity, either proven histopathologically or where the ratio of maximal ALT or AST activity above normal to that of Alkaline Phosphatase is < 2 (see ACUTE). Value is number of references indexed. [column 'CHOLE' in source]
AID622101Displacement of [3H]U69,593 from guinea pig kappa opioid receptor in cerebellum2011Bioorganic & medicinal chemistry letters, Oct-15, Volume: 21, Issue:20
Synthesis of novel triplet drugs with 1,3,5-trioxazatriquinane skeletons and their pharmacologies. Part 2: Synthesis of novel triplet drugs with the epoxymethano structure (capped homotriplet).
AID609329Reversal of chloroquine-resistance in Plasmodium chabaudi infected in mouse at 10 mg/kg, po coadministered with chloroquine 3 mg/kg, iv administered for 3 consecutive days measured on day 42011Bioorganic & medicinal chemistry letters, Aug-15, Volume: 21, Issue:16
Opioid δ₁ receptor antagonist 7-benzylidenenaltrexone as an effective resistance reverser for chloroquine-resistant Plasmodium chabaudi.
AID273133Selectivity for human mu opioid receptor over delta opioid receptor2006Journal of medicinal chemistry, Oct-05, Volume: 49, Issue:20
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effects of changes to the chain linking of the C14-amino group to the aryl ring.
AID1079931Moderate liver toxicity, defined via clinical-chemistry results: ALT or AST serum activity 6 times the normal upper limit (N) or alkaline phosphatase serum activity of 1.7 N. Value is number of references indexed. [column 'BIOL' in source]
AID1194132Agonist activity at mouse KOR expressed in CHO cells after 1.5 hrs by [35S]GTPgammaS binding assay relative to (+/-)-trans-U504882015Bioorganic & medicinal chemistry, Apr-15, Volume: 23, Issue:8
Design, syntheses, and pharmacological characterization of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan analogues as opioid receptor ligands.
AID149011Binding affinity was measured by the displacement of [3H]- DAMGO in guinea pig brain membrane of opioid receptor mu1990Journal of medicinal chemistry, Jun, Volume: 33, Issue:6
Design of peptidomimetic delta opioid receptor antagonists using the message-address concept.
AID450029Antagonist activity at mu opioid receptor expressed in HEK293 cells assessed as inhibition of compound 11-induced [35S]GTPgammaS binding2009Bioorganic & medicinal chemistry, Sep-15, Volume: 17, Issue:18
Synthesis and pharmacological evaluation of 6-naltrexamine analogs for alcohol cessation.
AID395292Displacement of [3H]U69,593 from kappa opioid receptor in Hartley guinea pig brain membrane2009Journal of medicinal chemistry, Mar-26, Volume: 52, Issue:6
14 beta-O-cinnamoylnaltrexone and related dihydrocodeinones are mu opioid receptor partial agonists with predominant antagonist activity.
AID149266Binding affinity was determined towards opioid receptor kappa 1 using [3H]U-69593 as radioligand2003Bioorganic & medicinal chemistry letters, Jun-02, Volume: 13, Issue:11
Redefining the structure-activity relationships of 2,6-methano-3-benzazocines. Part 2: 8-formamidocyclazocine analogues.
AID88604Increase in the charge carried by choline- induced currents in 68-day-old organotypic hippocampal cultures by naltrexone (0.3 uM)2004Bioorganic & medicinal chemistry letters, Apr-19, Volume: 14, Issue:8
Sensitivity of neuronal nicotinic acetylcholine receptors to the opiate antagonists naltrexone and naloxone: receptor blockade and up-regulation.
AID147960Inhibition of opioid receptor kappa by displacing 0.5 nM [3H]bremazocine in guinea pig brain membrane1992Journal of medicinal chemistry, Nov-27, Volume: 35, Issue:24
O3-(2-carbomethoxyallyl) ethers of opioid ligands derived from oxymorphone, naltrexone, etorphine, diprenorphine, norbinaltorphimine, and naltrindole. Unexpected O3-dealkylation in the opioid radioligand displacement assay.
AID148132Selectivity ratio is IC50 value of opioid receptor kappa to that of opioid receptor delta1991Journal of medicinal chemistry, May, Volume: 34, Issue:5
Role of spacer and address components in peptidomimetic delta opioid receptor antagonists related to naltrindole.
AID256843Inhibition of DAMGO stimulated [35S]GTP-gamma-S binding to cloned human mu opioid receptor2005Journal of medicinal chemistry, Dec-29, Volume: 48, Issue:26
N-substituted cis-4a-(3-hydroxyphenyl)-8a-methyloctahydroisoquinolines are opioid receptor pure antagonists.
AID148289Dose ratio due to Antagonist Effect at a concentration of 100 nM by ethylketazocine, Opioid receptor kappa 1 in mouse vas deferens.1985Journal of medicinal chemistry, Jul, Volume: 28, Issue:7
10-Ketonaltrexone and 10-ketooxymorphone.
AID224587Binding affinity towards mu-opioid receptor by the displacement of [3H]Nal in rat brain homogenates1993Journal of medicinal chemistry, Oct-01, Volume: 36, Issue:20
3,4-Dimethyl-4-(3-hydroxyphenyl)piperidines: opioid antagonists with potent anorectant activity.
AID286302Displacement of [3H]DAMGO from human opioid gamma receptor expressed in CHO cells2007Journal of medicinal chemistry, May-03, Volume: 50, Issue:9
Pharmacological properties of bivalent ligands containing butorphan linked to nalbuphine, naltrexone, and naloxone at mu, delta, and kappa opioid receptors.
AID273150Selectivity for guinea pig mu opioid receptor over kappa opioid receptor2006Journal of medicinal chemistry, Oct-05, Volume: 49, Issue:20
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effects of changes to the chain linking of the C14-amino group to the aryl ring.
AID128019Inhibition of acetic acid induced mouse writhing assay following s.c. administration.1981Journal of medicinal chemistry, Dec, Volume: 24, Issue:12
Analgesic narcotic antagonists. 9. 6-Methylene-8 beta-alkyl-N-(cycloalkylmethyl)-3-hydroxy- or -methoxymorphinans.
AID148961Compound was evaluated for antagonist potency in guinea pig ileum preparation using ethylketazocine (Opioid receptor kappa 1)1991Journal of medicinal chemistry, Jun, Volume: 34, Issue:6
An approach to the design of receptor-type-selective non-peptide antagonists of peptidergic receptors: delta opioid antagonists.
AID1749823Antinociceptive activity in iv dosed Sprague-Dawley rat assessed as hot plate latency compound administered as cumulative dose at 5 mins intervals in presence of naltrexone by Hot-plate test
AID286313Agonist activity at human opioid gamma receptor expressed in CHO cells assessed as maximal inhibition of DAGO-stimulated [35S]GTP-gamma-S binding2007Journal of medicinal chemistry, May-03, Volume: 50, Issue:9
Pharmacological properties of bivalent ligands containing butorphan linked to nalbuphine, naltrexone, and naloxone at mu, delta, and kappa opioid receptors.
AID176828Tested for concentration required to reduce the food consumption by 20 % subcutaneously; The maximum effect achievedwas approximately 20% and not dose related1993Journal of medicinal chemistry, Oct-01, Volume: 36, Issue:20
3,4-Dimethyl-4-(3-hydroxyphenyl)piperidines: opioid antagonists with potent anorectant activity.
AID416816Selectivity ratio of IC50 for human delta opioid receptor to IC50 for human mu opioid receptor2009Bioorganic & medicinal chemistry letters, Apr-15, Volume: 19, Issue:8
Syntheses of novel high affinity ligands for opioid receptors.
AID1181416Displacement of [3H]Cl-DPDPE from human recombinant delta opioid receptor expressed in CHO cell membranes after 60 mins by scintillation counting method2014Bioorganic & medicinal chemistry, Aug-01, Volume: 22, Issue:15
Pyrrolo- and pyridomorphinans: non-selective opioid antagonists and delta opioid agonists/mu opioid partial agonists.
AID274412Displacement of [3H]diprenorphine from human cloned kappa opioid receptor expressed in CHO cells2006Journal of medicinal chemistry, Dec-14, Volume: 49, Issue:25
Elucidation of the bioactive conformation of the N-substituted trans-3,4-dimethyl-4-(3-hydroxyphenyl)piperidine class of mu-opioid receptor antagonists.
AID767588Agonist activity at mouse mu opioid receptor expressed in CHO cells assessed as stimulation of [35S]-GTPgammaS binding after 1.5 hrs relative to DAMGO2013Bioorganic & medicinal chemistry letters, Sep-15, Volume: 23, Issue:18
Structure activity relationship studies of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan (NAQ) analogues as potent opioid receptor ligands: preliminary results on the role of electronic characteristics for affin
AID540209Volume of distribution at steady state in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID148494The IC50 value of agonist (ethylketazocine) in presence of antagonist (Compound 20 nM) divided by the control IC60 value with no antagonist in GPI (Guinea pig ileum)1987Journal of medicinal chemistry, Feb, Volume: 30, Issue:2
Bimorphinans as highly selective, potent kappa opioid receptor antagonists.
AID756074Agonist activity at mu opioid receptor (unknown origin) expressed CHO cells assessed as stimulation of [35S]-GTP[gammaS] binding relative to DAMGO2013Bioorganic & medicinal chemistry letters, Jul-01, Volume: 23, Issue:13
Opioid receptor selectivity profile change via isosterism for 14-O-substituted naltrexone derivatives.
AID286314Agonist activity at human opioid gamma receptor expressed in CHO cells assessed as inhibition of DAGO-stimulated [35S]GTPgammaS binding2007Journal of medicinal chemistry, May-03, Volume: 50, Issue:9
Pharmacological properties of bivalent ligands containing butorphan linked to nalbuphine, naltrexone, and naloxone at mu, delta, and kappa opioid receptors.
AID227052Competitive inhibition of Morphine on Guinea pig ileal longitudinal muscle for the opioid receptor mu at 100 nM1991Journal of medicinal chemistry, May, Volume: 34, Issue:5
Role of spacer and address components in peptidomimetic delta opioid receptor antagonists related to naltrindole.
AID311281Antagonist activity at human mu opioid receptor expressed in CHO cells by [35S]GTP-gamma-S assay2007Journal of natural products, Aug, Volume: 70, Issue:8
Flavonoids as opioid receptor ligands: identification and preliminary structure-activity relationships.
AID756075Agonist activity at mu opioid receptor (unknown origin) expressed CHO cells assessed as stimulation of [35S]-GTP[gammaS] binding2013Bioorganic & medicinal chemistry letters, Jul-01, Volume: 23, Issue:13
Opioid receptor selectivity profile change via isosterism for 14-O-substituted naltrexone derivatives.
AID141506Binding affinity was determined against Mu opioid receptor using [3H]naltrexone as radioligand1998Bioorganic & medicinal chemistry letters, Nov-17, Volume: 8, Issue:22
N-substituted octahydro-4a-(3-hydroxyphenyl)-10a-methyl-benzo[g]isoquinolines are opioid receptor pure antagonists.
AID1181415Displacement of [3H]U69593 from human recombinant kappa opioid receptor expressed in CHO cell membranes after 60 mins by scintillation counting method2014Bioorganic & medicinal chemistry, Aug-01, Volume: 22, Issue:15
Pyrrolo- and pyridomorphinans: non-selective opioid antagonists and delta opioid agonists/mu opioid partial agonists.
AID1133438Binding affinity to rat brain opioid receptor1978Journal of medicinal chemistry, Jan, Volume: 21, Issue:1
Quantum chemical studies of N-substituent variation in the oxymorphone series of opiate narcotics.
AID415719Selectivity ratio of Ki for kappa opioid receptor to Ki for mu opioid receptor2009Bioorganic & medicinal chemistry letters, Mar-15, Volume: 19, Issue:6
14-O-Heterocyclic-substituted naltrexone derivatives as non-peptide mu opioid receptor selective antagonists: design, synthesis, and biological studies.
AID238974Binding affinity against Opioid receptor mu 1 expressed in CHO cells using [3H]DAMGO as radioligand2005Bioorganic & medicinal chemistry letters, Apr-15, Volume: 15, Issue:8
Synthesis and opioid receptor binding properties of a highly potent 4-hydroxy analogue of naltrexone.
AID149124Binding affinity at Opioid receptor kappa 1 by displacement of [3H]U-69593 in guinea pig brain membranes2004Journal of medicinal chemistry, Mar-11, Volume: 47, Issue:6
Identification of opioid ligands possessing mixed micro agonist/delta antagonist activity among pyridomorphinans derived from naloxone, oxymorphone, and hydromorphone [correction of hydropmorphone].
AID540212Mean residence time in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID152204Binding affinity against Opioid receptor mu 1 using [3H]naloxone as radioligand.1998Journal of medicinal chemistry, Oct-08, Volume: 41, Issue:21
N-Substituted 9beta-methyl-5-(3-hydroxyphenyl)morphans are opioid receptor pure antagonists.
AID148693Opioid receptor kappa 1 antagonistic activity was measured by the displacement of ethylketazocine in the guinea pig ileum at a concentration of 100 nM1990Journal of medicinal chemistry, Jun, Volume: 33, Issue:6
Design of peptidomimetic delta opioid receptor antagonists using the message-address concept.
AID151597Binding activity against Opioid receptor mu 1 using [3H]DAMGO as radioligand in rat brain membranes.1998Journal of medicinal chemistry, Oct-08, Volume: 41, Issue:21
N-Substituted 9beta-methyl-5-(3-hydroxyphenyl)morphans are opioid receptor pure antagonists.
AID1133437Agonist activity at pig ileum opioid receptor1978Journal of medicinal chemistry, Jan, Volume: 21, Issue:1
Quantum chemical studies of N-substituent variation in the oxymorphone series of opiate narcotics.
AID148119Selectivity ratio is Ki value of opioid receptor kappa to that of opioid receptor delta1991Journal of medicinal chemistry, May, Volume: 34, Issue:5
Role of spacer and address components in peptidomimetic delta opioid receptor antagonists related to naltrindole.
AID286309Antagonist activity at human opioid kappa receptor expressed in CHO cells assessed as maximal inhibition of U-50488-stimulated [35S]GTP-gamma-S binding2007Journal of medicinal chemistry, May-03, Volume: 50, Issue:9
Pharmacological properties of bivalent ligands containing butorphan linked to nalbuphine, naltrexone, and naloxone at mu, delta, and kappa opioid receptors.
AID1447100Displacement of [3H]DAMGO from mu opioid receptor in guinea pig brain membrane2017Bioorganic & medicinal chemistry letters, 05-01, Volume: 27, Issue:9
Synthesis and evaluation of a ligand targeting the μ and δ opioid receptors for drug delivery to lung cancer.
AID273146Activity at human recombinant kappa opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTP-gamma-S binding relative to U695932006Journal of medicinal chemistry, Oct-05, Volume: 49, Issue:20
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effects of changes to the chain linking of the C14-amino group to the aryl ring.
AID311524Oral bioavailability in human2007Bioorganic & medicinal chemistry, Dec-15, Volume: 15, Issue:24
Hologram QSAR model for the prediction of human oral bioavailability.
AID141511Compound was tested for the inhibition of [35S]GTP-gamma-S, binding in Guinea pig Caudate stimulated by the opioid receptor agonist Mu-DAMGO1998Bioorganic & medicinal chemistry letters, Nov-17, Volume: 8, Issue:22
N-substituted octahydro-4a-(3-hydroxyphenyl)-10a-methyl-benzo[g]isoquinolines are opioid receptor pure antagonists.
AID417162Antagonist activity against human mu opioid receptor expressed in CHO cells assessed as inhibition of DAMGO-stimulated [35S]GTPgammaS binding2009Bioorganic & medicinal chemistry letters, Apr-15, Volume: 19, Issue:8
Syntheses of novel high affinity ligands for opioid receptors.
AID42547Increase in the charge carried by ACh- induced currents in CA1 pyramidal neurons of 2022-day-old cultures by naltrexone (0.3 uM)2004Bioorganic & medicinal chemistry letters, Apr-19, Volume: 14, Issue:8
Sensitivity of neuronal nicotinic acetylcholine receptors to the opiate antagonists naltrexone and naloxone: receptor blockade and up-regulation.
AID692550Displacement of [3H]-DAMGO from mouse MOR expressed in HEK293 cells2012ACS medicinal chemistry letters, Aug-09, Volume: 3, Issue:8
Tuned-Affinity Bivalent Ligands for the Characterization of Opioid Receptor Heteromers.
AID416815Displacement of [3H]U69,593 from human kappa opioid receptor expressed in CHO cells after 60 mins by scintillation counting2009Bioorganic & medicinal chemistry letters, Apr-15, Volume: 19, Issue:8
Syntheses of novel high affinity ligands for opioid receptors.
AID232429Ratio of inhibition of binding to opioid receptor in the presence and absence of NaCl1989Journal of medicinal chemistry, Feb, Volume: 32, Issue:2
Synthesis and biological evaluation of 14-alkoxymorphinans. 2. (-)-N-(cyclopropylmethyl)-4,14-dimethoxymorphinan-6-one, a selective mu opioid receptor antagonist.
AID149760Inhibition of [35S]GTP-gamma-S, binding in guines pig caudate stimulated by SNC-80 for Opioid receptor delta 12003Journal of medicinal chemistry, May-08, Volume: 46, Issue:10
2002 Medicinal Chemistry Division Award address: monoamine transporters and opioid receptors. Targets for addiction therapy.
AID679758TP_TRANSPORTER: increase in Calcein-AM intracellular accumulation (Calcein-AM: ? uM, Naltrexone: 100 uM) in MDR1-expressing MDCKII cells2002The Journal of pharmacology and experimental therapeutics, Dec, Volume: 303, Issue:3
Passive permeability and P-glycoprotein-mediated efflux differentiate central nervous system (CNS) and non-CNS marketed drugs.
AID624613Specific activity of expressed human recombinant UGT1A102000Annual review of pharmacology and toxicology, , Volume: 40Human UDP-glucuronosyltransferases: metabolism, expression, and disease.
AID22293Delta logD (logD6.5 - logD7.4)2000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
QSAR model for drug human oral bioavailability.
AID149550Binding affinity for Opioid receptor kappa 1 was determined by inhibition of binding of [3H]U-69593 (1.2-2.2 nM) to guinea pig brain membranes1999Journal of medicinal chemistry, Sep-09, Volume: 42, Issue:18
Synthesis, opioid receptor binding, and biological activities of naltrexone-derived pyrido- and pyrimidomorphinans.
AID540211Fraction unbound in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID233909Selectivity ratio measured in terms of delta opioid receptor to the mu opioid receptor1997Journal of medicinal chemistry, Feb-28, Volume: 40, Issue:5
(E)- and (Z)-7-arylidenenaltrexones: synthesis and opioid receptor radioligand displacement assays.
AID1135662Displacement of [3H]naloxone from opioid receptor (unknown origin) in brain homogenate measured after four washes1978Journal of medicinal chemistry, Jul, Volume: 21, Issue:7
6beta-[N,N-Bis(2-chloroethyl)amino]-17-(cyclopropylmethyl)-4,5alpha-epoxy-3,14-dihydroxymorphinan(chlornaltrexamine) a potent opioid receptor alkylating agent with ultralong narcotic antagonist actitivty.
AID1268024Displacement of 2-((1E,3E,5E)-5-(1-Ethyl-3,3-dimethyl-5-sulfoindolin-2-ylidene)-penta-1,3-dien-1-yl)-1-(6-((6-((6S,7R,7aR,12bS)-9-hydroxy-7-methoxy-3-methyl-1,2,3,4,5,6,7,7a-octahydro-4a,7-ethano-4,12-methanobenzofuro[3,2-e]isoquinoline-6-carboxamido)hexy2015Journal of medicinal chemistry, Dec-24, Volume: 58, Issue:24
Synthesis, Biological Evaluation, and Utility of Fluorescent Ligands Targeting the μ-Opioid Receptor.
AID1181424Agonist activity at human recombinant delta opioid receptor expressed in CHO cell membranes after 60 mins by [35S]GTPgammaS binding assay2014Bioorganic & medicinal chemistry, Aug-01, Volume: 22, Issue:15
Pyrrolo- and pyridomorphinans: non-selective opioid antagonists and delta opioid agonists/mu opioid partial agonists.
AID239386Inhibition of [3H]U-69593 binding to human kappa opioid receptor expressed in CHO cells2004Journal of medicinal chemistry, Oct-07, Volume: 47, Issue:21
Identification of a new scaffold for opioid receptor antagonism based on the 2-amino-1,1-dimethyl-7-hydroxytetralin pharmacophore.
AID320425Antagonist activity at kappa opioid receptor in Swiss mouse vas deferens assessed as reversal of U50488 effect on electrically-induced driven twitch2008Bioorganic & medicinal chemistry, Jan-15, Volume: 16, Issue:2
The influence of esters and carboxylic acids as the N-substituent of opioids. Part 1: Benzomorphans.
AID452924Displacement of [3H]DAMGO from guinea pig forebrain mu opioid receptor2010Bioorganic & medicinal chemistry letters, Jan-01, Volume: 20, Issue:1
Drug design and synthesis of a novel kappa opioid receptor agonist with an oxabicyclo[2.2.2]octane skeleton and its pharmacology.
AID149795Binding affinity was determined as ability to displace [3H]DADLE radioligand from Opioid receptor delta 11998Bioorganic & medicinal chemistry letters, Nov-17, Volume: 8, Issue:22
N-substituted octahydro-4a-(3-hydroxyphenyl)-10a-methyl-benzo[g]isoquinolines are opioid receptor pure antagonists.
AID1726170Antiviral activity against HIV1 3B infected in human TZM-bl cells assessed as reduction in viral entry by measuring Tat protein level at 1500 nM measured after 3 days in presence of IT1T and morphine by luciferase-based assay2020ACS medicinal chemistry letters, Nov-12, Volume: 11, Issue:11
Bivalent Ligand Aiming Putative Mu Opioid Receptor and Chemokine Receptor CXCR4 Dimers in Opioid Enhanced HIV-1 Entry.
AID146643Blockage of Nicotinic acetylcholine receptor alpha4-beta2 noncompetitively in acute hippocampal slices2004Bioorganic & medicinal chemistry letters, Apr-19, Volume: 14, Issue:8
Sensitivity of neuronal nicotinic acetylcholine receptors to the opiate antagonists naltrexone and naloxone: receptor blockade and up-regulation.
AID149863Inhibitory concentration was determined against Opioid receptor mu 1 using [3H]- DAMGO radioligand1995Journal of medicinal chemistry, Feb-03, Volume: 38, Issue:3
Isothiocyanate-substituted benzyl ether opioid receptor ligands derived from 6 beta-naltrexol.
AID229803Ratio of Ki for delta receptor to that of kappa receptor1998Journal of medicinal chemistry, Dec-17, Volume: 41, Issue:26
Identification of an opioid kappa receptor subtype-selective N-substituent for (+)-(3R,4R)-dimethyl-4-(3-hydroxyphenyl)piperidine.
AID150032Inhibition of [35S]GTP-gamma-S, binding in guinea pig caudate stimulated by SNC80 (Opioid receptor delta 1)1998Journal of medicinal chemistry, Oct-08, Volume: 41, Issue:21
N-Substituted 9beta-methyl-5-(3-hydroxyphenyl)morphans are opioid receptor pure antagonists.
AID148330Percent stimulation of [35S]GTP-gamma-S, binding in recombinant human Opioid receptor mu 1 transfected into CHO cells2003Journal of medicinal chemistry, Apr-10, Volume: 46, Issue:8
14-amino, 14-alkylamino, and 14-acylamino analogs of oxymorphindole. Differential effects on opioid receptor binding and functional profiles.
AID148739Binding affinity against Opioid receptor kappa 1 using [3H]ethylketocyclazocine as radioligand.1998Journal of medicinal chemistry, Oct-08, Volume: 41, Issue:21
N-Substituted 9beta-methyl-5-(3-hydroxyphenyl)morphans are opioid receptor pure antagonists.
AID148933Ke value is obtained from IC50 ratio value when compared with delta opioid agonist in MVD preparations using DADLE as radioligand1996Journal of medicinal chemistry, Apr-26, Volume: 39, Issue:9
Opioid antagonist activity of naltrexone-derived bivalent ligands: importance of a properly oriented molecular scaffold to guide "address" recognition at kappa opioid receptors.
AID311283Selectivity for antagonist activity at human mu opioid receptor to kappa opioid receptor expressed in CHO cells by [35S]GTP-gamma-S assay2007Journal of natural products, Aug, Volume: 70, Issue:8
Flavonoids as opioid receptor ligands: identification and preliminary structure-activity relationships.
AID767592Displacement of [3H]-naltrindole from mouse delta opioid receptor expressed in CHO cells after 1.5 hrs2013Bioorganic & medicinal chemistry letters, Sep-15, Volume: 23, Issue:18
Structure activity relationship studies of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan (NAQ) analogues as potent opioid receptor ligands: preliminary results on the role of electronic characteristics for affin
AID317855Displacement of [3H]U69593 from human kappa opioid receptor expressed in CHO cells2008Journal of medicinal chemistry, Mar-27, Volume: 51, Issue:6
Synthesis and biological evaluation of alpha- and beta-6-amido derivatives of 17-cyclopropylmethyl-3, 14beta-dihydroxy-4, 5alpha-epoxymorphinan: potential alcohol-cessation agents.
AID410719Displacement of [3H]Naltrindole form human delta opioid receptor expressed in CHO cells2009Bioorganic & medicinal chemistry letters, Jan-01, Volume: 19, Issue:1
Syntheses and opioid receptor binding properties of carboxamido-substituted opioids.
AID147908Binding affinity determined on Opioid receptor mu 1 in Guinea pig brain membranes using radioligand [3H]DAMGO1998Journal of medicinal chemistry, Dec-17, Volume: 41, Issue:26
Identification of an opioid kappa receptor subtype-selective N-substituent for (+)-(3R,4R)-dimethyl-4-(3-hydroxyphenyl)piperidine.
AID141762Tested for binding affinity towards mu receptor in presence of [3H]NAL radioligand1994Journal of medicinal chemistry, Jul-22, Volume: 37, Issue:15
Discovery of a potent, peripherally selective trans-3,4-dimethyl-4-(3-hydroxyphenyl)piperidine opioid antagonist for the treatment of gastrointestinal motility disorders.
AID286306Ratio of Ki for human opioid kappa receptor to Ki for human opioid delta receptor2007Journal of medicinal chemistry, May-03, Volume: 50, Issue:9
Pharmacological properties of bivalent ligands containing butorphan linked to nalbuphine, naltrexone, and naloxone at mu, delta, and kappa opioid receptors.
AID624616Specific activity of expressed human recombinant UGT2B152000Annual review of pharmacology and toxicology, , Volume: 40Human UDP-glucuronosyltransferases: metabolism, expression, and disease.
AID147958Displacement of 0.5 nM [3H]bremazocine from guinea pig brain membrane opioid receptor kappa with 100 nM DAGO and 100 nM DPDPE1992Journal of medicinal chemistry, Jun-26, Volume: 35, Issue:13
Electrophilic opioid ligands. Oxygen tethered alpha-methylene-gamma-lactone, acrylate, isothiocyanate, and epoxide derivatives of 6 beta-naltrexol.
AID149262Binding affinity towards guinea pig Opioid receptor kappa 1 using radioligand [3H]U-695932001Bioorganic & medicinal chemistry letters, Jul-09, Volume: 11, Issue:13
3-Carboxamido analogues of morphine and naltrexone. synthesis and opioid receptor binding properties.
AID301032Antagonist activity at human kappa opioid receptor expressed in CHO cells by [35S]GTP-gamma-S binding assay2007Bioorganic & medicinal chemistry letters, Oct-01, Volume: 17, Issue:19
Structure-activity relationship studies of carboxamido-biaryl ethers as opioid receptor antagonists (OpRAs). Part 1.
AID588210Human drug-induced liver injury (DILI) modelling dataset from Ekins et al2010Drug metabolism and disposition: the biological fate of chemicals, Dec, Volume: 38, Issue:12
A predictive ligand-based Bayesian model for human drug-induced liver injury.
AID227059Delta opioid activity on Mouse vas deference using DADLE as standard1996Journal of medicinal chemistry, Apr-26, Volume: 39, Issue:9
Opioid antagonist activity of naltrexone-derived bivalent ligands: importance of a properly oriented molecular scaffold to guide "address" recognition at kappa opioid receptors.
AID417159Agonist activity at human delta opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTPgammaS binding relative to basal level2009Bioorganic & medicinal chemistry letters, Apr-15, Volume: 19, Issue:8
Syntheses of novel high affinity ligands for opioid receptors.
AID256845Inhibition of U69,593 stimulated [35S]GTP-gamma-S binding to cloned human kappa opioid receptor2005Journal of medicinal chemistry, Dec-29, Volume: 48, Issue:26
N-substituted cis-4a-(3-hydroxyphenyl)-8a-methyloctahydroisoquinolines are opioid receptor pure antagonists.
AID1268040Displacement of [3H]DAMGO from human MOR expressed in HEK293 cells preincubated for 1 hr followed by radioligand addition measured after 1 hr by liquid scintillation counting analysis2015Journal of medicinal chemistry, Dec-24, Volume: 58, Issue:24
Synthesis, Biological Evaluation, and Utility of Fluorescent Ligands Targeting the μ-Opioid Receptor.
AID150033Inhibition of [35S]GTP-gamma-S, binding from Opioid receptor delta 1 in Guinea pig Caudate stimulated by SNC801998Journal of medicinal chemistry, Dec-17, Volume: 41, Issue:26
Identification of an opioid kappa receptor subtype-selective N-substituent for (+)-(3R,4R)-dimethyl-4-(3-hydroxyphenyl)piperidine.
AID395294Displacement of [3H]DPDPE from human delta opioid receptor expressed in CHO cells2009Journal of medicinal chemistry, Mar-26, Volume: 52, Issue:6
14 beta-O-cinnamoylnaltrexone and related dihydrocodeinones are mu opioid receptor partial agonists with predominant antagonist activity.
AID1054687Selectivity ratio of Ki for kappa opioid receptor (unknown origin) to Ki for mu opioid receptor (unknown origin)2013Journal of medicinal chemistry, Nov-27, Volume: 56, Issue:22
Design, synthesis, and biological evaluation of 14-heteroaromatic-substituted naltrexone derivatives: pharmacological profile switch from mu opioid receptor selectivity to mu/kappa opioid receptor dual selectivity.
AID148748In vito concentration required to displace [3H]BRM (Kd = 1.0 nM and concentration is 1.8 nM) from opioid receptor kappa 2 in guinea brain membranes.1992Journal of medicinal chemistry, Jul-24, Volume: 35, Issue:15
Probes for narcotic receptor mediated phenomena. 18. Epimeric 6 alpha- and 6 beta-iodo-3,14-dihydroxy-17-(cyclopropylmethyl)-4,5 alpha-epoxymorphinans as potential ligands for opioid receptor single photon emission computed tomography: synthesis, evaluati
AID231888Compound was tested for ability to protect against the irreversible antagonism of morphine''s effects by beta-FNA in guinea pig ileum at 2 nM concentration1983Journal of medicinal chemistry, Oct, Volume: 26, Issue:10
Different receptor sites mediate opioid agonism and antagonism.
AID1054693Agonist activity at mu opioid receptor (unknown origin) expressed in CHO cell membranes assessed as stimulation of [35S]-GTPgammaS binding after 1.5 hrs relative to DAMGO2013Journal of medicinal chemistry, Nov-27, Volume: 56, Issue:22
Design, synthesis, and biological evaluation of 14-heteroaromatic-substituted naltrexone derivatives: pharmacological profile switch from mu opioid receptor selectivity to mu/kappa opioid receptor dual selectivity.
AID149214Antagonistic potency at opioid receptor delta (300 nM) (Ke =IC50 in the presence of antagonist divided by the control IC50 value)1991Journal of medicinal chemistry, May, Volume: 34, Issue:5
Role of spacer and address components in peptidomimetic delta opioid receptor antagonists related to naltrindole.
AID625281Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cholelithiasis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID311282Antagonist activity at human delta opioid receptor expressed in CHO cells by [35S]GTPgammaS assay2007Journal of natural products, Aug, Volume: 70, Issue:8
Flavonoids as opioid receptor ligands: identification and preliminary structure-activity relationships.
AID149041Inhibition of [3H]naloxone binding to opioid receptor in presence of NaCl1989Journal of medicinal chemistry, Feb, Volume: 32, Issue:2
Synthesis and biological evaluation of 14-alkoxymorphinans. 2. (-)-N-(cyclopropylmethyl)-4,14-dimethoxymorphinan-6-one, a selective mu opioid receptor antagonist.
AID270158Intrinsic activity at mu opioid receptor in presence of 1 uM GDP2006Journal of medicinal chemistry, Sep-07, Volume: 49, Issue:18
Highly potent and selective phenylmorphan-based inverse agonists of the opioid delta receptor.
AID1194142Antagonist activity at human MOR expressed in CHO cells assessed as inhibition of DAMGO-induced increase in intracellular Ca2+ level incubated for 15 mins prior to DAMGO addition by microplate reader analysis2015Bioorganic & medicinal chemistry, Apr-15, Volume: 23, Issue:8
Design, syntheses, and pharmacological characterization of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan analogues as opioid receptor ligands.
AID274417Antagonist activity against human cloned mu opioid receptor expressed in CHO cells assessed as inhibition of loperamide-stimulated [35S]GTP-gamma-S binding2006Journal of medicinal chemistry, Dec-14, Volume: 49, Issue:25
Elucidation of the bioactive conformation of the N-substituted trans-3,4-dimethyl-4-(3-hydroxyphenyl)piperidine class of mu-opioid receptor antagonists.
AID1079943Malignant tumor, proven histopathologically. Value is number of references indexed. [column 'T.MAL' in source]
AID230901Ratio of antagonistic activity at delta to kappa receptor1988Journal of medicinal chemistry, Jul, Volume: 31, Issue:7
Only one pharmacophore is required for the kappa opioid antagonist selectivity of norbinaltorphimine.
AID149279Binding affinity was measured by the displacement of [3H]- EK in guinea pig brain membrane of Opioid receptor kappa 11990Journal of medicinal chemistry, Jun, Volume: 33, Issue:6
Design of peptidomimetic delta opioid receptor antagonists using the message-address concept.
AID624608Specific activity of expressed human recombinant UGT1A42000Annual review of pharmacology and toxicology, , Volume: 40Human UDP-glucuronosyltransferases: metabolism, expression, and disease.
AID1133442Narcotic antagonist activity in sc dosed mouse assessed as inhibition of oxymorphone-induced nacrosis1978Journal of medicinal chemistry, Jan, Volume: 21, Issue:1
Quantum chemical studies of N-substituent variation in the oxymorphone series of opiate narcotics.
AID354073Displacement of [3H]U69593 from kappa opioid receptor in guinea pig cerebellum2009Bioorganic & medicinal chemistry letters, May-01, Volume: 19, Issue:9
Synthesis of a new opioid ligand having the oxabicyclo[3.2.1]octane skeleton using a new rearrangement reaction.
AID169598Antagonistic potency of compound after oral administration in rats1982Journal of medicinal chemistry, Feb, Volume: 25, Issue:2
Common anionic receptor site hypothesis: its relevance to the antagonist action of naloxone.
AID1447101Displacement of [3H]DADLE from delta opioid receptor in guinea pig brain membrane2017Bioorganic & medicinal chemistry letters, 05-01, Volume: 27, Issue:9
Synthesis and evaluation of a ligand targeting the μ and δ opioid receptors for drug delivery to lung cancer.
AID150852Binding affinity for human Opioid receptor mu 1 transfected into chinese hamster ovary cells by displacing [3H]DAMGO radioligand2003Journal of medicinal chemistry, Jul-03, Volume: 46, Issue:14
Opioid binding and in vitro profiles of a series of 4-hdroxy-3-methoxyindolomorphinans. Transformation of a delta-selective ligand into a high affinity kappa-selective ligand by introduction of a 5,14-substituted bridge.
AID395296Antagonist activity against mu opioid receptor in mouse vas deferens assessed as effect on DAMGO-induced contraction2009Journal of medicinal chemistry, Mar-26, Volume: 52, Issue:6
14 beta-O-cinnamoylnaltrexone and related dihydrocodeinones are mu opioid receptor partial agonists with predominant antagonist activity.
AID450020Selectivity ratio of Ki for kappa opioid receptor to Ki for mu opioid receptor2009Bioorganic & medicinal chemistry, Sep-15, Volume: 17, Issue:18
Synthesis and pharmacological evaluation of 6-naltrexamine analogs for alcohol cessation.
AID149300In vito concentration required to displace [3H]DAGO (Kd = 0.7 nM and concentration is 1.7 nM) from opioid receptor mu in rat brain membranes.1992Journal of medicinal chemistry, Jul-24, Volume: 35, Issue:15
Probes for narcotic receptor mediated phenomena. 18. Epimeric 6 alpha- and 6 beta-iodo-3,14-dihydroxy-17-(cyclopropylmethyl)-4,5 alpha-epoxymorphinans as potential ligands for opioid receptor single photon emission computed tomography: synthesis, evaluati
AID301035Displacement of [3H]diprenorphine from human kappa opioid receptor expressed in CHO cells in presence of high sodium by SPA2007Bioorganic & medicinal chemistry letters, Oct-01, Volume: 17, Issue:19
Structure-activity relationship studies of carboxamido-biaryl ethers as opioid receptor antagonists (OpRAs). Part 1.
AID1461674Antagonist activity at OGFR in human SKOV3 cells assessed as cell growth inhibition at 10 uM treated as pulsed dose of 6 hrs every other day by hemacytometric method2017Bioorganic & medicinal chemistry, 08-15, Volume: 25, Issue:16
Selective opioid growth factor receptor antagonists based on a stilbene isostere.
AID1191374Displacement of [3H]DADLE from human recombinant delta opioid receptor expressed in HEK cells after 60 mins2015European journal of medicinal chemistry, Jan-27, Volume: 90Novel fluoroalkyl derivatives of selective kappa opioid receptor antagonist JDTic: Design, synthesis, pharmacology and molecular modeling studies.
AID148389Antagonistic activity for Opioid receptor delta 1 in mouse vas deferens preparation at 100 nM1988Journal of medicinal chemistry, Apr, Volume: 31, Issue:4
Binaltorphimine-related bivalent ligands and their kappa opioid receptor antagonist selectivity.
AID149202Compound was evaluated for the binding affinity to opioid receptor delta using [3H]DADLE as radioligand in guinea pig brain membrane1991Journal of medicinal chemistry, May, Volume: 34, Issue:5
Role of spacer and address components in peptidomimetic delta opioid receptor antagonists related to naltrindole.
AID1079944Benign tumor, proven histopathologically. Value is number of references indexed. [column 'T.BEN' in source]
AID756080Displacement of [3H]naloxone from mu opioid receptor (unknown origin) after 1.5 hrs2013Bioorganic & medicinal chemistry letters, Jul-01, Volume: 23, Issue:13
Opioid receptor selectivity profile change via isosterism for 14-O-substituted naltrexone derivatives.
AID149987Agonistic activity towards Opioid receptor kappa 12003Journal of medicinal chemistry, Jul-03, Volume: 46, Issue:14
Opioid binding and in vitro profiles of a series of 4-hdroxy-3-methoxyindolomorphinans. Transformation of a delta-selective ligand into a high affinity kappa-selective ligand by introduction of a 5,14-substituted bridge.
AID415724Antagonist activity against mu opioid receptor expressed in CHO cells assessed as stimulation [35S]GTPgammaS binding relative to DAMGO2009Bioorganic & medicinal chemistry letters, Mar-15, Volume: 19, Issue:6
14-O-Heterocyclic-substituted naltrexone derivatives as non-peptide mu opioid receptor selective antagonists: design, synthesis, and biological studies.
AID149087Displacement of [3H]- diprenorphine from delta-receptor expressed in HEK 293 cells2001Journal of medicinal chemistry, Mar-15, Volume: 44, Issue:6
Investigation of the selectivity of oxymorphone- and naltrexone-derived ligands via site-directed mutagenesis of opioid receptors: exploring the "address" recognition locus.
AID484376Displacement of [3H]NTI from delta opioid receptor in Hartley guinea pig forebrain by liquid scintillation counter2010Bioorganic & medicinal chemistry letters, Jun-15, Volume: 20, Issue:12
Investigation of Beckett-Casy model 2: synthesis of novel 15-16 nornaltrexone derivatives and their pharmacology.
AID625284Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatic failure2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID238166Antagonist potency towards human mu opioid receptor in [35S]GTP-gamma-S, assay2004Journal of medicinal chemistry, Oct-07, Volume: 47, Issue:21
Identification of a new scaffold for opioid receptor antagonism based on the 2-amino-1,1-dimethyl-7-hydroxytetralin pharmacophore.
AID1054698Displacement of [3H]DPN from kappa opioid receptor (unknown origin) expressed in CHO cell membranes after 1.5 hrs2013Journal of medicinal chemistry, Nov-27, Volume: 56, Issue:22
Design, synthesis, and biological evaluation of 14-heteroaromatic-substituted naltrexone derivatives: pharmacological profile switch from mu opioid receptor selectivity to mu/kappa opioid receptor dual selectivity.
AID149543Opioid receptor kappa 1 apparent binding constant from guinea pig cerebellum using [3H]diprenorphine binding assay1990Journal of medicinal chemistry, Sep, Volume: 33, Issue:9
Photoactivatable opiate derivatives as irreversible probes of the mu-opioid receptor.
AID1872814Inhibition of LPS-induced NO production in mouse BV-2 microglia cells incubated for 24 hrs by 2,3-diaminonaphthalene assay2022European journal of medicinal chemistry, May-05, Volume: 235Toll-like receptor 4 (TLR4) inhibitors: Current research and prospective.
AID625288Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for jaundice2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID273145Activity at human recombinant kappa opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTP-gamma-S binding2006Journal of medicinal chemistry, Oct-05, Volume: 49, Issue:20
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effects of changes to the chain linking of the C14-amino group to the aryl ring.
AID149192Binding affinity was measured by the displacement of [3H]- DADLE in guinea pig brain membrane of opioid receptor delta1990Journal of medicinal chemistry, Jun, Volume: 33, Issue:6
Design of peptidomimetic delta opioid receptor antagonists using the message-address concept.
AID223601Antagonism of bremazocine induced kappa receptor diuresis in rats at a concentration of 0.08 mg/kg subcutaneously1993Journal of medicinal chemistry, Oct-01, Volume: 36, Issue:20
3,4-Dimethyl-4-(3-hydroxyphenyl)piperidines: opioid antagonists with potent anorectant activity.
AID1713965Antagonist activity at human MOR transfected in CHO cells co-transfected with Gqi5 assessed as inhibition of DAMGO-induced calcium mobilization incubated for 15 mins prior to DAMGO addition and measured for 90 secs by Fluo-4AM dye based fluorescence analy2016Bioorganic & medicinal chemistry, 11-15, Volume: 24, Issue:22
Exploration of bivalent ligands targeting putative mu opioid receptor and chemokine receptor CCR5 dimerization.
AID148070Stimulation of [35S]GTP-gamma-S, binding at human recombinant Opioid receptor delta 1 transfected into CHO cells.2003Journal of medicinal chemistry, Apr-10, Volume: 46, Issue:8
14-amino, 14-alkylamino, and 14-acylamino analogs of oxymorphindole. Differential effects on opioid receptor binding and functional profiles.
AID149718Dose ratio due to Antagonist Effect at a concentration of 100 nM by normorphine, Opioid receptor mu 1 in the guinea pig ileum longitudinal muscle myenteric plexus.1985Journal of medicinal chemistry, Jul, Volume: 28, Issue:7
10-Ketonaltrexone and 10-ketooxymorphone.
AID148998Opioid receptor mu antagonistic activity was measured by the displacement of morphine in the guinea pig ileum at a concentration of 100 nM1990Journal of medicinal chemistry, Jun, Volume: 33, Issue:6
Design of peptidomimetic delta opioid receptor antagonists using the message-address concept.
AID1123188Displacement of [3H]-naloxone from opioid receptor in rat brain homogenate at 1x10'-8 M preincubated for 5 mins followed by washout measured after 15 mins by liquid scintillation counting analysis relative to control1979Journal of medicinal chemistry, Feb, Volume: 22, Issue:2
Synthesis and pharmacologic characterization of an alkylating analogue (chlornaltrexamine) of naltrexone with ultralong-lasting narcotic antagonist properties.
AID1222793Dissociation constant, pKa of the compound2013Drug metabolism and disposition: the biological fate of chemicals, May, Volume: 41, Issue:5
Which metabolites circulate?
AID1123211Effect on development of dependence to morphine in Swiss Webster mouse assessed as increase in naloxone ED50 for eliciting withdrawal jumping at 0.24 nmol, icv after 72 hrs relative to control1979Journal of medicinal chemistry, Feb, Volume: 22, Issue:2
Synthesis and pharmacologic characterization of an alkylating analogue (chlornaltrexamine) of naltrexone with ultralong-lasting narcotic antagonist properties.
AID148339Effective concentration agonistic activity towards Opioid receptor mu 12003Journal of medicinal chemistry, Jul-03, Volume: 46, Issue:14
Opioid binding and in vitro profiles of a series of 4-hdroxy-3-methoxyindolomorphinans. Transformation of a delta-selective ligand into a high affinity kappa-selective ligand by introduction of a 5,14-substituted bridge.
AID148838Antagonistic activity at Opioid receptor kappa 1 in electrically stimulated Guinea pig ileum using ethylketazocine as the agonist at 100 nM concentration1988Journal of medicinal chemistry, Jul, Volume: 31, Issue:7
Only one pharmacophore is required for the kappa opioid antagonist selectivity of norbinaltorphimine.
AID417161Agonist activity at human kappa opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTPgammaS binding relative to basal level2009Bioorganic & medicinal chemistry letters, Apr-15, Volume: 19, Issue:8
Syntheses of novel high affinity ligands for opioid receptors.
AID301033Antagonist activity at human delta opioid receptor expressed in CHO cells by [35S]GTP-gamma-S binding assay2007Bioorganic & medicinal chemistry letters, Oct-01, Volume: 17, Issue:19
Structure-activity relationship studies of carboxamido-biaryl ethers as opioid receptor antagonists (OpRAs). Part 1.
AID149750Tested for the binding affinity against the Delta opioid receptor in guinea pig brain using [3H]DPDPE1994Journal of medicinal chemistry, Dec-09, Volume: 37, Issue:25
Synthesis and opioid receptor affinity of a series of aralkyl ethers of 6 alpha- and 6 beta-naltrexol.
AID150015Antagonistic activity at Opioid receptor mu 1 in electrically stimulated Guinea pig ileum using morphine as the agonist at 100 nM concentration1988Journal of medicinal chemistry, Jul, Volume: 31, Issue:7
Only one pharmacophore is required for the kappa opioid antagonist selectivity of norbinaltorphimine.
AID149755Antagonistic activity at Opioid receptor delta 1 in electrically stimulated Guinea pig ileum using DADLE as the agonist at 100 nM concentration1988Journal of medicinal chemistry, Jul, Volume: 31, Issue:7
Only one pharmacophore is required for the kappa opioid antagonist selectivity of norbinaltorphimine.
AID2954Selectivity ratio of binding affinity towards mu to delta receptors of rat brain membranes1999Journal of medicinal chemistry, Sep-09, Volume: 42, Issue:18
Synthesis, opioid receptor binding, and biological activities of naltrexone-derived pyrido- and pyrimidomorphinans.
AID756076Selectivity ratio of Ki for kappa opioid receptor (unknown origin) to Ki for mu opioid receptor (unknown origin)2013Bioorganic & medicinal chemistry letters, Jul-01, Volume: 23, Issue:13
Opioid receptor selectivity profile change via isosterism for 14-O-substituted naltrexone derivatives.
AID151128Dose ratio due to Antagonist Effect at a concentration of 100 nM by normorphine, Opioid receptor mu 1 in mouse vas deferens.1985Journal of medicinal chemistry, Jul, Volume: 28, Issue:7
10-Ketonaltrexone and 10-ketooxymorphone.
AID354251Displacement of [3H]DAMGO from mu opioid receptor in guinea pig forebrain2009Bioorganic & medicinal chemistry letters, May-01, Volume: 19, Issue:9
Synthesis of a new opioid ligand having the oxabicyclo[3.2.1]octane skeleton using a new rearrangement reaction.
AID1820200Antagonist activity at mouse MOR expressed in CHO cells assessed as inhibition of DAMGO-induced calcium mobilization preincubated for 60 mins measured after 15 mins by calcium mobilization assay2021Journal of medicinal chemistry, 06-10, Volume: 64, Issue:11
Structure-Based Design and Development of Chemical Probes Targeting Putative MOR-CCR5 Heterodimers to Inhibit Opioid Exacerbated HIV-1 Infectivity.
AID1079933Acute liver toxicity defined via clinical observations and clear clinical-chemistry results: serum ALT or AST activity > 6 N or serum alkaline phosphatases activity > 1.7 N. This category includes cytolytic, choleostatic and mixed liver toxicity. Value is
AID692551Displacement of [3H]-DAMGO from mouse MOR/DOR expressed in HEK293 cells2012ACS medicinal chemistry letters, Aug-09, Volume: 3, Issue:8
Tuned-Affinity Bivalent Ligands for the Characterization of Opioid Receptor Heteromers.
AID317857Selectivity ratio of Ki for human mu opioid receptor over Ki for human kappa opioid receptor2008Journal of medicinal chemistry, Mar-27, Volume: 51, Issue:6
Synthesis and biological evaluation of alpha- and beta-6-amido derivatives of 17-cyclopropylmethyl-3, 14beta-dihydroxy-4, 5alpha-epoxymorphinan: potential alcohol-cessation agents.
AID174610Duration of action of compound was determined at the AD99 dose level in rats1982Journal of medicinal chemistry, Feb, Volume: 25, Issue:2
Common anionic receptor site hypothesis: its relevance to the antagonist action of naloxone.
AID233860Selectivity between kappa opioid receptor and delta opioid receptor.2003Journal of medicinal chemistry, Apr-10, Volume: 46, Issue:8
14-amino, 14-alkylamino, and 14-acylamino analogs of oxymorphindole. Differential effects on opioid receptor binding and functional profiles.
AID1194122Selectivity ratio of Ki for mouse DOR to Ki for mouse MOR2015Bioorganic & medicinal chemistry, Apr-15, Volume: 23, Issue:8
Design, syntheses, and pharmacological characterization of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan analogues as opioid receptor ligands.
AID767589Agonist activity at mouse mu opioid receptor expressed in CHO cells assessed as stimulation of [35S]-GTPgammaS binding after 1.5 hrs2013Bioorganic & medicinal chemistry letters, Sep-15, Volume: 23, Issue:18
Structure activity relationship studies of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan (NAQ) analogues as potent opioid receptor ligands: preliminary results on the role of electronic characteristics for affin
AID1121821Displacement of [3H]-naloxone from human mu opioid receptor expressed in CHO cells after 1 hr2013MedChemComm, May-01, Volume: 4, Issue:5
A Bivalent Ligand Targeting the Putative Mu Opioid Receptor and Chemokine Receptor CCR5 Heterodimers: Binding Affinity versus Functional Activities.
AID698730Displacement of [125I]-BNtxA from Mu-type opioid receptor exon 11-associated truncated six transmembrane domain splice variant in mouse brain membranes after 90 mins2012Journal of medicinal chemistry, Jul-26, Volume: 55, Issue:14
Synthesis and evaluation of aryl-naloxamide opiate analgesics targeting truncated exon 11-associated μ opioid receptor (MOR-1) splice variants.
AID17665Compound was evaluated for equilibrium constant, Ke1983Journal of medicinal chemistry, Oct, Volume: 26, Issue:10
Different receptor sites mediate opioid agonism and antagonism.
AID273134Selectivity for human mu opioid receptor over kappa opioid receptor2006Journal of medicinal chemistry, Oct-05, Volume: 49, Issue:20
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effects of changes to the chain linking of the C14-amino group to the aryl ring.
AID450019Selectivity ratio of Ki for delta opioid receptor to Ki for mu opioid receptor2009Bioorganic & medicinal chemistry, Sep-15, Volume: 17, Issue:18
Synthesis and pharmacological evaluation of 6-naltrexamine analogs for alcohol cessation.
AID603514Selectivity ratio of Ki for kappa opioid receptor in guinea pig cerebellum homogenates to Ki for mu opioid receptor in guinea pig forebrain homogenates2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Synthesis of novel triplet drugs with 1,3,5-trioxazatriquinane skeletons and their pharmacologies. 1: Synthesis of triplet drugs with morphinan skeletons.
AID1194145Reversal of morphine-induced antinociceptive activity in Swiss-Webster mouse assessed as wet-dog shakes at 1 mg/kg, sc measured immediately relative to control2015Bioorganic & medicinal chemistry, Apr-15, Volume: 23, Issue:8
Design, syntheses, and pharmacological characterization of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan analogues as opioid receptor ligands.
AID603511Displacement of [3H]-DAMGO from mu opioid receptor in guinea pig forebrain homogenates2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Synthesis of novel triplet drugs with 1,3,5-trioxazatriquinane skeletons and their pharmacologies. 1: Synthesis of triplet drugs with morphinan skeletons.
AID227972Selectivity ratio between Ke value to that of DAMGO (using DADLE as agonist; delta agonist/DAMGO)1996Journal of medicinal chemistry, Apr-26, Volume: 39, Issue:9
Opioid antagonist activity of naltrexone-derived bivalent ligands: importance of a properly oriented molecular scaffold to guide "address" recognition at kappa opioid receptors.
AID149630Inhibition of Opioid receptor delta 1 by displacing 1 nM [3H]DPDPE in guinea pig brain membrane1992Journal of medicinal chemistry, Nov-27, Volume: 35, Issue:24
O3-(2-carbomethoxyallyl) ethers of opioid ligands derived from oxymorphone, naltrexone, etorphine, diprenorphine, norbinaltorphimine, and naltrindole. Unexpected O3-dealkylation in the opioid radioligand displacement assay.
AID224588Binding affinity was determined as ability to displace [3H]DAMGO radioligand from Mu opioid receptor1998Bioorganic & medicinal chemistry letters, Nov-17, Volume: 8, Issue:22
N-substituted octahydro-4a-(3-hydroxyphenyl)-10a-methyl-benzo[g]isoquinolines are opioid receptor pure antagonists.
AID227975Selectivity ratio between Ke value to that of DAMGO (using U-50488 as agonist; k agonist/DAMGO)1996Journal of medicinal chemistry, Apr-26, Volume: 39, Issue:9
Opioid antagonist activity of naltrexone-derived bivalent ligands: importance of a properly oriented molecular scaffold to guide "address" recognition at kappa opioid receptors.
AID1461671Antagonist activity at OGFR in African green monkey COS7 cells harboring OGF assessed as increase in cell growth at 1 uM after 72 hrs by hemacytometric method2017Bioorganic & medicinal chemistry, 08-15, Volume: 25, Issue:16
Selective opioid growth factor receptor antagonists based on a stilbene isostere.
AID625276FDA Liver Toxicity Knowledge Base Benchmark Dataset (LTKB-BD) drugs of most concern for DILI2011Drug discovery today, Aug, Volume: 16, Issue:15-16
FDA-approved drug labeling for the study of drug-induced liver injury.
AID273137Displacement of [3H]Cl-DPDPE from delta receptor in guinea pig brain homogenate2006Journal of medicinal chemistry, Oct-05, Volume: 49, Issue:20
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effects of changes to the chain linking of the C14-amino group to the aryl ring.
AID410722Ratio of Ki for human delta opioid receptor to Ki for human kappa opioid receptor expressed in CHO cells2009Bioorganic & medicinal chemistry letters, Jan-01, Volume: 19, Issue:1
Syntheses and opioid receptor binding properties of carboxamido-substituted opioids.
AID1611816Peripheral selectivity index, ratio of ID50 for inhibition of morphine-induced antinociceptive activity in ICR mouse to ID50 for inhibition of morphine-induced delays in intestinal transit in ICR mouse2019ACS medicinal chemistry letters, Dec-12, Volume: 10, Issue:12
Discovery of Axelopran (TD-1211): A Peripherally Restricted μ-Opioid Receptor Antagonist.
AID1611815Inhibition of morphine-induced antinociceptive activity in po dosed ICR mouse administered via gavage pretreated with compound and 30 mins later injected with morphine and measured after 30 mins by hot plate test2019ACS medicinal chemistry letters, Dec-12, Volume: 10, Issue:12
Discovery of Axelopran (TD-1211): A Peripherally Restricted μ-Opioid Receptor Antagonist.
AID1694865Displacement of [3H]-NLX from mouse MOR expressed in CHO cells incubated for 1.5 hrs by radioligand binding assay2020RSC medicinal chemistry, Jan-01, Volume: 11, Issue:1
Design and synthesis of a bivalent probe targeting the putative mu opioid receptor and chemokine receptor CXCR4 heterodimer.
AID29811Oral bioavailability in human2000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
QSAR model for drug human oral bioavailability.
AID149435Inhibition of binding of [3H]U69, 593 to Opioid receptor kappa 1 in guinea pig membranes2003Journal of medicinal chemistry, May-08, Volume: 46, Issue:10
2002 Medicinal Chemistry Division Award address: monoamine transporters and opioid receptors. Targets for addiction therapy.
AID286304Displacement of [3H]naltrindole from human opioid delta receptor expressed in CHO cells2007Journal of medicinal chemistry, May-03, Volume: 50, Issue:9
Pharmacological properties of bivalent ligands containing butorphan linked to nalbuphine, naltrexone, and naloxone at mu, delta, and kappa opioid receptors.
AID148495The IC50 value of agonist (morphine) in presence of antagonist (Compound 20 nM) divided by the control IC60 value with no antagonist in GPI (Guinea pig ileum)1987Journal of medicinal chemistry, Feb, Volume: 30, Issue:2
Bimorphinans as highly selective, potent kappa opioid receptor antagonists.
AID540218Clearance in monkey after iv administration2005Journal of pharmaceutical sciences, Jul, Volume: 94, Issue:7
Extrapolation of human pharmacokinetic parameters from rat, dog, and monkey data: Molecular properties associated with extrapolative success or failure.
AID539464Solubility of the compound in 0.1 M phosphate buffer at 600 uM at pH 7.4 after 24 hrs by LC/MS/MS analysis2010Bioorganic & medicinal chemistry letters, Dec-15, Volume: 20, Issue:24
Experimental solubility profiling of marketed CNS drugs, exploring solubility limit of CNS discovery candidate.
AID1194137Selectivity ratio of EC50 for mouse KOR to EC50 for mouse MOR2015Bioorganic & medicinal chemistry, Apr-15, Volume: 23, Issue:8
Design, syntheses, and pharmacological characterization of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan analogues as opioid receptor ligands.
AID138325Concentration required for antagonistic activity of Met-enkephalin in the mouse vas deferens at the dose ratio of 2.1982Journal of medicinal chemistry, Feb, Volume: 25, Issue:2
Common anionic receptor site hypothesis: its relevance to the antagonist action of naloxone.
AID286305Ratio of Ki for human opioid kappa receptor to Ki for human opioid gamma receptor2007Journal of medicinal chemistry, May-03, Volume: 50, Issue:9
Pharmacological properties of bivalent ligands containing butorphan linked to nalbuphine, naltrexone, and naloxone at mu, delta, and kappa opioid receptors.
AID149982Percent stimulation of [35S]GTP-gamma-S, binding in recombinant human Opioid receptor kappa 1 transfected into CHO cells: Antagonist activity2003Journal of medicinal chemistry, Apr-10, Volume: 46, Issue:8
14-amino, 14-alkylamino, and 14-acylamino analogs of oxymorphindole. Differential effects on opioid receptor binding and functional profiles.
AID149276Binding affinity was determined as ability to displace [3H]-U-69, radioligand from Opioid receptor kappa 11998Bioorganic & medicinal chemistry letters, Nov-17, Volume: 8, Issue:22
N-substituted octahydro-4a-(3-hydroxyphenyl)-10a-methyl-benzo[g]isoquinolines are opioid receptor pure antagonists.
AID149346In vito concentration required to displace [3H]DADLE (Kd = 1.6 nM and concentration is 1.9 nM) from high affinity delta-site in rat brain membranes.1992Journal of medicinal chemistry, Jul-24, Volume: 35, Issue:15
Probes for narcotic receptor mediated phenomena. 18. Epimeric 6 alpha- and 6 beta-iodo-3,14-dihydroxy-17-(cyclopropylmethyl)-4,5 alpha-epoxymorphinans as potential ligands for opioid receptor single photon emission computed tomography: synthesis, evaluati
AID273141Activity at human recombinant mu opioid receptor expressed in CHO cells assessed as stimulation of [35S]GTP-gamma-S binding2006Journal of medicinal chemistry, Oct-05, Volume: 49, Issue:20
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effects of changes to the chain linking of the C14-amino group to the aryl ring.
AID624607Specific activity of expressed human recombinant UGT1A32000Annual review of pharmacology and toxicology, , Volume: 40Human UDP-glucuronosyltransferases: metabolism, expression, and disease.
AID1079945Animal toxicity known. [column 'TOXIC' in source]
AID1054699Displacement of [3H]NLX from mu opioid receptor (unknown origin) expressed in CHO cell membranes after 1.5 hrs2013Journal of medicinal chemistry, Nov-27, Volume: 56, Issue:22
Design, synthesis, and biological evaluation of 14-heteroaromatic-substituted naltrexone derivatives: pharmacological profile switch from mu opioid receptor selectivity to mu/kappa opioid receptor dual selectivity.
AID320413Antinociceptive activity in sc dosed mouse by hot plate method2008Bioorganic & medicinal chemistry, Jan-15, Volume: 16, Issue:2
The influence of esters and carboxylic acids as the N-substituent of opioids. Part 1: Benzomorphans.
AID149274Binding affinity was determined against Opioid receptor kappa 1
using [3H]ethylketocyclazocine as radioligand
1998Bioorganic & medicinal chemistry letters, Nov-17, Volume: 8, Issue:22
N-substituted octahydro-4a-(3-hydroxyphenyl)-10a-methyl-benzo[g]isoquinolines are opioid receptor pure antagonists.
AID1054692Agonist activity at kappa opioid receptor (unknown origin) expressed in CHO cell membranes assessed as stimulation of [35S]-GTPgammaS binding after 1.5 hrs relative to U504882013Journal of medicinal chemistry, Nov-27, Volume: 56, Issue:22
Design, synthesis, and biological evaluation of 14-heteroaromatic-substituted naltrexone derivatives: pharmacological profile switch from mu opioid receptor selectivity to mu/kappa opioid receptor dual selectivity.
AID79203Opioid receptor antagonist activity as inhibiting binding of normorphine to guinea pig ileum1981Journal of medicinal chemistry, Feb, Volume: 24, Issue:2
Some 14 beta-substituted analogues of N-(cyclopropylmethyl)normorphine.
AID42548Increase in the charge carried by choline- induced currents in CA1 pyramidal neurons of 2022-day-old cultures by naltrexone (0.3 uM)2004Bioorganic & medicinal chemistry letters, Apr-19, Volume: 14, Issue:8
Sensitivity of neuronal nicotinic acetylcholine receptors to the opiate antagonists naltrexone and naloxone: receptor blockade and up-regulation.
AID148966Inhibition of [35S]GTP-gamma-S, binding in guines pig caudate stimulated by U69, 593 of Opioid receptor kappa 12003Journal of medicinal chemistry, May-08, Volume: 46, Issue:10
2002 Medicinal Chemistry Division Award address: monoamine transporters and opioid receptors. Targets for addiction therapy.
AID147999Binding affinity in recombinant human Opioid receptor kappa 1 transfected into chinese hamster ovary cells by displacing [3H]U-69593 radioligand2003Journal of medicinal chemistry, Jul-03, Volume: 46, Issue:14
Opioid binding and in vitro profiles of a series of 4-hdroxy-3-methoxyindolomorphinans. Transformation of a delta-selective ligand into a high affinity kappa-selective ligand by introduction of a 5,14-substituted bridge.
AID577293Inverse agonist activity at mu opioid receptor by [35S]GTPgammaS binding assay2011Journal of medicinal chemistry, Feb-24, Volume: 54, Issue:4
Probes for narcotic receptor mediated phenomena. 41. Unusual inverse μ-agonists and potent μ-opioid antagonists by modification of the N-substituent in enantiomeric 5-(3-hydroxyphenyl)morphans.
AID231887Compound was tested for ability to protect against the irreversible antagonism of morphine''s effects by beta-FNA in guinea pig ileum at 20 nM concentration1983Journal of medicinal chemistry, Oct, Volume: 26, Issue:10
Different receptor sites mediate opioid agonism and antagonism.
AID274391Displacement of [3H]diprenorphine from human cloned kappa opioid receptor expressed in CHO cells2006Journal of medicinal chemistry, Dec-14, Volume: 49, Issue:25
Synthesis and pharmacological evaluation of novel octahydro-1H-pyrido[1,2-a]pyrazine as mu-opioid receptor antagonists.
AID625292Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) combined score2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID298631Displacement of [3H]DAMGO from human cloned mu opioid receptor2007Journal of medicinal chemistry, Oct-18, Volume: 50, Issue:21
Cinnamoyl derivatives of 7alpha-aminomethyl-6,14-endo-ethanotetrahydrothebaine and 7alpha-aminomethyl-6,14-endo-ethanotetrahydrooripavine and related opioid ligands.
AID1461556Antimicrobial activity against Trichomonas vaginalis after 48 hrs by neutral red staining based invert microscopic analysis2017Bioorganic & medicinal chemistry, 08-15, Volume: 25, Issue:16
Antitrichomonal activity of δ opioid receptor antagonists, 7-benzylidenenaltrexone derivatives.
AID1133439Narcotic agonist activity in rat by writhing test1978Journal of medicinal chemistry, Jan, Volume: 21, Issue:1
Quantum chemical studies of N-substituent variation in the oxymorphone series of opiate narcotics.
AID540221Volume of distribution at steady state in human after iv administration2005Journal of pharmaceutical sciences, Jul, Volume: 94, Issue:7
Extrapolation of human pharmacokinetic parameters from rat, dog, and monkey data: Molecular properties associated with extrapolative success or failure.
AID1123189Displacement of [3H]-naloxone from opioid receptor in rat brain homogenate at 1x10'-8 M preincubated for 5 mins measured after second washout by liquid scintillation counting analysis relative to control1979Journal of medicinal chemistry, Feb, Volume: 22, Issue:2
Synthesis and pharmacologic characterization of an alkylating analogue (chlornaltrexamine) of naltrexone with ultralong-lasting narcotic antagonist properties.
AID303905Displacement of [3H]diprenorphine from cloned human mu opioid receptor expressed in CHO cells2007Bioorganic & medicinal chemistry letters, Dec-15, Volume: 17, Issue:24
Structure activity relationship studies of carboxamido-biaryl ethers as opioid receptor antagonists (OpRAs). Part 2.
AID152386Displacement of [3H]- diprenorphine from mu-K303E-receptor expressed in HEK 293 cells2001Journal of medicinal chemistry, Mar-15, Volume: 44, Issue:6
Investigation of the selectivity of oxymorphone- and naltrexone-derived ligands via site-directed mutagenesis of opioid receptors: exploring the "address" recognition locus.
AID223596Binding affinity towards kappa opioid receptor by displacement of [3H]EKC in guinea pig cortical tissue1993Journal of medicinal chemistry, Oct-01, Volume: 36, Issue:20
3,4-Dimethyl-4-(3-hydroxyphenyl)piperidines: opioid antagonists with potent anorectant activity.
AID228109Selectivity ratio between kappa and mu opioid receptor from guinea pig brain membrane1996Journal of medicinal chemistry, Apr-26, Volume: 39, Issue:9
Opioid antagonist activity of naltrexone-derived bivalent ligands: importance of a properly oriented molecular scaffold to guide "address" recognition at kappa opioid receptors.
AID311280Antagonist activity at human kappa opioid receptor expressed in CHO cells by [35S]GTP-gamma-S assay2007Journal of natural products, Aug, Volume: 70, Issue:8
Flavonoids as opioid receptor ligands: identification and preliminary structure-activity relationships.
AID227974Selectivity ratio between Ke value to that of DAMGO (using EK as agonist; k agonist/DAMGO)1996Journal of medicinal chemistry, Apr-26, Volume: 39, Issue:9
Opioid antagonist activity of naltrexone-derived bivalent ligands: importance of a properly oriented molecular scaffold to guide "address" recognition at kappa opioid receptors.
AID320414Antinociceptive activity in sc dosed mouse by phenylquinone antiwrithing assay2008Bioorganic & medicinal chemistry, Jan-15, Volume: 16, Issue:2
The influence of esters and carboxylic acids as the N-substituent of opioids. Part 1: Benzomorphans.
AID149901Binding affinity was determined towards Opioid receptor delta 1 using [3H]naltrindole as radioligand2003Bioorganic & medicinal chemistry letters, Jun-02, Volume: 13, Issue:11
Redefining the structure-activity relationships of 2,6-methano-3-benzazocines. Part 2: 8-formamidocyclazocine analogues.
AID1079932Highest frequency of moderate liver toxicity observed during clinical trials, expressed as a percentage. [column '% BIOL' in source]
AID588211Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in humans2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID1726158Antagonist activity at human mu opioid receptor expressed in CHO cells co- expressing Gqi5 assessed as decrease in DAMGO-induced intracellular calcium mobilization incubated for 15 mins followed by DAMGO addition by Fluo-AM dye based fluorescence assay2020ACS medicinal chemistry letters, Nov-12, Volume: 11, Issue:11
Bivalent Ligand Aiming Putative Mu Opioid Receptor and Chemokine Receptor CXCR4 Dimers in Opioid Enhanced HIV-1 Entry.
AID450017Displacement of [3H]DPDPE from delta opioid receptor expressed in HEK293 cells by visible spectrophotometry2009Bioorganic & medicinal chemistry, Sep-15, Volume: 17, Issue:18
Synthesis and pharmacological evaluation of 6-naltrexamine analogs for alcohol cessation.
AID1447102Antitumor activity against human SQC cells xenografted in nude mouse model assessed as tumor growth inhibition at 0.1 mg/kg administered daily relative to control2017Bioorganic & medicinal chemistry letters, 05-01, Volume: 27, Issue:9
Synthesis and evaluation of a ligand targeting the μ and δ opioid receptors for drug delivery to lung cancer.
AID347311Displacement of [3H]norBNI from monocloned kappa opioid receptor expressed in CHO cells2009Journal of medicinal chemistry, Mar-12, Volume: 52, Issue:5
Design, synthesis, and biological evaluation of 6alpha- and 6beta-N-heterocyclic substituted naltrexamine derivatives as mu opioid receptor selective antagonists.
AID1611798Half life in rat liver microsomes at 3 uM2019ACS medicinal chemistry letters, Dec-12, Volume: 10, Issue:12
Discovery of Axelopran (TD-1211): A Peripherally Restricted μ-Opioid Receptor Antagonist.
AID151584Binding constant for the agonist state was measured for its ability to displace [3H]naloxone from opioid mu 1 receptor buffered homogenate of rat brain membranes1988Journal of medicinal chemistry, Mar, Volume: 31, Issue:3
Structure-activity relationships for drugs binding to the agonist and antagonist states of the primary morphine receptor.
AID312067Antagonist activity at mu opioid receptor in NMRI mouse vas deferens assessed as effect on DAMGO-induced muscle contraction2008Journal of medicinal chemistry, Jan-10, Volume: 51, Issue:1
Endomorphin-2 with a beta-turn backbone constraint retains the potent micro-opioid receptor agonist properties.
AID540217Volume of distribution at steady state in dog after iv administration2005Journal of pharmaceutical sciences, Jul, Volume: 94, Issue:7
Extrapolation of human pharmacokinetic parameters from rat, dog, and monkey data: Molecular properties associated with extrapolative success or failure.
AID149164Compound was evaluated for the binding affinity to Opioid receptor mu using [3H]DAMGO as radioligand in guinea pig brain membrane1991Journal of medicinal chemistry, May, Volume: 34, Issue:5
Role of spacer and address components in peptidomimetic delta opioid receptor antagonists related to naltrindole.
AID456915Displacement of [3H]NTI from delta opioid receptor in guinea pig forebrain2010Bioorganic & medicinal chemistry letters, Feb-01, Volume: 20, Issue:3
Investigation of Beckett-Casy model 1: synthesis of novel 16,17-seco-naltrexone derivatives and their pharmacology.
AID148122Antagonistic potency at opioid receptor kappa (100 nM) (Ke =IC50 in the presence of antagonist divided by the control IC50 value)1991Journal of medicinal chemistry, May, Volume: 34, Issue:5
Role of spacer and address components in peptidomimetic delta opioid receptor antagonists related to naltrindole.
AID317854Displacement of [3H]DPDPE from human delta opioid receptor expressed in CHO cells2008Journal of medicinal chemistry, Mar-27, Volume: 51, Issue:6
Synthesis and biological evaluation of alpha- and beta-6-amido derivatives of 17-cyclopropylmethyl-3, 14beta-dihydroxy-4, 5alpha-epoxymorphinan: potential alcohol-cessation agents.
AID148930Compound was evaluated for antagonist potency in the mouse vas deferens preparation using [D-Ala2,D-Leu5]enkephalin (Opioid receptor delta 1)1991Journal of medicinal chemistry, Jun, Volume: 34, Issue:6
An approach to the design of receptor-type-selective non-peptide antagonists of peptidergic receptors: delta opioid antagonists.
AID149927Inhibition of [3H]-DADLE binding to Opioid receptor delta 1 of rat brain membranes1998Journal of medicinal chemistry, May-21, Volume: 41, Issue:11
Investigation of the N-substituent conformation governing potency and mu receptor subtype-selectivity in (+)-(3R, 4R)-dimethyl-4-(3-hydroxyphenyl)piperidine opioid antagonists.
AID147964Opioid receptor kappa antagonistic activity was measured by the displacement of ethylketazocine in the guinea pig ileum at a concentration of 100 nM1990Journal of medicinal chemistry, Jun, Volume: 33, Issue:6
Design of peptidomimetic delta opioid receptor antagonists using the message-address concept.
AID146642Blockage of Nicotinic acetylcholine receptor alpha4-beta2 noncompetitively in CA1 stratum radiatum interneurons2004Bioorganic & medicinal chemistry letters, Apr-19, Volume: 14, Issue:8
Sensitivity of neuronal nicotinic acetylcholine receptors to the opiate antagonists naltrexone and naloxone: receptor blockade and up-regulation.
AID1474166Liver toxicity in human assessed as induction of drug-induced liver injury by measuring severity class index2016Drug discovery today, Apr, Volume: 21, Issue:4
DILIrank: the largest reference drug list ranked by the risk for developing drug-induced liver injury in humans.
AID227077Mu opioid activity was evaluated on electrically stimulated guinea pig ileum by using morphine(M) as standard.1996Journal of medicinal chemistry, Apr-26, Volume: 39, Issue:9
Opioid antagonist activity of naltrexone-derived bivalent ligands: importance of a properly oriented molecular scaffold to guide "address" recognition at kappa opioid receptors.
AID395295Displacement of [3H]U69,593 from human kappa opioid receptor expressed in CHO cells2009Journal of medicinal chemistry, Mar-26, Volume: 52, Issue:6
14 beta-O-cinnamoylnaltrexone and related dihydrocodeinones are mu opioid receptor partial agonists with predominant antagonist activity.
AID273149Selectivity for guinea pig mu opioid receptor over delta opioid receptor2006Journal of medicinal chemistry, Oct-05, Volume: 49, Issue:20
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effects of changes to the chain linking of the C14-amino group to the aryl ring.
AID1194123Selectivity ratio of Ki for mouse KOR to Ki for mouse MOR2015Bioorganic & medicinal chemistry, Apr-15, Volume: 23, Issue:8
Design, syntheses, and pharmacological characterization of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan analogues as opioid receptor ligands.
AID76379Tested for potent reversible agonist activity on electrically stimulated guinea pig ileal longitudinal muscle preparation1980Journal of medicinal chemistry, Mar, Volume: 23, Issue:3
A novel opioid receptor site directed alkylating agent with irreversible narcotic antagonistic and reversible agonistic activities.
AID1726157Agonist activity at mu opioid receptor (unknown origin) assessed as maximum efficacy by [35S]-GTPgammaS binding assay relative to DAMGO2020ACS medicinal chemistry letters, Nov-12, Volume: 11, Issue:11
Bivalent Ligand Aiming Putative Mu Opioid Receptor and Chemokine Receptor CXCR4 Dimers in Opioid Enhanced HIV-1 Entry.
AID148969Ke value was obtained from IC50 ratio values when compared with Opioid receptor kappa 1 agonist in Guinea pig Ileum using EK as radioligand1996Journal of medicinal chemistry, Apr-26, Volume: 39, Issue:9
Opioid antagonist activity of naltrexone-derived bivalent ligands: importance of a properly oriented molecular scaffold to guide "address" recognition at kappa opioid receptors.
AID149944Binding affinity for Opioid receptor delta 1 was determined by inhibition of binding of [3H]DADLE (1.3-2.0 nM) to rat brain membranes1999Journal of medicinal chemistry, Sep-09, Volume: 42, Issue:18
Synthesis, opioid receptor binding, and biological activities of naltrexone-derived pyrido- and pyrimidomorphinans.
AID148585Displacement of [3H]diprenorphine from k-Y312A-receptor expressed in HEK 293 cells2001Journal of medicinal chemistry, Mar-15, Volume: 44, Issue:6
Investigation of the selectivity of oxymorphone- and naltrexone-derived ligands via site-directed mutagenesis of opioid receptors: exploring the "address" recognition locus.
AID270160Inverse agonist activity at human cloned delta opioid receptor expressed in CHO cells assessed as inhibition of DPDPE-stimulated [35S]GTP-gamma-S binding in presence of 1 uM GDP2006Journal of medicinal chemistry, Sep-07, Volume: 49, Issue:18
Highly potent and selective phenylmorphan-based inverse agonists of the opioid delta receptor.
AID148057Inhibition of binding of [3H]DAMGO to Opioid receptor mu 1 in guinea pig membranes2003Journal of medicinal chemistry, May-08, Volume: 46, Issue:10
2002 Medicinal Chemistry Division Award address: monoamine transporters and opioid receptors. Targets for addiction therapy.
AID1054682Reduction of morphine-induced antinociceptive activity in sc dosed Swiss-Webster mouse assessed as dose required to antagonize morphine effect by warm-water tail-flick assay2013Journal of medicinal chemistry, Nov-27, Volume: 56, Issue:22
Design, synthesis, and biological evaluation of 14-heteroaromatic-substituted naltrexone derivatives: pharmacological profile switch from mu opioid receptor selectivity to mu/kappa opioid receptor dual selectivity.
AID223599Antagonist activity towards U50 488 induced kappa opioid receptor by mouse writhing assay at 2.5 mg/kg subcutaneously1993Journal of medicinal chemistry, Oct-01, Volume: 36, Issue:20
3,4-Dimethyl-4-(3-hydroxyphenyl)piperidines: opioid antagonists with potent anorectant activity.
AID756077Selectivity ratio of Ki for delta opioid receptor (unknown origin) to Ki for mu opioid receptor (unknown origin)2013Bioorganic & medicinal chemistry letters, Jul-01, Volume: 23, Issue:13
Opioid receptor selectivity profile change via isosterism for 14-O-substituted naltrexone derivatives.
AID150044The compound was tested for antagonist activity by selective inhibition of [35S]GTP-gamma-S, binding in Guinea pig caudate stimulated by SMC-80 (Opioid receptor delta 1)1998Journal of medicinal chemistry, May-21, Volume: 41, Issue:11
Investigation of the N-substituent conformation governing potency and mu receptor subtype-selectivity in (+)-(3R, 4R)-dimethyl-4-(3-hydroxyphenyl)piperidine opioid antagonists.
AID148810Antagonist potency was determined as the ratio of [antagonist] to (IC50 ratio-1) for opioid receptor delta 11990Journal of medicinal chemistry, Jun, Volume: 33, Issue:6
Design of peptidomimetic delta opioid receptor antagonists using the message-address concept.
AID303906Displacement of [3H]diprenorphine from cloned human kappa opioid receptor expressed in CHO cells2007Bioorganic & medicinal chemistry letters, Dec-15, Volume: 17, Issue:24
Structure activity relationship studies of carboxamido-biaryl ethers as opioid receptor antagonists (OpRAs). Part 2.
AID152389Displacement of [3H]- diprenorphine from mu-receptor expressed in HEK 293 cells2001Journal of medicinal chemistry, Mar-15, Volume: 44, Issue:6
Investigation of the selectivity of oxymorphone- and naltrexone-derived ligands via site-directed mutagenesis of opioid receptors: exploring the "address" recognition locus.
AID149897Binding affinity towards Opioid receptor delta 1 of guinea pig brain membranes using radioligand 0.2 nM [3H]Naltrindole2001Bioorganic & medicinal chemistry letters, Jul-09, Volume: 11, Issue:13
3-Carboxamido analogues of morphine and naltrexone. synthesis and opioid receptor binding properties.
AID450030Antagonist activity at delta opioid receptor expressed in HEK293 cells assessed as inhibition of compound 14-induced [35S]GTPgammaS binding2009Bioorganic & medicinal chemistry, Sep-15, Volume: 17, Issue:18
Synthesis and pharmacological evaluation of 6-naltrexamine analogs for alcohol cessation.
AID450032Antagonist activity at NOP expressed in HEK293 cells assessed as inhibition of compound 15-induced [35S]GTPgammaS binding2009Bioorganic & medicinal chemistry, Sep-15, Volume: 17, Issue:18
Synthesis and pharmacological evaluation of 6-naltrexamine analogs for alcohol cessation.
AID150239Inhibitory concentration was determined against Opioid receptors using [3H]- bremazocine radioligand1995Journal of medicinal chemistry, Feb-03, Volume: 38, Issue:3
Isothiocyanate-substituted benzyl ether opioid receptor ligands derived from 6 beta-naltrexol.
AID117734Percent reduction of analgesia induced by U-50,488 at 15 mg/kg after sc administration was measured in mice1989Journal of medicinal chemistry, Feb, Volume: 32, Issue:2
Synthesis and biological evaluation of 14-alkoxymorphinans. 2. (-)-N-(cyclopropylmethyl)-4,14-dimethoxymorphinan-6-one, a selective mu opioid receptor antagonist.
AID1726156Agonist activity at mu opioid receptor (unknown origin) by [35S]-GTPgammaS binding assay2020ACS medicinal chemistry letters, Nov-12, Volume: 11, Issue:11
Bivalent Ligand Aiming Putative Mu Opioid Receptor and Chemokine Receptor CXCR4 Dimers in Opioid Enhanced HIV-1 Entry.
AID540219Volume of distribution at steady state in monkey after iv administration2005Journal of pharmaceutical sciences, Jul, Volume: 94, Issue:7
Extrapolation of human pharmacokinetic parameters from rat, dog, and monkey data: Molecular properties associated with extrapolative success or failure.
AID76582Opioid agonistic activity was measured in guinea pig ileum1981Journal of medicinal chemistry, Feb, Volume: 24, Issue:2
Some 14 beta-substituted analogues of N-(cyclopropylmethyl)normorphine.
AID395291Displacement of [3H]DAMGO from delta opioid receptor in Hartley guinea pig brain membrane2009Journal of medicinal chemistry, Mar-26, Volume: 52, Issue:6
14 beta-O-cinnamoylnaltrexone and related dihydrocodeinones are mu opioid receptor partial agonists with predominant antagonist activity.
AID151601Binding affinity at Opioid receptor mu 1 by displacement of [3H]DAMGO in rat brain membrane2004Journal of medicinal chemistry, Mar-11, Volume: 47, Issue:6
Identification of opioid ligands possessing mixed micro agonist/delta antagonist activity among pyridomorphinans derived from naloxone, oxymorphone, and hydromorphone [correction of hydropmorphone].
AID603727Selectivity ratio of Ki for delta opioid receptor in guinea pig forebrain homogenate to Ki for kappa opioid receptor in guinea pig cerebellum homogenate2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Synthesis of new opioid derivatives with a propellane skeleton and their pharmacology: part 1.
AID354252Displacement of [3H]NTI from delta opioid receptor in guinea pig forebrain2009Bioorganic & medicinal chemistry letters, May-01, Volume: 19, Issue:9
Synthesis of a new opioid ligand having the oxabicyclo[3.2.1]octane skeleton using a new rearrangement reaction.
AID152226Binding affinity was determined towards opioid receptor mu1 using [3H]DAMGO as radioligand2003Bioorganic & medicinal chemistry letters, Jun-02, Volume: 13, Issue:11
Redefining the structure-activity relationships of 2,6-methano-3-benzazocines. Part 2: 8-formamidocyclazocine analogues.
AID229805Ratio of Ki for mu receptor to that of kappa receptor1998Journal of medicinal chemistry, Dec-17, Volume: 41, Issue:26
Identification of an opioid kappa receptor subtype-selective N-substituent for (+)-(3R,4R)-dimethyl-4-(3-hydroxyphenyl)piperidine.
AID415720Selectivity ratio of Ki for delta opioid receptor to Ki for mu opioid receptor2009Bioorganic & medicinal chemistry letters, Mar-15, Volume: 19, Issue:6
14-O-Heterocyclic-substituted naltrexone derivatives as non-peptide mu opioid receptor selective antagonists: design, synthesis, and biological studies.
AID117735Percent reduction of analgesia induced by morphine at 10 mg/kg after sc administration was measured in mice1989Journal of medicinal chemistry, Feb, Volume: 32, Issue:2
Synthesis and biological evaluation of 14-alkoxymorphinans. 2. (-)-N-(cyclopropylmethyl)-4,14-dimethoxymorphinan-6-one, a selective mu opioid receptor antagonist.
AID1194119Displacement of [3H]naloxane from mouse MOR expressed in CHO cells after 1.5 hrs by [35S]GTPgammaS binding assay2015Bioorganic & medicinal chemistry, Apr-15, Volume: 23, Issue:8
Design, syntheses, and pharmacological characterization of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan analogues as opioid receptor ligands.
AID1079948Times to onset, minimal and maximal, observed in the indexed observations. [column 'DELAI' in source]
AID416814Displacement of [3H]naltrindole from human delta opioid receptor expressed in CHO cells after 3 hrs by scintillation counting2009Bioorganic & medicinal chemistry letters, Apr-15, Volume: 19, Issue:8
Syntheses of novel high affinity ligands for opioid receptors.
AID312066Antagonist activity at mu opioid receptor in NMRI mouse vas deferens assessed as effect on endomorphin 2-induced muscle contraction2008Journal of medicinal chemistry, Jan-10, Volume: 51, Issue:1
Endomorphin-2 with a beta-turn backbone constraint retains the potent micro-opioid receptor agonist properties.
AID232232Selectivity given as ratio of kappa receptor to delta receptor2004Journal of medicinal chemistry, Mar-11, Volume: 47, Issue:6
Identification of opioid ligands possessing mixed micro agonist/delta antagonist activity among pyridomorphinans derived from naloxone, oxymorphone, and hydromorphone [correction of hydropmorphone].
AID152388Displacement of [3H]- diprenorphine from mu-W318A-receptor expressed in HEK 293 cells2001Journal of medicinal chemistry, Mar-15, Volume: 44, Issue:6
Investigation of the selectivity of oxymorphone- and naltrexone-derived ligands via site-directed mutagenesis of opioid receptors: exploring the "address" recognition locus.
AID256844Inhibition of DPDPE stimulated [35S]GTP-gamma-S binding to cloned human delta opioid receptor2005Journal of medicinal chemistry, Dec-29, Volume: 48, Issue:26
N-substituted cis-4a-(3-hydroxyphenyl)-8a-methyloctahydroisoquinolines are opioid receptor pure antagonists.
AID1135663Displacement of [3H]naloxone from opioid receptor (unknown origin) in brain homogenate at 10 nM1978Journal of medicinal chemistry, Jul, Volume: 21, Issue:7
6beta-[N,N-Bis(2-chloroethyl)amino]-17-(cyclopropylmethyl)-4,5alpha-epoxy-3,14-dihydroxymorphinan(chlornaltrexamine) a potent opioid receptor alkylating agent with ultralong narcotic antagonist actitivty.
AID298652Antagonist activity at human mu opioid receptor expressed in CHO cells assessed as effect on [35S]GTP-gamma-S binding2007Journal of medicinal chemistry, Oct-18, Volume: 50, Issue:21
Cinnamoyl derivatives of 7alpha-aminomethyl-6,14-endo-ethanotetrahydrothebaine and 7alpha-aminomethyl-6,14-endo-ethanotetrahydrooripavine and related opioid ligands.
AID239162Binding affinity against Opioid receptor delta 1 expressed in CHO cells using [3H]Naltrindole as radioligand2005Bioorganic & medicinal chemistry letters, Apr-15, Volume: 15, Issue:8
Synthesis and opioid receptor binding properties of a highly potent 4-hydroxy analogue of naltrexone.
AID603512Displacement of [3H]-NTI from delta opioid receptor in guinea pig forebrain homogenates2011Bioorganic & medicinal chemistry letters, Jul-01, Volume: 21, Issue:13
Synthesis of novel triplet drugs with 1,3,5-trioxazatriquinane skeletons and their pharmacologies. 1: Synthesis of triplet drugs with morphinan skeletons.
AID1054690Agonist activity at delta opioid receptor (unknown origin) expressed in CHO cell membranes assessed as stimulation of [35S]-GTPgammaS binding after 1.5 hrs relative to SNC802013Journal of medicinal chemistry, Nov-27, Volume: 56, Issue:22
Design, synthesis, and biological evaluation of 14-heteroaromatic-substituted naltrexone derivatives: pharmacological profile switch from mu opioid receptor selectivity to mu/kappa opioid receptor dual selectivity.
AID148665Opioid receptor delta 1 antagonistic activity was measured by the displacement of DADLE in the mouse vas deferens at tha concentration of 300 nM1990Journal of medicinal chemistry, Jun, Volume: 33, Issue:6
Design of peptidomimetic delta opioid receptor antagonists using the message-address concept.
AID347313Selectivity ratio of Ki for monocloned kappa opioid receptor to Ki for monocloned mu opioid receptor2009Journal of medicinal chemistry, Mar-12, Volume: 52, Issue:5
Design, synthesis, and biological evaluation of 6alpha- and 6beta-N-heterocyclic substituted naltrexamine derivatives as mu opioid receptor selective antagonists.
AID681116TP_TRANSPORTER: transepithelial transport (basal to apical) in MDR1-expressing MDCKII cells2002The Journal of pharmacology and experimental therapeutics, Dec, Volume: 303, Issue:3
Passive permeability and P-glycoprotein-mediated efflux differentiate central nervous system (CNS) and non-CNS marketed drugs.
AID1194144Reversal of morphine-induced antinociceptive activity in Swiss-Webster mouse assessed as escape jumps at 1 mg/kg, sc measured immediately relative to control2015Bioorganic & medicinal chemistry, Apr-15, Volume: 23, Issue:8
Design, syntheses, and pharmacological characterization of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan analogues as opioid receptor ligands.
AID149209Opioid receptor delta antagonistic activity was measured by the displacement of DADLE in the mouse vas deferens at tha concentration of 300 nM1990Journal of medicinal chemistry, Jun, Volume: 33, Issue:6
Design of peptidomimetic delta opioid receptor antagonists using the message-address concept.
AID149431Inhibition of [3H]U-69593 binding to Opioid receptor kappa 1 of guinea pig membranes1998Journal of medicinal chemistry, May-21, Volume: 41, Issue:11
Investigation of the N-substituent conformation governing potency and mu receptor subtype-selectivity in (+)-(3R, 4R)-dimethyl-4-(3-hydroxyphenyl)piperidine opioid antagonists.
AID1526732Substrate activity at human OCT1 expressed in HEK293 cells assessed as increase in compound uptake at 0.1 uM incubated for 2 mins by LC-MS/MS analysis relative to control empty vector transfected cells2019Journal of medicinal chemistry, 11-14, Volume: 62, Issue:21
Opioids as Substrates and Inhibitors of the Genetically Highly Variable Organic Cation Transporter OCT1.
AID149321In vito concentration required to displace [3H]cyclofoxy (Kd = 0.8 nM and concentration is 1.3 nM) from mu and kappa2 receptor in rat brain membranes.1992Journal of medicinal chemistry, Jul-24, Volume: 35, Issue:15
Probes for narcotic receptor mediated phenomena. 18. Epimeric 6 alpha- and 6 beta-iodo-3,14-dihydroxy-17-(cyclopropylmethyl)-4,5 alpha-epoxymorphinans as potential ligands for opioid receptor single photon emission computed tomography: synthesis, evaluati
AID148624Inhibition of 0.5 nM [3H]bremazocine binding to guinea pig brain membrane opioid receptors1992Journal of medicinal chemistry, Jun-26, Volume: 35, Issue:13
Electrophilic opioid ligands. Oxygen tethered alpha-methylene-gamma-lactone, acrylate, isothiocyanate, and epoxide derivatives of 6 beta-naltrexol.
AID149125Binding affinity determined on Opioid receptor kappa 1 in Guinea pig brain membranes using radioligand [3H]U-695931998Journal of medicinal chemistry, Dec-17, Volume: 41, Issue:26
Identification of an opioid kappa receptor subtype-selective N-substituent for (+)-(3R,4R)-dimethyl-4-(3-hydroxyphenyl)piperidine.
AID148586Displacement of [3H]diprenorphine from opioid receptor kappa 1 expressed in HEK 293 cells2001Journal of medicinal chemistry, Mar-15, Volume: 44, Issue:6
Investigation of the selectivity of oxymorphone- and naltrexone-derived ligands via site-directed mutagenesis of opioid receptors: exploring the "address" recognition locus.
AID227049Competitive inhibition of Ethylketazocine on Guinea pig ileal longitudinal muscle for the opioid receptor kappa at 100 nM1991Journal of medicinal chemistry, May, Volume: 34, Issue:5
Role of spacer and address components in peptidomimetic delta opioid receptor antagonists related to naltrindole.
AID125752Antagonist activity against morphine was determined in vitro in mice using tail flick assay1990Journal of medicinal chemistry, Feb, Volume: 33, Issue:2
Conjugate addition ligands of opioid antagonists. Methacrylate esters and ethers of 6 alpha- and 6 beta-naltrexol.
AID150394Inhibition of stereospecific [3H]diprenorphine binding to opioid receptors of rat brain homogenates by 50% in the presence of Na1982Journal of medicinal chemistry, Feb, Volume: 25, Issue:2
Common anionic receptor site hypothesis: its relevance to the antagonist action of naloxone.
AID595127Antagonist activity at human kappa opioid receptor expressed in CHO cells assessed as inhibition of U69,593 stimulated [35S]GTPgammaS binding2010ACS medicinal chemistry letters, Oct-14, Volume: 1, Issue:7
1-Substituted 4-(3-Hydroxyphenyl)piperazines Are Pure Opioid Receptor Antagonists.
AID395298Antagonist activity against kappa opioid receptor in mouse vas deferens assessed as effect on U69593-induced contraction2009Journal of medicinal chemistry, Mar-26, Volume: 52, Issue:6
14 beta-O-cinnamoylnaltrexone and related dihydrocodeinones are mu opioid receptor partial agonists with predominant antagonist activity.
AID148182The compound was tested for antagonist activity by selective inhibition of [35S]GTP-gamma-S, binding to Opioid receptor mu 1 in Guinea pig caudate stimulated by DAMGO[mu]1998Journal of medicinal chemistry, May-21, Volume: 41, Issue:11
Investigation of the N-substituent conformation governing potency and mu receptor subtype-selectivity in (+)-(3R, 4R)-dimethyl-4-(3-hydroxyphenyl)piperidine opioid antagonists.
AID1054700Induction of withdrawal symptoms in chronic morphine-exposed Swiss-Webster mouse assessed as decrease in wet dog shakes at 1 mg/kg, sc measured over 20 mins2013Journal of medicinal chemistry, Nov-27, Volume: 56, Issue:22
Design, synthesis, and biological evaluation of 14-heteroaromatic-substituted naltrexone derivatives: pharmacological profile switch from mu opioid receptor selectivity to mu/kappa opioid receptor dual selectivity.
AID169772Antagonistic potency of compound after subcutaneous administration in rats1982Journal of medicinal chemistry, Feb, Volume: 25, Issue:2
Common anionic receptor site hypothesis: its relevance to the antagonist action of naloxone.
AID1611813Inhibition of morphine-induced delays in intestinal transit in po dosed ICR mouse administered via gavage pretreated with compound and 30 mins later injected with morphine followed 5 mins later by ingestion of test meal and measured after 60 mins2019ACS medicinal chemistry letters, Dec-12, Volume: 10, Issue:12
Discovery of Axelopran (TD-1211): A Peripherally Restricted μ-Opioid Receptor Antagonist.
AID386623Inhibition of 4-(4-(dimethylamino)styryl)-N-methylpyridinium uptake at human OCT1 expressed in HEK293 cells at 100 uM by confocal microscopy2008Journal of medicinal chemistry, Oct-09, Volume: 51, Issue:19
Structural requirements for drug inhibition of the liver specific human organic cation transport protein 1.
AID270157Agonist activity at delta opioid receptor at 31.6 uM2006Journal of medicinal chemistry, Sep-07, Volume: 49, Issue:18
Highly potent and selective phenylmorphan-based inverse agonists of the opioid delta receptor.
AID767594Displacement of [3H]-naloxone from mouse mu opioid receptor expressed in CHO cells after 1.5 hrs2013Bioorganic & medicinal chemistry letters, Sep-15, Volume: 23, Issue:18
Structure activity relationship studies of 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6α-(isoquinoline-3'-carboxamido)morphinan (NAQ) analogues as potent opioid receptor ligands: preliminary results on the role of electronic characteristics for affin
AID125760Compound was evaluated for antagonist activity only at subagonistic dose levels by mouse hotplate procedure1981Journal of medicinal chemistry, Jul, Volume: 24, Issue:7
Allylprodine analogues as receptor probes. Evidence that phenolic and nonphenolic ligands interact with different subsites on identical opioid receptors.
AID274396Antagonist activity assessed as inhibition of loperamide-stimulated [35S]GTPgammaS binding to human mu opioid receptor expressed in CHO cells2006Journal of medicinal chemistry, Dec-14, Volume: 49, Issue:25
Synthesis and pharmacological evaluation of novel octahydro-1H-pyrido[1,2-a]pyrazine as mu-opioid receptor antagonists.
AID149848Selectivity ratio of binding affinity towards kappa of guinea pig brain membrane to delta receptors of rat brain membranes1999Journal of medicinal chemistry, Sep-09, Volume: 42, Issue:18
Synthesis, opioid receptor binding, and biological activities of naltrexone-derived pyrido- and pyrimidomorphinans.
AID167701Percent change of rate in the respiratory activity was measured in rabbit at 0.1 mg/kg dose given intravenously1989Journal of medicinal chemistry, Feb, Volume: 32, Issue:2
Synthesis and biological evaluation of 14-alkoxymorphinans. 2. (-)-N-(cyclopropylmethyl)-4,14-dimethoxymorphinan-6-one, a selective mu opioid receptor antagonist.
AID149415Compound was tested for the inhibition of [35S]GTP-gamma-S, binding to Opioid receptor kappa 11998Bioorganic & medicinal chemistry letters, Nov-17, Volume: 8, Issue:22
N-substituted octahydro-4a-(3-hydroxyphenyl)-10a-methyl-benzo[g]isoquinolines are opioid receptor pure antagonists.
AID625289Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver disease2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID273135Displacement of [3H]DAMGO from mu opioid receptor in guinea pig brain homogenate2006Journal of medicinal chemistry, Oct-05, Volume: 49, Issue:20
Structural determinants of opioid activity in derivatives of 14-aminomorphinones: effects of changes to the chain linking of the C14-amino group to the aryl ring.
AID149409Binding affinity against Opioid receptor kappa 1 of guinea pig brain membranes using 1 nM of (-)-[3H]ethylketazocine as radioligand1986Journal of medicinal chemistry, Jul, Volume: 29, Issue:7
Peptides as receptor selectivity modulators of opiate pharmacophores.
AID540214Clearance in rat after iv administration2005Journal of pharmaceutical sciences, Jul, Volume: 94, Issue:7
Extrapolation of human pharmacokinetic parameters from rat, dog, and monkey data: Molecular properties associated with extrapolative success or failure.
AID625290Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver fatty2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1191373Displacement of [3H]diprenorphine from human recombinant mu opioid receptor expressed in HEK cells after 60 mins2015European journal of medicinal chemistry, Jan-27, Volume: 90Novel fluoroalkyl derivatives of selective kappa opioid receptor antagonist JDTic: Design, synthesis, pharmacology and molecular modeling studies.
AID233705Selectivity ratio was determined from Ke value of Opioid receptor kappa 1 and Opioid receptor delta 11990Journal of medicinal chemistry, Jun, Volume: 33, Issue:6
Design of peptidomimetic delta opioid receptor antagonists using the message-address concept.
AID1079937Severe hepatitis, defined as possibly life-threatening liver failure or through clinical observations. Value is number of references indexed. [column 'MASS' in source]
AID239076Binding affinity against Opioid receptor kappa 1 expressed in CHO cells using [3H]U-69593 as radioligand2005Bioorganic & medicinal chemistry letters, Apr-15, Volume: 15, Issue:8
Synthesis and opioid receptor binding properties of a highly potent 4-hydroxy analogue of naltrexone.
AID622102Selectivity ratio of Ki for guinea pig kappa opioid receptor to mouse mu opioid receptor2011Bioorganic & medicinal chemistry letters, Oct-15, Volume: 21, Issue:20
Synthesis of novel triplet drugs with 1,3,5-trioxazatriquinane skeletons and their pharmacologies. Part 2: Synthesis of novel triplet drugs with the epoxymethano structure (capped homotriplet).
AID1347107qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Rh30 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347096qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for U-2 OS cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347098qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for SK-N-SH cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347108qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Rh41 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347091qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for SJ-GBM2 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347083qHTS for Inhibitors of the Functional Ribonucleoprotein Complex (vRNP) of Lassa (LASV) Arenavirus: Viability assay - alamar blue signal for LASV Primary Screen2020Antiviral research, 01, Volume: 173A cell-based, infectious-free, platform to identify inhibitors of lassa virus ribonucleoprotein (vRNP) activity.
AID1347105qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for MG 63 (6-TG R) cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347154Primary screen GU AMC qHTS for Zika virus inhibitors2020Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49
Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors.
AID651635Viability Counterscreen for Primary qHTS for Inhibitors of ATXN expression
AID1347082qHTS for Inhibitors of the Functional Ribonucleoprotein Complex (vRNP) of Lassa (LASV) Arenavirus: LASV Primary Screen - GLuc reporter signal2020Antiviral research, 01, Volume: 173A cell-based, infectious-free, platform to identify inhibitors of lassa virus ribonucleoprotein (vRNP) activity.
AID1347106qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for control Hh wild type fibroblast cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347101qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for BT-12 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347095qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for NB-EBc1 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347424RapidFire Mass Spectrometry qHTS Assay for Modulators of WT P53-Induced Phosphatase 1 (WIP1)2019The Journal of biological chemistry, 11-15, Volume: 294, Issue:46
Physiologically relevant orthogonal assays for the discovery of small-molecule modulators of WIP1 phosphatase in high-throughput screens.
AID1347094qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for BT-37 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347099qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for NB1643 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347102qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Rh18 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347103qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for OHS-50 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347086qHTS for Inhibitors of the Functional Ribonucleoprotein Complex (vRNP) of Lymphocytic Choriomeningitis Arenaviruses (LCMV): LCMV Primary Screen - GLuc reporter signal2020Antiviral research, 01, Volume: 173A cell-based, infectious-free, platform to identify inhibitors of lassa virus ribonucleoprotein (vRNP) activity.
AID1347407qHTS to identify inhibitors of the type 1 interferon - major histocompatibility complex class I in skeletal muscle: primary screen against the NCATS Pharmaceutical Collection2020ACS chemical biology, 07-17, Volume: 15, Issue:7
High-Throughput Screening to Identify Inhibitors of the Type I Interferon-Major Histocompatibility Complex Class I Pathway in Skeletal Muscle.
AID1347092qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for A673 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1745845Primary qHTS for Inhibitors of ATXN expression
AID1508630Primary qHTS for small molecule stabilizers of the endoplasmic reticulum resident proteome: Secreted ER Calcium Modulated Protein (SERCaMP) assay2021Cell reports, 04-27, Volume: 35, Issue:4
A target-agnostic screen identifies approved drugs to stabilize the endoplasmic reticulum-resident proteome.
AID1347093qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for SK-N-MC cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347090qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for DAOY cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347425Rhodamine-PBP qHTS Assay for Modulators of WT P53-Induced Phosphatase 1 (WIP1)2019The Journal of biological chemistry, 11-15, Volume: 294, Issue:46
Physiologically relevant orthogonal assays for the discovery of small-molecule modulators of WIP1 phosphatase in high-throughput screens.
AID1347104qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for RD cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347097qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Saos-2 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347100qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for LAN-5 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347089qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for TC32 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1159550Human Phosphogluconate dehydrogenase (6PGD) Inhibitor Screening2015Nature cell biology, Nov, Volume: 17, Issue:11
6-Phosphogluconate dehydrogenase links oxidative PPP, lipogenesis and tumour growth by inhibiting LKB1-AMPK signalling.
AID1159607Screen for inhibitors of RMI FANCM (MM2) intereaction2016Journal of biomolecular screening, Jul, Volume: 21, Issue:6
A High-Throughput Screening Strategy to Identify Protein-Protein Interaction Inhibitors That Block the Fanconi Anemia DNA Repair Pathway.
AID1347411qHTS to identify inhibitors of the type 1 interferon - major histocompatibility complex class I in skeletal muscle: primary screen against the NCATS Mechanism Interrogation Plate v5.0 (MIPE) Libary2020ACS chemical biology, 07-17, Volume: 15, Issue:7
High-Throughput Screening to Identify Inhibitors of the Type I Interferon-Major Histocompatibility Complex Class I Pathway in Skeletal Muscle.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (8,288)

TimeframeStudies, This Drug (%)All Drugs %
pre-19901386 (16.72)18.7374
1990's1960 (23.65)18.2507
2000's2081 (25.11)29.6817
2010's2136 (25.77)24.3611
2020's725 (8.75)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 (%)
Trials1,228 (14.04%)5.53%
Reviews830 (9.49%)6.00%
Case Studies318 (3.64%)4.05%
Observational13 (0.15%)0.25%
Other6,356 (72.68%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (418)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Naltrexone and Cognitive-Behavioral Therapy for Patients With Alcoholism and Post-Traumatic Stress Disorder [NCT00006489]Phase 4165 participants (Actual)Interventional2000-12-31Completed
A Proof-of-Concept, Multicenter, Randomized, Double-Blind, Parallel Study of Naltrexone Sustained-Release (SR) and/or Fluoxetine Therapy in the Treatment of Subjects With Obsessive-Compulsive Disorder (OCD) [NCT00758966]Phase 28 participants (Actual)Interventional2008-09-30Terminated(stopped due to Sponsor Decision- Financial Considerations)
Naltrexone and CBT for Problem-Drinking MSM [NCT01115894]Phase 3200 participants (Actual)Interventional2007-02-28Active, not recruiting
Comparing Treatments for HIV-Infected Opioid Users in an Integrated Care Effectiveness Study (CHOICES) Scale-Up [NCT03275350]Phase 2/Phase 3114 participants (Actual)Interventional2018-02-05Completed
Opioid Modulation of the Effect of Alcohol on the Dopaminergic Reward System: a [18F]-Fallypride- and [18F]-Fluoro-DOPA-PET Study. [NCT03854942]Phase 143 participants (Actual)Interventional2011-08-30Terminated(stopped due to Recruitment rate could not be met in the study period, review group was dissolved before regular end of study. Recruitment was therefore terminated.)
Opioid Modulation of Two Models of Pain Inhibition in Healthy Controls and Patients With Temporomandibular Disorder (TMD) [NCT01327326]0 participants (Actual)Interventional2011-12-31Withdrawn
Naltrexone Effects on Alcohol Intake Using a Laboratory Bar in Asp40 Positive and Negative Alcohol Users Characterized by fMRI and Genetic Screening [NCT00254670]0 participants Interventional2005-02-28Completed
IC PaIN Trial: Interstitial Cystitis Pain Improvement With Naltrexone, the Effect of Low Dose Naltrexone on Symptoms and Pain of Patients With Interstitial Cystitis/Painful Bladder Syndrome a Randomized Placebo-controlled Prospective Trial [NCT04313972]Phase 42 participants (Actual)Interventional2021-09-07Completed
Phase 2 Comparison of Low-Dose Naltrexone vs ARV Effectiveness in HIV+ Progression [NCT01174914]Phase 2171 participants (Actual)Interventional2008-03-31Completed
Long-acting Injectable Naltrexone Induction: A Randomized Trial of Outpatient Opioid Detoxification With Naltrexone vs. Buprenorphine [NCT01377610]Phase 1150 participants (Actual)Interventional2011-06-30Completed
Naltrexone-induced Blockade of Neural Responses Induced by Fast-Acting Antidepressant Effects [NCT04322526]Phase 425 participants (Actual)Interventional2017-07-01Completed
Trial Evaluating Effectiveness of Contrave (Naltrexone HCl / Bupropion HCl) for Weight Maintenance in Adults With BMI ≥ 27 Kg/m2, After 6 Month Intensive Behavior Modification Program: Contrave Obesity Trials (COR) Weight Maintenance Study [NCT04589130]Phase 489 participants (Actual)Interventional2021-02-01Active, not recruiting
A Randomized Controlled Trial Evaluating the Effectiveness of Contrave (Naltrexone HCl and Bupropion HCl) in Patients Who Have Weight Recidivism Following Bariatric Surgery: Contrave Obesity Trials (COR) Weight Regain Study [NCT04587843]Phase 418 participants (Actual)Interventional2021-04-01Active, not recruiting
Naltrexone Plus Ketamine for the Rapid Treatment of Major Depressive Disorder and Alcohol Use Disorder [NCT03658330]Phase 25 participants (Actual)Interventional2016-05-31Completed
Naltrexone in the Treatment of Dissociative Symptoms in Patients With Borderline Personality Disorder [NCT01133301]Phase 230 participants (Actual)Interventional1998-08-31Completed
An fMRI Study of Opioid-related Changes in Neural Activity [NCT02818036]82 participants (Actual)Interventional2016-08-31Completed
Low-Dose Naltrexone for the Treatment of Painful Diabetic Neuropathy, a Small, Randomized, Double-blind, Placebo-controlled Crossover Trial [NCT04678895]Phase 235 participants (Anticipated)Interventional2020-12-22Recruiting
Phase 1 Study of Interactions Between Oral Naltrexone and Bupropion and Intravenous Methamphetamine in Methamphetamine Experienced Volunteers [NCT01359930]Phase 116 participants (Anticipated)Interventional2011-08-31Completed
An Open-Label, Phase I Study of the Pharmacokinetics and Bioavailability of Single, Ascending Subcutaneous Doses of Methylnaltrexone Versus Intravenous Dose in Normal, Healthy Male Volunteers [NCT01367496]Phase 16 participants (Actual)Interventional2002-06-30Completed
A Phase 1, Single-Center, Dose-Escalation Study to Determine the Safety and Pharmacokinetics of a Single Oral Dose of PF614 in Healthy Subjects Compared to OxyContin® [NCT02454712]Phase 164 participants (Actual)Interventional2016-11-16Completed
A Randomized, Double-Blind, Placebo/Positive Controlled, Evaluation of the Effects of MNTX on ECG Parameters and Cardiac Repolarization in Normal Volunteers [NCT01363323]Phase 1546 participants (Actual)Interventional2004-11-30Completed
A Phase I, Randomized, Open-Label, Active- and Placebo-Controlled Parallel Group Study of the Effect of Subcutaneous and Intravenous Methylnaltrexone on CYP450 2D6 Activity in Healthy Extensive Metabolizers of Dextromethorphan [NCT01367535]Phase 154 participants (Actual)Interventional2006-03-31Completed
A Phase 3, Randomized, Double-blind, Placebo-controlled, Parallel Group Study to Evaluate the Safety, Tolerability, and Efficacy of Naltrexone for Use in Conjunction With Buprenorphine in Adults With Opioid Use Disorder Transitioning From Buprenorphine Ma [NCT02696434]Phase 3101 participants (Actual)Interventional2016-04-30Completed
Biomarkers of Disease and Response to Treatment in Opioid Addiction [NCT02324725]Phase 432 participants (Actual)Interventional2011-10-31Completed
Oral Naltrexone for Improved Medication Compliance Among HIV-infected Men With Alcohol Use Disorder [NCT01377168]Phase 4159 participants (Actual)Interventional2014-05-31Completed
Buprenorphine as Adjunct to Outpatient Induction Onto Vivitrol [NCT03113409]Phase 2/Phase 310 participants (Actual)Interventional2017-06-01Terminated(stopped due to no funding available to continue)
Fibromyalgia and Naltrexone: The FINAL Study [NCT04270877]Phase 299 participants (Actual)Interventional2021-01-06Completed
A Phase 3b Efficacy and Safety Study of Adjunctive ALKS 5461 in Treatment Refractory Major Depressive Disorder [NCT03188185]Phase 3278 participants (Actual)Interventional2017-06-12Completed
Comparing Medication Maintenance in Comprehensive Community and Pharmacy Settings to Enhance Engagement [NCT03766893]Early Phase 111 participants (Actual)Interventional2018-09-01Completed
Pilot Study of Opioid-receptor Antagonists to Reduce Pain and Inflammation Among HIV-Infected Persons With Alcohol Problems [NCT04052139]Phase 245 participants (Actual)Interventional2021-01-25Completed
A Randomized, Double-Blind, Placebo- and Moxifloxacin Positive-Controlled (Open-Label), Cross-Over Study to Evaluate the Potential Effect of Naltrexone and Bupropion Extended-Release Combination on Cardiac Repolarization in Healthy Subjects [NCT02735603]Phase 184 participants (Actual)Interventional2016-04-30Completed
A Pilot Study of Low Dose Naltrexone Use in Patients With Postural Orthostatic Tachycardia Syndrome [NCT05363514]Phase 480 participants (Anticipated)Interventional2024-01-31Not yet recruiting
Opioid Modulation and Neural Reward Activation in Healthy Adults [NCT04854551]Phase 1/Phase 213 participants (Actual)Interventional2021-05-01Completed
12-month Randomized, Double-blind, Placebo-controlled, Pharmacological Clinical Trial to Evaluate the Effectiveness, Cost-utility and Neurobiological Effects of Low-dose Naltrexone in Patients With Fibromyalgia (INNOVA Project) [NCT04739995]Phase 4120 participants (Anticipated)Interventional2022-06-01Enrolling by invitation
Single-Dose, Open-Label, Two-Period, Two-Treatment, Two-Sequence Crossover Exploratory Bioavailability Study of Subsys® (Fentanyl Sublingual Spray), 400 mcg, and Fentanyl Citrate Injection 2 mL x 0.05 mg/mL (Total Dose 100 mcg) Under Fasted Conditions [NCT02138396]12 participants (Actual)Interventional2014-01-31Completed
An Open Label, Single Dose, Randomized, Two Way Crossover Study to Estimate Oxycodone Relative Bioavailability in Healthy Volunteers Following Administration of PF 00345439 Formulation K 40 Mg Under Fasting Conditions With 40% Ethanol Compared With Water [NCT02165930]Phase 117 participants (Actual)Interventional2014-07-31Completed
The Evaluation of Safety and Tolerance of Commercially Available Naltrexone Administered Daily - Assessment for CBRN Operations [NCT03879460]Phase 115 participants (Actual)Interventional2019-03-18Completed
CURE Addiction Center of Excellence: Brain Mechanisms of Relapse and Recovery - Prescription Opiates/Medication [NCT01587196]Phase 272 participants (Anticipated)Interventional2012-01-31Completed
Novel Interventions to Reduce Stress Induced Non-homeostatic Eating [NCT01175512]Early Phase 142 participants (Actual)Interventional2010-07-31Completed
A Single Dose Study to Evaluate the Pharmacokinetics of Oxycodone and PF614 When PF614 Solution is Co-Administered With Nafamostat, as an Immediate Release Solution and/or Extended Release (ER) Capsule Formulations in Healthy Subjects [NCT05090280]Phase 1111 participants (Actual)Interventional2021-12-01Active, not recruiting
Naltrexone Sustained Release (SR) 32 mg and Bupropion Sustained Release (SR) 360 mg Combination Therapy in Functional Magnetic Resonance Imaging (fMRI) Changes in Overweight or Obese Subjects [NCT00711477]Phase 246 participants (Actual)Interventional2008-09-30Completed
Effect of Naltrexone and Bupropion Combination on Weight Loss and Smoking Cessation in Obese, Cigarette-smoking Patients With Schizophrenia [NCT02736474]Phase 422 participants (Actual)Interventional2016-05-31Completed
Pilot Study Into Low Dose Naltrexone (LDN) and Nicotinamide Adenine Dinucleotide (NAD+) for Treatment of Patients With Post-COVID-19 Syndrome (Long-COVID19) [NCT04604704]Phase 236 participants (Actual)Interventional2021-01-28Completed
Treatment of Chronic Itch in Atopic Dermatitis With Oral Clonidine and Oral Naltrexone: Nerve Function [NCT02268448]Phase 18 participants (Actual)Interventional2015-07-31Completed
Treatment of Chronic Itch in Atopic Dermatitis With Opioid Antagonist Naltrexone and Effects on Skin Circadian Rhythm [NCT04325802]Phase 20 participants (Actual)Interventional2022-12-31Withdrawn(stopped due to Covid-19 pandemic)
A Phase 1b, Randomized 2-Part Single-Center Study to Evaluate the PK and Safety of Multiple Ascending Oral Doses of PF614 and the Food Effect and BA/BE of Single Oral Doses of PF614 Relative to OxyContin in Healthy Adult Subjects [NCT05043766]Phase 184 participants (Actual)Interventional2021-09-08Completed
A Randomized Placebo-Controlled, Crossover-Design Study of the Effects of Low Dose Naltrexone on Quality of Life as Measured by the Multiple Sclerosis Quality of Life Inventory (MSQLI54) [NCT00501696]Phase 380 participants (Actual)Interventional2007-02-28Completed
A Feasibility Study for Testing the Effects of Extended-release Naltrexone (Vivitrol) on Recidivism and Other Participant Outcomes in Drug Court Settings [NCT02978417]Phase 414 participants (Actual)Interventional2017-09-21Completed
The Comparison of Stress Response to Rapid Opioid Detoxification Applying Different Methods of Opioid Antagonism With Naltrexone and Sedation [NCT02362256]60 participants (Actual)Interventional2014-05-31Completed
Emergency Department-Initiated Medications for Alcohol Use Disorder [NCT05827159]Phase 3240 participants (Anticipated)Interventional2023-11-30Not yet recruiting
Trial of Naltrexone and Dextromethorphan for Gulf War Veterans Illnesses [NCT02206490]Phase 260 participants (Actual)Interventional2012-01-31Completed
VIVITROL® (Naltrexone for Extended Release Injectable Suspension (XR-NTX)) for Opioid Dependent Inmates Released From Prison [NCT01563718]Phase 426 participants (Actual)Interventional2012-03-31Completed
Two-Period, Two-Treatment, Randomized Crossover Study of the Pharmacokinetics of Nalmefene by Intranasal and Intramuscular Administration in Healthy Volunteers [NCT04759768]Phase 168 participants (Actual)Interventional2021-02-08Completed
Study of Immunomodulation Using Naltrexone and Ketamine for COVID-19 [NCT04365985]Phase 270 participants (Actual)Interventional2020-04-29Terminated(stopped due to Because of the decrease in COVID cases, enrollment is extremely low. Given the current study design, it is not possible to gather data necessary to answer the question about whether study treatment reduces mortality)
Single-dose Interventions to Reduce Re-admissions for Hospitalized Patients With Refractory Alcohol Use Disorder: A Randomized Pilot Feasibility Study. [NCT04562779]Early Phase 144 participants (Actual)Interventional2021-01-19Completed
Promoting Medications for Alcohol Use Disorder on the General Medicine Service at Yale New Haven Hospital: a Pilot Study [NCT04287790]67 participants (Actual)Observational2020-01-01Terminated(stopped due to COVID-19 disrupted recruitment)
A Breath-based Naltrexone Adherence Tool to Manage Narcotic-addicted HIV Patients. [NCT02194764]8 participants (Actual)Interventional2014-06-30Completed
Cognitive-Behavioral and Pharmacologic Treatment of Binge-Eating Disorder and Obesity [NCT03946111]Phase 2/Phase 340 participants (Anticipated)Interventional2019-08-07Recruiting
Effectiveness of Low-doses of Naltrexone (LDN) on Pain Perception and Quality of Life in Women With Vulvodynia [NCT05955313]Phase 2300 participants (Anticipated)Interventional2023-05-31Recruiting
A Multicenter, Randomized, Double-Blind, Placebo-Controlled Study Comparing the Safety and Efficacy of Naltrexone Sustained Release (SR)/Bupropion SR and Placebo in Subjects With Obesity Participating in a Behavior Modification Program [NCT00456521]Phase 3793 participants (Actual)Interventional2007-03-31Completed
A Double Blind Randomized Trial of Low-dose Naltrexone for Post-COVID Fatigue Syndrome [NCT05430152]Phase 2160 participants (Anticipated)Interventional2023-12-31Not yet recruiting
An Open-Label Study Assessing the Safety and Efficacy of Naltrexone Sustained Release (SR)/Bupropion Sustained Release (SR) in Overweight or Obese Subjects With Major Depression [NCT00624858]Phase 225 participants (Anticipated)Interventional2008-01-31Completed
OLANI PK/Safety Study in Healthy Volunteers [NCT03810495]Phase 120 participants (Actual)Interventional2019-04-11Completed
Phase IV Pragmatic Randomized Controlled Study to Assess the Effect of Naltrexone Hydrochloride Extended Release (ER) and Bupropion Hydrochloride ER Combination (Contrave®/Mysimba®) on the Occurrence of Major Adverse Cardiovascular Events [NCT06098079]Phase 48,400 participants (Anticipated)Interventional2024-01-31Not yet recruiting
Naltrexone Treatment for Prolonged Grief Disorder: A Pilot Study [NCT04547985]Phase 49 participants (Actual)Interventional2021-01-05Terminated(stopped due to We are terminating the study due to low accrual.)
Efficacy and Mechanisms of Naltrexone+Bupropion for Binge Eating Disorder [NCT03539900]Phase 2/Phase 389 participants (Actual)Interventional2018-04-17Completed
Naltrexone Treatment for Prolonged Grief Disorder: A Proof of Concept Study [NCT06140420]Phase 448 participants (Anticipated)Interventional2023-08-01Recruiting
Defining the Clinical Role of Topiramate in the Treatment of Alcohol Dependence in Australia [NCT03479086]Phase 3180 participants (Anticipated)Interventional2017-06-20Recruiting
The Safety and Efficacy of Naltrexone and Scopolamine Utilized in Combination in the Treatment of Major Depression: A Double Blinded, Randomized, Controlled Pilot Study [NCT03386448]Phase 414 participants (Actual)Interventional2018-01-01Completed
Adherence to HIV Therapy in Heroin Addicts: Oral vs. Extended Release Naltrexone [NCT01101815]Phase 2200 participants (Actual)Interventional2010-06-30Completed
Pharmacokinetic Evaluation of Intranasal Naltrexone and Naloxone Administered Separately and in Combination in Healthy Volunteers [NCT03851731]Phase 112 participants (Actual)Interventional2015-10-05Completed
Collaborative Care for Alcohol Use Disorders in the Patient-centered Medical Home [NCT02885311]Phase 1/Phase 227 participants (Actual)Interventional2017-01-31Completed
Brain Imaging Study on the Effects of Treatment With Naltrexone on Cue-induced Craving and Brain's Metabolic Changes in Alcohol and Cannabis-dependent Patients [NCT01560013]24 participants (Anticipated)Interventional2012-10-31Not yet recruiting
Impact of Colchicine and Low-dose Naltrexone on COVID-19 Disease Progression and Clinical Course in Hospitalized Patients [NCT04756128]Phase 2142 participants (Actual)Interventional2021-01-25Completed
Naltrexone and Behavioral Drug and HIV Risk Reduction Counseling in Russia [NCT01389167]Phase 3320 participants (Anticipated)Interventional2011-09-30Completed
Phase 1, Double-blind, Randomized, 2-Period, 2-Treatment Crossover Study to Evaluate the Safety of SP-104 Compared to Immediate Release Naltrexone Capsules in Healthy Adult Subjects [NCT04958876]Phase 152 participants (Actual)Interventional2021-10-04Completed
Alcohol Dependence: Study of the Possible Reduction of Compulsion by Association of Naltrexone With Poly-unsaturated Fatty Acids (PUFAs) [NCT01211769]Phase 380 participants (Actual)Interventional2006-02-28Completed
Effective Treatment for Prescription Opioid Abuse [NCT00719095]Phase 2105 participants (Actual)Interventional2006-04-30Completed
Validation of a Test System for Development of Medications for Alcoholism [NCT02652585]Phase 346 participants (Actual)Interventional2016-02-29Completed
Naltrexone Treatment in Pathologic Gambling Disorder [NCT00053677]Phase 383 participants (Actual)Interventional2002-12-31Completed
Medication-Assisted Treatment for Youth With Substance Use Disorders [NCT02593474]Phase 111 participants (Actual)Interventional2015-09-30Completed
Efficacy of Naltrexone in Women's Smoking Cessation [NCT00271024]Phase 2333 participants (Actual)Interventional2005-12-31Completed
Effects of Low Dose Naltrexone in Fibromyalgia [NCT00568555]53 participants (Actual)Interventional2007-06-30Completed
Efficacy of Low Dose Naltrexone in Psoriasis; Clinical Trial in a Tertiary Care Hospital of Karachi. [NCT04250792]Phase 142 participants (Actual)Interventional2019-01-01Completed
Defining an Endopheneotype for Alcohol Treatment With Naltrexone [NCT00817089]Phase 424 participants (Actual)Interventional2007-12-31Completed
Delivering Transcutaneous Auricular Neurostimulation to Improve Relapse Prevention in Opioid Use Disorder [NCT05053503]168 participants (Anticipated)Interventional2022-05-25Recruiting
Low Dose Naltrexone for Treatment of Pain in Patients With Fibromyalgia - Effect Via a Central Mechanism? A Randomized, Double-blinded, Placebo-controlled, Crossover Study. [NCT02806440]Phase 4140 participants (Anticipated)Interventional2016-06-30Recruiting
A Single-Center, Randomized, Double-Blind, Active- and Placebo-Controlled Crossover Study to Evaluate the Subjective Effects of PTI-801 in Non-Physically Dependent Subjects With a History of Drug Abuse [NCT00734461]Phase 214 participants (Actual)Interventional2007-08-31Completed
An Open-Label Study Assessing the Safety and Efficacy of Naltrexone Sustained Release (SR) in Combination With Bupropion Sustained Release (SR) in Overweight and Obese, Nicotine-Dependent Subjects [NCT00563563]Phase 230 participants (Actual)Interventional2007-10-31Completed
A Single-Center, Open-Label Study to Evaluate the Absorption, Metabolism, and Excretion of Single Doses of [14c]-Samidorphan in Healthy Male Subjects [NCT02504463]Phase 110 participants (Actual)Interventional2015-06-30Completed
Prevention of Stimulant-Induced Euphoria With an Opioid Receptor Antagonist [NCT01673594]Phase 437 participants (Actual)Interventional2012-09-30Completed
Long Acting Naltrexone for Opioid Addiction: the Importance of Mental, Physical and Societal Factors for Sustained Abstinence and Recovery [NCT03647774]Phase 4317 participants (Actual)Interventional2018-08-01Completed
Assessing Changes in the Brain Melanocortin System and Sensory Processing in Response to Alcohol to Advance Our Understanding of the Pathophysiology and Psychopharmacology of Binge Drinking [NCT02842073]Phase 212 participants (Actual)Interventional2016-11-01Completed
A Single Site, Phase 2B, Randomized, Double-Blind, Study to Assess the Efficacy, Safety, and Tolerability of Low-Dose Naltrexone and Acetaminophen Combination vs. Placebo in the Treatment of Chronic Low Back Pain (ANODYNE-4) [NCT03201393]Phase 212 participants (Actual)Interventional2017-08-15Completed
Improving Outcomes of Opioid Addicted Prisoners With Extended-Release Injectable Naltrexone (Vivitrol) Before vs. After Reentry [NCT02617628]Phase 2/Phase 3146 participants (Actual)Interventional2016-01-01Completed
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 Double-blind, Placebo-controlled Study of Naltrexone in Trichotillomania [NCT00775229]Phase 251 participants (Actual)Interventional2008-08-31Completed
A Pilot Trial of Naltrexone for Methamphetamine Addiction - Role of the A118G SNP [NCT00984360]Phase 222 participants (Actual)Interventional2009-09-30Completed
Association of Genetic Variations and Weight Loss Response to Naltrexone/Bupropion [NCT05919797]Phase 4120 participants (Anticipated)Interventional2023-06-08Recruiting
Exploring the Pharmacokinetic Characteristics of Different Doses of Naltrexone Implants in Patients With Alcohol Use Disorders [NCT05919017]Phase 160 participants (Anticipated)Interventional2023-06-16Recruiting
A Multi-Center, Randomized, Double-Blind, Placebo-Controlled Phase III Study to Assess the Efficacy and Safety of PXT3003 in Charcot-Marie-Tooth Type 1A (CMT1A) Treated 15 Months [NCT05092841]Phase 3176 participants (Anticipated)Interventional2021-09-28Recruiting
Pharmacokinetic Evaluation of Intranasal, Intramuscular, and Oral Naltrexone in Healthy Volunteers [NCT02750748]Phase 114 participants (Actual)Interventional2016-07-31Completed
A Phase 1, Open-Label, Sequential Design Study to Evaluate the Potential Effect of Multiple Oral Doses of Extended-Release Combination of Naltrexone and Bupropion on the Pharmacokinetics of a Single Oral Dose of Metformin in Healthy Subjects [NCT02745912]Phase 130 participants (Actual)Interventional2016-04-30Completed
Use of TNF-blocking Therapy in Combination With DMARDs in Patients With Early Rheumatoid Arthritis [NCT00908089]Phase 4100 participants (Actual)Interventional2003-03-31Active, not recruiting
Effect of Naltrexone in Achieving and Maintaining Abstinence From Alcohol in Patients With Cirrhosis- A Double Blind Randomized Controlled Trial. [NCT04391764]100 participants (Actual)Interventional2020-12-06Completed
Effects of Low-dose Naltrexone in Combination With a Range of Smoked Marijuana [NCT00743145]Phase 223 participants (Actual)Interventional2008-05-31Completed
Feasibility and Tolerability of a Combination of Naltrexone and Baclofen for Alcohol Dependence: A Pilot Study. [NCT00614328]Phase 140 participants (Actual)Interventional2007-07-31Completed
A Randomized, Double-Blind, Phase 4 Study to Evaluate the Efficacy of Naltrexone HCl/Bupropion HCl Extended Release Versus Placebo for Treatment of Weight Regain in Patients Post Bariatric Surgery [NCT02616315]Phase 40 participants (Actual)Interventional2016-02-29Withdrawn
Vivitrol for Reducing Driving While Impaired Behavior Among Repeat Offenders-a Pilot Study [NCT00537745]Phase 414 participants (Actual)Interventional2007-04-30Completed
The Effects of VIVITROL® on Alcohol-Related Cue-Induced Craving and BOLD [Blood Oxygen-level-dependent] Functional Magnetic Resolution Imaging (fMRI) Signal Activation Patterns [NCT00511836]Phase 431 participants (Actual)Interventional2007-07-31Completed
Use of Mysimba in Patients With Weight Regain After Bariatric Surgery [NCT04902625]Phase 4116 participants (Anticipated)Interventional2023-03-21Recruiting
Phase 1, Open Label, Randomized, Single-dose, 3-Period, 3-Treatment Crossover Study to Evaluate the Pharmacokinetics of SP-104 Under Fasting and Fed Conditions and to Compare to Naltrexone Hydrochloride Tablets USP in Healthy Adult Subjects [NCT05002946]Phase 118 participants (Actual)Interventional2022-01-11Completed
Low-dose Naltrexone for Bladder Pain Syndrome: A Randomized Placebo-controlled Prospective Pilot Trial [NCT04450316]Phase 240 participants (Anticipated)Interventional2020-10-08Suspended(stopped due to Study temporarily suspended awaiting research personnel to resume recruitment)
Relapse Prevention in Stimulant Use Disorder [NCT04553263]Early Phase 10 participants (Actual)Interventional2023-06-11Withdrawn(stopped due to Study never initiated)
Revisiting Safety Signals: Examining a Separate Safety Mechanism for Social Support Figures [NCT04166071]Early Phase 160 participants (Anticipated)Interventional2021-12-13Enrolling by invitation
Naltrexone & SSRI in Alcoholics With Depression/PTSD [NCT00338962]Phase 388 participants (Actual)Interventional2001-10-31Completed
A Multicenter, Randomized, Double Blind, Placebo Controlled Study Comparing the Safety and Efficacy of Naltrexone 32 mg Sustained Release (SR)/Bupropion 360 mg Sustained Release (SR) and Placebo in Obese Subjects With Type 2 Diabetes Mellitus [NCT00474630]Phase 3505 participants (Actual)Interventional2007-05-31Completed
Dronabinol Naltrexone Treatment for Opioid Dependence [NCT01024335]Phase 2/Phase 360 participants (Actual)Interventional2010-01-31Completed
An Open-label, Randomized, Single-dose, Parallel-group Study to Investigate the PK Profile of Single Dose Buprenorphine Transdermal Patch 20 mg Applied for 3 Days, 40 mg for 3 Days and 40 mg for 4 Days in Chinese Subjects With Chronic Pain [NCT03975010]Phase 145 participants (Anticipated)Interventional2019-05-13Recruiting
Open Label Comparison of Injectable Buprenorphine ( Brixadi®) and Naltrexone (Vivitrol®) for Opioid Use Disorder [NCT05596955]Phase 260 participants (Anticipated)Interventional2023-01-12Recruiting
A Multi-Center, Primary Care-Based, Open-Label Study to Assess the Success of Converting Opioid-Experienced Patients, With Chronic, Moderate to Severe Pain, to EMBEDA Using a Standardized Conversion Guide, and to Identify Behaviors Related to Prescription [NCT01179191]Phase 4684 participants (Actual)Interventional2010-08-31Terminated(stopped due to See termination reason in detailed description.)
Non-Response to Naltrexone (NTX): Next Steps in Managing Alcoholism [NCT00115037]Phase 4302 participants (Actual)Interventional2003-09-30Completed
Behavioral and Pharmacologic Treatment of Binge Eating and Obesity [NCT03045341]Phase 2/Phase 3136 participants (Actual)Interventional2017-02-27Completed
Injectable Naltrexone Treatment of Alcohol Dependence in Serious Mental Illness (SMI): An Open Prospective Pilot Trial [NCT00453609]Phase 415 participants (Actual)Interventional2007-04-30Completed
Treatment of Chronic Itch in Atopic Dermatitis With Topical Naltrexone as Well as the Influence of Circadian Rhythm [NCT04154033]Phase 20 participants (Actual)Interventional2020-10-01Withdrawn(stopped due to Funding)
Dopamine D2/3- and μ-opioid Receptor Antagonists Reduce Cue-induced Reward Responding and Reward Impulsivity in Healthy Volunteers [NCT02557984]121 participants (Actual)Interventional2014-02-28Completed
[NCT00234689]0 participants Interventional2002-01-31Completed
Combined Pharmacotherapies for Alcoholism [NCT00768508]Phase 3300 participants (Actual)Interventional2008-09-30Completed
COMBINE: Effect of Combined Pharmacotherapies and Behavioral Interventions [NCT00006206]Phase 31,375 participants Interventional1997-08-31Completed
Open-Label Study of the Safety and Tolerability of VIVITROL Administered to Health Care Professionals Participating in an Extended Outpatient Treatment Program for Opioid Dependence [NCT00834080]Phase 338 participants (Actual)Interventional2009-03-31Completed
An Exploratory Study of Naltrexone Plus Aripiprazole for Alcohol Dependence [NCT00667875]Phase 265 participants (Actual)Interventional2008-04-30Completed
The Effects of Naltrexone in Active Crohn's Disease [NCT00663117]Phase 240 participants (Actual)Interventional2006-09-30Completed
Attenuation of Pain in Men and Women: Mechanisms of Exercise-Induced Analgesia [NCT01220414]60 participants (Actual)Interventional2010-09-30Completed
Pharmacokinetics of Naltrexone Hydrochloride (HCl) Following Intravenous (i.v.) and Oral Routes of Administration in Healthy Subjects [NCT00714584]Phase 118 participants (Actual)Interventional2003-05-31Completed
A Long-Term, Open-Label Safety Study of ALO-01 (Morphine Sulfate Plus Naltrexone Hydrochloride Extended-Release) Capsules in Subjects With Chronic Moderate to Severe Nonmalignant Pain [NCT00415597]Phase 3467 participants (Actual)Interventional2006-12-31Completed
The Impact of Intravenous Heroin Use on Immune Activation in Treated HIV [NCT03976258]190 participants (Actual)Observational2017-07-14Completed
Pharmacotherapy for HIV Infected Patients With Alcohol Problems [NCT00854230]Phase 40 participants (Actual)Interventional2009-01-31Withdrawn(stopped due to We expanded to a bigger, multi-site study & decided to close this study.)
Effect of Naltrexone on Craving and Ethanol-Induced Brain Activity [NCT00667771]Early Phase 170 participants (Actual)Interventional2008-04-22Completed
Pilot Study of Depot Naltrexone in Alcohol-Dependent, Homeless Veterans [NCT01155869]Phase 47 participants (Actual)Interventional2010-08-31Terminated(stopped due to Poor enrollment)
Naltrexone in Treatment of Cocaine Dependence [NCT00015080]Phase 20 participants Interventional1995-05-31Completed
Genetic and Brain Mechanisms of Naltrexone?s Treatment Efficacy for Alcoholism [NCT00920829]Phase 4358 participants (Actual)Interventional2009-06-30Completed
Depot Naltrexone Treatment of Opioid Dependent Parolees [NCT00756990]61 participants (Actual)Interventional2005-11-30Completed
Predicting Response to Naltrexone With Eye Tracking in Videogame Disorder [NCT04649892]Phase 240 participants (Anticipated)Interventional2021-01-31Not yet recruiting
Methylnaltrexone for the Reversal of Opiate-Induced Constipation in the Intensive Care Unit [NCT01050595]Phase 380 participants (Anticipated)Interventional2009-12-31Recruiting
Understanding How Opioids Affect the Experiential and Neural Signatures of Social Experiences [NCT05007561]Early Phase 1210 participants (Anticipated)Interventional2021-11-16Recruiting
Treatment of Pathological Gambling With Naltrexone Pharmacotherapy and Brief Intervention - a Placebo Controlled Trial [NCT01528007]Phase 4100 participants (Actual)Interventional2011-01-31Completed
An Open-label, Non-randomized [11C]Carfentanil PET Study in Healthy Male Subjects to Investigate Brain Mu-opioid Receptor Occupancy, Pharmacokinetics, and Pharmacodynamics of Single Oral Doses of GSK1521498 and Naltrexone. [NCT00976066]Phase 126 participants (Actual)Interventional2009-06-15Completed
Neurocomputational Mechanisms of Mood Improvement [NCT04276259]Phase 4120 participants (Anticipated)Interventional2020-10-19Recruiting
Combining Medications for the Treatment of Alcohol Dependence: An Inpatient Preliminary Study [NCT00769158]Phase 14 participants (Actual)Interventional2008-10-31Completed
Naltrexone for At-Risk and Problem Drinking in Smoking Cessation Treatment [NCT00938886]Phase 2150 participants (Actual)Interventional2009-10-31Completed
A Multicenter, Randomized, Double Blind, Placebo Controlled Study Comparing the Safety and Efficacy of Naltrexone Sustained Release (SR)/Bupropion Sustained Release (SR) and Placebo in Obese Subjects [NCT00567255]Phase 31,496 participants (Actual)Interventional2007-12-31Completed
In Hospital Administration of Extended-Release Naltrexone for Alcohol Use Disorder: A Pilot Study of Feasibility and Acceptability [NCT05087771]Phase 40 participants (Actual)Interventional2022-03-31Withdrawn(stopped due to no longer randomized, drug being offered to all patients)
A Randomized, Double-Blind, Triple-Dummy, Single-Dose, Four-Way Crossover Study to Determine the Relative Bioavailability, Pharmacodynamic Effects, and Safety of Equivalent Doses of Whole and Crushed ALO-01 Versus Morphine IR in Opioid Experienced, Non-De [NCT00751478]Phase 1/Phase 232 participants (Actual)Interventional2007-03-31Completed
A Phase 2, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Full-Factorial, Parallel-Group Study Evaluating Safety and Efficacy of Naltrexone-Acetaminophen Combination in Acute Migraine Treatment in Adults, With Exploratory Focus on Co-Occurring [NCT05685225]Phase 2300 participants (Anticipated)Interventional2024-03-01Not yet recruiting
Low Dose Naltrexone for Chronic Pain in Osteoarthritis and Inflammatory Arthritis [NCT04115020]Phase 20 participants (Actual)Interventional2020-01-31Withdrawn(stopped due to A pilot study was negative.)
The Efficacy of Low Dose Naltrexone Therapy in Children With Crohn's Disease [NCT00715117]Phase 214 participants (Actual)Interventional2008-07-31Completed
Pilot Trial of Naltrexone for Obesity in Women With Schizophrenia [NCT00793780]24 participants (Actual)Interventional2008-12-31Completed
Opioid Relapse & HIV Risk: 48 Versus 24 Weeks of Injectable Extended Release Naltrexone [NCT01882361]Phase 2/Phase 377 participants (Actual)Interventional2013-06-30Completed
Low Dose Naltrexone for the Treatment of Juvenile Primary Fibromyalgia Syndrome [NCT00855972]0 participants (Actual)Interventional2010-08-31Withdrawn(stopped due to The FDA IND application is paused due to additional required testing. The IRB protocol was closed prior to research starting.)
Comparison of Cognitive Behavioral Therapy and Motivational Enhancement Therapy Plus Naltrexone for Alcoholism [NCT00000456]Phase 4160 participants (Actual)Interventional1992-09-30Completed
Naltrexone and Psychosocial Treatments for the Treatment of Cocaine Dependence Complicated by Alcohol Dependence [NCT00167232]Phase 3164 participants (Actual)Interventional1998-01-31Completed
Naltrexone Treatment of Alcohol Abuse in Schizophrenia [NCT00145847]Phase 490 participants (Actual)Interventional2003-04-30Completed
Double-Blind, Cross-Over Trial of Ketamine Therapy Plus or Minus Naltrexone in Treatment Resistant Depression (TRD) [NCT02911597]Phase 116 participants (Actual)Interventional2016-09-30Completed
Alcohol Research Center Grant. Component #1. COMBINING MEDICATIONS: ALCOHOL REACTIVITY AND CONSUMPTION [NCT00183222]Phase 2160 participants Interventional2005-05-31Completed
Naltrexone for Heavy Drinking in Young Adults [NCT00568958]Phase 4140 participants (Actual)Interventional2008-02-29Completed
A Double-Blind, Placebo-Controlled Study of Naltrexone in Compulsive Sexual Behavior [NCT00467558]Phase 27 participants (Actual)Interventional2007-05-31Completed
Pharmacogenetic Investigation of Naltrexone [NCT00270231]Phase 264 participants (Actual)Interventional2004-03-31Completed
Gabapentin as an Adjunct to Naltrexone for Alcoholism [NCT00183196]Phase 3150 participants (Actual)Interventional2003-01-31Completed
Comparison of Anti-TNF Therapy Plus Methotrexate, Combination Therapy of DMARDs, and Methotrexate Alone in Very Early Polyarticular Juvenile Idiopathic Arthritis. A National Randomized Multicenter Clinical Trial. [NCT01015547]Phase 360 participants (Actual)Interventional2003-05-31Completed
Endogenous Modulation and Central Sensitization in New Daily Persistent Headache ( NDPH ) in Children [NCT03447782]Phase 1/Phase 245 participants (Actual)Interventional2018-07-23Completed
Naltrexone Augmentation of Nicotine Patch Therapy [NCT00218153]Phase 3200 participants Interventional2000-11-30Completed
Naltrexone and Psychosocial Treatments for the Treatment of Cocaine Dependence Complicated by Alcohol Dependence [NCT00218660]Phase 3164 participants (Actual)Interventional1998-04-30Completed
Long-Acting Injectable Naltrexone Treatment of Alcohol Dependence in Primary Care vs. in Specialized Chemical Dependence Treatment: A Pilot Trial [NCT00461890]Phase 420 participants (Anticipated)Interventional2006-10-31Terminated
Interventional, Randomized, Double-blind, Cross-over, Placebo-controlled Study to Investigate the Effects of Nalmefene After Single Dose on the Blood Oxygen Level Dependent (BOLD) Functional Magnetic Resonance Imaging (fMRI) Signal in the Ventral Striatum [NCT01969617]Phase 122 participants (Actual)Interventional2013-11-30Completed
Low Dose Naltrexone to Improve Physical Health in Patients With Vasculitis [NCT03482479]Phase 236 participants (Anticipated)Interventional2019-02-04Recruiting
General Evaluation of Eligibility for Substance Abuse/Dependence Research [NCT00439049]7,500 participants (Anticipated)Observational2005-10-31Recruiting
Augmenting Zyprexa With Naltrexone: Normalization of the Weight Gain Side Effect and the CNS Reward and Sensory Function [NCT00567034]Phase 130 participants (Actual)Interventional2006-12-31Completed
Double Blind 12-week Controlled Experiment With Two Groups of Pathological Gamblers, One Taking Active Drug (Naltrexone) and the Other Receiving Placebo.Patters Patterns of Visual Tracking Will be Acessed on Both Groups Prior and During Tratment in Order [NCT04738773]Phase 240 participants (Anticipated)Interventional2021-06-01Not yet recruiting
Extended-Release Naltrexone for Opioid Relapse Prevention Following Release From Jail [NCT01180647]Phase 348 participants (Actual)Interventional2010-05-31Completed
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
Combined Pharmacotherapy in Depressed Alcoholics [NCT00006204]Phase 4106 participants Interventional2000-03-31Completed
Vivitrol Associated With Behavioural-Relapse Prevention Strategy as Treatment for Cannabis Use Disorder [NCT04139668]Phase 210 participants (Anticipated)Interventional2020-09-30Not yet recruiting
Pilot Study Into the Use of Metformin and Low Dose Naltrexone (LDN) for Patients With Coronavirus Disease 2019 (COVID-19) - Assessment of Short and Long Term Effects [NCT04604678]Phase 20 participants (Actual)Interventional2021-02-28Withdrawn(stopped due to Unable to recruit participants due to restrictive inclusion/exclusion criteria. Will update protocol with IRB & begin anew after approval.)
Cardiovascular and Metabolic Effects of Drugs for the Treatment of Obesity [NCT04575194]Phase 440 participants (Anticipated)Interventional2020-09-08Recruiting
Development of a Pharmacodynamic Biomarker of Opioid Antagonism in Adolescents With Eating Disorders [NCT05509257]Early Phase 160 participants (Anticipated)Interventional2022-09-17Recruiting
A Randomized, Double-Blind, Placebo- and Active-Controlled, 3-Way Crossover Study to Determine the Abuse Potential of Oral Administration of Crushed EMBEDA Relative to Crushed Controlled-Release Morphine Sulfate and Placebo in Non Dependent, Recreational [NCT01380093]Phase 180 participants (Actual)Interventional2011-02-28Completed
A Single-Center, Randomized, Double-Blind, Two-Way Crossover Study to Evaluate Whether a Single-Dose Administration of Crushed and Whole EMBEDA Induces Clinical Opiate Withdrawal Signs and Symptoms in Opioid-Dependent Patients With Chronic, Non-Cancer Pai [NCT01100437]Phase 414 participants (Actual)Interventional2010-04-30Terminated(stopped due to See termination reason in detailed description.)
Pharmacokinetics of Fentanyl Citrate Following Intravenous (i.v.) and Oral Routes of Administration in Healthy Subjects [NCT00714558]Phase 118 participants (Actual)Interventional2003-04-30Completed
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
Behavioral Naltrexone Therapy (BNT) for Promoting Adherence to Oral Naltrexone (BNT-oral) vs Extended Release Injectable Depot Naltrexone (Depot-BNT); a Randomized Trial [NCT00577408]Phase 360 participants (Actual)Interventional2007-09-30Completed
Reducing Heavy Drinking to Optimize HIV/AIDS Treatment and Prevention [NCT01227044]Phase 2/Phase 351 participants (Actual)Interventional2011-04-30Completed
Evaluation of Naltrexone as a Treatment for Self-Injurious Behavior [NCT02726035]Phase 40 participants (Actual)Interventional2014-02-22Withdrawn(stopped due to PI deceased)
Effectiveness of Alcohol Interventions Among TB Patients in Tomsk Oblast, Russia [NCT00675961]400 participants (Actual)Interventional2007-01-31Completed
The Impact of the Opiate Antagonist Naltrexone on the Emotional Valence of Dreams [NCT02792140]Phase 432 participants (Actual)Interventional2016-03-31Completed
Safety Evaluation of D-TRANS Fentanyl With Naltrexone HCL in Opioid Tolerant Patients (ALZA C-2002-022) [NCT00650182]Phase 2406 participants (Actual)Interventional2003-01-31Completed
Extended Release Naltrexone for Treating Amphetamine Dependence in Iceland [NCT01100853]Phase 3100 participants (Actual)Interventional2010-05-31Completed
Glutamatergic Modulation to Facilitate Naltrexone Initiation in Opioid Dependence [NCT02437344]Phase 216 participants (Actual)Interventional2015-01-31Completed
An Open-Label Evaluation of the Independent Effect of Coadministration of a High Fat Meal and Naltrexone Blockade on the Pharmacokinetic Profile of Dilaudid OROS (Hydromorphone HCL) 16 mg [NCT00399295]Phase 130 participants (Actual)InterventionalCompleted
A Proof-of-Concept, Randomized, Double-Blind and Placebo Controlled Clinical Trial With Naltrexone and Clonidine Combination (ATNC05) Compared With Placebo in the Treatment of Chronic Back Pain [NCT01415895]Phase 278 participants (Actual)Interventional2011-07-31Completed
A Randomized Double-Blind Placebo-Controlled Trial to Assess the Effectiveness of Low-Dose Naltrexone in Combination With Standard Treatment in Women With Chronic Pelvic Pain Secondary to Endometriosis [NCT03970330]Phase 39 participants (Actual)Interventional2020-01-16Terminated(stopped due to Original PI left institution, lack of funding to continue)
An ObEsity-centric Approach With and Without Anti-obesity Medications ComPared to the Usual-care ApprOach to Management of Patients With Obesity and Type 2 Diabetes in an Employer Setting: A Pragmatic Randomized Controlled Trial [NCT04531176]Phase 469 participants (Actual)Interventional2020-09-01Active, not recruiting
A Randomized, Open Label, Single Dose Pharmacokinetic and Safety Study of Implantable Long Acting 3-month Naltrexone Subcutaneous Pellets Compared to Naltrexone IM Injection (Vivitrol) in Healthy Volunteers [NCT04828694]Phase 124 participants (Actual)Interventional2022-06-17Completed
Naltrexone, Craving, and Drinking: Ecological Assessment [NCT00006203]Phase 4186 participants InterventionalCompleted
Extended-release Naltrexone (Vivitrol) for the Treatment of Alcohol Dependence in Urban Primary Care: a Feasibility Study [NCT00620750]Phase 472 participants (Actual)Interventional2007-07-31Completed
A Multicenter, Randomized, Double Blind, Placebo Controlled Study Comparing the Safety and Efficacy of Two Doses of Naltrexone Sustained Release (SR)/Bupropion Sustained Release (SR) and Placebo in Obese Subjects [NCT00532779]Phase 31,742 participants (Actual)Interventional2007-10-31Completed
Naltrexone & Bupropion to Stop Smoking With Less Weight Gain [NCT00129246]Phase 1/Phase 240 participants (Actual)Interventional2004-12-31Completed
Double-Blind Placebo-Controlled Investigation of Naltrexone for Pathological Gambling [NCT01057862]Phase 29 participants (Actual)Interventional2009-02-28Completed
A Randomized, Double-Blind, Placebo-Controlled, 3 Way Crossover Study Evaluating The Relative Abuse Potential Of Crushed Embeda Compared To Morphine Sulfate Controlled Release Tablets (Crushed) And Placebo In Non-Dependent, Recreational Opioid Users Follo [NCT01595867]Phase 133 participants (Actual)Interventional2010-08-31Completed
Naltrexone Implants Compared to Methadone Maintenance Treatment (MMT) Among Inmates About to be Released From Prison - a Randomized Controlled Trial [NCT00204243]Phase 246 participants (Actual)Interventional2005-05-31Completed
Assessment of and Treatment Applied to Food Addiction to Encourage Self-Management of Obesity in a Rural Healthy Behaviors Clinic [NCT03431831]Phase 483 participants (Actual)Interventional2017-07-01Completed
Naltrexone and CBT for Problem-drinking MSM [NCT00444418]Phase 3200 participants (Actual)Interventional2006-04-30Completed
A Multi-site Study to Disseminate and Evaluate Pharmacotherapy for Alcohol Dependence in Convicted Drinking Drivers [NCT01638377]Phase 42 participants (Actual)Interventional2012-08-31Terminated(stopped due to Recruitment proved to be extremely difficult.)
Science-Based Treatment for Opioid-Dependent Adolescents [NCT00182572]Phase 280 participants (Anticipated)Interventional2005-07-31Recruiting
A Randomized, Double-Blind, Multiple-Dose, Parallel Group Study to Evaluate the Potential of Withdrawal Effects Following Administration of Oxycodone/Naltrexone Capsules and Oxycodone in Methadone-Maintained Opioid-Dependent Subjects [NCT02391571]Phase 326 participants (Actual)Interventional2015-02-28Completed
Naltrexone Treatment for Alcoholism: Predicting Outcome [NCT00000438]Phase 4192 participants InterventionalCompleted
Nalmefene Maintenance Treatment of Alcoholism [NCT00000450]Phase 4159 participants (Actual)Interventional1997-04-10Completed
Feasibility, Mechanism of Action and Potential Side Effects of Extended Release Depot Naltrexone in Opioid Dependent Patients [NCT01471145]Phase 440 participants (Anticipated)Interventional2013-01-31Completed
Injectable Versus Oral Naltrexone Treatment of Alcohol Dependence In Serious Mental Illness (SMI): A Pilot Study [NCT00453804]Phase 415 participants Interventional2006-07-31Completed
An Open-Label, Multi-Center Study to Evaluate the Long-Term Safety of Medisorb® Naltrexone [NCT00156936]Phase 3108 participants (Actual)Interventional2004-08-31Terminated(stopped due to Business decision)
Posttreatment Effects of Naltrexone [NCT00523133]Phase 2185 participants (Actual)Interventional2000-09-30Completed
An Open Label Evaluation of the Dose Proportionality of Dilaudid SR (OROS� Hydromorphone HCL) Tablets 8mg, 16mg, 32mg, and 64mg [NCT00398957]Phase 132 participants (Actual)InterventionalCompleted
Place of Low-Dose Naltrexone in Opiate Detoxification [NCT00135759]Phase 2174 participants (Actual)Interventional2005-04-30Completed
Randomized, Placebo-Controlled Trial of Extended-Release Naltrexone and Monthly Extended-Release Buprenorphine for Cocaine Use Disorder (CURB-2) [NCT05262270]Phase 2426 participants (Anticipated)Interventional2023-04-18Recruiting
Pilot Study of Opioid-receptor Antagonists to Reduce Pain and Inflammation Among HIV-Infected Persons With Alcohol Problems [NCT03278886]Phase 1/Phase 211 participants (Actual)Interventional2018-07-03Completed
Sertraline for Alcohol Dependence and Depression [NCT00004554]Phase 4171 participants (Actual)Interventional2000-01-31Completed
Targeted Naltrexone for Problem Drinkers [NCT00369408]Phase 4163 participants (Actual)Interventional2003-06-30Completed
An Investigation of the Effects of Opioid Receptor Blockade on Changes in Self-esteem and Attentional Bias Toward Social Cues [NCT04757506]35 participants (Actual)Interventional2012-07-09Completed
Behavioral and Biochemical Mechanisms of Self-Injury [NCT00065936]Phase 337 participants Interventional1997-07-31Active, not recruiting
Eating Disorder Individualized Therapeutics-Naltrexone Neuroimaging (EDIT-N2) [NCT04935931]Early Phase 113 participants (Actual)Interventional2021-07-16Completed
Evaluation of the Efficacy of the Opioid Antagonist Naltrexone on the Incidence and Intensity of Flashbacks and Dissociative States in Patients With Borderline Personality Disorder [NCT00124839]Phase 348 participants (Anticipated)Interventional2005-10-31Terminated(stopped due to Difficulties in recruiting enough subjects)
Phase II Randomized, Double-Blind Trial of Bupropion Versus Bupropion + Naltrexone for Smoking Cessation [NCT00419731]Phase 2/Phase 3120 participants (Anticipated)Interventional2006-11-30Recruiting
Effects of Naltrexone on Nocturnal Breathing Patterns at Altitude [NCT05037032]Phase 416 participants (Actual)Interventional2021-08-08Completed
A Double-Blind, Placebo-Controlled Study of Naltrexone in Kleptomania [NCT00332579]Phase 225 participants (Actual)Interventional2006-05-01Completed
Two Medications, Disulfiram and Naltrexone, in the Treatment of Patients With Both Cocaine and Alcohol Dependence [NCT00142844]Phase 2208 participants (Actual)Interventional1999-09-30Completed
Targeted Naltrexone for Early Problem Drinkers [NCT00000455]Phase 4160 participants InterventionalCompleted
Study of the Effect of Naltrexone on Cerebral Blood Flow and Hypoglycemia in Type 1 Diabetes Mellitus [NCT01053078]Phase 1/Phase 229 participants (Actual)Interventional2009-10-31Completed
A Randomized, Single-Dose Opiate Challenge Study of Medisorb® Naltrexone in Opioid-Using Adults [NCT01218984]Phase 227 participants (Actual)Interventional2002-03-31Completed
A Double-Blind Placebo-Controlled Evaluation of Effectiveness of Oral Naltrexone in Management of Adolescent Eating Disorders [NCT05073679]Phase 2/Phase 360 participants (Anticipated)Interventional2022-04-22Enrolling by invitation
Naltrexone for Bipolar Disorder and Alcohol Dependence [NCT00223275]Phase 450 participants (Anticipated)Interventional2005-05-31Completed
Opiate Dependence: Combined Naltrexone/Behavior Therapy [NCT00238914]Phase 212 participants (Actual)Interventional1999-08-31Completed
A Phase II Single Arm Adaptive Weight Loss Study in Women With Early Stage Breast Cancer [NCT04499950]Phase 255 participants (Actual)Interventional2021-02-08Active, not recruiting
Study Behavioral Naltrexone Therapy: A Novel Treatment for Heroin Dependence [NCT00332228]Phase 2125 participants (Actual)Interventional2002-06-30Completed
Comparing Treatments for HIV-Infected Opioid and Alcohol Users in an Integrated Care Effectiveness Study [NCT01908062]Phase 351 participants (Actual)Interventional2014-06-30Completed
A Double-Blind, Placebo-Controlled Study of Naltrexone in Pyromania [NCT00467454]Phase 20 participants (Actual)Interventional2007-06-30Withdrawn(stopped due to Funding allocation to different clinical trials.)
Testing the Effectiveness of Low Dose Naltrexone for Smoking Cessation and Minimization of Post-cessation Weight Gain [NCT00105482]Phase 2172 participants (Actual)Interventional2005-01-31Completed
Naltrexone Naltrexone Implants as an Aid in Preventing Relapse Following Inpatient Treatment for Opioid Addiction - a Randomised Study [NCT00521157]Phase 2/Phase 356 participants (Actual)Interventional2006-01-31Completed
[NCT00000452]Phase 4240 participants InterventionalCompleted
Naltrexone for Opioid Dependent Released Human Immunodeficiency Virus Positive (HIV+) Criminal Justice Populations [NCT01246401]Phase 1/Phase 2151 participants (Actual)Interventional2011-03-31Completed
Post-Treatment Effects of Naltrexone [NCT00006449]Phase 4160 participants Interventional2000-09-30Completed
A Double-Blind Placebo-Controlled Study of Methylnaltrexone (MNTX) for the Relief of Constipation Due to Chronic Opioid Therapy in Patients With Advanced Medical Illness [NCT00401362]Phase 3154 participants (Actual)Interventional2003-02-28Completed
The Role of Pharmacotherapy in Prevention of Relapse in Alcohol Dependence [NCT00120601]Phase 4200 participants Interventional2003-03-31Active, not recruiting
[NCT00027079]Phase 2360 participants Interventional2001-09-30Completed
Naltrexone and Nicotine Replacement Effects on Cue Reactivity of Smokers [NCT00018213]0 participants Interventional1998-04-30Completed
HIV Risk Reduction and Drug Abuse Treatment in Iran [NCT00398008]Phase 20 participants (Actual)Interventional2004-10-31Withdrawn(stopped due to Study was never able to start in IRAN)
The Use of Naltrexone Hydrochloride to Promote Healing in Patients With Resistant Non-infectious Corneal Ulcer [NCT05924893]50 participants (Actual)Interventional2021-01-01Completed
Lemborexant Augmentation of Naltrexone for Alcohol Craving and Sleep: A Randomized, Double-Blind, Placebo- Controlled Study [NCT05458609]Phase 314 participants (Anticipated)Interventional2023-02-09Enrolling by invitation
Heroin Addiction Treatment: Naltrexone and Adrenergic Agents [NCT00142948]Phase 2301 participants (Actual)Interventional2006-02-28Completed
The Treatment of Late Life Major Depression Complication by Alcohol [NCT00018824]Phase 474 participants (Actual)Interventional1999-10-31Completed
Combined Treatment for Cocaine-Alcohol Dependence [NCT00218569]Phase 287 participants (Actual)Interventional2003-04-30Completed
Effects of Alpha-2 Adrenergic and Opiate Receptor Blockade on Sexual Function in Healthy Male Volunteers [NCT00042536]40 participants Observational2002-07-31Completed
Pharmacogenetic Response to Naltrexone for Alcohol Dependence [NCT00831272]Phase 4221 participants (Actual)Interventional2009-01-05Completed
Screening Medications for Cocaine Cessation and Relapse Prevention [NCT00218023]Phase 2101 participants (Actual)Interventional2006-03-31Completed
Opioid Antagonism Enhances Marijuana's Effects in Heavy Marijuana Smokers [NCT00403117]Phase 249 participants (Actual)Interventional2006-12-31Completed
The Effects of Low Dose Naltrexone (LDN) on Diseases of Aging - A Retrospective Cross-sectional Study Into Off-label Use of LDN [NCT05307627]2,500 participants (Anticipated)Observational2022-03-14Suspended(stopped due to Technological barriers are affecting the participant response experience.)
Efficacy and Safety of VIVITROL® in Adults Completing Inpatient Treatment for Alcohol Dependence [NCT00501631]Phase 3300 participants (Actual)Interventional2007-07-31Completed
Effects of Mediterranean Diet and Naltrexone/Bupropion Treatment on Body Weight and Metabolic Risk Factors in Obese Breast Cancer Patients After Breast Cancer Treatment [NCT03581630]72 participants (Actual)Interventional2017-07-29Completed
Employment-Based Depot Naltrexone Clinical Trial II [NCT00684775]Phase 238 participants (Actual)Interventional2008-05-31Completed
Control of Cognition: Naltrexone, Methylphenidate, and ADHD Study [NCT01993108]Phase 423 participants (Actual)Interventional2013-10-31Completed
CTN-0054 Accelerated Development of Additive Pharmacotherapy Treatment (ADAPT) for Methamphetamine Use Disorder [NCT01982643]Phase 1/Phase 249 participants (Actual)Interventional2013-11-30Completed
The ION+EMI Study: Intermittent Oral Naltrexone Enhanced With an Ecological Momentary Intervention for Methamphetamine-using MSM [NCT04791969]Phase 254 participants (Anticipated)Interventional2021-12-14Recruiting
Addiction Treatment in Russia: Oral and Depot Naltrexone [NCT00218426]Phase 2/Phase 3306 participants (Actual)Interventional2006-07-31Completed
Low Dose Naltrexone for Metastatic Melanoma, Castrate Resistant Prostate Cancer and Renal Cancer: A Phase II Brown University Oncology Group Research Project [NCT01650350]Phase 27 participants (Actual)Interventional2012-11-30Terminated(stopped due to Study stopped 10/24/13 secondary to lack of patients/slow enrollment)
Pharmacological and Behavioral Treatments to Treat Loss-of-Control Eating and Improve Weight Outcomes After Bariatric Surgery: Maintenance Treatment (Stage 2a) [NCT04605081]Phase 2/Phase 3100 participants (Anticipated)Interventional2022-01-10Enrolling by invitation
Pharmacological and Behavioral Treatments to Treat Loss-of-Control Eating and Improve Weight Outcomes After Bariatric Surgery: Acute (Stage 1) [NCT04599478]Phase 2/Phase 3160 participants (Anticipated)Interventional2021-06-29Recruiting
Pharmacotherapeutic Intervention to Improve Treatment Engagement Among Alcohol-dependent Veterans After Hospital Discharge [NCT01856712]Phase 354 participants (Actual)Interventional2013-05-31Completed
Long-acting Naltrexone for Pre-release Prisoners: A Randomized Trial of Mobile Treatment [NCT02867124]Phase 3240 participants (Anticipated)Interventional2017-01-31Recruiting
Linking Infectious and Narcology Care-Part II [NCT03290391]Phase 4225 participants (Actual)Interventional2018-09-19Completed
Naltrexone Implants as an Aid in Preventing Relapse Following Inpatient Treatment for Opioid Addiction. [NCT00269607]Phase 2/Phase 312 participants (Actual)Interventional2005-05-31Terminated(stopped due to Recruitment difficulties. Reframed as pilot study)
Testing the Reward-Drinker Hypothesis of Naltrexone Using an Extended-Release Formulation [NCT05028062]Phase 460 participants (Anticipated)Interventional2022-03-07Recruiting
A Bioequivalence Study Comparing Vivitrol and O'Neil Long Acting Naltrexone Implant (OLANI) in Healthy Participants [NCT04716881]Phase 19 participants (Actual)Interventional2021-01-25Completed
Individually Adapted Therapy of Alcoholism: Clinical Studies [NCT00317031]Phase 4435 participants (Actual)Interventional2002-11-30Completed
Randomized Double-Blind Trial of Low-Dose Naltrexone for Children With PDD [NCT00318162]Phase 1/Phase 250 participants (Anticipated)InterventionalNot yet recruiting
Treatment Strategy for Alcohol Use Disorders in Veterans With TBI [NCT01342549]Phase 362 participants (Actual)Interventional2011-09-30Completed
Depot Pharmacotherapies for Opioid-Dependent Offenders: Outcomes and Costs [NCT02110264]Phase 3151 participants (Actual)Interventional2015-06-30Completed
A Double-Blind Comparison of Naltrexone and Placebo in Adults With Attention Deficit Hyperactivity Disorder [NCT01721330]Phase 43 participants (Actual)Interventional2012-11-30Terminated(stopped due to Competing studies)
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Phase 4 Study to Assess the Effect of Naltrexone Hydrochloride and Bupropion Hydrochloride Extended Release Combination on the Occurrence of Major Adverse Cardiovascular Events in Overweight and [NCT02638129]Phase 467 participants (Actual)Interventional2016-01-31Terminated
Neural Correlates of Food Reward in Native American Women [NCT01623440]69 participants (Actual)Observational2009-11-30Completed
Sertraline and Naltrexone for Alcohol Dependents [NCT00000440]Phase 2124 participants InterventionalCompleted
Low Dose Naltrexone (LDN) for the Treatment of Chronic Neuropathic Pain in Patients With Human Immunodeficiency Virus (HIV), a Prospective, Pragmatic, Open Label Clinical Trial [NCT05537935]Phase 460 participants (Anticipated)Interventional2023-04-28Suspended(stopped due to Recruitment has been temporarily paused for IRB review)
A Multi-center, Randomized, Double-blind, Placebo Controlled Phase III Study to Assess the Efficacy, Safety, and Tolerability of PXT3003 in Charcot-Marie-Tooth Type 1A (CMT1A) [NCT04762758]Phase 3350 participants (Anticipated)Interventional2021-03-30Active, not recruiting
Pharmacotherapy for Hazardous Drinking in HIV Infected Women: Randomized Trial [NCT01245647]Phase 219 participants (Actual)Interventional2010-11-30Completed
Medication Development in Protracted Abstinence in Alcoholism: Acamprosate Versus Naltrexone [NCT00656630]Phase 268 participants (Actual)Interventional2007-12-31Completed
Methylnaltrexone Versus Naloxegol in the Treatment of Opioid-Induced Constipation in the Emergency Department [NCT03523520]Phase 415 participants (Actual)Interventional2020-12-23Completed
Prevention of Relapse to Opioid Addiction Using Depot Naltrexone [NCT00781898]Phase 2/Phase 3308 participants (Actual)Interventional2008-06-30Completed
A Multicenter Double-Blind Extension of Alkermes Study ALK21-003 to Evaluate the Long-Term Safety of Medisorb® Naltrexone [NCT01218971]Phase 3332 participants (Actual)Interventional2002-08-31Completed
A Phase II, Randomized, Double-Blind Pilot Trial of VIVITROL® (Naltrexone for Extended-Release Injectable Suspension) for the Treatment of Cocaine and Alcohol Dependence [NCT00777062]Phase 280 participants (Actual)Interventional2009-07-31Completed
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
An Open-Label Study of Naltrexone in Adults With Attention Deficit Hyperactivity Disorder. [NCT01873729]Phase 43 participants (Actual)Interventional2013-11-30Completed
A Randomized, Double-blind, Placebo-controlled, Crossover Study to Evaluate the Influence of the A118G Polymorphism in the mu Opioid Receptor Gene (OPRM1) on Effects of GSK1521498 and Naltrexone on Physiological and Behavioural Markers of Brain Function i [NCT01738867]Phase 156 participants (Actual)Interventional2012-12-12Completed
Pharmacokinetic Characterization of the Active, Separated System With PK Controller (Fentanyl Iontophoretic Transdermal System, 40 Mcg Fentanyl Per Activation). [NCT01750060]Phase 154 participants (Actual)Interventional2012-12-31Completed
The Mechanism of Human Non-Shivering Thermogenesis and Basal Metabolic Rate [NCT01950520]Phase 2134 participants (Anticipated)Interventional2014-02-07Recruiting
Kappa Opioid Receptor Antagonism for the Treatment of Alcohol Use Disorder (AUD) and Comorbid Post-Traumatic Stress Disorder (PTSD) [NCT03852628]Phase 269 participants (Actual)Interventional2019-05-20Terminated(stopped due to Futility analysis)
A Single-dose Crossover Study of Fentanyl Sublingual Spray 400 Mcg Versus Actiq® 400 Mcg Versus Fentanyl Citrate Injection (iv) 100 Mcg Under Fasted Conditions [NCT01780233]Phase 140 participants (Actual)Interventional2007-04-30Completed
Low Dose Naltrexone in Symptomatic Inflammatory Bowel Disease [NCT01810185]Phase 20 participants (Actual)Interventional2013-03-31Withdrawn(stopped due to Low patient enrollment)
A Randomized, Single-Dose, Placebo-Controlled, Double-Blind, 3-Way Crossover Study to Determine the Relative Abuse Potential of Intravenous Oxycodone Hydrochloride Alone or in Combination With Intravenous Naltrexone Hydrochloride in Opioid Experienced Non [NCT01825447]Phase 189 participants (Actual)Interventional2013-07-31Completed
Oral v. Injection Naltrexone in Hospital: Comparative Effectiveness for Alcoholism [NCT02478489]Phase 4248 participants (Actual)Interventional2016-06-30Completed
A Phase I Study to Evaluate the Safety of Naltrexone and Propranolol in Combination With Standard of Care Ipilimumab and Nivolumab in Patients With Advanced Melanoma [NCT05968690]Phase 112 participants (Anticipated)Interventional2023-09-11Recruiting
Combining Varenicline and Naltrexone for Smoking Cessation and Drinking Reduction [NCT02698215]Phase 2165 participants (Actual)Interventional2016-05-31Completed
Randomized, Proof-Of-Concept Trial of Augmentation of Antidepressants by Low Dose Naltrexone (LDN) for Patients With Breakthrough Symptoms of Major Depressive Disorder on Antidepressant Therapy [NCT01874951]Phase 212 participants (Actual)Interventional2013-06-30Completed
NIDA (National Institute on Drug Abuse) CTN (Clinical Trials Network) Protocol 0068: Accelerated Development of Additive Pharmacotherapy Treatment (ADAPT-2) for Methamphetamine Use Disorder [NCT03078075]Phase 3403 participants (Actual)Interventional2017-05-05Completed
A Comparative Effectiveness Trial of Extended Release Naltrexone Versus Extended Release Buprenorphine With Individuals Leaving Jail [NCT04408313]Phase 2/Phase 3240 participants (Anticipated)Interventional2020-10-28Recruiting
CTN-0051: Extended-Release Naltrexone vs. Buprenorphine for Opioid Treatment [NCT02032433]Phase 4570 participants (Actual)Interventional2014-01-29Completed
[NCT01895036]Phase 1/Phase 26 participants (Actual)Interventional2011-02-28Completed
Naltrexone and Varenicline: Weight Gain and Tolerability in Smokers [NCT00502216]Phase 1/Phase 240 participants (Actual)Interventional2007-07-31Completed
Neurobiology of Opioid Dependence: 4 [NCT00000195]Phase 20 participants (Actual)Interventional1993-01-31Withdrawn
Emergency Department Initiated Oral Naltrexone for Patients With Moderate to Severe Alcohol Use Disorder: A Pilot Feasibility Study [NCT04817410]Phase 121 participants (Actual)Interventional2021-09-28Completed
Behavioral/Pharmacological Treatments for Alcohol-Nicotine Dependence [NCT00000447]Phase 4200 participants Interventional1998-09-30Completed
Feasibility of Emergency Department Initiated Extended-Release Naltrexone and Case Management Services for the Treatment of Alcohol Use Disorder [NCT04094584]Phase 4179 participants (Actual)Interventional2020-08-14Terminated(stopped due to 12 month follow up data not collected due to pandemic disruptions)
Extended-Release Naltrexone (XR-NTX, VIVITROL) for the Treatment of Actively-Using Methamphetamine-Dependent Men Who Have Sex With Men [NCT01449565]Phase 2100 participants (Actual)Interventional2012-09-30Completed
An Open-Label, Single-Dose, Randomized, Three-Way Crossover Study in Healthy Volunteers to Estimate the Effects of Food and of Sprinkling ALO-02 Pellets on Applesauce on the Bioavailability of Oxycodone and Naltrexone/6- Β -Naltrexol From a Extended Relea [NCT01456507]Phase 124 participants (Actual)Interventional2011-10-31Completed
A Randomized, Open Label, Long-Term, Multi-Center Study of the Safety of Medisorb® Naltrexone [NCT01218997]Phase 3436 participants (Actual)Interventional2003-08-31Completed
Neurobiology of Opioid Dependence: 5 [NCT00000196]Phase 20 participants (Actual)Interventional1993-01-31Withdrawn
Etiology and Treatment of Alcohol Dependence [NCT00000442]Phase 457 participants InterventionalCompleted
Naltrexone: Consummatory Behaviors in Alcoholic Women [NCT00000448]Phase 4160 participants (Actual)Interventional1995-10-31Completed
Randomized, Double-blind, Placebo-controlled Study of Naltrexone for Impulse Control Disorders in Parkinson's Disease [NCT01052831]Phase 450 participants (Actual)Interventional2009-11-30Completed
N-acetylcysteine Plus Naltrexone for the Treatment of Alcohol Dependence [NCT01214083]Phase 2111 participants (Actual)Interventional2010-10-15Completed
Oxytocin and Naltrexone: Investigation of Combined Effects on Stress- and Alcohol Cue-induced Craving in Alcohol Use Disorder - a Randomized Double-blind Placebo-controlled Parallel-group Trial [NCT05093296]Phase 2/Phase 362 participants (Anticipated)Interventional2021-12-02Recruiting
A Clinical Trial to Assess a Single Dose of Low-Dose Naltrexone and Acetaminophen Combination and Its Components in the Acute Treatment of Migraine [NCT03061734]Phase 292 participants (Actual)Interventional2017-02-18Completed
A Double-Blind Study of N-Acetyl Cysteine Plus Naltrexone in the Treatment of Methamphetamine Dependence [NCT00332605]Phase 245 participants (Actual)Interventional2006-06-30Completed
Evaluation of NMDA Antagonist for Opiate Dependence [NCT00125515]Phase 281 participants (Actual)Interventional2005-06-30Completed
A Multi-Center Extension of Alkermes' Study ALK21-003-EXT (NCT01218971) to Evaluate the Long-Term Safety of Medisorb® Naltrexone [NCT00156923]Phase 3108 participants (Actual)Interventional2003-10-31Completed
Treatment With Naltrexone/Buprpion (Mysimba) to Optimize Weight Outcomes After Bariatric Surgery [NCT04399395]Phase 40 participants (Actual)Interventional2020-11-01Withdrawn(stopped due to Covid-pandemic)
Defining an Endophenotype for Alcohol Misuse: A Focus On Minority Populations [NCT00256451]Phase 443 participants (Actual)Interventional2005-11-30Completed
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
Individualized Pharmacological Approach to Obesity Management: A Randomized Clinical Trial [NCT03374956]Phase 3193 participants (Actual)Interventional2017-12-11Completed
Neuropharmacological Basis of Social Connection: The Role of Opioids [NCT01672723]34 participants (Actual)Interventional2012-10-31Completed
Novel Interventions for Alcohol Dependent Frequent Emergency Department Users: Phase IV, Randomized, Open-label, Non-placebo-controlled Study of Extended-release Naltrexone and Care Management on Healthcare Use, Drinking, & Quality of Life [NCT02445339]Phase 450 participants (Actual)Interventional2015-07-31Completed
Comparing Medication Maintenance in Comprehensive Community and Pharmacy Settings to Enhance Engagement [NCT04139213]Phase 2/Phase 3250 participants (Anticipated)Interventional2019-07-25Active, not recruiting
Low Dose Naltrexone for Chronic Pain in Osteoarthritis and Inflammatory Arthritis [NCT03008590]Phase 229 participants (Actual)Interventional2018-05-01Completed
A Phase 1, Randomized, Open-Label, Exploratory, Parallel, Pharmacokinetic Single Dose Study of IVL3004 Versus Vivitrol® (Naltrexone) LAI in Healthy Subjects [NCT05620940]Phase 130 participants (Anticipated)Interventional2023-10-01Not yet recruiting
Behavioral and Pharmacologic Treatment of Binge Eating and Obesity [NCT03047005]Phase 2/Phase 368 participants (Actual)Interventional2017-08-28Completed
An Open-label, Single-dose and Multiple-dose, Randomized, Crossover Study to Evaluate Pharmacokinetics, Safety and Tolerability After Administration of ALO-02 40 Mg Twice Daily Compared to ALO-02 80 Mg Once Daily and to Oxycontin 40 Mg Twice Daily in Heal [NCT01557257]Phase 113 participants (Actual)Interventional2012-03-31Completed
Effects of Low Dose Naltrexone on Quality of Life in High Grade Glioma Patients: A Placebo-Controlled, Double-Blind Randomized Trial [NCT01303835]Phase 2110 participants (Actual)Interventional2011-05-31Completed
Effects of 500 mg Immediate Release and Extended Release Methylnaltrexone on Loperamide-induced Delay of the Oro-cecal and Whole-gut Transit Time in Healthy Subjects [NCT01596777]Phase 115 participants (Actual)Interventional2010-01-31Completed
A Phase II, Double-blind, Placebo-Controlled, Pilot Trial of the Combination of Modafinil and Naltrexone for the Treatment of Cocaine and Alcohol Dependence [NCT00142818]Phase 2164 participants (Actual)Interventional2006-02-28Completed
Assessment of the Effect of Naltrexone on Lofexidine Single Dose Pharmacokinetics in Healthy Subjects [NCT02446002]Phase 125 participants (Actual)Interventional2015-05-31Completed
A Phase 3, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study of the Efficacy and Safety of Medisorb® Naltrexone in Alcohol-Dependent Adults [NCT01218958]Phase 3624 participants (Actual)Interventional2002-02-28Completed
A Randomized, Double-Blind, Placebo-Controlled Trial of Naltrexone in the Treatment of Concurrent Alcohol Dependence and Pathological Gambling [NCT00326807]50 participants Interventional2001-06-30Completed
Sweet Preference and Alcohol Craving Predict Naltrexone Response in Alcoholism [NCT01296646]Phase 280 participants (Actual)Interventional2010-01-31Completed
Investigating Glutamate and Opioid Mechanisms of Antidepressant Response to Ketamine [NCT04977674]Early Phase 127 participants (Actual)Interventional2021-09-27Completed
Naltrexone as an Adjunct in Alcoholic Cocaine Dependent Patients [NCT00000307]Phase 20 participants Interventional2003-04-30Completed
Effectiveness of Naltrexone in a Community Setting [NCT00000445]Phase 4300 participants InterventionalCompleted
Naltrexone and SSRI Therapy for Alcohol Dependence in Alaska Natives [NCT00000451]Phase 2198 participants (Actual)Interventional2003-01-31Completed
A Phase 3 Efficacy and Safety Study of ALKS 5461 for the Adjunctive Treatment of Major Depressive Disorder (the FORWARD-4 Study) [NCT02158533]Phase 3385 participants (Actual)Interventional2014-05-31Completed
Risky Decision Making in Methamphetamine Users: The Role of Opioid Blockade [NCT01822132]76 participants (Actual)Interventional2013-05-31Completed
Pharmacotherapy for Alcohol Consumption in HIV Infected Women: Randomized Trial [NCT01625091]Phase 3194 participants (Actual)Interventional2012-12-31Completed
Nalmefene in Nicotine and Alcohol Dependence [NCT00000437]Phase 460 participants (Actual)Interventional1997-09-26Completed
Coping, Exposure, and Naltrexone Treatment With Alcoholics [NCT00000449]Phase 4160 participants InterventionalCompleted
HIV Risk Reduction and Drug Abuse Treatment in Malaysia [NCT00383045]Phase 2180 participants Interventional2003-04-30Completed
A Feasibility Assessment of a Decentralized Platform Adaptive Double-Blind, Randomized Controlled Trial Investigating Repurposed Drugs in the Treatment of Post-Acute Sequelae of Coronavirus-19 (PASC) [NCT05946551]Phase 336 participants (Anticipated)Interventional2024-01-31Not yet recruiting
Phase 2, Multicenter, Randomized, Double Blind, Placebo Controlled Study of Combination Therapy for Safety and Efficacy in Subjects With Uncomplicated Obesity [NCT00364871]Phase 2410 participants (Actual)Interventional2005-04-30Completed
NIDA-CTN-0100: Optimizing Retention, Duration and Discontinuation Strategies for Opioid Use Disorder Pharmacotherapy (RDD) [NCT04464980]Phase 22,190 participants (Anticipated)Interventional2021-06-08Recruiting
A Pilot Trial of Naltrexone-Bupropion Combination Versus Placebo Combined With Bupropion for Weight Loss in Comorbid Schizophrenia [NCT03132571]Phase 25 participants (Actual)Interventional2017-06-01Terminated(stopped due to Study discontinued due to funding.)
Alcohol Pharmacotherapy for HIV+ Prisoners With Alcohol Dependence and Problem Drinking [NCT01077310]100 participants (Actual)Interventional2010-08-31Completed
Optimizing Pharmacotherapy for Bipolar Alcoholics [NCT00302133]Phase 1/Phase 288 participants (Actual)Interventional2006-05-31Completed
Phase II Study of Naltrexone for the Treatment of Hormone-Refractory, Metastatic Breast Cancer [NCT00379197]Phase 213 participants (Actual)Interventional2006-07-31Terminated(stopped due to slow accrual)
Randomized, Double-Blind, Study to Assess Low-Dose Naltrexone and Acetaminophen Combination in the Prevention of Episodic Migraine in Adults [NCT03194555]Phase 212 participants (Actual)Interventional2017-08-25Completed
An Open-label Study To Evaluate The Pharmacokinetics And Safety Of Alo-02 (Oxycodone Hydrochloride And Naltrexone Hydrochloride) Extended-release Capsules In Children And Adolescents 7-17 Years Of Age Who Require Opioid Analgesia [NCT02680847]Phase 432 participants (Actual)Interventional2016-01-21Terminated(stopped due to The trial was terminated on 08FEB2018. Pfizer has decided to withdraw the New Drug Application and has notified FDA. There are no efficacy or safety concerns.)
Randomized, Double-Blind, and Placebo-Controlled Study to Assess a Single Dose of Low-Dose Naltrexone and Acetaminophen Combination Versus Sumatriptan in the Acute Treatment of Migraine With Nausea [NCT03185143]Phase 2/Phase 336 participants (Actual)Interventional2017-06-27Completed
Low Dose Naltrexone (LDN) Immune Monitoring [NCT02107014]9 participants (Actual)Interventional2014-03-31Completed
Participant(s) With Autism and High Pain Tolerance Treated With High Dose Naltrexone [NCT05100563]1 participants (Actual)Observational2018-10-01Completed
Behavioral and Pharmacological Treatments to Enhance Weight Outcomes After Metabolic and Bariatric Surgery [NCT05157698]Phase 2/Phase 3160 participants (Anticipated)Interventional2022-01-13Recruiting
A Randomized, Triple-blind, Placebo- and Positive-Controlled, Parallel Group Study of the Effect of Buprenorphine Delivered by the Buprenorphine Transdermal System (BTDS) at Doses up to 80 mcg/Hour and Naltrexone on ECG Intervals in Healthy Adult Subjects [NCT01999114]Phase 1328 participants (Actual)Interventional2012-03-31Completed
Say When: Targeting Heavy Alcohol Use With Naltrexone Among MSM [NCT02330419]Phase 2120 participants (Actual)Interventional2015-04-30Completed
A Multicenter, 12-month, Open-label, Single-arm, Safety Study Of Oxycodone Hydrochloride And Naltrexone Hydrochloride Extended-release Capsules In Subjects With Moderate To Severe Chronic Noncancer Pain [NCT01428583]Phase 3395 participants (Actual)Interventional2010-12-31Completed
A Multi-center, Randomized, Multiple-dose, Double-blind, Placebo-controlled, Parallel Group, Phase 3 Study to Evaluate the Efficacy and Safety of Abuse-deterrent Capsules Oxycodone Hydrochloride Plus Naltrexone Hydrochloride (a) or Oxycodone Hydrochloride [NCT02401750]Phase 3163 participants (Actual)Interventional2015-06-30Completed
Naltrexone for Antipsychotic-Induced Weight Gain [NCT01866098]144 participants (Actual)Interventional2013-05-31Completed
Optimizing Naltrexone for Individuals of East Asian Descent [NCT02026011]Phase 287 participants (Actual)Interventional2013-12-31Completed
A Phase 2, Randomized, Multicenter, Safety, Tolerability, and Dose-Ranging Study of Samidorphan, a Component of ALKS 3831, in Adults With Schizophrenia Treated With Olanzapine [NCT01903837]Phase 2347 participants (Actual)Interventional2013-06-30Completed
The Immune Effects of Low-dose Naltrexone in People With Myalgic Encephalopathy/Chronic Fatigue Syndrome (ME/CFS) [NCT02965768]0 participants (Actual)Interventional2016-01-31Withdrawn(stopped due to Study was temporarily suspended to focus on other projects, but was never resumed. No participants were determined eligible and none started the protocol.)
Improving Treatment Outcomes for Prescription Opioid Dependence [NCT02543944]Phase 2/Phase 3117 participants (Actual)Interventional2016-02-29Completed
Treatment of Binge Eating Disorder in Obesity: Naltrexone/ Bupropion Combination Versus Placebo [NCT02317744]22 participants (Actual)Interventional2014-12-31Completed
The Effect of Opiate Blockade With Naltrexone on Counterregulatory Mechanisms in Hypoglycemia [NCT01462227]17 participants (Actual)Interventional2011-08-31Completed
Placebo Controlled Study of Memantine as an Adjunct to Naltrexone in the Treatment of Opioid Dependence [NCT00476242]Phase 2/Phase 382 participants (Actual)Interventional2008-06-30Completed
Alcohol Research Center Grant. Component #1: Naltrexone Effects on Alcohol Reactivity and Consumption, Evaluating the Genetic Variability of Naltrexone Response [NCT00366626]Phase 483 participants (Actual)Interventional2006-04-30Completed
Examining Mu Opioid Mechanisms of Ketamine's Rapid Effects in OCD (MKET2) [NCT05940324]Phase 2150 participants (Anticipated)Interventional2023-11-30Not yet recruiting
Efficacy and Safety of VIVITROL® (Naltrexone for Extended-release Injectable Suspension) in Adults With Opioid Dependence [NCT00678418]Phase 3250 participants (Actual)Interventional2008-06-30Completed
The Effect of Naltrexone and Varenicline on Alcohol-Mediated Smoking Lapse [NCT00773422]Phase 230 participants (Actual)Interventional2008-01-31Completed
A Randomized, Double-blind, Double-dummy, Placebo Controlled, Single-dose, 6-way Crossover Study To Determine The Relative Abuse Potential Of Alo-02 (Oxycodone Hydrochloride And Naltrexone Hydrochloride Extended-release Capsules) Compared To Oxycodone Imm [NCT01746901]Phase 181 participants (Actual)Interventional2013-02-28Completed
Randomized, Open-label Clinical Trial of Extended-Release vs. Oral Naltrexone for Alcohol Treatment in Primary Care. [NCT01893827]Phase 4237 participants (Actual)Interventional2014-06-30Completed
Effect of Methylnaltrexone on Gastrointestinal and Colonic Transit in Health [NCT01055704]Phase 448 participants (Actual)Interventional2009-11-30Completed
A Single-Center, Randomized, Double Masked, Placebo Controlled Clinical Study to Assess the Safety and Efficacy of Topical Naltrexone Ophthalmic Solution on the Signs and Symptoms of Dry Eye in Diabetic Subjects [NCT03660475]Phase 260 participants (Actual)Interventional2018-07-31Completed
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Phase 3 Efficacy Study of Kadian NT (Morphine Sulfate Plus Naltrexone Hydrochloride Extended-Release) Capsules in Subjects With Moderate to Severe Chronic Pain Due to Osteoarthritis of the Hip o [NCT00420992]Phase 3547 participants (Actual)Interventional2006-12-31Completed
The Separate and Combined Effects of Vivitrol and Opiate Abstinence Reinforcement in the Treatment of Opioid Dependence [NCT01556425]Phase 284 participants (Actual)Interventional2012-05-31Completed
Glutamate-opioid Interactions in Alcohol Drinking Behaviors [NCT01519063]Phase 275 participants (Actual)Interventional2012-01-31Completed
Extended-Release Naltrexone Opioid Treatment at Jail Re-Entry [NCT01999946]Phase 4217 participants (Actual)Interventional2014-06-27Completed
Cocaine Use Reduction With Buprenorphine (CURB) [NCT01402492]Phase 2/Phase 3302 participants (Actual)Interventional2011-09-30Completed
A Phase II Multi-Center Safety Study Examining the Use of the O'Neil Long Acting Naltrexone Implant (OLANI) in Opioid Dependent Persons Receiving Repeat Dosing [NCT05382091]Phase 2250 participants (Anticipated)Interventional2023-10-15Not yet recruiting
A Novel Human Laboratory Model for Screening Medications for Alcohol Use Disorder [NCT04249882]Phase 253 participants (Actual)Interventional2020-01-28Completed
[NCT01723384]Phase 230 participants (Actual)Interventional2013-05-31Completed
A Randomized, Double-blind, Placebo Controlled, Single-dose, 4-way Crossover Study To Determine The Relative Abuse Potential Of Alo-02 (Oxycodone Hydrochloride And Naltrexone Hydrochloride Extended Release Capsules) Compared To Oxycodone Immediate Release [NCT01775189]Phase 145 participants (Actual)Interventional2013-02-28Completed
Open-Label Study in Healthy Volunteers to Evaluate the Safety, Tolerability, and Pharmacokinetics of Switching From Oral Naltrexone HCL to DLP-160 (Naltrexone Implant) to Intramuscular Vivitrol® [NCT05304364]Phase 110 participants (Actual)Interventional2022-03-22Completed
Opioid-Induced Swallowing Dysfunction - The Impact of Bolus Volume: a Randomized, Double-Blind Study in Healthy Volunteers [NCT03283020]Phase 420 participants (Anticipated)Interventional2017-11-11Recruiting
Ketamine for The Rapid Treatment of Major Depression and Alcohol Use Disorder [NCT02461927]Phase 1/Phase 265 participants (Actual)Interventional2015-01-01Completed
A Phase 4, Pilot, Open-label Study of VIVITROL in the Prevention of Re-arrest and Re-incarceration [NCT01453374]Phase 427 participants (Actual)Interventional2011-01-31Completed
A Phase 1 Bioequivalence Study of Naltrexone SR/Bupropion SR Combination Trilayer Tablets From Two Manufacturers in Healthy Subjects [NCT02259179]Phase 180 participants (Actual)Interventional2014-09-30Completed
Naltrexone Randomized Controlled Trial for Treatment-Emergent Fatigue in Patients Receiving Radiation Therapy for Breast Cancer [NCT02137252]Phase 23 participants (Actual)Interventional2014-05-31Terminated(stopped due to no enough patients)
Effectiveness of Semaglutide 2.4 mg vs. Commercially Available Medications for Chronic Weight Management in Participants With Obesity in a Multi-employer Setting in The US - a Pragmatic Clinical Study [NCT05579249]Phase 4500 participants (Anticipated)Interventional2023-01-19Recruiting
The Effect of Regular Naltrexone Dosing on Disordered Gamblers: An Examination of Neural Activation, Gambling Urges, and Gambling Behaviour [NCT02537197]Phase 135 participants (Actual)Interventional2016-04-30Completed
Oral Low-Dose Naltrexone in the Treatment of Lichen Planopilaris and Frontal Fibrosing Alopecia; an Uncontrolled Open-label Prospective Study [NCT04409041]Phase 243 participants (Actual)Interventional2019-09-01Completed
Association of Low Doses of Naltrexone and Transcranial Direct Current Stimulation in Fibromyalgia: Randomized Clinical Trial, Blind, Controlled With Placebo [NCT04502251]Phase 2/Phase 392 participants (Actual)Interventional2018-08-01Completed
Bridging ED to Outpatient AUD Therapy With Naltrexone [NCT05228418]Phase 420 participants (Anticipated)Interventional2022-03-31Not yet recruiting
Kappa-PET Imaging and Naltrexone in Alcohol Drinking Behaviors [NCT01625611]Phase 159 participants (Actual)Interventional2011-02-28Completed
Health Services Research: Extended Release Naltrexone for Opioid-Dependent Youth [NCT01843023]Phase 4288 participants (Actual)Interventional2013-06-30Completed
Open-Label Pilot Study of Long-Acting Injectable Naltrexone Treatment for Cannabis Dependence [NCT02088177]Phase 1/Phase 212 participants (Actual)Interventional2014-10-31Completed
Brain Mechanisms of Cognitive Response to Pharmacotherapy in Opioid Use Disorder [NCT04454411]Phase 2200 participants (Anticipated)Interventional2025-02-01Not yet recruiting
Effect of Prazosin and Naltrexone on Personalized Script-Induced Alcohol Craving in Individuals With Alcohol Use Disorders With and Without Comorbid PTSD [NCT02322047]Phase 231 participants (Actual)Interventional2015-03-03Completed
A Multicenter, 12 Week, Double-blind, Placebo-controlled, Randomized Withdrawal Study To Determine The Efficacy And Safety Of Alo-02 (Oxycodone Hydrochloride And Naltrexone Hydrochloride) Extended-release Capsules In Subjects With Moderate To Severe Chron [NCT01571362]Phase 3410 participants (Actual)Interventional2012-06-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00006489 (3) [back to overview]Drinking Timeline Follow-back Interview (TFBI)
NCT00006489 (3) [back to overview]Penn Alcohol Cravings Scale
NCT00006489 (3) [back to overview]Posttraumatic Stress Disorder (PTSD) Symptom Scale - Interview (PSS-I-IV)
NCT00053677 (1) [back to overview]Yale-Brown Obsessive Compulsive Scale for Pathological Gambling (PG-YBOCS)
NCT00105482 (5) [back to overview]Cigarettes Smoked Per Day.
NCT00105482 (5) [back to overview]Point Prevalence Smoking Abstinence at 26 Weeks.
NCT00105482 (5) [back to overview]Point Prevalence Smoking Abstinence at 6 Weeks
NCT00105482 (5) [back to overview]Weight Gain at 26 Weeks.
NCT00105482 (5) [back to overview]Weight Gain at 6 Weeks.
NCT00115037 (2) [back to overview]Percentage of Heavy Drinking Days
NCT00115037 (2) [back to overview]Count of Responders and Non-responders in Phase 1
NCT00125515 (1) [back to overview]Retention in Treatment
NCT00129246 (4) [back to overview]Weight Gain
NCT00129246 (4) [back to overview]Weight Gain Abstinent Participants
NCT00129246 (4) [back to overview]Point Prevalence Abstinence
NCT00129246 (4) [back to overview]Smoking Cessation
NCT00142818 (2) [back to overview]Percent Days of Heavy Drinking (Measured by Timeline Follow Back Starting at Week Two Through Week 14
NCT00142818 (2) [back to overview]Cocaine Use (Measured by Timeline Follow Back and Urine Screen From Week 2-week 14)
NCT00156923 (1) [back to overview]Number of Participants Reporting at Least 1 Treatment-emergent Adverse Event (TEAE)
NCT00156936 (1) [back to overview]Number of Subjects Who Reported at Least 1 Treatment-emergent Adverse Event (TEAE) While on Study.
NCT00183196 (1) [back to overview]Time to Relapse to Drinking
NCT00218023 (2) [back to overview]Mean Percentage of Cocaine-positive Urines Over Course of 12 Week Treatment in Subgroup Achieving Abstinence at Baseline
NCT00218023 (2) [back to overview]Mean Percentage of Cocaine-positive Urines Over Course of 12 Week Treatment in Subgroup NOT Achieving Abstinence at Baseline
NCT00218426 (11) [back to overview]Cocaine Drug Use
NCT00218426 (11) [back to overview]Amphetamine Drug Use
NCT00218426 (11) [back to overview]Benzodiazepine Drug Use
NCT00218426 (11) [back to overview]Composite Score of Psychiatric Problems
NCT00218426 (11) [back to overview]Global Assessment Form (GAF)
NCT00218426 (11) [back to overview]HIV Risk (Baseline)
NCT00218426 (11) [back to overview]Marijuana Drug Use
NCT00218426 (11) [back to overview]Number of Subjects Who Dropped Out of Treatment
NCT00218426 (11) [back to overview]Positive Opioid Urine Test
NCT00218426 (11) [back to overview]Retention Without Relapse to Heroin Addiction (Measured at Month 6)
NCT00218426 (11) [back to overview]Use of Alcohol
NCT00256451 (5) [back to overview]Profile of Mood States - Vigor
NCT00256451 (5) [back to overview]Subjective High From Alcohol Scale
NCT00256451 (5) [back to overview]Profile of Mood States - Fatigue Scale
NCT00256451 (5) [back to overview]Biphasic Alcohol Effects Scale - Stimulation
NCT00256451 (5) [back to overview]Biphasic Alcohol Effects Scale - Sedation
NCT00270231 (1) [back to overview]Number of Nicotine Cigarette Choices Taken During the Cigarette Choice Procedure.
NCT00271024 (10) [back to overview]7-Day Point Prevalence Smoking Abstinence: 12 Weeks Post Quit-Date
NCT00271024 (10) [back to overview]7-Day Point Prevalence Smoking Abstinence: 4 Weeks Post Quit-Date
NCT00271024 (10) [back to overview]7-Day Point Prevalence Smoking Abstinence: 26 Weeks Post Quit-Date
NCT00271024 (10) [back to overview]7-Day Point Prevalence Smoking Abstinence: 52 Weeks Post Quit-Date
NCT00271024 (10) [back to overview]Prolonged Smoking Abstinence: 12 Weeks Post Quit-Date
NCT00271024 (10) [back to overview]Prolonged Smoking Abstinence: 4 Weeks Post Quit-Date
NCT00271024 (10) [back to overview]Weight Change at End of Treatment (Regardless of Quit Status)
NCT00271024 (10) [back to overview]Weight Change at End of Treatment (Smoking Abstinent Only)
NCT00271024 (10) [back to overview]Opioid Antagonist Reported Side Effects: 1-Week Post Quit Date
NCT00271024 (10) [back to overview]Opioid Antagonist Reported Side Effects: 4-Weeks Post Quit Date
NCT00302133 (2) [back to overview]Mean Number of Standard Drinks Per Drinking Day During the Last 4 Weeks of the Trial
NCT00302133 (2) [back to overview]% Subjects Abstinent
NCT00332579 (1) [back to overview]Yale Brown Obsessive Compulsive Scale Modified for Kleptomania (K-YBOCS)
NCT00332605 (1) [back to overview]Penn Craving Scale
NCT00338962 (4) [back to overview]Mean Number of Side Effects
NCT00338962 (4) [back to overview]Mean Self-report Weekly Craving Via Obsessive Compulsive Drinking Scale (OCDS)
NCT00338962 (4) [back to overview]Hamilton Depression Rating Scale (HAM-D)
NCT00338962 (4) [back to overview]Clinician-Administered PTSD Scale (CAPS)
NCT00366626 (2) [back to overview]Limited Access Alcohol Consumption Paradigm; Total Number of Drinks Consumed
NCT00366626 (2) [back to overview]"Natural Alcohol Consumption Period; Average Number of Drinks Per Day Consumed During the 5 Day Natural (Usual Environment) Drinking Observation Period"
NCT00379197 (2) [back to overview]Median Time to Event
NCT00379197 (2) [back to overview]Disease Response
NCT00403117 (3) [back to overview]Change in Mean Heart Rate as a Function of Marijuana Strength and Naltrexone Dose.
NCT00403117 (3) [back to overview]Change in Mean Psychomotor Task Performance as a Function of Marijuana Strength and Naltrexone Dose
NCT00403117 (3) [back to overview]Change in Mean Subjective Mood Scores as a Function of Marijuana Strength and Naltrexone Dose.
NCT00415597 (3) [back to overview]Subjects With Treatment Emergent Adverse Events
NCT00415597 (3) [back to overview]Mean Percent Change From Baseline to 52 Weeks in Brief Pain Inventory Score (BPI) of Average Pain
NCT00415597 (3) [back to overview]Mean Percent Change From Baseline to 12 Weeks in Brief Pain Inventory Score (BPI) of Average Pain
NCT00420992 (1) [back to overview]Mean Change From Randomization to 12 Weeks Following Randomization in Diary Brief Pain Inventory Score of Average Pain (Daily Scores of Average Pain Averaged Over 7 Days)
NCT00456521 (18) [back to overview]Change in IWQOL-Lite Total Scores
NCT00456521 (18) [back to overview]Change in Question 19 From 21-Item COE (Control of Eating) Questionnaire
NCT00456521 (18) [back to overview]Change in Systolic Blood Pressure
NCT00456521 (18) [back to overview]Change in Waist Circumference
NCT00456521 (18) [back to overview]Co-primary: Body Weight- Mean Percent Change
NCT00456521 (18) [back to overview]Co-primary: Body Weight- Proportion of Subjects With ≥5% Decrease
NCT00456521 (18) [back to overview]Body Weight- Proportion of Subjects With ≥10% Decrease
NCT00456521 (18) [back to overview]Change in Diastolic Blood Pressure
NCT00456521 (18) [back to overview]Change in Fasting Blood Glucose Levels
NCT00456521 (18) [back to overview]Change in Fasting HDL Cholesterol Levels
NCT00456521 (18) [back to overview]Change in Fasting Insulin Levels, Using Log-transformed Data
NCT00456521 (18) [back to overview]Change in Fasting LDL Cholesterol
NCT00456521 (18) [back to overview]Change in Fasting Triglycerides Levels, Using Log-transformed Data
NCT00456521 (18) [back to overview]Change in Food Craving Inventory Carbohydrates Subscale Scores
NCT00456521 (18) [back to overview]Change in Food Craving Inventory Sweets Subscale Scores
NCT00456521 (18) [back to overview]Change in High-sensitivity C Reactive Protein (Hs-CRP) Levels, Using Log-transformed Data
NCT00456521 (18) [back to overview]Change in HOMA-IR Levels, Using Log-transformed Data
NCT00456521 (18) [back to overview]Change in IDS-SR Total Scores
NCT00467558 (2) [back to overview]Clinical Global Impression Scale - Severity
NCT00467558 (2) [back to overview]Yale Brown Obsessive Compulsive Scale Modified for Compulsive Sexual Behavior (YBOCS)
NCT00474630 (25) [back to overview]Change in High-sensitivity C Reactive Protein (Hs-CRP) Levels, Using Log-transformed Data
NCT00474630 (25) [back to overview]Change in Fasting Insulin Levels, Using Log-transformed Data
NCT00474630 (25) [back to overview]Change in Fasting HDL Cholesterol Levels
NCT00474630 (25) [back to overview]Change in HbA1c Levels
NCT00474630 (25) [back to overview]Change in Food Craving Inventory Sweets Subscale Score
NCT00474630 (25) [back to overview]Change in IWQOL-Lite Total Scores
NCT00474630 (25) [back to overview]Change in Question 19 From 21-Item COE (Control of Eating) Questionnaire
NCT00474630 (25) [back to overview]Change in Food Craving Inventory Carbohydrates Subscale Score
NCT00474630 (25) [back to overview]Change in Fasting Triglycerides Levels, Using Log-transformed Data
NCT00474630 (25) [back to overview]Change in Fasting LDL Cholesterol Levels
NCT00474630 (25) [back to overview]HbA1c- Proportion of Subjects With HbA1c <7% at Endpoint
NCT00474630 (25) [back to overview]Percent of Subjects With Dose Reduction in Oral Antidiabetes Medications
NCT00474630 (25) [back to overview]Percent of Subjects With Dose Increase in Oral Antidiabetes Medications
NCT00474630 (25) [back to overview]Percent of Subjects Requiring Rescue Medications for Diabetes
NCT00474630 (25) [back to overview]Change in Fasting Blood Glucose Levels
NCT00474630 (25) [back to overview]Change in Diastolic Blood Pressure
NCT00474630 (25) [back to overview]Body Weight- Proportion of Subjects With ≥10% Decrease
NCT00474630 (25) [back to overview]Change in Systolic Blood Pressure
NCT00474630 (25) [back to overview]Percent of Subjects Discontinuing Due to Poor Glycemic Control
NCT00474630 (25) [back to overview]Change in Waist Circumference
NCT00474630 (25) [back to overview]Co-primary: Body Weight- Mean Percent Change
NCT00474630 (25) [back to overview]Co-primary: Body Weight- Proportion of Subjects With ≥5% Decrease
NCT00474630 (25) [back to overview]Change in IDS-SR Total Scores
NCT00474630 (25) [back to overview]Change in HOMA-IR Levels, Using Log-transformed Data
NCT00474630 (25) [back to overview]HbA1c- Proportion of Subjects With HbA1c <6.5% at Endpoint
NCT00476242 (3) [back to overview]Retention in Treatment The Primary Outcome Measure Will be the Dichotomous Measure Retention in Treatment (Whether the Patient Completes the 12 Week Trial, Yes/no).
NCT00476242 (3) [back to overview]Opiate Use Measured by Urine Toxicology Results
NCT00476242 (3) [back to overview]Opiate Craving Based on Heroin Craving Scale
NCT00501631 (1) [back to overview]Cumulative Percentage of Participants by Heavy Drinking Rate
NCT00502216 (3) [back to overview]Weight Gain in Treatment Completers
NCT00502216 (3) [back to overview]Weight Gain in Participants Who Are Continuously Abstinent for the Last 4 Weeks of Treatment
NCT00502216 (3) [back to overview]Tolerability of the Combination of 25 mg Naltrexone and 2 mg Varenicline
NCT00511836 (5) [back to overview]Change From Baseline in Daily Craving Score in Alcohol-dependent Subjects (Actiwatch Data)
NCT00511836 (5) [back to overview]Change From Baseline in Obsessive-Compulsive Drinking Scale (OCDS) Score in Alcohol-dependent Subjects
NCT00511836 (5) [back to overview]Change From Baseline in BOLD Signal Activation Values in the Reward Circuitry
NCT00511836 (5) [back to overview]Change From Baseline in Blood Oxygen-level-dependent (BOLD) Signal Activation Values Detected in the Reward Circuitry of the Brain in Alcohol-dependent Subjects After Presentation of Alcohol-related Cues.
NCT00511836 (5) [back to overview]Change From Baseline in BOLD Signal Activation Values for the Inferior Frontal Gyrus
NCT00532779 (18) [back to overview]Change in Fasting Triglycerides Levels, Using Log-transformed Data
NCT00532779 (18) [back to overview]Change in Fasting Insulin Levels, Using Log-transformed Data
NCT00532779 (18) [back to overview]Change in Fasting HDL Cholesterol Levels
NCT00532779 (18) [back to overview]Body Weight- Proportion of Subjects With ≥10% Decrease
NCT00532779 (18) [back to overview]Co-primary: Body Weight- Mean Percent Change
NCT00532779 (18) [back to overview]Change in Diastolic Blood Pressure
NCT00532779 (18) [back to overview]Change in Fasting Blood Glucose Levels
NCT00532779 (18) [back to overview]Co-primary: Body Weight- Proportion of Subjects With ≥5% Decrease
NCT00532779 (18) [back to overview]Change in Waist Circumference
NCT00532779 (18) [back to overview]Change in Food Craving Inventory Carbohydrates Subscale Score
NCT00532779 (18) [back to overview]Change in Food Craving Inventory Sweets Subscale Score
NCT00532779 (18) [back to overview]Change in High-sensitivity C Reactive Protein (Hs-CRP) Levels, Using Log-transformed Data
NCT00532779 (18) [back to overview]Change in HOMA-IR Levels, Using Log-transformed Data
NCT00532779 (18) [back to overview]Change in IDS-SR Total Scores
NCT00532779 (18) [back to overview]Change in IWQOL-Lite Total Scores
NCT00532779 (18) [back to overview]Change in Question 19 From 21-Item COE (Control of Eating) Questionnaire
NCT00532779 (18) [back to overview]Change in Systolic Blood Pressure
NCT00532779 (18) [back to overview]Change in Fasting LDL Cholesterol Levels
NCT00537745 (2) [back to overview]Evidence of Attempts to Drive After Drinking
NCT00537745 (2) [back to overview]% Days w/1+Interlock Test Failures
NCT00567255 (20) [back to overview]Change in Diastolic Blood Pressure
NCT00567255 (20) [back to overview]Change in Fasting Blood Glucose Levels
NCT00567255 (20) [back to overview]Change in Fasting Insulin Levels, Using Log-transformed Data
NCT00567255 (20) [back to overview]Co-primary: Body Weight- Proportion of Subjects With ≥5% Decrease From Baseline to Week 28
NCT00567255 (20) [back to overview]Change in Waist Circumference
NCT00567255 (20) [back to overview]Change in Systolic Blood Pressure
NCT00567255 (20) [back to overview]Change in Question 19 From 21-Item COE (Control of Eating) Questionnaire
NCT00567255 (20) [back to overview]Change in IDS-SR Total Score
NCT00567255 (20) [back to overview]Change in HOMA-IR Levels, Using Log-transformed Data
NCT00567255 (20) [back to overview]Change in High-sensitivity C Reactive Protein (Hs-CRP) Levels, Using Log-transformed Data
NCT00567255 (20) [back to overview]Change in Food Craving Inventory Sweets Subscale Score
NCT00567255 (20) [back to overview]Change in Fasting LDL Cholesterol Levels
NCT00567255 (20) [back to overview]Change in Fasting Triglycerides Levels, Using Log-transformed Data
NCT00567255 (20) [back to overview]Co-primary: Body Weight- Mean Percent Change From Baseline to Week 28
NCT00567255 (20) [back to overview]Change in Food Craving Inventory Carbohydrates Subscale Score
NCT00567255 (20) [back to overview]Change in IWQOL-Lite Total Scores
NCT00567255 (20) [back to overview]Body Weight- Proportion of Subjects With ≥10% Decrease From Baseline to Week 28
NCT00567255 (20) [back to overview]Change in Fasting HDL Cholesterol Levels
NCT00567255 (20) [back to overview]Body Weight- Mean Percent Change From Baseline to Week 56
NCT00567255 (20) [back to overview]Body Weight- Proportion of Subjects With ≥5% Decrease From Baseline to Week 56
NCT00568555 (5) [back to overview]Percent Change in Heat Pain Sensitivity Between Baseline and End of Placebo Treatment and Between Baseline to End of LDN Treatment.
NCT00568555 (5) [back to overview]Percent Change in Pain Scores Between Baseline to End of Placebo Treatment and Between Baseline to End of LDN Treatment.
NCT00568555 (5) [back to overview]Percent Change in Sleep Quality Scores Between Baseline to End of Placebo Treatment and Between Baseline to End of LDN Treatment.
NCT00568555 (5) [back to overview]Percent Change in Pressure Pain Threshold Between Baseline and End of Placebo Treatment and Between Baseline to End of LDN Treatment.
NCT00568555 (5) [back to overview]Percent Change in Fatigue Scores Between Baseline to End of Placebo Treatment and Between Baseline to End of LDN Treatment.
NCT00568958 (7) [back to overview]Number of Drinks Per Drinking Day
NCT00568958 (7) [back to overview]Frequency of Heavy Episodic Drinking
NCT00568958 (7) [back to overview]Frequency of Heavy Episodic Drinking
NCT00568958 (7) [back to overview]Number of Drinks Per Drinking Day
NCT00568958 (7) [back to overview]Percent Days Abstinent From Drinking
NCT00568958 (7) [back to overview]Percent Days Abstinent From Drinking
NCT00568958 (7) [back to overview]Percentage of Drinking to an Estimated Blood Alcohol Concentration (BAC) of .08 or Higher
NCT00577408 (1) [back to overview]Treatment Retention
NCT00620750 (1) [back to overview]Percent of Patients Initiating Vivitrol Treatment Who Receive 3 Consecutive Monthly Vivitrol Injections
NCT00656630 (5) [back to overview]Change From Baseline in Standard Drinks Per Week at 1 Week
NCT00656630 (5) [back to overview]Change From Screening in Craving on the Alcohol Craving Questionnaire-Short Form (ACQ-SF) Total Score at Week 1
NCT00656630 (5) [back to overview]Change From Baseline in Sleep Quality on the Pittsburgh Sleep Quality Index (PSQI) Total Score at Week 1
NCT00656630 (5) [back to overview]Change From Baseline in Mood on the Beck Depression Inventory (BDI-II) at Week 1
NCT00656630 (5) [back to overview]Visual Analog Scale of Craving to Drink at 1 Week Following Administration of Acamprosate or Naltrexone or Placebo During the Double-Blind Period
NCT00663117 (4) [back to overview]Histology Inflammatory Score by Colon Biopsies
NCT00663117 (4) [back to overview]Percentage Change From Baseline of Quality of Life IBDQ (Inflammatory Bowel Disease Quality of Life Survey)
NCT00663117 (4) [back to overview]Percentage of Patients With a 5 Point Drop in CDEIS Score by Endoscopy
NCT00663117 (4) [back to overview]Percentage of Subjects Achieving a 70-point Decline in CDAI Scores (Crohn's Disease Activity Index) Scores;
NCT00667875 (4) [back to overview]Percent Heavy Drinking Days
NCT00667875 (4) [back to overview]Percent Riboflavin Positive Urine Samples as a Measure of Medication Compliance
NCT00667875 (4) [back to overview]Drinks Per Drinking Day
NCT00667875 (4) [back to overview]Pill Counts During Treatment
NCT00678418 (5) [back to overview]Percentage (%) of Opioid-free Weeks Per Subject in Double-blind Period (Part A)
NCT00678418 (5) [back to overview]Incidence of Subjects Who Relapsed to Physiologic Opioid Dependence During the 24-week Treatment Period (Part A)
NCT00678418 (5) [back to overview]Change in Percentage of Self-reported Opioid-free Days From Baseline to Week 24
NCT00678418 (5) [back to overview]Craving Score: Change From Baseline
NCT00678418 (5) [back to overview]Days to Discontinuation During Part A
NCT00684775 (7) [back to overview]Time to the First Missed Dose
NCT00684775 (7) [back to overview]Average Percentage of 30-day Urine Samples Negative for Cocaine
NCT00684775 (7) [back to overview]HIV Risk Behaviors
NCT00684775 (7) [back to overview]Naltrexone Injections Received
NCT00684775 (7) [back to overview]Percentage of 30-day Urine Samples Negative for Opiates
NCT00684775 (7) [back to overview]Percentage of M-W-F Samples Negative for Cocaine
NCT00684775 (7) [back to overview]Percentage of M,W,F Urine Samples Negative for Opiates
NCT00711477 (12) [back to overview]Dutch Eating Behavior Questionnaire - Change in Restrained Eating Subscale Score
NCT00711477 (12) [back to overview]Dutch Eating Behavior Questionnaire - Change in External Eating Subscale Score
NCT00711477 (12) [back to overview]Dutch Eating Behavior Questionnaire - Change in Emotional Eating B Subscale Score
NCT00711477 (12) [back to overview]Dutch Eating Behavior Questionnaire - Change in Emotional Eating A Subscale Score
NCT00711477 (12) [back to overview]Percent Change in Body Weight
NCT00711477 (12) [back to overview]Response to Food Related Cues Using Functional Magnetic Resonance Imaging - Anterior Cingulate
NCT00711477 (12) [back to overview]Response to Food Related Cues Using Functional Magnetic Resonance Imaging - Hippocampal Region 1
NCT00711477 (12) [back to overview]Response to Food Related Cues Using Functional Magnetic Resonance Imaging - Hippocampal Region 2
NCT00711477 (12) [back to overview]Response to Food Related Cues Using Functional Magnetic Resonance Imaging - Posterior Insula
NCT00711477 (12) [back to overview]Response to Food Related Cues Using Functional Magnetic Resonance Imaging - Superior Frontal
NCT00711477 (12) [back to overview]Response to Food Related Cues Using Functional Magnetic Resonance Imaging - Superior Parietal
NCT00711477 (12) [back to overview]Change in Question 19 From 21-Item COE (Control of Eating) Questionnaire
NCT00715117 (3) [back to overview]Pediatric Crohn's Disease Activity Index Score (PCDAI)
NCT00715117 (3) [back to overview]Change in Quality of Life Scores From Baseline to After 8 Weeks of Naltrexone Therapy
NCT00715117 (3) [back to overview]Number of Patients Reporting Side Effects
NCT00743145 (1) [back to overview]Subjective Marijuana Effects
NCT00773422 (2) [back to overview]Latency to Initiate Ad-lib Smoking Session
NCT00773422 (2) [back to overview]Number of Cigarettes Smoked During the Ad-lib Period
NCT00775229 (3) [back to overview]Liver Function Tests
NCT00775229 (3) [back to overview]National Institute of Mental Health Trichotillomania Symptom Severity Scale
NCT00775229 (3) [back to overview]Massachusetts General Hospital Hairpulling Scale
NCT00777062 (2) [back to overview]Urine Assay for Benzoylecgonine (BE), the Primary Metabolite of Cocaine.
NCT00777062 (2) [back to overview]Time Line Follow Back -Reported Days of Abstinence From Drinking
NCT00781898 (1) [back to overview]Relapse
NCT00793780 (6) [back to overview]Change in Body Weight From Baseline
NCT00793780 (6) [back to overview]LDL Cholesterol
NCT00793780 (6) [back to overview]Fasting Serum Glucose Lab Values
NCT00793780 (6) [back to overview]Insulin Levels
NCT00793780 (6) [back to overview]PANSS- Positive and Negative Symptom Scale
NCT00793780 (6) [back to overview]Change in Questionnaire on Craving for Sweet or Rich Foods Score
NCT00817089 (2) [back to overview]Adrenocorticotropic Hormone (ACTH) Levels
NCT00817089 (2) [back to overview]Biphasic Alcohol Effects Scale:Total Mood
NCT00831272 (1) [back to overview]Clinical Response to Naltrexone, as Measured by a Reduction in the Percent Days of Heavy Drinking Days (as Defined by >5 Drinks/Day for Males; >4 for Females) During the 12 Weeks of the Trial.
NCT00834080 (1) [back to overview]Number of Subjects Reporting at Least 1 Treatment-emergent Adverse Event (TEAE) While on Study.
NCT00920829 (1) [back to overview]Percent Heavy Drinking Days by mu Opioid Receptor Gene
NCT00938886 (2) [back to overview]7-day Point Prevalence Smoking Abstinence
NCT00938886 (2) [back to overview]Percent Heavy Drinking Days
NCT01024335 (2) [back to overview]Opiate Withdrawal Measured by the Subjective Opiate Withdrawal Scale (SOWS) .
NCT01024335 (2) [back to overview]Retention
NCT01052831 (2) [back to overview]Percentage of Participants Assessed as Very Much Improved or Much Improved Based on the Clinical Global Impression-Improvement (CGI-I) Scale
NCT01052831 (2) [back to overview]Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease - Rating Scale (QUIP-RS)
NCT01053078 (2) [back to overview]Cerebral Blood Flow
NCT01053078 (2) [back to overview]Hypoglycemia Symptom Score
NCT01055704 (8) [back to overview]T1/2 of Gastric Emptying of Solid
NCT01055704 (8) [back to overview]Colonic Geometric Center at 4 Hours
NCT01055704 (8) [back to overview]Colonic Filling at 6 Hours
NCT01055704 (8) [back to overview]Colonic Geometric Center at 24 Hours
NCT01055704 (8) [back to overview]Colonic Geometric Center at 48 Hours
NCT01055704 (8) [back to overview]Stool Consistency as Reported From the Bristol Stool Scale
NCT01055704 (8) [back to overview]Stool Frequency
NCT01055704 (8) [back to overview]T1/2 of Ascending Colon Emptying
NCT01057862 (2) [back to overview]Gambling Symptom Assessment Scale (G-SAS)
NCT01057862 (2) [back to overview]Yale Brown Obsessive Compulsive Scale Modified for Pathological Gambling (YBOCS-PG)
NCT01077310 (4) [back to overview]Alcohol Treatment Outcome: Change in Percent of Heavy Drinking Days
NCT01077310 (4) [back to overview]Alcohol Treatment Outcome: Change in Average Drinks Per Drinking Day
NCT01077310 (4) [back to overview]Alcohol Treatment Outcome: Time to Alcohol Relapse
NCT01077310 (4) [back to overview]Percentage of Those Maintain or Improve to HIV RNA-1 Viral Load Less Then 400 Copies/mL
NCT01100437 (16) [back to overview]Plasma Decay Half-Life (t1/2) During the Treatment Phase
NCT01100437 (16) [back to overview]Time to Reach Maximum Observed Plasma Concentration (Tmax) During the Treatment Phase
NCT01100437 (16) [back to overview]Volume of Distribution (Vd/F)During the Treatment Phase
NCT01100437 (16) [back to overview]Maximum Observed Plasma Concentration (Cmax) During the Treatment Phase
NCT01100437 (16) [back to overview]Apparent Oral Clearance (CL/F) During the Treatment Phase
NCT01100437 (16) [back to overview]Time to First Occurrence of a COWS Score ≥ 13 for Each Treatment During the Treatment Phase
NCT01100437 (16) [back to overview]Number of Participants With Clinical Opiate Withdrawal Scale (COWS) Score Greater Than or Equal to (≥) 13 in the Treatment Phase
NCT01100437 (16) [back to overview]Morphine Plasma Concentration at First COWS ≥ 13 in the Treatment Phase
NCT01100437 (16) [back to overview]Maximum Post-dose COWS in the Treatment Phase
NCT01100437 (16) [back to overview]6-β-Naltrexone Plasma Concentration at First COWS ≥ 13 in Treatment Phase
NCT01100437 (16) [back to overview]Area Under the Curve From Time Zero to End of Dosing Interval (AUC0-τ) During the Treatment Phase
NCT01100437 (16) [back to overview]Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] During the Treatment Phase
NCT01100437 (16) [back to overview]Area Under the Curve From Time Zero to the Time of Last Measurable Concentration (AUC0-last) During the Treatment Phase
NCT01100437 (16) [back to overview]Average Numeric Pain Rating Scale (NPRS) in Titration/Stabilization and Maintenance Phases
NCT01100437 (16) [back to overview]Naltrexone Plasma Concentration at First COWS ≥ 13 in the Treatment Phase
NCT01100437 (16) [back to overview]Minimum Observed Plasma Concentration (Cmin) During the Treatment Phase
NCT01100853 (6) [back to overview]Amphetamine Craving Scale
NCT01100853 (6) [back to overview]Beck Depression Inventory
NCT01100853 (6) [back to overview]Number Negative Urines (Proportion Negative Urines)
NCT01100853 (6) [back to overview]Number Negative Urines (Proportion Negative Urines) Amphetamine
NCT01100853 (6) [back to overview]Risk Assessment Battery
NCT01100853 (6) [back to overview]Prior Admissions to Vogur Hospital
NCT01155869 (2) [back to overview]Treatment Participation
NCT01155869 (2) [back to overview]Mean Weekly Self-reported Alcohol Consumption
NCT01179191 (14) [back to overview]Number of Participants With Aberrant Behaviors
NCT01179191 (14) [back to overview]Number of Participants With Urine Drug Test Results Positive for Unaccounted Opioids
NCT01179191 (14) [back to overview]Number of Titration Steps to Achieve Stable Dose
NCT01179191 (14) [back to overview]Percentage of Participants Achieving Stable Dose of EMBEDA Within 6 Weeks Titration Phase
NCT01179191 (14) [back to overview]Percentage of Participants With Rescue Medications Usage During Titration
NCT01179191 (14) [back to overview]Change From Baseline in Brief Pain Inventory (BPI) at Visit 3 (First Visit After Successful Titration)
NCT01179191 (14) [back to overview]Duration to Titrate Participants to Stable Dose Stratified by Prior Opioid Therapy
NCT01179191 (14) [back to overview]Number of Participants With Abnormal Urine Drug Test Results
NCT01179191 (14) [back to overview]Number of Participants With Greater Than or Equal to One Urine Drug Test Results Negative for Expected Opioid
NCT01179191 (14) [back to overview]Number of Titration Steps to Achieve Stable Dose Stratified by Prior Opioid Therapy
NCT01179191 (14) [back to overview]Percentage of Participants Achieving Stable Dose of EMBEDA Within 6 Weeks Titration Phase Stratified by Prior Opioid Therapy
NCT01179191 (14) [back to overview]Duration to Titrate Participants to Stable Dose
NCT01179191 (14) [back to overview]Number of Participants With Urine Drug Test Results Positive for Illicit Substances
NCT01179191 (14) [back to overview]Investigator's Level of Satisfaction With the EMBEDA Conversion Guide
NCT01180647 (6) [back to overview]Post-Release Opioid Relapse
NCT01180647 (6) [back to overview]Accidental Drug Overdose
NCT01180647 (6) [back to overview]Adverse Events and Serious Adverse Events
NCT01180647 (6) [back to overview]Injection Drug Use Post-release
NCT01180647 (6) [back to overview]Any Opioid Use Post-release
NCT01180647 (6) [back to overview]Participation in Community Drug Treatment Post-release
NCT01211769 (3) [back to overview]"Drinking Days in the Previous Month"
NCT01211769 (3) [back to overview]Short Alcohol Dependence Data Questionnaire (SADD)
NCT01211769 (3) [back to overview]Obsessive Compulsive Drinking Scale (OCDS)
NCT01214083 (9) [back to overview]Liver Function Tests (ALT)
NCT01214083 (9) [back to overview]Drinks Per Drinking Days
NCT01214083 (9) [back to overview]Clinical Global Impression (CGI)
NCT01214083 (9) [back to overview]Liver Function Tests (AST)
NCT01214083 (9) [back to overview]Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q)
NCT01214083 (9) [back to overview]Percentage of Heavy Drinking Days
NCT01214083 (9) [back to overview]Percentage of Drinking Days
NCT01214083 (9) [back to overview]Penn Alcohol Craving Scale (PACS)
NCT01214083 (9) [back to overview]Obsessive Compulsive Drinking Scale (OCDS)
NCT01218958 (2) [back to overview]Percentage of Heavy Drinking Days Over the Treatment Period
NCT01218958 (2) [back to overview]Number of Participants Reporting at Least 1 Treatment-emergent Adverse Event (TEAE)
NCT01218971 (1) [back to overview]Number of Participants Reporting at Least 1 Treatment-emergent Adverse Event (TEAE) While in Study
NCT01218984 (1) [back to overview]Slope Change From Baseline for Pupil Size
NCT01218997 (1) [back to overview]Number of Subjects Reporting at Least 1 Treatment-emergent Adverse Event (TEAE) While on Study
NCT01220414 (1) [back to overview]Time for Subject to Reach Pain Threshold
NCT01227044 (2) [back to overview]HAART Adherence
NCT01227044 (2) [back to overview]Heavy Drinking Days
NCT01245647 (5) [back to overview]CD4 Count (Mean)
NCT01245647 (5) [back to overview]HIV Medication Adherence (95% or Better)
NCT01245647 (5) [back to overview]HIV Viral Load Suppressed
NCT01245647 (5) [back to overview]Number of Drinks Per Week
NCT01245647 (5) [back to overview]Risky Sexual Behaviors
NCT01246401 (9) [back to overview]Antiretroviral Therapy (ART) Adherence 100%
NCT01246401 (9) [back to overview]ART Adherence for 4 or More Injections XR-NTX Versus Placebo and 3 or Less Injections of XR-NTX
NCT01246401 (9) [back to overview]Opioid Abstinence at 6 Months for Those With More Than 4 Injections
NCT01246401 (9) [back to overview]Participants Who Had Undetectable HIV-1 RNA Levels at Less Than 400 Copies/mL at Six Month
NCT01246401 (9) [back to overview]Particpants Who Had Undetectable HIV-1 RNA Levels at Less Than 50 Copies/mL
NCT01246401 (9) [back to overview]Time to Opioid Relapse or End of Intervention
NCT01246401 (9) [back to overview]CD4 Cell Count (Cells/mL)
NCT01246401 (9) [back to overview]Participants With Opiate Abstinence Via By Doing Urine Toxicology Test
NCT01246401 (9) [back to overview]Addiction Severity
NCT01296646 (2) [back to overview]Percent Days Abstinent
NCT01296646 (2) [back to overview]Percent Heavy Drinking Days
NCT01303835 (3) [back to overview]Effects of Low-dose Naltrexone Versus Placebo on Change in Functional Capacity From Baseline
NCT01303835 (3) [back to overview]Effects of Low-dose Naltrexone Versus Placebo on Change in Neurocognitive Function From Baseline
NCT01303835 (3) [back to overview]Effects of Low-dose Naltrexone Versus Placebo on Change in Quality of Life (QoL) in High-grade Glioma Patients Undergoing Standard Chemoradiation From Baseline
NCT01342549 (1) [back to overview]Time to Relapse to Heavy Drinking as Defined by Having 5 or More Drinks in a Sitting for Men and Will be Assessed Using the Time Line Follow Back for Recent Drinking Method. A Structured Questionnaire Will Review Alcohol Consumed on the Previous Week.
NCT01380093 (109) [back to overview]Sleepy: Area Under Effect Curve (AUE) From 0-2 Hours
NCT01380093 (109) [back to overview]Bad Effects: Area Under Effect Curve (AUE) From 0-8 Hours
NCT01380093 (109) [back to overview]Bad Effects: Peak Effect (Emax)
NCT01380093 (109) [back to overview]Bad Effects: Time to Maximum (Peak) Effect (TEmax)
NCT01380093 (109) [back to overview]Dizzy: Area Under Effect Curve (AUE) From 0-1 Hour
NCT01380093 (109) [back to overview]Dizzy: Area Under Effect Curve (AUE) From 0-12 Hours
NCT01380093 (109) [back to overview]Dizzy: Area Under Effect Curve (AUE) From 0-2 Hours
NCT01380093 (109) [back to overview]Dizzy: Area Under Effect Curve (AUE) From 0-24 Hours
NCT01380093 (109) [back to overview]Dizzy: Area Under Effect Curve (AUE) From 0-4 Hours
NCT01380093 (109) [back to overview]Dizzy: Area Under Effect Curve (AUE) From 0-8 Hours
NCT01380093 (109) [back to overview]Dizzy: Peak Effect (Emax)
NCT01380093 (109) [back to overview]Dizzy: Time to Maximum (Peak) Effect (TEmax)
NCT01380093 (109) [back to overview]Drug Liking: Area Under Effect Curve (AUE) From 0-1 Hour
NCT01380093 (109) [back to overview]Drug Liking: Area Under Effect Curve (AUE) From 0-12 Hours
NCT01380093 (109) [back to overview]Drug Liking: Area Under Effect Curve (AUE) From 0-2 Hours
NCT01380093 (109) [back to overview]Drug Liking: Area Under Effect Curve (AUE) From 0-24 Hours
NCT01380093 (109) [back to overview]Drug Liking: Area Under Effect Curve (AUE) From 0-4 Hours
NCT01380093 (109) [back to overview]Drug Liking: Area Under Effect Curve (AUE) From 0-8 Hours
NCT01380093 (109) [back to overview]Drug Liking: Peak Effect (Emax)
NCT01380093 (109) [back to overview]Drug Liking: Time to Maximum (Peak) Effect (TEmax)
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-4)] of Naltrexone
NCT01380093 (109) [back to overview]Feel Sick: Area Under Effect Curve (AUE) From 0-1 Hour
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-4)] of Naltrexone Metabolite (6-beta-naltrexol)
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-8)] of Morphine
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-8)] of Naltrexone
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-8)] of Naltrexone Metabolite (6-beta-naltrexol)
NCT01380093 (109) [back to overview]Bad Effects: Area Under Effect Curve (AUE) From 0-1 Hour
NCT01380093 (109) [back to overview]Bad Effects: Area Under Effect Curve (AUE) From 0-12 Hours
NCT01380093 (109) [back to overview]Bad Effects: Area Under Effect Curve (AUE) From 0-24 Hours
NCT01380093 (109) [back to overview]Bad Effects: Area Under Effect Curve (AUE) From 0-4 Hours
NCT01380093 (109) [back to overview]Feel Sick: Area Under Effect Curve (AUE) From 0-12 Hours
NCT01380093 (109) [back to overview]Feel Sick: Area Under Effect Curve (AUE) From 0-2 Hours
NCT01380093 (109) [back to overview]Feel Sick: Area Under Effect Curve (AUE) From 0-24 Hours
NCT01380093 (109) [back to overview]Feel Sick: Area Under Effect Curve (AUE) From 0-4 Hours
NCT01380093 (109) [back to overview]Feel Sick: Area Under Effect Curve (AUE) From 0-8 Hours
NCT01380093 (109) [back to overview]Feel Sick: Peak Effect (Emax)
NCT01380093 (109) [back to overview]Feel Sick: Time to Maximum (Peak) Effect (TEmax)
NCT01380093 (109) [back to overview]Good Effects: Area Under Effect Curve (AUE) From 0-1 Hour
NCT01380093 (109) [back to overview]Good Effects: Area Under Effect Curve (AUE) From 0-12 Hours
NCT01380093 (109) [back to overview]Good Effects: Area Under Effect Curve (AUE) From 0-2 Hours
NCT01380093 (109) [back to overview]Good Effects: Area Under Effect Curve (AUE) From 0-24 Hours
NCT01380093 (109) [back to overview]Good Effects: Area Under Effect Curve (AUE) From 0-4 Hours
NCT01380093 (109) [back to overview]Good Effects: Area Under Effect Curve (AUE) From 0-8 Hours
NCT01380093 (109) [back to overview]Good Effects: Peak Effect (Emax)
NCT01380093 (109) [back to overview]Good Effects: Time to Maximum (Peak) Effect (TEmax)
NCT01380093 (109) [back to overview]High: Area Under Effect Curve (AUE) From 0-1 Hour
NCT01380093 (109) [back to overview]High: Area Under Effect Curve (AUE) From 0-12 Hours
NCT01380093 (109) [back to overview]High: Area Under Effect Curve (AUE) From 0-2 Hours
NCT01380093 (109) [back to overview]High: Area Under Effect Curve (AUE) From 0-24 Hours
NCT01380093 (109) [back to overview]High: Area Under Effect Curve (AUE) From 0-4 Hours
NCT01380093 (109) [back to overview]High: Area Under Effect Curve (AUE) From 0-8 Hours
NCT01380093 (109) [back to overview]High: Peak Effect (Emax)
NCT01380093 (109) [back to overview]High: Time to Maximum (Peak) Effect (TEmax)
NCT01380093 (109) [back to overview]Maximum Observed Plasma Concentration (Cmax) of Morphine
NCT01380093 (109) [back to overview]Maximum Observed Plasma Concentration (Cmax) of Naltrexone
NCT01380093 (109) [back to overview]Maximum Observed Plasma Concentration (Cmax) of Naltrexone Metabolite (6-beta-naltrexol)
NCT01380093 (109) [back to overview]Nausea: Area Under Effect Curve (AUE) From 0-1 Hour
NCT01380093 (109) [back to overview]Nausea: Area Under Effect Curve (AUE) From 0-12 Hours
NCT01380093 (109) [back to overview]Nausea: Area Under Effect Curve (AUE) From 0-2 Hours
NCT01380093 (109) [back to overview]Nausea: Area Under Effect Curve (AUE) From 0-24 Hours
NCT01380093 (109) [back to overview]Nausea: Area Under Effect Curve (AUE) From 0-4 Hours
NCT01380093 (109) [back to overview]Nausea: Area Under Effect Curve (AUE) From 0-8 Hours
NCT01380093 (109) [back to overview]Nausea: Peak Effect (Emax)
NCT01380093 (109) [back to overview]Nausea: Time to Maximum (Peak) Effect (TEmax)
NCT01380093 (109) [back to overview]Overall Drug Liking Effect at 24 Hours
NCT01380093 (109) [back to overview]Pupillometry: Area Under Effect Curve (AUE) From 0-1 Hour
NCT01380093 (109) [back to overview]Pupillometry: Area Under Effect Curve (AUE) From 0-12 Hours
NCT01380093 (109) [back to overview]Pupillometry: Area Under Effect Curve (AUE) From 0-2 Hours
NCT01380093 (109) [back to overview]Pupillometry: Area Under Effect Curve (AUE) From 0-24 Hours
NCT01380093 (109) [back to overview]Pupillometry: Area Under Effect Curve (AUE) From 0-4 Hours
NCT01380093 (109) [back to overview]Pupillometry: Area Under Effect Curve (AUE) From 0-8 Hours
NCT01380093 (109) [back to overview]Pupillometry: Peak Effect (Emax)
NCT01380093 (109) [back to overview]Bad Effects: Area Under Effect Curve (AUE) From 0-2 Hours
NCT01380093 (109) [back to overview]Pupillometry: Time to Maximum (Peak) Effect (TEmax)
NCT01380093 (109) [back to overview]Sleepy: Area Under Effect Curve (AUE) From 0-1 Hour
NCT01380093 (109) [back to overview]Sleepy: Area Under Effect Curve (AUE) From 0-12 Hours
NCT01380093 (109) [back to overview]Sleepy: Area Under Effect Curve (AUE) From 0-24 Hours
NCT01380093 (109) [back to overview]Sleepy: Area Under Effect Curve (AUE) From 0-4 Hours
NCT01380093 (109) [back to overview]Sleepy: Area Under Effect Curve (AUE) From 0-8 Hours
NCT01380093 (109) [back to overview]Sleepy: Peak Effect (Emax)
NCT01380093 (109) [back to overview]Sleepy: Time to Maximum (Peak) Effect (TEmax)
NCT01380093 (109) [back to overview]Take Drug Again Effect at 24 Hours
NCT01380093 (109) [back to overview]Time to Reach Maximum Observed Plasma Concentration (Tmax) of Morphine
NCT01380093 (109) [back to overview]Time to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone
NCT01380093 (109) [back to overview]Time to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone Metabolite (6-beta-naltrexol)
NCT01380093 (109) [back to overview]Any Effects: Area Under Effect Curve (AUE) From 0-1 Hour
NCT01380093 (109) [back to overview]Any Effects: Area Under Effect Curve (AUE) From 0-12 Hours
NCT01380093 (109) [back to overview]Any Effects: Area Under Effect Curve (AUE) From 0-2 Hours
NCT01380093 (109) [back to overview]Any Effects: Area Under Effect Curve (AUE) From 0-24 Hours
NCT01380093 (109) [back to overview]Any Effects: Area Under Effect Curve (AUE) From 0-4 Hours
NCT01380093 (109) [back to overview]Any Effects: Area Under Effect Curve (AUE) From 0-8 Hours
NCT01380093 (109) [back to overview]Any Effects: Peak Effect (Emax)
NCT01380093 (109) [back to overview]Any Effects: Time to Maximum (Peak) Effect (TEmax)
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Morphine
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Naltrexone
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Naltrexone Metabolite (6-beta-naltrexol)
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-1)] of Morphine
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-1)] of Naltrexone
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-1)] of Naltrexone Metabolite (6-beta-naltrexol)
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-12)] of Morphine
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-12)] of Naltrexone
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-12)] of Naltrexone Metabolite (6-beta-naltrexol)
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-2)] of Morphine
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-2)] of Naltrexone
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-2)] of Naltrexone Metabolite (6-beta-naltrexol)
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-24)] of Morphine
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-24)] of Naltrexone
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-24)] of Naltrexone Metabolite (6-beta-naltrexol)
NCT01380093 (109) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-4)] of Morphine
NCT01402492 (1) [back to overview]Cocaine Use Days as Measured by Self-report, Corroborated by Thrice-weekly Urine Drug Screens
NCT01428583 (14) [back to overview]Percentage of Participants With Current Opioid Misuse Measure (COMM) Score of 9 or Above
NCT01428583 (14) [back to overview]Percentage of Participants With Clinical Opiate Withdrawal Scale (COWS) Score
NCT01428583 (14) [back to overview]Participants Global Assessment of Treatment Satisfaction
NCT01428583 (14) [back to overview]Number of Participants With Treatment-Emergent Adverse Events (AEs) and Adverse Reactions
NCT01428583 (14) [back to overview]Number of Participants With Treatment Emergent (TE) Adverse Events (AEs) Based on Intensity
NCT01428583 (14) [back to overview]Number of Participants With Rescue Medication (Acetaminophen Tablets)
NCT01428583 (14) [back to overview]Mean Daily Dose of Study Medication (Oxycodone Component)
NCT01428583 (14) [back to overview]Mean Change From Baseline in Worst Pain Score at Weeks 1, 4, Months 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 12 or Early Termination
NCT01428583 (14) [back to overview]Mean Change From Baseline in Pain Right Now Score at Weeks 1, 4, Months 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 12 or Early Termination
NCT01428583 (14) [back to overview]Mean Change From Baseline in Average Pain Score at Weeks 1, 4, Months 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 12 or Early Termination
NCT01428583 (14) [back to overview]Time to Stabilization of Study Medication
NCT01428583 (14) [back to overview]Duration of Exposure to Study Medication
NCT01428583 (14) [back to overview]Subjective Opiate Withdrawal Scale (SOWS) Score
NCT01428583 (14) [back to overview]Percentage of Participants With Response to Urine Drug Test
NCT01453374 (9) [back to overview]Criminal Activity
NCT01453374 (9) [back to overview]Cocaine Use
NCT01453374 (9) [back to overview]Opioid Craving
NCT01453374 (9) [back to overview]Retention in the Community
NCT01453374 (9) [back to overview]Opioid Overdose
NCT01453374 (9) [back to overview]Incidence of Subject Re-incarceration
NCT01453374 (9) [back to overview]Opioid Use
NCT01453374 (9) [back to overview]Incidence of Subject Re-arrest
NCT01453374 (9) [back to overview]Drug Abuse Treatment Program Entry
NCT01462227 (6) [back to overview]Norepinephrine (pg/mL)
NCT01462227 (6) [back to overview]Glucose Infusion Rate (mg/kg.Min)
NCT01462227 (6) [back to overview]Glucose (mg/dL)
NCT01462227 (6) [back to overview]Glucagon (pg/mL)
NCT01462227 (6) [back to overview]Epinephrine (pg/mL)
NCT01462227 (6) [back to overview]Cortisol (ug/dL)
NCT01519063 (7) [back to overview]Stimulation Response to Alcohol: Priming Dose Phase
NCT01519063 (7) [back to overview]Stimulation Response to Alcohol at Lab Session
NCT01519063 (7) [back to overview]Sedation Response to Alcohol: Priming Dose Phase
NCT01519063 (7) [back to overview]Sedation Response to Alcohol at Lab Session
NCT01519063 (7) [back to overview]Number of Drinks Consumed at Lab Session (Day 7)
NCT01519063 (7) [back to overview]Craving AUC: Priming Dose Phase
NCT01519063 (7) [back to overview]Craving AUC: Adlib Drinking Phase
NCT01556425 (2) [back to overview]Percent of Weekly Urine Samples Negative for Opiates
NCT01556425 (2) [back to overview]Percent of Weekly Urine Samples Negative for Cocaine
NCT01571362 (101) [back to overview]Change From Screening Period to the End of Open-Label Titration Period in Participant Assessment of Overall Health State Using the EQ-5D VAS
NCT01571362 (101) [back to overview]Change From Screening Period to the End of Open-Label Titration Period in Participant Assessment of Overall Health State Using the EuroQol 5-Dimensions (EQ-5D) Summary Index
NCT01571362 (101) [back to overview]Change From Screening Period to the End of Open-Label Titration Period in Short Form-36v2 (SF-36v2) Health Survey Score
NCT01571362 (101) [back to overview]Change From Screening to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in BPI-sf Scores of Average Pain
NCT01571362 (101) [back to overview]Change From Screening to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in BPI-sf Scores of Least Pain
NCT01571362 (101) [back to overview]Change From Screening to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in BPI-sf Scores of Pain Interference Index
NCT01571362 (101) [back to overview]Change From Screening to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in BPI-sf Scores of Pain Right Now
NCT01571362 (101) [back to overview]Change From Screening to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in BPI-sf Scores of Pain Severity Index
NCT01571362 (101) [back to overview]Change From Screening to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in BPI-sf Scores of Worst Pain
NCT01571362 (101) [back to overview]Change From Screening to End of Open-Label Titration Period in HRU Questionnaire: Money Spent on Physical Treatments in Past 4 Weeks
NCT01571362 (101) [back to overview]Change From Screening to End of Open-Label Titration Period in HRU Questionnaire: Nights Stayed in Hospital
NCT01571362 (101) [back to overview]Change From Screening to End of Open-Label Titration Period in HRU Questionnaire: Number of Office Visits Directly Related or Any Medication Used for Chronic Low Back Pain
NCT01571362 (101) [back to overview]Change From Screening to Randomization Baseline in HRU Questionnaire: Money Spent on Physical Treatments in Past 4 Weeks
NCT01571362 (101) [back to overview]Change From Screening to Randomization Baseline in HRU Questionnaire: Nights Stayed in Hospital
NCT01571362 (101) [back to overview]Change From Screening to Randomization Baseline in HRU Questionnaire: Number of Office Visits Directly Related or Any Medication Used for Chronic Low Back Pain
NCT01571362 (101) [back to overview]Clinical Opiate Withdrawal Scale (COWS) Total Score During the Open-Label Titration Period
NCT01571362 (101) [back to overview]COWS Total Score During the Double-Blind Treatment Period
NCT01571362 (101) [back to overview]COWS Total Score During the Post-Treatment Period
NCT01571362 (101) [back to overview]Median Time to 20%, 30%, 40%, or 50% Analgesic Response From Screening Period to End of Open-Label Treatment
NCT01571362 (101) [back to overview]Median Time to 20%, 30%, 40%, or 50% Analgesic Response From Screening Period to Randomization Baseline
NCT01571362 (101) [back to overview]Median Time to 20%, 30%, 40%, or 50% Loss of Analgesic Response From Baseline During the Double-Blind Treatment Period
NCT01571362 (101) [back to overview]Naltrexone and 6-β-naltrexol Observed Steady-State Plasma Concentration During the Double Blind Treatment Period
NCT01571362 (101) [back to overview]Naltrexone and 6-β-naltrexol Observed Steady-State Plasma Concentration During the Titration Period
NCT01571362 (101) [back to overview]Oxycodone and Noroxycodone Observed Steady-State Plasma Concentration During the Double-Blind Treatment Period
NCT01571362 (101) [back to overview]Oxycodone and Noroxycodone Observed Steady-State Plasma Concentration During the Titration Period
NCT01571362 (101) [back to overview]Percentage (%) of Participants With Shift in Patient Global Assessment (PGA) by Category With Baseline PGA Score of Very Good (1), Good (2), Fair (3), Poor (4), Very Poor (5) From Randomization Baseline to End of Double-Blind Week 12 (or Final Visit).
NCT01571362 (101) [back to overview]Percentage of Participants Who Reported Being Satisfied/Very Satisfied With Treatment on the Satisfaction With Treatment Questionnaire During the Double-Blind Treatment Period
NCT01571362 (101) [back to overview]Percentage of Participants With a 20%, 30%, 40%, or 50% Analgesic Response From Screening Period to End of Open-Label Treatment
NCT01571362 (101) [back to overview]Percentage of Participants With a 20%, 30%, 40%, or 50% Analgesic Response From Screening Period to Randomization Baseline
NCT01571362 (101) [back to overview]Percentage of Participants With a 20%, 30%, 40%, or 50% Loss of Analgesic Response From Randomization Baseline During the Double-Blind Treatment Period
NCT01571362 (101) [back to overview]Percentage of Participants With Opiate Withdrawal During Post-Treatment by COWS Category
NCT01571362 (101) [back to overview]Percentage of Participants With Opiate Withdrawal During the Double-Blind Treatment Period by COWS Category
NCT01571362 (101) [back to overview]Percentage of Participants With Opiate Withdrawal During the Open-Label Titration Period by COWS Category
NCT01571362 (101) [back to overview]Percentage of Participants With Shift From Randomization Baseline to End of Double-Blind Week 4 in PGA of Low Back Pain by Category in Participants With Randomization Baseline PGA Score of Very Good, Good, Fair, Poor, Very Poor
NCT01571362 (101) [back to overview]Percentage of Participants With Shift From Randomization Baseline to End of Double-Blind Week 8 in PGA of Low Back Pain by Category in Participants With Randomization Baseline PGA Score of Very Good , Good, Fair, Poor, Very Poor
NCT01571362 (101) [back to overview]Percentage of Participants With Shift From Randomization Baseline to End of Double-Blind Weeks 4, 8, and 12 (or Final Visit) in Hospitalization Because of Low Back Pain as Assessed Using the HRU Questionnaire
NCT01571362 (101) [back to overview]Percentage of Participants With Shift From Screening Period to End of Open-Label Titration Period in Hospitalization Because of Low Back Pain as Assessed Using the Healthcare Resource Use (HRU) Questionnaire
NCT01571362 (101) [back to overview]Percentage of Participants With Shift From Screening Period to Randomization Baseline in Hospitalization Because of Low Back Pain as Assessed Using the HRU Questionnaire
NCT01571362 (101) [back to overview]Percentage of Participants With Shift From Screening Period to the End of Double-Blind Weeks 4, 8 and 12 (or Final Visit) in Hospitalization Because of Low Back Pain as Assessed Using the HRU Questionnaire
NCT01571362 (101) [back to overview]Percentage of Participants With Shift From Screening to Randomization Baseline in PGA of Low Back Pain by Category in Participants With Screening PGA Score of Very Good, Good, Fair, Poor, Very Poor
NCT01571362 (101) [back to overview]Percentage of Participants With Shift From Screening to the End of the Open-Label Titration Period in PGA of Low Back Pain by Category in Participants With Screening PGA Score of Very Good, Good, Fair, Poor, Very Poor
NCT01571362 (101) [back to overview]Satisfaction With Treatment at Randomization Baseline
NCT01571362 (101) [back to overview]Satisfaction With Treatment at the End of Open-Label Titration Period for All Participants
NCT01571362 (101) [back to overview]SOWS Total Score During the Double-Blind Treatment Period
NCT01571362 (101) [back to overview]SOWS Total Score During the Post-Treatment Period
NCT01571362 (101) [back to overview]Change From Randomization Baseline to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in BPI-sf Scores of Pain Severity Index
NCT01571362 (101) [back to overview]Area Under the Curve (AUC) of eDiary NRS-Pain Scores From Randomization Baseline to Final 2 Weeks of the Double-Blind Treatment Period (Weeks 11 and 12)
NCT01571362 (101) [back to overview]Average Daily Use of Rescue Acetaminophen (Milligrams Per Day [mg/Day]) During the Double-Blind Treatment Period
NCT01571362 (101) [back to overview]Change From Randomization Baseline to End of Double-Blind Week 12 (or Final Visit) in Participant Assessment of Overall Health State Using EQ-5D Summary Index
NCT01571362 (101) [back to overview]Change From Randomization Baseline to End of Double-Blind Week 12 (or Final Visit) in Participant Assessment of Overall Health State Using the EQ-5D VAS
NCT01571362 (101) [back to overview]Change From Screening Period to End of Double-Blind Week 12 (or Final Visit) in Participant Assessment of Overall Health State Using EQ-5D Summary Index
NCT01571362 (101) [back to overview]Change From Screening Period to End of Double-Blind Week 12 (or Final Visit) in Participant Assessment of Overall Health State Using EQ-5D VAS
NCT01571362 (101) [back to overview]Change in Roland-Morris Disability Questionnaire (RMDQ) Total Score From Randomization Baseline to the End of Double-Blind Week 12 (or Final Visit).
NCT01571362 (101) [back to overview]Change in Weekly Average Electronic Diary (eDiary) Numeric Rating Scale -Pain (NRS-Pain) Score From Randomization Baseline to Final 2 Weeks (Average of Weeks 11 and 12)
NCT01571362 (101) [back to overview]Mean Oxycodone Average Daily Dose During the Double-Blind Treatment Period
NCT01571362 (101) [back to overview]Mean Oxycodone Average Daily Dose During the Open-Label Titration Period
NCT01571362 (101) [back to overview]Mean Oxycodone Duration of Titration During the Open-Label Titration Period
NCT01571362 (101) [back to overview]Mean Oxycodone Duration of Treatment During the Double-Blind Treatment Period
NCT01571362 (101) [back to overview]Median Oxycodone Average Daily Dose During the Double-Blind Treatment Period
NCT01571362 (101) [back to overview]Median Oxycodone Average Daily Dose During the Open-Label Titration Period
NCT01571362 (101) [back to overview]Median Oxycodone Duration of Titration During the Open-Label Titration Period
NCT01571362 (101) [back to overview]Median Oxycodone Duration of Treatment During the Double-Blind Treatment Period
NCT01571362 (101) [back to overview]Median Time to Treatment Discontinuation for Investigator-Reported Lack of Efficacy During the Double-Blind Treatment Period
NCT01571362 (101) [back to overview]Percentage of Participants Discontinuing Treatment for Investigator-Reported Lack of Efficacy
NCT01571362 (101) [back to overview]Percentage of Participants With Improvement in Weekly Average eDiary NRS-Pain Scores From Screening to Final 2 Weeks of the Double-Blind Treatment Period (Average of Weeks 11 and 12) by Cumulative Percent Reduction ≥30%
NCT01571362 (101) [back to overview]Percentage of Participants With Improvement in Weekly Average eDiary NRS-Pain Scores From Screening to Final 2 Weeks of the Double-Blind Treatment Period (Average of Weeks 11 and 12) by Cumulative Percent Reduction ≥40%
NCT01571362 (101) [back to overview]Percentage of Participants With Improvement in Weekly Average eDiary NRS-Pain Scores From Screening to Final 2 Weeks of the Double-Blind Treatment Period (Average of Weeks 11 and 12) by Cumulative Percent Reduction ≥50%
NCT01571362 (101) [back to overview]Percentage of Participants With Improvement in Weekly Average eDiary NRS-Pain Scores From Screening to Final 2 Weeks of the Double-Blind Treatment Period (Average of Weeks 11 and 12) by Cumulative Percent Reduction of Greater or Equal to (≥) 20%
NCT01571362 (101) [back to overview]Change From Randomization Baseline to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in BPI-sf Scores of Average Pain
NCT01571362 (101) [back to overview]Change From Randomization Baseline to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in BPI-sf Scores of Least Pain
NCT01571362 (101) [back to overview]Change From Randomization Baseline to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in BPI-sf Scores of Pain Interference Index
NCT01571362 (101) [back to overview]Change From Randomization Baseline to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in BPI-sf Scores of Pain Right Now
NCT01571362 (101) [back to overview]Change From Randomization Baseline to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in BPI-sf Scores of Worst Pain
NCT01571362 (101) [back to overview]Change From Randomization Baseline to End of Double-Blind Weeks 4, 8 and 12 (or Final Visit) in HRU Questionnaire: Money Spent on Treatments
NCT01571362 (101) [back to overview]Change From Randomization Baseline to End of Double-Blind Weeks 4, 8 and 12 (or Final Visit) in HRU Questionnaire: Nights Spent in Hospital
NCT01571362 (101) [back to overview]Change From Randomization Baseline to End of Double-Blind Weeks 4, 8 and 12 (or Final Visit) in HRU Questionnaire: Number of Office Visits Related to or Medications Used for Chronic Low Back Pain
NCT01571362 (101) [back to overview]Change From Randomization Baseline to End of Double-Blind Weeks 4, 8, and 12 (or Final Visit) in WPAI:SHP Percent Activity Impairment Due to Low Back Pain
NCT01571362 (101) [back to overview]Change From Randomization Baseline to End of Double-Blind Weeks 4, 8, and 12 (or Final Visit) in WPAI:SHP Percent Impairment Due to Low Back Pain
NCT01571362 (101) [back to overview]Subjective Opiate Withdrawal Scale (SOWS) During the Open-Label Titration Period
NCT01571362 (101) [back to overview]Change From Randomization Baseline to End of Double-Blind Weeks 4, 8, and 12 (or Final Visit) in WPAI:SHP Percent Overall Work Impairment Due to Low Back Pain
NCT01571362 (101) [back to overview]Change From Randomization Baseline to End of Double-Blind Weeks 4, 8, and 12 (or Final Visit) in WPAI:SHP Percent Work Time Missed Due to Low Back Pain
NCT01571362 (101) [back to overview]Change From Randomization Baseline to the End of Double-Blind Week 12 (or Final Visit) in SF-36v2 Health Survey
NCT01571362 (101) [back to overview]Change From Randomization Baseline to the End of Double-Blind Weeks 2, 4, and 8 in RMDQ Total Score
NCT01571362 (101) [back to overview]Change From Screening Period to End of Double-Blind Week 12 (or Final Visit) in SF-36v2 Health Survey
NCT01571362 (101) [back to overview]Change From Screening Period to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in RMDQ Total Score
NCT01571362 (101) [back to overview]Change From Screening Period to End of Double-Blind Weeks 4, 8 and 12 (or Final Visit) in HRU Questionnaire: Money Spent on Treatment for Chronic Low Back Pain
NCT01571362 (101) [back to overview]Change From Screening Period to End of Double-Blind Weeks 4, 8 and 12 (or Final Visit) in HRU Questionnaire: Nights in Hospital for Chronic Low Back Pain
NCT01571362 (101) [back to overview]Change From Screening Period to End of Double-Blind Weeks 4, 8 and 12 (or Final Visit) in HRU Questionnaire: Number of Office Visits Related or Medication Used for Chronic Low Back Pain
NCT01571362 (101) [back to overview]Change From Screening Period to End of Double-Blind Weeks 4, 8, and 12 (or Final Visit) in WPAI:SHP Percent Activity Impairment Due to Low Back Pain
NCT01571362 (101) [back to overview]Change From Screening Period to End of Double-Blind Weeks 4, 8, and 12 (or Final Visit) in WPAI:SHP Percent Impairment Due to Low Back Pain
NCT01571362 (101) [back to overview]Change From Screening Period to End of Double-Blind Weeks 4, 8, and 12 (or Final Visit) in WPAI:SHP Percent Overall Work Impairment Due to Low Back Pain
NCT01571362 (101) [back to overview]Change From Screening Period to End of Double-Blind Weeks 4, 8, and 12 (or Final Visit) in WPAI:SHP Percent Work Time Missed Due to Low Back Pain
NCT01571362 (101) [back to overview]Change From Screening Period to End of Open-Label in Work Productivity and Activity Impairment Questionnaire: Specific Health Problem (WPAI:SHP): % Work Time Missed, % Impairment, % Overall Work Impairment, % Activity Impairment Due to Low Back Pain
NCT01571362 (101) [back to overview]Change From Screening Period to End of Open-Label Titration Period in Roland-Morris Disability Questionnaire (RMDQ) Total Score for All Participants
NCT01571362 (101) [back to overview]Change From Screening Period to End of Open-Label Treatment in Brief Pain Inventory - Short Form (BPI-sf): Worst Pain, Least Pain, Average Pain, Pain Right Now, Pain Severity Index, Pain Interference Index
NCT01571362 (101) [back to overview]Change From Screening Period to Randomization Baseline in BPI-sf: Worst Pain, Least Pain, Average Pain, Pain Right Now, Pain Severity Index, Pain Interference Index
NCT01571362 (101) [back to overview]Change From Screening Period to Randomization Baseline in Participant Assessment of Overall Health State Using the EQ-5D Summary Index
NCT01571362 (101) [back to overview]Change From Screening Period to Randomization Baseline in Participant Assessment of Overall Health State Using the EQ-5D VAS
NCT01571362 (101) [back to overview]Change From Screening Period to Randomization Baseline in RMDQ Total Score
NCT01571362 (101) [back to overview]Change From Screening Period to Randomization Baseline in SF-36v2 Health Survey Score
NCT01571362 (101) [back to overview]Change From Screening Period to Randomization Baseline in WPAI:SHP: Percent Work Time Missed, Percent Impairment, Percent Overall Work Impairment, Percent Activity Impairment Due to Low Back Pain
NCT01625091 (4) [back to overview]Craving for Alcohol
NCT01625091 (4) [back to overview]Drinking Problems (SIP-2R Score)
NCT01625091 (4) [back to overview]Number of Binge Drinking Days
NCT01625091 (4) [back to overview]Number of Participants Who Quit Hazardous Drinking
NCT01625611 (3) [back to overview]Baseline KOR Differences
NCT01625611 (3) [back to overview]Occupancy of KOR by NTX and Drinking
NCT01625611 (3) [back to overview]Relationship Between NTX Responsivity and Occupancy of KOR
NCT01650350 (2) [back to overview]To Assess the Toxicity Associated With Low Dose Naltrexone for Melanoma, CRPC and Renal Cancer.
NCT01650350 (2) [back to overview]Number of Responses to Low Dose Naltrexone for Patients With Advanced Melanoma, Castrate Refractory Prostate Cancer (CRPC) or Renal Cancer Via RECIST
NCT01672723 (3) [back to overview]Changes in Self-reported Feelings of Connection During Naltrexone (vs. Placebo)
NCT01672723 (3) [back to overview]Daily Self-reported Feelings of Social Connection
NCT01672723 (3) [back to overview]Self-reported Physical Symptoms
NCT01673594 (2) [back to overview]Safety
NCT01673594 (2) [back to overview]Change in Score on AISRS From Baseline to Week 6
NCT01690546 (10) [back to overview]Craving
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 Clinical Opiate Withdrawal Scale (COWS)
NCT01690546 (10) [back to overview]Withdrawal Intensity as Measured by the Subjective Opiate Withdrawal Scale (SOWS)
NCT01690546 (10) [back to overview]Illicit Drug Use, Measured by Urine Drug Testing
NCT01690546 (10) [back to overview]Number of Participants That Self Reported Illicit Drug Use
NCT01690546 (10) [back to overview]Satisfaction With Treatment, Measured by a Treatment Satisfaction Questionnaire
NCT01721330 (1) [back to overview]Change in Adult Investigator Symptom Rating Scale (AISRS) Score
NCT01723384 (3) [back to overview]Feasibility of Retaining Participants in Trial
NCT01723384 (3) [back to overview]Tolerability to Study Drug, as Measured by Adverse Events
NCT01723384 (3) [back to overview]Acceptability to Taking Medication
NCT01746901 (52) [back to overview]Time to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and Noroxycodone
NCT01746901 (52) [back to overview]Time to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone and 6-beta-naltrexol
NCT01746901 (52) [back to overview]Take Drug Again Effect at Hours 12, 24 and 36
NCT01746901 (52) [back to overview]Sleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour
NCT01746901 (52) [back to overview]Pupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour
NCT01746901 (52) [back to overview]Overall Drug Liking Effect at Hours 12, 24 and 36
NCT01746901 (52) [back to overview]Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)
NCT01746901 (52) [back to overview]Nausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour
NCT01746901 (52) [back to overview]Maximum Observed Plasma Concentration (Cmax) of Naltrexone and 6-beta-naltrexol
NCT01746901 (52) [back to overview]High: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour
NCT01746901 (52) [back to overview]Good Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour
NCT01746901 (52) [back to overview]Feel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour
NCT01746901 (52) [back to overview]Drug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour
NCT01746901 (52) [back to overview]Dose Normalized Maximum Observed Plasma Concentration (Cmax[dn]) of Oxycodone, Oxymorphone and Noroxycodone
NCT01746901 (52) [back to overview]Dizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour
NCT01746901 (52) [back to overview]Area Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of Oxycodone
NCT01746901 (52) [back to overview]Any Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour
NCT01746901 (52) [back to overview]Take Drug Again: Peak Effect (Emax)
NCT01746901 (52) [back to overview]Take Drug Again: Minimum Effect (Emin)
NCT01746901 (52) [back to overview]Take Drug Again: Mean Effect (Emean)
NCT01746901 (52) [back to overview]Sleepy: Time to Maximum (Peak) Effect (TEmax)
NCT01746901 (52) [back to overview]Sleepy: Peak Effect (Emax)
NCT01746901 (52) [back to overview]Pupillometry: Time to Maximum (Peak) Effect (TEmax)
NCT01746901 (52) [back to overview]Pupillometry: Peak Effect (Emax)
NCT01746901 (52) [back to overview]Plasma Terminal Half-Life (t1/2) of Oxycodone
NCT01746901 (52) [back to overview]Overall Drug Liking: Peak Effect (Emax)
NCT01746901 (52) [back to overview]Overall Drug Liking: Minimum Effect (Emin)
NCT01746901 (52) [back to overview]Overall Drug Liking: Mean Effect (Emean)
NCT01746901 (52) [back to overview]Number of Participants With Clinically Significant Change in Vital Sign Examinations
NCT01746901 (52) [back to overview]Number of Participants With Clinically Significant Change in Oxygen Saturation of Hemoglobin (SpO2)
NCT01746901 (52) [back to overview]Number of Participants With Clinically Significant Change in End Tidal Carbon Dioxide (EtCO2)
NCT01746901 (52) [back to overview]Nausea: Time to Maximum (Peak) Effect (TEmax)
NCT01746901 (52) [back to overview]Nausea: Peak Effect (Emax)
NCT01746901 (52) [back to overview]High: Time to Maximum (Peak) Effect (TEmax)
NCT01746901 (52) [back to overview]High: Area Under Effect Curve (AUE) From 0-2 Hour
NCT01746901 (52) [back to overview]Good Drug Effects: Time to Maximum (Peak) Effect (TEmax)
NCT01746901 (52) [back to overview]Good Drug Effects: Peak Effect (Emax)
NCT01746901 (52) [back to overview]Feel Sick: Time to Maximum (Peak) Effect (TEmax)
NCT01746901 (52) [back to overview]Feel Sick: Peak Effect (Emax)
NCT01746901 (52) [back to overview]Drug Liking: Time to Maximum (Peak) Effect (TEmax)
NCT01746901 (52) [back to overview]Drug Liking: Peak Effect (Emax)
NCT01746901 (52) [back to overview]Bad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour
NCT01746901 (52) [back to overview]Dose Normalized Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)dn] of Oxycodone
NCT01746901 (52) [back to overview]Dizzy: Time to Maximum (Peak) Effect (TEmax)
NCT01746901 (52) [back to overview]Dizzy: Peak Effect (Emax)
NCT01746901 (52) [back to overview]Bad Drug Effects: Time to Maximum (Peak) Effect (TEmax)
NCT01746901 (52) [back to overview]Bad Drug Effects: Peak Effect (Emax)
NCT01746901 (52) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Oxycodone
NCT01746901 (52) [back to overview]Any Drug Effects: Time to Maximum (Peak) Effect (TEmax)
NCT01746901 (52) [back to overview]Any Drug Effects: Peak Effect (Emax)
NCT01746901 (52) [back to overview]High: Peak Effect (Emax)
NCT01746901 (52) [back to overview]Drug Liking: Area Under Effect Curve (AUE) From 0-2 Hour
NCT01775189 (58) [back to overview]Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Oxycodone, Oxymorphone and Noroxycodone
NCT01775189 (58) [back to overview]High: Time to Maximum (Peak) Effect (TEmax)
NCT01775189 (58) [back to overview]Bad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 Hour
NCT01775189 (58) [back to overview]Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Naltrexone and 6-beta-naltrexol
NCT01775189 (58) [back to overview]Area Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Oxycodone, Oxymorphone and Noroxycodone
NCT01775189 (58) [back to overview]Area Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Naltrexone and 6-beta-naltrexol
NCT01775189 (58) [back to overview]Any Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 Hour
NCT01775189 (58) [back to overview]Take Drug Again: Peak Effect (Emax)
NCT01775189 (58) [back to overview]Sleepy: Time to Maximum (Peak) Effect (TEmax)
NCT01775189 (58) [back to overview]Sleepy: Peak Effect (Emax)
NCT01775189 (58) [back to overview]Pupillometry: Time to Maximum (Peak) Effect (TEmax)
NCT01775189 (58) [back to overview]Pupillometry: Peak Effect (Emax)
NCT01775189 (58) [back to overview]Percentage of Dose (Drug Powder) Insufflated
NCT01775189 (58) [back to overview]Overall Drug Liking: Peak Effect (Emax)
NCT01775189 (58) [back to overview]Overall Drug Liking: Mean Effect (Emean)
NCT01775189 (58) [back to overview]Number of Participants With Clinically Significant Change in Vital Sign Examinations
NCT01775189 (58) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Oxycodone, Oxymorphone and Noroxycodone
NCT01775189 (58) [back to overview]Number of Participants With Clinically Significant Change in Oxygen Saturation of Hemoglobin (SpO2)
NCT01775189 (58) [back to overview]Number of Participants With Clinically Significant Change in End Tidal Carbon Dioxide (EtCO2)
NCT01775189 (58) [back to overview]Nausea: Time to Maximum (Peak) Effect (TEmax)
NCT01775189 (58) [back to overview]Nausea: Peak Effect (Emax)
NCT01775189 (58) [back to overview]Dizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 Hour
NCT01775189 (58) [back to overview]Drug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 Hour
NCT01775189 (58) [back to overview]Feel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 Hour
NCT01775189 (58) [back to overview]Good Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 Hour
NCT01775189 (58) [back to overview]High: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 Hours
NCT01775189 (58) [back to overview]Maximum Observed Plasma Concentration (Cmax) of Naltrexone and 6-beta-naltrexol
NCT01775189 (58) [back to overview]Any Drug Effects: Peak Effect (Emax)
NCT01775189 (58) [back to overview]Any Drug Effects: Time to Maximum (Peak) Effect (TEmax)
NCT01775189 (58) [back to overview]Bad Drug Effects: Peak Effect (Emax)
NCT01775189 (58) [back to overview]Bad Drug Effects: Time to Maximum (Peak) Effect (TEmax)
NCT01775189 (58) [back to overview]Dizzy: Peak Effect (Emax)
NCT01775189 (58) [back to overview]Dizzy: Time to Maximum (Peak) Effect (TEmax)
NCT01775189 (58) [back to overview]Drug Liking: Area Under Effect Curve (AUE) From 0-2 Hour
NCT01775189 (58) [back to overview]Drug Liking: Peak Effect (Emax)
NCT01775189 (58) [back to overview]Drug Liking: Time to Maximum (Peak) Effect (TEmax)
NCT01775189 (58) [back to overview]Feel Sick: Peak Effect (Emax)
NCT01775189 (58) [back to overview]Feel Sick: Time to Maximum (Peak) Effect (TEmax)
NCT01775189 (58) [back to overview]Good Drug Effects: Peak Effect (Emax)
NCT01775189 (58) [back to overview]Take Drug Again: Mean Effect (Emean)
NCT01775189 (58) [back to overview]Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Naltrexone and 6-beta-naltrexol
NCT01775189 (58) [back to overview]Good Drug Effects: Time to Maximum (Peak) Effect (TEmax)
NCT01775189 (58) [back to overview]High: Area Under Effect Curve (AUE) From 0-2 Hour
NCT01775189 (58) [back to overview]High: Peak Effect (Emax)
NCT01775189 (58) [back to overview]Time to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and Noroxycodone
NCT01775189 (58) [back to overview]Time to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone and 6-beta-naltrexol
NCT01775189 (58) [back to overview]Take Drug Again Effect at Hours 12 and 24
NCT01775189 (58) [back to overview]Overall Drug Liking Effect at Hours 12 and 24
NCT01775189 (58) [back to overview]Subject Rating Scale for Nasal Effects: Time to Maximum (Peak) Effect (TEmax)
NCT01775189 (58) [back to overview]Subject Rating Scale for Nasal Effects: Peak Effect (Emax)
NCT01775189 (58) [back to overview]Subject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 Hour
NCT01775189 (58) [back to overview]Sleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 Hour
NCT01775189 (58) [back to overview]Pupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 Hour
NCT01775189 (58) [back to overview]Plasma Decay Half-Life (t1/2) of Oxycodone, Oxymorphone and Noroxycodone
NCT01775189 (58) [back to overview]Plasma Decay Half-Life (t1/2) of Naltrexone and 6-beta-naltrexol
NCT01775189 (58) [back to overview]Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)
NCT01775189 (58) [back to overview]Nausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 Hour
NCT01775189 (58) [back to overview]Maximum Observed Plasma Concentration (Cmax) of Oxycodone, Oxymorphone and Noroxycodone
NCT01822132 (5) [back to overview]Risk Assessment Battery (RAB)
NCT01822132 (5) [back to overview]Barrat Impulsiveness Scale (BIS)
NCT01822132 (5) [back to overview]Discounting Tasks: Sexual Probability Discounting (SexPD)
NCT01822132 (5) [back to overview]Discounting Tasks: Standard Delay Discounting (DD)
NCT01822132 (5) [back to overview]Methamphetamine Use
NCT01843023 (4) [back to overview]Treatment Retention
NCT01843023 (4) [back to overview]Opioid Use at 6 Month Follow-up
NCT01843023 (4) [back to overview]Monetized Healthcare Utilization
NCT01843023 (4) [back to overview]HIV Sex Risk Behaviors
NCT01856712 (4) [back to overview]Ongoing Alcohol Consumption
NCT01856712 (4) [back to overview]Percentage of Participants Adhered to Medication
NCT01856712 (4) [back to overview]Percentage of Patients Attended Recommended Outpatient Substance Abuse Treatment
NCT01856712 (4) [back to overview]Retention Rate: Percentage of Participants Attended an Initial Behavioral Treatment Visit Within 2 Weeks of Hospital Discharge.
NCT01866098 (8) [back to overview]Change in Weight From Baseline
NCT01866098 (8) [back to overview]Changes in Fasting Glucose From Baseline
NCT01866098 (8) [back to overview]Percent of Subjects Who Lost More Than 5% of Body Weight From Baseline
NCT01866098 (8) [back to overview]Changes in Total Cholesterol From Baseline
NCT01866098 (8) [back to overview]Changes in LDL From Baseline
NCT01866098 (8) [back to overview]Changes in Insulin From Baseline
NCT01866098 (8) [back to overview]Changes in HDL From Baseline
NCT01866098 (8) [back to overview]Changes in Glycosylated Hemoglobin (HbA1c) From Baseline
NCT01873729 (2) [back to overview]Change in Adult Investigator Symptom Rating Scale (AISRS) Scores From Baseline
NCT01873729 (2) [back to overview]Clinical Global Impression (CGI)
NCT01874951 (8) [back to overview]Change in HAM-D28 Total Score
NCT01874951 (8) [back to overview]Response Rate
NCT01874951 (8) [back to overview]Remission Rate
NCT01874951 (8) [back to overview]Change in MADRS-15 Total Score
NCT01874951 (8) [back to overview]Change in HAM-D-17 Total Score
NCT01874951 (8) [back to overview]Change in CGI-S Total Score
NCT01874951 (8) [back to overview]Change in MADRS-10 Total Score
NCT01874951 (8) [back to overview]Final CGI-I Score
NCT01893827 (1) [back to overview]Percentage of Participants With Alcohol Abstinence or Moderate Drinking
NCT01895036 (1) [back to overview]Successful Discontinuation of Buprenorphine
NCT01903837 (5) [back to overview]Percentage of Subjects Exhibiting Significant Weight Gain at Day 92
NCT01903837 (5) [back to overview]Change in Clinical Global Impressions - Severity (CGI-S) From Baseline to Day 92
NCT01903837 (5) [back to overview]Absolute Change in Total Positive and Negative Syndrome Scale (PANSS) Score
NCT01903837 (5) [back to overview]Absolute Change in Body Weight (kg) From Baseline to Day 92
NCT01903837 (5) [back to overview]Percent Change in Body Weight (Kilogram) From Baseline to Day 92
NCT01908062 (11) [back to overview]Number of Participants With Urine Drug Screen (UDS) Positive for Opioids
NCT01908062 (11) [back to overview]Number of Participants Successfully Retained on Pharmacotherapy Treatment at 16 Weeks
NCT01908062 (11) [back to overview]HIV Viral Suppression at 16 Weeks
NCT01908062 (11) [back to overview]Number of Participants With Successful Initiation of Treatment Within 4 Weeks of Randomization
NCT01908062 (11) [back to overview]Participant Safety: Precipitated Withdrawal
NCT01908062 (11) [back to overview]HIV Care Engagement
NCT01908062 (11) [back to overview]Mean Days of Alcohol Use in Past 30 Days
NCT01908062 (11) [back to overview]Mean Days of Opioid Use in Past 30 Days
NCT01908062 (11) [back to overview]Number of Participants With Urine Ethyl Glucuronide (EtG) Positive for Alcohol
NCT01908062 (11) [back to overview]Participant Safety: Any Fatal or Non-fatal Overdose Between Baseline and Week 16
NCT01908062 (11) [back to overview]Participant Safety: Change in Liver Enzymes Between Baseline and Week 16
NCT01982643 (1) [back to overview]"Participants Categorized as Responders"
NCT01993108 (4) [back to overview]Accuracy on the Multi-Source Interference Task
NCT01993108 (4) [back to overview]Characterize the Effects of Methylphenidate and Naltrexone on Neural Circuits in Prefrontal Cortex Associated With Top-down Control.
NCT01993108 (4) [back to overview]Reaction Time on the Multi-Source Interference Task
NCT01993108 (4) [back to overview]Reaction Time Variability on the Multi-Source Interference Task
NCT01999114 (12) [back to overview]The Maximum Time-matched Change From Baseline in QT Data Corrected for Heart Rate (QTc), Placebo-corrected, Based on an Individual Correction (QTcI) Method (ΔΔQTcI)
NCT01999114 (12) [back to overview]QTcF and QTcB for Historical Purposes, PR Interval, QRS Interval, and Uncorrected QT Interval
NCT01999114 (12) [back to overview]Heart Rate (HR)
NCT01999114 (12) [back to overview]ECG Morphology
NCT01999114 (12) [back to overview]ECG Morphology
NCT01999114 (12) [back to overview]Heart Rate (HR)
NCT01999114 (12) [back to overview]Heart Rate (HR)
NCT01999114 (12) [back to overview]The Maximum Time-matched Change From Baseline in QT Data Corrected for Heart Rate (QTc), Placebo-corrected, Based on an Individual Correction (QTcI) Method (ΔΔQTcI)
NCT01999114 (12) [back to overview]QTcF and QTcB for Historical Purposes, PR Interval, QRS Interval, and Uncorrected QT Interval
NCT01999114 (12) [back to overview]QTcF and QTcB for Historical Purposes, PR Interval, QRS Interval, and Uncorrected QT Interval
NCT01999114 (12) [back to overview]The Maximum Time-matched Change From Baseline in QT Data Corrected for Heart Rate (QTc), Placebo-corrected, Based on an Individual Correction (QTcI) Method (ΔΔQTcI)
NCT01999114 (12) [back to overview]ECG Morphology
NCT01999946 (1) [back to overview]Time-to-Relapse: XRNTX vs. ETAU Following Release From Jail
NCT02026011 (5) [back to overview]Alcohol Self-administration - Number of Drinks
NCT02026011 (5) [back to overview]Neural Response to Alcohol Cues
NCT02026011 (5) [back to overview]Subjective Response - Craving for Alcohol
NCT02026011 (5) [back to overview]Subjective Response - Sedation
NCT02026011 (5) [back to overview]Subjective Response - Stimulation
NCT02032433 (58) [back to overview]Score on Color Word Card of Stoop Test
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]Score on Trail Making Test Part B
NCT02032433 (58) [back to overview]Score on Trail Making Test Part B
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]Opioid Abstinence Over Time While on Study Medication (Objective)
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]Score of Medical Status Subscale Within Addiction Severity Index (ASI) Scale
NCT02032433 (58) [back to overview]Opioid Craving Over Time W0
NCT02032433 (58) [back to overview]Cigarette Smoking, W0 0
NCT02032433 (58) [back to overview]Cigarette Smoking
NCT02032433 (58) [back to overview]Alcohol Use Over Time, Drinks Per Day, Past 30 Days, W0
NCT02032433 (58) [back to overview]Alcohol Use Over Time, Drinks Per Day
NCT02032433 (58) [back to overview]Adverse Events Related to Study Medications
NCT02032433 (58) [back to overview]Other Drug Use Over Time, Cocaine, W0
NCT02032433 (58) [back to overview]Number Successfully Inducted Onto Assigned Study Medication
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]Cigarette Smoking, W24 0
NCT02032433 (58) [back to overview]Cigarette Smoking, W0, 10 or Less
NCT02032433 (58) [back to overview]Cigarette Smoking, W0 31 or More
NCT02032433 (58) [back to overview]Cigarette Smoking, W0 21-30
NCT02032433 (58) [back to overview]Cigarette Smoking, W0 11-20
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]Opioid Abstinence Over Time While on Study Medication (Subjective)
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 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 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)
NCT02088177 (2) [back to overview]Number of Participants Receiving the Second Injection of Study Medication
NCT02088177 (2) [back to overview]Change in Marijuana Use
NCT02107014 (65) [back to overview]Change in PDGF-BB From Baseline.
NCT02107014 (65) [back to overview]Change in MIP-1α From Baseline.
NCT02107014 (65) [back to overview]Change in EGF From Baseline.
NCT02107014 (65) [back to overview]Change in ENA-78 From Baseline.
NCT02107014 (65) [back to overview]Change in CD40L From Baseline.
NCT02107014 (65) [back to overview]Change in BDNF From Baseline.
NCT02107014 (65) [back to overview]Change in Eotaxin From Baseline.
NCT02107014 (65) [back to overview]Change in FaSL From Baseline.
NCT02107014 (65) [back to overview]Change in LIF From Baseline.
NCT02107014 (65) [back to overview]Change in FGF-β From Baseline.
NCT02107014 (65) [back to overview]Change in G-CSF From Baseline.
NCT02107014 (65) [back to overview]Change in VEGF From Baseline.
NCT02107014 (65) [back to overview]Change in VEGF-D From Baseline.
NCT02107014 (65) [back to overview]Change in RANTES From Baseline.
NCT02107014 (65) [back to overview]Change in PIGF-1 From Baseline.
NCT02107014 (65) [back to overview]Change in Pain From Baseline.
NCT02107014 (65) [back to overview]Change in PAI-1 From Baseline.
NCT02107014 (65) [back to overview]Change in Overall Fibromyalgia Symptoms From Baseline.
NCT02107014 (65) [back to overview]Change in NGF From Baseline.
NCT02107014 (65) [back to overview]Change in MIP-1β From Baseline.
NCT02107014 (65) [back to overview]Change in VCAM-1 From Baseline.
NCT02107014 (65) [back to overview]Change in MIG From Baseline.
NCT02107014 (65) [back to overview]Change in MCP-3 From Baseline.
NCT02107014 (65) [back to overview]Change in MCP-1 From Baseline.
NCT02107014 (65) [back to overview]Change in TRAIL From Baseline.
NCT02107014 (65) [back to overview]Change in TNF-β From Baseline.
NCT02107014 (65) [back to overview]Change in TNF-α From Baseline.
NCT02107014 (65) [back to overview]Change in TGF-β From Baseline.
NCT02107014 (65) [back to overview]Change in TGF-α From Baseline.
NCT02107014 (65) [back to overview]Change in SDF-1α From Baseline.
NCT02107014 (65) [back to overview]Change in SCF From Baseline.
NCT02107014 (65) [back to overview]Change in Resistin From Baseline.
NCT02107014 (65) [back to overview]Change in M-CSF From Baseline.
NCT02107014 (65) [back to overview]Change in IL-27 From Baseline.
NCT02107014 (65) [back to overview]Change in Leptin From Baseline.
NCT02107014 (65) [back to overview]Change in IP-10 From Baseline.
NCT02107014 (65) [back to overview]Change in IL-9 From Baseline.
NCT02107014 (65) [back to overview]Change in IL-8 From Baseline.
NCT02107014 (65) [back to overview]Change in IL-18 From Baseline.
NCT02107014 (65) [back to overview]Change in IL-17F From Baseline.
NCT02107014 (65) [back to overview]Change in IL-17A From Baseline.
NCT02107014 (65) [back to overview]Change in IL-15 From Baseline.
NCT02107014 (65) [back to overview]Change in IL-13 From Baseline.
NCT02107014 (65) [back to overview]Change in IL-12p70 From Baseline.
NCT02107014 (65) [back to overview]Change in IL-12p40 From Baseline.
NCT02107014 (65) [back to overview]Change in IL-10 From Baseline.
NCT02107014 (65) [back to overview]Change in IFN-γ From Baseline.
NCT02107014 (65) [back to overview]Change in IFN-β From Baseline.
NCT02107014 (65) [back to overview]Change in IFN-α From Baseline.
NCT02107014 (65) [back to overview]Change in ICAM-1 From Baseline.
NCT02107014 (65) [back to overview]Change in IL-7 From Baseline.
NCT02107014 (65) [back to overview]Change in IL-6 From Baseline.
NCT02107014 (65) [back to overview]Change in IL-5 From Baseline.
NCT02107014 (65) [back to overview]Change in HGF From Baseline.
NCT02107014 (65) [back to overview]Change in GROa From Baseline.
NCT02107014 (65) [back to overview]Change in GM-CSF From Baseline.
NCT02107014 (65) [back to overview]Change in IL-4 From Baseline.
NCT02107014 (65) [back to overview]Change in IL-31 From Baseline.
NCT02107014 (65) [back to overview]Change in IL-23 From Baseline.
NCT02107014 (65) [back to overview]Change in IL-22 From Baseline.
NCT02107014 (65) [back to overview]Change in IL-21 From Baseline.
NCT02107014 (65) [back to overview]Change in IL-2 From Baseline.
NCT02107014 (65) [back to overview]Change in IL-1β From Baseline.
NCT02107014 (65) [back to overview]Change in IL-1α From Baseline.
NCT02107014 (65) [back to overview]Change in IL-1Ra From Baseline.
NCT02110264 (2) [back to overview]Opioid Use
NCT02110264 (2) [back to overview]Opioid Use Disorder
NCT02158533 (2) [back to overview]Change From Baseline to Week 5 in the Montgomery Asberg Depression Rating Scale (MADRS) Total Score
NCT02158533 (2) [back to overview]Number of Subjects With Adverse Events (AEs)
NCT02317744 (4) [back to overview]Body Mass Index (BMI)
NCT02317744 (4) [back to overview]Body Mass Index (BMI)
NCT02317744 (4) [back to overview]Binge Eating Frequency (Continuous)
NCT02317744 (4) [back to overview]Binge Eating Frequency (Continuous)
NCT02322047 (4) [back to overview]Change in Mean Drinks Per Day of Drinking (Visit 8 - Visit 2)
NCT02322047 (4) [back to overview]Change in Alcohol Craving (Visit 8 PACS - Visit 2 PACS)
NCT02322047 (4) [back to overview]Change in Percent Heavy Drinking Days (PHDD) (Visit 8 PHDD - Visit 2 PHDD)
NCT02322047 (4) [back to overview]Change in Percent Drinking Days (PDD) (Visit 8 PDD - Visit 2 PDD)
NCT02437344 (2) [back to overview]Withdrawal: Subjective Opioid Withdrawal Scale (SOWS) Scores at Baseline and Administered Subsequently
NCT02437344 (2) [back to overview]Successful Naltrexone Initiation
NCT02445339 (15) [back to overview]Gamma-glutamyl Transferase (GGT) Levels
NCT02445339 (15) [back to overview]EuroQoL-5 Dimensions (EQ-5D) Score
NCT02445339 (15) [back to overview]EuroQoL-5 Dimensions (EQ-5D) Score
NCT02445339 (15) [back to overview]Gamma-glutamyl Transferase (GGT) Levels
NCT02445339 (15) [back to overview]Gamma-glutamyl Transferase (GGT) Levels
NCT02445339 (15) [back to overview]Number of Heavy Drinking Days
NCT02445339 (15) [back to overview]Short Inventory of Problems Related to Alcohol (SIP-2R) Score
NCT02445339 (15) [back to overview]Number of Heavy Drinking Days
NCT02445339 (15) [back to overview]Carbohydrate-deficient Transferrin (CDT) Levels
NCT02445339 (15) [back to overview]Number of Heavy Drinking Days
NCT02445339 (15) [back to overview]Carbohydrate-deficient Transferrin (CDT) Levels
NCT02445339 (15) [back to overview]Carbohydrate-deficient Transferrin (CDT) Levels
NCT02445339 (15) [back to overview]EuroQoL-5 Dimensions (EQ-5D) Score
NCT02445339 (15) [back to overview]Short Inventory of Problems Related to Alcohol (SIP-2R) Score
NCT02445339 (15) [back to overview]Short Inventory of Problems Related to Alcohol (SIP-2R) Score
NCT02478489 (1) [back to overview]Change in Percent Heavy Drinking Days (%HDDs) Over the Past 30 Days From Baseline to 3 Month Follow-up, Assessed Using the Timeline Follow-Back
NCT02543944 (4) [back to overview]Vivitrol Injection Receivers
NCT02543944 (4) [back to overview]NTX Transition Initiation
NCT02543944 (4) [back to overview]Detoxification Phase: Changes in Percent of Illicit Opioid-positive Urine Samples Over Time
NCT02543944 (4) [back to overview]Detox Phase Completers
NCT02617628 (2) [back to overview]Reincarceration
NCT02617628 (2) [back to overview]Relapse to Opioid Use in Subjects by Month 3
NCT02680847 (6) [back to overview]Number of Participants With All-causality and Treatment-related Serious Adverse Events (SAEs)
NCT02680847 (6) [back to overview]Number of All-causality and Treatment-related AEs, by Intensity
NCT02680847 (6) [back to overview]Number of Participants With All-causality and Treatment-related Adverse Events (AEs)
NCT02680847 (6) [back to overview]Number of Participants With Maximum Changes in Vital Signs (Blood Pressure, Heart Rate, Respiratory Rate) Meeting Categorical Summarization Criteria
NCT02680847 (6) [back to overview]Number of Participants With Laboratory (Lab) Abnormalities (Hematology and Chemistry)
NCT02680847 (6) [back to overview]Number of Participants With Clinical Opiate Withdrawal Scale (COWS)
NCT02696434 (7) [back to overview]Mean Peak COWS Scores During the Treatment Period (Days 1/1a-7)
NCT02696434 (7) [back to overview]Proportion of Days With COWS Peak Score
NCT02696434 (7) [back to overview]Proportion of Post-VIVITROL Days (Days 9-11) in Which Subjects in Each Group Demonstrate Mild Opioid Withdrawal
NCT02696434 (7) [back to overview]Proportion of Subjects Who Receive and Tolerate a VIVITROL Injection on Day 8
NCT02696434 (7) [back to overview]"Mean Score for Desire for Opioids Visual Analog Scale (VAS) During the Treatment Period and VIVITROL Induction and Post-VIVITROL Observation Period"
NCT02696434 (7) [back to overview]Area Under the Curve (AUC) for COWS Scores During the Treatment Period and VIVITROL Induction and Post-VIVITROL Observation Period
NCT02696434 (7) [back to overview]Incidence of Adverse Events (AEs)
NCT02698215 (2) [back to overview]Number of Participants With Expired Carbon Monoxide Level <=5ppm
NCT02698215 (2) [back to overview]Drinks Per Drinking Day
NCT02736474 (15) [back to overview]Change in Fasting Insulin Levels
NCT02736474 (15) [back to overview]Change in Leptin
NCT02736474 (15) [back to overview]Waist Circumference
NCT02736474 (15) [back to overview]Numbers of Participants Who Quit Smoking
NCT02736474 (15) [back to overview]Depression Status Assessed by Self-rating Depression Scale(SDS)
NCT02736474 (15) [back to overview]Clinical Symptoms Assessed by the Positive and Negative Syndrome Scale (PANSS)
NCT02736474 (15) [back to overview]Changes From Baseline Craving for Nicotine Assessed by Visual Analog Scales (VAS) at 24 Weeks
NCT02736474 (15) [back to overview]Change in Glycosylated Hemoglobin
NCT02736474 (15) [back to overview]Change in Ghrelin
NCT02736474 (15) [back to overview]Change in Fasting Triglycerides Levels
NCT02736474 (15) [back to overview]Change in Fasting LDL Cholesterol
NCT02736474 (15) [back to overview]Change in Fasting HDL Cholesterol Levels
NCT02736474 (15) [back to overview]Change in Fasting Blood Glucose Levels
NCT02736474 (15) [back to overview]Change From Baseline in Weight at 24 Weeks
NCT02736474 (15) [back to overview]Anxiety Status Assessed by Self-Rating Anxiety Scale(SAS)
NCT02818036 (2) [back to overview]Self-reported Feelings of Connection in Response to the Scanner Tasks
NCT02818036 (2) [back to overview]Bold Oxygen-level Dependent (BOLD) Activations in Prespecified ROIs
NCT02842073 (5) [back to overview]Number of Binge Drinking Days During Treatment
NCT02842073 (5) [back to overview]Number of Participants Discontinuing Subsequent to Defined Intolerance
NCT02842073 (5) [back to overview]Number of Participants With Treatment-Associated Adverse Events
NCT02842073 (5) [back to overview]Final Penn Alcohol Craving Scale (PACS) Score
NCT02842073 (5) [back to overview]Mean Number of Drinks/Binge Drinking Day During Treatment
NCT02885311 (1) [back to overview]Weekly Change in Drinking
NCT02978417 (13) [back to overview]Number of Participants Who Reported Improvement in Substance Use
NCT02978417 (13) [back to overview]Number of Participants With New Arrests
NCT02978417 (13) [back to overview]Number of Sanctions Imposed by the Court
NCT02978417 (13) [back to overview]Treatment Participation (Non-Vivitrol)
NCT02978417 (13) [back to overview]Treatment Satisfaction Score
NCT02978417 (13) [back to overview]Vivitrol Participation
NCT02978417 (13) [back to overview]Change in Medication-assisted Treatment (MAT) Attitudes
NCT02978417 (13) [back to overview]Number of Positive Drug Screens
NCT02978417 (13) [back to overview]Number of Participants With New Incarcerations
NCT02978417 (13) [back to overview]Number of Missed Court Appointments
NCT02978417 (13) [back to overview]Number of Participants Who Reported Illegal Behavior
NCT02978417 (13) [back to overview]Number of Participants Who Reported Improvement in Subjective Functioning: Employment/Support Status
NCT02978417 (13) [back to overview]Number of Participants Who Reported Improvement in Subjective Functioning: Family/Social Relationships
NCT03008590 (7) [back to overview]Brief Pain Inventory - Pain Severity
NCT03008590 (7) [back to overview]Clinical Global Impression of Improvement (CGI-I)
NCT03008590 (7) [back to overview]Clinical Global Impression of Severity (CGI-S)
NCT03008590 (7) [back to overview]painDETECT
NCT03008590 (7) [back to overview]Beck Depression Inventory-II
NCT03008590 (7) [back to overview]Brief Fatigue Inventory
NCT03008590 (7) [back to overview]Brief Pain Inventory - Pain Interference
NCT03045341 (3) [back to overview]Binge Eating Frequency (Continuous)
NCT03045341 (3) [back to overview]Body Mass Index (Percent Weight Loss)
NCT03045341 (3) [back to overview]Number of Participants Meeting Response Criteria
NCT03047005 (2) [back to overview]Change in Body Mass Index
NCT03047005 (2) [back to overview]Binge Eating Frequency (Continuous)
NCT03078075 (26) [back to overview]Mean Change of Methamphetamine Craving at Stage 2
NCT03078075 (26) [back to overview]Mean Change of Overall Functioning as Measured by Treatment Effectiveness Assessment (TEA) at Stage 1
NCT03078075 (26) [back to overview]Mean Change of Overall Functioning as Measured by Treatment Effectiveness Assessment (TEA) at Stage 2
NCT03078075 (26) [back to overview]Mean Number of Abstinent Days of Participants Who Used Other Substance Measured by UDS at Stage 2
NCT03078075 (26) [back to overview]Mean Number of Abstinent Days of Participants Who Used Other Substance Measured by UDS at Stage 1
NCT03078075 (26) [back to overview]Mean Change of Quality of Life (QOL) by PhenX Core Tier 1 Instrument at Stage 2
NCT03078075 (26) [back to overview]Mean Change of Quality of Life (QOL) by PhenX Core Tier 1 Instrument at Stage 1
NCT03078075 (26) [back to overview]Mean Change of Proportion of Other Substance Abstinent Days Measured by Self-report at Stage 2
NCT03078075 (26) [back to overview]Mean Change Percentage of Methamphetamine Abstinent Days Measured by Self-report at Stage 2
NCT03078075 (26) [back to overview]Mean Change of Percentage of Methamphetamine Abstinent Days Measured by Self-report at Stage 1
NCT03078075 (26) [back to overview]Mean Change in Number of Other Substance Use by Self-report at Stage 1
NCT03078075 (26) [back to overview]Mean Number of Study Weeks With Two Methamphetamine-negative UDS at Stage 2
NCT03078075 (26) [back to overview]Treatment Effectiveness Score of Participants at Stage 1
NCT03078075 (26) [back to overview]Mean Change in Number of Other Substance Use by Self-report at Stage 2
NCT03078075 (26) [back to overview]Mean Change of Proportion of Other Substance Abstinent Days Measured by Self-report at Stage 1
NCT03078075 (26) [back to overview]Mean Number of Study Weeks With Two Methamphetamine-negative UDS at Stage 1
NCT03078075 (26) [back to overview]Number of Participants Who Completed the Visit in Week 12
NCT03078075 (26) [back to overview]Percentage of Participants Who Used Methamphetamine in the Pre-evaluation Period
NCT03078075 (26) [back to overview]Mean Change of Depression Symptom Score by PHQ-9 at Stage 2
NCT03078075 (26) [back to overview]Treatment Effectiveness Score of Participants at Stage 2
NCT03078075 (26) [back to overview]Mean Change of Methamphetamine Craving at Stage 1
NCT03078075 (26) [back to overview]Mean Maximum Number of Consecutive Visits Negative UDS at Stage 2
NCT03078075 (26) [back to overview]Change in Proportion of E-cigarettes Abstinent Days by Self-report at Stage 1
NCT03078075 (26) [back to overview]Change in Proportion of E-cigarettes Abstinent Days by Self-report at Stage 2
NCT03078075 (26) [back to overview]Mean Change of Depression Symptom Score by PHQ-9 at Stage 1
NCT03078075 (26) [back to overview]Mean Maximum Number of Consecutive Visits Negative UDS at Stage 1
NCT03113409 (1) [back to overview]Percentage of Patients Who Receive the Second Injection of XR-NTX.
NCT03132571 (3) [back to overview]BMI
NCT03132571 (3) [back to overview]Waist Circumference (Inches)
NCT03132571 (3) [back to overview]Weight (kg)
NCT03188185 (1) [back to overview]Change From Baseline to the End of Treatment (EOT) in the Montgomery Asberg Depression Rating Scale-10 (MADRS-10) Scores
NCT03275350 (13) [back to overview]Number of Participants With HIV Viral Suppression, Complete Case
NCT03275350 (13) [back to overview]Number of Participants Who Had Unprotected Sex in Past 30 Days
NCT03275350 (13) [back to overview]CD4 Count
NCT03275350 (13) [back to overview]Engagement in HIV Care: 100% Antiretroviral Therapy Adherence
NCT03275350 (13) [back to overview]Engagement in HIV Care: Quality of Life
NCT03275350 (13) [back to overview]Engagement in HIV Care: Antiretroviral Therapy Prescribed
NCT03275350 (13) [back to overview]Number of Participants With at Least 1 HIV Care Visit in Past 12 Weeks
NCT03275350 (13) [back to overview]Average Number of Self-Reported Days of Opioid Use in Last 30 Days
NCT03275350 (13) [back to overview]Veterans Aging Cohort Study (VACS) Index
NCT03275350 (13) [back to overview]Number of Participants With Multiple Sex Partners in Past 30 Days
NCT03275350 (13) [back to overview]Number of Participants With HIV Viral Suppression, Per-protocol
NCT03275350 (13) [back to overview]Number of Participants Who Test Positive for Opioids at 24 Weeks
NCT03275350 (13) [back to overview]Number of Participants With HIV Viral Suppression, Missing Imputed as Unsuppressed
NCT03278886 (8) [back to overview]Treatment Discontinuation Defined as Patient Self-report of Stopping Medication Anytime During the Treatment Period
NCT03278886 (8) [back to overview]Reported Side Effects Using a Symptom Checklist, Plus an Open-ended Question
NCT03278886 (8) [back to overview]Medication Satisfaction Defined as a Score From 0-100 Measured Via the Treatment Satisfaction Questionnaire for Medication (TSQM), With Higher Scores Corresponding to Higher Treatment Satisfaction.
NCT03278886 (8) [back to overview]Severe Hepatotoxicity Defined as AST/ALT >10X the Level of Normal
NCT03278886 (8) [back to overview]Number of Participants With Adherence Assessed Via Riboflavin in the Urine Confirming Adherence
NCT03278886 (8) [back to overview]Medication Tolerability Measured Via a 0-100 Visual Analog Scale
NCT03278886 (8) [back to overview]Change in Alcohol Use Defined as a Change in the Mean Number of Grams of Pure Ethanol Consumed Per Day From Baseline to 8 Weeks
NCT03278886 (8) [back to overview]Adherence to Medication Defined as Self-report of Percentage of Study Medication Taken in the Past Two Weeks
NCT03290391 (5) [back to overview]Undetectable HIV Viral Load at 6 Months
NCT03290391 (5) [back to overview]Change in Mean CD4 Count From Baseline to 12 Months
NCT03290391 (5) [back to overview]Initiation of Antiretroviral Therapy (ART)
NCT03290391 (5) [back to overview]Retention in HIV Care
NCT03290391 (5) [back to overview]Undetectable HIV Viral Load at 12 Months
NCT03374956 (3) [back to overview]Change in Total Body Weight
NCT03374956 (3) [back to overview]Percentage of Responders
NCT03374956 (3) [back to overview]Percentage of Responders
NCT03386448 (1) [back to overview]Response to Medications as Assessed by Change in Score on Modified MDRS Scale From Baseline to End of Study Period
NCT03447782 (3) [back to overview]Functional Disability
NCT03447782 (3) [back to overview]Pain Intensity
NCT03447782 (3) [back to overview]Self- Perceived Pain Sensitivity
NCT03539900 (2) [back to overview]Change in Binge Eating Frequency
NCT03539900 (2) [back to overview]Percent BMI Change
NCT03660475 (17) [back to overview]Visual Acuity Measured by Assessing Average Change in LogMAR Units for Both Eyes at Day 29. LogMAR Units Range From 0-1.0, With the Higher the Number Indicating a Worsening in Vision.
NCT03660475 (17) [back to overview]Total Ocular Surface Disease Index
NCT03660475 (17) [back to overview]Tear Osmolarity
NCT03660475 (17) [back to overview]Visual Analog Scale for Pain
NCT03660475 (17) [back to overview]Lissamine Green Staining
NCT03660475 (17) [back to overview]Number of Participants With Treatment-related Adverse Events
NCT03660475 (17) [back to overview]Tear Film Break-up Time
NCT03660475 (17) [back to overview]Cochet-Bonnet Corneal Sensitivity Test
NCT03660475 (17) [back to overview]Conjunctival Redness
NCT03660475 (17) [back to overview]Dilated Fundoscopy
NCT03660475 (17) [back to overview]Fluorescein Staining
NCT03660475 (17) [back to overview]Intraocular Pressure
NCT03660475 (17) [back to overview]Matrix Metalloprotienase-9 (MMP-9) is a Marker of Inflammation.
NCT03660475 (17) [back to overview]Ocular Discomfort (Scale 1)
NCT03660475 (17) [back to overview]Ocular Discomfort (Scale 2)
NCT03660475 (17) [back to overview]Schirmer's Test
NCT03660475 (17) [back to overview]Slit-lamp Biomicroscopy
NCT03810495 (9) [back to overview]AUC of 6β-naltrexol
NCT03810495 (9) [back to overview]Incidence of Adverse Events (AEs)
NCT03810495 (9) [back to overview]Tmax of Naltrexone
NCT03810495 (9) [back to overview]Time>Minimum Effective Concentration
NCT03810495 (9) [back to overview]Percentage of Participants That Maintain MEC
NCT03810495 (9) [back to overview]Median Tmax of 6β-naltrexol
NCT03810495 (9) [back to overview]Median Cmax of Naltrexone
NCT03810495 (9) [back to overview]Median Cmax of 6β-naltrexol
NCT03810495 (9) [back to overview]AUC of Naltrexone
NCT03852628 (3) [back to overview]Number of Participants With a Reduction in CAPS-5 Total Symptom Severity Score (TSSS) of 10 or More Points
NCT03852628 (3) [back to overview]Composite Outcome Measure for a Reduction in Both Alcohol Use Disorder (AUD) and Post-Traumatic Stress Disorder (PTSD) Symptoms
NCT03852628 (3) [back to overview]Number of Participants With a Reduction in Alcohol Use Disorder (AUD), With TLFB Tool
NCT03970330 (7) [back to overview]PGIC Score (Nonmenstrual Pelvic Pain)
NCT03970330 (7) [back to overview]PGIC Score (Dyspareunia)
NCT03970330 (7) [back to overview]Pain Score Area Under the Curve (AUC)
NCT03970330 (7) [back to overview]Ibuprofen Use
NCT03970330 (7) [back to overview]EHP-30 Score
NCT03970330 (7) [back to overview]PGIC Score (Painful Periods)
NCT03970330 (7) [back to overview]Oxycodone Use
NCT04052139 (10) [back to overview]Change in Biomarker IL-10
NCT04052139 (10) [back to overview]Change in IL-1beta
NCT04052139 (10) [back to overview]Number of Participants With a Change in HIV Viral Load Suppression Status
NCT04052139 (10) [back to overview]Change in TNF-alpha
NCT04052139 (10) [back to overview]Change in Percentage of Past Month Heavy Drinking Days
NCT04052139 (10) [back to overview]Change in Past Week Pain Severity
NCT04052139 (10) [back to overview]Change in Past Week Pain Interference
NCT04052139 (10) [back to overview]Change in Cold Pain Tolerance
NCT04052139 (10) [back to overview]Change in CD4 Count
NCT04052139 (10) [back to overview]Change in Biomarker IL-6
NCT04094584 (7) [back to overview]Change in Daily Total Alcohol Consumption From Baseline at 3 Months
NCT04094584 (7) [back to overview]Change in Alcohol Related Life Consequences (Short Inventory of Problems Scale, Version 2R: SIP-2R)
NCT04094584 (7) [back to overview]Change in Quality of Life Score at 3 Months
NCT04094584 (7) [back to overview]Receipt of All Study Naltrexone Injections
NCT04094584 (7) [back to overview]Participants Retained in Study at 3 Months
NCT04094584 (7) [back to overview]Continued Naltrexone Use After Intervention Period
NCT04094584 (7) [back to overview]Change in WHO Drinking Risk Level
NCT04249882 (3) [back to overview]Cue-induced Craving
NCT04249882 (3) [back to overview]# of Drinks Per Drinking Day
NCT04249882 (3) [back to overview]Percentage of Days Abstinent
NCT04322526 (2) [back to overview]BOLD Responses in the rACC Cortex During the Processing of Contextual Cues at Baseline (Post-placebo)
NCT04322526 (2) [back to overview]Naltrexone-induced Changes in BOLD Responses in the rACC Cortex During the Processing of Contextual Cues (Placebo vs. Naltrexone)
NCT04365985 (11) [back to overview]Intensive Care Unit (ICU) Duration
NCT04365985 (11) [back to overview]Intubation
NCT04365985 (11) [back to overview]Intubation Duration
NCT04365985 (11) [back to overview]Length of Hospital Stay
NCT04365985 (11) [back to overview]Liver Failure
NCT04365985 (11) [back to overview]Progression of Oxygenation Needs
NCT04365985 (11) [back to overview]COVID Mortality
NCT04365985 (11) [back to overview]Renal Failure
NCT04365985 (11) [back to overview]Cytokine Storm
NCT04365985 (11) [back to overview]Intensive Care Unit (ICU) Admission
NCT04365985 (11) [back to overview]Time Until Recovery
NCT04409041 (4) [back to overview]Patient Reported Burning/Pain
NCT04409041 (4) [back to overview]Change in Patient-Reported Itch
NCT04409041 (4) [back to overview]Change in Investigator Rated Erythema
NCT04409041 (4) [back to overview]Change in Investigator Rated Scale
NCT04716881 (23) [back to overview]Median Ctrough of Naltrexone (After 1st Dose)
NCT04716881 (23) [back to overview]Median Ctrough of Naltrexone (After 6th Dose)
NCT04716881 (23) [back to overview]Median Tmax of 6β-naltrexol (After 1st Dose)
NCT04716881 (23) [back to overview]Median Tmax of Naltrexone (After 1st Dose)
NCT04716881 (23) [back to overview]Median Tmax of 6β-naltrexol (After th Dose)
NCT04716881 (23) [back to overview]Median Cmax of 6β-naltrexol (After First Dose)
NCT04716881 (23) [back to overview]Median Cmax of Naltrexone (After 1st Dose)
NCT04716881 (23) [back to overview]Median Cmax of 6β-naltrexol (After 6th Dose)
NCT04716881 (23) [back to overview]Median AUC0-inf of Naltrexone (After 6th Dose)
NCT04716881 (23) [back to overview]Median AUC0-inf of Naltrexone (After 1st Dose)
NCT04716881 (23) [back to overview]Median AUC0-inf of 6β-naltrexol (After 6th Dose)
NCT04716881 (23) [back to overview]Median AUC0-inf of 6β-naltrexol (After 1st Dose)
NCT04716881 (23) [back to overview]Adverse Events (AEs)
NCT04716881 (23) [back to overview]6β-naltrexol Accumulation Ratio (AR) for Ctrough
NCT04716881 (23) [back to overview]6β-naltrexol Accumulation Ratio (AR) for AUC0-inf
NCT04716881 (23) [back to overview]6β-naltrexol Accumulation Ratio (AR) for Cmax
NCT04716881 (23) [back to overview]Median Ctrough of 6β-naltrexol (After 6th Dose)
NCT04716881 (23) [back to overview]Naltrexone Accumulation Ratio (AR) for Ctrough
NCT04716881 (23) [back to overview]Naltrexone Accumulation Ratio (AR) for Cmax
NCT04716881 (23) [back to overview]Naltrexone Accumulation Ratio (AR) for AUC0-inf
NCT04716881 (23) [back to overview]Median Tmax of Naltrexone (After 6th Dose)
NCT04716881 (23) [back to overview]Median Cmax of Naltrexone (After 6th Dose)
NCT04716881 (23) [back to overview]Median Ctrough of 6β-naltrexol (After 1st Dose)
NCT04756128 (9) [back to overview]Total Duration of Hospitalization (From First Dose of Study Drug to Discharge)
NCT04756128 (9) [back to overview]In Patients Hospitalized With Moderate COVID-19, Subjects Who Required Remdesivir
NCT04756128 (9) [back to overview]In Patients Hospitalized With Moderate COVID-19, Subjects Who Required Corticosteroids
NCT04756128 (9) [back to overview]In Patients Hospitalized With Moderate COVID-19, Patients Who Required ICU or ICU Stepdown Cares
NCT04756128 (9) [back to overview]In Patients Hospitalized With Moderate COVID-19, The Need for High Flow Nasal Cannula (HFNC) or Non-Invasive Positive Pressure Ventilation (NIPPV)
NCT04756128 (9) [back to overview]The Number of Doses of Remdesivir Required In Patients Hospitalized With Moderate COVID-19
NCT04756128 (9) [back to overview]Total Duration of Hospitalization
NCT04756128 (9) [back to overview]In Patients Hospitalized With Moderate COVID-19, the Impact of Colchicine and LDN, Alone or in Combination, on Achieving Disease Recovery by Day 5.
NCT04756128 (9) [back to overview]The Dosage Amount (in Milligrams) of Corticosteroids Required In Patients Hospitalized With Moderate COVID-19
NCT04854551 (3) [back to overview]Brain Activation to Emotion Regulation
NCT04854551 (3) [back to overview]Change in Brain Activation to Reward Between Placebo and Active Medication
NCT04854551 (3) [back to overview]Alcohol Value
NCT04935931 (3) [back to overview]Exposure
NCT04935931 (3) [back to overview]Change in % Blood Oxygenation Level Dependent Change (%BOLD) in the Nucleus Accumbens
NCT04935931 (3) [back to overview]Change in % Blood Oxygenation Level Dependent Change (%BOLD) in the Dorsal Anterior Cingulate Cortex

Drinking Timeline Follow-back Interview (TFBI)

The TFBI is an interview that utilizes a calendar method to assess when and how much alcohol was consumed by the participant. At Week 0 (Pretreatment), Week 24 (Posttreatment), and Week 52 (Follow-up), alcohol consumed in the past 90 days was assessed. This measure was then used to calculate the percentage of days drinking in the past 90 days at each time point. Higher scores for percentage of days drinking indicate worse drinking outcomes. (NCT00006489)
Timeframe: Week 0 (Pretreatment), Week 24 (Posttreatment), Week 52 (Follow-up)

,,,
Interventionpercentage of days (Mean)
Pretreatment (Week 0)Posttreatmwent (Week 24)Follow-up (Week 52)
Naltrexone + CBT (Prolonged Exposure Therapy)71.27.38.8
Naltrexone + Supportive Counseling75.43.521.5
Placebo + CBT (Prolonged Exposure Therapy)78.613.418.9
Placebo + Supportive Counseling74.113.227.3

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Penn Alcohol Cravings Scale

The Penn Alcohol Craving Scale is a 5-item self-report measure. It assesses alcohol craving during the prior week. Total scores on this measure range from 0 to 30, with higher scores indicating a higher level of craving. (NCT00006489)
Timeframe: Week 0 (Pretreatment), Week 24 (Posttreatment), Week 52 (Follow-up)

,,,
Interventionpercentage of days (Mean)
Pretreatment (Week 0)Posttreatmwent (Week 24)Follow-up (Week 52)
Naltrexone + CBT (Prolonged Exposure Therapy)17.95.16.0
Naltrexone + Supportive Counseling17.78.07.4
Placebo + CBT (Prolonged Exposure Therapy)19.29.16.9
Placebo + Supportive Counseling18.710.38.9

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Posttraumatic Stress Disorder (PTSD) Symptom Scale - Interview (PSS-I-IV)

The PSS-I-IV is a clinician-rated interview that evaluates PTSD symptoms on a frequency/severity scale corresponding to the DSM-IV symptom criteria. The measure has a total score range from 0 to 51, with higher scores indicating more severe PTSD symptoms. (NCT00006489)
Timeframe: Week 0 (Pretreatment), Week 24 (Posttreatment), Week 52 (Follow-up)

,,,
Interventionunits on a scale (Mean)
Pretreatment (Week 0)Posttreatmwent (Week 24)Follow-up (Week 52)
Naltrexone + CBT (Prolonged Exposure Therapy)30.312.27.9
Naltrexone + Supportive Counseling27.115.310.9
Placebo + CBT (Prolonged Exposure Therapy)27.713.310.8
Placebo + Supportive Counseling27.515.511.1

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Yale-Brown Obsessive Compulsive Scale for Pathological Gambling (PG-YBOCS)

A gambling severity measure derived from the Yale-Brown Obsessive Compulsive Scale. It sums gambling urges and thoughts questions to make a total score. Total scores range from 0 to 40, which higher scores indicating more severe gambling symptoms (worse outcome).Administered every week for the first 8 weeks and every other week for the remaining 10 weeks. Final visit scores were the scores measured at the last visit for each participant; data from previous visits were not combined to compute this value. (NCT00053677)
Timeframe: 18 weeks

,
Interventionunits on a scale (Mean)
BaselineFinal Visit Score
Naltrexone16.99.7
Placebo18.612.9

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Cigarettes Smoked Per Day.

Average number of cigarettes smoked per day at 26 weeks. (NCT00105482)
Timeframe: 26 weeks

Interventionnumber of cigarettes (Mean)
Naltrexone7.10
Placebo7.85

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Point Prevalence Smoking Abstinence at 26 Weeks.

The number of people that were abstinent from cigarette smoking at 26 weeks. (NCT00105482)
Timeframe: 26 weeks

Interventionparticipants (Number)
Naltrexone19
Placebo23

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Point Prevalence Smoking Abstinence at 6 Weeks

The number of people that were abstinent from cigarette smoking at 6 weeks. (NCT00105482)
Timeframe: 6 weeks

Interventionparticipants (Number)
Naltrexone33
Placebo43

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Weight Gain at 26 Weeks.

Weight change from baseline measured at 26 weeks. (NCT00105482)
Timeframe: 26 weeks

Interventionpounds (Mean)
Naltrexone6.75
Placebo9.71

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Weight Gain at 6 Weeks.

Weight change from baseline measured at 6 weeks. (NCT00105482)
Timeframe: 6 weeks

Interventionpounds (Mean)
Naltrexone2.53
Placebo2.19

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Percentage of Heavy Drinking Days

Percentage of days with heavy drinking, where heavy drinking is 4 (5) or more drinks for females (males) in a 24 hour period. (NCT00115037)
Timeframe: 16 weeks

Interventionpercentage days of heavy drinking (Median)
Phase 2 Naltrexone for Responders0
Phase 2 Nalt and Tele for Responders0
Phase 2 Nalt, MM and CBI for NR27.7
Phase 2 Placebo, MM and CBI for NR17.8

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Count of Responders and Non-responders in Phase 1

This is the number of patients who responded to phase 1 treatment based on the definition that subjects were randomly assigned to. (NCT00115037)
Timeframe: 8 weeks

InterventionParticipants (Count of Participants)
Phase 1 Liberal Response103
Phase 1 Stringent Response80

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Retention in Treatment

The number of participants who were retained and completed all 12 weeks of treatment and study participation were compared between the three study groups. (NCT00125515)
Timeframe: Number of participants who complete 12 weeks of treatment

Interventionparticipants (Number)
Placebo7
Memantine 30 mg Bid5
Memantine 15 mg Bid6

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Weight Gain

Weight gain for for the entire sample in pounds at 6 weeks. (NCT00129246)
Timeframe: Week 6

Interventionlbs (Mean)
Bupropion Only1.25
Naltrexone +Bupropion0.28

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Weight Gain Abstinent Participants

Weight gain (in pounds) for the patients that were continuously abstinent at 6 weeks. (NCT00129246)
Timeframe: Week 6

Interventionlbs (Mean)
Bupropion Only3.17
Naltrexone +Bupropion1.67

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Point Prevalence Abstinence

Point prevalence abstinence is defined as the number of patients reporting point prevalence abstinence over the last 7 days. (NCT00129246)
Timeframe: Week 6

Interventionparticipants (Number)
Bupropion Only8
Naltrexone +Bupropion8

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Smoking Cessation

Smoking cessation is defined as the number of patients that displayed continuous 6-week abstinence from the quit date. (NCT00129246)
Timeframe: Week 6

Interventionparticipants (Number)
Bupropion Only6
Naltrexone +Bupropion6

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Percent Days of Heavy Drinking (Measured by Timeline Follow Back Starting at Week Two Through Week 14

(NCT00142818)
Timeframe: 13 weeks

Interventionmean percentage of days (Mean)
Modafinil Plus Naltrexone34.7
Naltrexone35.1
Modafinil33.6
Placebo33.8

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Cocaine Use (Measured by Timeline Follow Back and Urine Screen From Week 2-week 14)

(NCT00142818)
Timeframe: 13 weeks

Interventionnumber of cocaine negative urine samples (Mean)
ModNal9.3
Naltrexone and Placebo7.2
Modafinil and Placebo10.1
Double Placebo10.5

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Number of Participants Reporting at Least 1 Treatment-emergent Adverse Event (TEAE)

A TEAE is any adverse event (AE), whether or not considered drug-related, that develops or worsens in severity after study drug administration begins (ie, from the first administration in this extension through the end of the follow-up period). (NCT00156923)
Timeframe: Up to 3.5 years of monthly treatment

InterventionParticipants (Number)
Medisorb Naltrexone 380 mg49
Medisorb Naltrexone 190 mg51

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Number of Subjects Who Reported at Least 1 Treatment-emergent Adverse Event (TEAE) While on Study.

A TEAE is any adverse event (AE), whether or not considered drug-related, that develops or worsens in severity after study drug administration begins (ie, from the first administration through the end of the follow-up period). (NCT00156936)
Timeframe: Up to 3 years

InterventionParticipants (Number)
Medisorb Naltrexone 380 mg (VIVITROL)62
Oral Naltrexone to Medisorb Naltrexone 380 mg (VIVITROL)11

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Time to Relapse to Drinking

Time to relapse drinking which is 5 standard drinks perday for males and 4 standard drinks per day for females. Subjects had a minimum of 4 days of abstinence prior to being entered into the protocol. (NCT00183196)
Timeframe: 16 weeks

Interventiondays (Mean)
Naltrexone Plus Gabapentin and CBI69.9
Naltrexone Plus Placebo and CBI59.6
Placebo Plus Placebo Plus CBI57.3

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Mean Percentage of Cocaine-positive Urines Over Course of 12 Week Treatment in Subgroup Achieving Abstinence at Baseline

Cocaine use was determined by assessing for the presence of benzoylecgonine in urine. (NCT00218023)
Timeframe: 3 times per week (Monday, Wednesday, and Friday) for 12 weeks

InterventionMean % of cocaine-positive urines (Mean)
Modafinil Plus MI, CM, and CBT31
Levodopa/Carbidopa Plus MI, CM, and CBT28
Naltrexone HCl Plus MI, CM, and CBT47
Placebo Plus MI, CM, and CBT35

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Mean Percentage of Cocaine-positive Urines Over Course of 12 Week Treatment in Subgroup NOT Achieving Abstinence at Baseline

Cocaine use was determined by assessing for the presence of benzoylecgonine in urine. (NCT00218023)
Timeframe: 3 times per week (Monday, Wednesday, and Friday) for 12 weeks

InterventionMean % of cocaine-positive urines (Mean)
Modafinil Plus MI, CM, and CBT88
Levodopa/Carbidopa Plus MI, CM, and CBT49
Naltrexone HCl Plus MI, CM, and CBT62
Placebo Plus MI, CM, and CBT91

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Cocaine Drug Use

Number of subjects with cocaine drug use in the past 90 days at baseline as measured by the TimeLine Follow-back Form (TLFB) . The TLFB is an instrument that assesses substance use over a specified period of time (Sobel & Sobel, 1992). (NCT00218426)
Timeframe: baseline

InterventionParticipants (Count of Participants)
ONP + DNI0
ON + DNIP0
ONP + DNIP0

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Amphetamine Drug Use

Number of subjects who used Amphetamine in the past 90 days at baseline as measured by the TimeLine Follow-back Form (TLFB) . The TLFB is an instrument that assesses substance use over a specified period of time (Sobel & Sobel, 1992). (NCT00218426)
Timeframe: baseline

InterventionParticipants (Count of Participants)
ON + DNIP, Oral Naltrexone + Depot Placebo Naltrexone Implant6
DNI + ONP , Naltrexone Implant + Oral Naltrexone Placebo12
ONP + DNIP, Oral Placebo Naltrexone and Depot Placebo Implant18

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Benzodiazepine Drug Use

Number of subjects with benzodiazepine drug use in the past 90 days at baseline as measured by the TimeLine Follow-back Form (TLFB) . The TLFB is an instrument that assesses substance use over a specified period of time (Sobel & Sobel, 1992). (NCT00218426)
Timeframe: baseline

InterventionParticipants (Count of Participants)
ON + DNIP, Oral Naltrexone + Depot Placebo Naltrexone Implant10
DNI + ONP , Naltrexone Implant + Oral Naltrexone Placebo15
ONP + DNIP, Oral Placebo Naltrexone and Depot Placebo Implant9

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Composite Score of Psychiatric Problems

composite score is a decimal score; with 0 = no problems, 1 = the most problems based on the Addiction Severity Index composite score of 11 indexed questions. (NCT00218426)
Timeframe: 6 months

Interventioncomposite score (Mean)
ON + DNIP, Oral Naltrexone + Depot Placebo Naltrexone Implant0.19
DNI + ONP , Naltrexone Implant + Oral Naltrexone Placebo0.15
ONP + DNIP, Oral Placebo Naltrexone and Depot Placebo Implant0.18

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Global Assessment Form (GAF)

Assessment of overall psychiatric function comprises Axis V in the DSM-IV (DSM-IV, 1994). GAF scores range from 0 to 100. A reasonably well-functioning person will score above 70; serious impairment is below 50. (NCT00218426)
Timeframe: baseline

Interventionscore on a scale (Mean)
ON + DNIP, Oral Naltrexone + Depot Placebo Naltrexone Implant62.8
DNI + ONP , Naltrexone Implant + Oral Naltrexone Placebo64.7
ONP + DNIP, Oral Placebo Naltrexone and Depot Placebo Implant62.5

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HIV Risk (Baseline)

The Risk Assessment Behavior (RAB), is an HIV risk Scale. The Total Score is scored by adding the values that correspond to the responses selected by the subject for the items asked. This highest total score is 40 (highest risk), and the lowest score = 0 (no risk). This assessment has 2 Subsections: 1) Drug Risk = 8 questions (lowest Drug Risk score = 0 (no risk), and highest drug risk score = 22 =(greatest risk), 2) 10 Sex Risk questions: scores are 0 = no risk, and 18 = highest risk). Total RAB Score = Drug Risk Total + Sex Risk Total (0 = no risk, 40 = highest). See: Risk Assessment Battery (RAB) Scoring System, https://www.med.upenn.edu/hiv/assets/user-content/.../RABScoringv2.112.21.95.doc (NCT00218426)
Timeframe: baseline

Interventionscore on a scale (Mean)
ON + DNIP, Oral Naltrexone + Depot Placebo Naltrexone Implant8.1
DNI + ONP , Naltrexone Implant + Oral Naltrexone Placebo8.0
ONP + DNIP, Oral Placebo Naltrexone and Depot Placebo Implant8.7

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Marijuana Drug Use

Number of subjects with Marijuana use in the past 90 days at baseline as measured by the TimeLine Follow-back Form (TLFB) . The TLFB is an instrument that assesses substance use over a specified period of time (Sobel & Sobel, 1992). (NCT00218426)
Timeframe: baseline

InterventionParticipants (Count of Participants)
ON + DNIP, Oral Naltrexone + Depot Placebo Naltrexone Implant22
DNI + ONP , Naltrexone Implant + Oral Naltrexone Placebo35
ONP + DNIP, Oral Placebo Naltrexone and Depot Placebo Implant25

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Number of Subjects Who Dropped Out of Treatment

Kaplan-Meier survival curves for the event of subjects who dropped out of treatment (NCT00218426)
Timeframe: 6 months

Interventionparticipants (Number)
ON + DNIP, Oral Naltrexone + Depot Placebo Naltrexone Implant54
DNI + ONP , Naltrexone Implant + Oral Naltrexone Placebo16
ONP + DNIP, Oral Placebo Naltrexone and Depot Placebo Implant11

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Positive Opioid Urine Test

missed urine tests were imputed to be positive for opiates (NCT00218426)
Timeframe: 6 months

Interventionurine tests (Number)
ON + DNIP, Oral Naltrexone + Depot Placebo Naltrexone Implant.427
DNI + ONP , Naltrexone Implant + Oral Naltrexone Placebo.636
ONP + DNIP, Oral Placebo Naltrexone and Depot Placebo Implant.341

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Retention Without Relapse to Heroin Addiction (Measured at Month 6)

Survival analysis (Kaplan-Meier survival functions with log-rank Cox-Mantel criteria for group comparison was used to determine the primary outcome of retention, defined as not missing 2 consecutive counseling sessions and not having a relapse. Because this outcome combined patients who failed to keep appointments with those who kept appointments but relapsed, the proportion of non-survivors attributable to proven relapse. (NCT00218426)
Timeframe: 6 months

InterventionParticipants (Count of Participants)
ON + DNIP, Oral Naltrexone + Depot Placebo Naltrexone Implant54
DNI + ONP , Naltrexone Implant + Oral Naltrexone Placebo16
ONP + DNIP, Oral Placebo Naltrexone and Depot Placebo Implant11

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Use of Alcohol

use of alcohol grams per day (NCT00218426)
Timeframe: 6 months

Interventiongrams per day (Mean)
ON + DNIP, Oral Naltrexone + Depot Placebo Naltrexone Implant10.2
DNI + ONP , Naltrexone Implant + Oral Naltrexone Placebo9.0
ONP + DNIP, Oral Placebo Naltrexone and Depot Placebo Implant9.6

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Profile of Mood States - Vigor

"Change from baseline to peak for the amount of Vigor experienced after alcohol ingestion~Profile of Mood States - Vigor: sum of 6 items each rated on 5 point Likert scale (0: not at all, 4: extremely). Minimum=0, maximum=20, higher scores = better outcome" (NCT00256451)
Timeframe: during the challenge session

Interventionunits on a scale (Mean)
ALC and NAL2.1
Placebo ALC and NAL1.1
Placebo Pill and ALC1.8
Placebo Pill and Placebo ALC1.2

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Subjective High From Alcohol Scale

"Change from baseline to peak for the self reported feeling of being high after drinking~Subjective High from Alcohol Scale: sum of 15 items rated on a 8 point Likert scale (0-7). Minimum=0, maximum=105, higher scores=worse outcomes" (NCT00256451)
Timeframe: during the alcohol ingestion

Interventionunits on a scale (Mean)
ALC and NAL17.9
Placebo ALC and NAL4.5
Placebo Pill and ALC14.7
Placebo Pill and Placebo ALC2.7

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Profile of Mood States - Fatigue Scale

"Change from baseline to peak of the degree of fatigue experienced after alcohol ingestion~Profile of Mood States - Fatigue scale: sum of 5 items rated on 5-point Likert scale (0=not at all, 4=extremely). Minimum=0, maximum=20, higher score=worse outcome" (NCT00256451)
Timeframe: During the challenge session

Interventionunits on a scale (Mean)
ALC and NAL2.2
Placebo ALC and NAL1.6
Placebo Pill and ALC2.0
Placebo Pill and Placebo ALC1.5

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Biphasic Alcohol Effects Scale - Stimulation

"Change from baseline to peak for the feeling of stimulation after alcohol ingestion~Biphasic Alcohol Effects Scale - Stimulation: sum of 7 items each rated on 11 point Likert scale (0=not at all, 10=extremely). Minimum=0, maximum=70, higher scores=worse outcome." (NCT00256451)
Timeframe: During challenge sessions

Interventionunits on a scale (Mean)
ALC and NAL11.3
Placebo ALC and NAL3.9
Placebo Pill and ALC8.7
Placebo Pill and Placebo ALC3.2

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Biphasic Alcohol Effects Scale - Sedation

"Change from baseline to peak of the amount of sedation post ingestion of alcohol~Biphasic alcohol effects scale - Sedation: sum of 7 items rated on 11 point Likert scale (0=not at all, 10=extremely). Minimum=0, maximum=70, lower scores=worse outcomes" (NCT00256451)
Timeframe: During the challenge session

Interventionunits on a scale (Mean)
ALC and NAL14.8
Placebo ALC and NAL13.4
Placebo Pill and ALC15.9
Placebo Pill and Placebo ALC15.4

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Number of Nicotine Cigarette Choices Taken During the Cigarette Choice Procedure.

"On day 4 of each study medication period, participants completed a cigarette choice procedure where the subject is asked to take 4 puffs from a nicotinized (nicotine-containing) or a denicotinized (no nicotine) cigarette every 30 minutes for 2 hours (maximum of 24 puffs). The outcome variable is the number of nicotine cigarette choices or puffs out of 24 total puffs during these cigarette choice procedures.~Subjects who had the A/A genotype took an average of 18.5 puffs from the nicotine-containing cigarettes. Subjects with the A/G or G/G genotypes took an average of 16.2 puffs from the nicotine-containing cigarettes." (NCT00270231)
Timeframe: 2 hours

InterventionNumber of Nicotine Cigarette Puffs Taken (Mean)
OPRM1 Genotype - A/A18.5
OPRM1 Genotype - A/G or G/G16.2

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7-Day Point Prevalence Smoking Abstinence: 12 Weeks Post Quit-Date

7-Day Point Prevalence smoking abstinence at 12 weeks post quit date (Study Week 15). 7-Day Point Prevalence abstinence defined as not smoking (even a puff) for seven days in a row or on one day in each of two consecutive weeks during the previous time frame. (NCT00271024)
Timeframe: 12 Weeks Following Smoking Quit Date (Study week 15)

InterventionParticipants (Number)
Naltrexone - MALE31
Placebo - MALE24
Naltrexone - FEMALE30
Placebo - FEMALE31

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7-Day Point Prevalence Smoking Abstinence: 4 Weeks Post Quit-Date

7-Day Point Prevalence smoking abstinence at 4 weeks post quit date (Study Week 7). 7-Day Point Prevalence abstinence defined as not smoking (even a puff) for seven days in a row or on one day in each of two consecutive weeks during the previous time frame. (NCT00271024)
Timeframe: 4 Weeks Following Smoking Quit Date (Study week 7)

InterventionParticipants (Number)
Naltrexone - MALE47
Placebo - MALE33
Naltrexone - FEMALE49
Placebo - FEMALE43

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7-Day Point Prevalence Smoking Abstinence: 26 Weeks Post Quit-Date

7-Day Point Prevalence smoking abstinence at 29 weeks post quit date (Study Week 29). 7-Day Point Prevalence abstinence defined as not smoking (even a puff) for seven days in a row or on one day in each of two consecutive weeks during the previous time frame. (NCT00271024)
Timeframe: 26 Weeks Following Smoking Quit Date (Study week 29)

InterventionParticipants (Number)
Naltrexone - MALE22
Placebo - MALE18
Naltrexone - FEMALE20
Placebo - FEMALE22

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7-Day Point Prevalence Smoking Abstinence: 52 Weeks Post Quit-Date

7-Day Point Prevalence smoking abstinence at 52 weeks post quit date (Study Week 55). 7-Day Point Prevalence abstinence defined as not smoking (even a puff) for seven days in a row or on one day in each of two consecutive weeks during the previous time frame. (NCT00271024)
Timeframe: 52 Weeks Following Smoking Quit Date (Study week 55)

InterventionParticipants (Number)
Naltrexone - MALE14
Placebo - MALE15
Naltrexone - FEMALE14
Placebo - FEMALE20

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Prolonged Smoking Abstinence: 12 Weeks Post Quit-Date

Prolonged Abstinence at 12 weeks post quit date (Study Week 15). Prolonged Abstinence defined as not smoking (even a puff of a cigarette) at any point during the previous time frame, allowing for a 1-week grace period. (NCT00271024)
Timeframe: 12 Weeks Following Smoking Quit Date (Study week 15)

InterventionParticipants (Number)
Naltrexone - MALE23
Placebo - MALE12
Naltrexone - FEMALE17
Placebo - FEMALE23

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Prolonged Smoking Abstinence: 4 Weeks Post Quit-Date

Prolonged Abstinence at 4 weeks post quit date (Study Week 7). Prolonged Abstinence defined as not smoking (even a puff of a cigarette) at any point during the previous time frame, allowing for a 1-week grace period. (NCT00271024)
Timeframe: 4 Weeks Following Smoking Quit Date (Study week 7)

InterventionParticipants (Number)
Naltrexone - MALE43
Placebo - MALE29
Naltrexone - FEMALE40
Placebo - FEMALE39

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Weight Change at End of Treatment (Regardless of Quit Status)

Weight change at 12 weeks post quit date (study week 15) for the whole sample regardless of quit status. All data is Mean(SEM) and represents a positive change unless otherwise noted. (NCT00271024)
Timeframe: Weight change at 12 weeks post quit date (study week 15) from smoking quit date

InterventionPounds (Mean)
Placebo5.29
Naltrexone3.42

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Weight Change at End of Treatment (Smoking Abstinent Only)

Weight change in lbs at 12 weeks post smoking quit date (study week 15) for only those reporting continued smoking abstinence at the end of treatment. All data are Mean(SEM) and represent positive change, unless otherwise noted. Smoking abstinent for this measure defined as no smoking even 1 puff of a cigarette since the smoking quit date (study week 3), allowing for a 1-week grace period. (NCT00271024)
Timeframe: Weight change at 12 weeks post smoking quit date (study week 15)

InterventionPounds (Mean)
Naltrexone - MALE4.79
Placebo - MALE5.58
Naltrexone - FEMALE2.26
Placebo - FEMALE5.08

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Opioid Antagonist Reported Side Effects: 1-Week Post Quit Date

Participants reporting side effects during the previous week by pill type and sex, 1-week following quit date (Study week 4). Participants rated side effects experienced by None, Mild, or Severe. (NCT00271024)
Timeframe: 1-Week Post Quit Date (Study Week 4)

,,,
InterventionParticipants (Number)
"Nausea - Mild""Nausea - Severe""Vomiting - Mild""Vomiting - Severe""Headache- Mild""Headache - Severe""Light Headed/Dizzy - Mild""Light Headed/Dizzy - Severe""Flushed/Warm - Mild""Flushed/Warm - Severe""Tiredness - Mild""Tiredness - Severe""Anxiety/Agitation - Mild""Anxiety/Agitation - Severe""Increased Sexual Desire - Mild""Increased Sexual Desire - Severe""Insomnia - Mild""Insomnia - Severe""Constipation - Mild""Constipation - Severe""Diarrhea - Mild""Diarrhea - Severe""Joint or Muscle Pain - Mild""Joint or Muscle Pain - Severe"
Naltrexone - FEMALE2443231025124638103139119524150142
Naltrexone - MALE1643128422512142533310213218162210
Placebo - FEMALE132503321701563393266012314371135
Placebo - MALE53001721619134735322616320160212

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Opioid Antagonist Reported Side Effects: 4-Weeks Post Quit Date

Participants reporting side effects during the previous week by pill type and sex, 4-weeks following quit date (Study week 7). Participants rated side effects experienced by None, Mild, or Severe. (NCT00271024)
Timeframe: 4-Weeks Post Quit Date (Study Week 7)

,,,
InterventionParticipants (Number)
"Nausea - Mild""Nausea - Severe""Vomiting - Mild""Vomiting - Severe""Headache- Mild""Headache - Severe""Light Headed/Dizzy - Mild""Light Headed/Dizzy - Severe""Flushed/Warm - Mild""Flushed/Warm - Severe""Tiredness - Mild""Tiredness - Severe""Anxiety/Agitation - Mild""Anxiety/Agitation - Severe""Increased Sexual Desire - Mild""Increased Sexual Desire - Severe""Insomnia - Mild""Insomnia - Severe""Constipation - Mild""Constipation - Severe""Diarrhea - Mild""Diarrhea - Severe""Joint or Muscle Pain - Mild""Joint or Muscle Pain - Severe"
Naltrexone - FEMALE1201019217122332727411117118260151
Naltrexone - MALE33101831126027218225210113272172
Placebo - FEMALE70001911401412472337210210141161
Placebo - MALE3100231705227219317413182110152

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Mean Number of Standard Drinks Per Drinking Day During the Last 4 Weeks of the Trial

(NCT00302133)
Timeframe: 12 weeks

Interventionstandard drinks/drinking day (Mean)
Naltrexone0.6
Placebo3.8

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% Subjects Abstinent

Proportion of subjects abstinent during the last 4 weeks of the trial (NCT00302133)
Timeframe: 12 weeks

Interventionpercentage of participants (Number)
Naltrexone66
Placebo33

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Yale Brown Obsessive Compulsive Scale Modified for Kleptomania (K-YBOCS)

The K-YBOCS measures symptom severity (urges/thoughts and behavior) across the past week. Scores range from 0 (no symptoms) to 40 (highest symptom severity). (NCT00332579)
Timeframe: K-YBOCS is done at each visit by the investigator.

Interventionunits on a scale (Mean)
Naltrexone3.83
Placebo11.46

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Penn Craving Scale

used to measure cravings to use drugs over the past week. Range of TOTAL scores is 0-30. A lower score indicates a better outcome, while a higher score indicates a worse outcome. (NCT00332605)
Timeframe: beginning and at each visit until the end of their participation in the study

Interventionunits on a scale (Mean)
Naltrexone24.0
N-Acetyl Cysteine24.0
Placebo21.1

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Mean Number of Side Effects

Differences in mean number of side effects reported for each group. Side effects and common adverse symptoms were evaluated by the research staff weekly, using a modified version of the ystematic Assessment for Treatment Emergent Events. The symptoms that are known to be associated with treatment with desipramine, paroxetine, and naltrexone were specifically screened or on a weekly basis. The symptoms were then clustered into the following categories: gastrointestinal, emotional, cold and flu symptoms, skin, sexual, neurological, and cardiac. (NCT00338962)
Timeframe: 12 weeks

,,,
Interventionside effects (Mean)
Gastrointestinal symptomsEmotional SymptomsNeurological SymptomsCold SymptomsSkin SymptomsSexual SymptomsCardiac Symptoms
Desipramine and Naltrexone3.0523.7274.2011.891.591.737.389
Desipramine and Placebo3.6535.2484.5662.2531.057.736.356
Paroxetine and Naltrexone3.6514.8746.2122.1821.002.877.416
Paroxetine and Placebo2.6883.9635.0782.393.859.932.474

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Mean Self-report Weekly Craving Via Obsessive Compulsive Drinking Scale (OCDS)

The OCDS is a 14-item (rated 0-4), self-administered questionnaire for characterizing and quantifying the obsessive and compulsive cognitive aspects of craving and heavy (alcoholic) drinking, such as drinking-related thought, urges to drink, and the ability to resist those thoughts and urges. A higher total score indicates higher craving and ranges from 0-48. (NCT00338962)
Timeframe: beginning of treatment (week 1), and end of treatment (13 weeks)

,,,
Interventionunits on a scale (Mean)
Week 1Week 13
Desipramine and Naltrexone18.5004.296
Desipramine and Placebo21.4587.489
Paroxetine and Naltrexone21.27310.013
Paroxetine and Placebo20.7009.690

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Hamilton Depression Rating Scale (HAM-D)

The HAM-D ranges from 0 (Normal) to >23 (Very Severe Depression) (NCT00338962)
Timeframe: beginning of treatment (week 1), and end of treatment (13 weeks)

,,,
Interventionunits on a scale (Mean)
Beginning of TreatmentEnd of Treatment
Desipramine and Naltrexone11.1958.563
Desipramine and Placebo13.1678.943
Paroxetine and Naltrexone13.2739.328
Paroxetine and Placebo10.9508.238

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Clinician-Administered PTSD Scale (CAPS)

"The CAPS is the gold standard in PTSD assessment. The CAPS-5 is a 30-item structured interview that can be used to:~Make current (past month) diagnosis of PTSD Make lifetime diagnosis of PTSD Assess PTSD symptoms over the past week Clinician-Administered PTSD Scale for DSM-5 (CAPS-5). A higher score is associated with higher severity of PTSD. The score is interpreted as follows: 0-19=Asymptomatic/few symptoms 20-39=Sub-threshold/mild PTSD 40-59=Threshold PTSD/moderate 60-79=Severe PTSD >80=Extreme PTSD" (NCT00338962)
Timeframe: beginning of treatment (week 1), and end of treatment (13 weeks)

,,,
Interventionunits on a scale (Mean)
Beginning of TreatmentEnd of Treatment
Desipramine and Naltrexone62.50026.751
Desipramine and Placebo77.83341.392
Paroxetine and Naltrexone73.5440.024
Paroxetine and Placebo69.81036.591

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Limited Access Alcohol Consumption Paradigm; Total Number of Drinks Consumed

Subjects were allowed to drink up to 8 alcohol drinks during 2 hours observation period being in bar/laboratory settings vs to get $2 per each not consumed drink. (NCT00366626)
Timeframe: On day 7 of treatment during limited access alcohol consuption in the bar/laboratory

InterventionTotal number of drinks consumed (Mean)
Naltrexone (asn40asn)3.0
Naltrexone (asp40)3.8
Placebo (asn40asn )3.8
Placebo (asp40)3.1

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"Natural Alcohol Consumption Period; Average Number of Drinks Per Day Consumed During the 5 Day Natural (Usual Environment) Drinking Observation Period"

(NCT00366626)
Timeframe: treatment days 1 - 5

InterventionDrinks per day (Mean)
Naltrexone (asn40asn)4.7
Naltrexone (asp40)5.7
Placebo (asn40asn )6.2
Placebo (asp40)6.3

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Median Time to Event

First time when maximum SUV is higher than that at baseline within 1 year of study entry. (NCT00379197)
Timeframe: From Baseline to 1 Year

Interventionweeks (Median)
Naltrexone8

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Disease Response

A response is the number of participants whose tumor demonstrated a decrease in FDG uptake (SUV) by 50% or greater in at least one of the metastatic sites as measured by PET imaging at the end of 4 weeks of treatment compared to baseline. (NCT00379197)
Timeframe: Week 4

Interventionparticipants (Number)
Naltrexone Treatment1

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Change in Mean Heart Rate as a Function of Marijuana Strength and Naltrexone Dose.

Change in mean heart rate as a function of marijuana and naltrexone dose (NCT00403117)
Timeframe: Baseline compared to 6 week timepoint

InterventionHeart rate (beats/minute) (Mean)
Placebo + Marijuana (0.0%THC)68.5
Placebo + Marijuana (3.27% THC)70.7
Naltrexone (12mg) + Marijuana (0.0%THC)65.8
Naltrexone (12mg) + Marijuana (3.27%THC)72.1
Naltrexone (25mg) + Marijuana (0.0%THC)67.3
Naltrexone (25mg) + Marijuana (3.27%THC)72.7
Naltrexone (50mg) + Marijuana (0.0%THC)65.6
Naltrexone (50mg) + Marijuana (3.27%THC)72.2
Naltrexone (100mg) + Marijuana (0.0%THC)67.7
Naltrexone (100mg) + Marijuana (3.27%THC)72.4

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Change in Mean Psychomotor Task Performance as a Function of Marijuana Strength and Naltrexone Dose

"Change in Digit Symbol Substitution Test (DSST) scores. Increasing scores indicate improvement, on a scale of 0-90.~The task batteries included total correct attempts on a 3-min DSST." (NCT00403117)
Timeframe: Baseline compared to 6 week timepoint

Interventionunits on a scale (Mean)
Placebo + Marijuana (0.0%THC)86.2
Placebo + Marijuana (3.27% THC)86.1
Naltrexone (12mg) + Marijuana (0.0%THC)86.7
Naltrexone (12mg) + Marijuana (3.27%THC)84.7
Naltrexone (25mg) + Marijuana (0.0%THC)83.4
Naltrexone (25mg) + Marijuana (3.27%THC)83.5
Naltrexone (50mg) + Marijuana (0.0%THC)83.6
Naltrexone (50mg) + Marijuana (3.27%THC)82.1
Naltrexone (100mg) + Marijuana (0.0%THC)82.1
Naltrexone (100mg) + Marijuana (3.27%THC)83.0

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Change in Mean Subjective Mood Scores as a Function of Marijuana Strength and Naltrexone Dose.

"All subjective effects were measured using visual analog scales (VAS), a series of 100 mm long lines labeled 'not at all' at one end (0 mm) and 'extremely' at the other end (100 mm). Participants were instructed to rate their subjective experiences on the line according to how they felt at that particular moment. Subjective assessments included measures of perceived marijuana strength, marijuana high, good effects of marijuana, and how much marijuana was liked.~Marijuana's effects were determined by comparing the active and inactive marijuana conditions when paired with the placebo naltrexone condition (one comparison). Naltrexone's intrinsic effects were assessed by comparing placebo and each active dose of naltrexone (12, 25, 50, and 100 mg) under the inactive marijuana condition (four comparisons). Finally, the active marijuana- placebo naltrexone condition was compared to the active marijuana-active naltrexone conditions (four comparisons)" (NCT00403117)
Timeframe: Baseline compared to 6 week timepoint

,,,,,,,,,
Interventionunits on a scale (Mean)
"Mean VAS ratings Marijuana Strength""Mean VAS ratings High""Mean VAS ratings Good Effect""Mean VAS ratings Like Drug"
Naltrexone (100mg) + Marijuana (0.0%THC)10.13.912.511.4
Naltrexone (100mg) + Marijuana (3.27%THC)34.521.344.044.0
Naltrexone (12mg) + Marijuana (0.0%THC)6.73.76.87.0
Naltrexone (12mg) + Marijuana (3.27%THC)34.023.043.144.0
Naltrexone (25mg) + Marijuana (0.0%THC)8.13.09.09.3
Naltrexone (25mg) + Marijuana (3.27%THC)31.620.444.134.7
Naltrexone (50mg) + Marijuana (0.0%THC)9.74.010.210.3
Naltrexone (50mg) + Marijuana (3.27%THC)36.222.242.238.0
Placebo + Marijuana (0.0%THC)8.04.110.011.3
Placebo + Marijuana (3.27% THC)25.011.038.335.0

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Subjects With Treatment Emergent Adverse Events

Number of subjects with adverse events (any unfavorable and unintended sign, symptom, or disease temporally associated with the use of the product whether or not related to the product). (NCT00415597)
Timeframe: up to 12 months

Interventionparticipants (Number)
ALO-01378

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Mean Percent Change From Baseline to 52 Weeks in Brief Pain Inventory Score (BPI) of Average Pain

Percent change in pain intensity scale. Average pain intensity over last 24 hours rated at each visit from 0=no pain to 10=worst pain. (NCT00415597)
Timeframe: 52 weeks

InterventionPercent change (Mean)
ALO-01-41.5

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Mean Percent Change From Baseline to 12 Weeks in Brief Pain Inventory Score (BPI) of Average Pain

Percent change in pain intensity scale. Average pain intensity over last 24 hours rated at each visit from 0=no pain to 10=worst pain. (NCT00415597)
Timeframe: 12 weeks

InterventionPercent change (Mean)
ALO-01-31.3

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Mean Change From Randomization to 12 Weeks Following Randomization in Diary Brief Pain Inventory Score of Average Pain (Daily Scores of Average Pain Averaged Over 7 Days)

Change in pain intensity scale. Average pain intensity over last 24 hours rated daily from 0=no pain to 10=worst pain. (NCT00420992)
Timeframe: randomization to 12 weeks following randomization

Interventionunits on scale (Mean)
ALO-01-0.2
Placebo0.3

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Change in IWQOL-Lite Total Scores

IWQOL-Lite= Impact of Weight on Quality of Life-Lite Questionnaire Total score is based on a scale from 0 to 100, with 0 representing the poorest and 100 the best quality of life and where a score of 71-79 indicates moderate impairment (NCT00456521)
Timeframe: Baseline, 56 weeks

Interventionunits on a scale (Least Squares Mean)
NB3213.43
Placebo10.29

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Change in Question 19 From 21-Item COE (Control of Eating) Questionnaire

Question 19: Generally, how difficult has it been to control your eating? Scoring: 0=not at all difficult; 100=extremely difficult (NCT00456521)
Timeframe: Baseline, 56 weeks

Interventionunits on a scale (Least Squares Mean)
NB32-13.75
Placebo-8.46

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Change in Systolic Blood Pressure

(NCT00456521)
Timeframe: Baseline, 56 weeks

InterventionmmHg (Least Squares Mean)
NB32-1.32
Placebo-3.87

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Change in Waist Circumference

(NCT00456521)
Timeframe: Baseline, 56 weeks

Interventioncm (Least Squares Mean)
NB32-9.98
Placebo-6.77

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Co-primary: Body Weight- Mean Percent Change

(NCT00456521)
Timeframe: Baseline, 56 weeks

Interventionpercentage of body weight (Least Squares Mean)
NB32-9.29
Placebo-5.08

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Co-primary: Body Weight- Proportion of Subjects With ≥5% Decrease

(NCT00456521)
Timeframe: Baseline, 56 weeks

Interventionpercentage of participants (Number)
NB3266.39
Placebo42.49

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Body Weight- Proportion of Subjects With ≥10% Decrease

(NCT00456521)
Timeframe: Baseline, 56 weeks

Interventionpercentage of participants (Number)
NB3241.49
Placebo20.21

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Change in Diastolic Blood Pressure

(NCT00456521)
Timeframe: Baseline, 56 weeks

InterventionmmHg (Least Squares Mean)
NB32-1.41
Placebo-2.78

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Change in Fasting Blood Glucose Levels

(NCT00456521)
Timeframe: Baseline, 56 weeks

Interventionmg/dL (Least Squares Mean)
NB32-2.36
Placebo-1.08

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Change in Fasting HDL Cholesterol Levels

(NCT00456521)
Timeframe: Baseline, 56 weeks

Interventionmg/dL (Least Squares Mean)
NB324.10
Placebo0.87

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Change in Fasting Insulin Levels, Using Log-transformed Data

(NCT00456521)
Timeframe: Baseline, 56 weeks

Interventionpercent change (Least Squares Mean)
NB32-27.98
Placebo-15.45

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Change in Fasting LDL Cholesterol

(NCT00456521)
Timeframe: Baseline, 56 weeks

Interventionmg/dL (Least Squares Mean)
NB325.43
Placebo8.13

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Change in Fasting Triglycerides Levels, Using Log-transformed Data

(NCT00456521)
Timeframe: Baseline, 56 weeks

Interventionpercent change (Least Squares Mean)
NB32-16.62
Placebo-8.51

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Change in Food Craving Inventory Carbohydrates Subscale Scores

The Food Craving Inventory is a 33-item self-report measure designed to assess specific food cravings and is organized into 4 subscales (high fats, sweets, carbohydrates/starches, and fast-food fats). A craving was defined as an intense desire to consume a particular food (or food type) that was difficult to resist over the past month. Subjects rated their frequency of cravings for each of the 33 items using a 5-point scale, where 1=never, 2=rarely, 3=sometimes, 4=often, and 5=always. The carbohydrates subscale consisted of 8 items and the score ranges from 8 (better outcome) to 40 (worse outcome). (NCT00456521)
Timeframe: Baseline, 56 weeks

Interventionunits on a scale (Least Squares Mean)
NB32-2.06
Placebo-1.97

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Change in Food Craving Inventory Sweets Subscale Scores

The Food Craving Inventory is a 33-item self-report measure designed to assess specific food cravings and is organized into 4 subscales (high fats, sweets, carbohydrates/starches, and fast-food fats). A craving was defined as an intense desire to consume a particular food (or food type) that was difficult to resist over the past month. Subjects rated their frequency of cravings for each of the 33 items using a 5-point scale, where 1=never, 2=rarely, 3=sometimes, 4=often, and 5=always. The sweets subscale consisted of 8 items and the score ranges from 8 (better outcome) to 40 (worse outcome). (NCT00456521)
Timeframe: Baseline, 56 weeks

Interventionunits on a scale (Least Squares Mean)
NB32-2.54
Placebo-2.43

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Change in High-sensitivity C Reactive Protein (Hs-CRP) Levels, Using Log-transformed Data

(NCT00456521)
Timeframe: Baseline, 56 weeks

Interventionpercent change (Least Squares Mean)
NB32-25.87
Placebo-16.89

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Change in HOMA-IR Levels, Using Log-transformed Data

HOMA-IR= Homeostasis Model Assessment-Insulin Resistance (NCT00456521)
Timeframe: Baseline, 56 weeks

Interventionpercent change (Least Squares Mean)
NB32-29.93
Placebo-16.56

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Change in IDS-SR Total Scores

IDS-SR= Inventory of Depressive Symptoms-Subject Rated IDS-SR total score is based on 30 items. The total score can range from 0-84, with 0 being no depressive symptoms and 84 being very severe depressive symptoms. A total score ≤ 13 indicates no depression. (NCT00456521)
Timeframe: Baseline, 56 weeks

Interventionunits on a scale (Least Squares Mean)
NB320.09
Placebo-0.00

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Clinical Global Impression Scale - Severity

"The CGI consists of two reliable and valid 7-item Likert scales used to assess severity in clinical symptoms. The scale ranges from 1 = very much improved to 7 = very much worse. The CGI severity scale was used at each visit and ranges from 1 = not ill at all to 7 = among the most extremely ill." (NCT00467558)
Timeframe: Assessed at each visit (every two weeks) until participation in the study was done (Week 8)

Interventionunits on a scale (Mean)
Naltrexone2.33
Placebo2.67

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Yale Brown Obsessive Compulsive Scale Modified for Compulsive Sexual Behavior (YBOCS)

The YBOCS is a reliable and valid, 10-item, clinician-administered scale that rates buying symptoms within the last seven days, on a severity scale from 0 to 4 for each item (total scores range from 0 to 40 with higher scores reflecting greater illness severity). (NCT00467558)
Timeframe: Assessed at each visit (every two weeks) until participation in the study was done (Week 8)

Interventionunits on a scale (Mean)
Naltrexone8
Placebo9.33

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Change in High-sensitivity C Reactive Protein (Hs-CRP) Levels, Using Log-transformed Data

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercent change (Least Squares Mean)
NB32-20.91
Placebo-13.29

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Change in Fasting Insulin Levels, Using Log-transformed Data

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercent change (Least Squares Mean)
NB32-13.48
Placebo-10.35

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Change in Fasting HDL Cholesterol Levels

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionmg/dL (Least Squares Mean)
NB323.03
Placebo-0.29

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Change in HbA1c Levels

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercent (Least Squares Mean)
NB32-0.63
Placebo-0.14

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Change in Food Craving Inventory Sweets Subscale Score

The Food Craving Inventory is a 33-item self-report measure designed to assess specific food cravings and is organized into 4 subscales (high fats, sweets, carbohydrates/starches, and fast-food fats). A craving was defined as an intense desire to consume a particular food (or food type) that was difficult to resist over the past month. Subjects rated their frequency of cravings for each of the 33 items using a 5-point scale, where 1=never, 2=rarely, 3=sometimes, 4=often, and 5=always. The sweets subscale consisted of 8 items and the score ranges from 8 (better outcome) to 40 (worse outcome). (NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionunits on a scale (Least Squares Mean)
NB32-1.97
Placebo-2.40

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Change in IWQOL-Lite Total Scores

IWQOL-Lite= Impact of Weight on Quality of Life-Lite Questionnaire Total score is based on a scale from 0 to 100, with 0 representing the poorest and 100 the best quality of life and where a score of 71-79 indicates moderate impairment (NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionunits on a scale (Least Squares Mean)
NB329.27
Placebo7.90

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Change in Question 19 From 21-Item COE (Control of Eating) Questionnaire

Question 19: Generally, how difficult has it been to control your eating? Scoring: 0=not at all difficult; 100=extremely difficult (NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionunits on a scale (Least Squares Mean)
NB32-11.89
Placebo-6.91

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Change in Food Craving Inventory Carbohydrates Subscale Score

The Food Craving Inventory is a 33-item self-report measure designed to assess specific food cravings and is organized into 4 subscales (high fats, sweets, carbohydrates/starches, and fast-food fats). A craving was defined as an intense desire to consume a particular food (or food type) that was difficult to resist over the past month. Subjects rated their frequency of cravings for each of the 33 items using a 5-point scale, where 1=never, 2=rarely, 3=sometimes, 4=often, and 5=always. The carbohydrates subscale consisted of 8 items and the score ranges from 8 (better outcome) to 40 (worse outcome). (NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionunits on a scale (Least Squares Mean)
NB32-1.48
Placebo-1.52

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Change in Fasting Triglycerides Levels, Using Log-transformed Data

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercent change (Least Squares Mean)
NB32-11.20
Placebo-0.80

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Change in Fasting LDL Cholesterol Levels

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionmg/dL (Least Squares Mean)
NB32-1.44
Placebo-0.01

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HbA1c- Proportion of Subjects With HbA1c <7% at Endpoint

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercentage of participants (Number)
NB3244.14
Placebo26.28

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Percent of Subjects With Dose Reduction in Oral Antidiabetes Medications

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercentage of participants (Number)
NB321.89
Placebo1.26

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Percent of Subjects With Dose Increase in Oral Antidiabetes Medications

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercentage of participants (Number)
NB323.02
Placebo1.26

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Percent of Subjects Requiring Rescue Medications for Diabetes

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercentage of participants (Number)
NB3222.26
Placebo35.22

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Change in Fasting Blood Glucose Levels

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionmg/dL (Least Squares Mean)
NB32-11.87
Placebo-4.02

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Change in Diastolic Blood Pressure

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionmm Hg (Least Squares Mean)
NB32-1.06
Placebo-1.47

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Body Weight- Proportion of Subjects With ≥10% Decrease

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercentage of participants (Number)
NB3218.49
Placebo5.66

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Change in Systolic Blood Pressure

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionmm Hg (Least Squares Mean)
NB320.03
Placebo-1.12

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Percent of Subjects Discontinuing Due to Poor Glycemic Control

Due to pre-specified hypothesis testing design, no formal statistical inference testing was performed. Odds ratio not calculated as there were no subjects in the NB32 group that discontinued due to poor glycemic control. (NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercentage of participants (Number)
NB320
Placebo1.89

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Change in Waist Circumference

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventioncm (Least Squares Mean)
NB32-4.97
Placebo-2.89

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Co-primary: Body Weight- Mean Percent Change

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercentage of body weight (Least Squares Mean)
NB32-5.03
Placebo-1.75

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Co-primary: Body Weight- Proportion of Subjects With ≥5% Decrease

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercentage of participants (Number)
NB3244.53
Placebo18.87

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Change in IDS-SR Total Scores

IDS-SR= Inventory of Depressive Symptoms-Subject Rated IDS-SR total score is based on 30 items. The total score can range from 0-84, with 0 being no depressive symptoms and 84 being very severe depressive symptoms. A total score ≤ 13 indicates no depression. (NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionunits on a scale (Least Squares Mean)
NB320.01
Placebo-1.60

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Change in HOMA-IR Levels, Using Log-transformed Data

HOMA-IR= Homeostasis Model Assessment-Insulin Resistance (NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercent change (Least Squares Mean)
NB32-20.56
Placebo-14.67

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HbA1c- Proportion of Subjects With HbA1c <6.5% at Endpoint

(NCT00474630)
Timeframe: Baseline, 56 weeks

Interventionpercentage of participants (Number)
NB3220.72
Placebo10.22

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Retention in Treatment The Primary Outcome Measure Will be the Dichotomous Measure Retention in Treatment (Whether the Patient Completes the 12 Week Trial, Yes/no).

(NCT00476242)
Timeframe: Week 12

Interventionparticipants (Number)
Memantine and Vivitrol12
Placebo and Vivitrol19

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Opiate Use Measured by Urine Toxicology Results

Opiate use was qualified by the number of opiate positive urine results. (NCT00476242)
Timeframe: 3x/week during 12 weeks of the trial or study participation

InterventionPercent of total urine samples (Median)
Memantine and Vivitrol9
Placebo and Vivitrol10

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Opiate Craving Based on Heroin Craving Scale

Range 0- 100 ( 0= no craving; 100= very strong craving (NCT00476242)
Timeframe: Average of twice weekly assessments for 12 weeks of study or length of participation

Interventionunits on a scale (Mean)
Placebo and Vivitrol18.47
Memantine and Vivitrol15.74

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Cumulative Percentage of Participants by Heavy Drinking Rate

"Cumulative percentage (%) of subjects reporting heavy drinking by category reflecting the various cut-offs for percentage of days that were heavy drinking days. A heavy drinking day was defined as 4 or more alcohol drinks in 1 day for women, and 5 or more alcohol drinks in 1 day for men. The Timeline Follow-Back (TLFB) method (Sobell & Sobell: Humana Press, 1992) was utilized to collect subjects' daily drinking information (ie, the number of drinks consumed per day per subject which was retrospectively recalled and recorded in a diary)." (NCT00501631)
Timeframe: up to 12 weeks

,
Interventionpercentage of participants (Number)
0% Heavy Drinking Days<= 10% Heavy Drinking Days<= 20% Heavy Drinking Days<= 30% Heavy Drinking Days<= 40% Heavy Drinking Days<= 50% Heavy Drinking Days<= 60% Heavy Drinking Days<= 70% Heavy Drinking Days<= 80% Heavy Drinking Days<= 90% Heavy Drinking Days<= 100% Heavy Drinking Days
Placebo47.359.572.379.183.185.187.289.994.698.6100.0
Vivitrol40.859.265.874.380.983.684.990.193.497.4100.0

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Weight Gain in Treatment Completers

(NCT00502216)
Timeframe: baseline and 12 weeks

InterventionPounds (Mean)
Varenicline + Naltrexone3.35
Varenicline + Placebo4.14

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Weight Gain in Participants Who Are Continuously Abstinent for the Last 4 Weeks of Treatment

(NCT00502216)
Timeframe: 4 weeks

Interventionpounds (Mean)
Varenicline + Naltrexone0
Varenicline + Placebo7.67

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Tolerability of the Combination of 25 mg Naltrexone and 2 mg Varenicline

Tolerability was measured by tracking adverse events. These data are reported in detail in the adverse events section. Presented are an unduplicated count of participants that experienced at least 1 adverse event. (NCT00502216)
Timeframe: 11 weeks

InterventionParticipants (Count of Participants)
Varenicline + Naltrexone10
Varenicline + Placebo4

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Change From Baseline in Daily Craving Score in Alcohol-dependent Subjects (Actiwatch Data)

The Actiwatch-Score device (MiniMitter Co.) was used to collect data on daily alcohol craving. The Actiwatch device is a wrist-worn, battery-operated monitor programmed to beep every 3 hours ±20 minutes, to signal the subjects to enter their alcohol craving or desire to use alcohol at that exact moment on a scale of 0 to 10 units: 0 indicates no craving at all (best score) and 10 indicates extreme craving (worst score). A negative result for Change in Baseline at Day 28 indicates an improvement in daily craving as of 1 month after study drug administration. (NCT00511836)
Timeframe: 28 days (Baseline to Day 28)

InterventionChange in Daily Craving Score (Mean)
VIVITROL 380 mg-0.846
Placebo-0.789

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Change From Baseline in Obsessive-Compulsive Drinking Scale (OCDS) Score in Alcohol-dependent Subjects

There are 14 items on the Obsessive Compulsive Drinking Scale (OCDS). The scale is scored from 0 to 40 (units). A score of 0 units indicates no obsession-compulsion with respect to alcohol (best score). A score of 40 units indicates maximum obsession-compulsion with respect to alcohol (worst score). A negative Change from Baseline value indicates an improvement. For scoring methods, see: Anton RF, Moak DH, Latham P (1995), The Obsessive Compulsive Drinking Scale: A self-rated instrument for the quantification of thoughts about alcohol and drinking behavior. Alcohol Clin Exp Res 19:92-9. (NCT00511836)
Timeframe: 28 days (Baseline to Day 28)

InterventionChange in OCDS score (Mean)
VIVITROL 380 mg-8.5
Placebo-7.3

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Change From Baseline in BOLD Signal Activation Values in the Reward Circuitry

(NCT00511836)
Timeframe: 14 days (Baseline to Day 14)

InterventionPercentage (%) of Change (Mean)
VIVITROL 380 mg-0.018
Placebo-0.060

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Change From Baseline in BOLD Signal Activation Values for the Inferior Frontal Gyrus

(NCT00511836)
Timeframe: 14 days (Baseline to Day 14)

InterventionPercentage (%) of Change (Mean)
VIVITROL 380 mg0.001
Placebo-0.067

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Change in Fasting Triglycerides Levels, Using Log-transformed Data

(NCT00532779)
Timeframe: Baseline, 56 weeks

Interventionpercent change (Least Squares Mean)
NB16-7.96
NB32-12.69
Placebo-3.08

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Change in Fasting Insulin Levels, Using Log-transformed Data

(NCT00532779)
Timeframe: Baseline, 56 weeks

Interventionpercent change (Least Squares Mean)
NB16-11.84
NB32-17.14
Placebo-4.57

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Change in Fasting HDL Cholesterol Levels

(NCT00532779)
Timeframe: Baseline, 56 weeks

Interventionmg/dL (Least Squares Mean)
NB163.36
NB323.42
Placebo-0.06

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Body Weight- Proportion of Subjects With ≥10% Decrease

(NCT00532779)
Timeframe: Baseline, 56 weeks

InterventionPercentage of participants (Number)
NB1620.17
NB3224.63
Placebo7.44

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Co-primary: Body Weight- Mean Percent Change

(NCT00532779)
Timeframe: Baseline, 56 weeks

Interventionpercentage of body weight (Least Squares Mean)
NB16-5.00
NB32-6.14
Placebo-1.33

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Change in Diastolic Blood Pressure

(NCT00532779)
Timeframe: Baseline, 56 weeks

Interventionmm Hg (Least Squares Mean)
NB160.09
NB320.04
Placebo-0.86

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Change in Fasting Blood Glucose Levels

(NCT00532779)
Timeframe: Baseline, 56 weeks

Interventionmg/dL (Least Squares Mean)
NB16-2.39
NB32-3.24
Placebo-1.30

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Co-primary: Body Weight- Proportion of Subjects With ≥5% Decrease

(NCT00532779)
Timeframe: Baseline, 56 weeks

Interventionpercentage of participants (Number)
NB1639.49
NB3247.98
Placebo16.44

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Change in Waist Circumference

(NCT00532779)
Timeframe: Baseline, 56 weeks

Interventioncm (Least Squares Mean)
NB16-5.04
NB32-6.24
Placebo-2.46

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Change in Food Craving Inventory Carbohydrates Subscale Score

The Food Craving Inventory is a 33-item self-report measure designed to assess specific food cravings and is organized into 4 subscales (high fats, sweets, carbohydrates/starches, and fast-food fats). A craving was defined as an intense desire to consume a particular food (or food type) that was difficult to resist over the past month. Subjects rated their frequency of cravings for each of the 33 items using a 5-point scale, where 1=never, 2=rarely, 3=sometimes, 4=often, and 5=always. The carbohydrates subscale consisted of 8 items and the score ranges from 8 (better outcome) to 40 (worse outcome). (NCT00532779)
Timeframe: Baseline, 56 weeks

Interventionunits on a scale (Least Squares Mean)
NB16-1.85
NB32-2.11
Placebo-1.84

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Change in Food Craving Inventory Sweets Subscale Score

The Food Craving Inventory is a 33-item self-report measure designed to assess specific food cravings and is organized into 4 subscales (high fats, sweets, carbohydrates/starches, and fast-food fats). A craving was defined as an intense desire to consume a particular food (or food type) that was difficult to resist over the past month. Subjects rated their frequency of cravings for each of the 33 items using a 5-point scale, where 1=never, 2=rarely, 3=sometimes, 4=often, and 5=always. The sweets subscale consisted of 8 items and the score ranges from 8 (better outcome) to 40 (worse outcome). (NCT00532779)
Timeframe: Baseline, 56 weeks

Interventionunits on a scale (Least Squares Mean)
NB16-2.08
NB32-2.62
Placebo-2.77

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Change in High-sensitivity C Reactive Protein (Hs-CRP) Levels, Using Log-transformed Data

(NCT00532779)
Timeframe: Baseline, 56 weeks

Interventionpercent change (Least Squares Mean)
NB16-28.02
NB32-28.98
Placebo-16.66

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Change in HOMA-IR Levels, Using Log-transformed Data

HOMA-IR= Homeostasis Model Assessment-Insulin Resistance (NCT00532779)
Timeframe: Baseline, 56 weeks

Interventionpercent change (Least Squares Mean)
NB16-14.33
NB32-20.19
Placebo-5.90

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Change in IDS-SR Total Scores

IDS-SR= Inventory of Depressive Symptoms-Subject Rated IDS-SR total score is based on 30 items. The total score can range from 0-84, with 0 being no depressive symptoms and 84 being very severe depressive symptoms. A total score ≤ 13 indicates no depression. (NCT00532779)
Timeframe: Baseline, 56 weeks

Interventionunits on a scale (Least Squares Mean)
NB160.02
NB32-0.27
Placebo-0.72

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Change in IWQOL-Lite Total Scores

IWQOL-Lite= Impact of Weight on Quality of Life-Lite Questionnaire Total score is based on a scale from 0 to 100, with 0 representing the poorest and 100 the best quality of life and where a score of 71-79 indicates moderate impairment (NCT00532779)
Timeframe: Baseline, 56 weeks

Interventionunits on a scale (Least Squares Mean)
NB1611.68
NB3212.69
Placebo8.55

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Change in Question 19 From 21-Item COE (Control of Eating) Questionnaire

Question 19: Generally, how difficult has it been to control your eating? Scoring: 0=not at all difficult; 100=extremely difficult (NCT00532779)
Timeframe: Baseline, 56 weeks

Interventionunits on a scale (Least Squares Mean)
NB16-12.49
NB32-14.52
Placebo-8.68

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Change in Systolic Blood Pressure

(NCT00532779)
Timeframe: Baseline, 56 weeks

Interventionmm Hg (Least Squares Mean)
NB160.29
NB32-0.11
Placebo-1.94

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Change in Fasting LDL Cholesterol Levels

(NCT00532779)
Timeframe: Baseline, 56 weeks

Interventionmg/dL (Least Squares Mean)
NB16-3.67
NB32-4.41
Placebo-3.28

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Evidence of Attempts to Drive After Drinking

"This was measured as Percent of days with an Interlock report of Failure to Start due to alcohol pre/on medication and 6 months post medication." (NCT00537745)
Timeframe: 6 months

Interventionpercent of days (Mean)
Percent Days Interlock Fail Pre/on MedicationPercent Days Interlock Fail Post Medication
Participants-1.29-0.30

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% Days w/1+Interlock Test Failures

This describes the percent of days in past month where the subject at least 1 interlock test failure. (NCT00537745)
Timeframe: One month post treatment

Interventionpercent of days (Mean)
Vivitrol-.30

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Change in Diastolic Blood Pressure

(NCT00567255)
Timeframe: Baseline, 28 weeks

Interventionmm Hg (Least Squares Mean)
NB320.20
Placebo-0.67

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Change in Fasting Blood Glucose Levels

(NCT00567255)
Timeframe: Baseline, 28 weeks

Interventionmg/dL (Least Squares Mean)
NB32-2.11
Placebo-1.73

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Change in Fasting Insulin Levels, Using Log-transformed Data

(NCT00567255)
Timeframe: Baseline, 28 weeks

Interventionpercent change (Least Squares Mean)
NB32-14.14
Placebo-0.50

[back to top]

Co-primary: Body Weight- Proportion of Subjects With ≥5% Decrease From Baseline to Week 28

(NCT00567255)
Timeframe: Baseline, 28 weeks

Interventionpercentage of participants (Number)
NB3255.64
Placebo17.54

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Change in Waist Circumference

(NCT00567255)
Timeframe: Baseline, 28 weeks

Interventioncm (Least Squares Mean)
NB32-6.16
Placebo-2.74

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Change in Systolic Blood Pressure

(NCT00567255)
Timeframe: Baseline, 28 weeks

Interventionmm Hg (Least Squares Mean)
NB32-0.93
Placebo-1.23

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Change in Question 19 From 21-Item COE (Control of Eating) Questionnaire

Question 19: Generally, how difficult has it been to control your eating? Scoring: 0=not at all difficult; 100=extremely difficult (NCT00567255)
Timeframe: Baseline, 28 weeks

Interventionunits on a scale (Least Squares Mean)
NB32-18.32
Placebo-11.09

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Change in IDS-SR Total Score

IDS-SR= Inventory of Depressive Symptoms-Subject Rated IDS-SR total score is based on 30 items. The total score can range from 0-84, with 0 being no depressive symptoms and 84 being very severe depressive symptoms. A total score ≤ 13 indicates no depression. (NCT00567255)
Timeframe: Baseline, 28 weeks

Interventionunits on a scale (Least Squares Mean)
NB32-0.23
Placebo-0.28

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Change in HOMA-IR Levels, Using Log-transformed Data

HOMA-IR= Homeostasis Model Assessment-Insulin Resistance (NCT00567255)
Timeframe: Baseline, 28 weeks

Interventionpercent change (Least Squares Mean)
NB32-16.44
Placebo-4.15

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Change in High-sensitivity C Reactive Protein (Hs-CRP) Levels, Using Log-transformed Data

(NCT00567255)
Timeframe: Baseline, 28 weeks

Interventionpercent change (Least Squares Mean)
NB32-9.38
Placebo-1.14

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Change in Food Craving Inventory Sweets Subscale Score

The Food Craving Inventory is a 33-item self-report measure designed to assess specific food cravings and is organized into 4 subscales (high fats, sweets, carbohydrates/starches, and fast-food fats). A craving was defined as an intense desire to consume a particular food (or food type) that was difficult to resist over the past month. Subjects rated their frequency of cravings for each of the 33 items using a 5-point scale, where 1=never, 2=rarely, 3=sometimes, 4=often, and 5=always. The sweets subscale consisted of 8 items and the score ranges from 8 (better outcome) to 40 (worse outcome). (NCT00567255)
Timeframe: Baseline, 28 weeks

Interventionunits on a scale (Least Squares Mean)
NB32-3.20
Placebo-3.18

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Change in Fasting LDL Cholesterol Levels

(NCT00567255)
Timeframe: Baseline, 28 weeks

Interventionmg/dL (Least Squares Mean)
NB32-4.36
Placebo0.00

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Change in Fasting Triglycerides Levels, Using Log-transformed Data

(NCT00567255)
Timeframe: Baseline, 28 weeks

Interventionpercent change (Least Squares Mean)
NB32-7.32
Placebo-1.36

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Co-primary: Body Weight- Mean Percent Change From Baseline to Week 28

(NCT00567255)
Timeframe: Baseline, 28 weeks

Interventionpercentage of body weight (Least Squares Mean)
NB32-6.45
Placebo-1.89

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Change in Food Craving Inventory Carbohydrates Subscale Score

The Food Craving Inventory is a 33-item self-report measure designed to assess specific food cravings and is organized into 4 subscales (high fats, sweets, carbohydrates/starches, and fast-food fats). A craving was defined as an intense desire to consume a particular food (or food type) that was difficult to resist over the past month. Subjects rated their frequency of cravings for each of the 33 items using a 5-point scale, where 1=never, 2=rarely, 3=sometimes, 4=often, and 5=always. The carbohydrates subscale consisted of 8 items and the score ranges from 8 (better outcome) to 40 (worse outcome). (NCT00567255)
Timeframe: Baseline, 28 weeks

Interventionunits on a scale (Least Squares Mean)
NB32-2.68
Placebo-2.20

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Change in IWQOL-Lite Total Scores

IWQOL-Lite= Impact of Weight on Quality of Life-Lite Questionnaire Total score is based on a scale from 0 to 100, with 0 representing the poorest and 100 the best quality of life and where a score of 71-79 indicates moderate impairment (NCT00567255)
Timeframe: Baseline, 28 weeks

Interventionunits on a scale (Least Squares Mean)
NB329.94
Placebo6.17

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Body Weight- Proportion of Subjects With ≥10% Decrease From Baseline to Week 28

(NCT00567255)
Timeframe: Baseline, 28 weeks

Interventionpercentage of participants (Number)
NB3227.27
Placebo7.02

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Change in Fasting HDL Cholesterol Levels

(NCT00567255)
Timeframe: Baseline, 28 weeks

Interventionmg/dL (Least Squares Mean)
NB321.19
Placebo-1.40

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Body Weight- Mean Percent Change From Baseline to Week 56

"Beginning at Week 28 through Week 44, NB32-treated subjects who failed to achieve or maintain at least 5% body weight loss from baseline were re-randomized (1:1 ratio) to continue NB32 or begin treatment with a higher dose of naltrexone SR - naltrexone SR 48 mg/bupropion SR 360 mg (referred to as NB48) (daily dose of bupropion SR was 360 mg for NB32 and NB48).The analysis of NB32 vs. placebo at Week 56 was completed using a weighted analysis. This analysis was referred to as the weighted LOCF analysis.~Subjects treated with NB32 who were re-randomized to NB48 were not included. Subjects re-randomized to NB32 were double-weighted and subjects who were not re-randomized were single-weighted. Subjects in the placebo group were single-weighted. The double weighting analysis restored the influence of poor performers at Weeks 28 to 44 in the NB32 group without including any data from the higher dose group (NB48)." (NCT00567255)
Timeframe: Baseline, 56 weeks

Interventionpercentage of body weight (Least Squares Mean)
NB32-6.40
Placebo-1.23

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Body Weight- Proportion of Subjects With ≥5% Decrease From Baseline to Week 56

"Beginning at Week 28 through Week 44, NB32-treated subjects who failed to achieve or maintain at least 5% body weight loss from baseline were re-randomized (1:1 ratio) to continue NB32 or begin treatment with a higher dose of naltrexone SR - naltrexone SR 48 mg/bupropion SR 360 mg (referred to as NB48) (daily dose of bupropion SR was 360 mg for NB32 and NB48).The analysis of NB32 vs. placebo at Week 56 was completed using a weighted analysis. This analysis was referred to as the weighted LOCF analysis.~Subjects treated with NB32 who were re-randomized to NB48 were not included. Subjects re-randomized to NB32 were double-weighted and subjects who were not re-randomized were single-weighted. Subjects in the placebo group were single-weighted. The double weighting analysis restored the influence of poor performers at Weeks 28 to 44 in the NB32 group without including any data from the higher dose group (NB48)." (NCT00567255)
Timeframe: Baseline, 56 weeks

Interventionpercentage of participants (Number)
NB3250.48
Placebo17.11

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Percent Change in Heat Pain Sensitivity Between Baseline and End of Placebo Treatment and Between Baseline to End of LDN Treatment.

A thermode is placed on the palm, and temperature is increased until the first sensation of pain. That temperature is recorded in Degrees Celsius . The procedure is repeated 3 times and results are averaged into a single temperature recording. (NCT00568555)
Timeframe: Baseline to end of placebo (2 weeks + 4 weeks) and baseline to end of LDN (2 weeks + 12 weeks)

Interventionpercentage change from baseline to final (Mean)
Low Dose Naltrexone3.12
Placebo - Sugar Pill3.45

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Percent Change in Pain Scores Between Baseline to End of Placebo Treatment and Between Baseline to End of LDN Treatment.

"Visual Analogue Scale for pain, 0 to 100, where 0=no pain and 100=worst pain imaginable.~Baseline pain calculated averaging daily pain scores over the 2 week baseline period.~Placebo and LDN pain scores calculated by averaging daily pain scores during the final 3 days of each condition.~Values were converted to percent change in pain: [(baseline pain - end point pain)/baseline pain] x 100." (NCT00568555)
Timeframe: Baseline to end of placebo (2 weeks + 4 weeks) and baseline to end of LDN (2 weeks + 12 weeks)

Interventionpercentage change from baseline to final (Mean)
Low Dose Naltrexone28.8
Placebo - Sugar Pill18.0

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Percent Change in Sleep Quality Scores Between Baseline to End of Placebo Treatment and Between Baseline to End of LDN Treatment.

"Visual Analogue Scale for sleep quality, 0 to 100, where 0 = did not sleep well at all and 100 = slept extremely well.~Baseline sleep quality calculated by averaging daily scores over the 2 week baseline period.~Placebo and LDN sleep quality scores calculated by averaging daily scores during the final 3 days of each condition.~Values were converted to percent change in sleep quality: [(baseline sleep - end point sleep)/baseline sleep] x 100." (NCT00568555)
Timeframe: Baseline to end of placebo (2 weeks + 4 weeks) and baseline to end of LDN (2 weeks + 12 weeks)

Interventionpercentage change from baseline (Mean)
Low Dose Naltrexone10.4
Placebo - Sugar Pill9.2

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Percent Change in Pressure Pain Threshold Between Baseline and End of Placebo Treatment and Between Baseline to End of LDN Treatment.

An algometer is used to apply pressure to 18 points across the body. Pressure is applied until the first sensation of pain in indicated. This pressure is recorded (as kg/cm2) and averaged for all 18 points to provide an overall score. (NCT00568555)
Timeframe: Baseline to end of placebo (2 weeks + 4 weeks) and baseline to end of LDN (2 weeks + 12 weeks)

Interventionpercentage change from baseline to final (Mean)
Low Dose Naltrexone36.70
Placebo - Sugar Pill28.26

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Percent Change in Fatigue Scores Between Baseline to End of Placebo Treatment and Between Baseline to End of LDN Treatment.

"Visual Analogue Scale for fatigue, 0 to 100, where 0 = no fatigue at all and 100 = severe fatigue.~Baseline fatigue calculated averaging daily scores over the 2 week baseline period.~Placebo and LDN fatigue scores calculated by averaging daily scores during the final 3 days of each condition.~Values were converted to percent change in fatigue: [(baseline fatigue - end point fatigue)/baseline fatigue] x 100." (NCT00568555)
Timeframe: Baseline to end of placebo (2 weeks + 4 weeks) and baseline to end of LDN (2 weeks + 12 weeks)

Interventionpercentage change from baseline (Mean)
Low Dose Naltrexone12.6
Placebo - Sugar Pill7.8

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Number of Drinks Per Drinking Day

Self-reported drinking was primarily obtained through diary data, with the Timeline Follow-Back Interview (TLFB) used to replace missing data at baseline and at each biweekly visit over the 8-weeks.The eight weeks follow-up measure is summarized across all biweekly visits. (NCT00568958)
Timeframe: 8 Weeks

Interventiondrinks per drinking day (Mean)
Naltrexone4.9
Placebo Naltrexone5.9

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Frequency of Heavy Episodic Drinking

Self-reported drinking was primarily obtained through diary data, with the Timeline Follow-Back Interview (TLFB) used to replace missing data at baseline and at each biweekly visit over the 8-weeks.The eight weeks follow-up measure is summarized across all biweekly visits. Frequency of heavy episodic drinking is measured as 5 or more drinks in a day for males, and 4 or more drinks in a day for females. A standard drink was equivalent to 0.6 gm of absolute alcohol (e.g., 12-oz beer, 5-oz wine, or 1.5-oz, 80-proof liquor). Baseline measures captured the prior 4 weeks. (NCT00568958)
Timeframe: Baseline

Interventionpercentage of heavy drinking days (Mean)
Naltrexone34.3
Placebo Naltrexone33.4

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Frequency of Heavy Episodic Drinking

"Self-reported drinking was primarily obtained through diary data, with the Timeline Follow-Back Interview (TLFB) used to replace missing data at baseline and at each biweekly visit over the 8-weeks.The eight weeks follow-up measure is summarized across all biweekly visits.~Frequency of heavy episodic drinking is measured as 5 or more drinks in a day for males, and 4 or more drinks in a day for females over an eight week period. A standard drink was equivalent to 0.6 gm of absolute alcohol (e.g., 12-oz beer, 5-oz wine, or 1.5-oz, 80-proof liquor)." (NCT00568958)
Timeframe: eight weeks

Interventionpercentage of heavy drinking days (Mean)
Naltrexone21.6
Placebo Naltrexone22.9

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Number of Drinks Per Drinking Day

Self-reported drinking was primarily obtained through diary data, with the Timeline Follow-Back Interview (TLFB) used to replace missing data at baseline and at each biweekly visit over the 8-weeks.The eight weeks follow-up measure is summarized across all biweekly visits. Baseline measures captured the prior 4 weeks. (NCT00568958)
Timeframe: Baseline

Interventiondrinks per drinking day (Mean)
Naltrexone6.7
Placebo Naltrexone6.77

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Percent Days Abstinent From Drinking

Self-reported drinking was primarily obtained through diary data, with the Timeline Follow-Back Interview (TLFB) used to replace missing data at baseline and at each biweekly visit over the 8-weeks.The eight weeks follow-up measure is summarized across all biweekly visits. (NCT00568958)
Timeframe: 8 Weeks

Intervention% days abstinent (Mean)
Naltrexone56.6
Placebo Naltrexone62.5

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Percent Days Abstinent From Drinking

Self-reported drinking was primarily obtained through diary data, with the Timeline Follow-Back Interview (TLFB) used to replace missing data at baseline and at each biweekly visit over the 8-weeks.The eight weeks follow-up measure is summarized across all biweekly visits. Baseline measures captured the prior 4 weeks. (NCT00568958)
Timeframe: Baseline

Intervention% days abstinent (Mean)
Naltrexone43.3
Placebo Naltrexone49.5

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Percentage of Drinking to an Estimated Blood Alcohol Concentration (BAC) of .08 or Higher

"Self-reported drinking was primarily obtained through diary data, with the Timeline Follow-Back Interview (TLFB) used to replace missing data at baseline and at each biweekly visit over the 8-weeks.The eight weeks follow-up measure is summarized across all biweekly visits.~BAL (Blood Alcohol Level) was estimated using data from the daily diaries based on the number of drinks consumed, the duration of drinking, and total body water (based on gender, age, height and weight) using Curtin's formula." (NCT00568958)
Timeframe: 8 weeks

Interventionpercentage of days (Mean)
Naltrexone35.4
Placebo Naltrexone45.7

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Treatment Retention

compliance with being retained in treatment protocol (NCT00577408)
Timeframe: over the course of 24 weeks or length of study participation

,
InterventionParticipants (Count of Participants)
4 Weeks12 Weeks24 Weeks
Depot Naltrexone241716
Oral Naltrexone20149

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Percent of Patients Initiating Vivitrol Treatment Who Receive 3 Consecutive Monthly Vivitrol Injections

(NCT00620750)
Timeframe: 4 months

InterventionPercent of participants (Number)
Extended Release Injectable Naltrexone40

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Change From Baseline in Standard Drinks Per Week at 1 Week

Standard drinks are equivalent to 14 grams of pure alcohol and number of drinks are assessed with Timeline Follow-Back (TLFB) methods. Change = (Week 1 - Baseline). More negative values indicate less use of alcohol. (NCT00656630)
Timeframe: 1 week

,,
Interventiondrinks/week (Mean)
Drinks/week BaselineDrinks/week Week 1Drinks/week Change
Campral (Acamprosate)44.9024.37-20.53
ReVia (Naltrexone)47.0225.79-21.23
Sugar Pill (Placebo)48.8721.51-27.35

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Change From Screening in Craving on the Alcohol Craving Questionnaire-Short Form (ACQ-SF) Total Score at Week 1

The ACQ-SF is an assessment of current drinking urges, difficulty resisting urge and anticipation of positive outcome or relief from negative state by drinking. The Total score ranges from 0 to 7 where a lower score is a better outcome. Change = (Week 1 score - Screening score). The scale is comprised of twelve items (range 0-7) that are averaged to compute the Total score. (NCT00656630)
Timeframe: 2 weeks

,,
Interventionunits on a scale (Mean)
ACQ-SF Total ScreeningACQ-SF Total Week 1ACQ-SF Total Change
Campral (Acamprosate)3.803.36-0.44
ReVia (Naltrexone)3.813.69-0.12
Sugar Pill (Placebo)3.993.51-0.48

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Change From Baseline in Sleep Quality on the Pittsburgh Sleep Quality Index (PSQI) Total Score at Week 1

The PSQI is an instrument to assess subjective sleep quality and disturbance. The Total score ranges from 0 to 21 where a lower score is better sleep quality. Change = (Week 1 score - Baseline score). Seven subscales (range 0-3) are summed to compute the Total score. (NCT00656630)
Timeframe: 1 week

,,
Interventionunits on a scale (Mean)
PSQI Total BaselinePSQI Total Week 1PSQI Total Change
Campral (Acamprosate)4.504.690.19
ReVia (Naltrexone)4.744.57-0.17
Sugar Pill (Placebo)4.254.380.13

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Change From Baseline in Mood on the Beck Depression Inventory (BDI-II) at Week 1

The BDI-II is a self-rating of severity of depressive symptoms. BDI-II Total scores range from 0-63; a lower score indicates less severe depressive systems and thus is a better outcome. Change = (Week 1 score - Baseline score). The Total score is a sum of the 21 items on the BDI-II instrument, with each item rated from 0-3. (NCT00656630)
Timeframe: 1 week

,,
Interventionunits on a scale (Mean)
BDI-II Total BaselineBDI-II Total Week 1BDI-II Total Change
Campral (Acamprosate)4.404.750.35
ReVia (Naltrexone)4.043.84-0.20
Sugar Pill (Placebo)3.534.941.41

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Visual Analog Scale of Craving to Drink at 1 Week Following Administration of Acamprosate or Naltrexone or Placebo During the Double-Blind Period

The four Visual Analog Scale questions assess domains of alcohol craving: the intention to drink, loss of control, relief craving, and urge intensity. The scale ranges from 0-20 where a zero indicates no craving and 20 indicates severe craving; thus, a higher score indicates a worse outcome. Total is a summation of the four subscales (i.e. Strength, Intent, Impulse, Relief) and ranges in value from 0-80 with higher scores indicative of a worse outcome. (NCT00656630)
Timeframe: 1 week

,,
Interventionunits on a scale (Mean)
StrengthIntentImpulseReliefTotal
Campral (Acamprosate)2.121.651.170.075.00
ReVia (Naltrexone)3.402.991.692.0110.09
Sugar Pill (Placebo)5.864.224.313.5717.96

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Histology Inflammatory Score by Colon Biopsies

Histology scores to assess microscopic inflammation and structural architecture were determined at baseline and after 12 weeks of either naltrexone therapy or placebo by mucosal biopsy samples obtained during colonoscopies.The pathology specimens were reviewed and scored by a Pathologist blinded to the treatment. The mean scores at baseline were the same between both groups.Differences between naltrexone and placebo treated subjects was assessed.The range in scores could be 0-25, with 0 representing no inflammation and 25 being maximum or severe inflammation.. (NCT00663117)
Timeframe: 12 weeks

Interventionunits on a scale (Mean)
Placebo17.5
Naltrexone 4.5 mg po Daily5.2

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Percentage Change From Baseline of Quality of Life IBDQ (Inflammatory Bowel Disease Quality of Life Survey)

IBDQ (Inflammatory bowel Disease questionnaire) contains questions about health ranging from a score of poor (i.e., 32) to excellent (i.e., 224) an increase from baseline indicates improvement in quality of life. (NCT00663117)
Timeframe: Between baseline and 3 months

Interventionpercentage of change (Mean)
Placebo18
Naltrexone 4.5 mg po Daily28

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Percentage of Patients With a 5 Point Drop in CDEIS Score by Endoscopy

A secondary outcome was the appearance of the colonic mucosa on endoscopy using the Crohn's Disease Endoscopic Index of Severity (CDEIS) score described by Mary et al. Gut 1989;30:983-989.This score ranges from 0-44 based upon the extent and severity of inflammation and ulcers seen during endoscopy of the colon. A response is a drop of > 5 points from baseline. Endoscopic remission is a score of < 6 and Complete endoscopic remission is a score of > 3. (NCT00663117)
Timeframe: 12 weeks

Interventionpercentage of patients (Number)
Placebo28
Naltrexone 4.5 mg78

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Percentage of Subjects Achieving a 70-point Decline in CDAI Scores (Crohn's Disease Activity Index) Scores;

The CDAI score is a number which consists of information collected from a 7-day diary from the patient regarding symptoms. It also includes objective information from the physical exam, weight and hemotocrit. Remission is considered a score of 150 or less. Active disease is considered 220 or greater. A response to therapy is considered a decline in the CDAI score of 70-points from baseline. (NCT00663117)
Timeframe: 3 months

Interventionpercentage of pts (Number)
Placebo40
Naltrexone 4.5 mg po Daily88

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Percent Heavy Drinking Days

percent of total 112 day trial in which heavy drinking occurred (>=4 for females, >=5 male) (NCT00667875)
Timeframe: 16 weeks

Interventionpercent of days (Mean)
Placebo: Placebo10.54
Naltrexone: Placebo Aripiprazole16.7
Naltrexone:Aripiprazole7.34

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Percent Riboflavin Positive Urine Samples as a Measure of Medication Compliance

Riboflavin was added to each individual capsule of medication and measured as a proxy for compliance with the medication regime (NCT00667875)
Timeframe: 16 weeks treatment trial

InterventionPercent of riboflavin positive samples (Mean)
Placebo: Placebo74.9
Naltrexone: Placebo Aripiprazole85.1
Naltrexone:Aripiprazole62.1

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Drinks Per Drinking Day

Standard drinks per drinking day (NCT00667875)
Timeframe: 16-week treatment period

Interventiondrinks per drinking day (Mean)
Inactive Placebo7.2
Naltrexone and Inactive Placebo Aripiprazole7.8
Naltrexone + Aripiprazole5.2

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Pill Counts During Treatment

Compliance with medication as determined by pill counts (NCT00667875)
Timeframe: 16-week

,,
InterventionPercent of pills taken (Mean)
Percent aripiprazole or aripiprazole placebo takenPercent naltrexone or naltrexone placebo taken
1 Placebo96.496.8
2 Naltrexone97.096.9
3 Naltrexone Plus Aripiprazole84.286.4

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Percentage (%) of Opioid-free Weeks Per Subject in Double-blind Period (Part A)

Included are data from the last 20 weeks of the 24-week double-blind treatment period (Part A). Response profiles for each Arm are based on subjects' individual rates of weekly opioid-free data, including negative urine test results, attendance at study visits, and self-reports of opioid use/non-use. (NCT00678418)
Timeframe: 20 weeks

InterventionPercentage of opioid-free weeks (Median)
VIVITROL® 380 mg90.0
Placebo35.0

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Incidence of Subjects Who Relapsed to Physiologic Opioid Dependence During the 24-week Treatment Period (Part A)

Assessment of relapse to physiologic opioid dependence was based on individual subjects' results on the naloxone challenge test. A positive naloxone challenge test result was considered as a relapse to physiologic opioid dependence. (NCT00678418)
Timeframe: 24 Weeks

InterventionPercentage of participants who relapsed (Number)
VIVITROL® 380 mg46.8
Placebo62.1

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Change in Percentage of Self-reported Opioid-free Days From Baseline to Week 24

Opioid use was measured using subjects' entries on a validated Timeline FollowBack (TLFB) calendar in which they recorded their use/non-use of opioids each day. (NCT00678418)
Timeframe: 24 Weeks

InterventionPercentage of opioid-free days (Median)
VIVITROL® 380 mg75.83
Placebo46.43

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Craving Score: Change From Baseline

"Measured using subjects' response on a validated Visual Analog Scale at prespecified weekly visits throughout Part A, with comparison of baseline to end of Part A. The scale ranged from 0 (No craving) to 100 (highest possible craving)." (NCT00678418)
Timeframe: Baseline to 6 months (24 weeks)

InterventionUnits on a scale (Least Squares Mean)
VIVITROL® 380 mg-10.087
Placebo0.654

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Days to Discontinuation During Part A

Defined as the duration of study participation and calculated as the number of days from Dose 1 to the day of study discontinuation. (NCT00678418)
Timeframe: 168 days (24 weeks)

InterventionDays to study discontinuation (Median)
VIVITROL® 380 mgNA
Placebo96.0

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Time to the First Missed Dose

The time to the first missed dose of depot naltrexone (NCT00684775)
Timeframe: 24 weeks

Interventionweeks (Mean)
Work Plus Naltrexone Prescription14.74
Work Plus Naltrexone Contingency20.84

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Average Percentage of 30-day Urine Samples Negative for Cocaine

The percentage of urine samples collected at 30-day assessments that are negative for cocaine. (NCT00684775)
Timeframe: Collected every 30 days for 150 days

Interventionpercentage cocaine negative urine sample (Mean)
Work Plus Naltrexone Prescription53.7
Work Plus Naltrexone Contingency57.9

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HIV Risk Behaviors

behaviors that place participants at risk for acquiring or transmitting HIV infection (NCT00684775)
Timeframe: 24 weeks

Interventionpercentage of months reported (Mean)
Work Plus Naltrexone Prescription2.1
Work Plus Naltrexone Contingency0

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Naltrexone Injections Received

The percentage of depot naltrexone doses that participants received (NCT00684775)
Timeframe: 24 weeks

InterventionPercentage of injections received (Mean)
Work Plus Naltrexone Prescription51.8
Work Plus Naltrexone Contingency86.8

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Percentage of 30-day Urine Samples Negative for Opiates

Percentage of urine samples collected at the 30-day assessments that are negative for opiates (NCT00684775)
Timeframe: Collected every 30 days for 150 days

Interventionpercentage of opiate negative (Mean)
Work Plus Naltrexone Prescription65.3
Work Plus Naltrexone Contingency71.6

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Percentage of M-W-F Samples Negative for Cocaine

Percentage of urine samples collected Monday, Wednesday and Friday at the workplace that are negative for cocaine (NCT00684775)
Timeframe: Collected every Monday, Wednesday and Friday for 24 weeks

Interventionpercentage of mwf cocaine negative (Mean)
Work Plus Naltrexone Prescription45.3
Work Plus Naltrexone Contingency54.6

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Percentage of M,W,F Urine Samples Negative for Opiates

Percentage of urine samples collected Monday, Wednesday and Friday at the workplace that are negative for opiates (NCT00684775)
Timeframe: Collected every Monday, Wednesday and Friday for 24 weeks

Interventionpercentage of opiate negative (Mean)
Work Plus Naltrexone Prescription51.8
Work Plus Naltrexone Contingency66.2

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Dutch Eating Behavior Questionnaire - Change in Restrained Eating Subscale Score

The Dutch Eating Behavior Questionnaire is a 33-item self-report measure designed to assess the type of eating behavior and is organized into 3 subscales (emotional eating, externally-induced eating, and restrained eating). Subjects rated the frequency of their eating behaviors using a 5-point scale, where 1=never, 2=seldom, 3=sometimes, 4=often, and 5=very often. The Restrained Eating subscale consisted of 10 items and the scores ranged from 10 (worse outcome) to 50 (better outcome). (NCT00711477)
Timeframe: Baseline, 4 weeks

Interventionunits on a scale (Least Squares Mean)
NB321.47
Placebo1.87

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Dutch Eating Behavior Questionnaire - Change in External Eating Subscale Score

The Dutch Eating Behavior Questionnaire is a 33-item self-report measure designed to assess the type of eating behavior and is organized into 3 subscales (emotional eating, externally-induced eating, and restrained eating). Subjects rated the frequency of their eating behaviors using a 5-point scale where 1=never, 2=seldom, 3=sometimes, 4=often, and 5=very often. The External Eating subscale consisted of 10 items and the scores ranged from 10 (better outcome) to 50 (worse outcome). (NCT00711477)
Timeframe: Baseline, 4 weeks

Interventionunits on a scale (Least Squares Mean)
NB32-2.64
Placebo-0.16

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Dutch Eating Behavior Questionnaire - Change in Emotional Eating B Subscale Score

The Dutch Eating Behavior Questionnaire is a 33-item self-report measure designed to assess the type of eating behavior and is organized into 3 subscales (emotional eating, externally-induced eating, and restrained eating). Subjects rated the frequency of their eating behaviors using a 5-point scale, where 1=never, 2=seldom, 3=sometimes, 4=often, and 5=very often. The Emotional Eating B subscale (diffuse emotions) consisted of 4 items and the scores ranged from 4 (better outcome) to 20 (worse outcome). (NCT00711477)
Timeframe: Baseline, 4 weeks

Interventionunits on a scale (Least Squares Mean)
NB32-0.90
Placebo0.45

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Dutch Eating Behavior Questionnaire - Change in Emotional Eating A Subscale Score

The Dutch Eating Behavior Questionnaire is a 33-item self-report measure designed to assess the type of eating behavior and is organized into 3 subscales (emotional eating, externally-induced eating, and restrained eating). Subjects rated the frequency of their eating behaviors using a 5-point scale, where 1=never, 2=seldom, 3=sometimes, 4=often, and 5=very often. The Emotional Eating A subscale (clearly labeled emotions) consisted of 9 items and the scores ranged from 9 (better outcome) to 45 (worse outcome). (NCT00711477)
Timeframe: Baseline, 4 weeks

Interventionunits on a scale (Least Squares Mean)
NB32-1.16
Placebo0.48

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Percent Change in Body Weight

(NCT00711477)
Timeframe: Baseline, 4 weeks

Interventionpercentage of body weight (Least Squares Mean)
NB32-0.99
Placebo-0.43

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Change in Question 19 From 21-Item COE (Control of Eating) Questionnaire

Question 19: Generally, how difficult has it been to control your eating? Scoring: 0=not at all difficult; 100=extremely difficult (NCT00711477)
Timeframe: Baseline, 4 weeks

Interventionunits on a scale (Least Squares Mean)
NB32-13.55
Placebo-4.14

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Pediatric Crohn's Disease Activity Index Score (PCDAI)

"Secondary outcome was efficacy on clinical activity. Mean pretreatment PCDAI scores in patients had moderate to severe disease activity at baseline were compared between those who received placebo for 8 weeks and those who received active experimental drug, naltrexone.~The PCDAI score is a number unit that is calculated from symptoms scores by the subject over a 7-day period prior to the visit, laboratory values, height & weight, and physical exam findings. A score of 10 and under denotes remission. Mild disease (score of 11-30); moderate disease (score of 31-45), a severe disease (scores greater than 45. A decline of 10 points or more is considered response to therapy. The score can range from 0 to >60 Patient must have a PCDAI score of equal or greater than 30 to qualify for this study (i.e., moderate to severe disease)." (NCT00715117)
Timeframe: Pretreatment and 8 weeks

Interventionunits on a scale (Mean)
All Participants Pretreament34.2
Placebo30
Naltrexone21.7

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Change in Quality of Life Scores From Baseline to After 8 Weeks of Naltrexone Therapy

IMPACT III was a pediatric Crohn's specific quality of life survey used in this study. It examines five major categories influencing the quality of life in children with Crohn's disease including bowel symptoms, systemic symptoms, emotional well-being, social well-being, and body image perception. The IMPACT-III uses 5-point Likert scale ranging from 1 to 5 for all answers. The outcome score ranges from 35 to 175, with higher scores suggesting better quality of life. So an increase in score denotes improved Quality of life. (NCT00715117)
Timeframe: 16 weeks

,
Interventionunits on a scale (Mean)
Bowel symptomsSocial well-beingEmotional Well-beingSystemic symtomsBody image
Baseline2040209.810.2
Week 1623452410.110.3

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Number of Patients Reporting Side Effects

Using adverse events and laboratory values Safety & toxicity were evaluated between those on placebo for 8 weeks and those on naltrexone for either 8 or 16 weeks. (NCT00715117)
Timeframe: 8 weeks or 16 weeks

,
Interventionparticipants (Number)
Sleep disturbanceUnusal DreamsTwitchingHeadachesDecreased appetiteNauseaHair lossFatigueFlushed earsPapules, rashDouble vision
Naltrexone22100100101
Placebo20111011010

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Subjective Marijuana Effects

Subjective ratings of marijuana's quality and effect ('Strength', 'Good Effect', 'High', 'Stimulation') and craving ('Want Marijuana') as a function of active puffs and naltrexone, using a visual analogue scale with a series of 100 mm long lines labeled 'not at all' at one end (0 mm) and 'extremely' at the other end (100 mm). Participants were instructed to indicate how they felt at that particular moment. Higher ratings indicate more agreement with the statement. (NCT00743145)
Timeframe: 180 minutes after marijuana administration, during each of 8 outpatient sessions over the course of 3-6 weeks.

,,,,,
Interventionunits on a scale (0-100mm) (Mean)
"Marijuana Strength""Marijuana Good Effect""Marijuana High""Marijuana Stimulation""Want Marijuana"
Naltrexone + Active Marijuana (5.5% THC)1631112049
Naltrexone + Active Marijuana (6.2% THC)2046163045
Naltrexone + Inactive Marijuana1626102250
Placebo Naltrexone + Active Marijuana (5.5% THC)153710.52048
Placebo Naltrexone + Active Marijuana (6.2% THC)1630101637
Placebo Naltrexone + Inactive Marijuana1314101650

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Latency to Initiate Ad-lib Smoking Session

Time to smoking during the smoking delay task. Smoking delay task occurred on day 8 of the study. Range of time delay is 0 minutes to 50 minutes. (NCT00773422)
Timeframe: day 8

Interventionminutes (Mean)
Naltrexone + Varenicline28.134
Varenicline45.861
Placebo21.737

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Number of Cigarettes Smoked During the Ad-lib Period

Number of cigarettes smoked during the ad libitum phase of the smoking delay task. Task occurred on day 8 of the study. (NCT00773422)
Timeframe: day 8

Interventioncigarettes (Mean)
Naltrexone + Varenicline1.283
Varenicline0.959
Placebo2.23

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Liver Function Tests

Participants were administered a general test of liver functioning to asses safety over the course of the study. Data represent the percentage of participates with Liver Function Test values falling outside of the range considered safe/typical for liver functioning at any of the assessed time points. It was performed at baseline and at each visit where dosage of the medication is >50mg/day (week 2-week 8). (NCT00775229)
Timeframe: Week 8 (last visit)

Interventionpercentage of individuals with LFT chang (Number)
Naltrexone0
Placebo0

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National Institute of Mental Health Trichotillomania Symptom Severity Scale

Ranges from 0-20 with 20 being the most severe. The lower the total score, the lower the severity level. This scale is given and measured once every 2 weeks for a total of 8 weeks. The final total score is reported here. (NCT00775229)
Timeframe: This is the final score, measured at week 8 (final visit).

Interventionunits on a scale (Mean)
Naltrexone7.94
Placebo8.73

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Massachusetts General Hospital Hairpulling Scale

Ranges from 0-28 with 28 being the most severe. The lower the total score, the lower the severity level. This scale is given and measured once every 2 weeks for a total of 8 weeks. The final total score is reported here. (NCT00775229)
Timeframe: This is the final score, measured at week 8 (final visit).

Interventionunits on a scale (Mean)
Naltrexone12.21
Placebo13.35

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Urine Assay for Benzoylecgonine (BE), the Primary Metabolite of Cocaine.

Percentage of subjects with no cocaine use for at least 3 weeks (NCT00777062)
Timeframe: 8 week medication phase

InterventionPercentage of Participants (Number)
Vivitrol33.3
Placebo31.7

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Time Line Follow Back -Reported Days of Abstinence From Drinking

Percentage of participants who were abstinent from drinking (NCT00777062)
Timeframe: 8 week medication phase

InterventionPercentage of Participants (Number)
Vivitrol10.3
Placebo17.1

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Relapse

A relapse event was defined as 10 or more days of opioid use in a 28-day (4-week) period as assessed by self-report or by testing of urine samples obtained every 2 weeks; a positive or missing sample was computed as 5 days of opioid use. (NCT00781898)
Timeframe: 6 months

InterventionParticipants (Count of Participants)
Depot Naltrexone66
Placebo99

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Change in Body Weight From Baseline

Weight was measured with shoes off to the nearest 0.1 kg. (NCT00793780)
Timeframe: 8 weeks

Interventionkg (Mean)
Naltrexone 25mg-3.40
Placebo1.37

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LDL Cholesterol

Determined by standard enzymatic procedures (NCT00793780)
Timeframe: baseline and week 8

,
Interventionmg/dL (Mean)
baselineWeek 8
Naltrexone 25mg86.80104.11
Placebo123.18111.22

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Fasting Serum Glucose Lab Values

(NCT00793780)
Timeframe: baseline and 8 weeks

,
Interventionmg/dL (Mean)
baselineWeek 8
Naltrexone 25mg113.40129.22
Placebo93.8294.11

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Insulin Levels

Determined with a double-antibody radioimmunoassay (NCT00793780)
Timeframe: baseline and week 8

,
InterventionmicroIU/mL (Mean)
baselineWeek 8
Naltrexone 25mg26.4235.51
Placebo13.8412.36

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PANSS- Positive and Negative Symptom Scale

The PANSS or the Positive and Negative Syndrome Scale is a medical scale used for measuring symptom severity of patients with schizophrenia. The patient is rated from 1 to 7 on 30 different symptoms based on the interview as well as reports of family members or primary care hospital workers. Of the 30 items included in the PANSS, 7 constitute a Positive Scale, 7 a Negative Scale, and the remaining 16 a General Psychopathology Scale.The scores for these scales are arrived at by summation of ratings across component items. Total score ranges from a minimum of 30 to a maximum of 210. A higher score indicates more severe symptoms. (NCT00793780)
Timeframe: 8 weeks

Interventionunits on a scale (Mean)
Naltrexone 25mg57.50
Placebo52.63

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Change in Questionnaire on Craving for Sweet or Rich Foods Score

The Questionnaire on Craving for Sweet or Rich Foods (QCSRF) is a 2-factor, 9-item scale assessing the presence of cravings for rich and sweet foods and has been found to have good psychometric properties. The total score is the total of 2 sub scales. Total range is from 9 to 63, with a higher score indicative of a higher craving and reinforcement from sweet and/or rich foods. (NCT00793780)
Timeframe: baseline and week 8

Interventionunits on a scale (Mean)
Naltrexone 25mg-3.10
Placebo0

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Adrenocorticotropic Hormone (ACTH) Levels

Change from baseline to peak cortisol response during the 2nd alcohol challenge session, objective response as measured by Adrenocorticotropic hormone (ACTH). (NCT00817089)
Timeframe: during 2nd alcohol challenge session

Interventionpg/ml (Mean)
Group 1 Asn40 Placebo Placebo-7.83
Group 2 Asn40 Placebo Naltrexone3.86
Group 3 Asp40 Placebo Placebo5.25
Group 4 Asp40 Placebo Naltrexone-3.20

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Biphasic Alcohol Effects Scale:Total Mood

"Change from baseline to peak cortisol response, during the 2nd alcohol challenge session, subjective response as measured by Biphasic Alcohol Effects Scale: Total Mood.~Biphasic Alcohol Effects Scale: Total Mood: minimum = 0, maximum = 106, higher scores indicate better outcomes." (NCT00817089)
Timeframe: during 2nd alcohol challenge session

Interventionunits on a scale (Mean)
Group 1: Asn40 Placebo Placebo6.94
Group 2: Asn40 Placebo Naltrexone3.57
Group 3: Asp40 Placebo Placebo6.50
Group 4: Asp40 Placebo Naltrexone3.20

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Clinical Response to Naltrexone, as Measured by a Reduction in the Percent Days of Heavy Drinking Days (as Defined by >5 Drinks/Day for Males; >4 for Females) During the 12 Weeks of the Trial.

(NCT00831272)
Timeframe: 12 weeks

Interventionpercentage of heavy drinking days (Mean)
Naltrexone Group ASP 40 Group18.9
Placebo Group ASP 40 Group17.9
Naltrexone Group ASN 40 Group14.5
Placebo Group ASN 40 Group21.7

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Number of Subjects Reporting at Least 1 Treatment-emergent Adverse Event (TEAE) While on Study.

A TEAE is any adverse event (AE), whether or not considered drug-related, that develops or worsens in severity after study drug administration begins (ie, from the first administration through the end of the follow-up period). (NCT00834080)
Timeframe: 2 years (Baseline to end of study)

Interventionparticipants (Number)
VIVITROL37

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Percent Heavy Drinking Days by mu Opioid Receptor Gene

(NCT00920829)
Timeframe: Time Line Follow-Back drinking collected at each of 9 visits (weeks 1, 2, 3, 4, 6, 8, 10, 12 and 16)

,,,
Interventionpercentage of days (Mean)
Month 1Month 2Month 3Month 4
A118G A/A With Naltrexone11.011.710.411.4
A118G A/A With Placebo18.025.823.018.1
A118G Any G With Naltrexone11.815.516.918.3
A118G Any G With Placebo18.719.725.028.7

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7-day Point Prevalence Smoking Abstinence

Self-report abstinence from smoking over the past 7 days biochemically confirmed with carbon monoxide and saliva cotinine. (NCT00938886)
Timeframe: 26 weeks after target quit smoking date

InterventionParticipants (Count of Participants)
Naltrexone9
Placebo9

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Percent Heavy Drinking Days

Defined for women as percent of days drinking 4 or more drinks in a day. For men, percent of days drinking 5 or more drinks in a day (NCT00938886)
Timeframe: Across the 6 months following smoking quit date

Interventionpercentage of days (Mean)
Naltrexone11.1
Placebo11.4

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Opiate Withdrawal Measured by the Subjective Opiate Withdrawal Scale (SOWS) .

The Subjective Opiate Withdrawal Scale is a self-administered 16 scale containing 16 symptoms ranging in severity from 0 (not at all) to 4 (extremely). The SOWS total score is the sum of 16 items, ranging from 0 (no opiate withdrawal ) to 64 ( severe opiate withdrawal). Values from multiple assessments during the 8-week outpatient phase were averaged. (NCT01024335)
Timeframe: 3x/week during 8 weeks of the trial or study participation

Interventionunits on a scale (Mean)
Naltrexone and Placebo11.16
Naltrexone and Dronabinol13.36

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Retention

Of those participants randomized to the naltrexone and dronabinol arm, the number that completed all 8 weeks of treatment. (NCT01024335)
Timeframe: retention over 8 weeks.

Interventionparticipants (Number)
Naltrexone and Placebo7
Naltrexone and Dronabinol14

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Percentage of Participants Assessed as Very Much Improved or Much Improved Based on the Clinical Global Impression-Improvement (CGI-I) Scale

"The Clinical Global Impression-Improvement scale rates total improvement on a 7 point scale:~= Very much improved~= Much improved~= Minimally improved~= No change~= Minimally worse~= Much worse~= Very much worse~A participant scoring a 1 or 2 is considered a responder on the CGI scale. For the change in response status over time, a generalized estimating equation (GEE) model was used." (NCT01052831)
Timeframe: The CGI-I was administered at Visit 2 (week 2, two weeks after baseline) and Visit 5 (week 8, termination visit 8 weeks after baseline).

Interventionpercentage of responders (Number)
Naltrexone54.4
Placebo33.1

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Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease - Rating Scale (QUIP-RS)

The Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease-Rating Scale (QUIP-RS) was developed for use in clinical trials and added as a secondary outcome measure for assessment of change in severity of ICD symptoms, to be completed at baseline and end of study only. For the QUIP-RS, scores for each compulsive behavior range from 0 to 16, with a higher score indicating greater severity (frequency) of symptoms. Given that ICD symptoms are frequently comorbid in patients with PD, total QUIP-RS ICD scores (range from 0 to 64) were used to compare overall severity of ICD symptoms. Please note that this measure is reporting a change from baseline. (NCT01052831)
Timeframe: The QUIP-RS was administered at baseline and the termination visits (Visit 5, 8 weeks after baseline).

InterventionChange in points on a scale (QUIP-RS) (Number)
Naltrexone14.92
Placebo7.55

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Cerebral Blood Flow

(NCT01053078)
Timeframe: 1 month

Interventionpercentage of signal intensity change (Mean)
Naltrexone1.7
Placebo1.3

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Hypoglycemia Symptom Score

Hypoglycemia symptom score is determined by a standardized 12-item questionnaire. Participants rank hypoglycemic symptoms on a Likert scale from 0 (no symptoms) to 6 (severe symptoms). Total score is a sum of the 12 items scores with a total score range from 0 to 72. Higher scores indicated increased severity of symptoms associated with hypoglycemia. (NCT01053078)
Timeframe: 1 month

Interventionscore on a scale (Mean)
Naltrexone12.6
Placebo14.5

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T1/2 of Gastric Emptying of Solid

(NCT01055704)
Timeframe: 4 hours

InterventionMinutes (Mean)
Methylnaltrexone 0.30 mg/kg102.7
Codeine 30 mg104.0
Methylnaltrexone 0.30 mg/kg + Codeine 30 mg126.8
Placebo101.1

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Colonic Geometric Center at 4 Hours

The scintigraphic method is used to measure colonic transit. An isotope is adsorbed on activated charcoal particles and delivered to the colon in a delayed release capsule. Anterior and posterior gamma images are taken hourly. The geometric center (GC) is the weighted average of counts in the different colonic regions. The scale ranges from 1 to 5; a high GC implies faster colonic transit. A GC of 1 implies all isotope is in the ascending colon, and a GC of 5 implies all isotope is in the stool. (NCT01055704)
Timeframe: 4 hours

InterventionUnits on a scale (Mean)
Methylnaltrexone 0.30 mg/kg0.236
Codeine 30 mg0
Methylnaltrexone 0.30 mg/kg + Codeine 30 mg0.379
Placebo0.347

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Colonic Filling at 6 Hours

Percent of solids reaching the colon at 6 hours (NCT01055704)
Timeframe: 6 hours

InterventionPercentage (Mean)
Methylnaltrexone 0.30 mg/kg21.9
Codeine 30 mg23.7
Methylnaltrexone 0.30 mg/kg + Codeine 30 mg28.0
Placebo34.5

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Colonic Geometric Center at 24 Hours

The scintigraphic method is used to measure colonic transit. An isotope is adsorbed on activated charcoal particles and delivered to the colon in a delayed release capsule. Anterior and posterior gamma images are taken hourly. The geometric center (GC) is the weighted average of counts in the different colonic regions. The scale ranges from 1 to 5; a high GC implies faster colonic transit. A GC of 1 implies all isotope is in the ascending colon, and a GC of 5 implies all isotope is in the stool. (NCT01055704)
Timeframe: 24 hours

InterventionUnits on a scale (Mean)
Methylnaltrexone 0.30 mg/kg2.3
Codeine 30 mg1.8
Methylnaltrexone 0.30 mg/kg + Codeine 30 mg1.9
Placebo2.3

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Colonic Geometric Center at 48 Hours

The scintigraphic method is used to measure colonic transit. An isotope is adsorbed on activated charcoal particles and delivered to the colon in a delayed release capsule. Anterior and posterior gamma images are taken hourly. The geometric center (GC) is the weighted average of counts in the different colonic regions. The scale ranges from 1 to 5; a high GC implies faster colonic transit. A GC of 1 implies all isotope is in the ascending colon, and a GC of 5 implies all isotope is in the stool. (NCT01055704)
Timeframe: 48 hours

InterventionUnits on a scale (Mean)
Methylnaltrexone 0.30 mg/kg3.9
Codeine 30 mg3.3
Methylnaltrexone 0.30 mg/kg + Codeine 30 mg2.8
Placebo4.1

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Stool Consistency as Reported From the Bristol Stool Scale

"Bristol Stool Scale a medical aid designed to classify the form of human feces into seven categories or types. Types 1 and 2 indicate constipation, with 3 and 4 being the ideal stools especially the latter, as they are the easiest to defecate, and 5-7 tending towards diarrhea." (NCT01055704)
Timeframe: Daily

InterventionUnits on a scale (Mean)
Methylnaltrexone 0.30 mg/kg3.4
Codeine 30 mg3.1
Methylnaltrexone 0.30 mg/kg + Codeine 30 mg3.3
Placebo3.7

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Stool Frequency

Stool frequency was self reported in a daily bowel pattern diary for 13 days. (NCT01055704)
Timeframe: daily

InterventionStools (Mean)
Methylnaltrexone 0.30 mg/kg1.1
Codeine 30 mg0.63
Methylnaltrexone 0.30 mg/kg + Codeine 30 mg0.7
Placebo1.5

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T1/2 of Ascending Colon Emptying

(NCT01055704)
Timeframe: 24 hours

Interventionhours (Mean)
Methylnaltrexone 0.30 mg/kg17.1
Codeine 30 mg24.0
Methylnaltrexone 0.30 mg/kg + Codeine 30 mg23.6
Placebo14.1

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Gambling Symptom Assessment Scale (G-SAS)

The G-SAS is a 12-item self-rated scale designed to assess gambling symptom severity and change during treatment. Each item on the 12-item scale has a score ranging from 0 - 4. All items ask for an average symptom based on the past 7 days. Total score ranges from 0 - 48: extreme = 41 - 48, severe = 31 - 40, moderate = 21 - 30, mild = 8 - 20. (NCT01057862)
Timeframe: Weekly/bi-weekly visits

,
Interventionunits on a scale (Mean)
BaselineEnd of Study
Naltrexone26.812.6
Placebo24.751.0

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Yale Brown Obsessive Compulsive Scale Modified for Pathological Gambling (YBOCS-PG)

The Yale Brown Obsessive Compulsive Scale adapted for Pathological Gambling (PG-YBOCS) was developed to measure the severity and change in severity of pathological gambling symptoms.The PG-YBOCS is a 10-item clinician-administered questionnaire that measures the severity of PG over a specified time interval. Scores of 0 through 4 are assigned to each question according to the severity of the response (0 = least severe response, 4 = most severe response). The first five questions assess urges and thoughts associated with pathological gambling, whereas the last five questions assess the behavioral component of the disorder. Each set of questions is totaled separately as well as together for a total score. The total score can range from 0 (low) to 40 (most severe) with higher numbers representing a more severe form of pathological gambling. (NCT01057862)
Timeframe: Weekly/bi-weekly visits

,
Interventionunits on a scale (Mean)
BaselineEnd of Study
Naltrexone16.010.0
Placebo17.04.0

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Alcohol Treatment Outcome: Change in Percent of Heavy Drinking Days

change in the percent of heavy drinking days from 12 weeks prior to incarceration to 6 months post release from incarceration. (NCT01077310)
Timeframe: change in percent of heavy drinking days12 weeks prior to release from prison (baseline), day of release, to 6 months post-release

Interventionpercent of heavy drinking days (Mean)
Extended-release Naltrexone, Received 0-3 Injections-38.3
Placebo, Received 0-3 Injections-51.3
Extended-release Naltrexone, Received 4-6 Injections-63.6
Placebo, Received 4-6 Injections-54.9

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Alcohol Treatment Outcome: Change in Average Drinks Per Drinking Day

The mean change from 12 weeks pre incarceration to 6 months post release from incarceration in average drinks per drinking day (NCT01077310)
Timeframe: 12 weeks prior to release from prison (baseline) to 6 months post release

Interventionstandard units of alcohol (Mean)
Extended-release Naltrexone, Received 0-3 Injections-16.6
Placebo, Received 0-3 Injections-29.6
Extended-release Naltrexone, Received 4-6 Injections-17.4
Placebo, Received 4-6 Injections-14.9

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Alcohol Treatment Outcome: Time to Alcohol Relapse

Self reported time to first heavy drinking day after release from incarceration, up to 6 months (NCT01077310)
Timeframe: Post release

,
Interventiondays (Mean)
Age 20-29Age 30-39Agge 40-49Age 50+
Extended-release Naltrexone24.178.998.860.3
Placebo9.573.985.064.1

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Percentage of Those Maintain or Improve to HIV RNA-1 Viral Load Less Then 400 Copies/mL

Percentage of participants that maintained or improved a level of undetectable HIV viral load from baseline (closest viral load to time of release from incarceration) to 6 months post release. Missing lab values were considered to have a detectable HIV viral load. (NCT01077310)
Timeframe: Baseline to month 6 post release

Interventionpercent of participants (Number)
Intramuscular Naltrexone54
Placebo42

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Plasma Decay Half-Life (t1/2) During the Treatment Phase

Average plasma decay half-life of morphine, naltrexone and 6-β-Naltrexol. Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. (NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, and 24 hr post-dose

,
Interventionh (Mean)
Morphine (n=2,6)Naltrexone (n=0,6)6-β-Naltrexol (n=3,6)
EMBEDA Crushed in Solution17.03.010.1
EMBEDA Whole Capsules56.2NA50.9

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Time to Reach Maximum Observed Plasma Concentration (Tmax) During the Treatment Phase

Average Tmax for Morphine, Naltrexone and 6-β-Naltrexol (NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, and 24 hr post-dose

,
Interventionhours (h) (Mean)
Morphine (n=6,6)Naltrexone (n=0,6)6-β-Naltrexol (n=4,6)
EMBEDA Crushed in Solution1.291.461.63
EMBEDA Whole Capsules5.67NA6.13

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Volume of Distribution (Vd/F)During the Treatment Phase

Average Vd/F for Morphine, Naltrexone and 6-β-Naltrexol (NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, and 24 hr post-dose

,
Interventionliter (L) (Mean)
Morphine (n=2,6)Naltrexone (n=0,6)6-β-Naltrexol (n=3,6)
EMBEDA Crushed in Solution1668.2304171.826304.5
EMBEDA Whole Capsules3173.1NA3447244.4

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Maximum Observed Plasma Concentration (Cmax) During the Treatment Phase

Average Cmax for Morphine, Naltrexone and 6-β-Naltrexol (NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, and 24 hr post-dose

,
Interventionnanogram per milliliter (ng/mL) (Mean)
Morphine (n=6,6)Naltrexone (n=0,6)6-β-Naltrexol (n=4,6)
EMBEDA Crushed in Solution70.4321.13398.3
EMBEDA Whole Capsules27.5NA24.4

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Apparent Oral Clearance (CL/F) During the Treatment Phase

Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Clearance was estimated from population pharmacokinetic (PK) modeling. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood. (NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, and 24 hr post-dose

,
Interventionliters/hour (L/h) (Mean)
Morphine (n=2,6)Naltrexone (n=0,6)6-β-Naltrexol (n=3,6)
EMBEDA Crushed in Solution77.275151.01758.0
EMBEDA Whole Capsules37.6NA45143.6

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Time to First Occurrence of a COWS Score ≥ 13 for Each Treatment During the Treatment Phase

Average time to first occurrence of a COWS score ≥ 13 (NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, 24 hr post-dose and UA

Interventionh (Mean)
EMBEDA Whole Capsules2.5
EMBEDA Crushed in Solution0.7

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Number of Participants With Clinical Opiate Withdrawal Scale (COWS) Score Greater Than or Equal to (≥) 13 in the Treatment Phase

COWS is an 11 section clinical assessment of withdrawal symptoms, each section is rated from 0 (no symptom) to 4 or 5 (most severe symptom). Total score is classified into a 4 point rating scale (mild 5-12, moderate 13-24, moderately severe 25-36 and severe more than 36 points). (NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, 24 hours (hr) post-dose and unscheduled assessment (UA)

Interventionparticipants (Number)
EMBEDA Whole Capsules1
EMBEDA Crushed in Solution3

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Morphine Plasma Concentration at First COWS ≥ 13 in the Treatment Phase

(NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, and 24 hr post-dose

Interventionng/mL (Mean)
EMBEDA Whole Capsules16.00
EMBEDA Crushed in Solution86.30

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Maximum Post-dose COWS in the Treatment Phase

COWS is an 11 section clinical assessment of withdrawal symptoms, each section is rated from 0 (no symptom) to 4 or 5 (most severe symptom). Total score is classified into a 4 point rating scale (mild 5-12, moderate 13-24, moderately severe 25-36 and severe more than 36 points). (NCT01100437)
Timeframe: Between 0.5 and 24 hours post-dose

Interventionunits on a scale (Mean)
EMBEDA Whole Capsules3.7
EMBEDA Crushed in Solution10.7

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6-β-Naltrexone Plasma Concentration at First COWS ≥ 13 in Treatment Phase

(NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, and 24 hr post-dose

Interventionpg/mL (Mean)
EMBEDA Whole CapsulesNA
EMBEDA Crushed in Solution3375.00

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Area Under the Curve From Time Zero to End of Dosing Interval (AUC0-τ) During the Treatment Phase

Average AUC0-τ for Morphine, Naltrexone and 6-β-Naltrexol reported. τ=24 hours (NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, and 24 hr post-dose

,
Interventionng times h divided by mL (ng*h/mL) (Mean)
Morphine (n=6,6)Naltrexone (n=0,6)6-β-Naltrexol (n=4,6)
EMBEDA Crushed in Solution542.61314.728891.2
EMBEDA Whole Capsules513.4NA463.5

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Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] During the Treatment Phase

AUC (0 - ∞)= Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞). Average AUC 0-∞ for Morphine, Naltrexone and 6-β-Naltrexol reported. (NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, and 24 hr post-dose

,
Interventionng*h/mL (Mean)
Morphine (n=2,6)Naltrexone (n=0,6)6-β-Naltrexol (n=3,6)
EMBEDA Crushed in Solution887.71330.735297.8
EMBEDA Whole Capsules2023.5NA1469.5

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Area Under the Curve From Time Zero to the Time of Last Measurable Concentration (AUC0-last) During the Treatment Phase

Average AUC0-last for Morphine, Naltrexone and 6-β-Naltrexol. Area under the plasma concentration time-curve from time zero to the last measured concentration. (NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, and 24 hr post-dose

,
Interventionng*h/mL (Mean)
Morphine (n=6,6)Naltrexone (n=0,6)6-β-Naltrexol (n=4,6)
EMBEDA Crushed in Solution542.61300.028891.2
EMBEDA Whole Capsules513.4NA450.3

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Average Numeric Pain Rating Scale (NPRS) in Titration/Stabilization and Maintenance Phases

Average pain scores in the previous 24 hours using an 11 point NPRS ranging from no pain (0) to worst pain (10). (NCT01100437)
Timeframe: Baseline up to Day 63

Interventionunits on a scale (Mean)
Titration/Stabilization-Baseline (n=6)Titration/Stabilization-Visit 2b (n=6)Titration/Stabilization-Visit 2c (n=2)Titration/Stabilization-Visit 2d (n=1)Maintenance (n=6)
EMBEDA Capsules5.55.25.53.04.2

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Naltrexone Plasma Concentration at First COWS ≥ 13 in the Treatment Phase

(NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, and 24 hr post-dose

Interventionpicogram/milliliter (pg/mL) (Mean)
EMBEDA Whole CapsulesNA
EMBEDA Crushed in Solution350.50

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Minimum Observed Plasma Concentration (Cmin) During the Treatment Phase

Average Cmin for Morphine, Naltrexone and 6-β-Naltrexol (NCT01100437)
Timeframe: Prior to dose, 0, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, and 24 hr post-dose

,
Interventionng/mL (Mean)
Morphine (n=6,6)Naltrexone (n=0,6)6-β-Naltrexol (n=4,6)
EMBEDA Crushed in Solution11.26.942.7
EMBEDA Whole Capsules13.8NA15.9

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Amphetamine Craving Scale

The Amphetamine Craving Scale is a visual analogue scale, which is scored by indicating the level of craving on a 100 mm line, where 0 is no craving at all and 100 is the highest level of craving experienced. Scores are derived from measuring their placement on the line, yielding scores from 0 to 100. (NCT01100853)
Timeframe: 24 weeks

InterventionVAS Score (Mean)
VIVITROL Injection, 24 Weeks40.9
VIVITROL Placebo Injection, 24 Weeks46.92

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Beck Depression Inventory

The Beck Depression Inventory is a self-administered questionnaire that assess the severity of depressive symtpoms. It consists of 21 items about how the subject has been feeling in the last week, and each item has a set of at least four possible answer choices, ranging in intensity, yielding scores from 0-3, with a total possible score of 63. Higher scores indicate more severe depressive symptoms. (NCT01100853)
Timeframe: 24 weeks

InterventionBDI Score (Mean)
VIVITROL Injection, 24 Weeks14.63
VIVITROL Placebo Injection, 24 Weeks14.08

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Number Negative Urines (Proportion Negative Urines)

(NCT01100853)
Timeframe: 24 Weeks

InterventionUrine Drug Screen (Number)
VIVITROL Injection, 24 Weeks560
VIVITROL Placebo Injection, 24 Weeks634

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Number Negative Urines (Proportion Negative Urines) Amphetamine

(NCT01100853)
Timeframe: 24 weeks

InterventionUrine Drug Screen (Number)
VIVITROL Injection, 24 Weeks560
VIVITROL Placebo Injection, 24 Weeks634

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Risk Assessment Battery

The Risk Assessment Battery is a 41 item self-report questionnaire that assess risk behaviors related to HIV infection over the past 6 months. The measure yields a Drug risk score ranging from 0-22 and a Sex risk score ranging from 0-18, with higher scores indicating more risk; these scores are added to yield a Total RAB score ranging from 0-40. This total scores is then divided by 40 to yield a RAB Scale Score from 0-1. (NCT01100853)
Timeframe: 24 weeks

InterventionTotal Score (Mean)
VIVITROL Injection, 24 Weeks7.14
VIVITROL Placebo Injection, 24 Weeks5.98

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Prior Admissions to Vogur Hospital

"Number of prior admissions due to substance dependence. The term prior admissions refers to admissions before enrollment, thus Baseline is the appropriate Time Frame." (NCT01100853)
Timeframe: Baseline

InterventionNumber of admissions (Mean)
VIVITROL Injection, 24 Weeks5.78
VIVITROL Placebo Injection, 24 Weeks4.88

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Treatment Participation

Percentage of total during-treatment study visits attended. This serves as a proxy for the number of months of treatment participation (NCT01155869)
Timeframe: 16 weeks

Interventionpercentage of visits (Number)
XR-NTX33.3
Oral Naltrexone87.5

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Mean Weekly Self-reported Alcohol Consumption

Mean number of standard drinks per week during the 24 week study. A standard drink is any drink that contains about 14 grams of pure alcohol, e.g. 12 ounces of beer, 5 ounces of wine or 1.5 ounces of spirits. (NCT01155869)
Timeframe: 24 weeks

Interventionstandard drink (Mean)
XR-NTX0
Oral Naltrexone65

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Number of Participants With Aberrant Behaviors

Current Opioid Misuse Measure (COMM) is a 17-item self-administered test used to monitor aberrant behavior in participants on opioid therapy. Aberrant behaviors assessed using a 5-point scale [0 = 'never' and 4 = 'very often']. Score range 0-68. Scores greater than or equal to 9 indicated the presence of aberrant behaviors. (NCT01179191)
Timeframe: Day 5

InterventionParticipants (Number)
EMBEDA217

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Number of Participants With Urine Drug Test Results Positive for Unaccounted Opioids

Urine samples collected were screened using immunoassay techniques for the following types of drugs: opioids, barbiturates, benzodiazepines, amphetamines, ecstasy (3, 4-MDMA), cocaine, PCP and marijuana (THC). Quantitative, confirmatory urine drug testing was performed for positive results using gas chromatography or high-pressure liquid chromatography, for the following analytes: morphine, oxycodone, oxymorphone, hydrocodone, hydromorphone, fentanyl, methadone, benzodiazepines, amphetamines, cocaine, THC, PCP, and MDMA. (NCT01179191)
Timeframe: Visit 3 (up to Week 6)

InterventionParticipants (Number)
EMBEDA85

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Number of Titration Steps to Achieve Stable Dose

A dose was considered to be stable dose if it met all of the following criteria: dose was taken for at least 48 hours; investigator deemed the balance between an acceptable level of analgesia and/or function and tolerance of side effects had been achieved; and rescue medication use less than or equal to 2 doses per day. (NCT01179191)
Timeframe: Baseline through Week 6

Interventiontitration steps (Mean)
EMBEDA2.4

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Percentage of Participants Achieving Stable Dose of EMBEDA Within 6 Weeks Titration Phase

A dose was considered to be stable dose if it met all of the following criteria: dose was taken for at least 48 hours; investigator deemed the balance between an acceptable level of analgesia and/or function and tolerance of side effects had been achieved; and rescue medication use less than or equal to 2 doses per day. (NCT01179191)
Timeframe: Baseline through Week 6

InterventionPercentage of participants (Number)
EMBEDA51.3

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Percentage of Participants With Rescue Medications Usage During Titration

Rescue pain medications were used for supplemental analgesia for breakthrough pain during titration phase. Morphine sulfate IR tablet (less than 20 percent of the total daily dose of EMBEDA per IR dose), ibuprofen (up to 400 milligram (mg)/dose; not to exceed 1200 mg/day), and acetaminophen (up to 1000 mg/dose, not to exceed 4000 mg/day) were used as rescue medications. (NCT01179191)
Timeframe: Baseline through Week 6

InterventionPercentage of participants (Number)
EMBEDA79.8

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Change From Baseline in Brief Pain Inventory (BPI) at Visit 3 (First Visit After Successful Titration)

BPI is an 11-item self-report questionnaire: consist of 4 questions that assess pain intensity (worst, least, average, relief) and 7 questions that assess impact of pain on daily functions (general activity, mood, walking ability, normal work, relations with other people, sleep, enjoyment of life). Each question answered on a scale range:0-10 (0%-100% for relief), '0=No pain/no relief/no interference and 10=Pain as bad as you can imagine/complete relief/ complete interference'.Measure can be scored by item, with lower scores being indicative of less pain or pain interference. (NCT01179191)
Timeframe: Baseline, Visit 3 (up to Week 6)

InterventionUnits on a scale (Mean)
Change at Visit 3 (Average Pain) (n=313)Change at Visit 3 (Worst Pain) (n=313)Change at Visit 3 (Least Pain) (n=321)Change at Visit 3 (Relief) (n=0)Change at Visit 3 (General Activity) (n=0)Change at Visit 3 (Mood) (n=0)Change at Visit 3 (Walking Ability) (n=0)Change at Visit 3 (Normal Work) (n=0)Change at Visit 3(Relationships with Others) (n=0)Change at Visit 3 (Sleep) (n=0)Change at Visit 3 (Enjoyment of Life) (n=0)
EMBEDA-2.23-2.41-1.81NANANANANANANANA

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Duration to Titrate Participants to Stable Dose Stratified by Prior Opioid Therapy

A dose was considered to be stable dose if it met all of the following criteria: dose was taken for at least 48 hours; investigator deemed the balance between an acceptable level of analgesia and/or function and tolerance of side effects had been achieved; and rescue medication use less than or equal to 2 doses per day. (NCT01179191)
Timeframe: Baseline through Week 6

InterventionDays (Mean)
Transdermal Fentanyl (n= 42)IR Hydrocodone (n= 99)IR Hydromorphone (n= 14)IR Oxycodone (n= 77)IR Morphine (n= 33)Methadone (n= 26)ER Oxycodone (n= 45)ER Oxymorphone (n= 14)Excluded Opioid/ Unclassified (n= 1)
EMBEDA17.820.724.319.618.821.020.319.87.0

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Number of Participants With Abnormal Urine Drug Test Results

Urine samples collected were screened using immunoassay techniques for the following types of drugs: opioids, barbiturates, benzodiazepines, amphetamines, ecstasy [3, 4-methylenedioxyamphetamine (MDMA)], cocaine, phencyclidine (PCP) and marijuana [tetrahydrocannabinol (THC)]. Quantitative, confirmatory urine drug testing was performed for positive results using gas chromatography or high-pressure liquid chromatography, for the following analytes: morphine, oxycodone, oxymorphone, hydrocodone, hydromorphone, fentanyl, methadone, benzodiazepines, amphetamines, cocaine, THC, PCP, and MDMA. (NCT01179191)
Timeframe: Baseline, Visit 3 (up to Week 6)

InterventionParticipants (Number)
Baseline (n= 684)Visit 3 (n= 351)
EMBEDA160101

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Number of Participants With Greater Than or Equal to One Urine Drug Test Results Negative for Expected Opioid

Urine samples collected were screened using immunoassay techniques for the following types of drugs: opioids, barbiturates, benzodiazepines, amphetamines, ecstasy (3, 4-MDMA), cocaine, PCP and marijuana (THC). Quantitative, confirmatory urine drug testing was performed for positive results using gas chromatography or high-pressure liquid chromatography, for the following analytes: morphine, oxycodone, oxymorphone, hydrocodone, hydromorphone, fentanyl, methadone, benzodiazepines, amphetamines, cocaine, THC, PCP, and MDMA. (NCT01179191)
Timeframe: Baseline, Visit 3 (up to Week 6)

InterventionParticipants (Number)
Baseline (n= 684)Visit 3 (n= 351)
EMBEDA12211

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Number of Titration Steps to Achieve Stable Dose Stratified by Prior Opioid Therapy

A dose was considered to be stable dose if it met all of the following criteria: dose was taken for at least 48 hours; investigator deemed the balance between an acceptable level of analgesia and/or function and tolerance of side effects had been achieved; and rescue medication use less than or equal to 2 doses per day. (NCT01179191)
Timeframe: Baseline through Week 6

Interventiontitration steps (Mean)
Transdermal Fentanyl (n= 42)IR Hydrocodone (n= 99)IR Hydromorphone (n= 14)IR Oxycodone (n= 77)IR Morphine (n= 33)Methadone (n= 26)ER Oxycodone (n= 45)ER Oxymorphone (n= 14)Excluded Opioid/ Unclassified (n= 1)
EMBEDA2.02.62.62.32.32.72.42.51.0

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Percentage of Participants Achieving Stable Dose of EMBEDA Within 6 Weeks Titration Phase Stratified by Prior Opioid Therapy

A dose was considered to be stable dose if it met all of the following criteria: dose was taken for at least 48 hours; investigator deemed the balance between an acceptable level of analgesia and/or function and tolerance of side effects had been achieved; and rescue medication use less than or equal to 2 doses per day. (NCT01179191)
Timeframe: Baseline through Week 6

InterventionPercentage of participants (Number)
Transdermal Fentanyl (n= 77)Immediate-release (IR) Hydrocodone (n= 164)IR Hydromorphone (n= 22)IR Oxycodone (n= 160)IR Morphine (n= 53)Methadone (n= 64)Extended-release (ER) Oxycodone (n= 107)ER Oxymorphone (n= 25)Excluded Opioid/ Unclassified (n= 12)
EMBEDA54.560.463.648.162.340.642.156.08.3

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Duration to Titrate Participants to Stable Dose

A dose was considered to be stable dose if it met all of the following criteria: dose was taken for at least 48 hours; investigator deemed the balance between an acceptable level of analgesia and/or function and tolerance of side effects had been achieved; and rescue medication use less than or equal to 2 doses per day. (NCT01179191)
Timeframe: Baseline through Week 6

InterventionDays (Mean)
EMBEDA20.0

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Number of Participants With Urine Drug Test Results Positive for Illicit Substances

Urine samples collected were screened using immunoassay techniques for following types of drugs:opioids,barbiturates,benzodiazepines,amphetamines,ecstasy(3,4MDMA),cocaine,PCP,marijuana (THC).Quantitative, confirmatory urine drug testing performed for positive results using gas chromatography or high-pressure liquid chromatography for following analytes: morphine,oxycodone,oxymorphone,hydrocodone,hydromorphone,fentanyl,methadone,benzodiazepines,amphetamines,cocaine,THC,PCP,MDMA. Illicit substances were drugs of categories:marijuana (THC) metabolite,cocaine metabolite,PCP,amphetamine. (NCT01179191)
Timeframe: Baseline, Visit 3 (up to Week 6)

InterventionParticipants (Number)
Baseline (n= 684)Visit 3 (n= 351)
EMBEDA5124

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Investigator's Level of Satisfaction With the EMBEDA Conversion Guide

The conversion assessment survey is a brief questionnaire using multiple choice options and numeric rating scale (NRS) with specified anchored responses ranging on a scale from 0-10 (0 = very dissatisfied, 5 = neutral, and 10=very satisfied) to assess the Investigator's level of satisfaction with the EMBEDA Conversion Guide. (NCT01179191)
Timeframe: Week 6

InterventionUnits on a Scale (Mean)
EMBEDA8.1

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Post-Release Opioid Relapse

Post-release opioid relapse at week 4, measured by self-report (Time Line Follow Back) and urine toxicologies, and defined as ≥10 of 28 days of self-reported opioid misuse following jail release or two or three positive of the three urine samples during weeks 2, 3 and 4. A single positive or missing urine result counted as 7 opioid misuse days. (NCT01180647)
Timeframe: Four weeks post-release

Interventionparticipants (Number)
Extended-release Naltrexone (XR-NTX)6
Motivational Enhancement Counseling Only15

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Accidental Drug Overdose

Accidental drug overdose is defined as patient self-report of any event consistent with over-sedation or respiratory suppression following ingestion of alcohol, prescription, or illicit drugs. (NCT01180647)
Timeframe: Four weeks post-release

Interventionparticipants (Number)
Extended-release Naltrexone (XR-NTX)0
Motivational Enhancement Counseling Only0

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Adverse Events and Serious Adverse Events

AEs and SAEs per standard definitions will be measured by self-report. (NCT01180647)
Timeframe: Eight weeks post-release

Interventionparticipants (Number)
Extended-release Naltrexone (XR-NTX)5
Motivational Enhancement Counseling Only1

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Injection Drug Use Post-release

This secondary outcome tracks any injection drug use and frequency of injection drug use in the four weeks following release from jail. (NCT01180647)
Timeframe: Four weeks post-release

Interventionpercentage of participants by arm (Number)
Extended-release Naltrexone (XR-NTX)25
Motivational Enhancement Counseling Only6

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Any Opioid Use Post-release

Counts of any opioid use, defined as self-reported ≥ 1 day of heroin or other opioid use as measured by the Timeline Follow-Back assessment during the first 4 weeks post-release. (NCT01180647)
Timeframe: Four weeks post-release

Interventionpercentage of participants (Number)
Extended-release Naltrexone (XR-NTX)17
Motivational Enhancement Counseling Only82

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Participation in Community Drug Treatment Post-release

This secondary outcome tracks community drug treatment initiation four weeks post-release from jail. Measured by self-report community drug treatment initiation at week 4 study visit. (NCT01180647)
Timeframe: Four weeks post-release

Interventionpercentage of participants (Number)
Extended-release Naltrexone (XR-NTX)19
Motivational Enhancement Counseling Only12

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"Drinking Days in the Previous Month"

The Alcohol Timeline Followback (TLFB) is a drinking assessment method that obtains estimates of daily drinking and has been evaluated with clinical and nonclinical populations. Using a calendar, people provide retrospective estimates of their daily drinking over a specified time period that can vary up to 12 months from the interview date. (NCT01211769)
Timeframe: 3 months

,,,
InterventionDays (Mean)
"Number of Drinking Days Baseline""Number of Drinking Days Final"
Naltrexone15.185.66
Naltrexone + PUFAs22.1111.12
Placebo19.544.72
PUFAs17.7511.08

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Short Alcohol Dependence Data Questionnaire (SADD)

The Short Alcohol Dependence Data is a self-completion questionnaire designed to evaluate the presence and the degree of severity of alcohol dependence and consists of 15 questions. The minimum and maximum scores possible are 0 and 45 points respectively. The range of 1-9 is considered as low dependence, 10-19 medium dependence and 20 or more high dependence. (NCT01211769)
Timeframe: 3 months

,,,
InterventionUnits on a Scale (Mean)
SADD BaselineSADD Final
Naltrexone33.8111.36
Naltrexone + PUFAs29.339.16
Placebo34.907.81
PUFAs31.917.81

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Obsessive Compulsive Drinking Scale (OCDS)

The Obsessive Compulsive Drinking Scale (OCDS) is consisted by 14 items rated 0 - 4. The minimum and maximum values possibly obtained in this scale are respectively 0 and 56, this last one, meaning the most craving possible experienced. It is a short and easy to administer scale (average of 5 minutes per self-rating), built to measure severity and improvement during alcoholism treatment trials. (NCT01211769)
Timeframe: 3 months

,,,
InterventionUnits on a Scale (Mean)
OCDS BaselineOCDS Final
Naltrexone42.4511.81
Naltrexone + PUFAs37.5514.00
Placebo45.3613.18
PUFAs36.519.16

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Liver Function Tests (ALT)

(NCT01214083)
Timeframe: week 0 and week 13

,,
Interventionunits/liter (Mean)
Liver Function Tests (ALT) at week 0Liver Function Tests (ALT) at week 13
High-dose Naltrexone (150 mg) Alone36.540.1
Low-dose Naltrexone (50 mg) Alone34.731.3
N-acetylcysteine + High-dose Naltrexone (150 mg)49.427.6

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Drinks Per Drinking Days

(NCT01214083)
Timeframe: week 1 and week 13

,,
Interventiondrinks/drinking day (Mean)
drinks per drinking days at week 1drinks per drinking days at week 13
High-dose Naltrexone (150 mg) Alone5.91.2
Low-dose Naltrexone (50 mg) Alone7.31.0
N-acetylcysteine + High-dose Naltrexone (150 mg)7.31.1

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Clinical Global Impression (CGI)

The Clinical Global Impression is designed to assess overall severity of illness. The scale has a total score range of 1-7. Higher values represent a worse outcome (i.e., severe illness). (NCT01214083)
Timeframe: week 1 and week 13

,,
Interventionunits on a scale (Mean)
Clinical Global Impression at week 1Clinical Global Impression at week 13
High-dose Naltrexone (150 mg) Alone3.71.7
Low-dose Naltrexone (50 mg) Alone3.61.4
N-acetylcysteine + High-dose Naltrexone (150 mg)3.71.5

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Liver Function Tests (AST)

(NCT01214083)
Timeframe: week 0 and week 13

,,
Interventionunits/liter (Mean)
Liver function tests (AST) at week 0Liver function tests (AST) at week 13
High-dose Naltrexone (150 mg) Alone29.032.1
Low-dose Naltrexone (50 mg) Alone30.022.2
N-acetylcysteine + High-dose Naltrexone (150 mg)34.727.3

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Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q)

The Quality of Life Enjoyment and Satisfaction Questionnaire is designed to assess a quality of life. The scale has a total score range of 16-80. Higher values represent a better outcome (i.e., better quality of life). (NCT01214083)
Timeframe: week 1 and week 13

,,
Interventionunits on a scale (Mean)
Q-LES-Q at week 1Q-LES-Q at week 13
High-dose Naltrexone (150 mg) Alone53.859.6
Low-dose Naltrexone (50 mg) Alone55.163.9
N-acetylcysteine + High-dose Naltrexone (150 mg)53.261.6

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Percentage of Heavy Drinking Days

"Percentage of heavy drinking days was measured by the Time Line Follow Back (TLFB) Method. ('Heavy drinking' was defined as 5 or more standard drinks per day for men and 4 or more standard drinks for women.) The percentage has a total range of 0%-100%. Higher percentages represent a worse outcome (i.e., more heavy drinking)." (NCT01214083)
Timeframe: week 1 and week 13

,,
Interventionpercentage of heavy drinking days (Mean)
Percentage of heavy drinking days at week 1Percentage of heavy drinking days at week 13
High-dose Naltrexone (150 mg) Alone50.63.4
Low-dose Naltrexone (50 mg) Alone44.03.3
N-acetylcysteine + High-dose Naltrexone (150 mg)45.05.2

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Percentage of Drinking Days

"Percentage of drinking days was measured by the Time Line Follow Back (TLFB) Method. The percentage has a total range of 0%-100%. Higher percentages represent a worse outcome (i.e., more drinking days)." (NCT01214083)
Timeframe: week 1 and week 13

,,
Interventionpercentage of drinking days (Mean)
percentage of drinking days at week 1percentage of drinking days at week 13
High-dose Naltrexone (150 mg) Alone63.824.5
Low-dose Naltrexone (50 mg) Alone55.318.2
N-acetylcysteine + High-dose Naltrexone (150 mg)64.621.1

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Penn Alcohol Craving Scale (PACS)

The Penn Alcohol Craving Scale is designed to assess alcohol craving severity. The scale has a total score range of 0-30. Higher values represent a worse outcome (i.e., higher craving). (NCT01214083)
Timeframe: week 1 and week 13

,,
Interventionunits on a scale (Mean)
Penn Alcohol Craving Scale at week 1Penn Alcohol Craving Scale at week 13
High-dose Naltrexone (150 mg) Alone18.48.3
Low-dose Naltrexone (50 mg) Alone16.16.3
N-acetylcysteine + High-dose Naltrexone (150 mg)18.07.2

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Obsessive Compulsive Drinking Scale (OCDS)

The Obsessive Compulsive Drinking Scale is designed to assess obsessive and compulsive aspects of alcoholism. The scale has a total score range of 0-56. Higher values represent a worse outcome (i.e., more alcohol problems). (NCT01214083)
Timeframe: week 1 and week 13

,,
Interventionunits on a scale (Mean)
Obsessive Compulsive Drinking Scale at week 1Obsessive Compulsive Drinking Scale at week 13
High-dose Naltrexone (150 mg) Alone29.014.0
Low-dose Naltrexone (50 mg) Alone24.59.0
N-acetylcysteine + High-dose Naltrexone (150 mg)28.29.1

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Percentage of Heavy Drinking Days Over the Treatment Period

Drinking rates were assessed from participants' self-reports using the validated Timeline Follow-Back (TLFB) method. Using a TLFB calendar, participants reported the number of days they had consumed alcohol along with the amount they consumed on each day. A heavy drinking day was defined as ≥5 drinks/day for men and ≥4 drinks/day for women. (NCT01218958)
Timeframe: Baseline through Week 24 (168 days)

InterventionPercentage of days (Median)
Medisorb Naltrexone 190 mg14.75
Medisorb Naltrexone 380 mg10.23
Placebo Groups (Pooled)19.77

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Number of Participants Reporting at Least 1 Treatment-emergent Adverse Event (TEAE)

A TEAE is any adverse event, whether or not considered drug-related, that develops or worsens in severity after study drug administration begins (ie, from the first administration through the end of the follow-up period). (NCT01218958)
Timeframe: 24 weeks (Baseline to Week 24)

InterventionParticipants (Number)
Medisorb Naltrexone 190 mg190
Medisorb Naltrexone 380 mg187
Placebo Groups (Pooled)181

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Number of Participants Reporting at Least 1 Treatment-emergent Adverse Event (TEAE) While in Study

A TEAE is any adverse event, whether or not considered drug-related, that develops or worsens in severity after study drug administration begins (ie, from the first administration through the end of the follow-up period). (NCT01218971)
Timeframe: Up to 48 weeks (13 injections), not including base study

InterventionParticipants (Number)
Medisorb Naltrexone 380 mg143
Medisorb Naltrexone 190 mg130

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Slope Change From Baseline for Pupil Size

Photographs of subjects' pupils were measured horizontally and vertically, 15 minutes before the first hydromorphone dose and every 15 minutes after each hydromorphone/placebo for hydromorphone dose, for up to 1 hour. Size was the product of vertical and horizontal measures. The slope, determined by linear regression, was used as a summary measure of the dose-response relationship between the hydromorphone dose and pupil size. The steeper the slope, the greater the hydromorphone effect. A slope of zero indicated no evidence of a hydromorphone effect. (NCT01218984)
Timeframe: 4 weeks (Baseline to Day 28)

Interventioncm(2)/hr (Mean)
Medisorb Naltrexone 75 mg-0.5540
Medisorb Naltrexone 150 mg-0.3607
Medisorb Naltrexone 300 mg-0.1410

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Number of Subjects Reporting at Least 1 Treatment-emergent Adverse Event (TEAE) While on Study

A TEAE was defined as any adverse event (AE) that started or worsened on or after the administration of the first dose of study medication through 30 days after the end of study treatment. (NCT01218997)
Timeframe: up to 1 year

InterventionParticipants (Number)
Medisorb Naltrexone 380 mg (VIVITROL)336
Oral Naltrexone 50 mg53

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Time for Subject to Reach Pain Threshold

(NCT01220414)
Timeframe: Baseline

,,,
Interventionseconds (Mean)
Pain threshold at baselinePain threshold post exercise
Females, Naltrexone14.822.5
Men, Naltrexone15.028.4
Men, Placebo16.128.8
Women, Placebo16.024.1

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HAART Adherence

The intent of this outcome is to compare the efficacy of NTX +MM/MC versus placebo +MM/MC on adherence to HAART. It is hypothesized that NTX +MM/MC will lead to improved adherence to HAART when compared to placebo + MM/MC. (NCT01227044)
Timeframe: One year

,
InterventionParticipants (Count of Participants)
12 Weeks24 Weeks36 Weeks52 Weeks
NTX + MM/MC4443
Placebo + MM/MC7686

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Heavy Drinking Days

This outcome is intended to compare the efficacy of NTX +MM/MC versus placebo +MM/MC in reducing days of heavy drinking. It is hypothesized that NTX +MM/MC will lead to greater reductions in the number of days of heavy drinking when compared to placebo + MM/MC. (NCT01227044)
Timeframe: One year

,
Interventiondays (Mean)
12 Weeks24 Weeks36 Weeks52 Weeks
NTX + MM/MC1.70.10.50.3
Placebo + MM/MC8.45.44.25.8

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CD4 Count (Mean)

Results from CD4 cell count result obtained either as lab specifically for this study, or from lab results that were collected at the same time point for a different study or clinical indication. (NCT01245647)
Timeframe: 4 months

InterventionCD4 count (cells/ml) (Mean)
Sugar Pill, 50mg, Once a Day for 4 Months.669
Naltrexone, 50mg, Once a Day for 4 Months761

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HIV Medication Adherence (95% or Better)

Medication adherence was measured on a visual analogue scale ranging from 0 - 100, and indicating what percentage of the persons' HIV medication was taken on schedule over the past week (self-report). A score of 95% or better was considered adherent, and we report the proportion of persons who were adherent in each group. (NCT01245647)
Timeframe: Month 4

Interventionpercentage of participants (Number)
Sugar Pill, 50mg, Once a Day for 4 Months.50
Naltrexone, 50mg, Once a Day for 4 Months50

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HIV Viral Load Suppressed

Viral load was classified as either suppressed (HIV viral load <50 copies/ml) or not suppressed (HIV viral load >50 copies/ml). We report the proportion of participants who had a suppressed viral load (higher number is better) (NCT01245647)
Timeframe: 4 months

Interventionpercentage of persons with suppressed VL (Number)
Sugar Pill, 50mg, Once a Day for 4 Months.43
Naltrexone, 50mg, Once a Day for 4 Months88

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Number of Drinks Per Week

Average number of standard alcohol drinks per week, as measured by timeline follow-back. A drink typically contains about 0.6 grams of alcohol, and generally represents 1 12-oz beer, 1 5-oz glass of wine, or one shot of liquor. (NCT01245647)
Timeframe: Month 4

Interventionstandard alcohol drinks per week (Mean)
Sugar Pill, 50mg, Once a Day for 4 Months.13.8
Naltrexone, 50mg, Once a Day for 4 Months12.0

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Risky Sexual Behaviors

Risky sexual behavior was a dichotomous outcome for each participant at each time point, defined as having any non-condom-protected sex with a males who have an unknown/negative HIV status in the previous 30 days. (NCT01245647)
Timeframe: 4 months

Interventionpercentage of persons with risky sex (Number)
Sugar Pill, 50mg, Once a Day for 4 Months.0
Naltrexone, 50mg, Once a Day for 4 Months29

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Antiretroviral Therapy (ART) Adherence 100%

Number of subjects with 100% adherence at 6 months measured using Visual Analogue Scale: 0% to 100% (NCT01246401)
Timeframe: 6 months

InterventionParticipants (Count of Participants)
Extended-Release Naltrexone25
Placebo12

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ART Adherence for 4 or More Injections XR-NTX Versus Placebo and 3 or Less Injections of XR-NTX

The arm/group number of the participants vary from the primary outcome because this is a treatment effect analysis. All client with missing data at 6 months were considered as failure - meaning - they had less than 100% ART adherence. (NCT01246401)
Timeframe: 6 months

InterventionParticipants (Count of Participants)
Placebo + Participants With 3 or Fewer XR-NTX Injections23
4 or More XR-NTX Injections14

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Opioid Abstinence at 6 Months for Those With More Than 4 Injections

Based on self reported opioids (heroin) use. All participants receiving Placebo as well as participants who received 3 or less XR-NTX injections were compared to those who receive 4 or more XR-NTX injection. (NCT01246401)
Timeframe: 6 months

InterventionParticipants (Count of Participants)
Placebo + Participants With 3 or Fewer XR-NTX Injections18
4 or More XR-NTX Injections13

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Participants Who Had Undetectable HIV-1 RNA Levels at Less Than 400 Copies/mL at Six Month

Baseline labs will be drawn while subject is in prison, one to three months prior to release. Additionally, labs will be drawn every 3 months for 1 year to monitor changes in HIV-1 RNA levels. Treatment time period was the first 6 months where the primary outcome data will be based on. (NCT01246401)
Timeframe: 6 months

InterventionParticipants (Count of Participants)
Extended-Release Naltrexone45
Placebo16

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Particpants Who Had Undetectable HIV-1 RNA Levels at Less Than 50 Copies/mL

Baseline labs will be drawn while subject is in prison, one to three months prior to release. Additionally, labs will be drawn every 3 months for 1 year to monitor changes in HIV-1 RNA levels. Treatment time period was the first 6 months where the primary outcome data will be based on. (NCT01246401)
Timeframe: 6 months

InterventionParticipants (Count of Participants)
Extended-Release Naltrexone40
Placebo11

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Time to Opioid Relapse or End of Intervention

Measuring days to first relapse based on self reported opioids (heroin) use within the 6 month (180 days) intervention period. If participants had no follow-up visits, and thus no self reported opiate use, they were treated as missing. Those who did not relapse within the 6 month intervention period were treated as having 180 days until relapse. (NCT01246401)
Timeframe: 6 months

Interventiondays (Median)
Extended-Release Naltrexone137
Placebo29

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CD4 Cell Count (Cells/mL)

Baseline labs will be drawn while subject is in prison, one to three months prior to release. Additional labs will be drawn every 3 months for 1 year to monitor changes in CD4 levels. (NCT01246401)
Timeframe: Baseline and 6 months

,
Interventioncells/ml (Mean)
Baseline mean CD4 countMonth 6 mean CD4 count
Extended-Release Naltrexone465.2462
Placebo580.8485.6

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Participants With Opiate Abstinence Via By Doing Urine Toxicology Test

Percent of subjects with no opiate use at 6 month. Missing data was treated as failure (opiate positive). (NCT01246401)
Timeframe: 6 month

,
InterventionParticipants (Count of Participants)
NEG Opi at Day of ReleaseNEG Opi at 6 month
Extended-Release Naltrexone4413
Placebo175

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Addiction Severity

"The Addiction Severity Index (ASI) questionnaire will be used to assess addiction severity. The ASI composite scoreprovides reliable and valid measure of patient status in a particular module of interest which can then be usecompared at the beginning of treatment to the evaluation endpoint to note the improvement or lack thereof. In this assessment the drug composite score was calculated using algorithm by Treatment Research Institute. If the score increases then it shows increase in severity where as if it decreases then it shows decrease in severity for that measured module. The scale ranges from 0 to 1.~The mean composite scores for drug use from baseline to 6 months were compared using Nonparametric test." (NCT01246401)
Timeframe: baseline, and 6 months

,
Interventionunits on a scale (Mean)
baseline6 month
Extended-Release Naltrexone0.370.12
Placebo0.420.16

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Percent Days Abstinent

Percentage of abstinence days as derived from the Timeline Follow-Back (TLFB) for the entire medication period. (NCT01296646)
Timeframe: 12 weeks

,
Interventionpercentage of days (Mean)
Sweet Liker - High Craving n=9Sweet Liker - Low Craving n=13Sweet Disliker - High Craving n=31Sweet Disliker - Low Craving n=27
Naltrexone0.770.670.620.66
Placebo0.270.720.640.61

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Percent Heavy Drinking Days

Percentage of heavy drinking days as derived from the Timeline Follow-back (TLFB) for the entire medication period. A heavy drinking day is defined as 5 or more standard drinks for a man and 4 or more standard drinks for a woman. A standard drink is 12-14 grams of ethanol or the amount contained in a 12 oz beer, 5 oz of wine or 1 1/2 oz of hard liquor. (NCT01296646)
Timeframe: 12 weeks

,
Interventionpercentage of days (Mean)
Sweet Liker - High Craving n=9Sweet Liker - Low Craving n=13Sweet Disliker - High Craving n=31Sweet Disliker - Low Craving n=27
Naltrexone0.140.170.160.14
Placebo0.630.090.190.12

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Effects of Low-dose Naltrexone Versus Placebo on Change in Functional Capacity From Baseline

Patients completed the 6-minute walk test (6MWT) at each QoL measurement assessment. The 6 minute walk test is a measure of functional capacity in which the distance that a patient can quickly walk on a flat, hard surface in a period of 6 minutes is measured. The mean difference in distance traveled (in meters) between the 3rd QoL measurement (approximately 16 weeks from initial assessment) and the initial baseline assessment are reported. A difference greater than 0 indicates an increase in distance traveled, while a difference less than 0 indicates a decrease. (NCT01303835)
Timeframe: Baseline and 16 weeks

InterventionMeters (Mean)
Low Dose Naltrexone (LDN)13.43
Placebo-6.42

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Effects of Low-dose Naltrexone Versus Placebo on Change in Neurocognitive Function From Baseline

Patients completed neurocognitive testing at each QoL measurement assessment. Neurocognitive function was measured via a computerized neurocognitive test battery called CNS Vital Signs. The battery consists of 7 tests that assess verbal and visual memory, finger tapping, symbol digit coding, the Stroop Test, a test of shifting attention, and continuous performance. The battery provides scores over 9 domains with higher scores indicating better performance. Scores were normalized to a standard score mean of 100 and standard deviation of 15 using a normative sample. The mean difference in score in each domain between the 3rd QoL measurement (approximately 16 weeks from initial assessment) and the initial baseline assessment are reported. A difference greater than 0 indicates an increase in mean score, while a difference less than 0 indicates a decrease in mean score. (NCT01303835)
Timeframe: Baseline and 16 weeks

,
InterventionScores on a Scale (Mean)
MemoryProcessing SpeedReaction TimeVerbal MemoryVisual MemoryCognitive FlexibilityComplex AttentionPsychomotor SpeedExecutive Functioning
Low Dose Naltrexone (LDN)-5.38-0.71-7.24-0.1-8.383.627.33-0.763.9
Placebo-0.247.32-8.642-2.247.446.244.727.56

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Effects of Low-dose Naltrexone Versus Placebo on Change in Quality of Life (QoL) in High-grade Glioma Patients Undergoing Standard Chemoradiation From Baseline

"The difference in QoL scores between the 3rd QoL measurement (approximately 16 weeks from initial assessment) and the initial baseline assessment are reported. QoL instruments included are listed below. Higher scores indicate more favorable outcomes unless otherwise indicated.~Functional Assessment of Cancer Therapy-Brain (FACT-Br) measures general QoL reflecting symptoms associated with brain malignancies (range 0-132)~Functional Assessment of Chronic Illness Therapy (FACIT-F) measures level of fatigue during patients' usual daily activities (range 0-52)~Epworth Sleepiness Scale measures level of daytime sleepiness. Note that higher scores indicate a greater level of sleepiness (range 0-24)~Medical Outcomes Survey (MOS) measures QoL including physical, mental and general health via 8 domains (range 0-100 for each domain)~Zung Self-Rating Depression Scale quantifies the depressed status of a patient. Lower scores indicate more favorable outcome (range 20-80) A difference" (NCT01303835)
Timeframe: Baseline and 16 weeks

,
InterventionScores on a Scale (Mean)
FACT-Brain Trial Outcome Index (TOI)FACIT-FatigueEpworth Sleepiness ScaleMOS - Physical FunctioningMOS - Role Limitations due to Physical HealthMOS - Role Limitations due to Emotional IssuesMOS - Energy/FatigueMOS - Emotional Well BeingMOS - Social FunctioningMOS - PainMOS - General HealthZung Depression Scale
Low Dose Naltrexone (LDN)-3.73-4.223.47-5.5402.69-6.223.51.3410.41-13.380.86
Placebo-6.06-4.10.81-3.4220.3912.3-4.61-1.897.872.39-12.113.54

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Sleepy: Area Under Effect Curve (AUE) From 0-2 Hours

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hrs (0-2). (NCT01380093)
Timeframe: 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.7
EMBEDA9.1
Morphine21.3

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Bad Effects: Area Under Effect Curve (AUE) From 0-8 Hours

Bad effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-8) = Area under the effect versus time curve from time 0 to 8 hrs (0-8). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*mm (Mean)
Placebo1.6
EMBEDA19.7
Morphine74.6

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Bad Effects: Peak Effect (Emax)

Bad effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionmm (Mean)
Placebo0.6
EMBEDA6.6
Morphine20.1

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Bad Effects: Time to Maximum (Peak) Effect (TEmax)

Bad effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
Placebo0.9
EMBEDA2.2
Morphine4.5

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Dizzy: Area Under Effect Curve (AUE) From 0-1 Hour

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-1) = Area under the effect versus time curve from time 0 to 1 hr (0-1). (NCT01380093)
Timeframe: 0.5 and 1 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.4
EMBEDA0.9
Morphine3.0

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Dizzy: Area Under Effect Curve (AUE) From 0-12 Hours

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-12) = Area under the effect versus time curve from time 0 to 12 hrs (0-12). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*mm (Mean)
Placebo2.4
EMBEDA27.4
Morphine71.4

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Dizzy: Area Under Effect Curve (AUE) From 0-2 Hours

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hrs (0-2). (NCT01380093)
Timeframe: 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.6
EMBEDA2.8
Morphine9.9

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Dizzy: Area Under Effect Curve (AUE) From 0-24 Hours

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-24) = Area under the effect versus time curve from time 0 to 24 hrs (0-24). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*mm (Mean)
Placebo4.0
EMBEDA36.0
Morphine85.5

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Dizzy: Area Under Effect Curve (AUE) From 0-4 Hours

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-4) = Area under the effect versus time curve from time 0 to 4 hrs (0-4). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*mm (Mean)
Placebo1.0
EMBEDA9.5
Morphine26.1

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Dizzy: Area Under Effect Curve (AUE) From 0-8 Hours

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-8) = Area under the effect versus time curve from time 0 to 8 hrs (0-8). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*mm (Mean)
Placebo1.7
EMBEDA20.9
Morphine56.7

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Dizzy: Peak Effect (Emax)

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionmm (Mean)
Placebo0.7
EMBEDA5.5
Morphine13.7

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Dizzy: Time to Maximum (Peak) Effect (TEmax)

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
Placebo0.5
EMBEDA2.0
Morphine2.4

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Drug Liking: Area Under Effect Curve (AUE) From 0-1 Hour

"Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). AUE (0-1) = Area under the effect versus time curve from time 0 to 1 hr (0-1)." (NCT01380093)
Timeframe: 0.5 and 1 hrs post-dose

Interventionhrs*mm (Mean)
Placebo37.8
EMBEDA43.1
Morphine51.8

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Drug Liking: Area Under Effect Curve (AUE) From 0-12 Hours

"Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). AUE (0-12) = Area under the effect versus time curve from time 0 to 12 hrs (0-12)." (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*mm (Mean)
Placebo591.0
EMBEDA658.2
Morphine732.9

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Drug Liking: Area Under Effect Curve (AUE) From 0-2 Hours

"Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 millimeter (mm) bipolar visual analogue scale (VAS) anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hours (hrs) (0-2)." (NCT01380093)
Timeframe: 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*mm (Mean)
Placebo88.3
EMBEDA100.3
Morphine124.7

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Drug Liking: Area Under Effect Curve (AUE) From 0-24 Hours

"Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). AUE (0-24) = Area under the effect versus time curve from time 0 to 24 hrs (0-24)." (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*mm (Mean)
Placebo1192.1
EMBEDA1263.0
Morphine1348.2

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Drug Liking: Area Under Effect Curve (AUE) From 0-4 Hours

"Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). AUE (0-4) = Area under the effect versus time curve from time 0 to 4 hrs (0-4)." (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*mm (Mean)
Placebo188.6
EMBEDA217.9
Morphine265.6

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Drug Liking: Area Under Effect Curve (AUE) From 0-8 Hours

"Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). AUE (0-8) = Area under the effect versus time curve from time 0 to 8 hrs (0-8)." (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*mm (Mean)
Placebo390.3
EMBEDA447.3
Morphine514.4

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Drug Liking: Peak Effect (Emax)

"Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). Emax = Maximum observed score." (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionmm (Mean)
Placebo51.6
EMBEDA65.2
Morphine80.6

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Drug Liking: Time to Maximum (Peak) Effect (TEmax)

"Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). TEmax = Time to maximum observed score." (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
Placebo5.8
EMBEDA4.8
Morphine2.7

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Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-4)] of Naltrexone

AUC (0-4) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-4). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA2018.23

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Feel Sick: Area Under Effect Curve (AUE) From 0-1 Hour

Feel sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-1) = Area under the effect versus time curve from time 0 to 1 hr (0-1). (NCT01380093)
Timeframe: 0.5 and 1 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.3
EMBEDA0.3
Morphine1.0

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Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-4)] of Naltrexone Metabolite (6-beta-naltrexol)

AUC (0-4) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-4). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA16532.5

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Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-8)] of Morphine

AUC (0-8) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-8). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA269743
Morphine263270

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Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-8)] of Naltrexone

AUC (0-8) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-8). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA2577.19

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Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-8)] of Naltrexone Metabolite (6-beta-naltrexol)

AUC (0-8) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-8). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA26634.5

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Bad Effects: Area Under Effect Curve (AUE) From 0-1 Hour

Bad effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-1) = Area under the effect versus time curve from time 0 to 1 hr (0-1). (NCT01380093)
Timeframe: 0.5 and 1 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.3
EMBEDA0.6
Morphine1.5

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Bad Effects: Area Under Effect Curve (AUE) From 0-12 Hours

Bad effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-12) = Area under the effect versus time curve from time 0 to 12 hrs (0-12). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*mm (Mean)
Placebo2.1
EMBEDA28.4
Morphine110.3

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Bad Effects: Area Under Effect Curve (AUE) From 0-24 Hours

Bad effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-24) = Area under the effect versus time curve from time 0 to 24 hrs (0-24). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*mm (Mean)
Placebo3.6
EMBEDA36.8
Morphine147.2

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Bad Effects: Area Under Effect Curve (AUE) From 0-4 Hours

Bad effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-4) = Area under the effect versus time curve from time 0 to 4 hrs (0-4). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.9
EMBEDA7.7
Morphine27.1

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Feel Sick: Area Under Effect Curve (AUE) From 0-12 Hours

Feel sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-12) = Area under the effect versus time curve from time 0 to 12 hrs (0-12). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*mm (Mean)
Placebo2.3
EMBEDA22.5
Morphine80.9

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Feel Sick: Area Under Effect Curve (AUE) From 0-2 Hours

Feel sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hrs (0-2). (NCT01380093)
Timeframe: 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.6
EMBEDA1.7
Morphine4.2

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Feel Sick: Area Under Effect Curve (AUE) From 0-24 Hours

Feel sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-24) = Area under the effect versus time curve from time 0 to 24 hrs (0-24). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*mm (Mean)
Placebo3.9
EMBEDA31.1
Morphine112.8

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Feel Sick: Area Under Effect Curve (AUE) From 0-4 Hours

Feel sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-4) = Area under the effect versus time curve from time 0 to 4 hrs (0-4). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*mm (Mean)
Placebo1.0
EMBEDA5.2
Morphine16.1

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Feel Sick: Area Under Effect Curve (AUE) From 0-8 Hours

Feel sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-8) = Area under the effect versus time curve from time 0 to 8 hrs (0-8). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*mm (Mean)
Placebo1.7
EMBEDA14.8
Morphine50.7

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Feel Sick: Peak Effect (Emax)

Feel sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionmm (Mean)
Placebo0.7
EMBEDA4.9
Morphine16.4

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Feel Sick: Time to Maximum (Peak) Effect (TEmax)

Feel sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
Placebo0.9
EMBEDA1.8
Morphine4.3

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Good Effects: Area Under Effect Curve (AUE) From 0-1 Hour

Good effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-1) = Area under the effect versus time curve from time 0 to 1 hr (0-1). (NCT01380093)
Timeframe: 0.5 and 1 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.8
EMBEDA12.2
Morphine27.2

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Good Effects: Area Under Effect Curve (AUE) From 0-12 Hours

Good effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-12) = Area under the effect versus time curve from time 0 to 12 hrs (0-12). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*mm (Mean)
Placebo7.8
EMBEDA174.6
Morphine417.4

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Good Effects: Area Under Effect Curve (AUE) From 0-2 Hours

Good effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hrs (0-2). (NCT01380093)
Timeframe: 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*mm (Mean)
Placebo1.8
EMBEDA30.4
Morphine77.4

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Good Effects: Area Under Effect Curve (AUE) From 0-24 Hours

Good effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-24) = Area under the effect versus time curve from time 0 to 24 hrs (0-24). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*mm (Mean)
Placebo10.2
EMBEDA196.0
Morphine503.8

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Good Effects: Area Under Effect Curve (AUE) From 0-4 Hours

Good effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-4) = Area under the effect versus time curve from time 0 to 4 hrs (0-4). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*mm (Mean)
Placebo3.1
EMBEDA70.5
Morphine178.5

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Good Effects: Area Under Effect Curve (AUE) From 0-8 Hours

Good effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-8) = Area under the effect versus time curve from time 0 to 8 hrs (0-8). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*mm (Mean)
Placebo6.2
EMBEDA141.2
Morphine330.0

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Good Effects: Peak Effect (Emax)

Good effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionmm (Mean)
Placebo1.8
EMBEDA32.6
Morphine63.0

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Good Effects: Time to Maximum (Peak) Effect (TEmax)

Good effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
Placebo0.7
EMBEDA2.5
Morphine2.6

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High: Area Under Effect Curve (AUE) From 0-1 Hour

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-1) = Area under the effect versus time curve from time 0 to 1 hr (0-1). (NCT01380093)
Timeframe: 0.5 and 1 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.9
EMBEDA10.3
Morphine25.5

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High: Area Under Effect Curve (AUE) From 0-12 Hours

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-12) = Area under the effect versus time curve from time 0 to 12 hrs (0-12). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*mm (Mean)
Placebo8.1
EMBEDA160.7
Morphine412.3

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High: Area Under Effect Curve (AUE) From 0-2 Hours

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hrs (0-2). (NCT01380093)
Timeframe: 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*mm (Mean)
Placebo2.0
EMBEDA26.9
Morphine77.5

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High: Area Under Effect Curve (AUE) From 0-24 Hours

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-24) = Area under the effect versus time curve from time 0 to 24 hrs (0-24). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*mm (Mean)
Placebo10.7
EMBEDA180.3
Morphine485.4

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High: Area Under Effect Curve (AUE) From 0-4 Hours

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-4) = Area under the effect versus time curve from time 0 to 4 hrs (0-4). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*mm (Mean)
Placebo3.4
EMBEDA63.6
Morphine178.9

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High: Area Under Effect Curve (AUE) From 0-8 Hours

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-8) = Area under the effect versus time curve from time 0 to 8 hrs (0-8). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*mm (Mean)
Placebo6.5
EMBEDA129.5
Morphine330.5

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High: Peak Effect (Emax)

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionmm (Mean)
Placebo1.8
EMBEDA29.2
Morphine64.1

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High: Time to Maximum (Peak) Effect (TEmax)

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
Placebo0.8
EMBEDA2.7
Morphine2.5

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Maximum Observed Plasma Concentration (Cmax) of Morphine

(NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionpicogram/milliliter (pg/mL) (Mean)
EMBEDA79308.6
Morphine103621

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Maximum Observed Plasma Concentration (Cmax) of Naltrexone

(NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionpg/mL (Mean)
EMBEDA978.83

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Maximum Observed Plasma Concentration (Cmax) of Naltrexone Metabolite (6-beta-naltrexol)

(NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionpg/mL (Mean)
EMBEDA6226.3

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Nausea: Area Under Effect Curve (AUE) From 0-1 Hour

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-1) = Area under the effect versus time curve from time 0 to 1 hr (0-1). (NCT01380093)
Timeframe: Pre-dose, 0.5 and 1 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.4
EMBEDA0.5
Morphine0.8

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Nausea: Area Under Effect Curve (AUE) From 0-12 Hours

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-12) = Area under the effect versus time curve from time 0 to 12 hrs (0-12). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*mm (Mean)
Placebo2.2
EMBEDA25.2
Morphine76.9

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Nausea: Area Under Effect Curve (AUE) From 0-2 Hours

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hrs (0-2). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.7
EMBEDA2.1
Morphine3.7

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Nausea: Area Under Effect Curve (AUE) From 0-24 Hours

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-24) = Area under the effect versus time curve from time 0 to 24 hrs (0-24). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*mm (Mean)
Placebo3.8
EMBEDA35.3
Morphine108.3

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Nausea: Area Under Effect Curve (AUE) From 0-4 Hours

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-4) = Area under the effect versus time curve from time 0 to 4 hrs (0-4). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*mm (Mean)
Placebo1.0
EMBEDA5.5
Morphine15.3

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Nausea: Area Under Effect Curve (AUE) From 0-8 Hours

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-8) = Area under the effect versus time curve from time 0 to 8 hrs (0-8). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*mm (Mean)
Placebo1.6
EMBEDA16.5
Morphine47.1

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Nausea: Peak Effect (Emax)

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionmm (Mean)
Placebo0.8
EMBEDA5.2
Morphine14.9

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Nausea: Time to Maximum (Peak) Effect (TEmax)

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
Placebo1.4
EMBEDA2.5
Morphine4.3

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Overall Drug Liking Effect at 24 Hours

"Overall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carryover effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = strong disliking, 50 mm= neither like nor dislike, and 100 mm= strong liking)." (NCT01380093)
Timeframe: 24 hrs post dose

Interventionmm (Mean)
Placebo50.6
EMBEDA58.8
Morphine69.8

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Pupillometry: Area Under Effect Curve (AUE) From 0-1 Hour

Pupillometry assessments measured change in pupil size (miosis) as an indicator of opioid pharmacological properties. The same eye for each participant was used for all measurements during the study. Participants had the size of their pupil measured (in mm) using a pupillometer. Measurements were made in a dimly lit (mesopic) room with controlled lighting conditions. AUE (0-1) = Area under the effect versus time curve from time 0 to 1 hr (0-1). (NCT01380093)
Timeframe: Pre-dose, 0.5 and 1 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.0
EMBEDA-0.5
Morphine-1.2

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Pupillometry: Area Under Effect Curve (AUE) From 0-12 Hours

Pupillometry assessments measured change in pupil size (miosis) as an indicator of opioid pharmacological properties. The same eye for each participant was used for all measurements during the study. Participants had the size of their pupil measured (in mm) using a pupillometer. Measurements were made in a dimly lit (mesopic) room with controlled lighting conditions. AUE (0-12) = Area under the effect versus time curve from time 0 to 12 hrs (0-12). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.7
EMBEDA-20.8
Morphine-32.6

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Pupillometry: Area Under Effect Curve (AUE) From 0-2 Hours

Pupillometry assessments measured change in pupil size (miosis) as an indicator of opioid pharmacological properties. The same eye for each participant was used for all measurements during the study. Participants had the size of their pupil measured (in mm) using a pupillometer. Measurements were made in a dimly lit (mesopic) room with controlled lighting conditions. AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hrs (0-2). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.0
EMBEDA-1.7
Morphine-4.1

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Pupillometry: Area Under Effect Curve (AUE) From 0-24 Hours

Pupillometry assessments measured change in pupil size (miosis) as an indicator of opioid pharmacological properties. The same eye for each participant was used for all measurements during the study. Participants had the size of their pupil measured (in mm) using a pupillometer. Measurements were made in a dimly lit (mesopic) room with controlled lighting conditions. AUE (0-24) = Area under the effect versus time curve from time 0 to 24 hrs (0-24). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*mm (Mean)
Placebo3.5
EMBEDA-34.2
Morphine-51.8

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Pupillometry: Area Under Effect Curve (AUE) From 0-4 Hours

Pupillometry assessments measured change in pupil size (miosis) as an indicator of opioid pharmacological properties. The same eye for each participant was used for all measurements during the study. Participants had the size of their pupil measured (in mm) using a pupillometer. Measurements were made in a dimly lit (mesopic) room with controlled lighting conditions. AUE (0-4) = Area under the effect versus time curve from time 0 to 4 hrs (0-4). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*mm (Mean)
Placebo-0.1
EMBEDA-5.4
Morphine-10.3

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Pupillometry: Area Under Effect Curve (AUE) From 0-8 Hours

Pupillometry assessments measured change in pupil size (miosis) as an indicator of opioid pharmacological properties. The same eye for each participant was used for all measurements during the study. Participants had the size of their pupil measured (in mm) using a pupillometer. Measurements were made in a dimly lit (mesopic) room with controlled lighting conditions. AUE (0-8) = Area under the effect versus time curve from time 0 to 8 hrs (0-8). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.0
EMBEDA-13.8
Morphine-22.5

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Pupillometry: Peak Effect (Emax)

Pupillometry assessments measured change in pupil size (miosis) as an indicator of opioid pharmacological properties. The same eye for each participant was used for all measurements during the study. Participants had the size of their pupil measured (in mm) using a pupillometer. Measurements were made in a dimly lit (mesopic) room with controlled lighting conditions. Emax = Smallest post-dose pupil size. (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionmm (Mean)
Placebo5.6
EMBEDA3.9
Morphine2.8

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Bad Effects: Area Under Effect Curve (AUE) From 0-2 Hours

Bad effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hrs (0-2). (NCT01380093)
Timeframe: 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.5
EMBEDA2.6
Morphine7.4

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Pupillometry: Time to Maximum (Peak) Effect (TEmax)

Pupillometry assessments measured change in pupil size (miosis) as an indicator of opioid pharmacological properties. The same eye for each participant was used for all measurements during the study. Participants had the size of their pupil measured (in mm) using a pupillometer. Measurements were made in a dimly lit (mesopic) room with controlled lighting conditions. TEmax = Time to smallest post-dose pupil size. (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
Placebo4.8
EMBEDA5.6
Morphine3.2

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Sleepy: Area Under Effect Curve (AUE) From 0-1 Hour

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-1) = Area under the effect versus time curve from time 0 to 1 hr(0-1). (NCT01380093)
Timeframe: 0.5 and 1 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.4
EMBEDA2.4
Morphine3.6

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Sleepy: Area Under Effect Curve (AUE) From 0-12 Hours

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-12) = Area under the effect versus time curve from time 0 to 12 hrs (0-12). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*mm (Mean)
Placebo5.3
EMBEDA138.5
Morphine287.5

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Sleepy: Area Under Effect Curve (AUE) From 0-24 Hours

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-24) = Area under the effect versus time curve from time 0 to 24 hrs (0-24). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*mm (Mean)
Placebo7.6
EMBEDA175.5
Morphine378.7

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Sleepy: Area Under Effect Curve (AUE) From 0-4 Hours

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-4) = Area under the effect versus time curve from time 0 to 4 hrs (0-4). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*mm (Mean)
Placebo1.7
EMBEDA35.9
Morphine74.2

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Sleepy: Area Under Effect Curve (AUE) From 0-8 Hours

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-8) = Area under the effect versus time curve from time 0 to 8 hrs (0-8). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*mm (Mean)
Placebo4.2
EMBEDA97.6
Morphine199.2

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Sleepy: Peak Effect (Emax)

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionmm (Mean)
Placebo1.5
EMBEDA27.1
Morphine43.9

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Sleepy: Time to Maximum (Peak) Effect (TEmax)

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
Placebo1.1
EMBEDA4.0
Morphine5.3

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Take Drug Again Effect at 24 Hours

"Take drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = definitely would not, 50 mm = do not care, and 100 mm = definitely would)." (NCT01380093)
Timeframe: 24 hrs post dose

Interventionmm (Mean)
Placebo49.8
EMBEDA58.0
Morphine70.6

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Time to Reach Maximum Observed Plasma Concentration (Tmax) of Morphine

(NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
EMBEDA0.9
Morphine0.7

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Time to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone

(NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
EMBEDA0.8

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Time to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone Metabolite (6-beta-naltrexol)

(NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
EMBEDA1.0

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Any Effects: Area Under Effect Curve (AUE) From 0-1 Hour

Any effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-1) = Area under the effect versus time curve from time 0 to 1 hr (0-1). (NCT01380093)
Timeframe: 0.5 and 1 hrs post-dose

Interventionhrs*mm (Mean)
Placebo0.8
EMBEDA9.8
Morphine22.6

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Any Effects: Area Under Effect Curve (AUE) From 0-12 Hours

Any effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-12) = Area under the effect versus time curve from time 0 to 12 hrs (0-12). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*mm (Mean)
Placebo7.8
EMBEDA155.4
Morphine422.5

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Any Effects: Area Under Effect Curve (AUE) From 0-2 Hours

Any effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hrs (0-2). (NCT01380093)
Timeframe: 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*mm (Mean)
Placebo1.8
EMBEDA26.7
Morphine71.5

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Any Effects: Area Under Effect Curve (AUE) From 0-24 Hours

Any effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-24) = Area under the effect versus time curve from time 0 to 24 hrs (0-24). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*mm (Mean)
Placebo10.2
EMBEDA176.4
Morphine510.8

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Any Effects: Area Under Effect Curve (AUE) From 0-4 Hours

Any effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-4) = Area under the effect versus time curve from time 0 to 4 hrs (0-4). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*mm (Mean)
Placebo3.2
EMBEDA63.8
Morphine172.2

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Any Effects: Area Under Effect Curve (AUE) From 0-8 Hours

Any effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-8) = Area under the effect versus time curve from time 0 to 8 hrs (0-8). (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6 and 8 hrs post-dose

Interventionhrs*mm (Mean)
Placebo6.4
EMBEDA125.6
Morphine331.8

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Any Effects: Peak Effect (Emax)

Any effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionmm (Mean)
Placebo1.9
EMBEDA28.7
Morphine62.4

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Any Effects: Time to Maximum (Peak) Effect (TEmax)

Any effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01380093)
Timeframe: 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs (Mean)
Placebo0.8
EMBEDA3.1
Morphine2.8

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Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Morphine

AUC (0 - ∞) = Area under the plasma concentration versus time curve (AUC) from time zero to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA551755
Morphine369270

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Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Naltrexone

AUC (0 - ∞) = Area under the plasma concentration versus time curve (AUC) from time zero to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA3320.90

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Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Naltrexone Metabolite (6-beta-naltrexol)

AUC (0 - ∞) = Area under the plasma concentration versus time curve (AUC) from time zero to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA74931.5

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Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-1)] of Morphine

AUC (0-1) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-1). (NCT01380093)
Timeframe: Pre-dose, 0.5 and 1 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA52644.9
Morphine67920.1

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Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-1)] of Naltrexone

AUC (0-1) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-1). (NCT01380093)
Timeframe: Pre-dose, 0.5 and 1 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA619.24

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Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-1)] of Naltrexone Metabolite (6-beta-naltrexol)

AUC (0-1) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-1). (NCT01380093)
Timeframe: Pre-dose, 0.5 and 1 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA3934.5

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Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-12)] of Morphine

AUC (0-12) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-12). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA303428
Morphine288324

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Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-12)] of Naltrexone

AUC (0-12) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-12). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA2813.34

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Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-12)] of Naltrexone Metabolite (6-beta-naltrexol)

AUC (0-12) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-12). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA33324.9

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Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-2)] of Morphine

AUC (0-2) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-2). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA112989
Morphine129721

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Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-2)] of Naltrexone

AUC (0-2) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-2). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA1270.91

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Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-2)] of Naltrexone Metabolite (6-beta-naltrexol)

AUC (0-2) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-2). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5 and 2 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA8916.1

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Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-24)] of Morphine

AUC (0-24) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-24). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA376260
Morphine335357

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Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-24)] of Naltrexone

AUC (0-24) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-24). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA3159.91

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Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-24)] of Naltrexone Metabolite (6-beta-naltrexol)

AUC (0-24) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-24). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA47809.1

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Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-4)] of Morphine

AUC (0-4) = Area under the plasma concentration versus time curve from time zero to time of last quantifiable concentration (0-4). (NCT01380093)
Timeframe: Pre-dose, 0.5, 1, 1.5, 2, 3 and 4 hrs post-dose

Interventionhrs*pg/mL (Mean)
EMBEDA197745
Morphine199442

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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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Percentage of Participants With Current Opioid Misuse Measure (COMM) Score of 9 or Above

The COMM is a 17-item self-report questionnaire to monitor for aberrant medication-related behaviors among chronic pain participants. Participants are asked to indicate the frequency of individual behaviors on a scale from 0 to 4 (0 = never, 1 = seldom, 2 = sometimes, 3 = often, 4= very often). The total COMM score is the sum of the 17 item scores with a range from 0 to 68. Higher score indicated a higher risk for aberrant medication- related behavior. A score of 9 or higher was defined as high risk for aberrant medication- related behavior. (NCT01428583)
Timeframe: Baseline, Week 4, Month 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 or early termination

Interventionpercentage of participants (Number)
Baseline (n= 395)Week 4 (n= 302)Month 2 (n= 250)Month 3 (n= 217)Month 4 (n= 208)Month 5 (n= 197)Month 6 (n= 189)Month 7 (n= 185)Month 8 (n= 181)Month 9 (n= 174)Month 10 (n= 167)Month 11 (n= 162)Month 12 or early termination (n= 333)
Oxycodone Hydrochloride (HCl) and Naltrexone HCl21.38.910.08.36.75.12.63.25.05.74.83.715.3

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Percentage of Participants With Clinical Opiate Withdrawal Scale (COWS) Score

The presence and level of clinical opiate withdrawal signs or symptoms was determined by clinician-administered, clinical opiate withdrawal scale (COWS). It contains 11 common opiate withdrawal signs or symptoms rated by clinician (resting pulse rate, gastrointestinal upset, sweating, tremor, restlessness, yawning, pupil size, anxiety or irritability, bone or joint aches, gooseflesh skin, runny nose or tearing), rated on either 3-point, 4-point or 5-point scale, higher score indicated more symptoms of withdrawal. The total score is the sum of all items, ranging from 0 to 48, higher score indicated severe withdrawal. Participants were categorized as less than mild (score 0-4) mild (score 5-12), moderate (score 13-24), moderately severe (score 25-36) or severe (score greater than 36). Percentage of participants with mild (score 5-12), moderate (score 13-24), moderately severe (score 25-36) or severe (score greater than 36) were reported. (NCT01428583)
Timeframe: Baseline up to Month 12

Interventionpercentage of participants (Number)
Mild (score 5-12)Moderate (score 13-24)Moderately severe (score 25-36)Severe (score greater than 36)
Oxycodone Hydrochloride (HCl) and Naltrexone HCl13.20.00.30.0

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Participants Global Assessment of Treatment Satisfaction

"Participant global assessment of treatment satisfaction was scored on a 5-point categorical scale based on response to the question Please rate your overall satisfaction with the study drug you received? where 1 = very dissatisfied, 2 = dissatisfied, 3 = neither satisfied nor dissatisfied, 4 = satisfied, 5 = very satisfied." (NCT01428583)
Timeframe: Week 1, 4, Month 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, end of treatment

Interventionunit on a scale (Mean)
Week 1 (n= 361)Week 4 (n= 304)Month 2 (n= 251)Month 3 (n= 220)Month 4 (n= 209)Month 5 (n= 197)Month 6 (n= 190)Month 7 (n= 185)Month 8 (n= 181)Month 9 (n= 174)Month 10 (n= 167)Month 11 (n= 162)Month 12 (n= 154)End of treatment (n= 372)
Oxycodone Hydrochloride (HCl) and Naltrexone HCl3.33.83.94.14.14.24.24.24.24.24.34.34.23.6

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Number of Participants With Treatment-Emergent Adverse Events (AEs) and Adverse Reactions

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An AE that was attributed to study drug in a participant who received study drug was defined as an adverse reaction. Treatment-emergent are events between first dose of study drug and up to end of study (2 weeks post-end of month 12) that were absent before treatment or that worsened relative to pretreatment state. (NCT01428583)
Timeframe: Baseline up to end of study (2 weeks post-end of month 12)

Interventionparticipants (Number)
Adverse event (all causalities)Adverse reaction
Oxycodone Hydrochloride (HCl) and Naltrexone HCl343207

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Number of Participants With Treatment Emergent (TE) Adverse Events (AEs) Based on Intensity

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Intensity of adverse event was defined on the basis of severity of an event and was classified as; mild (does not interfere with participant's usual function), moderate (interferes to some extent with participant's usual function) and severe (interferes significantly with participant's usual function). Treatment-emergent are events between first dose of study drug and up to end of study (2 weeks post-end of month 12) that were absent before treatment or that worsened relative to pretreatment state. (NCT01428583)
Timeframe: Baseline up to end of study (2 weeks post-end of month 12)

Interventionparticipants (Number)
MildModerateSevere
Oxycodone Hydrochloride (HCl) and Naltrexone HCl9420247

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Number of Participants With Rescue Medication (Acetaminophen Tablets)

Participants had acetaminophen up to 2 grams per day during the treatment period of the study as rescue medication. (NCT01428583)
Timeframe: Baseline- less than (<) Week 1, Week 1-<4, Week 4-

Interventionparticipants (Number)
Baseline-Week 1-<4 (n= 361)Week 4-Month 2-<3 (n= 252)Month 3-<4 (n= 222)Month 4-<5 (n= 209)Month 5-<6 (n= 199)Month 6-<7 (n= 191)Month 7-<8 (n= 185)Month8-<9 (n= 179)Month 9-<10 (n= 172)Month 10-<11 (n= 167)Month 11-<12 (n= 163)Month 12-
Oxycodone Hydrochloride (HCl) and Naltrexone HCl25620416712412011210496969379808530

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Mean Daily Dose of Study Medication (Oxycodone Component)

(NCT01428583)
Timeframe: Baseline- less than (<) Week 1, Week 1-<4, Week 4-

Interventionmilligram/day (Mean)
Baseline-less than (<) Week 1 (n= 378)Week 1-<4 (n= 344)Week 4-Month 2-< 3 (n= 238)Month 3-<4 (n= 217)Month 4-< 5 (n= 205)Month 5-<6 (n= 193)Month 6-<7 (n= 183)Month 7- <8 (n= 183)Month 8-<9 (n= 177)Month 9-<10 (n= 169)Month 10- <11 (n= 163)Month 11- <12 (n= 160)Month 12-
Oxycodone Hydrochloride (HCl) and Naltrexone HCl38.651.762.866.168.068.671.573.176.777.776.577.976.226.9

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Mean Change From Baseline in Worst Pain Score at Weeks 1, 4, Months 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 12 or Early Termination

"The pain intensity scale consisted of 4 questions (pain at its worst in the last 24 hours, pain at its least in the last 24 hours, pain on the average in the last 24 hours and pain right now) each scored on an 11-point numerical rating scale, where 0 = no pain and 10 = pain as bad as you can imagine. Pain at its worst in the last 24 hours was reported." (NCT01428583)
Timeframe: Baseline, Week 1, 4, Months 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 12 or Early Termination

Interventionunit on a scale (Mean)
Baseline (n= 382)Change at Week 1 (n= 354)Change at Week 4 (n= 301)Change at Month 2 (n= 248)Change at Month 3 (n= 219)Change at Month 4 (n= 208)Change at Month 5 (n= 197)Change at Month 6 (n= 189)Change at Month 7 (n= 184)Change at Month 8 (n= 180)Change at Month 9 (n= 173)Change at Month 10 (n= 166)Change at Month 11 (n= 161)Change at Month 12 (n= 153)Change at Month 12/ET (n= 368)
Oxycodone Hydrochloride (HCl) and Naltrexone HCl7.4-0.7-1.3-1.6-1.8-1.9-1.9-2.0-2.0-2.0-2.2-2.1-2.2-2.2-1.6

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Mean Change From Baseline in Pain Right Now Score at Weeks 1, 4, Months 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 12 or Early Termination

"The pain intensity scale consisted of 4 questions (pain at its worst in the last 24 hours, pain at its least in the last 24 hours, pain on the average in the last 24 hours and pain right now) each scored on an 11-point numerical rating scale, where 0 = no pain and 10 = pain as bad as you can imagine. Pain right now was reported." (NCT01428583)
Timeframe: Baseline, Week 1, 4, Months 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 12 or Early Termination (ET)

Interventionunits on a scale (Mean)
Baseline (n= 386)Change at Week 1 (n= 360)Change at Week 4 (n= 306)Change at Month 2 (n= 251)Change at Month 3 (n= 218)Change at Month 4 (n= 208)Change at Month 5 (n= 197)Change at Month 6 (n= 189)Change at Month 7 (n= 184)Change at Month 8 (n= 180)Change at Month 9 (n= 172)Change at Month 10 (n= 166)Change at Month 11 (n= 161)Change at Month 12 (n= 153)Change at Month 12/ET (n= 373)
Oxycodone Hydrochloride (HCl) and Naltrexone HCl5.6-0.6-1.3-1.6-1.7-1.8-1.8-1.8-1.7-1.8-1.8-1.7-1.9-1.9-1.4

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Mean Change From Baseline in Average Pain Score at Weeks 1, 4, Months 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 12 or Early Termination

"The pain intensity scale consisted of 4 questions (pain at its worst in the last 24 hours, pain at its least in the last 24 hours, pain on the average in the last 24 hours and pain right now) each scored on an 11-point numerical rating scale, where 0 = no pain and 10 = pain as bad as you can imagine. Pain on average in the last 24 hours was reported." (NCT01428583)
Timeframe: Baseline, Week 1, 4, Months 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 12 or Early Termination

Interventionunit on a scale (Mean)
Baseline (n= 384)Change at Week 1 (n= 357)Change at Week 4 (n= 303)Change at Month 2 (n= 250)Change at Month 3 (n= 219)Change at Month 4 (n= 206)Change at Month 5 (n= 196)Change at Month 6 (n= 189)Change at Month 7 (n= 184)Change at Month 8 (n= 180)Change at Month 9 (n= 173)Change at Month 10 (n= 166)Change at Month 11 (n= 161)Change at Month 12 (n= 153)Change at Month 12/ET (n= 372)
Oxycodone Hydrochloride (HCl) and Naltrexone HCl5.9-0.6-1.2-1.5-1.7-1.7-1.7-1.7-1.7-1.9-1.8-1.7-1.8-1.9-1.3

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Time to Stabilization of Study Medication

Stabilization was considered to have occurred when: total daily dose of oxycodone and naltrexone remained unchanged for greater than or equal to (>=) 3 consecutive days, daily acetaminophen used remained at 1 gram or less and immediate-release oxycodone was not being used as a rescue medication. Days to stabilization = date of stabilization - date of first dose + 1. (NCT01428583)
Timeframe: Baseline up to Month 12

Interventiondays (Median)
Oxycodone Hydrochloride (HCl) and Naltrexone HCl11.0

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Duration of Exposure to Study Medication

Duration of exposure to study medication during the course of the study was assessed. (NCT01428583)
Timeframe: Baseline up to 2 weeks after last dose

Interventiondays (Median)
Oxycodone Hydrochloride (HCl) and Naltrexone HCl171.0

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Subjective Opiate Withdrawal Scale (SOWS) Score

The presence and level of clinical opiate withdrawal signs or symptoms was determined by participant-reported instrument, subjective opiate withdrawal scale (SOWS). It contains 16 symptoms of opiate withdrawal rated by the participant (anxiety, yawning, sweating, tearing, running nose, goose bumps, shaking, hot flashes, cold flashes, bone or muscle aches, restlessness, nauseous, vomiting, muscle twitch, stomach cramps and feel like using now). Each item is rated on a 5-point scale (0= not at all, 1= a little, 2= moderate, 3= quite a bit, 4= extreme). The total score is the sum of all items, ranging from 0 to 64, higher score indicated severe withdrawal. (NCT01428583)
Timeframe: Baseline, Week 1, 4, Month 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12

Interventionunits on a scale (Mean)
Baseline (n= 395)Week 1 (n= 362)Week 4 (n= 307)Month 2 (n= 252)Month 3 (n= 221)Month 4 (n= 210)Month 5 (n= 198)Month 6 (n= 190)Month 7 (n= 185)Month 8 (n= 180)Month 9 (n= 174)Month 10 (n= 167)Month 11 (n= 162)Month 12 (n= 154)
Oxycodone Hydrochloride (HCl) and Naltrexone HCl5.44.63.63.63.32.93.22.52.42.52.42.22.32.4

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Percentage of Participants With Response to Urine Drug Test

Participants with a positive urine drug test for illicit drug substances (marijuana, cocaine, amphetamines, methamphetamines, phencyclidine, and ecstasy), or unexpected drug substances (those other than reported by the participant as therapeutic concomitant medications such as opiates and methadone), or a negative urine test for the expected opioid (oxycodone) was assessed. (NCT01428583)
Timeframe: Screening, Week 4, Month 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 or early termination

Interventionpercentage of participants (Number)
Screening (n= 393)Week 4 (n= 302)Month 2 (n= 251)Month 3 (n= 222)Month 4 (n= 211)Month 5 (n= 198)Month 6 (n= 190)Month 7 (n= 184)Month 8 (n= 179)Month 9 (n= 174)Month 10 (n= 167)Month 11 (n= 161)Month 12 or early termination (n= 343)
Oxycodone Hydrochloride (HCl) and Naltrexone HCl86.841.743.043.239.341.444.241.844.144.844.350.357.1

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Criminal Activity

Number of subjects who conducted any criminal activity during the study; assessed by review of criminal justice records and completion of the ASI and supplemental questionnaires (NCT01453374)
Timeframe: 6 months

Interventionparticipants with criminal activity (Number)
VIVITROL18

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Cocaine Use

Number of subjects who used cocaine during the study; assessed using the Addiction Severity Index (ASI) and urine drug tests (NCT01453374)
Timeframe: 6 months

Interventionparticipants who used cocaine (Number)
<7 Injections5
All 7 Injections0

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Opioid Craving

Change from baseline in peak craving score 30 days post last injection; assessed using a 100 mm visual analog scale (VAS). Subjects are asked to make 1 slash mark through a point on a 100 mm line that best describes their greatest craving for opioids, whereby 0 represents no craving and 100 is more than ever. (NCT01453374)
Timeframe: 8 months

Interventionunits on a scale (Mean)
Actual ValueChange from Baseline
VIVITROL21.0-11.0

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Retention in the Community

Number of subjects who received all 6 post-release VIVITROL injections (NCT01453374)
Timeframe: 6 months

Interventionparticipants received all 7 injections (Number)
VIVITROL10

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Opioid Overdose

"Number of subjects who overdosed during the study; measured through reported AEs of overdose and Opiate Overdose Form. The Form asks subjects if subjects overdosed during the past 30 days and, if so, how many times." (NCT01453374)
Timeframe: 7 months

Interventionparticipants who overdosed (Number)
VIVITROL1

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Incidence of Subject Re-incarceration

Subjects were considered to have had a re-incarceration, a sentence to jail and/or prison, if the subject had re-incarceration records in the official criminal justice records and/or via self-report. (NCT01453374)
Timeframe: 7 months

Interventionparticipants re-incarcerated (Number)
<7 Injections5
All 7 Injections2

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Opioid Use

Opioid use was obtained via self-report on the Addiction Severity Index (ASI) or via a urine drug test. (NCT01453374)
Timeframe: 7 months

Interventionparticipants with positive opioid use (Number)
<7 Injections11
All 7 Injections2

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Incidence of Subject Re-arrest

Subjects were considered to have had a re-arrest for any new crime or probation/parole violation if the subject had re-arrest records in the official criminal justice records and/or via self-report. (NCT01453374)
Timeframe: 7 months

Interventionparticipants re-arrested (Number)
<7 Injections6
All 7 Injections2

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Drug Abuse Treatment Program Entry

Number of subjects who participated in a drug treatment program during the study; assessed by review of Treatment Services Form. (NCT01453374)
Timeframe: 7 months

Interventionparticipants who entered drug treatment (Number)
VIVITROL24

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Norepinephrine (pg/mL)

Norepinephrine was measured in the blood throughout the hyperinsulinemic-hypoglycemic clamp study. (NCT01462227)
Timeframe: End of study (up to 240 minutes)

,
Interventionpg/mL (Mean)
Active DrugPlacebo
Naltrexone (Higher Dose)200.1217.1
Naltrexone (Lower Dose)248.3282.8

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Glucose Infusion Rate (mg/kg.Min)

The glucose infusion rate corresponds to the amount of 20% dextrose given during the hyperinsulinemic-hypoglycemic clamp study, necessary to keep blood glucose levels at the target range (50-55 mg/dL). (NCT01462227)
Timeframe: End of study (up to 240 minutes)

,
Interventionmg/kg.min (Mean)
Active DrugPlacebo
Naltrexone (Higher Dose)6.35.9
Naltrexone (Lower Dose)4.64.8

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Glucose (mg/dL)

Glucose was measured in the blood throughout the hyperinsulinemic-hypoglycemic clamp study. (NCT01462227)
Timeframe: End of study (up to 240 minutes)

,
Interventionmg/dL (Mean)
Active DrugPlacebo
Naltrexone (Higher Dose)52.852.8
Naltrexone (Lower Dose)56.555.0

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Glucagon (pg/mL)

Glucagon was measured in the blood throughout the hyperinsulinemic-hypoglycemic clamp study. (NCT01462227)
Timeframe: End of study (up to 240 minutes)

,
Interventionpg/mL (Mean)
Active DrugPlacebo
Naltrexone (Higher Dose)48.953.6
Naltrexone (Lower Dose)44.140.4

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Epinephrine (pg/mL)

Epinephrine was measured in the blood throughout the hyperinsulinemic-hypoglycemic clamp study. (NCT01462227)
Timeframe: End of study (up to 240 minutes)

,
Interventionpg/mL (Mean)
Active DrugPlacebo
Naltrexone (Higher Dose)126.177.9
Naltrexone (Lower Dose)92.7542.75

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Cortisol (ug/dL)

Cortisol was measured in the blood throughout the hyperinsulinemic-hypoglycemic clamp study. (NCT01462227)
Timeframe: End of study (up to 240 minutes)

,
Interventionug/dL (Mean)
Active DrugPlacebo
Naltrexone (Higher Dose)16.415.2
Naltrexone (Lower Dose)22.916.0

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Stimulation Response to Alcohol: Priming Dose Phase

Brief Biphasic Alcohol Effects Scale-Stimulation subscale, measuring stimulation effects of alcohol with higher measurements indicating higher stimulation. Brief Biphasic Alcohol Effects Scale-Stimulation subscale (BAES; Martin et al., 1993), measuring stimulation effects of alcohol. Seven items ranging from 0 (not at all) to extremely (10) with higher measurements indicating higher stimulation. The subscale total range is 0-70, these scores are logged transformed. (NCT01519063)
Timeframe: 0-50 minutes after priming drink

Interventionlog (units on a scale) (Mean)
Naltrexone and Memantine3.20
Naltrexone and Placebo3.43

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Stimulation Response to Alcohol at Lab Session

Brief Biphasic Alcohol Effects Scale-Stimulation subscale (BAES; Martin et al., 1993), measuring stimulation effects of alcohol. Seven items ranging from 0 (not at all) to extremely (10) with higher measurements indicating higher stimulation. Assessed multiple times, starting at 50 minutes after priming drink until 230 minutes after priming drink. Higher stimulation scores (ranging from 0-70) are indicated by larger log-transformed AUC. (NCT01519063)
Timeframe: 50-230 minutes after the priming drink during lab session

Interventionlog (units on a scale *minutes) (Mean)
Naltrexone and Memantine4.78
Naltrexone and Placebo4.93

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Sedation Response to Alcohol: Priming Dose Phase

Brief Biphasic Alcohol Effects Scale-Sedation subscale, measuring sedation effects of alcohol with higher measurements indicating higher sedation. Brief Biphasic Alcohol Effects Scale-Stimulation subscale (BAES; Martin et al., 1993), measuring stimulation effects of alcohol. Seven items ranging from 0 (not at all) to extremely (10) with higher measurements indicating higher stimulation. The subscale total range is 0-70, these scores are logged transformed. (NCT01519063)
Timeframe: 0-50 minutes after priming drink

Interventionlog (units on a scale) (Mean)
Naltrexone and Memantine3.87
Naltrexone and Placebo3.76

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Sedation Response to Alcohol at Lab Session

"Brief Biphasic Alcohol Effects Scale-Sedation subscale (BAES; Martin et al., 1993), measuring sedation effects of alcohol. The seven items included on the sedation subscale range from 1 (not at all) to extremely (10) with higher measurements indicating higher sedation. Assessed multiple times, starting at 50 minutes after priming drink until 230 minutes after priming drink. Area Under the Curve was used to calculate the final score reported for the BAES.~As a single summary measure, AUC, was calculated for BAES outcomes based on scores recorded at numerous time points throughout the adlib drinking session The calculation was based on the trapezoidal methods using times 50, 90, 110, 150, 170, 210, and 230 . Based on the distribution, each AUC was log-transformed. Higher AUC levels correspond to greater levels of sedation." (NCT01519063)
Timeframe: 50-230 minutes after the priming drink during lab session

Interventionlog (units on a scale *minutes) (Mean)
Naltrexone and Memantine5.42
Naltrexone and Placebo5.34

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Number of Drinks Consumed at Lab Session (Day 7)

Number of drinks consumed during the lab session (Day 7) after taking study medication, ranging from 0-12. (NCT01519063)
Timeframe: Day 7

Interventiondrinks (Mean)
Naltrexone and Memantine4.11
Naltrexone and Placebo5.02

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Craving AUC: Priming Dose Phase

Craving for alcohol based on Alcohol Urge Questionnaire (AUQ, Bohn et al., 1995), which is an 8 item measurement of self-reported alcohol urges that has been shown to be strongly related to alcohol dependence severity. Each item is scored from 1 (strongly disagree) to 7 (strongly agree), with a higher score indicating higher craving. Craving for alcohol based on Alcohol Urge Questionnaire is calculated using Area Under the Curve (AUC). A single summary measure, AUC was calculated for AUQ outcomes based on scores recorded at numerous time points throughout the priming drink session. The calculation was based on the trapezoidal methods using times -20, 10, 20, 30, 40, 50 minutes before/after priming drink. Based on the distribution, each AUC was log-transformed. Higher AUC levels correspond to greater alcohol urge. (NCT01519063)
Timeframe: 0-50 minutes after the priming drink

Interventionlog (units on a scale *minutes) (Mean)
Naltrexone and Memantine6.81
Naltrexone and Placebo6.84

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Craving AUC: Adlib Drinking Phase

Craving for alcohol based on Alcohol Urge Questionnaire (AUQ, Bohn et al., 1995), which is an 8 item measurement of self-reported alcohol urges that has been shown to be strongly related to alcohol dependence severity. Each item is scored from 1 (strongly disagree) to 7 (strongly agree), with a higher score indicating higher craving. Assessed multiple times, starting at 50 minutes after priming drink until 230 minutes after priming drink. Higher craving scores (ranging from 0-56) are indicated by larger log-transformed AUC. (NCT01519063)
Timeframe: 50-230 minutes after the priming drink during lab session

Interventionlog (units on a scale * minutes) (Mean)
Naltrexone and Memantine7.62
Naltrexone and Placebo7.75

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Percent of Weekly Urine Samples Negative for Opiates

Was the participant's urine sample negative for opiates at each of the 24 weekly assessments scheduled after random assignment (Y/N)? The outcome measure was the percentage of weekly urine samples that was negative for opiates. (NCT01556425)
Timeframe: 24 weeks

Interventionpercentage of negative urine samples (Mean)
Vivitrol Only64.5
VIVITROL&Opiate Abstinence Reinforcement81.3
Opiate Abstinence Reinforcement Only71.1
Usual Care Control66.7

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Percent of Weekly Urine Samples Negative for Cocaine

Was the participant's urine sample negative for cocaine at each of the 24 weekly assessments scheduled after random assignment (Y/N)? The outcome measure was the percentage of weekly urine samples that was negative for cocaine. (NCT01556425)
Timeframe: 24 weeks

Interventionpercentage of cocaine negative samples (Mean)
Vivitrol Only60.8
VIVITROL&Opiate Abstinence Reinforcement68.1
Opiate Abstinence Reinforcement Only56.3
Usual Care Control68.3

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Change From Screening Period to the End of Open-Label Titration Period in Participant Assessment of Overall Health State Using the EQ-5D VAS

The EQ-5D consists of a standard vertical 20cm visual analogue scale (EQ VAS), for recording a participant's rating for their current health related quality of life state; the scale went from 0 (worst imaginable health state) to 100 (best imaginable health state). Participants were asked to draw a line on the scale to indicate how good or bad your own health is today, in your opinion. (NCT01571362)
Timeframe: Screening, Week 6 (or Early Termination)

InterventionScore on a scale (Mean)
Screening (n=406)End of Open-Label (n=367)Change from Screening (n=364)
Open ALO-0266.2374.698.16

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Change From Screening Period to the End of Open-Label Titration Period in Participant Assessment of Overall Health State Using the EuroQol 5-Dimensions (EQ-5D) Summary Index

The EQ 5D Health Questionnaire is a self completion standardized instrument for use as a measure of health-related quality of life in terms of a single index value or utility score that consisted of 5 dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) each of which was rated on a 3-point response scale (no problems/some or moderate problems/extreme problems), and the scores are combined to form a single index utility value between 0 and 1 with higher scores indicating better health. (NCT01571362)
Timeframe: Screening, Week 6 (or Early Termination)

InterventionScore on a scale (Mean)
Screening (n=400)End of Open-Label (n=354)Change from Screening (n=346)
Open ALO-020.680.800.12

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Change From Screening Period to the End of Open-Label Titration Period in Short Form-36v2 (SF-36v2) Health Survey Score

SF-36v2 Health Survey is a self-administered questionnaire consisting of 36 questions, measuring 8 health aspects; physical functioning, role limitations due to physical problems, social functioning, bodily pain, mental health, role limitations due to emotional problems, vitality, and general health perception. These domains also combine to form two component summary scores evaluating mental health and physical health. The minimum score is 0 and the maximum score is 100. A higher scores indicates a better health state. (NCT01571362)
Timeframe: Screening, Week 6 (or Early Termination)

InterventionScore on a scale (Mean)
Physical Functioning (n=366)Role-Physical (n=366)Bodily Pain (n=366)General Health (n=367)Vitality (n=366)Social Functioning (n=367)Role-Emotional (n=367)Mental Health (n=367)Physical Component Score (n=364)Mental Component Score (n=364)
Open ALO-026.77.79.82.34.65.03.42.38.21.6

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Change From Screening to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in BPI-sf Scores of Average Pain

BPI-sf scores range from 0=No pain to 10=Pain as bad as you can imagine; higher scores indicate greater pain. (NCT01571362)
Timeframe: Weeks 2, 4, 8, and 12

,
InterventionUnits on a Scale (Least Squares Mean)
Week 2 (n=125,134)Week 4 (n=111,123)Week 8 (n=88,111)Week 12/ET (n=131,137)
ALO-02 To ALO-02-3.43-3.55-3.50-3.43
ALO-02 To Placebo-2.63-2.76-2.71-2.39

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Change From Screening to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in BPI-sf Scores of Least Pain

BPI-sf scores range from 0=No pain to 10=Pain as bad as you can imagine; Higher scores indicate greater pain. (NCT01571362)
Timeframe: Weeks 2, 4, 8, and 12

,
InterventionUnits on a Scale (Least Squares Mean)
Week 2 (n=126,134)Week 4 (n=111,124)Week 8 (n=89,111)Week 12/ET (n=131,137)
ALO-02 To ALO-02-3.05-3.29-3.21-3.12
ALO-02 To Placebo-2.55-2.40-2.44-2.14

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Change From Screening to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in BPI-sf Scores of Pain Interference Index

Pain Interference Index is the mean of the scores for the 7 items of the BPI-sf; range is 0=Does not interfere to 10=Completely interferes. (NCT01571362)
Timeframe: Weeks 2, 4, 8, and 12

,
InterventionUnits on a Scale (Least Squares Mean)
Week 2 (n=126,134)Week 4 (n=111,126)Week 8 (n=89,112)Week 12/ET (n=131,137)
ALO-02 To ALO-02-2.99-2.99-2.87-2.88
ALO-02 To Placebo-2.58-2.52-2.72-2.24

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Change From Screening to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in BPI-sf Scores of Pain Right Now

BPI-sf scores range from 0=No pain to 10=Pain as bad as you can imagine; higher scores indicate greater pain. (NCT01571362)
Timeframe: Weeks 2, 4, 8, and 12

,
InterventionUnits on a Scale (Least Squares Mean)
Week 2 (n=126,134)Week 4 (n=111,124)Week 8 (n=88,111)Week 12/ET (n=131,137)
ALO-02 To ALO-02-3.72-3.82-3.71-3.74
ALO-02 To Placebo-3.12-3.15-3.00-2.72

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Change From Screening to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in BPI-sf Scores of Pain Severity Index

Pain Severity Index is the mean of the 4 pain scores (worst, least, average, and right now) on the BPI-sf; range is 0=No pain to 10=Pain as bad as you can imagine; a higher score indicates greater pain severity. (NCT01571362)
Timeframe: Weeks 2, 4, 8, and 12

,
InterventionUnits on a Scale (Least Squares Mean)
Week 2 (n=125,134)Week 4 (n=111,123)Week 8 (n=88,111)Week 12/ET (n=131,137)
ALO-02 To ALO-02-3.50-3.60-3.53-3.51
ALO-02 To Placebo-2.83-2.83-2.80-2.47

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Change From Screening to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in BPI-sf Scores of Worst Pain

BPI-sf scores range from 0=No pain to 10=Pain as bad as you can imagine; Higher scores indicate greater pain. (NCT01571362)
Timeframe: Weeks 2, 4, 8 and 12

,
InterventionUnits on a Scale (Least Squares Mean)
Week 2 (n=126,134)Week 4 (n=111,124)Week 8 (n=89,112)Week 12/ET (n=131,137)
ALO-02 To ALO-02-3.80-3.74-3.72-3.73
ALO-02 To Placebo-3.09-3.01-3.16-2.63

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Change From Screening to End of Open-Label Titration Period in HRU Questionnaire: Money Spent on Physical Treatments in Past 4 Weeks

Question 2: Money (dollars) spent out-of-pocket on physical treatments in the past 4 weeks to manage chronic low back pain (NCT01571362)
Timeframe: Screening, Week 6 (or Early Termination)

InterventionDollars (Mean)
Screening (n=388)Randomization Baseline (n=343)Change from Screening (n=329)
Open ALO-02104.188.0-28.3

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Change From Screening to End of Open-Label Titration Period in HRU Questionnaire: Nights Stayed in Hospital

Question 3b: nights stayed in the hospital, if answer to Q3a was yes. (NCT01571362)
Timeframe: Screening, Week 6 (or Early Termination)

InterventionNumber of days (Mean)
Screening (n=9)Randomization Baseline (n=3)Change from Screening (n=1)
Open ALO-020.10.00.0

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Change From Screening to Randomization Baseline in HRU Questionnaire: Money Spent on Physical Treatments in Past 4 Weeks

Question 2: Money (dollars) spent out-of-pocket on physical treatments in the past 4 weeks to manage chronic low back pain (NCT01571362)
Timeframe: Screening, Randomization Baseline

InterventionDollars (Mean)
Screening (n=264)Randomization Baseline (n=260)Change from Screening (n=248)
Open ALO-0284.751.8-41.8

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Change From Screening to Randomization Baseline in HRU Questionnaire: Nights Stayed in Hospital

Question 3b: nights stayed in the hospital, if answer to Q3a was yes. (NCT01571362)
Timeframe: Screening, Randomization Baseline

InterventionNumber of days (Mean)
Screening (n=9)Randomization Baseline (n=3)Change from Screening (n=1)
Open ALO-020.10.00.0

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Clinical Opiate Withdrawal Scale (COWS) Total Score During the Open-Label Titration Period

The COWS contains 11 common opiate withdrawal signs or symptoms rated by the investigator or designee who, for each item, checked the number that best described the participant's signs or symptoms. The minimum total COWS score is 0, the maximum is 48. Higher scores indicate a worse outcome. The summed score of the 11 items was used to assess a participant's level of opiate withdrawal. (NCT01571362)
Timeframe: Screening, Weeks 1, 2, 3, 4, 5, and 6

InterventionUnits on a scale (Mean)
Screening (n=387)Week 1 (n=353)Change from Screening at Week 1 (n=333)Week 2 (n=327)Change from Screening at Week 2 (n=308)Week 3 (n=316)Change from Screening at Week 3 (n=295)Week 4 (n=210)Change from Screening at Week 4 (n=194)Week 5 (n=138)Change from Screening at Week 5 (n=131)Week 6/ET (n=375)Change from Screening at Week 6 (n=352)Maximum Titration Period (MTP) Value (n=375)Change from screening to MTP Value (n=352)
Open ALO-020.60.60.00.50.00.5-0.10.60.00.6-0.10.60.01.20.6

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COWS Total Score During the Double-Blind Treatment Period

The COWS contains 11 common opiate withdrawal signs or symptoms rated by the investigator or designee who, for each item, checked the number that best described the participant's signs or symptoms. The minimum total COWS score is 0, the maximum is 48. Higher scores indicate a worse outcome. The summed score of the 11 items was used to assess a participant's level of opiate withdrawal. (NCT01571362)
Timeframe: Randomization Baseline, Weeks 1, 2, 4, 8, and 12

,
InterventionUnits on a scale (Mean)
Randomization Baseline (n=134,146)Week 1 (n=111,133)Change from Baseline at Week 1 (n=111,133)Week 2 (n=115,128)Change from Baseline at Week 2 (n=115,128)Week 4 (n=106,123)Change from Baseline at Week 4 (n=106,123)Week 8 (n=87,107)Change from Baseline at Week 8 (n=87,107)Week 12/ET (n=126,140)Change from Baseline at Week 12/ET(n=126,140)Max. Double-Blind Period (DBP) Value (n=126,140)Change from Baseline to max. DBP Value (n=126,140)
ALO-02 To ALO-020.40.60.30.70.30.40.10.60.20.60.21.30.9
ALO-02 To Placebo0.60.80.30.80.20.60.10.60.10.70.21.40.9

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COWS Total Score During the Post-Treatment Period

The COWS contains 11 common opiate withdrawal signs or symptoms rated by the investigator or designee who, for each item, checked the number that best described the participant's signs or symptoms. The minimum total COWS score is 0, the maximum is 48. Higher scores indicate a worse outcome. The summed score of the 11 items was used to assess a participant's level of opiate withdrawal. (NCT01571362)
Timeframe: Follow-Up (FU) Weeks 1 and 2

,
InterventionUnits on a scale (Mean)
FU Week 1 (n=68,83)Change from Baseline at FU Week 1 (n=68,83)FU Week 2 (n=78,91)Change from Baseline at FU Week 2 (n=78,91)Max.FU Period Value (n=94,108)Change to max. FU Period Value (n=94,108)
ALO-02 To ALO-020.60.20.90.71.10.7
ALO-02 To Placebo0.60.10.5-0.10.70.1

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Median Time to 20%, 30%, 40%, or 50% Analgesic Response From Screening Period to End of Open-Label Treatment

The percentage of analgesic response is defined as: (rolling 7-day mean pain score during Titration Period minus (-) Screening Period pain intensity score) divided by Screening Period pain intensity score times 100. An event was defined as a participant with 20, 30, 40, or 50% analgesic response from Screening. If there was no event for a participant, time to the event was considered censored at Day 42 of the Titration Period or before Day 42 of the Titration Period at the time of the last diary pain score. The survival duration begins on the date of first dose of study drug in the Titration Period and is calculated as the [date of event or last diary pain score - date of first dose in Titration Period +1]. (NCT01571362)
Timeframe: Screening, Week 4, 5, or 6

Interventiondays (Median)
Time to 20% Analgesic Response from ScreeningTime to 30% Analgesic Response from ScreeningTime to 40% Analgesic Response from ScreeningTime to 50% Analgesic Response from Screening
Open ALO-0215212835

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Median Time to 20%, 30%, 40%, or 50% Analgesic Response From Screening Period to Randomization Baseline

The percentage of analgesic response is defined as: (rolling 7-day mean pain score during Titration Period - Screening Period pain intensity score) divided by Screening Period pain intensity score times 100. If there was no event for a participant, time to the event was considered censored at Day 42 of the Titration Period or before Day 42 of the Titration Period at the time of the last diary pain score. The survival duration begins on the date of first dose of study drug in the Titration Period and is calculated as the [date of event or last diary pain score - date of first dose in Titration Period +1]. (NCT01571362)
Timeframe: Screening, Randomization Baseline (up to 6 weeks)

Interventiondays (Median)
Time to 20% Analgesic ResponseTime to 30% Analgesic ResponseTime to 40% Analgesic ResponseTime to 50% Analgesic Response
Open ALO-0214202633

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Median Time to 20%, 30%, 40%, or 50% Loss of Analgesic Response From Baseline During the Double-Blind Treatment Period

The percentage of lost analgesic response was defined as: (rolling seven day mean pain score during Double-Blind Period - Randomization Baseline pain intensity score) divided by Randomization Baseline pain intensity score times 100. If there was no event for a participant, time to the event was considered censored at Day 84 or before Day 84 at the time of the last diary pain score. The survival duration began on the date of first dose of study drug in the Double-Blind Period and was calculated as the [date of event or last diary pain score - date of first dose in Double-Blind Treatment +1]. (NCT01571362)
Timeframe: Randomization Baseline, up to Week 12

,
Interventiondays (Median)
Time to 20% Loss of Analgesic ResponseTime to 30% Loss of Analgesic ResponseTime to 40% Loss of Analgesic ResponseTime to 50% Loss of Analgesic Response
ALO-02 To ALO-0231NANANA
ALO-02 To Placebo12214162

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Naltrexone and 6-β-naltrexol Observed Steady-State Plasma Concentration During the Double Blind Treatment Period

Observed steady-state plasma concentration (Cobs) of naltrexone and 6-β-naltrexol (NCT01571362)
Timeframe: Blood samples were taken within +/-4 hours of the morning dose of study drug at Randomization Baseline, Weeks 4, 8, and 12

,
Interventionpg/mL (Mean)
Naltrexone at Baseline (n=127,139)Naltrexone at Week 4 (n=3,115)Naltrexone at Week 8 (n=3,107)Naltrexone at Week 12/ET (n=4,137)6-β-naltrexol at Baseline (n=127,139)6-β-naltrexol at Week 4 (n=3,115)6-β-naltrexol at Week 8 (n=3,107)6-β-naltrexol at Week 12/ET (n=4,137)
ALO-02 To ALO-025.33.42.93.097.586.148.355.6
ALO-02 To Placebo24.90.00.00.0216.00.00.00.0

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Naltrexone and 6-β-naltrexol Observed Steady-State Plasma Concentration During the Titration Period

Cobs of naltrexone and 6-β-naltrexol (NCT01571362)
Timeframe: Blood samples were taken within +/-4 hours of the morning dose of ALO-02 at Week 6/Early Termination, Randomization Baseline

Interventionpg/mL (Mean)
Naltrexone at Week 6/ET (n=77)Naltrexone at Randomization Baseline (n=266)6-β-naltrexol at Week 6/ET (n=77)6-β-naltrexol at Randomization Baseline (n=266)
Open ALO-024.614.682.0154.1

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Oxycodone and Noroxycodone Observed Steady-State Plasma Concentration During the Double-Blind Treatment Period

Observed steady-state plasma concentration (Cobs) of oxycodone and noroxycodone (NCT01571362)
Timeframe: Blood samples were taken within +/-4 hours of the morning dose of study drug at Randomization Baseline, Weeks 4, 8, and 12

,
Interventionng/mL (Mean)
Oxycodone at Baseline (n=127,140)Oxycodone at Week 4 (n=0,116)Oxycodone at Week 8 (n=0,107)Oxycodone at Week 12/ET (n=1,137)Noroxycodone at Baseline (n=127,140)Noroxycodone at Week 4 (n=0,116)Noroxycodone at Week 8 (n=0,107)Noroxycodone at Week 12/ET (n=1,137)
ALO-02 To ALO-0225.923.323.122.627.125.526.226.3
ALO-02 To Placebo27.0NANA0.033.1NANA0.0

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Oxycodone and Noroxycodone Observed Steady-State Plasma Concentration During the Titration Period

Observed steady-state plasma concentration (Cobs) of oxycodone and noroxycodone. (NCT01571362)
Timeframe: Blood samples were taken within +/-4 hours of the morning dose of ALO-02 at Week 6/Early Termination, Randomization Baseline

Interventionng/mL (Mean)
Oxycodone at Week 6/ET (n=77)Oxycodone at Randomization Baseline (n=267)Noroxycodone at Week 6/ET (n=77)Noroxycodone at Randomization Baseline (n=267)
Open ALO-0214.126.415.529.9

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Percentage (%) of Participants With Shift in Patient Global Assessment (PGA) by Category With Baseline PGA Score of Very Good (1), Good (2), Fair (3), Poor (4), Very Poor (5) From Randomization Baseline to End of Double-Blind Week 12 (or Final Visit).

Measure represents the score at Randomization Baseline / score at Week 12 (or Early Termination) in PGA, a global evaluation that utilizes a 5-point Likert scale with a score of 1 being the best (Very Good) and a score of 5 being the worst (Very Poor). (NCT01571362)
Timeframe: Randomization Baseline, Week 12

,
InterventionPercentage of participants (Number)
Very Good / Very GoodVery Good / GoodVery Good / FairVery Good / PoorVery Good / Very PoorGood / Very GoodGood / GoodGood / FairGood / PoorGood / Very PoorFair / Very GoodFair / GoodFair / FairFair / PoorFair / Very PoorPoor / Very GoodPoor / GoodPoor / FairPoor / PoorPoor / Very PoorVery Poor / Very GoodVery Poor / GoodVery Poor / FairVery Poor / PoorVery Poor / Very Poor
ALO-02 To ALO-0211.72.91.50.00.03.619.76.60.70.00.021.226.32.20.00.01.52.20.00.00.00.00.00.00.0
ALO-02 To Placebo5.46.21.50.80.06.218.54.60.00.03.117.723.10.80.00.82.34.61.50.00.01.51.50.00.0

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Percentage of Participants Who Reported Being Satisfied/Very Satisfied With Treatment on the Satisfaction With Treatment Questionnaire During the Double-Blind Treatment Period

Participants used an electronic tablet at the center to rate their overall treatment satisfaction with study drug during study participation using a 5-point categorical scale (1 = very dissatisfied, 2 = dissatisfied, 3 = neither satisfied nor dissatisfied, 4 = satisfied, 5 = very satisfied). (NCT01571362)
Timeframe: Week 12 or Early Termination

,
InterventionPercentage of participants (Number)
Yes (n=125,128)No (n=125,128)
ALO-02 To ALO-0279.720.3
ALO-02 To Placebo59.240.8

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Percentage of Participants With a 20%, 30%, 40%, or 50% Analgesic Response From Screening Period to End of Open-Label Treatment

The percentage of analgesic response is defined as: (rolling 7-day mean pain score during Titration Period - Screening Period pain intensity score) divided by Screening Period pain intensity score times100. (NCT01571362)
Timeframe: Screening, Week 4, 5 or 6

InterventionPercentage of participants (Number)
Participants with 20% Analgesic ResponseParticipants with 30% Analgesic ResponseParticipants with 40% Analgesic ResponseParticipants with 50% Analgesic Response
Open ALO-0285.278.967.349.7

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Percentage of Participants With a 20%, 30%, 40%, or 50% Analgesic Response From Screening Period to Randomization Baseline

The percentage of analgesic response is defined as: (rolling 7-day mean pain score during Titration Period - Screening Period pain intensity score) divided by Screening Period pain intensity score times 100. (NCT01571362)
Timeframe: Screening, Randomization Baseline (up to 6 weeks)

InterventionPercentage of participants (Number)
Participants with 20% Analgesic ResponseParticipants with 30% Analgesic ResponseParticipants with 40% Analgesic ResponseParticipants with 50% Analgesic Response
Open ALO-0299.395.386.064.0

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Percentage of Participants With a 20%, 30%, 40%, or 50% Loss of Analgesic Response From Randomization Baseline During the Double-Blind Treatment Period

The percentage of lost analgesic response is defined as: (rolling 7-day mean pain score during Double-Blind Period - Randomization Baseline pain intensity score) divided by Randomization Baseline pain intensity score times 100. If there was no event for a participant, time to the event was considered censored at Day 84 or before Day 84 at the time of the last diary pain score. The survival duration began on the date of first dose of study drug in the Double-Blind Period and was calculated as the [date of event or last diary pain score - date of first dose in Double-Blind Treatment +1]. (NCT01571362)
Timeframe: Randomization Baseline, up to Week 12

,
InterventionPercentage of participants (Number)
Participants with 20% Loss of Analgesic ResponseParticipants with 30% Loss of Analgesic ResponseParticipants with 40% Loss of Analgesic ResponseParticipants with 50% Loss of Analgesic Response
ALO-02 To ALO-0254.546.234.331.5
ALO-02 To Placebo72.064.457.650.8

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Percentage of Participants With Opiate Withdrawal During Post-Treatment by COWS Category

The COWS contains 11 common opiate withdrawal signs or symptoms rated by the investigator or designee who, for each item, checked the number that best described the participant's signs or symptoms. The minimum total COWS score is 0, the maximum is 48. The summed score of the 11 items was used to assess a participant's level of opiate withdrawal. The scores are assessed as follows: 5-12 = mild; 13-24 = moderate; 25-36 = moderately severe; more than 36 = severe withdrawal. (NCT01571362)
Timeframe: Follow-Up Weeks 1 and 2

,
InterventionPercentage of participants (Number)
FU Week 1 COWS <5 (n=68,83)FU Week 2 COWS <5 (n=78,91)FU Week 2 COWS=5-12 (n=78,91)Maximum FU Period COWS <5 (n=94,108)Maximum FU Period COWS=5-12 (n=94,108)
ALO-02 To ALO-02100.095.64.496.33.7
ALO-02 To Placebo100.01000100.00

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Percentage of Participants With Opiate Withdrawal During the Double-Blind Treatment Period by COWS Category

The COWS contains 11 common opiate withdrawal signs or symptoms rated by the investigator or designee who, for each item, checked the number that best described the participant's signs or symptoms. The minimum total COWS score is 0, the maximum is 48. The summed score of the 11 items was used to assess a participant's level of opiate withdrawal. The scores are assessed as follows: 5-12 = mild; 13-24 = moderate; 25-36 = moderately severe; more than 36 = severe withdrawal. (NCT01571362)
Timeframe: Randomization Baseline, Weeks 1, 2, 4, 8, 12 (or Early Termination)

,
InterventionPercentage of participants (Number)
Randomization Baseline COWS <5 (n=134,146)Week 1 COWS <5 (n=111,133)Week 1 COWS 5-12 (n=111,133)Week 1 COWS 13-24 (n=111,133)Week 2 COWS <5 (n=115,128)Week 2 COWS 5-12 (n=115,128)Week 4 COWS <5 (n=106,123)Week 4 COWS 5-12 (n=106,123)Week 8 COWS <5 (n=87,107)Week 8 COWS 5-12 (n=87,107)Week 12/ET COWS <5 (n=126,140)Week 12/ET COWS 5-12 (n=126,140)Week 12/ET COWS 13-24 (n=126,140)Max. DBP Value COWS <5 (n=126,140)Max. DBP Value COWS 5-12 (n=126,140)Max. DBP Value COWS 13-24 (n=126,140)
ALO-02 To ALO-0210098.51.5098.41.6100098.11.997.92.1095.05.00
ALO-02 To Placebo10099.100.999.10.999.10.9100098.40.80.897.61.60.8

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Percentage of Participants With Opiate Withdrawal During the Open-Label Titration Period by COWS Category

The COWS contains 11 common opiate withdrawal signs or symptoms rated by the investigator or designee who, for each item, checked the number that best described the participant's signs or symptoms. The minimum total COWS score is 0, the maximum is 48. The summed score of the 11 items was used to assess a participant's level of opiate withdrawal. The scores are assessed as follows: 5-12 = mild; 13-24 = moderate; 25-36 = moderately severe; more than 36 = severe withdrawal. (NCT01571362)
Timeframe: Screening, Weeks 1, 2, 3, 4, 5, 6 (or Early Termination)

InterventionPercentage of participants (Number)
Screening COWS less than(<)5 (n=387)Screening COWS=5-12 (n=387)Week 1 COWS <5 (n=353)Week 1 COWS=5-12 (n=353)Week 2 COWS <5 (n=327)Week 2 COWS 5-12 (n=327)Week 3 COWS <5 (n=316)Week 3 COWS 5-12 (n=316)Week 4 COWS <5 (n=210)Week 4 COWS 5-12 (n=210)Week 5 COWS <5 (n=138)Week 6 COWS <5 (n=375)Week 6 COWS 5-12 (n=375)Max. Titration Period Value COWS <5 (n=375)Max. Titration Period Value COWS 5-12 (n=375)
Open ALO-0298.41.699.20.898.81.299.10.999.50.510098.91.196.83.2

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Percentage of Participants With Shift From Randomization Baseline to End of Double-Blind Week 4 in PGA of Low Back Pain by Category in Participants With Randomization Baseline PGA Score of Very Good, Good, Fair, Poor, Very Poor

Represents the score at Randomization Baseline / score at Week 4 in PGA of low back pain, a global evaluation that utilizes a 5-point Likert scale with a score of: 1 = very good, asymptomatic and no limitation of normal activities; 2 = good, mild symptoms, and no limitation of normal activities; 3 = fair, moderate symptoms and limitation to some normal activities; 4 = poor, severe symptoms and inability to carry out most normal activities; and a score of 5 = very poor; very severe symptoms, which were intolerable and inability to carry out all normal activities. (NCT01571362)
Timeframe: Randomization Baseline, Week 4

,
InterventionPercentage of participants (Number)
Very Good / Very GoodVery Good / GoodVery Good / FairVery Good / PoorVery Good / Very PoorGood / Very GoodGood / GoodGood / FairGood / PoorGood / Very PoorFair / Very GoodFair / GoodFair / FairFair / PoorFair / Very PoorPoor / Very GoodPoor / GoodPoor / FairPoor / PoorPoor / Very PoorVery Poor / Very GoodVery Poor / GoodVery Poor / FairVery Poor / PoorVery Poor / Very Poor
ALO-02 To ALO-028.70.80.00.00.06.327.813.50.00.01.615.123.02.40.00.00.00.00.80.00.00.00.00.00.0
ALO-02 To Placebo7.33.70.90.00.05.524.87.30.00.00.915.624.81.80.00.92.82.80.00.00.00.00.00.90.0

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Percentage of Participants With Shift From Randomization Baseline to End of Double-Blind Week 8 in PGA of Low Back Pain by Category in Participants With Randomization Baseline PGA Score of Very Good , Good, Fair, Poor, Very Poor

Represents the score at Randomization Baseline / score at Week 8 in PGA of low back pain, a global evaluation that utilizes a 5-point Likert scale with a score of: 1 = very good, asymptomatic and no limitation of normal activities; 2 = good, mild symptoms, and no limitation of normal activities; 3 = fair, moderate symptoms and limitation to some normal activities; 4 = poor, severe symptoms and inability to carry out most normal activities; and a score of 5 = very poor; very severe symptoms, which were intolerable and inability to carry out all normal activities. (NCT01571362)
Timeframe: Randomization Baseline, Week 8

,
InterventionPercentage of participants (Number)
Very Good / Very GoodVery Good / GoodVery Good / FairVery Good / PoorVery Good / Very PoorGood / Very GoodGood / GoodGood / FairGood / PoorGood / Very PoorFair / Very GoodFair / GoodFair / FairFair / PoorFair / Very PoorPoor / Very GoodPoor / GoodPoor / FairPoor / PoorPoor / Very PoorVery Poor / Very GoodVery Poor / GoodVery Poor / FairVery Poor / PoorVery Poor / Very Poor
ALO-02 To ALO-028.93.61.80.00.08.023.211.60.90.00.915.221.41.80.00.00.00.90.90.00.00.90.00.00.0
ALO-02 To Placebo8.05.70.00.00.05.725.012.50.00.03.414.817.02.30.00.01.11.10.00.00.00.02.31.10.0

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Percentage of Participants With Shift From Randomization Baseline to End of Double-Blind Weeks 4, 8, and 12 (or Final Visit) in Hospitalization Because of Low Back Pain as Assessed Using the HRU Questionnaire

Question 3a = In the past 4 weeks, have you been hospitalized due to chronic low back pain or any medication used for chronic low back pain? (NCT01571362)
Timeframe: Randomization Baseline, Weeks 4, 8, and 12 (or Early Termination)

,
InterventionPercentage of participants (Number)
Yes/Yes Week 4 (n=108, 123)Yes/No Week 4 (n=108, 123)No/Yes Week 4 (n=108, 123)No/No Week 4 (n=108, 123)Yes/Yes Week 8 (n=85, 110)Yes/No Week 8 (n=85, 110)No/Yes Week 8 (n=85, 110)No/No Week 8 (n=85, 110)Yes/Yes Week12/ET (n=129, 134)Yes/No Week12/ET (n=129, 134)No/Yes Week12/ET (n=129, 134)No/No Week 12/ET (n=129, 134)
ALO-02 To ALO-020.00.80.099.20.00.90.099.10.00.00.799.3
ALO-02 To Placebo0.03.71.994.40.01.22.496.50.03.11.695.3

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Percentage of Participants With Shift From Screening Period to End of Open-Label Titration Period in Hospitalization Because of Low Back Pain as Assessed Using the Healthcare Resource Use (HRU) Questionnaire

Question 3a = In the past 4 weeks, have you been hospitalized due to chronic low back pain or any medication used for chronic low back pain? (NCT01571362)
Timeframe: Screening, Week 6 (or Early Termination)

InterventionPercentage of participants (Number)
Yes/YesYes/NoNo/YesNo/No
Open ALO-020.30.82.596.4

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Percentage of Participants With Shift From Screening Period to Randomization Baseline in Hospitalization Because of Low Back Pain as Assessed Using the HRU Questionnaire

Question 3a = In the past 4 weeks, have you been hospitalized due to chronic low back pain or any medication used for chronic low back pain? (NCT01571362)
Timeframe: Screening, Randomization Baseline

InterventionPercentage of participants (Number)
Yes/YesYes/NoNo/YesNo/No
Open ALO-020.41.12.995.6

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Percentage of Participants With Shift From Screening Period to the End of Double-Blind Weeks 4, 8 and 12 (or Final Visit) in Hospitalization Because of Low Back Pain as Assessed Using the HRU Questionnaire

Question 3a = In the past 4 weeks, have you been hospitalized due to chronic low back pain or any medication used for chronic low back pain? (NCT01571362)
Timeframe: Screening, Weeks 4, 8, and 12

,
InterventionPercentage of participants (Number)
Yes/Yes Week 4 (n=109,124)Yes/No Week 4 (n=109,124)No/Yes Week 4 (n=109,124)No/No Week 4 (n=109,124)Yes/Yes Week 8 (n=86,111)Yes/No Week 8 (n=86, 111)No/Yes Week 8 (n=86, 111)No/No Week 8 (n=86, 111)Yes/Yes Week 12/ET (n=130,136)Yes/No Week 12/ET (n=130,136)No/Yes Week 12/ET (n=130,136)No/No Week 12/ET (n=130,136)
ALO-02 To ALO-020.00.81.697.60.00.91.897.30.00.02.297.8
ALO-02 To Placebo0.92.82.893.60.01.22.396.50.82.33.893.1

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Percentage of Participants With Shift From Screening to Randomization Baseline in PGA of Low Back Pain by Category in Participants With Screening PGA Score of Very Good, Good, Fair, Poor, Very Poor

Represents the score at Screening / score at Randomization Baseline in PGA of low back pain, a global evaluation that utilizes a 5-point Likert scale with a score of: 1 = very good, asymptomatic and no limitation of normal activities; 2 = good, mild symptoms, and no limitation of normal activities; 3 = fair, moderate symptoms and limitation to some normal activities; 4 = poor, severe symptoms and inability to carry out most normal activities; and a score of 5 = very poor; very severe symptoms, which were intolerable and inability to carry out all normal activities. (NCT01571362)
Timeframe: Screening, Randomization Baseline

InterventionPercentage of participants (Number)
Very Good / Very GoodVery Good / GoodVery Good / FairVery Good / PoorVery Good / Very PoorGood / Very GoodGood / GoodGood / FairGood / PoorGood / Very PoorFair / Very GoodFair / GoodFair / FairFair / PoorFair / Very PoorPoor / Very GoodPoor / GoodPoor / FairPoor / PoorPoor / Very PoorVery Poor / Very GoodVery Poor / GoodVery Poor / FairVery Poor / PoorVery Poor / Very Poor
Open ALO-020.42.99.42.90.00.05.829.28.71.40.02.522.010.51.40.00.42.20.40.00.00.00.00.00.0

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Percentage of Participants With Shift From Screening to the End of the Open-Label Titration Period in PGA of Low Back Pain by Category in Participants With Screening PGA Score of Very Good, Good, Fair, Poor, Very Poor

Represents the score at Screening / score at to end of the titration period in PGA of low back pain, a global evaluation that utilizes a 5-point Likert scale with a score of: 1 = very good, asymptomatic and no limitation of normal activities; 2 = good, mild symptoms, and no limitation of normal activities; 3 = fair, moderate symptoms and limitation to some normal activities; 4 = poor, severe symptoms and inability to carry out most normal activities; and a score of 5 = very poor; very severe symptoms, which were intolerable and inability to carry out all normal activities. (NCT01571362)
Timeframe: Screening, Randomization Baseline, or Early Termination

InterventionPercentage of participants (Number)
Very Good / Very GoodVery Good / GoodVery Good / FairVery Good / PoorVery Good / Very PoorGood / Very GoodGood / GoodGood / FairGood / PoorGood / Very PoorFair / Very GoodFair / GoodFair / FairFair / PoorFair / Very PoorPoor / Very GoodPoor / GoodPoor / FairPoor / PoorPoor / Very PoorVery Poor / Very GoodVery Poor / GoodVery Poor / FairVery Poor / PoorVery Poor / Very Poor
Open ALO-020.32.77.62.20.00.05.425.07.61.10.02.727.210.61.40.00.33.02.20.30.00.00.00.30.3

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Satisfaction With Treatment at Randomization Baseline

Satisfaction with treatment is a single-item self-rated instrument that measures the participant's overall satisfaction with the study drug during study participation on a 5-point likert scale ranging from 1 = Very dissatisfied to 5 = Very satisfied. (NCT01571362)
Timeframe: Randomization Baseline

InterventionPercentage of participants (Number)
Very Dissatisfied (n=278)Dissatisfied (n=278)Neither Satisfied or Dissatisfied (n=278)Satisfied (n=278)Very Satisfied (n=278)
Open ALO-025.42.24.746.041.7

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Satisfaction With Treatment at the End of Open-Label Titration Period for All Participants

Satisfaction with treatment is a single-item self-rated instrument that measures the participant's overall satisfaction with the study drug during study participation on a 5-point likert scale ranging from 1 = Very dissatisfied to 5 = Very satisfied. (NCT01571362)
Timeframe: End of Open-Label Titration Period (Week 4, 5, or 6 or Early Termination)

InterventionPercentage of participants (Number)
Very Dissatisfied (n=369)Dissatisfied (n=369)Neither Satisfied or Dissatisfied (n=369)Satisfied (n=369)Very Satisfied (n=369)
Open ALO-026.87.011.740.733.9

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SOWS Total Score During the Double-Blind Treatment Period

The SOWS was completed daily by the participant during any of the 2-week tapers from study drug, as well as at each study visit, using an eDiary device, and contains 16 symptoms of opiate withdrawal rated by the participant (Scale of 0 to 4: 0 = not at all, 1 = a little, 2= moderately, 3= quite a bit, 4 = extremely). The sum of the scores on each item was the total SOWS score; the minimum possible SOWS score was 0, the maximum 64. Higher scores indicate a worse outcome. (NCT01571362)
Timeframe: Randomization Baseline, Weeks 1, 2, 4, 8, and 12

,
InterventionUnits on a scale (Mean)
Randomization Baseline (n=134,146)Week 1 (n=134,143)Change from Baseline at Week 1 (n=134,143)Week 2 (n=123,135)Change from Baseline at Week 2 (n=123,135)Max. SOWS, First 2 Weeks of Period (n=134,143)Week 4 (n=105,122)Change from Baseline at Week 4 (n=105,122)Week 8 (n=85,110)Change from Baseline at Week 8 (n=85,110)Week 12 (n=134,143)Change from Baseline at Week 12 (n=134,143)Max. SOWS (Double-Blind Period) (n=134,143)Change from Baseline at max. SOWs (n=134,143)
ALO-02 To ALO-021.52.30.81.90.34.42.10.52.10.62.40.95.23.7
ALO-02 To Placebo2.43.00.63.51.16.32.50.12.40.13.30.96.74.3

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SOWS Total Score During the Post-Treatment Period

The SOWS was completed daily by the participant during any of the 2-week tapers from study drug, as well as at each study visit, using an eDiary device, and contains 16 symptoms of opiate withdrawal rated by the participant (Scale of 0 to 4: 0 = not at all, 1 = a little, 2= moderately, 3= quite a bit, 4 = extremely). The sum of the scores on each item was the total SOWS score; the minimum possible SOWS score was 0, the maximum 64. Higher scores indicate a worse outcome. (NCT01571362)
Timeframe: Follow-Up Weeks 1 and 2

,
InterventionUnits on a scale (Mean)
FU Week 1 (n=94,108)Change from Baseline at FU Week 1 (n=94,108)FU Week 2 (n=95,109)Change from Baseline at FU Week 2 (n=95,109)Max. SOWS (FU Period)(n=96,110)Change from Baseline at Max. SOWS, (n=96,110)
ALO-02 To ALO-022.30.82.51.04.53.0
ALO-02 To Placebo2.60.22.70.24.72.2

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Change From Randomization Baseline to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in BPI-sf Scores of Pain Severity Index

Pain Severity Index is the mean of the 4 pain scores (worst, least, average, and right now) on the BPI-sf; range is 0=No pain to 10=Pain as bad as you can imagine; a higher score indicates greater pain severity. (NCT01571362)
Timeframe: Weeks 2, 4, 8, and 12

,
InterventionUnits on a Scale (Least Squares Mean)
Week 2 (n=125,135)Week 4 (n=111,124)Week 8 (n=88,112)Week 12/ET (n=131,138)
ALO-02 To ALO-020.370.280.340.38
ALO-02 To Placebo0.951.040.951.32

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Area Under the Curve (AUC) of eDiary NRS-Pain Scores From Randomization Baseline to Final 2 Weeks of the Double-Blind Treatment Period (Weeks 11 and 12)

NRS-Pain scores based on an 11-point numerical rating scale from 0 (no pain) to 10 (worst possible pain). AUC was calculated using daily change from Baseline scores from Baseline until the last dose date in the Double-Blind Treatment Period. AUC was calculated for each participant using the linear trapezoidal method. Higher scores indicate greater pain. (NCT01571362)
Timeframe: Randomization Baseline, Weeks 11 and 12

InterventionChange in units on a scale*days (Least Squares Mean)
ALO-02 To Placebo39.00
ALO-02 To ALO-0211.25

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Average Daily Use of Rescue Acetaminophen (Milligrams Per Day [mg/Day]) During the Double-Blind Treatment Period

The amount of acetaminophen administered for each treatment during the Double-Blind Treatment Period. Average daily use calculated as: total dose of rescue medication during Double-Blind Period divided by the number of days in Double-Blind Period. (NCT01571362)
Timeframe: Daily from Day 1 of the Double-Blind Period through Week 12

InterventionAverage mg/day (Least Squares Mean)
ALO-02 To Placebo207.84
ALO-02 To ALO-02203.97

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Change From Randomization Baseline to End of Double-Blind Week 12 (or Final Visit) in Participant Assessment of Overall Health State Using EQ-5D Summary Index

Self-completion standardized instrument for use as a measure of health-related quality of life in terms of a single index value or utility score that consisted of 5 dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) each of which was rated on a 3-point response scale (no problems/some or moderate problems/extreme problems), and the scores are combined to form a single index utility value between 0 and 1 with higher scores indicating better health (NCT01571362)
Timeframe: Randomization Baseline, Week 12

InterventionScore on a scale (Least Squares Mean)
ALO-02 To Placebo-0.061
ALO-02 To ALO-02-0.029

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Change From Randomization Baseline to End of Double-Blind Week 12 (or Final Visit) in Participant Assessment of Overall Health State Using the EQ-5D VAS

The EQ-5D consists of a standard vertical 20cm visual analogue scale (EQ VAS), for recording a participant's rating for their current health related quality of life state; the scale went from 0 (worst imaginable health state) to 100 (best imaginable health state). Participants were asked to draw a line on the scale to indicate how good or bad your own health is today, in your opinion. (NCT01571362)
Timeframe: Randomization Baseline, Week 12

InterventionScore on a scale (Least Squares Mean)
ALO-02 To Placebo-3.61
ALO-02 To ALO-02-2.89

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Change From Screening Period to End of Double-Blind Week 12 (or Final Visit) in Participant Assessment of Overall Health State Using EQ-5D Summary Index

Self-completion standardized instrument for use as a measure of health-related quality of life in terms of a single index value or utility score that consisted of 5 dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) each of which was rated on a 3-point response scale (no problems/some or moderate problems/extreme problems), and the scores are combined to form a single index utility value between 0 and 1 with higher scores indicating better health. (NCT01571362)
Timeframe: Screening, Week 12

InterventionScore on a scale (Least Squares Mean)
ALO-02 To Placebo0.085
ALO-02 To ALO-020.106

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Change From Screening Period to End of Double-Blind Week 12 (or Final Visit) in Participant Assessment of Overall Health State Using EQ-5D VAS

The EQ-5D consists of a standard vertical 20cm visual analogue scale (EQ VAS), for recording a participant's rating for their current health related quality of life state; the scale went from 0 (worst imaginable health state) to 100 (best imaginable health state). Participants were asked to draw a line on the scale to indicate how good or bad your own health is today, in your opinion. (NCT01571362)
Timeframe: Screening, Week 12

InterventionScore on a scale (Least Squares Mean)
ALO-02 To Placebo4.75
ALO-02 To ALO-027.01

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Change in Roland-Morris Disability Questionnaire (RMDQ) Total Score From Randomization Baseline to the End of Double-Blind Week 12 (or Final Visit).

The RMDQ is a 24-item questionnaire designed to measure self-rated disability due to back pain. An individual participant's score can vary from 0 (no disability) to 24 (severe disability), with a lower score indicating better function; higher score indicating greater disability. (NCT01571362)
Timeframe: Week 12

InterventionUnits on a Scale (Least Squares Mean)
ALO-02 To Placebo0.50
ALO-02 To ALO-020.67

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Change in Weekly Average Electronic Diary (eDiary) Numeric Rating Scale -Pain (NRS-Pain) Score From Randomization Baseline to Final 2 Weeks (Average of Weeks 11 and 12)

Weekly average diary NRS-Pain scores were derived from the daily NRS-pain scale and calculated as the mean of the last 7 days. NRS-Pain scores based on an 11-point numerical rating scale from 0 (no pain) to 10 (worst possible pain). Higher scores indicate greater pain. (NCT01571362)
Timeframe: Weeks 11 and 12

InterventionUnits on a Scale (Least Squares Mean)
ALO-02 To Placebo1.23
ALO-02 To ALO-020.60

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Mean Oxycodone Average Daily Dose During the Double-Blind Treatment Period

(NCT01571362)
Timeframe: Double-Blind Period

Interventionmg (Mean)
ALO-02 To Placebo70.1
ALO-02 To ALO-0263.6

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Mean Oxycodone Average Daily Dose During the Open-Label Titration Period

(NCT01571362)
Timeframe: Open-Label Period

Interventionmg (Mean)
Open ALO-0245.8

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Mean Oxycodone Duration of Titration During the Open-Label Titration Period

(NCT01571362)
Timeframe: Open-Label Period

Interventiondays (Mean)
Open ALO-0231.0

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Mean Oxycodone Duration of Treatment During the Double-Blind Treatment Period

(NCT01571362)
Timeframe: Double-Blind Period

Interventiondays (Mean)
ALO-02 To Placebo62.7
ALO-02 To ALO-0270.9

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Median Oxycodone Average Daily Dose During the Double-Blind Treatment Period

(NCT01571362)
Timeframe: Double-Blind Period

Interventionmg (Median)
ALO-02 To Placebo60.0
ALO-02 To ALO-0259.6

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Median Oxycodone Average Daily Dose During the Open-Label Titration Period

(NCT01571362)
Timeframe: Open-Label Period

Interventionmg (Median)
Open ALO-0242.3

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Median Oxycodone Duration of Titration During the Open-Label Titration Period

(NCT01571362)
Timeframe: Open-Label Period

Interventiondays (Median)
Open ALO-0235.0

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Median Oxycodone Duration of Treatment During the Double-Blind Treatment Period

(NCT01571362)
Timeframe: Double-Blind Period

Interventiondays (Median)
ALO-02 To Placebo84.0
ALO-02 To ALO-0285.0

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Median Time to Treatment Discontinuation for Investigator-Reported Lack of Efficacy During the Double-Blind Treatment Period

If there was no event for a participant, time to the event was considered censored at Day 84 or before Day 84 at time of treatment discontinuation for another reason. The survival duration begins on the date of first dose in the Double-Blind period and is calculated as the [date of event or discontinuation - date of first dose in Double-Blind Period +1]. (NCT01571362)
Timeframe: Week 1 up to Week 12

Interventiondays (Median)
ALO-02 To PlaceboNA
ALO-02 To ALO-02NA

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Percentage of Participants Discontinuing Treatment for Investigator-Reported Lack of Efficacy

If there was no event for a participant, time to the event was considered censored at Day 84 or before Day 84 at time of treatment discontinuation for another reason. (NCT01571362)
Timeframe: Week 1 up to Week 12

InterventionPercentage of participants (Number)
ALO-02 To Placebo11.9
ALO-02 To ALO-022.7

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Percentage of Participants With Improvement in Weekly Average eDiary NRS-Pain Scores From Screening to Final 2 Weeks of the Double-Blind Treatment Period (Average of Weeks 11 and 12) by Cumulative Percent Reduction ≥30%

Weekly average Diary NRS-pain scores are derived from the daily pain NRS and calculated as the mean of the last 7 days. Scores range from 0 = no pain to 10 = worst possible pain. Higher scores indicate greater pain. (NCT01571362)
Timeframe: Weeks 11 and 12

Interventionpercentage of participants (Number)
ALO-02 To Placebo44.0
ALO-02 To ALO-0257.5

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Percentage of Participants With Improvement in Weekly Average eDiary NRS-Pain Scores From Screening to Final 2 Weeks of the Double-Blind Treatment Period (Average of Weeks 11 and 12) by Cumulative Percent Reduction ≥40%

Weekly average Diary NRS-pain scores are derived from the daily pain NRS and calculated as the mean of the last 7 days. Scores range from 0 = no pain to 10 = worst possible pain. Higher scores indicate greater pain. (NCT01571362)
Timeframe: Weeks 11 and 12

Interventionpercentage of participants (Number)
ALO-02 To Placebo35.1
ALO-02 To ALO-0250.7

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Percentage of Participants With Improvement in Weekly Average eDiary NRS-Pain Scores From Screening to Final 2 Weeks of the Double-Blind Treatment Period (Average of Weeks 11 and 12) by Cumulative Percent Reduction ≥50%

Weekly average Diary NRS-pain scores are derived from the daily pain NRS and calculated as the mean of the last 7 days. Scores range from 0 = no pain to 10 = worst possible pain. Higher scores indicate greater pain. (NCT01571362)
Timeframe: Weeks 11 and 12

Interventionpercentage of participants (Number)
ALO-02 To Placebo29.9
ALO-02 To ALO-0239.7

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Percentage of Participants With Improvement in Weekly Average eDiary NRS-Pain Scores From Screening to Final 2 Weeks of the Double-Blind Treatment Period (Average of Weeks 11 and 12) by Cumulative Percent Reduction of Greater or Equal to (≥) 20%

Weekly average Diary NRS-pain scores are derived from the daily pain NRS and calculated as the mean of the last 7 days. Scores range from 0 equals (=) no pain to 10 = worst possible pain. Higher scores indicate greater pain. (NCT01571362)
Timeframe: Weeks 11 and 12

Interventionpercentage of participants (Number)
ALO-02 To Placebo48.5
ALO-02 To ALO-0262.3

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Change From Randomization Baseline to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in BPI-sf Scores of Average Pain

BPI-sf scores range from 0=No pain to 10=Pain as bad as you can imagine; Higher scores indicate greater pain. (NCT01571362)
Timeframe: Weeks 2, 4, 8, and 12

,
InterventionUnits on a Scale (Least Squares Mean)
Week 2 (n=125,135)Week 4 (n=111,124)Week 8 (n=88,112)Week 12/ET (n=131,138)
ALO-02 To ALO-020.360.300.350.39
ALO-02 To Placebo1.011.040.991.27

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Change From Randomization Baseline to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in BPI-sf Scores of Least Pain

BPI-sf scores range from 0=No pain to 10=Pain as bad as you can imagine; Higher scores indicate greater pain. (NCT01571362)
Timeframe: Weeks 2, 4, 8, and 12

,
InterventionUnits on a Scale (Least Squares Mean)
Week 2 (n=126,135)Week 4 (n=111,125)Week 8 (n=89,112)Week 12/ET(n=131,138)
ALO-02 To ALO-020.340.060.190.28
ALO-02 To Placebo0.740.940.831.13

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Change From Randomization Baseline to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in BPI-sf Scores of Pain Interference Index

Pain Interference Index is the mean of the scores for the 7 items of the BPI-sf; range is 0=Does not interfere to 10=Completely interferes. (NCT01571362)
Timeframe: Weeks 2, 4, 8, and 12

,
InterventionUnits on a Scale (Least Squares Mean)
Week 2 (n=126,135)Week 4 (n=111,127)Week 8 (n=89,113)Week 12/ET (n=131,138)
ALO-02 To ALO-020.360.430.470.49
ALO-02 To Placebo0.770.920.641.14

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Change From Randomization Baseline to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in BPI-sf Scores of Pain Right Now

BPI-sf scores range from 0=No pain to 10=Pain as bad as you can imagine; Higher scores indicate greater pain. (NCT01571362)
Timeframe: Weeks 2, 4, 8, and 12

,
InterventionUnits on a Scale (Least Squares Mean)
Week 2 (n=126,135)Week 4 (n=111,125)Week 8 (n=88,112)Week 12/ET (n=131,138)
ALO-02 To ALO-020.400.240.330.36
ALO-02 To Placebo1.041.031.041.43

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Change From Randomization Baseline to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in BPI-sf Scores of Worst Pain

BPI-sf scores range from 0=No pain to 10=Pain as bad as you can imagine; Higher scores indicate greater pain. (NCT01571362)
Timeframe: Weeks 2, 4, 8, and 12

,
InterventionUnits on a Scale (Least Squares Mean)
Week 2 (n=126,135)Week 4 (n=111,125)Week 8 (n=89,113)Week 12/Early Termination (ET)(n=131,138)
ALO-02 To ALO-020.380.510.490.47
ALO-02 To Placebo1.001.150.861.45

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Change From Randomization Baseline to End of Double-Blind Weeks 4, 8 and 12 (or Final Visit) in HRU Questionnaire: Money Spent on Treatments

Question 2: money (dollars) spent out-of-pocket on physical treatments in the past 4 weeks to manage chronic low back pain. (NCT01571362)
Timeframe: Randomization Baseline, Weeks 4, 8, and 12

,
InterventionDollars (Mean)
Randomization Baseline (n=124,136)Week 4 (n=104,119)Change from Baseline at Week 4 (n=99,117)Week 8 (n=81,106)Change from Baseline at Week 8 (n=76,105)Week 12/ET (n=125,133)Change from Baseline at Week 12/ET (n=119,128)
ALO-02 To ALO-0211.315.04.416.77.529.320.0
ALO-02 To Placebo96.419.9-24.7146.2-0.1113.0-47.8

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Change From Randomization Baseline to End of Double-Blind Weeks 4, 8 and 12 (or Final Visit) in HRU Questionnaire: Nights Spent in Hospital

Question 3b: nights stayed in the hospital (NCT01571362)
Timeframe: Randomization Baseline, Weeks 4, 8, and 12

,
InterventionNumber of nights (Mean)
Randomization Baseline (n=1,2)Week 4 (n=4,0)Change from Baseline at Week 4 (n=0,0)Week 8 (n=1,1)Change from Baseline at Week 8 (n=0,0)Week 12/ET (n=4,1)Change from Baseline at Week 12/ET (n=0,0)
ALO-02 To ALO-020.0NANA0.0NA0.0NA
ALO-02 To Placebo0.00.3NA99.0NA24.8NA

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Change From Randomization Baseline to End of Double-Blind Weeks 4, 8, and 12 (or Final Visit) in WPAI:SHP Percent Activity Impairment Due to Low Back Pain

"A self-reported measure of work productivity and impairment that yields 4 scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on the job effectiveness); work productivity loss (overall work impairment/absenteeism+presenteeism); and activity impairment.~% activity impairment - a measure of the degree to which health problem has affected ability to do regular activities other than work at a job (question 6). Each score is expressed as a percentage (0-100%) with higher numbers indicating greater impairment and less productivity." (NCT01571362)
Timeframe: Randomization Baseline, Weeks 4, 8, and 12

,
InterventionPercentage (Least Squares Mean)
Week 4 (n=108,125)Week 8 (n=85,112)Week 12/ET (n=128,135)
ALO-02 To ALO-021.983.056.41
ALO-02 To Placebo6.232.0510.56

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Change From Randomization Baseline to End of Double-Blind Weeks 4, 8, and 12 (or Final Visit) in WPAI:SHP Percent Impairment Due to Low Back Pain

"A self-reported measure of work productivity and impairment that yields 4 scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on the job effectiveness); work productivity loss (overall work impairment/absenteeism+presenteeism); and activity impairment.~% impairment while working - a measure of presenteeism, the degree to which health problem impacted work (question 5).~Each score is expressed as a percentage (0-100%) with higher numbers indicating greater impairment and less productivity." (NCT01571362)
Timeframe: Randomization Baseline, Weeks 4, 8, and 12

,
InterventionPercentage (Least Squares Mean)
Week 4 (n=30,42)Week 8 (n=21,37)Week 12/ET (n=35,46)
ALO-02 To ALO-02-1.54-1.364.39
ALO-02 To Placebo5.223.636.77

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Subjective Opiate Withdrawal Scale (SOWS) During the Open-Label Titration Period

The SOWS was completed daily by the participant during any of the 2-week tapers from study drug, as well as at each study visit, using an eDiary device, and contains 16 symptoms of opiate withdrawal rated by the participant (Scale of 0 to 4: 0 = not at all, 1 = a little, 2= moderately, 3= quite a bit, 4 = extremely). The sum of the scores on each item was the total SOWS score; the minimum possible SOWS score was 0, the maximum 64. Higher scores indicate a worse outcome. (NCT01571362)
Timeframe: Screening, Weeks 1, 2, 3, 4, 5, and 6

InterventionUnits on a scale (Mean)
Screening (n=395)Week 1 (n=355)Change from Screening at Week 1 (n=346)Week 2 (n=329)Change from Screening at Week 2 (n=320)Week 3 (n=311)Change from Screening at Week 3 (n=304)Week 4 (n=206)Change from Screening at Week 4 (n=199)Week 5 (n=139)Change from Screening at Week 5 (n=133)Week 6/ET (n=369)Change from Screening at Week 6/ET (n=359)Max. SOWS (Titration Period) (n=369)Change from Screening at Max. SOWS (n=359)
Open ALO-024.13.5-0.73.0-1.22.7-1.42.2-2.12.2-2.43.0-1.24.90.7

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Change From Randomization Baseline to End of Double-Blind Weeks 4, 8, and 12 (or Final Visit) in WPAI:SHP Percent Overall Work Impairment Due to Low Back Pain

"A self-reported measure of work productivity and impairment that yields 4 scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on the job effectiveness); work productivity loss (overall work impairment/absenteeism+presenteeism); and activity impairment.~% overall work impairment - a measure of overall work productivity loss due to health problem (absenteeism+presenteeism).~Each score is expressed as a percentage (0-100%) with higher numbers indicating greater impairment and less productivity." (NCT01571362)
Timeframe: Randomization Baseline, Weeks 4, 8, and 12

,
InterventionPercentage (Least Squares Mean)
Week 4 (n=30,42)Week 8 (n=21,37)Week 12/ET (n=35,46)
ALO-02 To ALO-02-2.03-0.665.71
ALO-02 To Placebo5.318.6910.85

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Change From Randomization Baseline to End of Double-Blind Weeks 4, 8, and 12 (or Final Visit) in WPAI:SHP Percent Work Time Missed Due to Low Back Pain

"A self-reported measure of work productivity and impairment that yields 4 scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on the job effectiveness); work productivity loss (overall work impairment/absenteeism+presenteeism); and activity impairment.~% work time missed - a measure of absenteeism, calculated as work time missed due to health problem (question 2) as a proportion of hours actually worked (question 4).~Each score is expressed as a percentage (0-100%) with higher numbers indicating greater impairment and less productivity." (NCT01571362)
Timeframe: Randomization Baseline, Weeks 4, 8, and 12

,
InterventionPercentage (Least Squares Mean)
Week 4 (n=36,44)Week 8 (n=25,41)Week 12/ET (n=40,50)
ALO-02 To ALO-02-0.771.413.72
ALO-02 To Placebo3.544.296.49

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Change From Randomization Baseline to the End of Double-Blind Week 12 (or Final Visit) in SF-36v2 Health Survey

SF-36v2 Health Survey is a self-administered questionnaire consisting of 36 questions, measuring 8 health aspects; physical functioning, role limitations due to physical problems, social functioning, bodily pain, mental health, role limitations due to emotional problems, vitality, and general health perception. These domains also combine to form two component summary scores evaluating mental health and physical health. The minimum score is 0 and the maximum score is 100. A higher score indicate a better health state. (NCT01571362)
Timeframe: Randomization Baseline, Week 12

,
InterventionScore on a scale (Least Squares Mean)
Physical Functioning (n=122,125)Role-Physical (n=124,126)Bodily Pain (n=124,127)General Health Perceptions (n=124,126)Vitality (n=123,127)Social Functioning (n=124,127)Role-Emotional (n=124,127)Mental Health (n=124,127)Physical Component Score (n=121,125)Mental Component Score (n=121,125)
ALO-02 To ALO-02-1.44-2.59-2.69-2.10-2.77-1.69-3.44-2.93-1.68-2.98
ALO-02 To Placebo-2.06-2.56-5.07-1.55-1.62-3.17-2.57-2.95-2.70-2.29

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Change From Randomization Baseline to the End of Double-Blind Weeks 2, 4, and 8 in RMDQ Total Score

RMDQ is a 24-item questionnaire designed to measure self-rated disability due to back pain the same day the questionnaire is completed. An individual participant's score could have ranged from 0 (no disability) to 24 (severe disability), with a lower score indicating better function. (NCT01571362)
Timeframe: Randomization Baseline, Weeks 2, 4, and 8

,
InterventionUnits on a scale (Least Squares Mean)
Week 2 (n=111,118)Week 4 (n=98,107)Week 8 (n=73,93)
ALO-02 To ALO-02-0.190.320.41
ALO-02 To Placebo0.541.02-0.01

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Change From Screening Period to End of Double-Blind Week 12 (or Final Visit) in SF-36v2 Health Survey

SF-36v2 Health Survey is a self-administered questionnaire consisting of 36 questions, measuring 8 health aspects; physical functioning, role limitations due to physical problems, social functioning, bodily pain, mental health, role limitations due to emotional problems, vitality, and general health perception. These domains also combine to form two component summary scores evaluating mental health and physical health. The minimum score is 0 and the maximum score is 100. A higher score indicate a better health state. (NCT01571362)
Timeframe: Screening, Week 12

,
InterventionScore on a scale (Least Squares Mean)
Physical Functioning (n=123,126)Role-Physical (n=125,127)Bodily Pain (n=125,127)General Health Perceptions (n=125,126)Vitality (n=125,127)Social Functioning (n=125,127)Role-Emotional (n=125,127)Mental Health (n=125,127)Physical Component Score (n=123,126)Mental Component Score (n=123,126)
ALO-02 To ALO-026.846.788.781.073.015.571.220.478.09-0.45
ALO-02 To Placebo5.325.686.391.283.463.580.990.096.42-0.44

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Change From Screening Period to End of Double-Blind Weeks 2, 4, 8, and 12 (or Final Visit) in RMDQ Total Score

RMDQ is a 24-item questionnaire designed to measure self-rated disability due to back pain the same day the questionnaire is completed. An individual participant's score could have ranged from 0 (no disability) to 24 (severe disability), with a lower score indicating better function. (NCT01571362)
Timeframe: Screening, Weeks 2, 4, 8, and 12

,
InterventionUnits on a scale (Least Squares Mean)
Week 2 (n=114,124)Week 4 (n=101,111)Week 8 (n=77,95)Week 12/ET (n=123,128)
ALO-02 To ALO-02-4.93-4.60-3.92-4.26
ALO-02 To Placebo-3.88-3.90-4.50-4.33

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Change From Screening Period to End of Double-Blind Weeks 4, 8 and 12 (or Final Visit) in HRU Questionnaire: Money Spent on Treatment for Chronic Low Back Pain

Question 2: money (dollars) spent out-of-pocket on physical treatments in the past 4 weeks to manage chronic low back pain (NCT01571362)
Timeframe: Screening, Weeks 4, 8, and 12

,
InterventionDollars (Mean)
Screening (n=126,138)Week 4 (n=104,119)Change from Screening at Week 4 (n=100,114)Week 8 (n=81,106)Change from Screening at Week 8 (n=78,103)Week 12/ET (n=125,133)Change from Screening at Week 12/ET (n=120,128)
ALO-02 To ALO-0285.615.0-80.316.7-84.529.3-58.1
ALO-02 To Placebo83.619.9-79.8146.256.9113.032.1

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Change From Screening Period to End of Double-Blind Weeks 4, 8 and 12 (or Final Visit) in HRU Questionnaire: Nights in Hospital for Chronic Low Back Pain

Question 3b: nights stayed in the hospital (NCT01571362)
Timeframe: Screening, Weeks 4, 8, and 12

,
InterventionNumber of nights (Mean)
Screening (n=6,3)Week 4 (n=4,0)Change from Screening at Week 4 (n=1,0)Week 8 (n=1,1)Change from Screening at Week 8 (n=0,0)Week 12/ET (n=4,1)Change from Screening at Week 12/ET (n=1,0)
ALO-02 To ALO-020.3NANA0.0NA0.0NA
ALO-02 To Placebo0.00.30.099.0NA24.80.0

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Change From Screening Period to End of Double-Blind Weeks 4, 8, and 12 (or Final Visit) in WPAI:SHP Percent Activity Impairment Due to Low Back Pain

"A self-reported measure of work productivity and impairment that yields 4 scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on the job effectiveness); work productivity loss (overall work impairment/absenteeism+presenteeism); and activity impairment.~% activity impairment - a measure of the degree to which health problem has affected ability to do regular activities other than work at a job (question 6). Each score is expressed as a percentage (0-100%) with higher numbers indicating greater impairment and less productivity." (NCT01571362)
Timeframe: Screening, Weeks 4, 8, and 12

,
InterventionPercentage (Least Squares Mean)
Week 4 (n=109,125)Week 8 (n=87,112)Week 12/ET (n=130,136)
ALO-02 To ALO-02-31.24-29.87-26.81
ALO-02 To Placebo-23.75-25.25-18.62

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Change From Screening Period to End of Double-Blind Weeks 4, 8, and 12 (or Final Visit) in WPAI:SHP Percent Impairment Due to Low Back Pain

"A self-reported measure of work productivity and impairment that yields 4 scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on the job effectiveness); work productivity loss (overall work impairment/absenteeism+presenteeism); and activity impairment.~% impairment while working - a measure of presenteeism, the degree to which health problem impacted work (question 5). Each score is expressed as a percentage (0-100%) with higher numbers indicating greater impairment and less productivity." (NCT01571362)
Timeframe: Screening, Weeks 4, 8, and 12

,
InterventionPercentage (Least Squares Mean)
Week 4 (n=33,42)Week 8 (n=22,37)Week 12/ET (n=38,46)
ALO-02 To ALO-02-31.03-29.37-25.38
ALO-02 To Placebo-18.65-16.43-16.18

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Change From Screening Period to End of Double-Blind Weeks 4, 8, and 12 (or Final Visit) in WPAI:SHP Percent Overall Work Impairment Due to Low Back Pain

"A self-reported measure of work productivity and impairment that yields 4 scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on the job effectiveness); work productivity loss (overall work impairment/absenteeism+presenteeism); and activity impairment.~% overall work impairment - a measure of overall work productivity loss due to health problem (absenteeism+presenteeism). Each score is expressed as a percentage (0-100%) with higher numbers indicating greater impairment and less productivity." (NCT01571362)
Timeframe: Screening, Weeks 4, 8, and 12

,
InterventionPercentage (Least Squares Mean)
Week 4 (n=32,41)Week 8 (n=21,37)Week 12/ET (n=37,46)
ALO-02 To ALO-02-32.40-29.37-25.51
ALO-02 To Placebo-19.84-15.21-15.16

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Change From Screening Period to End of Double-Blind Weeks 4, 8, and 12 (or Final Visit) in WPAI:SHP Percent Work Time Missed Due to Low Back Pain

"A self-reported measure of work productivity and impairment that yields 4 scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on the job effectiveness); work productivity loss (overall work impairment/absenteeism+presenteeism); and activity impairment.~% work time missed - a measure of absenteeism, calculated as work time missed due to health problem (question 2) as a proportion of hours actually worked (question 4). Each score is expressed as a percentage (0-100%) with higher numbers indicating greater impairment and less productivity." (NCT01571362)
Timeframe: Screening, Weeks 4, 8, and 12

,
InterventionPercentage (Least Squares Mean)
Week 4 (n=36,43)Week 8 (n=24,40)Week 12/ET (n=40,49)
ALO-02 To ALO-02-4.82-3.01-2.09
ALO-02 To Placebo-0.09-1.42-1.00

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Change From Screening Period to End of Open-Label in Work Productivity and Activity Impairment Questionnaire: Specific Health Problem (WPAI:SHP): % Work Time Missed, % Impairment, % Overall Work Impairment, % Activity Impairment Due to Low Back Pain

"A self-reported measure of work productivity and impairment that yields 4 scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on the job effectiveness); work productivity loss (overall work impairment /absenteeism+presenteeism); and activity impairment.~work time missed - a measure of absenteeism, calculated as work time missed due to health problem (question 2) as a proportion of hours actually worked (question 4).~impairment while working - a measure of presenteeism, the degree to which health problem impacted work (question 5).~overall work impairment - a measure of overall work productivity loss due to health problem (absenteeism+presenteeism).~activity impairment - a measure of the degree to which health problem has affected ability to do regular activities other than work at a job (question 6). Each score is expressed as a percentage (0-100%) with higher numbers indicating greater impairment and less productivity." (NCT01571362)
Timeframe: Screening, Week 6 (or Early Termination)

InterventionPercentage (Mean)
Percent Work Time Missed (n=119)Percent Impairment While Working (n=112)Percent Overall Work Impairment (n=110)Percent Activity Impairment (n=363)
Open ALO-02-1.3-22.4-21.6-27.2

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Change From Screening Period to End of Open-Label Titration Period in Roland-Morris Disability Questionnaire (RMDQ) Total Score for All Participants

RMDQ is a 24-item questionnaire designed to measure self-rated disability due to back pain the same day the questionnaire is completed. An individual participant's score could have ranged from 0 (no disability) to 24 (severe disability), with a lower score indicating better function; higher scores indicating greater disability. (NCT01571362)
Timeframe: Screening, Week 6 (or Early Termination)

InterventionUnits on a scale (Mean)
Screening (n=405)End of Open-Label Titration Period (n=345)Change from Screening (n=343)
Open ALO-0212.79.0-3.9

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Change From Screening Period to End of Open-Label Treatment in Brief Pain Inventory - Short Form (BPI-sf): Worst Pain, Least Pain, Average Pain, Pain Right Now, Pain Severity Index, Pain Interference Index

BPI-sf is an 11-item self-report questionnaire that is designed to assess the severity and impact of pain on daily functions. BPI-sf includes 4 questions that assess pain intensity (worst, least, average, right now) and 7 questions that assess impact of pain on daily functions (general activity, mood, walking ability, normal work, relations with other people, sleep, enjoyment of life). BPI-sf scores range from 0=No pain to 10=Pain as bad as you can imagine; Higher scores indicate greater pain. Pain Severity Index is the mean of the 4 pain scores (worst, least, average, and right now) on the BPI-sf; range is 0=No pain to 10=Pain as bad as you can imagine; A higher score indicates greater pain severity. Pain Interference Index is the mean of the scores for the 7 items of the BPI-sf; range is 0=Does not interfere to 10=Completely interferes. (NCT01571362)
Timeframe: Screening, Week 4, 5, or 6

InterventionUnits on a Scale (Mean)
Worst Pain Score (n=400)Least Pain Score (n=400)Average Pain Score (n=400)Pain Right Now (n=400)Pain Severity Index (n=400)Pain Interference Index (n=401)
Open ALO-02-3.3-2.6-3.0-3.3-3.1-2.8

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Change From Screening Period to Randomization Baseline in BPI-sf: Worst Pain, Least Pain, Average Pain, Pain Right Now, Pain Severity Index, Pain Interference Index

BPI-sf scores range from 0=No pain to 10=Pain as bad as you can imagine; Higher scores indicate greater pain. Pain Severity Index is the mean of the 4 pain scores (worst, least, average, and right now) on the BPI-sf; range is 0=No pain to 10=Pain as bad as you can imagine; A higher score indicates greater pain severity. Pain Interference Index is the mean of the scores for the 7 items of the BPI-sf; range is 0=Does not interfere to 10=Completely interferes. (NCT01571362)
Timeframe: Screening, Randomization Baseline

Interventionunits on scale (Mean)
Worst Pain Score (n=279)Least Pain Score (n=279)Average Pain Score (n=279)Pain Right Now (n=279)Pain Severity Index (n=279)Pain Interference Index (n=279)
Open ALO-02-4.2-3.4-3.8-4.2-3.9-3.4

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Change From Screening Period to Randomization Baseline in Participant Assessment of Overall Health State Using the EQ-5D Summary Index

Self-completion standardized instrument for use as a measure of health-related quality of life in terms of a single index value or utility score that consisted of 5 dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) each of which was rated on a 3-point response scale (no problems/some or moderate problems/extreme problems), and the scores are combined to form a single index utility value between 0 and 1 with higher scores indicating better health (NCT01571362)
Timeframe: Screening, Randomization Baseline

InterventionScore on a scale (Mean)
Screening (n=272)Randomization Baseline (n=267)Change from Screening (n=260)
Open ALO-020.680.820.14

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Change From Screening Period to Randomization Baseline in Participant Assessment of Overall Health State Using the EQ-5D VAS

The EQ-5D consists of a standard vertical 20cm visual analogue scale (EQ VAS), for recording a participant's rating for their current health related quality of life state; the scale went from 0 (worst imaginable health state) to 100 (best imaginable health state). Participants were asked to draw a line on the scale to indicate how good or bad your own health is today, in your opinion. (NCT01571362)
Timeframe: Screening, Randomization Baseline

InterventionScore on a scale (Mean)
Screening (n=279)Randomization Baseline (n=276)Change from Screening (n=275)
Open ALO-0267.0276.859.84

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Change From Screening Period to Randomization Baseline in RMDQ Total Score

RMDQ is a 24-item questionnaire designed to measure self-rated disability due to back pain the same day the questionnaire is completed. An individual participant's score could have ranged from 0 (no disability) to 24 (severe disability), with a lower score indicating better function. (NCT01571362)
Timeframe: Screening, Randomization Baseline

InterventionUnits on a scale (Mean)
Screening (n=277)Randomization Baseline (n=256)Change from Screening (n=255)
Open ALO-0212.87.9-4.8

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Change From Screening Period to Randomization Baseline in SF-36v2 Health Survey Score

SF-36v2 Health Survey is a self-administered questionnaire consisting of 36 questions, measuring 8 health aspects; physical functioning, role limitations due to physical problems, social functioning, bodily pain, mental health, role limitations due to emotional problems, vitality, and general health perception. These domains also combine to form two component summary scores evaluating mental health and physical health. The minimum score is 0 and the maximum score is 100. A higher score indicate a better health state. (NCT01571362)
Timeframe: Screening, Randomization Baseline

InterventionScore on a scale (Mean)
Physical Functioning (n=276)Role-Physical (n=276)Bodily Pain (n=276)General Health (n=277)Vitality (n=276)Social Functioning (n=277)Role-Emotional (n=277)Mental Health (n=277)Physical Component Score (n=274)Mental Component Score (n=274)
Open ALO-028.09.111.63.15.87.04.73.59.62.9

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Change From Screening Period to Randomization Baseline in WPAI:SHP: Percent Work Time Missed, Percent Impairment, Percent Overall Work Impairment, Percent Activity Impairment Due to Low Back Pain

"A self-reported measure of work productivity and impairment that yields 4 scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on the job effectiveness); work productivity loss (overall work impairment/absenteeism+presenteeism); and activity impairment.~work time missed - a measure of absenteeism, calculated as work time missed due to health problem (question 2) as a proportion of hours actually worked (question 4).~impairment while working - a measure of presenteeism, the degree to which health problem impacted work (question 5).~overall work impairment - a measure of overall work productivity loss due to health problem (absenteeism+presenteeism).~activity impairment - a measure of the degree to which health problem has affected ability to do regular activities other than work at a job (question 6).~Each score is expressed as a percentage (0-100%) with higher numbers indicating greater impairment and less productivity." (NCT01571362)
Timeframe: Screening, Randomization Baseline

InterventionPercentage (Mean)
Percent Work Time Missed (n=91)Percent Impairment While Working (n=86)Percent Overall Work Impairment (n=85)Percent Activity Impairment (n=273)
Open ALO-02-4.9-25.9-26.9-32.0

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Craving for Alcohol

Self-reported scale of alcohol craving ranging from 0 (no craving) to 10 (strongest craving) (NCT01625091)
Timeframe: 4 months

Interventionunits on a scale (Mean)
Naltrexone3.3
Placebo3.2

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Drinking Problems (SIP-2R Score)

The Short Inventory of Problems (SIP-2R) seeks to measure the consequences of drinking in participants through questions related to guilt, reliability etc. The SIP-2R has 15 items asking how often the event happened during the past 3 months. Each item has a score from 0-3 (0=Never, 1=once or a few times, 2=once or twice a week, 3=daily or almost daily). The 15 questions from the SIP-2R are summed to create a total range of scores from 0-45. (NCT01625091)
Timeframe: 4 months

Interventionunits on a scale (Mean)
Naltrexone7.2
Placebo6.7

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Number of Binge Drinking Days

In the past 30 days, total number of days with binge drinking which was defined as consuming ≥4 drinks on a single day (measured by Timeline Follow Back). (NCT01625091)
Timeframe: Month 4

InterventionDays (Median)
Naltrexone0
Placebo1

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Number of Participants Who Quit Hazardous Drinking

The primary statistical outcome for the trial is alcohol consumption at month 4 when the drug is stopped. This main outcome is a categorical variable of either quit hazardous drinking (defined as ≤7 drinks per week and <4 drinks on any single day in the past 30 days), or did not quit (drinking exceeds the hazardous amount) . (NCT01625091)
Timeframe: Month 4

InterventionParticipants (Count of Participants)
Naltrexone44
Placebo39

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Baseline KOR Differences

To determine if baseline levels of KOR differ between family history positive (FHP) and family history negative (FHN) heavy drinkers and to determine if baseline KOR level is related to either baseline drinking or responsivity to NTX. (NCT01625611)
Timeframe: at baseline prior to treatment with naltrexone

Intervention% Occupancy (Mean)
Naltrexone - FH Positive91.2
Naltrexone - FH Negative94.2

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Occupancy of KOR by NTX and Drinking

To determine the degree to which occupancy of KORs by a 100 mg/day dose of NTX mediates (influences the strength of) responsivity to NTX treatment in all heavy drinkers. (NCT01625611)
Timeframe: 6-8 days after treatment with naltrexone

Intervention% Occupancy (Mean)
Naltrexone92

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Relationship Between NTX Responsivity and Occupancy of KOR

To determine whether the relationship between NTX responsivity and occupancy of KOR is different in family history positive vs. family history negative heavy drinkers. Evaluations were done with a logistic regression which included years of drinking (a covariate), family history status, and occupancy of KOR. The logistic model calculated a probability of response, defined as a 50% or greater reduction in drinking after naltrexone, for every participant. Reported outcome is the area under the ROC produced by the model. The closer the value is to 100 percent probability, the better the model is at correctly classifying the observations. (NCT01625611)
Timeframe: 6-8 days after treatment with naltrexone

Interventionpercent probability (Number)
Naltrexone84

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To Assess the Toxicity Associated With Low Dose Naltrexone for Melanoma, CRPC and Renal Cancer.

Defined by number of patients who experienced a SAE (NCT01650350)
Timeframe: 3 months

InterventionParticipants (Count of Participants)
Low Dose Naltrexone0

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Number of Responses to Low Dose Naltrexone for Patients With Advanced Melanoma, Castrate Refractory Prostate Cancer (CRPC) or Renal Cancer Via RECIST

Response will be assessed via RECIST 1.1 criteria utilizing interval CT scans and physical exam after every 3 cycles of treatment (i.e. every 12 weeks). (NCT01650350)
Timeframe: approximately every 3 months CT, every month physical, up to 6 months

,
Interventionparticipants (Number)
stable disease by RECISTprogression of disease by PSAprogression via RECISTprogression clinical
Melanoma: Low Dose Naltrexone0001
Prostate Cancer- Low Dose Naltrexone2610

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Changes in Self-reported Feelings of Connection During Naltrexone (vs. Placebo)

"Participants will read positive, loving messages from friends and family members and then rate their feelings of connection (how connected, touched, and warm they felt, α = .93, averaged to create a measure of feelings of social connection). Ratings were made on a 1-7 scale anchored by not at all and very. Higher numbers indicate greater feelings of connection in response to reading the loving messages." (NCT01672723)
Timeframe: participants will report on their feelings of connection during two separate lab visits, on day 4 of each drug assignment

Interventionunits on a scale (Mean)
Naltrexone5.92
Placebo6.47

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Daily Self-reported Feelings of Social Connection

"For 8 days (4 while on placebo, 4 while on naltrexone), participants were asked to think back to the last 24 hours and respond to how disconnected they felt (I felt out of touch and disconnected from others). Ratings were made on a 1-7 scale anchored by 'strongly disagree' and 'strongly agree.' For ease of interpretation, feelings of disconnection were reverse-coded to measure daily feelings of social connection. Thus higher numbers indicate greater feelings of connection. Responses were averaged across the 4 days that participants were on each study drug (4 while on placebo, 4 while on naltrexone)." (NCT01672723)
Timeframe: end of day for 8 days

Interventionunits on a scale (Mean)
Naltrexone5.68
Placebo6.26

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Self-reported Physical Symptoms

"At the end of each day while on a study drug (4 days when on naltrexone and 4 days when on placebo) participants reported on their physical symptoms (headaches, dizziness/faintness, nausea, appetite increase/decrease) on a 0 (no symptoms) to 4 (very severe) scale.~Responses were averaged across study drug to evaluate a single outcome for days when participants were on naltrexone and a single outcome for days when participants were on placebo." (NCT01672723)
Timeframe: once a day for 8 days

Interventionunits on a scale (Mean)
Naltrexone.391
Placebo.101

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Safety

Number of adverse events throughout the course of the study (NCT01673594)
Timeframe: 6 Weeks

Interventionadverse events (Mean)
Naltrexone6.73
Placebo4.75

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Change in Score on AISRS From Baseline to Week 6

The Adult ADHD Investigator System Report Scale (AISRS) is an 18-item, DSM-IV symptom Likert scale that measures ADHD symptoms in adults. Each of the individual symptoms of ADHD is rated from 0 to 3 on a scale of severity (3 being more severe symptoms). Total scores range from 0 to 54; higher scores indicate greater symptom severity. Change was calculated as value at baseline minus value at 6 weeks. (NCT01673594)
Timeframe: Baseline and 6 Weeks

Interventionunits on a scale (Mean)
Naltrexone-26.7
Placebo-29.1

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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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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 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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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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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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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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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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Change in Adult Investigator Symptom Rating Scale (AISRS) Score

The AISRS is an 18-item clinician rating scale to evaluate individual ADHD symptoms on a scale of 0 (none) to 3 (severe). The total sum ranges from 0 (no ADHD symptoms) to 54 (extremely severe ADHD symptoms). We measured the change in AISRS score from baseline to week 6. (NCT01721330)
Timeframe: 6 weeks

Interventionunits on a scale (Number)
Naltrexone-6.0
Placebo-5.0

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Feasibility of Retaining Participants in Trial

Proportion of persons retained by study arm. (NCT01723384)
Timeframe: proportions eligible and enrolled assessed on ongoing basis throughout the study, proportion of visits completed assessed bi-weekly for each participant; overall retention assessed over 2 month follow-up for each participant

Interventionpercentage that completed study (Number)
Naltrexone100
Placebo86.7

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Tolerability to Study Drug, as Measured by Adverse Events

Frequency of Adverse Events, by arm (NCT01723384)
Timeframe: 2 months

,
InterventionCount (Number)
NauseaHeadachesUpper respiratory tract infection
Naltrexone422
Placebo214

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Acceptability to Taking Medication

Mean number of pills taken weekly, as determined by recorded openings from an electronic monitoring device for study medication pill dispensers (NCT01723384)
Timeframe: 2 month follow-up

Interventionnumber of wisepill openings by week (Mean)
Naltrexone2.2
Placebo1.9

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Time to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and Noroxycodone

Participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone. (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

,,,,
Interventionhours (Median)
Oxycodone (n= 36, 37, 38, 37, 36)Oxymorphone (n= 36, 36, 37, 37, 35)Noroxycodone (n= 36, 37, 38, 37, 36)
ALO-02 40 Mg-C1.030.5591.03
ALO-02 60 mg- C0.5830.5670.600
ALO-02 60 Mg-I12.114.014.1
OXY 40 mg1.030.5671.07
OXY 60 mg1.040.5501.05

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Time to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone and 6-beta-naltrexol

Participants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone. (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

,,
Interventionhour (Median)
Naltrexone (n= 36, 1, 37)6-beta-naltrexol (n= 36, 19, 37)
ALO-02 40 Mg-C0.5500.567
ALO-02 60 Mg-C0.5500.550
ALO-02 60 Mg-I1.581.55

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Take Drug Again Effect at Hours 12, 24 and 36

"Take drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = definitely would not, 50 mm = do not care, and 100 mm = definitely would). Emax = Maximum observed score." (NCT01746901)
Timeframe: 12, 24, 36 hours post-dose

,,,,,
Interventionmm (Mean)
Hour 12Hour 24Hour 36
ALO-02 40 Mg-C54.755.553.9
ALO-02 60 mg- C68.769.668.1
ALO-02 60 Mg-I45.841.041.1
OXY 40 mg79.776.976.8
OXY 60 mg78.978.376.8
Placebo44.041.842.9

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Sleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x). (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

,,,,,
Interventionhours*mm (Mean)
AUE (0-1)AUE (0-2)AUE (0-8)AUE (0-12)AUE (0-24)AUE (0-36)
ALO-02 40 Mg-C9.16044.152196.691239.566295.941299.316
ALO-02 60 mg- C10.78949.125223.984270.109341.922362.922
ALO-02 60 Mg-I9.00427.512127.855195.418346.949382.012
OXY 40 mg17.55566.906295.727352.289407.820414.008
OXY 60 mg22.59079.848378.309440.809487.559493.559
Placebo3.66017.80957.03568.785107.254135.941

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Pupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour

Pupillometry assessments measure change in pupil size (miosis) as an indicator of opioid pharmacological properties. Participants have the size of pupil measured using a pupillometer. Measurements are made in a dimly lit (mesopic) room with controlled lighting conditions. The same eye for each participant was used for all measurements during the study. AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x). (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

,,,,,
Interventionhours*mm (Mean)
AUE (0-1)AUE (0-2)AUE (0-8)AUE (0-12)AUE (0-24)AUE (0-36)
ALO-02 40 Mg-C4.0227.56430.12947.586103.711162.961
ALO-02 60 mg- C3.9867.38429.29846.136102.183161.977
ALO-02 60 Mg-I5.0399.88933.60546.15583.530130.199
OXY 40 mg3.5996.22623.79538.71391.216149.454
OXY 60 mg3.4895.92721.91335.08883.832141.638
Placebo5.16010.16441.08862.550125.791188.828

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Overall Drug Liking Effect at Hours 12, 24 and 36

"Overall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = strong disliking, 50 mm = neither like nor dislike, and 100 mm= strong liking)." (NCT01746901)
Timeframe: 12, 24, 36 hours post-dose

,,,,,
Interventionmm (Mean)
Hour 12Hour 24Hour 36
ALO-02 40 Mg-C61.262.759.9
ALO-02 60 mg- C69.870.169.9
ALO-02 60 Mg-I51.844.846.6
OXY 40 mg78.575.573.2
OXY 60 mg78.178.177.6
Placebo50.650.349.7

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Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)

An AE was any untoward medical occurrence in a participant who received study medication without regard to possibility of causal relationship. SAE: an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 3 - 7 days following last study drug administration. Symptoms of withdrawal following naloxone administration (naloxone challenge phase) were not collected as adverse events unless they met the criteria for an SAE. AEs included SAEs as well as non-serious AEs which occurred during the trial. (NCT01746901)
Timeframe: Screening up to 28 days after last study drug administration (Day 29)

,,,,,,,,
Interventionparticipants (Number)
AEsSAEs
ALO-02 40 Mg-C290
ALO-02 60 mg- C340
ALO-02 60 Mg-I270
Naloxone50
OXY 40 mg370
OXY 60 mg360
Oxycodone HCl 40 mg701
Placebo120
Placebo Oxycodone HCl140

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Nausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x). (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

,,,,,
Interventionhours*mm (Mean)
AUE (0-1)AUE (0-2)AUE (0-8)AUE (0-12)AUE (0-24)AUE (0-36)
ALO-02 40 Mg-C1.3136.93817.65617.65617.65617.844
ALO-02 60 mg- C0.2813.81315.45318.82821.20321.391
ALO-02 60 Mg-I0.0430.52012.46516.34076.40294.777
OXY 40 mg3.86711.50034.10240.60252.50852.508
OXY 60 mg2.7979.39839.64841.52342.99243.742
Placebo1.5513.3095.8015.80113.61322.988

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Maximum Observed Plasma Concentration (Cmax) of Naltrexone and 6-beta-naltrexol

Participants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone. (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

,,
Interventionnanogram per milliliter (ng/mL) (Mean)
Naltrexone6-beta-naltrexol
ALO-02 40 Mg-C1.3898.516
ALO-02 60 Mg-C2.33113.70
ALO-02 60 Mg-I0.018080.3012

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High: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time 0 to x hours (0-x). (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

,,,,,
Interventionhours*mm (Mean)
AUE (0-1)AUE (0-8)AUE (0-12)AUE (0-24)AUE (0-36)
ALO-02 40 Mg-C20.203119.055131.805131.930132.305
ALO-02 60 mg- C27.465153.941160.004171.129173.379
ALO-02 60 Mg-I4.47339.14578.582161.613168.176
OXY 40 mg40.801257.527277.715282.902282.902
OXY 60 mg45.836322.250355.250362.531362.531
Placebo0.7856.5126.51224.19934.137

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Good Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour

Good Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x). (NCT01746901)
Timeframe: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

,,,,,
Interventionhours*mm (Mean)
AUE (0-1)AUE (0-2)AUE (0-8)AUE (0-12)AUE (0-24)AUE (0-36)
ALO-02 40 Mg-C20.72756.352130.758148.195148.883148.883
ALO-02 60 mg- C28.23471.305159.750168.688180.875180.875
ALO-02 60 Mg-I5.25410.54340.41877.855161.043171.355
OXY 40 mg40.992110.430261.813282.875297.656297.844
OXY 60 mg44.656114.953332.352372.414380.414380.602
Placebo0.8053.0559.0639.25017.46926.844

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Feel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour

Feel Sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x). (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

,,,,,
Interventionhours*mm (Mean)
AUE (0-1)AUE (0-2)AUE (0-8)AUE (0-12)AUE (0-24)AUE (0-36)
ALO-02 40 Mg-C0.6293.0045.1765.1765.6456.582
ALO-02 60 mg- C0.0390.7585.2816.1567.4067.594
ALO-02 60 Mg-I0.0351.05112.32412.94964.69983.449
OXY 40 mg0.9574.16013.38713.38713.38713.387
OXY 60 mg0.9962.76215.44919.13719.60521.855
Placebo0.5390.7270.9840.9848.79718.359

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Drug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour

"Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time 0 to x hours (0-x)." (NCT01746901)
Timeframe: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

,,,,,
Interventionhours*mm (Mean)
AUE (0-1)AUE (0-8)AUE (0-12)AUE (0-24)AUE (0-36)
ALO-02 40 Mg-C57.770431.973640.2231267.4101893.848
ALO-02 60 mg- C61.125465.945677.3201285.2891907.414
ALO-02 60 Mg-I50.703404.578616.2031203.8281783.578
OXY 40 mg64.820492.578704.3281337.0161955.953
OXY 60 mg69.734531.586758.3361398.8362024.711
Placebo50.020399.957600.6451202.8631805.113

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Dose Normalized Maximum Observed Plasma Concentration (Cmax[dn]) of Oxycodone, Oxymorphone and Noroxycodone

Cmax[dn]=Dose normalized maximum observed plasma concentration of participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone. (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

,,,,
Interventionnanogram/milliliter/milligram (Mean)
Oxycodone (n= 36, 37, 38, 37, 36)Oxymorphone (n= 36, 36, 38, 37, 35)Noroxycodone (n= 36, 37, 38, 37, 36)
ALO-02 40 Mg-C1.9890.032711.295
ALO-02 60 mg- C1.9230.031821.343
ALO-02 60 Mg-I0.49780.00680.3672
OXY 40 mg1.6720.028471.123
OXY 60 mg1.5140.024191.026

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Dizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x). (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

,,,,,
Interventionhours*mm (Mean)
AUE (0-1)AUE (0-2)AUE (0-8)AUE (0-12)AUE (0-24)AUE (0-36)
ALO-02 40 Mg-C7.11724.00847.29748.42249.92250.109
ALO-02 60 mg- C6.20718.40241.41042.16043.75444.129
ALO-02 60 Mg-I1.2382.73823.93447.684120.934135.559
OXY 40 mg10.11728.75875.82883.26685.48485.859
OXY 60 mg14.04335.691117.738122.551122.895123.457
Placebo0.1250.9221.8441.90610.09419.844

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Area Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour, 0-8 Hour 0-12 Hour and 0-24 Hour of Oxycodone

AUC is a measure of the serum concentration of the drug over time. It is used to characterize drug absorption. Participants who received oxycodone were reported. (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

,,,,
Interventionnanogram*hour/milliliter (ng*hr/mL) (Mean)
AUC (0-1)AUC (0-2)AUC (0-8)AUC (0-12)AUC (0-24)
ALO-02 40 Mg-C45.21103.5276.8319.6356.2
ALO-02 60 mg- C72.25157.5405.5464.8513.9
ALO-02 60 Mg-I0.021020.783479.08181.6455.3
OXY 40 mg37.6088.12265.0314.1355.9
OXY 60 mg53.38120.0366.5451.5527.8

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Any Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour

Any Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x). (NCT01746901)
Timeframe: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

,,,,,
Interventionhours*mm (Mean)
AUE (0-1)AUE (0-2)AUE (0-8)AUE (0-12)AUE (0-24)AUE (0-36)
ALO-02 40 Mg-C20.12957.504140.152156.652157.059157.059
ALO-02 60 mg- C26.56669.059167.137176.199184.137186.387
ALO-02 60 Mg-I4.53910.73453.242107.180218.805235.117
OXY 40 mg40.199112.910283.770317.270345.301345.488
OXY 60 mg48.328124.617354.391392.828402.516402.703
Placebo1.1053.0905.9495.94913.76223.324

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Take Drug Again: Peak Effect (Emax)

"Take drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = definitely would not, 50 mm = do not care, and 100 mm = definitely would). Emax = Maximum observed score." (NCT01746901)
Timeframe: 12, 24, 36 hours post-dose

Interventionmm (Mean)
Placebo45.7
ALO-02 40 Mg-C57.9
OXY 40 mg83.4
ALO-02 60 Mg-I48.1
ALO-02 60 mg- C72.0
OXY 60 mg81.3

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Take Drug Again: Minimum Effect (Emin)

"Take drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = definitely would not, 50 mm = do not care, and 100 mm = definitely would). Emax = Maximum observed score." (NCT01746901)
Timeframe: 12, 24, 36 hours post-dose

Interventionmm (Mean)
Placebo41.1
ALO-02 40 Mg-C50.9
OXY 40 mg73.2
ALO-02 60 Mg-I37.8
ALO-02 60 mg- C66.3
OXY 60 mg75.2

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Take Drug Again: Mean Effect (Emean)

"Take drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = definitely would not, 50 mm = do not care, and 100 mm = definitely would). Emax = Maximum observed score." (NCT01746901)
Timeframe: 12, 24, 36 hours post-dose

Interventionmm (Mean)
Placebo42.90
ALO-02 40 Mg-C54.71
OXY 40 mg77.80
ALO-02 60 Mg-I42.63
ALO-02 60 mg- C68.78
OXY 60 mg78.02

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Sleepy: Time to Maximum (Peak) Effect (TEmax)

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm)to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Interventionhours (Median)
Placebo0.758
ALO-02 40 Mg-C2.025
OXY 40 mg2.508
ALO-02 60 Mg-I2.000
ALO-02 60 mg- C2.017
OXY 60 mg2.033

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Sleepy: Peak Effect (Emax)

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Interventionmm (Mean)
Placebo24.7
ALO-02 40 Mg-C56.8
OXY 40 mg72.0
ALO-02 60 Mg-I38.3
ALO-02 60 mg- C59.2
OXY 60 mg76.1

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Pupillometry: Time to Maximum (Peak) Effect (TEmax)

Pupillometry assessments measure change in pupil size (miosis) as an indicator of opioid pharmacological properties. Participants have the size of pupil measured using a pupillometer. Measurements are made in a dimly lit (mesopic) room with controlled lighting conditions. The same eye for each participant was used for all measurements during the study. TEmax = Time to maximum observed score. (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Interventionhours (Median)
Placebo2.275
ALO-02 40 Mg-C1.517
OXY 40 mg1.517
ALO-02 60 Mg-I12.050
ALO-02 60 mg- C1.775
OXY 60 mg1.533

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Pupillometry: Peak Effect (Emax)

Pupillometry assessments measure change in pupil size (miosis) as an indicator of opioid pharmacological properties. Participants have the size of pupil measured using a pupillometer. Measurements are made in a dimly lit (mesopic) room with controlled lighting conditions. The same eye for each participant was used for all measurements during the study. Emax = Maximum observed score. (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Interventionmm (Mean)
Placebo-0.8
ALO-02 40 Mg-C-2.0
OXY 40 mg-2.7
ALO-02 60 Mg-I-2.4
ALO-02 60 mg- C-2.1
OXY 60 mg-3.0

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Plasma Terminal Half-Life (t1/2) of Oxycodone

Participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone. (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Interventionhours (Median)
ALO-02 40 Mg-C4.470
OXY 40 mg4.240
ALO-02 60 Mg-I9.340
ALO-02 60 mg- C4.300
OXY 60 mg4.195

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Overall Drug Liking: Peak Effect (Emax)

"Overall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = strong disliking, 50 mm = neither like nor dislike, and 100 mm= strong liking). Emax = Maximum observed score." (NCT01746901)
Timeframe: 12, 24, 36 hours post-dose

Interventionmm (Mean)
Placebo50.8
ALO-02 40 Mg-C64.3
OXY 40 mg80.8
ALO-02 60 Mg-I52.9
ALO-02 60 mg- C74.0
OXY 60 mg81.6

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Overall Drug Liking: Minimum Effect (Emin)

"Overall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = strong disliking, 50 mm = neither like nor dislike, and 100 mm= strong liking). Emin= Average observed score." (NCT01746901)
Timeframe: 12, 24, 36 hours post-dose

Interventionmm (Mean)
Placebo49.6
ALO-02 40 Mg-C58.5
OXY 40 mg71.1
ALO-02 60 Mg-I43.6
ALO-02 60 mg- C65.6
OXY 60 mg74.3

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Overall Drug Liking: Mean Effect (Emean)

"Overall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = strong disliking, 50 mm = neither like nor dislike, and 100 mm= strong liking). Emean = Average observed score." (NCT01746901)
Timeframe: 12, 24, 36 hours post-dose

Interventionmm (Mean)
Placebo50.19
ALO-02 40 Mg-C61.26
OXY 40 mg75.70
ALO-02 60 Mg-I47.72
ALO-02 60 mg- C69.94
OXY 60 mg77.90

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Number of Participants With Clinically Significant Change in Vital Sign Examinations

Vital signs assessment included measurement of heart rate, systolic and diastolic blood pressures, respiratory rate and oral temperature. Criteria for clinically significant change in any vital sign examination was based on investigator's discretion. (NCT01746901)
Timeframe: Screening up to 7 days following last study drug administration (Day 8)

Interventionparticipants (Number)
Naloxone0
Oxycodone HCl 40 mg0
Placebo Oxycodone HCl0
Placebo0
ALO-02 40 Mg-C0
OXY 40 mg0
ALO-02 60 Mg-I0
ALO-02 60 mg- C0
OXY 60 mg0

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Number of Participants With Clinically Significant Change in Oxygen Saturation of Hemoglobin (SpO2)

Oxygen saturation of hemoglobin in blood (SpO2) was monitored using pulse oximetry continuously for 5 hours following dosing in the drug discrimination phase and continuously for 12 hours following dosing in the treatment phase, or longer at the discretion of the investigator. Individual measurements was collected in a sitting position. If SpO2 fall below 90 percent (%), the investigator might had administered oxygen via nasal cannula at a flow rate sufficient to maintain the SpO2 greater than or equal to 90%. Participants with fall in SpO2 below 90% were reported. (NCT01746901)
Timeframe: pre-dose up to 5 hours in drug discrimination phase; pre-dose up to 12 hours in intervention period

Interventionparticipants (Number)
Placebo0
ALO-02 40 Mg-C0
OXY 40 mg0
ALO-02 60 Mg-I0
ALO-02 60 mg- C0
OXY 60 mg0
Oxycodone HCl 40 mg0
Placebo Oxycodone HCl0

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Number of Participants With Clinically Significant Change in End Tidal Carbon Dioxide (EtCO2)

End-tidal carbon dioxide concentration in the expired air (EtCO2) was monitored using capnography in a sitting position. Criteria for clinically significant change in EtCO2 was based on investigator's discretion. (NCT01746901)
Timeframe: pre-dose, 0.5, 1, 1.5, 2, 3, 4, 5 hours post-dose in drug discrimination phase; pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose in intervention period

Interventionparticipants (Number)
Placebo0
ALO-02 40 Mg-C0
OXY 40 mg0
ALO-02 60 Mg-I0
ALO-02 60 mg- C0
OXY 60 mg0
Oxycodone HCl 40 mg0
Placebo Oxycodone HCl0

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Nausea: Time to Maximum (Peak) Effect (TEmax)

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Interventionhours (Median)
Placebo0.250
ALO-02 40 Mg-C0.267
OXY 40 mg0.267
ALO-02 60 Mg-I0.267
ALO-02 60 mg- C0.267
OXY 60 mg0.267

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Nausea: Peak Effect (Emax)

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Interventionmm (Mean)
Placebo6.1
ALO-02 40 Mg-C11.5
OXY 40 mg17.8
ALO-02 60 Mg-I9.5
ALO-02 60 mg- C11.3
OXY 60 mg22.0

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High: Time to Maximum (Peak) Effect (TEmax)

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Interventionhours (Median)
Placebo0.250
ALO-02 40 Mg-C1.017
OXY 40 mg1.017
ALO-02 60 Mg-I0.767
ALO-02 60 mg- C1.017
OXY 60 mg1.017

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High: Area Under Effect Curve (AUE) From 0-2 Hour

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hours. (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2 hours post-dose

Interventionhours*mm (Mean)
Placebo2.496
ALO-02 40 Mg-C55.250
OXY 40 mg112.082
ALO-02 60 Mg-I9.902
ALO-02 60 mg- C71.254
OXY 60 mg117.578

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Good Drug Effects: Time to Maximum (Peak) Effect (TEmax)

Good Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01746901)
Timeframe: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Interventionhours (Median)
Placebo0.258
ALO-02 40 Mg-C1.017
OXY 40 mg1.017
ALO-02 60 Mg-I0.517
ALO-02 60 mg- C1.017
OXY 60 mg1.017

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Good Drug Effects: Peak Effect (Emax)

Good Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01746901)
Timeframe: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Interventionmm (Mean)
Placebo11.6
ALO-02 40 Mg-C48.1
OXY 40 mg81.8
ALO-02 60 Mg-I24.2
ALO-02 60 mg- C54.7
OXY 60 mg84.3

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Feel Sick: Time to Maximum (Peak) Effect (TEmax)

Feel Sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Interventionhours (Median)
Placebo0.250
ALO-02 40 Mg-C0.267
OXY 40 mg0.267
ALO-02 60 Mg-I0.267
ALO-02 60 mg- C0.267
OXY 60 mg0.267

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Feel Sick: Peak Effect (Emax)

Feel Sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Interventionmm (Mean)
Placebo3.1
ALO-02 40 Mg-C5.4
OXY 40 mg8.8
ALO-02 60 Mg-I10.1
ALO-02 60 mg- C2.6
OXY 60 mg11.7

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Drug Liking: Time to Maximum (Peak) Effect (TEmax)

"Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). TEmax = Time to maximum observed score." (NCT01746901)
Timeframe: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Interventionhours (Median)
Placebo0.267
ALO-02 40 Mg-C1.017
OXY 40 mg1.017
ALO-02 60 Mg-I0.758
ALO-02 60 mg- C1.017
OXY 60 mg1.008

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Drug Liking: Peak Effect (Emax)

"Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 millimeter (mm) bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the extreme left with strong disliking (score of 0 mm) and on the extreme right with strong liking (score of 100 mm). Peak Effect (Emax) = Maximum observed score." (NCT01746901)
Timeframe: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose in treatment phase

Interventionmm (Mean)
Placebo51.6
ALO-02 40 Mg-C70.1
OXY 40 mg85.5
ALO-02 60 Mg-I59.3
ALO-02 60 mg- C74.4
OXY 60 mg89.7

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Bad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour, 0-12 Hour, 0-24 Hour and 0-36 Hour

Bad Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x). (NCT01746901)
Timeframe: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

,,,,,
Interventionhours*mm (Mean)
AUE (0-1)AUE (0-2)AUE (0-8)AUE (0-12)AUE (0-24)AUE (0-36)
ALO-02 40 Mg-C0.9778.16428.98429.98430.20330.578
ALO-02 60 mg- C0.9184.84038.19146.69150.34851.473
ALO-02 60 Mg-I0.4452.35922.19541.570138.039169.352
OXY 40 mg4.35916.02360.13371.19585.47785.852
OXY 60 mg3.62117.05981.77796.715102.434102.621
Placebo0.6521.2702.5272.52710.34019.715

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Dose Normalized Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)dn] of Oxycodone

[AUC (0 - ∞)dn]= Dose normalized area under the plasma concentration versus time curve [AUC(dn)] from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0- t) plus AUC (t - ∞). Participants who received oxycodone were reported. Participants who received oxycodone were reported. (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Interventionng*hr/mL/mg (Mean)
ALO-02 40 Mg-C9.079
OXY 40 mg9.085
ALO-02 60 Mg-I10.88
ALO-02 60 mg- C8.718
OXY 60 mg9.018

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Dizzy: Time to Maximum (Peak) Effect (TEmax)

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Interventionhours (Median)
Placebo0.250
ALO-02 40 Mg-C0.758
OXY 40 mg0.767
ALO-02 60 Mg-I0.258
ALO-02 60 mg- C0.292
OXY 60 mg0.758

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Dizzy: Peak Effect (Emax)

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Interventionmm (Mean)
Placebo3.6
ALO-02 40 Mg-C23.4
OXY 40 mg30.6
ALO-02 60 Mg-I12.0
ALO-02 60 mg- C19.5
OXY 60 mg39.3

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Bad Drug Effects: Time to Maximum (Peak) Effect (TEmax)

Bad Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01746901)
Timeframe: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Interventionhours (Median)
Placebo0.250
ALO-02 40 Mg-C0.267
OXY 40 mg1.517
ALO-02 60 Mg-I0.308
ALO-02 60 mg- C0.267
OXY 60 mg1.758

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Bad Drug Effects: Peak Effect (Emax)

Bad Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01746901)
Timeframe: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Interventionmm (Mean)
Placebo5.8
ALO-02 40 Mg-C16.4
OXY 40 mg26.5
ALO-02 60 Mg-I20.6
ALO-02 60 mg- C16.9
OXY 60 mg31.4

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Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Oxycodone

Area under the plasma concentration time-curve from zero to the last quantifiable concentration (AUClast). Participants who received oxycodone were reported. (NCT01746901)
Timeframe: pre-dose, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Interventionng*hr/mL (Mean)
ALO-02 40 Mg-C361.6
OXY 40 mg361.6
ALO-02 60 Mg-I575.8
ALO-02 60 mg- C521.0
OXY 60 mg538.6

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Any Drug Effects: Time to Maximum (Peak) Effect (TEmax)

Any Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01746901)
Timeframe: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Interventionhours (Median)
Placebo0.258
ALO-02 40 Mg-C1.017
OXY 40 mg1.017
ALO-02 60 Mg-I0.758
ALO-02 60 mg- C1.258
OXY 60 mg1.017

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Any Drug Effects: Peak Effect (Emax)

Any Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01746901)
Timeframe: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose

Interventionmm (Mean)
Placebo8.8
ALO-02 40 Mg-C47.2
OXY 40 mg82.4
ALO-02 60 Mg-I27.7
ALO-02 60 mg- C56.0
OXY 60 mg88.7

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High: Peak Effect (Emax)

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01746901)
Timeframe: 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 14, 24, 36 hours post-dose in treatment phase

Interventionmm (Mean)
Placebo10.9
ALO-02 40 Mg-C47.3
OXY 40 mg77.9
ALO-02 60 Mg-I21.7
ALO-02 60 mg- C53.4
OXY 60 mg84.7

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Drug Liking: Area Under Effect Curve (AUE) From 0-2 Hour

"Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 millimeter (mm) bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the extreme left with strong disliking (score of 0 mm) and on the extreme right with strong liking (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hours." (NCT01746901)
Timeframe: 0.25, 0.5, 1, 1.5, 2 hours post-dose

Interventionhours*mm (Mean)
Placebo100.004
ALO-02 40 Mg-C118.480
OXY 40 mg141.305
ALO-02 60 Mg-I100.188
ALO-02 60 mg- C127.320
OXY 60 mg149.484

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Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Oxycodone, Oxymorphone and Noroxycodone

AUC (0 - ∞)= Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞). Participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

,
Interventionnanogram*hour/milliliter (ng*hr/mL) (Mean)
Oxycodone (n = 30, 32)Oxymorphone (n = 1, 1)Noroxycodone (n = 28, 27)
ALO-02 30 mg361.2NA309.9
Oxycodone 30 mg447.3NA288.8

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High: Time to Maximum (Peak) Effect (TEmax)

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionhours (Median)
Placebo Sugar Spheres0.258
ALO-02 30 mg0.275
Placebo Lactose Tablet0.250
Oxycodone 30 mg0.517

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Bad Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 Hour

Bad Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x). (NCT01775189)
Timeframe: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

,,,
Interventionhours*mm (Mean)
AUE (0-1)AUE (0-2)AUE (0-8)AUE (0-24)
ALO-02 30 mg3.9116.92015.00019.214
Oxycodone 30 mg4.08010.10743.23271.375
Placebo Lactose Tablet0.2460.7015.7196.004
Placebo Sugar Spheres0.0450.1160.4826.696

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Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Naltrexone and 6-beta-naltrexol

AUC (0 - ∞)= Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞). Participants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionnanogram*hour/milliliter (ng*hr/mL) (Mean)
Naltrexone (n = 11)6-beta-naltrexol (n = 30)
ALO-02 30 mg10.7145.85

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Area Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Oxycodone, Oxymorphone and Noroxycodone

AUC is a measure of the serum concentration of the drug over time. It is used to characterize drug absorption. Participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8 hours post-dose

,
Interventionnanogram*hour/milliliter (ng*hr/mL) (Mean)
Oxycodone: AUC (0-1)Oxycodone: AUC (0-2)Oxycodone: AUC (0-8)Oxymorphone: AUC (0-1)Oxymorphone: AUC (0-2)Oxymorphone: AUC (0-8)Noroxycodone: AUC (0-1)Noroxycodone: AUC (0-2)Noroxycodone: AUC (0-8)
ALO-02 30 mg33.5981.26263.90.095440.40231.9795.72626.37147.7
Oxycodone 30 mg59.56116.3328.20.15890.42111.8566.41018.91119.9

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Area Under the Concentration-Time Curve (AUC) From 0-1 Hour, 0-2 Hour and 0-8 Hour of Naltrexone and 6-beta-naltrexol

AUC is a measure of the serum concentration of the drug over time. It is used to characterize drug absorption. Participants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8 hours post-dose

Interventionnanogram*hour/milliliter (ng*hr/mL) (Mean)
Naltrexone: AUC (0-1)Naltrexone: AUC (0-2)Naltrexone: AUC (0-8)6-beta-naltrexol: AUC (0-1)6-beta-naltrexol: AUC (0-2)6-beta-naltrexol: AUC (0-8)
ALO-02 30 mg3.1275.66910.251.0503.86218.78

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Any Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 Hour

Any Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x). (NCT01775189)
Timeframe: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

,,,
Interventionhours*mm (Mean)
AUE (0-1)AUE (0-2)AUE (0-8)AUE (0-24)
ALO-02 30 mg18.64738.29082.37196.013
Oxycodone 30 mg69.692138.888329.004399.719
Placebo Lactose Tablet1.6923.70112.51312.585
Placebo Sugar Spheres0.2950.4290.8301.045

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Take Drug Again: Peak Effect (Emax)

"Take drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = definitely would not, 50 mm = do not care, and 100 mm = definitely would). Emax = Maximum observed score." (NCT01775189)
Timeframe: Intervention period: 12, 24 hours post-dose

Interventionmm (Mean)
Placebo Sugar Spheres48.0
ALO-02 30 mg58.3
Placebo Lactose Tablet46.6
Oxycodone 30 mg87.8

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Sleepy: Time to Maximum (Peak) Effect (TEmax)

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionhours (Median)
Placebo Sugar Spheres0.267
ALO-02 30 mg1.517
Placebo Lactose Tablet0.267
Oxycodone 30 mg2.517

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Sleepy: Peak Effect (Emax)

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionmm (Mean)
Placebo Sugar Spheres7.6
ALO-02 30 mg35.0
Placebo Lactose Tablet11.1
Oxycodone 30 mg62.9

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Pupillometry: Time to Maximum (Peak) Effect (TEmax)

Pupillometry assessments measure change in pupil size (miosis) as an indicator of opioid pharmacological properties. Participants have the size of pupil measured using a pupillometer. Measurements are made in a dimly lit (mesopic) room with controlled lighting conditions. The same eye for each participant was used for all measurements during the study. TEmax = Time to maximum observed score. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionhours (Median)
Placebo Sugar Spheres3.017
ALO-02 30 mg3.017
Placebo Lactose Tablet2.025
Oxycodone 30 mg0.800

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Pupillometry: Peak Effect (Emax)

Pupillometry assessments measure change in pupil size (miosis) as an indicator of opioid pharmacological properties. Participants have the size of pupil measured using a pupillometer. Measurements are made in a dimly lit (mesopic) room with controlled lighting conditions. The same eye for each participant was used for all measurements during the study. Emax = Maximum observed score. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionmm (Mean)
Placebo Sugar Spheres-0.9
ALO-02 30 mg-1.7
Placebo Lactose Tablet-0.7
Oxycodone 30 mg-2.9

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Percentage of Dose (Drug Powder) Insufflated

The percentage of dose insufflated, was based on a calculation of the weight of powder remaining (if any) following each dosing during the intervention period. (NCT01775189)
Timeframe: Intervention period: 0 Hour post-dose

Interventionpercentage of dose (Mean)
Placebo Sugar Spheres100.00
ALO-02 30 mg99.85
Placebo Lactose Tablet100.00
Oxycodone 30 mg99.37

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Overall Drug Liking: Peak Effect (Emax)

"Overall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = strong disliking, 50 mm = neither like nor dislike, and 100 mm= strong liking). Emax = Maximum observed score." (NCT01775189)
Timeframe: Intervention period: 12, 24 hours post-dose

Interventionmm (Mean)
Placebo Sugar Spheres50.5
ALO-02 30 mg59.9
Placebo Lactose Tablet51.5
Oxycodone 30 mg85.1

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Overall Drug Liking: Mean Effect (Emean)

"Overall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = strong disliking, 50 mm = neither like nor dislike, and 100 mm= strong liking). Emean = Average observed score." (NCT01775189)
Timeframe: Intervention period: 12, 24 hours post-dose

Interventionmm (Mean)
Placebo Sugar Spheres50.32
ALO-02 30 mg56.77
Placebo Lactose Tablet49.16
Oxycodone 30 mg81.25

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Number of Participants With Clinically Significant Change in Vital Sign Examinations

Vital signs assessment included measurement of heart rate, systolic and diastolic blood pressures, and respiratory rate. Criteria for clinically significant change in any vital sign examination was based on investigator's discretion. (NCT01775189)
Timeframe: Screening up to 3 to 7 days following last study drug administration, or time of early withdrawal

Interventionparticipants (Number)
Naloxone0
Oxycodone HCl 30 mg0
Placebo Oxycodone HCl0
Placebo Sugar Spheres0
ALO-02 30 mg0
Placebo Lactose Tablet0
Oxycodone 30 mg0

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Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Oxycodone, Oxymorphone and Noroxycodone

Area under the plasma concentration time-curve from zero to the last quantifiable concentration (AUClast). Participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

,
Interventionnanogram*hour/milliliter (ng*hr/mL) (Mean)
OxycodoneOxymorphoneNoroxycodone
ALO-02 30 mg353.02.498280.6
Oxycodone 30 mg435.32.469248.5

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Number of Participants With Clinically Significant Change in Oxygen Saturation of Hemoglobin (SpO2)

Oxygen saturation of hemoglobin in blood (SpO2) was monitored using pulse oximetry continuously for 5 hours following dosing in the drug discrimination phase and continuously for 12 hours following dosing in the treatment phase, or longer at the discretion of the investigator. Individual measurement was collected in a sitting position. If SpO2 fall below 90 percent (%), the investigator administered oxygen via nasal cannula at a flow rate sufficient to maintain the SpO2 greater than or equal to 90%. Participants with fall in SpO2 below 90% were reported. (NCT01775189)
Timeframe: Drug discrimination phase: pre-dose up to 5 hours; intervention period: pre-dose up to 12 hours

Interventionparticipants (Number)
Oxycodone HCl 30 mg0
Placebo Oxycodone HCl0
Placebo Sugar Spheres0
ALO-02 30 mg0
Placebo Lactose Tablet0
Oxycodone 30 mg0

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Number of Participants With Clinically Significant Change in End Tidal Carbon Dioxide (EtCO2)

End-tidal carbon dioxide concentration in the expired air (EtCO2) was monitored using capnography in a sitting position. Criteria for clinically significant change in EtCO2 was based on investigator's discretion. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionparticipants (Number)
Placebo Sugar Spheres0
ALO-02 30 mg0
Placebo Lactose Tablet0
Oxycodone 30 mg0

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Nausea: Time to Maximum (Peak) Effect (TEmax)

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionhours (Median)
Placebo Sugar Spheres0.267
ALO-02 30 mg0.267
Placebo Lactose Tablet0.250
Oxycodone 30 mg0.267

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Nausea: Peak Effect (Emax)

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionmm (Mean)
Placebo Sugar Spheres1.9
ALO-02 30 mg9.3
Placebo Lactose Tablet5.3
Oxycodone 30 mg12.3

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Dizzy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 Hour

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x). (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

,,,
Interventionhours*mm (Mean)
AUE (0-1)AUE (0-2)AUE (0-8)AUE (0-24)
ALO-02 30 mg1.1615.1348.48211.768
Oxycodone 30 mg9.19217.73748.82657.469
Placebo Lactose Tablet0.7951.2594.9385.152
Placebo Sugar Spheres0.0360.4823.2867.143

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Drug Liking: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 Hour

"Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time 0 to x hours (0-x)." (NCT01775189)
Timeframe: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

,,,
Interventionhours*mm (Mean)
AUE (0-1)AUE (0-8)AUE (0-24)
ALO-02 30 mg53.455414.0451223.902
Oxycodone 30 mg81.250540.5541397.911
Placebo Lactose Tablet49.884401.0361202.750
Placebo Sugar Spheres49.143395.4551198.955

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Feel Sick: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 Hour

Feel Sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x). (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

,,,
Interventionhours*mm (Mean)
AUE (0-1)AUE (0-2)AUE (0-8)AUE (0-24)
ALO-02 30 mg1.5493.4249.37110.513
Oxycodone 30 mg0.4423.04925.10342.460
Placebo Lactose Tablet0.2320.7144.8044.875
Placebo Sugar Spheres0.0360.5451.1701.313

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Good Drug Effects: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 Hour

Good Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x). (NCT01775189)
Timeframe: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

,,,
Interventionhours*mm (Mean)
AUE (0-1)AUE (0-2)AUE (0-8)AUE (0-24)
ALO-02 30 mg14.26326.60358.74669.246
Oxycodone 30 mg69.464138.679307.589348.732
Placebo Lactose Tablet2.3935.16114.79514.795
Placebo Sugar Spheres0.8040.9022.7776.420

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High: Area Under Effect Curve (AUE) From 0-1 Hour, 0-8 Hour and 0-24 Hours

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time 0 to x hours (0-x). (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

,,,
Interventionhours*mm (Mean)
AUE (0-1)AUE (0-8)AUE (0-24)
ALO-02 30 mg14.25060.14375.429
Oxycodone 30 mg68.223290.670330.813
Placebo Lactose Tablet2.31312.95516.598
Placebo Sugar Spheres0.7901.0491.121

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Maximum Observed Plasma Concentration (Cmax) of Naltrexone and 6-beta-naltrexol

Participants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionnanogram per milliliter (ng/mL) (Mean)
Naltrexone6-beta-naltrexol
ALO-02 30 mg4.5744.085

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Any Drug Effects: Peak Effect (Emax)

Any Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01775189)
Timeframe: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionmm (Mean)
Placebo Sugar Spheres0.6
ALO-02 30 mg35.5
Placebo Lactose Tablet6.2
Oxycodone 30 mg88.6

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Any Drug Effects: Time to Maximum (Peak) Effect (TEmax)

Any Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01775189)
Timeframe: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionhours (Median)
Placebo Sugar Spheres0.267
ALO-02 30 mg0.517
Placebo Lactose Tablet0.250
Oxycodone 30 mg0.267

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Bad Drug Effects: Peak Effect (Emax)

Bad Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01775189)
Timeframe: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionmm (Mean)
Placebo Sugar Spheres1.4
ALO-02 30 mg13.0
Placebo Lactose Tablet5.6
Oxycodone 30 mg18.5

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Bad Drug Effects: Time to Maximum (Peak) Effect (TEmax)

Bad Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01775189)
Timeframe: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionhours (Median)
Placebo Sugar Spheres0.267
ALO-02 30 mg0.267
Placebo Lactose Tablet0.250
Oxycodone 30 mg0.642

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Dizzy: Peak Effect (Emax)

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionmm (Mean)
Placebo Sugar Spheres4.4
ALO-02 30 mg7.4
Placebo Lactose Tablet4.1
Oxycodone 30 mg23.5

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Dizzy: Time to Maximum (Peak) Effect (TEmax)

Dizzy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionhours (Median)
Placebo Sugar Spheres0.267
ALO-02 30 mg0.267
Placebo Lactose Tablet0.250
Oxycodone 30 mg0.267

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Drug Liking: Area Under Effect Curve (AUE) From 0-2 Hour

"Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 millimeter (mm) bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the extreme left with strong disliking (score of 0 mm) and on the extreme right with strong liking (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hours." (NCT01775189)
Timeframe: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2 hours post-dose

Interventionhours*mm (Mean)
Placebo Sugar Spheres98.518
ALO-02 30 mg105.286
Placebo Lactose Tablet100.241
Oxycodone 30 mg159.580

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Drug Liking: Peak Effect (Emax)

"Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 millimeter (mm) bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the extreme left with strong disliking (score of 0 mm) and on the extreme right with strong liking (score of 100 mm). Peak Effect (Emax) = Maximum observed score." (NCT01775189)
Timeframe: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionmm (Mean)
Placebo Sugar Spheres50.9
ALO-02 30 mg60.5
Placebo Lactose Tablet51.3
Oxycodone 30 mg92.8

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Drug Liking: Time to Maximum (Peak) Effect (TEmax)

"Drug liking assesses the degree that a participant likes a drug effect at the time the question is being asked (that is, at the moment). It is scored using a 100 mm bipolar VAS anchored in the center with a neutral anchor of neither like nor dislike (score of 50 mm), on the left with strong disliking (score of 0 mm) and on the right with strong liking (score of 100 mm). TEmax = Time to maximum observed score." (NCT01775189)
Timeframe: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionhours (Median)
Placebo Sugar Spheres0.383
ALO-02 30 mg0.758
Placebo Lactose Tablet0.500
Oxycodone 30 mg0.383

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Feel Sick: Peak Effect (Emax)

Feel Sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01775189)
Timeframe: Intervention periods: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionmm (Mean)
Placebo Sugar Spheres2.1
ALO-02 30 mg8.7
Placebo Lactose Tablet3.9
Oxycodone 30 mg4.6

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Feel Sick: Time to Maximum (Peak) Effect (TEmax)

Feel Sick VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionhours (Median)
Placebo Sugar Spheres0.267
ALO-02 30 mg0.267
Placebo Lactose Tablet0.250
Oxycodone 30 mg0.267

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Good Drug Effects: Peak Effect (Emax)

Good Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01775189)
Timeframe: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionmm (Mean)
Placebo Sugar Spheres4.3
ALO-02 30 mg25.6
Placebo Lactose Tablet8.4
Oxycodone 30 mg87.9

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Take Drug Again: Mean Effect (Emean)

"Take drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = definitely would not, 50 mm = do not care, and 100 mm = definitely would). Emean = Average observed score." (NCT01775189)
Timeframe: Intervention period: 12, 24 hours post-dose

Interventionmm (Mean)
Placebo Sugar Spheres44.71
ALO-02 30 mg52.16
Placebo Lactose Tablet43.95
Oxycodone 30 mg85.34

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Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Naltrexone and 6-beta-naltrexol

Area under the plasma concentration time-curve from zero to the last quantifiable concentration (AUClast). Participants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionnanogram*hour/milliliter (ng*hr/mL) (Mean)
Naltrexone6-beta-naltrexol
ALO-02 30 mg11.0737.28

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Good Drug Effects: Time to Maximum (Peak) Effect (TEmax)

Good Drug Effects VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). TEmax = Time to maximum observed score. (NCT01775189)
Timeframe: Intervention period: 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionhours (Median)
Placebo Sugar Spheres0.267
ALO-02 30 mg0.275
Placebo Lactose Tablet0.250
Oxycodone 30 mg0.400

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High: Area Under Effect Curve (AUE) From 0-2 Hour

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-2) = Area under the effect versus time curve from time 0 to 2 hours. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2 hours post-dose

Interventionhours*mm (Mean)
Placebo Sugar Spheres0.871
ALO-02 30 mg27.750
Placebo Lactose Tablet4.768
Oxycodone 30 mg135.670

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High: Peak Effect (Emax)

High VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). Emax = Maximum observed score. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionmm (Mean)
Placebo Sugar Spheres2.2
ALO-02 30 mg26.6
Placebo Lactose Tablet6.0
Oxycodone 30 mg85.8

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Time to Reach Maximum Observed Plasma Concentration (Tmax) of Oxycodone, Oxymorphone and Noroxycodone

Participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

,
Interventionhours (Median)
Oxycodone (n = 30, 32)Oxymorphone (n = 29, 32)Noroxycodone (n = 30, 32)
ALO-02 30 mg1.592.052.08
Oxycodone 30 mg0.4752.554.05

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Time to Reach Maximum Observed Plasma Concentration (Tmax) of Naltrexone and 6-beta-naltrexol

Participants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionhours (Median)
Naltrexone6-Beta-naltrexol
ALO-02 30 mg0.3172.05

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Take Drug Again Effect at Hours 12 and 24

"Take drug again VAS is a subjective assessment of the degree to which a participant would desire to take the drug again if given the opportunity. It is presented on a 100 mm VAS with score ranging from 0 mm to 100 mm (score of 0 mm = definitely would not, 50 mm = do not care, and 100 mm = definitely would)." (NCT01775189)
Timeframe: Intervention period: 12, 24 hours post-dose

,,,
Interventionmm (Mean)
Hour 12Hour 24
ALO-02 30 mg51.552.8
Oxycodone 30 mg87.483.3
Placebo Lactose Tablet43.244.7
Placebo Sugar Spheres43.446.1

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Overall Drug Liking Effect at Hours 12 and 24

"Overall drug liking VAS assesses the participant's global perception of drug liking (that is, effects over the whole course of the drug experience including any carry-over effects). A 100 mm VAS is used to assess response based on a score ranging from 0 mm to 100 mm (0 mm = strong disliking, 50 mm = neither like nor dislike, and 100 mm= strong liking)." (NCT01775189)
Timeframe: Intervention period: 12, 24 hours post-dose

,,,
Interventionmm (Mean)
Hour 12Hour 24
ALO-02 30 mg56.057.6
Oxycodone 30 mg81.880.8
Placebo Lactose Tablet50.547.8
Placebo Sugar Spheres50.350.4

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Subject Rating Scale for Nasal Effects: Time to Maximum (Peak) Effect (TEmax)

"Participant-rated scale for nasal effects was used to assess burning, need to blow nose, runny nose/nasal discharge, facial pain/pressure, and nasal congestion using a 6-point scale (where, 0 = not present/no problem; 1 = very mild problem; 2 = mild/slight problem; 3 = moderate problem; 4 = severe problem; 5 = problem as bad as can be). TEmax = Time to maximum observed score." (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.5, 0.75, 1, 1.5, 2 hours post-dose

,,,
Interventionhours (Median)
BurningNeed to Blow NoseRunny Nose/ Nasal DischargeFacial Pain/ PressureNasal Congestion
ALO-02 30 mg0.5170.5170.5170.5170.517
Oxycodone 30 mg0.5170.5170.5170.5170.525
Placebo Lactose Tablet0.5170.5170.5170.5170.517
Placebo Sugar Spheres0.5170.5170.5170.5170.517

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Subject Rating Scale for Nasal Effects: Peak Effect (Emax)

"Participant-rated scale for nasal effects was used to assess burning, need to blow nose, runny nose/nasal discharge, facial pain/pressure, and nasal congestion using a 6-point scale (where, 0 = not present/no problem; 1 = very mild problem; 2 = mild/slight problem; 3 = moderate problem; 4 = severe problem; 5 = problem as bad as can be). Emax = Maximum observed score." (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.5, 0.75, 1, 1.5, 2 hours post-dose

,,,
Interventionunits on a scale (Mean)
BurningNeed to Blow NoseRunny Nose/ Nasal DischargeFacial Pain/ PressureNasal Congestion
ALO-02 30 mg0.10.10.10.00.2
Oxycodone 30 mg0.50.40.40.30.4
Placebo Lactose Tablet0.00.10.30.10.4
Placebo Sugar Spheres0.00.10.00.00.1

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Subject Rating Scale for Nasal Effects: Area Under Effect Curve (AUE) From 0-1 Hour and 0-2 Hour

"Participant-rated scale for nasal effects was used to assess burning, need to blow nose, runny nose/nasal discharge, facial pain/pressure, and nasal congestion using a 6-point scale (where, 0 = not present/no problem; 1 = very mild problem; 2 = mild/slight problem; 3 = moderate problem; 4 = severe problem; 5 = problem as bad as can be). AUE (0-x) = Area under the effect versus time curve from time 0 to x hours (0-x)." (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.5, 0.75, 1, 1.5, 2 hours post-dose

,,,
Interventionunits on a scale*hours (Mean)
Burning: AUE (0-1)Burning: AUE (0-2)Need to Blow Nose: AUE (0-1)Need to Blow Nose: AUE (0-2)Runny Nose/ Nasal Discharge: AUE (0-1)Runny Nose/ Nasal Discharge: AUE (0-2)Facial Pain/ Pressure: AUE (0-1)Facial Pain/ Pressure: AUE (0-2)Nasal Congestion: AUE (0-1)Nasal Congestion: AUE (0-2)
ALO-02 30 mg0.0250.0250.1170.1830.0830.1080.0330.0500.1750.250
Oxycodone 30 mg0.1840.2700.2930.5040.1840.3010.0660.1840.2500.484
Placebo Lactose Tablet0.0330.0330.0880.0880.0380.1460.0420.0500.2000.242
Placebo Sugar Spheres0.0000.0000.1290.1640.0690.0860.0090.0090.1720.259

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Sleepy: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 Hour

Sleepy VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from a response of 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x). (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

,,,
Interventionhours*mm (Mean)
AUE (0-1)AUE (0-2)AUE (0-8)AUE (0-24)
ALO-02 30 mg8.84834.571125.196187.839
Oxycodone 30 mg20.46461.750304.652496.652
Placebo Lactose Tablet2.9208.08934.43864.795
Placebo Sugar Spheres0.8132.58019.51826.875

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Pupillometry: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 Hour

Pupillometry assessments measure change in pupil size (miosis) as an indicator of opioid pharmacological properties. Participants have the size of pupil measured using a pupillometer. Measurements are made in a dimly lit (mesopic) room with controlled lighting conditions. The same eye for each participant was used for all measurements during the study. AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x). (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

,,,
Interventionhours*mm (Mean)
AUE (0-1)AUE (0-2)AUE (0-8)AUE (0-24)
ALO-02 30 mg4.7469.11434.874110.574
Oxycodone 30 mg3.2295.86823.90494.012
Placebo Lactose Tablet5.13210.16241.658128.937
Placebo Sugar Spheres5.33310.53842.623130.666

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Plasma Decay Half-Life (t1/2) of Oxycodone, Oxymorphone and Noroxycodone

Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. Participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

,
Interventionhours (Mean)
Oxycodone (n = 30, 32)Oxymorphone (n = 1, 1)Noroxycodone (n = 28, 27)
ALO-02 30 mg4.171NA7.116
Oxycodone 30 mg4.134NA7.101

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Plasma Decay Half-Life (t1/2) of Naltrexone and 6-beta-naltrexol

Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. Participants who received ALO-02 were reported. 6-Beta-naltrexol is metabolites of naltrexone. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

Interventionhours (Mean)
Naltrexone (n = 30)6-beta-naltrexol (n = 11)
ALO-02 30 mg3.5779.230

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Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)

An AE was any untoward medical occurrence in a participant who received study medication without regard to possibility of causal relationship. SAE: an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 3 - 7 days following last study drug administration that were absent before treatment or that worsened relative to pre-treatment state. Symptoms of withdrawal following naloxone administration (naloxone challenge phase) were not collected as adverse events unless they met the criteria for an SAE. AEs included SAEs as well as non-serious AEs which occurred during the trial. (NCT01775189)
Timeframe: Screening up to 3 to 7 days following last study drug administration, or time of early withdrawal

,,,,,,
Interventionparticipants (Number)
AEsSAEs
ALO-02 30 mg180
Naloxone10
Oxycodone 30 mg320
Oxycodone HCl 30 mg430
Placebo Lactose Tablet100
Placebo Oxycodone HCl80
Placebo Sugar Spheres60

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Nausea: Area Under Effect Curve (AUE) From 0-1 Hour, 0-2 Hour, 0-8 Hour and 0-24 Hour

Nausea VAS assesses the effect experienced by the participant on a 100 mm unipolar VAS, where responses are unidirectional and range from 'none' (score of 0 mm) to 'extremely' (score of 100 mm). AUE (0-x) = Area under the effect versus time curve from time zero to time of last quantifiable effect (0-x). (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

,,,
Interventionhours*mm (Mean)
AUE (0-1)AUE (0-2)AUE (0-8)AUE (0-24)
ALO-02 30 mg2.4555.1799.06310.848
Oxycodone 30 mg2.3397.35746.40258.759
Placebo Lactose Tablet0.2900.7815.3535.638
Placebo Sugar Spheres0.0360.4731.0001.071

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Maximum Observed Plasma Concentration (Cmax) of Oxycodone, Oxymorphone and Noroxycodone

Participants who received oxycodone and ALO-02 were reported. Oxymorphone and noroxycodone are metabolites of oxycodone. (NCT01775189)
Timeframe: Intervention period: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24 hours post-dose

,
Interventionnanogram per milliliter (ng/mL) (Mean)
OxycodoneOxymorphoneNoroxycodone
ALO-02 30 mg57.930.461329.02
Oxycodone 30 mg82.630.344118.88

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Risk Assessment Battery (RAB)

"The Risk Assessment Battery (RAB) is a 26 question self-administered assessment focusing on drug use, injection and sexual risk during the past 30 days.~Three composite HIV risk scores (drug, sex, and total score) are calculated. 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 drug risk score has a range of 0 to 22 and is calculated from 8 questions that address recent substance use, including frequency, needle sharing, and cleaning of the works. 9 questions are used to calculate a sex risk score that has a range of 0 to 18, and these questions address the frequency and types of sexual behavior, HIV status of sexual partners, and type of protection that was used (if any). Total score is calculated by adding drug and sex scores and dividing by 40, the maximum score possible, and ranges from 0 to 40 where higher scores indicate greater risk behavior." (NCT01822132)
Timeframe: 28 days post drug intervention

,
Interventionscore on a scale (Mean)
DrugRisk_Baseline_AllDrugRisk_Post_AllSexRisk_Baseline_AllSexRisk_Post_AllTotalRisk_Baseline_AllTotalRisk_Post_AllDrugRisk_Baseline_HIV-positiveDrugRisk_Post_HIV-positiveSexRisk_Baseline_HIV-positiveSexRisk_Post_HIV-positiveTotalRisk_Baseline_HIV-positiveTotalRisk_Post_HIV-positiveDrugRisk_Baseline_HIV-negativeDrugRisk_Post_HIV-negativeSexRisk_Baseline_HIV-negativeSexRisk_Post_HIV-negativeTotalRisk_Baseline_HIV-negativeTotalRisk_Post_HIV-negative
Naltrexone1.330.245.484.810.170.13106.55.830.190.151.470.335.074.40.160.12
Placebo0.60.084.444.720.130.120.1705.174.170.130.100.740.114.214.890.120.13

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Barrat Impulsiveness Scale (BIS)

The Barrat Impulsiveness Scale (BIS) is a 30 item questionnaire to measure a persons impulsiveness. Items are answered on a 4-point scale and scored 1-4 then summed across responses. Total scores range from 30-120 with a higher summed score indicating higher impulsivity. (NCT01822132)
Timeframe: 28 days post drug intervention

,
Interventionscore on a scale (Mean)
Baseline_AllPost_AllPost_HIV-positivePost_HIV-negative
Naltrexone77.571.7970.8372.23
Placebo73.5263.306164.47

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Discounting Tasks: Sexual Probability Discounting (SexPD)

"In the SexPD task, subjects are asked to choose between having sex with a more appealing partner with a varying chance of having a sexually transmitted infection (STI) or a less appealing partner with no STI.~A hyperbolic decay model was used to calculate h, a free parameter that indexes the rate of probabilistic discounting. Smaller h values indicate a preference for probabilistic (i.e., riskier) outcomes. To normalize the data, the natural log of h values were calculated and reported here." (NCT01822132)
Timeframe: 28 days post drug intervention

,
Interventionnatural log (Mean)
Baseline_AllPost_AllPost_HIV-positivePost_HIV-negative
Naltrexone2.974.68-0.546.55
Placebo6.527.671.089.79

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Discounting Tasks: Standard Delay Discounting (DD)

Monetary delay discounting task consisted of choosing between a larger, delayed and a smaller, immediate reward. A hyperbolic decay model was used to calculate k, a free parameter that indexes the rate of delay discounting. As k values are typically skewed across subjects, the distribution of k was normalized by using a natural log transformation. The normalized values are reported here. If k typically ranges between 0.5 and 10^-5, then the natural log of k will range between -0.69 and -11.5. Larger normalized k values indicate a preference for smaller sooner outcomes (i.e., more impulsive decision-making). (NCT01822132)
Timeframe: 28 days post drug intervention

,
Interventionnatural log (Mean)
Baseline_AllPost_AllPost_HIV-positivePost_HIV-negative
Naltrexone-2.92-2.73-5.44-1.57
Placebo-3.90-4.25-5.56-3.88

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Methamphetamine Use

"Participants were asked How many days in the past 30 days did you use methamphetamine?. This is a self-report measure." (NCT01822132)
Timeframe: 28 days post drug intervention

,
Interventiondays (Mean)
Post_AllPost_HIV-positivePost_HIV-negative
Extended Release Naltrexone1.331.171.4
Placebo2.171.60.13

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Treatment Retention

To determine the relative effectiveness of XR-NTX compared to TAU for opioid-dependent youth in terms of days in treatment. Treatment defined as medications for OUD received in past 30 days at 6-month follow-up. (NCT01843023)
Timeframe: 6 months

Interventiondays (Mean)
Extended Release Naltrexone5.53
Treatment as Usual4.69

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Opioid Use at 6 Month Follow-up

To determine the relative effectiveness of XR-NTX compared to TAU for opioid-dependent youth in terms of opioid use at 6-months post-treatment entry. (NCT01843023)
Timeframe: 6 months

Interventiondays (Mean)
Extended Release Naltrexone19.63
Treatment as Usual18.42

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Monetized Healthcare Utilization

The cost-effectiveness will be assessed using the Economic Form 90 to collect data on economic outcomes of health utilization at 6 months. (NCT01843023)
Timeframe: 6 months

Interventiondollars (Mean)
Extended Release Naltrexone8136
Treatment as Usual6629

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HIV Sex Risk Behaviors

To examine the impact of XR-NTX on HIV sex-risk behaviors at 6 months. Past 90 days self-reported HIV sex risk behaviors on the Risk Assessment Battery (RAB). Minimum value 0; maximum value 24. Higher scores reflect endorsement of more risk behaviors (worse outcome). (NCT01843023)
Timeframe: 6 months

Interventionscore on a scale (Mean)
Extended Release Naltrexone3.53
Treatment as Usual3.42

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Ongoing Alcohol Consumption

To compare study arms in terms of ongoing alcohol consumption. We hypothesize that (1) improved medication adherence in the oral naltrexone arm and (2) assignment to injectable naltrexone will be associated with reduced alcohol consumption (number of heavy drinking days in the past 14 days) following hospital discharge. (NCT01856712)
Timeframe: 12 months

InterventionTotal drinks (Mean)
Oral Naltrexone136.5
Injectable Naltrexone114.5

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Percentage of Participants Adhered to Medication

Medication adherence was measured as percentage of participants who took ≥ 80% of daily naltrexone doses determined via pill counts. Adherence of daily medication will predict treatment engagement following hospital discharge. (NCT01856712)
Timeframe: 12 months

InterventionParticipants (Count of Participants)
Oral Naltrexone14
Injectable Naltrexone14

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Retention Rate: Percentage of Participants Attended an Initial Behavioral Treatment Visit Within 2 Weeks of Hospital Discharge.

Retention rate was measured in terms of percentage of participants attended an initial behavioral treatment visit within 2 weeks of hospital discharge. (NCT01856712)
Timeframe: 12 months

InterventionParticipants (Count of Participants)
Oral Naltrexone23
Injectable Naltrexone22

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Change in Weight From Baseline

Weight (kilograms; kg) will be measured at each assessment and change in weight will be determined at study endpoint. (NCT01866098)
Timeframe: Baseline and 52 weeks

Interventionkg (Least Squares Mean)
Placebo-0.16
Naltrexone 25mg0.69
Naltrexone 50mg-0.95

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Changes in Fasting Glucose From Baseline

Fasting glucose will be collected over the course of participation and changes will be evaluated at study endpoint. (NCT01866098)
Timeframe: Baseline and 52 weeks

Interventionmg/dL (Least Squares Mean)
Placebo8.2
Naltrexone 25mg4.6
Naltrexone 50mg-0.4

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Percent of Subjects Who Lost More Than 5% of Body Weight From Baseline

Body Mass Index will be calculated at each assessment and change over time will be assessed at endpoint. (NCT01866098)
Timeframe: 52 weeks

InterventionParticipants (Count of Participants)
Placebo10
Naltrexone 25mg4
Naltrexone 50mg9

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Changes in Total Cholesterol From Baseline

Total Cholesterol will be collected over the course of participation and changes will be evaluated at study endpoint. (NCT01866098)
Timeframe: Baseline and 52 weeks

Interventionmg/dL (Least Squares Mean)
Placebo-1.16
Naltrexone 25mg1.52
Naltrexone 50mg-3.02

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Changes in LDL From Baseline

Low-density lipoprotein (HDL) will be collected over the course of participation and changes will be evaluated at study endpoint. (NCT01866098)
Timeframe: Baseline and 52 weeks

Interventionmg/dL (Least Squares Mean)
Placebo-10.87
Naltrexone 25mg1.14
Naltrexone 50mg-4.40

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Changes in Insulin From Baseline

Insulin will be collected over the course of participation and changes will be evaluated at study endpoint. (NCT01866098)
Timeframe: Baseline and 52 weeks

Interventionmg/dL (Least Squares Mean)
Placebo6.45
Naltrexone 25mg0.45
Naltrexone 50mg2.16

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Changes in HDL From Baseline

High-density lipoprotein (HDL) will be collected over the course of participation and changes will be evaluated at study endpoint. (NCT01866098)
Timeframe: Baseline and 52 weeks

Interventionmg/dL (Least Squares Mean)
Placebo0.04
Naltrexone 25mg0.79
Naltrexone 50mg0.36

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Changes in Glycosylated Hemoglobin (HbA1c) From Baseline

Glycosylated hemoglobin (HbA1c) will be collected over the course of participation and changes will be evaluated at study endpoint. (NCT01866098)
Timeframe: Baseline and 52 weeks

Interventionmg/dL (Least Squares Mean)
Placebo-0.007
Naltrexone 25mg-0.061
Naltrexone 50mg0.060

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Change in Adult Investigator Symptom Rating Scale (AISRS) Scores From Baseline

The Adult Investigator Symptom Rating Scale (AISRS) is an 18-item clinician rating scale to evaluate individual ADHD symptoms on a scale of 0 (none) to 3 (severe). The total sum ranges from 0 (no ADHD symptoms) to 54 (extremely severe ADHD symptoms). (NCT01873729)
Timeframe: Baseline and Six weeks

InterventionUnits on a scale (Mean)
Naltrexone-5

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Clinical Global Impression (CGI)

The Clinical Global Impression (CGI) scale allows the clinician to rate the severity of illness, change over time, and efficacy of medication, taking into account the patient's clinical condition and the severity of side effects. The CGI subscales include the Clinical Global Severity of ADHD (CGI-S) which is scored on a 7 point scale (1=not ill, 7=extremely ill) and the Clinical Global Improvement of ADHD (CGI-I) which is also scored on a 7 point scale (1=very much improved, 7=very much worse). The number of subjects with CGI-Improvement scores less than or equal to 2 (very much improved) at the end of the study is reported. (NCT01873729)
Timeframe: Six weeks

InterventionParticipant (Number)
Naltrexone1

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Change in HAM-D28 Total Score

Hamilton Depression Scale-28 item. The change in scores depends on the difference between the initial (baseline) score and the final score at the conclusion of the double blind treatment period. There is no formal range of score changes, since they depend on the initial and final score. A negative score represents a lowering in the score from baseline to end (improvement), and a positive score indicates an increase in score from baseline to end (worsening). A zero score would indicate no change. In theory, the maximum drop in score would be from 81 to zero, or -81. A maximum increase would be from 18 (the minimum score required for admission) to 81, or +63. (NCT01874951)
Timeframe: Change from baseline to week 3

Interventionunits on a scale (Mean)
Placebo-6.5
Naltrexone-14.6

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Response Rate

Response is defined as an improvement in HAM-D-17 score of greater than or equal to 50% compared to baseline score. Response rate is the percent of patients who attain this threshold degree of improvement. (NCT01874951)
Timeframe: Response rate after 3 weeks

InterventionParticipants (Count of Participants)
Placebo1
Naltrexone3

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Remission Rate

Remission is defined as a final HAM-D-17 score of 7 or less. Remission rate is the percent of patients who attain this threshold score. (NCT01874951)
Timeframe: Remission rate at 3 weeks.

InterventionParticipants (Count of Participants)
Placebo0
Naltrexone3

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Change in MADRS-15 Total Score

Montgomery-Asberg Depression Rating Scale- 15 item. The change in scores depends on the difference between the initial (baseline) score and the final score at the conclusion of the double blind treatment period. There is no formal range of score changes, since they depend on the initial and final score. A negative score represents a lowering in the score from baseline to end (improvement), and a positive score indicates an increase in score from baseline to end (worsening). A zero score would indicate no change. In theory, the maximum drop in score would be from 90 to zero, or -90. There is no minimum score on the MADRS-15 required for study entry, since the HAMD-17 was the sole entry criteria. However, a score of 18 on the HAMD17 corresponds to approximately a score of 21 on the MADRS-10. A maximum estimated increase would thus be from 21 to 90, or +69. (NCT01874951)
Timeframe: Change from baseline to week 3

Interventionunits on a scale (Mean)
Placebo-10.7
Naltrexone-23.4

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Change in HAM-D-17 Total Score

Hamilton Depression Scale-17 (HAM-D-17) item. The change in scores depends on the difference between the initial (baseline) score and the final score at the conclusion of the double blind treatment period. There is no formal range of score changes, since they depend on the initial and final score. A negative score represents a lowering in the score from baseline to end (improvement), and a positive score indicates an increase in score from baseline to end (worsening). A zero score would indicate no change. In theory, the maximum drop in score would be from 52 to zero, or -52. A maximum increase would be from 18 (the minimum score required for admission) to 52, or +34. (NCT01874951)
Timeframe: Change from baseline to week 3

Interventionunits on a scale (Mean)
Placebo-5.8
Naltrexone-9.5

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Change in CGI-S Total Score

Clinical Global Improvement-Severity Scale. The CGI-S score is a one-item scale that measures severity of depression, scored from 1-7, where 1 = no depression is present, 2 = borderline depression, 3 = mild depression, 4 = moderate depression, 5 = marked depression, 6 = severe depression, and 7 = among the most extremely depressed patient. Thus higher scores indicate greater depressive severity. The change in CGI-S score can represent a drop from 7 (maximum severity) to 1 (no depression) or -6. There is no minimum CGI-S score required for admission, but a minimum score of 18 on the HAMD17 corresponds to approximately a score of 4 on the CGI-S. Thus a maximum worsening would be from 4 to 7, or +3. (NCT01874951)
Timeframe: Change from baseline to week 3

Interventionunits on a scale (Mean)
Placebo-0.3
Naltrexone-1.3

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Change in MADRS-10 Total Score

Montgomery-Asberg Depression Rating Scale- 10 item. The change in scores depends on the difference between the initial (baseline) score and the final score at the conclusion of the double blind treatment period. There is no formal range of score changes, since they depend on the initial and final score. A negative score represents a lowering in the score from baseline to end (improvement), and a positive score indicates an increase in score from baseline to end (worsening). A zero score would indicate no change. In theory, the maximum drop in score would be from 60 to zero, or -60. There is no minimum score on the MADRS-10 required for study entry, since the HAMD-17 was the sole entry criteria. However, a score of 18 on the HAMD17 corresponds to approximately a score of 21 on the MADRS-10. A maximum estimated increase would thus be from 21 to 60, or +39. (NCT01874951)
Timeframe: Change from baseline to week 3

Interventionunits on a scale (Mean)
Placebo-7.8
Naltrexone-18.2

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Final CGI-I Score

Clinical Global Improvement-Improvement Scale. The CGI-I scale is a one item scale that measures overall change in patient's global condition compared to when they were entered into the study. The scale is graded from 1-7, where 1 = very much improved, 2 = much improved, 3 = minimally improved, 4 = no change, 5 = minimally worse, 6 = much worse, and 7 = very much worse. Thus higher scores indicate greater worsening, and lower scores indicate greater improvement. The lowest possible score (indicating maximum improvement) is 1, and the highest possible score (indicating greatest worsening) is 7. (NCT01874951)
Timeframe: From baseline to week 3

Interventionunits on a scale (Mean)
Placebo3.5
Naltrexone2.2

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Percentage of Participants With Alcohol Abstinence or Moderate Drinking

Percentage of participants who had the following number of drinks (≤2 drinks/day, men; ≤1 drink/day, women; and ≤2 heavy drinking occasions/month) during the final 20 of 24 weeks of primary care-based Medical Management for alcohol dependence. (NCT01893827)
Timeframe: 4-24 weeks

Interventionpercentage of participants (Number)
XR-NTX29
Oral Naltrexone23

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Successful Discontinuation of Buprenorphine

Number of individuals successfully discontinuing buprenorphine during the inpatient phase and through follow-up. (NCT01895036)
Timeframe: 7 weeks

InterventionParticipants (Count of Participants)
Naltrexone6

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Percentage of Subjects Exhibiting Significant Weight Gain at Day 92

Significant weight gain will include a >=5%, >= 7%, or >=10% gain in body weight from baseline (Day 8) to Day 92 (end of study Part A) (NCT01903837)
Timeframe: Baseline (Day 8) to Day 92 (end of study Part A)

,,,,,,,
InterventionParticipants (Count of Participants)
>= 5% weight gain>= 7% weight gain>=10% weight gain
Part A FAS 1- Olz + Placebo201410
Part A FAS 1- Olz + Sam 10mg1694
Part A FAS 1- Olz + Sam 20mg16125
Part A FAS 1- Olz + Sam 5mg1883
Part A FAS 2- Olz + Placebo14118
Part A FAS 2- Olz + Sam 10mg843
Part A FAS 2- Olz + Sam 20mg871
Part A FAS 2- Olz + Sam 5mg1373

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Change in Clinical Global Impressions - Severity (CGI-S) From Baseline to Day 92

"Change in CGI-S score from baseline (Day 8) to the end of Part A (Week 12; Day 92).~The CGI-S is a 7-point scale intended to measure the severity of a patient's illness at the time of assessment. Scores range from 1 (normal) to 7(extremely ill), so a higher score is correlative to more severe illness." (NCT01903837)
Timeframe: Baseline (Day 8) to Day 92 (end of study Part A)

Interventionunits on a scale (Least Squares Mean)
Part A FAS 1 - OLZ + Placebo-0.0
Part A FAS 1 - Olz + Sam 5mg-0.1
Part A FAS 1- Olz + Sam 10mg-0.0
Part A FAS 1- Olz + Sam 20mg-0.1

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Absolute Change in Total Positive and Negative Syndrome Scale (PANSS) Score

"Change from baseline (Day 8) to Day 92 (end of study Part A).~The PANSS is a 30-item scale measuring severity of schizophrenia symptoms. Symptom severity for each item is rated on a 7-point scale (1 = absent; 7 = extreme), and the total score is added together, with a minimum score of 30 and a maximum score of 210. A higher score indicates more severe symptoms, while a lower score indicates less severe symptoms." (NCT01903837)
Timeframe: Baseline (Day 8) to Day 92 (end of study Part A)

Interventionunits on a scale (Least Squares Mean)
Part A FAS 1 - Olz + Placebo-2.9
Part A FAS 1 - Olz + Sam 5mg-1.5
Part A FAS 1- Olz+ Sam 10mg-2.7
Part A FAS 1- Olz+ Sam 20mg-2.5

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Absolute Change in Body Weight (kg) From Baseline to Day 92

Change from randomization (Day 8) to the end of Part A (Week 12; Day 92) (NCT01903837)
Timeframe: Baseline (Day 8) to Day 92 (end of study Part A)

Interventionkg (Least Squares Mean)
Part A FAS 1- Olz + Placebo2.9
Part A FAS 1- Olz + Sam 5mg2.1
Part A FAS 1- Olz + Sam 10mg1.5
Part A FAS 1- Olz + Sam 20mg2.2
Part A FAS 2- Olz + Placebo3.8
Part A FAS 2- Olz + Sam 5mg2.9
Part A FAS 2- Olz + Sam 10mg1.5
Part A FAS 2- Olz + Sam 20mg1.2

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Percent Change in Body Weight (Kilogram) From Baseline to Day 92

Percent change from baseline (Day 8) to the end of Part A (Day 92) (NCT01903837)
Timeframe: Baseline (Day 8) to Day 92 (end of study Part A)

Interventionpercent change (Least Squares Mean)
Part A FAS 1 - Olz + Placebo4.1
Part A FAS 1 - Olz + Sam 5mg2.8
Part A FAS 1- Olz + Sam 10mg2.1
Part A FAS 1- Olz + Sam 20mg2.9
Part A FAS 2- Olz + Placebo5.3
Part A FAS 2- Olz + Sam 5mg3.8
Part A FAS 2- Olz + Sam 10mg2.2
Part A FAS 2- Olz + 20mg1.6

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Number of Participants With Urine Drug Screen (UDS) Positive for Opioids

(NCT01908062)
Timeframe: Baseline and 16 weeks

,
InterventionParticipants (Count of Participants)
Baseline UDS positive for opioids16 weeks UDS positive for opioids
Extended Release Naltrexone94
Treatment as Usual97

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Number of Participants Successfully Retained on Pharmacotherapy Treatment at 16 Weeks

Number of participants who received the maximum possible expected doses of XR-NTX, or the full course of recommended pharmacotherapy treatment for treatment as usual (TAU) arm. (NCT01908062)
Timeframe: 16 weeks

InterventionParticipants (Count of Participants)
Treatment as Usual Pharmacotherapy12
Extended Release Naltrexone15

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HIV Viral Suppression at 16 Weeks

Plasma HIV viral load of < 200 copies/mL compared with screening (NCT01908062)
Timeframe: 16 weeks

InterventionParticipants (Count of Participants)
Treatment as Usual20
Extended Release Naltrexone17

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Number of Participants With Successful Initiation of Treatment Within 4 Weeks of Randomization

Successful induction onto XR-NTX or initiation of treatment as usual within 4 weeks of randomization. (NCT01908062)
Timeframe: 4 weeks

InterventionParticipants (Count of Participants)
Treatment as Usual25
Extended Release Naltrexone17

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Participant Safety: Precipitated Withdrawal

Proportion of participants assigned to XR-NTX who develop precipitated opioid withdrawal. (NCT01908062)
Timeframe: 16 weeks

InterventionParticipants (Count of Participants)
Extended Release Naltrexone0

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HIV Care Engagement

Change in the proportion of participants prescribed antiretroviral therapy (ART) within 16 weeks following randomization, compared to baseline. (NCT01908062)
Timeframe: Baseline and 16 weeks

,
InterventionParticipants (Count of Participants)
Prescribed ART at baselinePrescribed ART at 16 weeks
Extended Release Naltrexone2324
Treatment as Usual2526

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Mean Days of Alcohol Use in Past 30 Days

Change in 30 day alcohol use by Addiction Severity Index (ASI)-lite self-report and Time-Line Follow Back in the final 30 days of the 16 week trial compared to screening. (NCT01908062)
Timeframe: Baseline and 16 weeks

,
Interventiondays (Mean)
Baseline mean days alcohol use in past 30 days16 weeks mean days alcohol use in past 30 days
Extended Release Naltrexone12.52.8
Treatment as Usual15.65.7

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Mean Days of Opioid Use in Past 30 Days

Change in 30 day opioid use by Addiction Severity Index (ASI)-lite self-report and Time-Line Follow Back in the final 30 days of the 16 week trial compared to screening. (NCT01908062)
Timeframe: Baseline and 16 weeks

,
Interventiondays (Mean)
Baseline mean days opioid use in past 30 days16 weeks mean days opioid use in past 30 days
Extended Release Naltrexone20.37.7
Treatment as Usual17.34.1

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Number of Participants With Urine Ethyl Glucuronide (EtG) Positive for Alcohol

(NCT01908062)
Timeframe: Baseline and 16 weeks

,
InterventionParticipants (Count of Participants)
Baseline EtG positive for alcohol16 weeks EtG positive for alcohol
Extended Release Naltrexone63
Treatment as Usual74

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Participant Safety: Any Fatal or Non-fatal Overdose Between Baseline and Week 16

(NCT01908062)
Timeframe: 16 weeks

,
InterventionParticipants (Count of Participants)
Nonfatal opioid overdoseFatal opioid overdose
Extended Release Naltrexone10
Treatment as Usual10

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Participant Safety: Change in Liver Enzymes Between Baseline and Week 16

Change in liver enzymes between screening and Week 16. AST = Aspartate transaminase ALT = Alanine transaminase (NCT01908062)
Timeframe: Baseline and 16 weeks

,
InterventionIU/L (Mean)
Mean AST at baselineMean AST at 16 weeksMean ALT at baselineMean ALT at 16 weeks
Extended Release Naltrexone36.838.835.040.1
Treatment as Usual32.332.233.030.8

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"Participants Categorized as Responders"

"Study Responders were defined as participants providing six MA-negative urine tests of eight administered in the evaluation period (the last four weeks of the active medication phase), including the last test collected in the final study week of the active medication phase." (NCT01982643)
Timeframe: Weeks 4-8

InterventionParticipants (Count of Participants)
Naltrexone Plus Bupropion11

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Accuracy on the Multi-Source Interference Task

Accuracy is the calculated percentage of correct responses over total trials in the Multi-Source Interference Task. (NCT01993108)
Timeframe: Two hours

Interventionpercent of total trials (Mean)
Methlyphenidate in Healthy Controls96
Naltrexone in Healthy Controls93
Placebo in Healthy Controls91
Methlyphenidate in ADHD93
Naltrexone in ADHD93
Placebo in ADHD92

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Characterize the Effects of Methylphenidate and Naltrexone on Neural Circuits in Prefrontal Cortex Associated With Top-down Control.

The effects of methylphenidate, naltrexone, and placebo on the change in BOLD (Blood Oxygen Level Dependent) signal will be characterized in the incongruent condition (cognitive regulation condition) of the MSIT (multi-source interference task) relative to the congruent condition (no regulation condition). Specifically, the summed BOLD signal in three regions--dorsal lateral prefrontal cortex, anterior insula, anterior cingulate--are measured. (NCT01993108)
Timeframe: Two hours

InterventionMean percentage of BOLD signal change (Mean)
Methlyphenidate in Healthy Controls.21
Naltrexone in Healthy Controls.51
Placebo in Healthy Controls.20
Methlyphenidate in ADHD.43
Naltrexone in ADHD.58
Placebo in ADHD.47

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Reaction Time on the Multi-Source Interference Task

Reaction time of the Multi-Source Interference Task is measured in seconds. (NCT01993108)
Timeframe: Two hours

Interventionseconds (Mean)
Methlyphenidate in Healthy Controls.78
Naltrexone in Healthy Controls.83
Placebo in Healthy Controls.85
Methlyphenidate in ADHD.71
Naltrexone in ADHD.73
Placebo in ADHD.77

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Reaction Time Variability on the Multi-Source Interference Task

Multi-Source Interference Task is a psychological task that measures the psychological construct of cognitive control, the ability to suppress automatic response tendencies. Reaction time variability is the standard deviation of the trial to trial reaction time measured in seconds. (NCT01993108)
Timeframe: 2 hours

Interventionseconds (Mean)
Methlyphenidate in Healthy Controls.22
Naltrexone in Healthy Controls.23
Placebo in Healthy Controls.26
Methlyphenidate in ADHD.20
Naltrexone in ADHD.20
Placebo in ADHD.21

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The Maximum Time-matched Change From Baseline in QT Data Corrected for Heart Rate (QTc), Placebo-corrected, Based on an Individual Correction (QTcI) Method (ΔΔQTcI)

The effects of 40 mcg/hr buprenorphine (Day 13) delivered by BTDS alone, or by BTDS dosed with naltrexone, and naltrexone alone on cardiac repolarization, were assessed based on the corrected QT interval since HR inversely affects QT duration. The time-matched analysis was conducted as the primary endpoint as recommended by ICH E14, with the 2-sided 90% confidence interval for each treatment at each time point showing the placebo- and baseline-corrected (ΔΔ) analysis for QTcI. The effect of BTDS 40 on QT intervals was compared with the moxifloxacin-positive control after placebo and baseline correction. (NCT01999114)
Timeframe: Baseline to Day 13

Interventionmsec (Mean)
BTDS Only (Placebo-corrected ΔΔQTcI)9.16
BTDS With Naltrexone (Placebo-corrected ΔΔQTcI)5.12
Naltrexone Alone (Placebo-corrected ΔΔQTcI)1.81
Moxifloxacin (Placebo-corrected ΔΔQTcI)10.68

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QTcF and QTcB for Historical Purposes, PR Interval, QRS Interval, and Uncorrected QT Interval

Mean change from baseline for the BTDS 10 mcg/hr dose on Day 6, presented as time-averaged mean change from baseline for BTDS only, BTDS with naltrexone, naltrexone alone, moxifloxacin, and placebo. (NCT01999114)
Timeframe: Baseline to Day 6

,,,,
Interventionmsec (Mean)
QTcFQTcBPRQRSQT
BTDS Only-0.1-0.34.70.40.3
BTDS With Naltrexone2.91.52.40.75.6
Moxifloxacin6.99.10.3-0.22.6
Naltrexone Alone1.50.92.10.62.6
Placebo-0.80.50.60.0-3.4

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Heart Rate (HR)

Mean change from baseline for the BTDS 10 mcg/hr dose on Day 6, presented as time-averaged mean change from baseline for BTDS only, BTDS with naltrexone, naltrexone alone, moxifloxacin, and placebo. (NCT01999114)
Timeframe: Baseline to Day 6

Interventionbpm (Mean)
BTDS Only-0.1
BTDS With Naltrexone-1.3
Naltrexone Alone-0.5
Moxifloxacin2.0
Placebo1.3

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ECG Morphology

"Morphological analyses were performed with regard to the digital ECG waveform interpretation as defined by a central ECG laboratory's cardiologist blinded to the study treatment. Changes from baseline to each day of treatment were evaluated separately. Any T-U wave complex that suggested an abnormal form compatible with an effect on cardiac repolarization was noted. New ECG morphological onset changes were presented as the percentage of subjects meeting the new criterion (new meant not present on any baseline ECG and became present on at least 1 on-treatment ECG) for the following variables:~Second degree heart block~Third degree heart block~Complete right bundle branch block (RBBB)~Complete left bundle branch block (LBBB)~ST segment changes (elevation and depression separately)~T-wave abnormalities (negative T waves only)~Myocardial infarction (MI) pattern~Any new abnormal U waves" (NCT01999114)
Timeframe: Baseline to Day 17

,,,,
InterventionParticipants (Count of Participants)
New abnormal U wavesNew T wave (negative) invertedNew ST segment depression changesNew ST segment elevation changesNew complete RBBB & LBBBNew MINew 2nd or 3rd degree heart block
BTDS Only0010000
BTDS With Naltrexone0100000
Moxifloxacin0110000
Naltrexone Alone0000000
Placebo0000000

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ECG Morphology

"Morphological analyses were performed with regard to the digital ECG waveform interpretation as defined by a central ECG laboratory's cardiologist blinded to the study treatment. Changes from baseline to each day of treatment were evaluated separately. Any T-U wave complex that suggested an abnormal form compatible with an effect on cardiac repolarization was noted. New ECG morphological onset changes were presented as the percentage of subjects meeting the new criterion (new meant not present on any baseline ECG and became present on at least 1 on-treatment ECG) for the following variables:~Second degree heart block~Third degree heart block~Complete right bundle branch block (RBBB)~Complete left bundle branch block (LBBB)~ST segment changes (elevation and depression separately)~T-wave abnormalities (negative T waves only)~Myocardial infarction (MI) pattern~Any new abnormal U waves" (NCT01999114)
Timeframe: Baseline to Day 6

,,,,
InterventionParticipants (Count of Participants)
New abnormal U wavesNew T wave (negative) invertedNew ST segment depression changesNew ST segment elevation changesNew complete RBBB & LBBBNew MINew 2nd or 3rd degree heart block
BTDS Only0100000
BTDS With Naltrexone0000000
Moxifloxacin0010000
Naltrexone Alone0100000
Placebo0000000

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Heart Rate (HR)

Mean change from baseline for the BTDS 40 mcg/hr dose on Day 13, presented as time-averaged mean change from baseline for BTDS only, BTDS with naltrexone, naltrexone alone, moxifloxacin, and placebo. (NCT01999114)
Timeframe: Baseline to Day 13

Interventionbpm (Mean)
BTDS Only1.3
BTDS With Naltrexone-1.9
Naltrexone Alone-0.8
Moxifloxacin2.3
Placebo1.6

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Heart Rate (HR)

Mean change from baseline for the BTDS 80 mcg/hr dose on Day 17, presented as time-averaged mean change from baseline for BTDS only, BTDS with naltrexone, naltrexone alone, moxifloxacin, and placebo. (NCT01999114)
Timeframe: Baseline to Day 17

Interventionbpm (Mean)
BTDS Only1.3
BTDS With Naltrexone-2.4
Naltrexone Alone-0.8
Moxifloxacin2.5
Placebo1.5

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The Maximum Time-matched Change From Baseline in QT Data Corrected for Heart Rate (QTc), Placebo-corrected, Based on an Individual Correction (QTcI) Method (ΔΔQTcI)

The effects of 10 mcg/hr buprenorphine (Day 6) delivered by BTDS alone, or by BTDS dosed with naltrexone, and naltrexone alone on cardiac repolarization, were assessed based on the corrected QT interval since HR inversely affects QT duration. The time-matched analysis was conducted as the primary endpoint as recommended by ICH E14, with the 2-sided 90% confidence interval for each treatment at each time point showing the placebo- and baseline-corrected (ΔΔ) analysis for QTcI. The effect of BTDS 10 on QT intervals was compared with the moxifloxacin-positive control after placebo and baseline correction. (NCT01999114)
Timeframe: Baseline to Day 6

Interventionmilliseconds (msec) (Mean)
BTDS Only (Placebo-corrected ΔΔQTcI)3.36
BTDS With Naltrexone (Placebo-corrected ΔΔQTcI)5.37
Naltrexone Alone (Placebo-corrected ΔΔQTcI)4.34
Moxifloxacin (Placebo-corrected ΔΔQTcI)11.90

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QTcF and QTcB for Historical Purposes, PR Interval, QRS Interval, and Uncorrected QT Interval

Mean change from baseline for the BTDS 40 mcg/hr dose on Day 13, presented as time-averaged mean change from baseline for BTDS only, BTDS with naltrexone, naltrexone alone, moxifloxacin, and placebo. (NCT01999114)
Timeframe: Baseline to Day 13

,,,,
Interventionmsec (Mean)
QTcFQTcBPRQRSQT
BTDS Only5.06.34.50.22.4
BTDS With Naltrexone1.1-1.14.40.95.5
Moxifloxacin5.68.01.3-0.20.9
Naltrexone Alone-1.3-2.23.21.30.4
Placebo-1.60.22.00.3-5.1

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QTcF and QTcB for Historical Purposes, PR Interval, QRS Interval, and Uncorrected QT Interval

Mean change from baseline for the BTDS 80 mcg/hr dose on Day 17, presented as time-averaged mean change from baseline for BTDS only, BTDS with naltrexone, naltrexone alone, moxifloxacin, and placebo. (NCT01999114)
Timeframe: Baseline to Day 17

,,,,
Interventionmsec (Mean)
QTcFQTcBPRQRSQT
BTDS Only9.010.45.40.46.1
BTDS With Naltrexone1.8-0.85.81.57.1
Moxifloxacin6.79.33.80.21.4
Naltrexone Alone-0.8-1.74.31.30.8
Placebo-0.41.23.00.6-3.7

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The Maximum Time-matched Change From Baseline in QT Data Corrected for Heart Rate (QTc), Placebo-corrected, Based on an Individual Correction (QTcI) Method (ΔΔQTcI)

The effects of 80 mcg/hr buprenorphine (Day 17) delivered by BTDS alone, or by BTDS dosed with naltrexone, and naltrexone alone on cardiac repolarization, were assessed based on the corrected QT interval since HR inversely affects QT duration. The time-matched analysis was conducted as the primary endpoint as recommended by ICH E14, with the 2-sided 90% confidence interval for each treatment at each time point showing the placebo- and baseline-corrected (ΔΔ) analysis for QTcI. The effect of BTDS 80 on QT intervals was compared with the moxifloxacin-positive control after placebo and baseline correction. (NCT01999114)
Timeframe: Baseline to Day 17

Interventionmsec (Mean)
BTDS Only (Placebo-corrected ΔΔQTcI)11.46
BTDS With Naltrexone (Placebo-corrected ΔΔQTcI)4.47
Naltrexone Alone (Placebo-corrected ΔΔQTcI)1.50
Moxifloxacin (Placebo-corrected ΔΔQTcI)10.78

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ECG Morphology

"Morphological analyses were performed with regard to the digital ECG waveform interpretation as defined by a central ECG laboratory's cardiologist blinded to the study treatment. Changes from baseline to each day of treatment were evaluated separately. Any T-U wave complex that suggested an abnormal form compatible with an effect on cardiac repolarization was noted. New ECG morphological onset changes were presented as the percentage of subjects meeting the new criterion (new meant not present on any baseline ECG and became present on at least 1 on-treatment ECG) for the following variables:~Second degree heart block~Third degree heart block~Complete right bundle branch block (RBBB)~Complete left bundle branch block (LBBB)~ST segment changes (elevation and depression separately)~T-wave abnormalities (negative T waves only)~Myocardial infarction (MI) pattern~Any new abnormal U waves" (NCT01999114)
Timeframe: Baseline to Day 13

,,,,
InterventionParticipants (Count of Participants)
New abnormal U wavesNew T wave (negative) invertedNew ST segment depression changesNew ST segment elevation changesNew complete RBBB & LBBBNew MINew 2nd or 3rd degree heart block
BTDS Only1000000
BTDS With Naltrexone0110000
Moxifloxacin0110000
Naltrexone Alone0100000
Placebo0001000

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Time-to-Relapse: XRNTX vs. ETAU Following Release From Jail

Our primary aim is to compare time-to-relapse among participants treated with XR-NTX vs. randomized ETAU following release from jail measured up to 24 weeks by Urine Toxicology results and self-report on the TLFB. (NCT01999946)
Timeframe: up to 24 weeks

InterventionWeeks (Mean)
Extended-Release Naltrexone (XR-NTX)8.6
Enhanced Treatment As Usual (ETAU)5.9

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Alcohol Self-administration - Number of Drinks

Total number of drinks consumed during the alcohol self-administration task (NCT02026011)
Timeframe: Alcohol self-administration period was 1 hour long

Interventiondrinks consumed (Mean)
Naltrexone - Asn40Asn1.4444
Naltrexone - Asn40Asp/Asp40Asp0.6458
Placebo - Asn40Asn1.5714
Placebo - Asn40Asp/Asp40Asp0.9565

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Neural Response to Alcohol Cues

Alcohol taste cues task for functional magnetic resonance imaging (fMRI). Region of Interest (ROI) were atomically defined using the Harvard-Oxford atlas in standard Montreal Neurological Institute (MNI) space, which were transformed into individual participants' native space using Functional Magnetic Resonance Imaging of the Brain Software Library (FSL). Contrast estimates are for Alc > Water cue, and are arbitrary units. (NCT02026011)
Timeframe: During the alcohol cue exposure fMRI paradigm which is expected to last 45 minutes

,,,
InterventionMean contrast estimate for Alc>Water cue (Mean)
Ventral StriatumOrbitofrontal cortexAnterior Cingulate cortex
Naltrexone - Asn40Asn1.48.123.31
Naltrexone - Asn40Asp/Asp40Asp8.074.437.04
Placebo - Asn40Asn.53.455.17
Placebo - Asn40Asp/Asp40Asp1.033.569.49

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Subjective Response - Craving for Alcohol

Alcohol Urge Questionnaire (AUQ) is used to assess subjective experiences of craving for alcohol. It consists of 8 items, each rated on a 7-point Likert scale (1 = strongly disagree, 7 = strongly agree). A summary score is used at each assessment time point. The AUQ was administered at baseline and three levels of breath alcohol concentration: 0.02 g/dl. 0.04, g/dl, and 0.06 g/dl. (NCT02026011)
Timeframe: The AUQ was administered across a period of approximately 1.5 hours.

,,,
Interventionscore on a scale (Mean)
BrAC = 0.02 g/dlBrAC = 0.04 g/dlBrAc = 0.06 g/dl
Naltrexone - Asn40Asn1.70371.91982.0185
Naltrexone - Asn40Asp/Asp40Asp1.99652.13192.2014
Placebo - Asn40Asn2.10122.30952.3095
Placebo - Asn40Asp/Asp40Asp1.84782.26452.4891

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Subjective Response - Sedation

The Biphasic Alcohol Effects Scale (BAES) Sedation Subscale consists of 14 items designed to capture the sedating effects of alcohol, rated on an 11-point scale (0 = not at all. 10 = extremely). Total score for the sedation subscale ranges from 0-70. (NCT02026011)
Timeframe: The BAES Sedation Subscale was administered at baseline and three levels of breath alcohol concentration: 0.2 g/dl. 0.04, g/dl, and 0.06 g/dl taking place within approximately 1.5 hours

,,,
Interventionscore on a scale (Mean)
BrAC = 0.02 g/dlBrAC = 0.04 g/dlBrAc = 0.06 g/dl
Naltrexone - Asn40Asn2.68252.85713.0688
Naltrexone - Asn40Asp/Asp40Asp2.34822.86013.1548
Placebo - Asn40Asn2.14802.49492.6786
Placebo - Asn40Asp/Asp40Asp2.05602.68322.4627

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Subjective Response - Stimulation

The Biphasic Alcohol Effects Scale (BAES) Stimulant Subscale consists of 14 items designed to capture the stimulant effects of alcohol, rated on an 11-point scale (0 = not at all. 10 = extremely). Total score for the stimulant subscale ranges from 0-70. (NCT02026011)
Timeframe: The BAES Stimulant Subscale was administered at baseline and three levels of breath alcohol concentration: 0.2 g/dl. 0.04, g/dl, and 0.06 g/dl taking place within approximately 1.5 hours

,,,
Interventionscore on a scale (Mean)
BrAC = 0.02 g/dlBrAC = 0.04 g/dlBrAc = 0.06 g/dl
Naltrexone - Asn40Asn2.04232.29632.8307
Naltrexone - Asn40Asp/Asp40Asp2.08932.76793.0149
Placebo - Asn40Asn2.01022.33162.2347
Placebo - Asn40Asp/Asp40Asp1.81062.46583.0466

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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

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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

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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

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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

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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

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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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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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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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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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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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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

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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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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

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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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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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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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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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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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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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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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, 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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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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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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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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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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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

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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 24

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

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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 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

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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 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 24

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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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Number of Participants Receiving the Second Injection of Study Medication

The number of participants who accept the second injection at week 5 will be used as one measure of tolerability. (NCT02088177)
Timeframe: Weeks 1 - 5

InterventionParticipants (Count of Participants)
Open Label Group6

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Change in Marijuana Use

Change in marijuana use, as measured by comparing the mean number of self reported days of marijuana use per week in the final study week, which will be week 8 or earlier if the participant discontinues as compared to the mean number of self reported days of marijuana use in week 1 (NCT02088177)
Timeframe: Weeks 1 - 8

Interventiondays (Mean)
Open Label Group-1.7

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Change in PDGF-BB From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
PDGF-BB baseline 2-weeksPDGF-BB last 2-weeks
Low Dose Naltrexone (LDN)179.89150.29

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Change in MIP-1α From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
MIP-1α baseline 2-weeksMIP-1α last 2-weeks
Low Dose Naltrexone (LDN)5.663.60

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Change in EGF From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
EGF baseline 2-weeksEGF last 2-weeks
Low Dose Naltrexone (LDN)5.233.23

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Change in ENA-78 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
ENA-78 baseline 2-weeksENA-78 last 2-weeks
Low Dose Naltrexone (LDN)134.6483.36

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Change in CD40L From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
CD40L baseline 2-weeksCD40L last 2-weeks
Low Dose Naltrexone (LDN)41.9735.78

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Change in BDNF From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
BDNF baseline 2-weeksBDNF last 2-weeks
Low Dose Naltrexone (LDN)777.60717.98

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Change in Eotaxin From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
eotaxin baseline 2-weekseotaxin last 2-weeks
Low Dose Naltrexone (LDN)36.5429.95

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Change in FaSL From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
FaSL baseline 2-weeksFaSL last 2-weeks
Low Dose Naltrexone (LDN)00

[back to top]

Change in LIF From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
LIF baseline 2-weeksLIF last 2-weeks
Low Dose Naltrexone (LDN)4.934.49

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Change in FGF-β From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
FGF-β baseline 2-weeksFGF-β last 2-weeks
Low Dose Naltrexone (LDN)00

[back to top]

Change in G-CSF From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
G-CSF baseline 2-weeksG-CSF last 2-weeks
Low Dose Naltrexone (LDN)37.7835.67

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Change in VEGF From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
VEGF baseline 2-weeksVEGF last 2-weeks
Low Dose Naltrexone (LDN)80.9570.70

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Change in VEGF-D From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
VEGF-D baseline 2-weeksVEGF-D last 2-weeks
Low Dose Naltrexone (LDN)2.623.30

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Change in RANTES From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
RANTES baseline 2-weeksRANTES last 2-weeks
Low Dose Naltrexone (LDN)57.0057.27

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Change in PIGF-1 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
PIGF-1 baseline 2-weeksPIGF-1 last 2-weeks
Low Dose Naltrexone (LDN)1.752.09

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Change in Pain From Baseline.

"Visual analog scale (0-100) anchored at no pain at 0 and worst possible pain at 100. Improvement in pain would be indicated by a decrease in the score." (NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionunits on a scale (Mean)
Pain baseline 2-weeksPain last 2-weeks
Low Dose Naltrexone (LDN)51.14943.286

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Change in PAI-1 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
PAI-1 baseline 2-weeksPAI-1 last 2-weeks
Low Dose Naltrexone (LDN)15086.4015536.99

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Change in Overall Fibromyalgia Symptoms From Baseline.

"Visual analog scale (0-100) anchored at no symptoms at 0 and worst possible symptoms at 100. Improvement in overall fibromyalgia symptoms would be indicated by a decrease in the score." (NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionunits on a scale (Mean)
Overall symptoms baseline 2-weeksOverall symptoms last 2-weeks
Low Dose Naltrexone (LDN)55.65345.506

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Change in NGF From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
NGF baseline 2-weeksNGF last 2-weeks
Low Dose Naltrexone (LDN)12.2410.50

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Change in MIP-1β From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
MIP-1β baseline 2-weeksMIP-1β last 2-weeks
Low Dose Naltrexone (LDN)58.5251.08

[back to top]

Change in VCAM-1 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
VCAM-1 baseline 2-weeksVCAM-1 last 2-weeks
Low Dose Naltrexone (LDN)30876.4032156.99

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Change in MIG From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
MIG baseline 2-weeksMIG last 2-weeks
Low Dose Naltrexone (LDN)47.8135.98

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Change in MCP-3 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
MCP-3 baseline 2-weeksMCP-3 last 2-weeks
Low Dose Naltrexone (LDN)31.5225.30

[back to top]

Change in MCP-1 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
MCP-1 baseline 2-weeksMCP-1 last 2-weeks
Low Dose Naltrexone (LDN)24.3025.38

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Change in TRAIL From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
TRAIL baseline 2-weeksTRAIL last 2-weeks
Low Dose Naltrexone (LDN)23.4212.95

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Change in TNF-β From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
TNF-β baseline 2-weeksTNF-β last 2-weeks
Low Dose Naltrexone (LDN)00

[back to top]

Change in TNF-α From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
TNF-α baseline 2-weeksTNF-α last 2-weeks
Low Dose Naltrexone (LDN)124.36116.04

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Change in TGF-β From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
TGF-β baseline 2-weeksTGF-β last 2-weeks
Low Dose Naltrexone (LDN)9.407.80

[back to top]

Change in TGF-α From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
TGF-α baseline 2-weeksTGF-α last 2-weeks
Low Dose Naltrexone (LDN)1.420.58

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Change in SDF-1α From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
SDF-1α baseline 2-weeksSDF-1α last 2-weeks
Low Dose Naltrexone (LDN)148.14123.19

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Change in SCF From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
SCF baseline 2-weeksSCF last 2-weeks
Low Dose Naltrexone (LDN)7.535.41

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Change in Resistin From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
Resistin baseline 2-weeksResistin last 2-weeks
Low Dose Naltrexone (LDN)1831.261942.47

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Change in M-CSF From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
M-CSF baseline 2-weeksM-CSF last 2-weeks
Low Dose Naltrexone (LDN)00

[back to top]

Change in IL-27 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IL-27 baseline 2-weeksIL-27 last 2-weeks
Low Dose Naltrexone (LDN)86.5196.39

[back to top]

Change in Leptin From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
leptin baseline 2-weeksleptin last 2-weeks
Low Dose Naltrexone (LDN)3991.444128.32

[back to top]

Change in IP-10 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IP-10 baseline 2-weeksIP-10 last 2-weeks
Low Dose Naltrexone (LDN)6.015.28

[back to top]

Change in IL-9 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IL-9 baseline 2-weeksIL-9 last 2-weeks
Low Dose Naltrexone (LDN)00

[back to top]

Change in IL-8 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IL-8 baseline 2-weeksIL-8 last 2-weeks
Low Dose Naltrexone (LDN)00

[back to top]

Change in IL-18 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IL-18 baseline 2-weeksIL-18 last 2-weeks
Low Dose Naltrexone (LDN)9.616.66

[back to top]

Change in IL-17F From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IL-17F baseline 2-weeksIL-17F last 2-weeks
Low Dose Naltrexone (LDN)0.950.89

[back to top]

Change in IL-17A From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IL-17A baseline 2-weeksIL-17A last 2-weeks
Low Dose Naltrexone (LDN)5.033.40

[back to top]

Change in IL-15 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IL-15 baseline 2-weeksIL-15 last 2-weeks
Low Dose Naltrexone (LDN)11.088.71

[back to top]

Change in IL-13 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IL-13 baseline 2-weeksIL-13 last 2-weeks
Low Dose Naltrexone (LDN)0.660.66

[back to top]

Change in IL-12p70 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IL-12p70 baseline 2-weeksIL-12p70 last 2-weeks
Low Dose Naltrexone (LDN)1.821.69

[back to top]

Change in IL-12p40 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IL-12p40 baseline 2-weeksIL-12p40 last 2-weeks
Low Dose Naltrexone (LDN)6.916.43

[back to top]

Change in IL-10 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IL-10 baseline 2-weeksIL-10 last 2-weeks
Low Dose Naltrexone (LDN)6.0110.11

[back to top]

Change in IFN-γ From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IFN-γ baseline 2-weeksIFN-γ last 2-weeks
Low Dose Naltrexone (LDN)11.429.29

[back to top]

Change in IFN-β From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IFN-β baseline 2-weeksIFN-β last 2-weeks
Low Dose Naltrexone (LDN)24.0419.10

[back to top]

Change in IFN-α From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IFN-α baseline 2-weeksIFN-α last 2-weeks
Low Dose Naltrexone (LDN)4.994.15

[back to top]

Change in ICAM-1 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
ICAM-1 baseline 2-weeksICAM-1 last 2-weeks
Low Dose Naltrexone (LDN)2670.812820.63

[back to top]

Change in IL-7 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IL-7 baseline 2-weeksIL-7 last 2-weeks
Low Dose Naltrexone (LDN)10.1810.28

[back to top]

Change in IL-6 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IL-6 baseline 2-weeksIL-6 last 2-weeks
Low Dose Naltrexone (LDN)10.225.87

[back to top]

Change in IL-5 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IL-5 baseline 2-weeksIL-5 last 2-weeks
Low Dose Naltrexone (LDN)1.944.57

[back to top]

Change in HGF From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
HGF baseline 2-weeksHGF last 2-weeks
Low Dose Naltrexone (LDN)187.27189.33

[back to top]

Change in GROa From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
GROa baseline 2-weeksGROa last 2-weeks
Low Dose Naltrexone (LDN)00

[back to top]

Change in GM-CSF From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
GM-CSF baseline 2-weeksGM-CSF last 2-weeks
Low Dose Naltrexone (LDN)5779.446377.62

[back to top]

Change in IL-4 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IL-4 baseline 2-weeksIL-4 last 2-weeks
Low Dose Naltrexone (LDN)20.7019.00

[back to top]

Change in IL-31 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IL-31 baseline 2-weeksIL-31 last 2-weeks
Low Dose Naltrexone (LDN)00

[back to top]

Change in IL-23 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IL-23 baseline 2-weeksIL-23 last 2-weeks
Low Dose Naltrexone (LDN)00

[back to top]

Change in IL-22 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IL-22 baseline 2-weeksIL-22 last 2-weeks
Low Dose Naltrexone (LDN)194.59220.62

[back to top]

Change in IL-21 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IL-21 baseline 2-weeksIL-21 last 2-weeks
Low Dose Naltrexone (LDN)29.96327.07

[back to top]

Change in IL-2 From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IL-2 baseline 2-weeksIL-2 last 2-weeks
Low Dose Naltrexone (LDN)23.2121.32

[back to top]

Change in IL-1β From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IL-1β baseline 2-weeksIL-1β last 2-weeks
Low Dose Naltrexone (LDN)0.330.26

[back to top]

Change in IL-1α From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IL-1α baseline 2-weeksIL-1α last 2-weeks
Low Dose Naltrexone (LDN)3.563.88

[back to top]

Change in IL-1Ra From Baseline.

(NCT02107014)
Timeframe: Baseline period (2 weeks) through end of drug phase (8 weeks) [10 weeks total].

Interventionpg/mL (Median)
IL-1Ra baseline 2-weeksIL-1Ra last 2-weeks
Low Dose Naltrexone (LDN)2433.112004.48

[back to top]

Opioid Use

The primary objective is to compare outcomes of the three intervention groups, based on self-reports at 6-months post-intervention. (NCT02110264)
Timeframe: 6 months

InterventionParticipants (Count of Participants)
Vivitrol (XR-NTX)6
XR-NTX+PN12
ETAU7

[back to top]

Opioid Use Disorder

Number of participants meeting DSM-5 OUD (opioid use disorder) criteria via modified CIDI-2 Substance Abuse Module (NCT02110264)
Timeframe: 6 months

InterventionParticipants (Count of Participants)
Vivitrol (XR-NTX)4
XR-NTX+PN4
ETAU3

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Change From Baseline to Week 5 in the Montgomery Asberg Depression Rating Scale (MADRS) Total Score

The MADRS-10 scale is a clinician-administered questionnaire comprised of 10 items used to measure the severity of MDD symptoms. Scores range from 0 (no apparent symptoms) to 60 (most severe symptoms). Individual questionnaire items include: Apparent Sadness, Reported Sadness, Inner Tension, Reduced Sleep, Reduced Appetite, Concentration Difficulties, Lassitude, Inability to Feel, Pessimistic Thoughts, and Suicidal Thoughts. (NCT02158533)
Timeframe: Baseline and 5 weeks for each stage

Interventionunits on a scale (Least Squares Mean)
Placebo S1-11.1
ALKS 5461 0.5mg/0.5mg S1-8.4
ALKS 5461 2mg/2mg S1-13.0
Placebo S2-2.2
ALKS 5461 0.5mg/0.5mg S2-4.8
ALKS 5461 2mg/2mg S2-3.9

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Number of Subjects With Adverse Events (AEs)

(NCT02158533)
Timeframe: 5 weeks for Stage 1 and 6 weeks for Stage 2

InterventionParticipants (Count of Participants)
Placebo S1142
ALKS 5461 0.5mg/0.5mg S134
ALKS 5461 2mg/2mg S141
Placebo S229
ALKS 5461 0.5mg/0.5mg S227
ALKS 5461 2mg/2mg S229

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Body Mass Index (BMI)

BMI is calculated using measured height and weight. (NCT02317744)
Timeframe: Post-treatment (at 3 months)

Interventionkg/m^2 (Mean)
Naltrexone/ Bupropion Combination34.5
Pill Placebo39.7

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Body Mass Index (BMI)

BMI is calculated using measured height and weight. (NCT02317744)
Timeframe: 6 month follow-up (an average of 6 months following treatment)

Interventionkg/m^2 (Mean)
Naltrexone/ Bupropion Combination35.9
Pill Placebo40.3

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Binge Eating Frequency (Continuous)

Binge eating will be assessed by interview and self-report and the primary outcome is frequency. Frequency also is defined continuously (analyzed dimensionally). (NCT02317744)
Timeframe: 6 month follow-up (an average of 6 months following treatment)

Interventionbinge eating days (out of 28) (Mean)
Naltrexone/ Bupropion Combination5.4
Pill Placebo2.9

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Binge Eating Frequency (Continuous)

Binge eating will be assessed by interview and self-report and the primary outcome is frequency. Frequency also is defined continuously (analyzed dimensionally). (NCT02317744)
Timeframe: Post-treatment (at 3 months)

Interventionbinge eating days (out of 28) (Mean)
Naltrexone/ Bupropion Combination4.4
Pill Placebo3.0

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Change in Mean Drinks Per Day of Drinking (Visit 8 - Visit 2)

Average drinks per day of drinking was calculated based on self-reported drinking history collected via Form-90. Drinking days were defined as days when participants consumed alcohol. Form-90 was completed by participants in visit 2 (baseline) and visit 8 (last visit). Form-90 collected in the baseline visit recorded participants' alcohol consumption 90 days prior to their baseline visit. Form-90 collected in the last visit recorded participants' alcohol consumption from baseline until the day before their last visit. This outcome reports the change in the mean drinks between visit 8 and visit 2. Per the protocol, visit 8 is scheduled to occur 42 days (± 7days) after visit 2. In reality, visit 8 occurred 35 to 76 days after visit 2 with the average of 45 days. The outliers were due to scheduling difficulties. (NCT02322047)
Timeframe: Visit 2 (baseline) and visit 8 (last visit). Per the protocol, visit 8 is scheduled to occur 42 days (± 7days) after visit 2. In reality, visit 8 occurred 35 to 76 days after visit 2 with the average of 45 days due to scheduling difficulties.

Interventiondrinks (Least Squares Mean)
Praz/Nal-5.1
Praz/Pl-2.2
Nal/Pl-5.0
Pl/Pl-3.7

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Change in Alcohol Craving (Visit 8 PACS - Visit 2 PACS)

Alcohol craving was assessed in visit 2 (baseline) and the last visit (visit 8) using the Pennsylvania Alcohol Craving Scale (PACS). The PACS had 5 questions, where each question had six options presented in Likert Scales from 0 to 6, with 0 being the least and 6 being the highest possible option, thus the possible minimum and maximum values are 0 and 30, respectively. Higher scores mean higher craving. This outcome measures the change in PACS scores between visits 2 and 8 (visit 8 PACS score - visit 2 PACS score). Per the protocol, visit 8 is scheduled to occur 42 days (± 7days) after visit 2. In reality, visit 8 occurred 35 to 76 days after visit 2 with the average of 45 days. The outliers were due to scheduling difficulties. (NCT02322047)
Timeframe: Visit 2 (baseline) and visit 8 (last visit). Per the protocol, visit 8 is scheduled to occur 42 days (± 7days) after visit 2. In reality, visit 8 occurred 35 to 76 days after visit 2 with the average of 45 days due to scheduling difficulties.

Interventionscore on a scale (Least Squares Mean)
Praz/Nal-10.5
Praz/Pl-4.6
Nal/Pl-4.3
Pl/Pl-3.5

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Change in Percent Heavy Drinking Days (PHDD) (Visit 8 PHDD - Visit 2 PHDD)

PHDD was calculated based on self-reported drinking history collected via Form-90. Heavy drinking days were defined as days when participants consumed 4 or more drinks for females and 5 or more drinks for males. Form-90 was completed by participants in the baseline and last visit. Form-90 collected in the baseline visit recorded participants' alcohol consumption 90 days prior to their baseline visit. Form-90 collected in the last visit recorded participants' alcohol consumption from baseline until the day before their last visit. This outcome measures changes in PHDD between visit 8 and visit 2. Per the protocol, visit 8 is scheduled to occur 42 days (± 7days) after visit 2. In reality, visit 8 occurred 35 to 76 days after visit 2 with the average of 45 days. The outliers were due to scheduling difficulties. (NCT02322047)
Timeframe: Visit 2 (baseline) and Visit 8 (last visit). Per the protocol, visit 8 is scheduled to occur 42 days (± 7days) after visit 2. In reality, visit 8 occurred 35 to 76 days after visit 2 with the average of 45 days due to scheduling difficulties.

Interventionpercentage of heavy drinking days (Least Squares Mean)
Praz/Nal-38
Praz/Pl-8
Nal/Pl-7
Pl/Pl-13

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Change in Percent Drinking Days (PDD) (Visit 8 PDD - Visit 2 PDD)

PDD was calculated based on self-reported drinking history collected via Form-90. Drinking days were defined as days when participants consumed alcohol. Form-90 was completed by participants in visit 2 (baseline) and visit 8 (last visit). Form-90 collected in the baseline visit recorded participants' alcohol consumption from 90 days prior to their baseline visit until the day before their baseline visit. Form-90 collected in the last visit recorded participants' alcohol consumption from baseline until the day before their last visit. This outcome measures changes in PDD between visit 8 and visit 2. Per the protocol, visit 8 is scheduled to occur 42 days (± 7days) after visit 2. In reality, visit 8 occurred 35 to 76 days after visit 2 with the average of 45 days. The outliers were due to scheduling difficulties. (NCT02322047)
Timeframe: Visit 2 (baseline) and visit 8 (last visit). Per the protocol, visit 8 is scheduled to occur 42 days (± 7days) after visit 2. In reality, visit 8 occurred 35 to 76 days after visit 2 with the average of 45 days due to scheduling difficulties.

Interventionpercentage of drinking days (Least Squares Mean)
Praz/Nal-37
Praz/Pl-9
Nal/Pl-14
Pl/Pl-15

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Withdrawal: Subjective Opioid Withdrawal Scale (SOWS) Scores at Baseline and Administered Subsequently

Subjective Opioid Withdrawal Scale (SOWS) is a scale out of 64 points assessing withdrawal severity that is administered serially, every several hours, over the course of the naltrexone initiation. The questionnaire assesses symptoms that the patient rates on a scale of 0 (not at all) to 4 (extremely). The difference in total (sum) scores between baseline and end-of-induction will be reported. Scores range from 0 to 64. (NCT02437344)
Timeframe: 4 days

Interventionunits on a scale (Mean)
CI-581aa34

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Successful Naltrexone Initiation

The proportion of participants enrolled in the trial and receiving the infusion to receive XR-NTX (NCT02437344)
Timeframe: 2 weeks

InterventionParticipants (Count of Participants)
CI-581aa11

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Gamma-glutamyl Transferase (GGT) Levels

(NCT02445339)
Timeframe: Month 6

Interventionunits/liter (Mean)
Intervention Arm: XR-NTX+CM154.8
Standard Care Arm146.8

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EuroQoL-5 Dimensions (EQ-5D) Score

EQ-5D is a standardized measure of health-related quality of life. A visual analogue scale is used to record an individual's valuation of defined EQ-5D profiles. The total score range is 0-100; the higher the score, the better the health state (0=worst imaginable health state, 100=best imaginable health state). (NCT02445339)
Timeframe: Month 6

Interventionscore on a scale (Mean)
Intervention Arm: XR-NTX+CM70.4
Standard Care Arm68.8

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EuroQoL-5 Dimensions (EQ-5D) Score

EQ-5D is a standardized measure of health-related quality of life. A visual analogue scale is used to record an individual's valuation of defined EQ-5D profiles. The total score range is 0-100; the higher the score, the better the health state (0=worst imaginable health state, 100=best imaginable health state). (NCT02445339)
Timeframe: Month 3

Interventionscore on a scale (Mean)
Intervention Arm: XR-NTX+CM67.1
Standard Care Arm56.1

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Gamma-glutamyl Transferase (GGT) Levels

(NCT02445339)
Timeframe: Month 12

Interventionunits/liter (Mean)
Intervention Arm: XR-NTX+CM111.8
Standard Care Arm109.3

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Gamma-glutamyl Transferase (GGT) Levels

(NCT02445339)
Timeframe: Month 3

Interventionunits/liter (Mean)
Intervention Arm: XR-NTX+CM197.8
Standard Care Arm107.8

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Number of Heavy Drinking Days

Self-reported (NCT02445339)
Timeframe: Month 12

Interventiondays (Mean)
Intervention Arm: XR-NTX+CM0
Standard Care Arm37

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Number of Heavy Drinking Days

Self-reported (NCT02445339)
Timeframe: Month 3

Interventiondays (Mean)
Intervention Arm: XR-NTX+CM62
Standard Care Arm0

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Carbohydrate-deficient Transferrin (CDT) Levels

(NCT02445339)
Timeframe: Month 12

Intervention%CDT (Mean)
Intervention Arm: XR-NTX+CM2.6
Standard Care Arm3.7

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Number of Heavy Drinking Days

Self-reported (NCT02445339)
Timeframe: Month 6

Interventiondays (Mean)
Intervention Arm: XR-NTX+CM32
Standard Care Arm25

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Carbohydrate-deficient Transferrin (CDT) Levels

(NCT02445339)
Timeframe: Month 3

Intervention%CDT (Mean)
Intervention Arm: XR-NTX+CM5.4
Standard Care Arm2.8

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Carbohydrate-deficient Transferrin (CDT) Levels

(NCT02445339)
Timeframe: Month 6

Intervention%CDT (Mean)
Intervention Arm: XR-NTX+CM3.5
Standard Care Arm4.7

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EuroQoL-5 Dimensions (EQ-5D) Score

EQ-5D is a standardized measure of health-related quality of life. A visual analogue scale is used to record an individual's valuation of defined EQ-5D profiles. The total score range is 0-100; the higher the score, the better the health state (0=worst imaginable health state, 100=best imaginable health state). (NCT02445339)
Timeframe: Month 12

Interventionscore on a scale (Mean)
Intervention Arm: XR-NTX+CM77.6
Standard Care Arm56.7

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Change in Percent Heavy Drinking Days (%HDDs) Over the Past 30 Days From Baseline to 3 Month Follow-up, Assessed Using the Timeline Follow-Back

The primary alcohol use outcome will be change in percent heavy drinking days (%HDDs) from baseline to 3 month follow-up. %HDDs out of the past 30 days is assessed using the Timeline Follow-Back. %HDDs is the most likely (and most sensitive) to be affected by NTX and is clinically important (any reduction means less risk of harm). We chose self-report because biological testing is not sufficiently valid for detecting drinking levels and changes of clinical importance. The self-report tool is valid, particularly so when staff are well trained, and when the context for the subject is: they are informed they are being tested for consumption (breath alcohol and carbohydrate deficient transferrin (CDT), there are no consequences related to consumption levels, and that results are being recorded confidentially. (NCT02478489)
Timeframe: Baseline, 3 months

Interventionchange in percent heavy drinking days (Mean)
Extended-release Injectable Naltrexone (XR-NTX)-46.4
Oral Naltrexone (PO-NTX)-38.4

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Vivitrol Injection Receivers

% of participants starting the NTX transition who received Vivitrol injection (NCT02543944)
Timeframe: 5 days (week 4 day 1 to week 4 day 5)

InterventionParticipants (Count of Participants)
Gabapentin12
Placebo12

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NTX Transition Initiation

% of Participants who completed the detox and started the NTX transition (NCT02543944)
Timeframe: 3 days (wk 4 day 1 - week 4 day 3)

InterventionParticipants (Count of Participants)
Gabapentin33
Placebo29

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Detoxification Phase: Changes in Percent of Illicit Opioid-positive Urine Samples Over Time

Thrice weekly urine samples obtained during weeks 1-3; data include assessments from week 1 day 1 through week 4 day 1 (up to 10 total samples per participant) (NCT02543944)
Timeframe: Week 1 day 1 (study entry) through Week 4 day 1 (first day of NTX transition)

Interventionpercentage of urine positive samples (Mean)
Gabapentin35.0
Placebo41.6

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Detox Phase Completers

% of enrolled participants who completed the Detox Phase (NCT02543944)
Timeframe: 3 weeks (week 1-3)

InterventionParticipants (Count of Participants)
Gabapentin41
Placebo34

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Reincarceration

percentage of patients who were reincarcerated (NCT02617628)
Timeframe: 0 to 28 months

InterventionParticipants (Count of Participants)
Before Re-entry28
After Re-entry22

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Relapse to Opioid Use in Subjects by Month 3

Proportion (count) without relapse by month 3 post release. At each monthly assessment we determined whether a subject relapsed based on the timeline follow-back (TLFB) and/or urine drug screen results (UDS) and self-reported withdrawal. (NCT02617628)
Timeframe: 12 weeks (month 3)

InterventionParticipants (Count of Participants)
Before Re-entry16
After Re-entry20

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Number of Participants With Maximum Changes in Vital Signs (Blood Pressure, Heart Rate, Respiratory Rate) Meeting Categorical Summarization Criteria

Following parameters were analyzed for examinations of vital signs: resting systolic and diastolic blood pressure, heart rate, and respiratory rate. In this study, there were only participants meeting the maximum decrease from baseline in systolic blood pressure (SBP) >= 30 mmHg and diastolic blood pressure (DBP) >=20 mmHg criteria. None of the vital sign changes were clinically significant. (NCT02680847)
Timeframe: Baseline up to Day 58

,,
InterventionParticipants (Count of Participants)
Maximum decrease from baseline in SBP>=30mmHgMaximum decrease from baseline in DBP>=20mmHg
ALO-02 <= 20 mg11
ALO-02 >20-40 mg02
ALO-02 >40-80 mg10

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Number of Participants With Laboratory (Lab) Abnormalities (Hematology and Chemistry)

Following parameters were analyzed for hematologic laboratory tests: hemoglobin, hematocrit, red blood cells, mean corpuscular volume, platelets, white blood cells, lymphocytes (absolute & %), neutrophils (absolute & %), basophils (absolute & %), eosinophils (absolute &%), monocytes (absolute & %). Following parameters were analyzed for chemical laboratory tests: bilirubin,aspartate aminotransferase, alanine aminotransferase,alkaline phosphatase, protein(total), albumin,blood urea nitrogen, creatinine, cholesterol, sodium, potassium,chloride, calcium, phosphate, bicarbonate, glucose, creatine kinase. None of the lab abnormalities were clinically significant. (NCT02680847)
Timeframe: Baseline up to Day 77

,,
InterventionParticipants (Count of Participants)
HematologyChemistry
ALO-02 <= 20 mg81
ALO-02 >20-40 mg53
ALO-02 >40-80 mg43

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Number of Participants With Clinical Opiate Withdrawal Scale (COWS)

The COWS contains 11 common opiate withdrawal signs or symptoms rated by the clinician.The summed score of the 11 items is used to assess a subject's level of withdrawal. A subject assessed with a COWS score>= 13 was treated for opiate withdrawal signs and symptoms according to the investigator's medical judgment. The total COWS score ranges from 0 to 48. Higher scores indicate worse outcome. Different score ranges represent different severities of withdrawal: no withdrawal (<5), mild (5-12), moderate (13-24), moderately severe (25-36), and severe (>36) (NCT02680847)
Timeframe: Screening, Day 1, Titration Phase: Weeks 1,2,3,4; end of titration phase; Maintenance phase: Weeks 2, 4; early termination at titration phase, end of maintenance phase.

,,
InterventionParticipants (Count of Participants)
COWS score<5 (screening)COWS score 5-12 (mild) (screening)COWS score<5 (end of maintenance phase)COWS score 5-12 (mild) (end of maintenance phase)
ALO-02 <= 20 mg151151
ALO-02 >20-40 mg9081
ALO-02 >40-80 mg7070

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Mean Peak COWS Scores During the Treatment Period (Days 1/1a-7)

The Clinical Opiate Withdrawal Scale (COWS) is a clinician-rated questionnaire designed to measure 11 common opioid withdrawal signs or symptoms. The summed score provides information about the level of physical dependence on opioids. The range of COWS scores is 0-4 (none to minimal); 5-12 (mild); 13-24 (moderate); 25-36 (moderately severe); and 37-48 (severe withdrawal). (NCT02696434)
Timeframe: Up to 7 days

Interventionscore on a scale (Mean)
NTX + BUP6.0
PBO NTX + BUP5.0

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Proportion of Days With COWS Peak Score

The Clinical Opiate Withdrawal Scale (COWS) is a clinician-rated questionnaire designed to measure 11 common opioid withdrawal signs or symptoms. The summed score provides information about the level of physical dependence on opioids. The range of COWS scores is 0-4 (none to minimal); 5-12 (mild); 13-24 (moderate); 25-36 (moderately severe); and 37-48 (severe withdrawal). (NCT02696434)
Timeframe: 1 week

InterventionDays (Mean)
NTX + BUP5.8
PBO NTX + BUP6.3

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Proportion of Post-VIVITROL Days (Days 9-11) in Which Subjects in Each Group Demonstrate Mild Opioid Withdrawal

COWS score NCT02696434)
Timeframe: Days 9-11

InterventionDays (Mean)
NTX + BUP2.4
PBO NTX + BUP2.6

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Proportion of Subjects Who Receive and Tolerate a VIVITROL Injection on Day 8

Demonstrated by mild opioid withdrawal symptoms (Clinical Opiate Withdrawal Scale [COWS] NCT02696434)
Timeframe: 8 days

InterventionParticipants (Count of Participants)
NTX + BUP35
PBO NTX + BUP38

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"Mean Score for Desire for Opioids Visual Analog Scale (VAS) During the Treatment Period and VIVITROL Induction and Post-VIVITROL Observation Period"

"The Desire for Opioids VAS uses a 100-mm, horizontal linear scale, with 0 anchored on the left representing no desire for opioids and 100 anchored on the right representing strongest imaginable desire for opioids." (NCT02696434)
Timeframe: Up to 11 days

Interventionscore on a scale (Mean)
NTX + BUP6.3
PBO NTX + BUP8.3

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Area Under the Curve (AUC) for COWS Scores During the Treatment Period and VIVITROL Induction and Post-VIVITROL Observation Period

The Clinical Opiate Withdrawal Scale (COWS) is a clinician-rated questionnaire designed to measure 11 common opioid withdrawal signs or symptoms. The summed score provides information about the level of physical dependence on opioids. The range of COWS scores is 0-4 (none to minimal); 5-12 (mild); 13-24 (moderate); 25-36 (moderately severe); and 37-48 (severe withdrawal). The daily AUC COWS score is derived based on the actual time (unit in minutes) COWS administered on each day by using the linear trapezoidal rule, and then divided by the COWS administration duration (last COWS administration time minus first COWS administration time) for that day. The normalized AUC COWS score is the summation of daily AUC COWS score during the relevant period divided by the number of days with daily AUC COWS score. (NCT02696434)
Timeframe: The COWS was administered 4-6 times per day during the Treatment Period

Interventionscore on a scale (Mean)
NTX + BUP4.5
PBO NTX + BUP3.9

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Incidence of Adverse Events (AEs)

Number and percentage of subjects who experienced AEs. (NCT02696434)
Timeframe: Up to 42 days

InterventionParticipants (Count of Participants)
NTX + BUP38
PBO NTX + BUP37

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Number of Participants With Expired Carbon Monoxide Level <=5ppm

Outcome for smoking cessation aim was Expired Carbon Monoxide level, which was used to determine whether a participant successfully abstained from cigarettes. 7 day point prevalence of nicotine abstinence was bioverified by Expired Carbon Monoxide reading of <= 5ppm at the 26-week follow-up visit. (NCT02698215)
Timeframe: 26 weeks post-quit

InterventionParticipants (Count of Participants)
Varenicline Plus Naltrexone22
Varenicline37

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Drinks Per Drinking Day

Outcome for drinking reduction aim - Number of Drinks per Drinking Day (NCT02698215)
Timeframe: 26 weeks post-quit

Interventiondrinks per drinking day (Mean)
Varenicline Plus Naltrexone3.1242
Varenicline3.5121

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Change in Fasting Insulin Levels

(NCT02736474)
Timeframe: baseline and 24 weeks

Interventionpmol/l (Mean)
Naltrexone and Bupropion3.5
Placebo Naltrexone and Bupropion11.0

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Change in Leptin

(NCT02736474)
Timeframe: baseline and 24 weeks

Interventionng/ml (Mean)
Naltrexone and Bupropion9.2
Placebo Naltrexone and Bupropion10.6

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Waist Circumference

evaluate all participants' waist circumference,waist circumference in centimeters (NCT02736474)
Timeframe: 24 weeks

Interventioncm (Mean)
Naltrexone and Bupropion98.6
Placebo Naltrexone and Bupropion101.3

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Numbers of Participants Who Quit Smoking

(NCT02736474)
Timeframe: 24 weeks

Interventionparticipants (Number)
Naltrexone and Bupropion0
Placebo Naltrexone and Bupropion0

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Depression Status Assessed by Self-rating Depression Scale(SDS)

evaluate all participants' depression status by Self-rating depression scale(SDS),which has a theoretical value range of 20-80. The SDS total score ranges, with the higher the score representing the higher level of severity of depression. (NCT02736474)
Timeframe: 24 weeks

Interventionscore on a scale (Mean)
Naltrexone and Bupropion39.4
Placebo Naltrexone and Bupropion33.6

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Clinical Symptoms Assessed by the Positive and Negative Syndrome Scale (PANSS)

Through a simple 40 to 50 minute talk with the patient, the physician scored 30 different symptoms on a scale of 1-7 to get their PANSS score. The total score range from 30-210. The PANSS total score ranges, with the higher the score representing the higher level of severity of clinical symptoms. (NCT02736474)
Timeframe: 24 weeks

Interventionscore on a scale (Mean)
Naltrexone and Bupropion52.5
Placebo Naltrexone and Bupropion57.2

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Changes From Baseline Craving for Nicotine Assessed by Visual Analog Scales (VAS) at 24 Weeks

"The visual analogue scale is a scale that is used to gauge smoking craving. Patients can choose a number from 0 to 10 to show their smoking craving, in which 0 represents no craving and 10 represents intense urge." (NCT02736474)
Timeframe: baseline and 24 weeks

Interventionscore on a scale (Mean)
Naltrexone and Bupropion-1.0
Placebo Naltrexone and Bupropion-1.9

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Change in Glycosylated Hemoglobin

(NCT02736474)
Timeframe: baseline and 24 weeks

Interventionpercentage of hemoglobin (Mean)
Naltrexone and Bupropion0.05
Placebo Naltrexone and Bupropion0.4

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Change in Ghrelin

(NCT02736474)
Timeframe: baseline and 24 weeks

Interventionpg/ml (Mean)
Naltrexone and Bupropion352.2
Placebo Naltrexone and Bupropion254.8

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Change in Fasting Triglycerides Levels

(NCT02736474)
Timeframe: baseline and 24 weeks

Interventionmmol/l (Mean)
Naltrexone and Bupropion-1.0
Placebo Naltrexone and Bupropion-0.4

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Change in Fasting LDL Cholesterol

(NCT02736474)
Timeframe: baseline and 24 weeks

Interventionmmol/l (Mean)
Naltrexone and Bupropion-0.4
Placebo Naltrexone and Bupropion-0.2

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Change in Fasting HDL Cholesterol Levels

(NCT02736474)
Timeframe: baseline and 24 weeks

Interventionmmol/l (Mean)
Naltrexone and Bupropion0.0
Placebo Naltrexone and Bupropion0.0

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Change in Fasting Blood Glucose Levels

(NCT02736474)
Timeframe: baseline and 24 weeks

Interventionmmol/l (Mean)
Naltrexone and Bupropion0.5
Placebo Naltrexone and Bupropion1.0

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Change From Baseline in Weight at 24 Weeks

evaluate all participants' weight ,weight in kilograms (NCT02736474)
Timeframe: baseline and 24 weeks

Interventionkilogram (Mean)
Naltrexone and Bupropion0.2
Placebo Naltrexone and Bupropion-0.9

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Anxiety Status Assessed by Self-Rating Anxiety Scale(SAS)

evaluate all participants' depression status by Self-Rating Anxiety Scale,which has a theoretical value range of 20-80. The SAS total score ranges, with the higher the score representing the higher level of severity of anxiety. (NCT02736474)
Timeframe: 24 weeks

Interventionscore on a scale (Mean)
Naltrexone and Bupropion31.1
Placebo Naltrexone and Bupropion28.8

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Self-reported Feelings of Connection in Response to the Scanner Tasks

"feelings of social connection in response to reading sentences from known people (i.e. average of how connected, touched, warm did you feel). Feelings were reported on a scale of 1 (not at all) to 7 (very) such that higher numbers reflect greater feelings of social connection.~time frame was mistakenly entered as the start of the fMRI scan, but participants reported on their feelings of social connection after the scan. Thus, the outcome measure time frame is reported as two, rather than one, hour after taking the study drug." (NCT02818036)
Timeframe: approximately two hours after taking study drug

Interventionscores on a scale (Mean)
Naltrexone4.576
Sugar Pill4.766

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Bold Oxygen-level Dependent (BOLD) Activations in Prespecified ROIs

In the MRI scanner, participants read sentences written by people they knew and people they did not know in a block design. Brain activity was measured as BOLD activity in response to reading sentences from known (vs. unknown) people using functional magnetic resonance imaging (FMRI). Based on a priori hypotheses, brain activity was masked to activity in structural regions-of-interest (ROIs) of the ventral striatum (VS) and middle-insula (MI). (NCT02818036)
Timeframe: approximately one hour after taking study drug

InterventionBOLD signal (Mean)
Naltrexone0.117
Sugar Pill0.2545

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Number of Binge Drinking Days During Treatment

The number of binge drinking days during treatment with bupropion + naltrexone (NCT02842073)
Timeframe: 12 weeks

Interventiondays (Mean)
Naltrexone and Buproprion3.2

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Number of Participants Discontinuing Subsequent to Defined Intolerance

Retention was evaluated indirectly by accounting for those participants who discontinued either naltrexone or bupropion or study participation itself due to intolerance. (NCT02842073)
Timeframe: Throughout study, a total of approximately 12 weeks

InterventionParticipants (Count of Participants)
Discontinued: NaltrexoneDiscontinued: BuproprionDiscontinued: Study
Naltrexone and Buproprion311

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Number of Participants With Treatment-Associated Adverse Events

Tolerability assessed by specifically probing for intervention-associated adverse effects. (NCT02842073)
Timeframe: 12 weeks

InterventionParticipants (Count of Participants)
HeadacheInsomniaDizziness
Naltrexone and Buproprion522

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Final Penn Alcohol Craving Scale (PACS) Score

Craving for alcohol will be assessed using the Penn Alcohol Craving Scale (PACS) The PACS is a five-item self-administered instrument for assessing craving. Frequency, intensity, and duration of thoughts about drinking are assessed along with ability to resist drinking. The final item asks the responder to provide an average rating of his/her craving over the course of the past week. The questions on the PACS use descriptors coupled with numerical ratings ranging from 0 to 6 with the highest possible total score of 30. Higher scores reflect a higher level of craving. This outcome measure is the final PACS total score obtained in the trial. (NCT02842073)
Timeframe: 12 weeks

Interventionunits on a scale (Mean)
Naltrexone and Buproprion4.4

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Mean Number of Drinks/Binge Drinking Day During Treatment

(NCT02842073)
Timeframe: 12 weeks

Interventiondrinks/binge drinking day (Mean)
Naltrexone and Buproprion3.3

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Weekly Change in Drinking

We used to the Timeline Followback Interview to collect the average weekly number of standard drinks of alcohol (about 9 grams) consumed at baseline (8 weeks prior to study enrollment) and during the 12-week treatment period. The minimum score is zero. There is no maximum score. Higher negative scores reflect a greater reduction in drinking and better outcomes. (NCT02885311)
Timeframe: Baseline (8 weeks prior to study enrollment) and the 12-week treatment period

Interventionscore on a scale (Mean)
At-Risk Drinkers (AR)-11.4
Problem Drinkers (PD)-22.2
AD With Physiological Withdrawal (AD-W)-39.6
AD With Complex Presentation (AD-CMPLX)-29.3

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Number of Participants Who Reported Improvement in Substance Use

Subjective assessment of alcohol/drug use in past 30 days collected via interviews at baseline and approximately six months. (NCT02978417)
Timeframe: Baseline, 6 months

InterventionParticipants (Count of Participants)
Vivitrol3
Oral Naltrexone1

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Number of Participants With New Arrests

Any new arrests during the 12-month study period. This information will be collected from administrative records. (NCT02978417)
Timeframe: 12 months

InterventionParticipants (Count of Participants)
Vivitrol2
Oral Naltrexone2

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Number of Sanctions Imposed by the Court

Number of sanctions imposed by the court (e.g., brief stays in jail). This information will be collected from administrative records. (NCT02978417)
Timeframe: 12 months

Interventionsanctions (Mean)
Vivitrol1.8
Oral Naltrexone3.6

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Treatment Participation (Non-Vivitrol)

Number of oral naltrexone monthly prescriptions from either arm of study. This information will be collected from administrative records. (NCT02978417)
Timeframe: 12 months

Interventionoral naltrexone monthly prescriptions (Mean)
Vivitrol0.2
Oral Naltrexone1.6

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Treatment Satisfaction Score

Reported as average of 12-item treatment satisfaction score at approximately six months. A score of 5 indicates strong agreement with positive statements about treatment satisfaction; a score of 0 indicates strong disagreement. (NCT02978417)
Timeframe: Approximately 6 months

Interventionscore on a scale (Mean)
Vivitrol4.53
Oral Naltrexone4.83

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Vivitrol Participation

Number of Vivitrol injections from either arm of study. This information will be collected from administrative records. (NCT02978417)
Timeframe: 12 months

InterventionVivitrol injections (Mean)
Vivitrol3.8
Oral Naltrexone1.4

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Change in Medication-assisted Treatment (MAT) Attitudes

Change in MAT attitudes from baseline to follow-up. The average score of 4 questions about MAT for substance use disorder were calculated at baseline and follow-up, and the average score at baseline was subtracted from the average score at follow-up. The averages are based on questions for which a score of 5 indicates strong agreement with statements about MAT; a score of 1 indicates strong disagreement with such statements. (NCT02978417)
Timeframe: Baseline, approximately 6 months

Interventionscore on a scale (Mean)
Vivitrol0.11
Oral Naltrexone0.08

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Number of Positive Drug Screens

Number of times a client had a positive drug screen. This information will be collected from administrative records. (NCT02978417)
Timeframe: 12 months

Interventionpositive drug screens (Mean)
Vivitrol2
Oral Naltrexone2.8

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Number of Participants With New Incarcerations

Any new incarceration during the 12-month study period. This information will be collected from administrative records. (NCT02978417)
Timeframe: 12 months

InterventionParticipants (Count of Participants)
Vivitrol1
Oral Naltrexone0

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Number of Missed Court Appointments

Number of missed court appointments during the 12-month study period. This information will be collected from administrative records. (NCT02978417)
Timeframe: 12 months

Interventionmissed court appointments (Mean)
Vivitrol0
Oral Naltrexone0

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Number of Participants Who Reported Illegal Behavior

"Subjective assessment of illegal behavior using the question, Have you done anything that was against the law in the last 30 days? collected via interviews approximately six months after baseline." (NCT02978417)
Timeframe: approximately 6 months

InterventionParticipants (Count of Participants)
Vivitrol0
Oral Naltrexone0

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Number of Participants Who Reported Improvement in Subjective Functioning: Employment/Support Status

Subjective assessment of employment opportunities collected via interviews at baseline and approximately six months. (NCT02978417)
Timeframe: Baseline, 6 months

InterventionParticipants (Count of Participants)
Vivitrol1
Oral Naltrexone2

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Number of Participants Who Reported Improvement in Subjective Functioning: Family/Social Relationships

Subjective assessment of family and social relationships using a single question about satisfaction with relationships over the past 30 days collected via interviews at baseline and approximately six months. (NCT02978417)
Timeframe: Baseline, approximately 6 months

InterventionParticipants (Count of Participants)
Vivitrol0
Oral Naltrexone1

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Brief Pain Inventory - Pain Severity

Average severity of pain in the past 7 days (0-10). Higher score is a worse outcome. Results are reported as change from baseline: after 8 weeks naltrexone, and after 8 weeks placebo. (NCT03008590)
Timeframe: 8 and16 weeks, ie after 8 weeks naltrexone and after 8 weeks placebo

Interventionunits on a scale (Mean)
At End of 8 Weeks Naltrexone Treatment-1.7
At End of 8 Weeks Placebo Treatment-2.0

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Clinical Global Impression of Improvement (CGI-I)

7-point scale (1-7) of patients' self-reporting of improvement or worsening during the study. A higher score is a worse outcome. Results are reported as change from baseline: after 8 weeks naltrexone, or after 8 weeks placebo. (NCT03008590)
Timeframe: 8 and 16 weeks, ie after 8 weeks naltrexone and after 8 weeks placebo

Interventionunits on a scale (Mean)
At End of 8 Weeks Naltrexone Treatment-0.3
At End of 8 Weeks Placebo Treatment-0.2

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Clinical Global Impression of Severity (CGI-S)

7-point scale (1-7) of patients' self-reporting of severity during the study. Higher score is a worse outcome. Results are reported as change from baseline: after 8 weeks naltrexone, or after 8 weeks placebo. (NCT03008590)
Timeframe: 8 and16 weeks, ie after 8 weeks naltrexone and 8 weeks placebo

Interventionunits on a scale (Mean)
At End of 8 Weeks Naltrexone Treatment-1.1
At End of 8 Weeks Placebo Treatment-1.1

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painDETECT

Measure of neuropathic pain (0-38). Lower score indicates nociceptive pain, higher score indicates neuropathic pain. Results are reported as change from baseline: after 8 weeks of naltrexone or after 8 weeks placebo. (NCT03008590)
Timeframe: 8 and 16 weeks, ie after 8 weeks naltrexone and after 8 weeks placebo

Interventionunits on a scale (Mean)
At End of 8 Weeks Naltrexone Treatment-4.0
At End of 8 Weeks Placebo Treatment-5.6

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Beck Depression Inventory-II

Questionnaire measuring severity of depression (0-69). Used primarily during screening to exclude enrollment of patients with severe depression, but also as a safety outcome measure during the study. Higher score is a worse outcome. Results are reported as change from baseline: after 8 weeks of naltrexone, or after 8 weeks of placebo (NCT03008590)
Timeframe: 8 and16 weeks, ie after 8 weeks naltrexone and after 8 weeks placebo

Interventionunits on a scale (Mean)
At End of 8 Weeks Naltrexone Treatment-1.0
At End of 8 Weeks Placebo Treatment-1.7

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Brief Fatigue Inventory

Questionnaire, severity of fatigue and fatigue's interference with activity (0-10 scales). Higher score is a worse outcome. Results are reported as change from baseline: after 8 weeks naltrexone or after 8 weeks placebo. (NCT03008590)
Timeframe: 8 and16 weeks, ie after 8 weeks naltrexone and after 8 weeks placebo

Interventionunits on a scale (Mean)
At End of 8 Weeks Naltrexone Treatment-1.8
At End of 8 Weeks Placebo Treatment-1.8

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Brief Pain Inventory - Pain Interference

Sum of 7 questions (each on a 0-10 scale, therefore 0-70 total) on how much pain has interfered with general function, walking ability, mood, normal work, relations with other people, sleep, and enjoyment of life. Higher score is a worse outcome. Results are reported as change from baseline: after 8 weeks of naltrexone, or after 8 weeks of placebo. (NCT03008590)
Timeframe: 8 and 16 weeks, ie after 8 weeks naltrexone or 8 weeks placebo

Interventionunits on a scale (Mean)
At End of 8 Weeks Naltrexone Treatment-23
At End of 8 Weeks Placebo Treatment-22

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Binge Eating Frequency (Continuous)

Binge eating will be assessed by interview and self-report and the primary outcome is frequency. Frequency will be defined continuously (analyzed dimensionally). (NCT03045341)
Timeframe: Post-treatment (4 months)

Interventionbinge-eating episodes per month (Mean)
Placebo9.90
NB Medication7.63
BWL + Placebo3.30
BWL + NB Medication1.97

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Body Mass Index (Percent Weight Loss)

BMI is calculated using measured height and weight. Percent weight loss, where negative values represent proportional weight loss, is calculated as the difference between weight at post-treatment and baseline weight, divided by baseline weight. By definition, all participants have 0% weight loss at baseline. (NCT03045341)
Timeframe: Post-treatment (4 months)

Interventionpercentage of baseline weight (Mean)
Placebo1.05
NB Medication-2.11
BWL + Placebo-4.42
BWL + NB Medication-5.71

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Number of Participants Meeting Response Criteria

Binge eating frequency will be assessed by interview and self-report. Frequency is defined categorically (response to treatment or non-response to treatment). Response to treatment is defined as a 65% reduction in binge eating frequency in past month, compared to baseline. (NCT03045341)
Timeframe: Post-treatment (4 months)

InterventionParticipants (Count of Participants)
Placebo14
NB Medication14
BWL + Placebo20
BWL + NB Medication25

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Change in Body Mass Index

BMI is calculated using measured height and weight. We report percent change in weight from baseline. Negative values indicate weight loss. (NCT03047005)
Timeframe: baseline and Post-treatment (4 months)

Interventionpercentage weight change (Mean)
NB Medication-0.03
Placebo.01

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Binge Eating Frequency (Continuous)

Binge eating will be assessed by interview and self-report and the primary outcome is frequency. Frequency will be defined continuously (analyzed dimensionally). (NCT03047005)
Timeframe: Post-treatment (4 months)

Interventionbinge eating days per month (Mean)
NB Medication0.86
Placebo3.25

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Mean Change of Methamphetamine Craving at Stage 2

Severity of methamphetamine craving, as measured by Visual Analog Craving Scales (VAS), during the treatment period. VAS scores range from 0 (no craving) to 100 (most intense craving possible). The VAS is completed at screening, once a week during the treatment period, and at the follow-up visits. (NCT03078075)
Timeframe: week 7, week 12

Interventionscore on a scale (Mean)
Stage 2 Re-Randomized Placebo-20.52
Stage 2 Re-Randomized AMC-31.79

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Mean Change of Overall Functioning as Measured by Treatment Effectiveness Assessment (TEA) at Stage 1

"The Treatment Effectiveness Assessment is a 4-item self-administered assessment that uses a Likert scale (1-10) to document changes in four life domains: substance use, health, lifestyle, and community and is collected at screening, mid-treatment (Week 6 Visit 2) and end-of-treatment (Week 12 Visit 2).~Possible scores range from 4-40, with higher scores indicating a higher overall functioning." (NCT03078075)
Timeframe: Baseline, week 6

Interventionscore on a scale (Mean)
Stage 1 Placebo2.2
Stage 1 AMC6.5

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Mean Change of Overall Functioning as Measured by Treatment Effectiveness Assessment (TEA) at Stage 2

"The Treatment Effectiveness Assessment is a 4-item self-administered assessment that uses a Likert scale (1-10) to document changes in four life domains: substance use, health, lifestyle, and community and is collected at screening, mid-treatment (Week 6 Visit 2) and end-of-treatment (Week 12 Visit 2).~Possible scores range from 4-40, with higher scores indicating a higher overall functioning." (NCT03078075)
Timeframe: week 7, week 12

Interventionscore on a scale (Mean)
Stage 2 Re-Randomized Placebo2.5
Stage 2 Re-Randomized AMC6.2

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Mean Number of Abstinent Days of Participants Who Used Other Substance Measured by UDS at Stage 2

Other substance use including Amphetamine, Non-Methamphetamine Drug, Cocaine, Alcohol, Cigarettes, as measured by UDS, during the treatment period. Opioid use will also be assessed using the Opioid 2000 ng tests on the UDS. (NCT03078075)
Timeframe: at week 12

,
Interventiondays (Mean)
AmphetamineNon-Methamphetamine drugCocaineAlcoholCigarettes
Stage 2 Re-Randomized AMC44.9531.0544.8839.9119.31
Stage 2 Re-Randomized Placebo44.9630.9944.938.4117.11

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Mean Number of Abstinent Days of Participants Who Used Other Substance Measured by UDS at Stage 1

Other substance use including Amphetamine, Non-Methamphetamine Drug, Cocaine, Alcohol, Cigarettes, as measured by UDS, during the treatment period. Opioid use will also be assessed using the Opioid 2000 ng tests on the UDS. (NCT03078075)
Timeframe: At week 6

,
Interventiondays (Mean)
AmphetamineNon-Methamphetamine DrugCocaineAlcoholCigarettes
Stage 1 AMC41.9531.4741.8737.8916.31
Stage 1 Placebo41.8928.5341.8736.4415.29

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Mean Change of Quality of Life (QOL) by PhenX Core Tier 1 Instrument at Stage 2

Mean change score of QOL (General health, Physical health, and Mental health) from baseline will be assessed by PhenX Core Tier 1 instrument: Quality of Life (QOL), which measures participants' quality of life during the past 30 days. Possible scores range from 0 to 30 (number of days in the past 30 in which health was good), with higher scores indicating a better quality of life. (NCT03078075)
Timeframe: week 7, week 12

,
Interventionscore on a scale (Mean)
Physical HealthMental HealthGeneral Health
Stage 2 Re-Randomized AMC1.5612.8210.152
Stage 2 Re-Randomized Placebo0.8772.0350.262

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Mean Change of Quality of Life (QOL) by PhenX Core Tier 1 Instrument at Stage 1

Mean change score of QOL (General health, Physical health, and Mental health) from baseline will be assessed by PhenX (Phenotypes and eXposures) Core Tier 1 instrument: Quality of Life (QOL), which measures participants' quality of life during the past 30 days. Possible scores range from 0 to 30 (number of days in the past 30 in which health was good), with higher scores indicating a better quality of life. (NCT03078075)
Timeframe: Baseline, Week 6

,
Interventionscore on a scale (Mean)
Physical HealthMental HealthGeneral Health
Stage 1 AMC1.4253.7851.582
Stage 1 Placebo1.0131.071-1.168

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Mean Change of Proportion of Other Substance Abstinent Days Measured by Self-report at Stage 2

Proportion of abstinent days of other substance including Alcohol, Cigarettes and E- Cigarettes was measured by self-report on TLFB during the treatment period. (NCT03078075)
Timeframe: week 7, week 12

,
Interventionproportion of abstinent days (Mean)
AlcoholCigarettesE- Cigarettes
Stage 2 Re-Randomized AMC-0.0350.119-0.079
Stage 2 Re-Randomized Placebo-0.0350.038-0.057

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Mean Change Percentage of Methamphetamine Abstinent Days Measured by Self-report at Stage 2

"Methamphetamine use selfreported on TLFB ( Timeline Followback) during the follow-up period.~The baseline measure is the percentage of abstinent days in the 30 days prior to randomization. The outcome is the change in percentage of abstinent days." (NCT03078075)
Timeframe: week 7, week 12

Interventionpercentage of abstinent days (Mean)
Stage 2 Re-Randomized Placebo16
Stage 2 Re-Randomized AMC25.3

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Mean Change of Percentage of Methamphetamine Abstinent Days Measured by Self-report at Stage 1

"Methamphetamine use selfreported on TLFB ( Timeline Followback) during the follow-up period.~The baseline measure is the percentage of abstinent days in the 30 days prior to randomization. The outcome is the change in percentage of abstinent days." (NCT03078075)
Timeframe: Baseline, week 6

Interventionpercentage of abstinent days (Mean)
Stage 1 Placebo14.0
Stage 1 AMC27.2

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Mean Change in Number of Other Substance Use by Self-report at Stage 1

Number of other substance (Alcohol and Cigarettes) use was measured by self-report recall on Timeline Followback (TLFB) during the treatment period. (NCT03078075)
Timeframe: Baseline, week 6

,
Interventionsubstances (Mean)
AlcoholCigarettes
Stage 1 AMC-1.604-55.873
Stage 1 Placebo0.358-12.642

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Mean Number of Study Weeks With Two Methamphetamine-negative UDS at Stage 2

Measured by the number of study weeks during the treatment period with two methamphetamine-negative UDS. (NCT03078075)
Timeframe: At week12

Interventionweeks (Mean)
Stage 2 Re-Randomized Placebo0.20
Stage 2 Re-Randomized AMC0.50
Stage 2 Not Re-Randomized Placebo1.48
Stage 2 Not Re-Randomized AMC1.20

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Treatment Effectiveness Score of Participants at Stage 1

The Treatment Effectiveness Score (TES) as measured by UDS results, during the treatment period. The TES is the percentage of the expected urine drug screens that were negative for each drug. Twelve urine drug screens are expected within each stage. (NCT03078075)
Timeframe: At weeks 6

Interventionpercentage of urine drug screens (Mean)
Stage 1 Placebo5.72
Stage 1 AMC13.84

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Mean Change in Number of Other Substance Use by Self-report at Stage 2

Number of other substance (Alcohol and Cigarettes) use was measured by self-report recall on Timeline Followback (TLFB) during the treatment period. (NCT03078075)
Timeframe: week 7, week 12

,
Interventionsubstances (Mean)
AlcoholCigarettes
Stage 2 Re-Randomized AMC-2.942-58.591
Stage 2 Re-Randomized Placebo1.695-9.925

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Mean Change of Proportion of Other Substance Abstinent Days Measured by Self-report at Stage 1

Proportion of abstinent days of other substance including Alcohol, Cigarettes and E- Cigarettes was measured by self-report on TLFB during the treatment period. (NCT03078075)
Timeframe: Baseline, week 6

,
Interventionproportion of abstinent days (Mean)
AlcoholCigarettesE- Cigarettes
Stage 1 AMC-0.0160.103-0.072
Stage 1 Placebo-0.0540.054-0.064

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Mean Number of Study Weeks With Two Methamphetamine-negative UDS at Stage 1

Measured by the number of study weeks during the treatment period with two methamphetamine-negative UDS. (NCT03078075)
Timeframe: At week 6

Interventionweeks (Mean)
Placebo0.15
AMC (Active Medication Combination)0.56

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Number of Participants Who Completed the Visit in Week 12

(NCT03078075)
Timeframe: At week 12

InterventionParticipants (Count of Participants)
Stage 2 Re-Randomized Placebo106
Stage 2 Re-Randomized AMC103
Stage 2 Not Re-Randomized Placebo28
Stage 2 Not Re-Randomized AMC78

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Percentage of Participants Who Used Methamphetamine in the Pre-evaluation Period

Methamphetamine use, as measured by UDS (urine drug screen) in the pre-evaluation period (Weeks 1-4 for Stage 1 and Weeks 7-10 for Stage 2 ) (NCT03078075)
Timeframe: Weeks 1-4 and Weeks 7-10

Interventionpercentage of participants (Number)
Stage 1 Placebo5.10
Stage 1 AMC11.93
Stage 2 Re-Randomized Placebo7.95
Stage 2 Re-Randomized AMC10.20
Stage 2 Not Re-Randomized Placebo29.46
Stage 2 Not Re-Randomized AMC22.56

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Mean Change of Depression Symptom Score by PHQ-9 at Stage 2

"Patient Health Questionnaire-9 measures participants depression symptoms. Possible scores range from 0-27, with higher scores indicating a more severe depression symptoms.~PHQ-9 scores reflect depression severity, ranges from 0-27 (0 no depressive symptoms, 1-4 minimal depression, 5-9 mild depression, 10-14 moderate depression, 15-19 moderately severe depression, 20-27 severe depression)" (NCT03078075)
Timeframe: week 7, week 12

Interventionscore on a scale (Mean)
Stage 2 Re-Randomized Placebo-3.66
Stage 2 Re-Randomized AMC-4.39

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Treatment Effectiveness Score of Participants at Stage 2

The Treatment Effectiveness Score (TES) as measured by UDS results, during the treatment period. The TES is the percentage of the expected urine drug screens that were negative for each drug. Twelve urine drug screens are expected within each stage. The range of possible scores are 0-100 and higher score indicates better outcomes. (NCT03078075)
Timeframe: At week 12

Interventionpercentage of urine drug screens (Mean)
Stage 2 Re-Randomized Placebo7.45
Stage 2 Re-Randomized AMC11.55

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Mean Change of Methamphetamine Craving at Stage 1

Severity of methamphetamine craving, as measured by Visual Analog Craving Scales (VAS), during the treatment period. VAS scores range from 0 (no craving) to 100 (most intense craving possible). The VAS is completed at screening, once a week during the treatment period, and at the follow-up visits. (NCT03078075)
Timeframe: Baseline, week 6

Interventionscore on a scale (Mean)
Stage 1 Placebo-22.33
Stage 1 AMC-29.98

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Mean Maximum Number of Consecutive Visits Negative UDS at Stage 2

Measured by maximum consecutive negative UDS: Count the number and range 0-12 and report the maximum number. (NCT03078075)
Timeframe: Stage 2 evaluation period at Weeks 12

InterventionUDS test results (Mean)
Stage 2 Re-Randomized Placebo0.61
Stage 2 Re-Randomized AMC (Active Medication Combination Arm)1.18
Stage 2 Not Re-Randomized Placebo3.10
Stage 2 Not Re-Randomized AMC2.63

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Change in Proportion of E-cigarettes Abstinent Days by Self-report at Stage 1

Proportion of abstinent days of E- Cigarettes was measured by self-report at stage 1. (NCT03078075)
Timeframe: Baseline, week 6

InterventionProportion of abstinent days (Mean)
Stage 1 Placebo-0.064
Stage 1 AMC-0.072

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Change in Proportion of E-cigarettes Abstinent Days by Self-report at Stage 2

Proportion of abstinent days of E- Cigarettes was measured by self-report at stage 2. (NCT03078075)
Timeframe: week 7, week 12

InterventionProportion of abstinent days (Mean)
Stage 2 Re-Randomized Placebo-0.057
Stage 2 Re-Randomized AMC-0.079

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Mean Change of Depression Symptom Score by PHQ-9 at Stage 1

"Patient Health Questionnaire-9 (PHQ-9) measures participants depression symptoms. Possible scores range from 0-27, with higher scores indicating a more severe depression symptoms.~PHQ-9 scores reflect depression severity, ranges from 0-27 (0 no depressive symptoms, 1-4 minimal depression, 5-9 mild depression, 10-14 moderate depression, 15-19 moderately severe depression, 20-27 severe depression)" (NCT03078075)
Timeframe: Baseline, week 6

Interventionscore on a scale (Mean)
Stage 1 Placebo-3.26
Stage 1 AMC-4.78

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Mean Maximum Number of Consecutive Visits Negative UDS at Stage 1

Measured by maximum consecutive negative UDS: Count the number and range 0-12 and report the maximum number. (NCT03078075)
Timeframe: At week 6

InterventionUDS test results (Mean)
Placebo0.54
AMC (Active Medication Combination Arm)1.37

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Percentage of Patients Who Receive the Second Injection of XR-NTX.

Percentage of patient who initiated Procedure 1 and completed the study receiving the 2nd injection of XR-NTX (NCT03113409)
Timeframe: 4 weeks after 1st injection

InterventionParticipants (Count of Participants)
Procedure 16

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BMI

BMI will be calculated using weekly height and weight measurements (kg/m^2) at each assessment. (NCT03132571)
Timeframe: Baseline and Week 16

,
Interventionkg/m^2 (Mean)
Baseline16 Weeks
Naltrexone With Bupropion39.0637.33
Placebo With Bupropion29.5530.65

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Waist Circumference (Inches)

Waist circumference will be measured in inches at each assessment. (NCT03132571)
Timeframe: Baseline and Week 16

,
Interventioninches (Mean)
Baseline16 Weeks
Naltrexone With Bupropion50.0848.50
Placebo With Bupropion41.8743.37

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Weight (kg)

Weight in kilograms will be measured at each assessment and change will be determined at study endpoint. (NCT03132571)
Timeframe: Baseline and Week 16

,
Interventionkg (Mean)
Baseline16 Weeks
Naltrexone With Bupropion118.78113.60
Placebo With Bupropion87.2591.25

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Change From Baseline to the End of Treatment (EOT) in the Montgomery Asberg Depression Rating Scale-10 (MADRS-10) Scores

The MADRS-10 scale is a clinician-administered questionnaire comprised of 10 items used to measure the severity of Major Depressive Disorder (MDD) symptoms. Scores range from 0 (no apparent symptoms) to 60 (most severe symptoms). Individual questionnaire items include: Apparent Sadness, Reported Sadness, Inner Tension, Reduced Sleep, Reduced Appetite, Concentration Difficulties, Lassitude, Inability to Feel, Pessimistic Thoughts, and Suicidal Thoughts. (NCT03188185)
Timeframe: Baseline and 5 weeks for Stage 1, Baseline and 6 weeks for Stage 2

Interventionscore on a scale (Least Squares Mean)
S1: Placebo-11.4
S1: ALKS 5461 2mg/2mg-13.9
S2: Placebo-4.2
S2: ALKS 5461 2mg/2mg-4.7

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Number of Participants With HIV Viral Suppression, Complete Case

HIV-1 RNA <200 copies/ml (NCT03275350)
Timeframe: 12 weeks and 24 weeks

,
InterventionParticipants (Count of Participants)
12 Weeks24 Weeks
Extended-release Naltrexone (XR-NTX)2326
Treatment as Usual (TAU)1926

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Number of Participants Who Had Unprotected Sex in Past 30 Days

Past 30 day unprotected sex, as measured by the Risk Assessment Battery at baseline and week 24 (binary; self-report). (NCT03275350)
Timeframe: Baseline and 24 weeks

,
InterventionParticipants (Count of Participants)
Baseline24 Weeks
Extended-release Naltrexone (XR-NTX)159
Treatment as Usual (TAU)169

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CD4 Count

"Cluster of Differentiation 4~Absolute value of CD4 count at baseline and 24 weeks." (NCT03275350)
Timeframe: Baseline and 24 weeks

,
Interventioncells/mm3 (Mean)
Baseline24 Weeks
Extended-release Naltrexone (XR-NTX)380.7459.1
Treatment as Usual (TAU)439.8505.1

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Engagement in HIV Care: 100% Antiretroviral Therapy Adherence

Number of participants taking 100% of prescribed ART doses in the past month at 24 weeks for those prescribed ART at any point during the 24 week trial (proportion; self-reported medication adherence measure). Chi-squared test comparing proportion to treatment assignment, for those prescribed ART. (NCT03275350)
Timeframe: 24 weeks

InterventionParticipants (Count of Participants)
Extended-release Naltrexone (XR-NTX)16
Treatment as Usual (TAU)13

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Engagement in HIV Care: Quality of Life

"Past 30 day health-related quality of life as measured by the EQ-5D questionnaire at baseline and week 24.~Minimum value: 0 Maximum value: 100 Higher scores mean a better outcome" (NCT03275350)
Timeframe: Baseline and 24 weeks

,
Interventionscore on a scale (Mean)
Baseline24 Weeks
Extended-release Naltrexone (XR-NTX)5867.9
Treatment as Usual (TAU)64.371.2

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Engagement in HIV Care: Antiretroviral Therapy Prescribed

Absolute value of participants prescribed ART at baseline and within 24 weeks following randomization. Each individual can be scored 0 (not prescribed ART) or 1 (prescribed ART) at both baseline and follow-up, after which his or her outcome score will be the follow-up score minus the baseline score. Outcomes will be analyzed via rank-based methods such as Wilcoxon rank-sum tests. (NCT03275350)
Timeframe: Baseline and 24 weeks

,
InterventionParticipants (Count of Participants)
Baseline24 Weeks
Extended-release Naltrexone (XR-NTX)3745
Treatment as Usual (TAU)4643

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Number of Participants With at Least 1 HIV Care Visit in Past 12 Weeks

At least 1 HIV care visit in past 12 weeks (NCT03275350)
Timeframe: 24 weeks

InterventionParticipants (Count of Participants)
Extended-release Naltrexone (XR-NTX)31
Treatment as Usual (TAU)29

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Average Number of Self-Reported Days of Opioid Use in Last 30 Days

Average number of days of opioid use between baseline and 24 weeks, measured by the Timeline Follow-Back (count; self-report), will be used to compare opioid use by treatment group. Confirmatory analysis will assess opioid use by the average number of days of opioid use in the last 30 days of the study (by Addiction Severity Index-lite; count; self-report) and the number of monthly urine drug screen (UDS) negative for opioids between baseline and 24 weeks (count; laboratory data). (NCT03275350)
Timeframe: Between baseline and 24 weeks

,
Interventiondays (Mean)
Intent-to-treatPer-protocol
Extended-release Naltrexone (XR-NTX)11.736.02
Treatment as Usual (TAU)14.8113.58

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Veterans Aging Cohort Study (VACS) Index

"Absolute value of participant VACS Index at baseline and 24 weeks~Veterans Aging Cohort Study Index Minimum value: 0 Maximum value: 164 A higher score means a worse outcome." (NCT03275350)
Timeframe: Baseline and 24 weeks

,
Interventionscore on a scale (Mean)
Baseline24 Weeks
Extended-release Naltrexone (XR-NTX)65.154.4
Treatment as Usual (TAU)68.463.5

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Number of Participants With Multiple Sex Partners in Past 30 Days

Past 30 day multiple sex partners, as measured by the Risk Assessment Battery at baseline and week 24 (binary; self-report). (NCT03275350)
Timeframe: Baseline and 24 weeks

,
InterventionParticipants (Count of Participants)
Baseline24 Weeks
Extended-release Naltrexone (XR-NTX)105
Treatment as Usual (TAU)66

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Number of Participants With HIV Viral Suppression, Per-protocol

HIV-1 RNA <200 copies/ml (NCT03275350)
Timeframe: 12 weeks and 24 weeks

,
InterventionParticipants (Count of Participants)
12 weeks24 weeks
Extended-release Naltrexone (XR-NTX)1115
Treatment as Usual (TAU)1623

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Number of Participants Who Test Positive for Opioids at 24 Weeks

Number and percent of participants with UDS positive for opioids at 24 weeks. (NCT03275350)
Timeframe: 24 weeks

,
InterventionParticipants (Count of Participants)
Intent-to-treatPer-protocol
Extended-release Naltrexone (XR-NTX)3410
Treatment as Usual (TAU)4030

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Number of Participants With HIV Viral Suppression, Missing Imputed as Unsuppressed

HIV-1 RNA <200 copies/ml (NCT03275350)
Timeframe: 12 weeks and 24 weeks

,
InterventionParticipants (Count of Participants)
12 Weeks24 Weeks
Extended-release Naltrexone (XR-NTX)2329
Treatment as Usual (TAU)2129

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Treatment Discontinuation Defined as Patient Self-report of Stopping Medication Anytime During the Treatment Period

Measured via one question asking participants if they had discontinued medication since their last visit. Assessed at 4 and 8 week study visits. (NCT03278886)
Timeframe: 4 weeks, 8 weeks

,
Interventiontreatment discontinuations (Number)
4-Weeks8-Weeks
Low Dose Naltrexone11
Nalmefene12

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Reported Side Effects Using a Symptom Checklist, Plus an Open-ended Question

Measured via a 16-item symptom checklist with the option for participants to report any experienced side effects not on the checklist. Side effect severity is rated by trained research assessors. The checklist is asked at 2, 4, 6, and 8-week study visits. (NCT03278886)
Timeframe: 2 weeks, 4 weeks, 6 weeks, 8 weeks

,
Interventionnumber of side effects (Mean)
2-Weeks4-Weeks6-Weeks8-Weeks
Low Dose Naltrexone1.51.30.90
Nalmefene4.51.51.50

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Medication Satisfaction Defined as a Score From 0-100 Measured Via the Treatment Satisfaction Questionnaire for Medication (TSQM), With Higher Scores Corresponding to Higher Treatment Satisfaction.

Measured via using the 14-item Treatment Satisfaction Questionnaire, which consists of 14 items that result in four domains: Effectiveness, Side Effects, Convenience and Global Satisfaction. Higher scores indicate greater satisfaction with medication. Assessed at 4 and 8 week study visits. (NCT03278886)
Timeframe: 4 weeks, 8 weeks

,
Interventionscore on a scale (Mean)
4-Weeks8-Weeks
Low Dose Naltrexone47.347.3
Nalmefene3.63.6

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Severe Hepatotoxicity Defined as AST/ALT >10X the Level of Normal

Aminotransferase levels (AST/ALT) are tested to look for severe hepatotoxicity defined as AST/ALT > 10 times the level of normal. (NCT03278886)
Timeframe: Endpoint at 8 weeks

Interventionparticipants (Number)
Low Dose Naltrexone0
Nalmefene0

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Number of Participants With Adherence Assessed Via Riboflavin in the Urine Confirming Adherence

Measured through visual inspection of the urine for the presence or absence of riboflavin using ultraviolet (UV) light at the long wave setting (33 mm) in a room with low ambient light. (NCT03278886)
Timeframe: Endpoint at 8 weeks

Interventionparticipants (Number)
Low Dose Naltrexone1
Nalmefene0

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Medication Tolerability Measured Via a 0-100 Visual Analog Scale

"Medication tolerability will be measured via a 0-100 visual analog scale. Participants will be asked to indicate on a scale of 0-100, how well they have tolerated the study medication with 0 anchored as cannot tolerate at all and 100 as tolerate perfectly well. Higher numbers will be indicative of higher tolerability of the medication." (NCT03278886)
Timeframe: Primary endpoint at 8 weeks

Interventionscore on a scale (Mean)
Low Dose Naltrexone90.7
NalmefeneNA

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Change in Alcohol Use Defined as a Change in the Mean Number of Grams of Pure Ethanol Consumed Per Day From Baseline to 8 Weeks

Measured via 30 Day Alcohol Use Timeline Follow Back Method (NCT03278886)
Timeframe: Baseline, 8 weeks

Interventiongrams of ethanol (Mean)
Low Dose Naltrexone5.5
Nalmefene-6.83

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Adherence to Medication Defined as Self-report of Percentage of Study Medication Taken in the Past Two Weeks

Measured by participants' drawing a line on a a Visual Analog Scale, which ranges from 0 to 100. Higher numbers indicate higher adherence to study medication. (NCT03278886)
Timeframe: Endpoint at 8 weeks

Interventionscore on a scale (Mean)
Low Dose Naltrexone87.5
Nalmefene0

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Undetectable HIV Viral Load at 6 Months

Number of participants with undetectable HIV viral load at 6 months, assessed by HIV viral load lab test (<40 copies per milliliter). (NCT03290391)
Timeframe: 6 months

Interventionpercentage of participants (Number)
LINC-II35.4
Standard of Care12.9

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Change in Mean CD4 Count From Baseline to 12 Months

The change in the mean CD4 count (CD4 cells per cubic millimeter) will be calculated from the baseline and 12 months lab results (NCT03290391)
Timeframe: Change from baseline to 12 months

Interventioncells per cubic millimeter (Mean)
LINC-II56
Standard of Care-8

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Initiation of Antiretroviral Therapy (ART)

Number of participants who initiated ART within 28 days of randomization. Data will be extracted from medical record. (NCT03290391)
Timeframe: Within 28 days of randomization

Interventionpercentage of participants (Number)
LINC-II73.9
Standard of Care11.4

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Retention in HIV Care

Number of participants who had at least 1 visit to HIV medical care in 2 consecutive 6 month periods. Data will be extracted from medical record. (NCT03290391)
Timeframe: 12 months

Interventionpercentage of participants (Number)
LINC-II51.4
Standard of Care35.1

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Undetectable HIV Viral Load at 12 Months

Number of participants with undetectable HIV viral load at 12 months, assessed by HIV viral load lab test (<40 copies per milliliter) (NCT03290391)
Timeframe: 12 months post randomization

Interventionpercentage of participants (Number)
LINC-II46.9
Standard of Care22.7

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Change in Total Body Weight

Percent change in body weight (NCT03374956)
Timeframe: baseline to 12 weeks

Interventionpercent change (Median)
Intervention Group-7.7
Control Group-6.5

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Percentage of Responders

Percentage of participants with at least 10% total body weight loss (NCT03374956)
Timeframe: baseline to 12 weeks

Interventionpercentage of participants (Number)
Intervention Group44
Control Group40

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Percentage of Responders

Percentage of participants who loss 5% or more of total body weight (NCT03374956)
Timeframe: baseline to 12 weeks

Interventionpercentage of participants (Number)
Intervention Group81
Control Group80

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Response to Medications as Assessed by Change in Score on Modified MDRS Scale From Baseline to End of Study Period

The Montgomery-Asberg (MADRS) depression scale will be utilized throughout the study. The scale is scored 0-60, 0 signifying no depression symptoms and 60 signifying very severe depression. A diagnosis of depression will be given to a participant in this study for a MADRS score of 20 or greater. A clinical response to medication will be noted when a participant has a 25% or greater decrease in MADRS score during the trial. (NCT03386448)
Timeframe: Baseline and 4 weeks

Interventionunits on a scale (Mean)
Control(Placebo)3.5
Active(Scopolamine and Naltrexone)12.5

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Functional Disability

1. A change in functional disability scores - The functional disability inventory (FDI) will be used to assess differences in disability pre- and post-naltrexone treatment for NDPH patients The FDI is a valid and reliable measure consisting of 15 items concerning perceptions of physical and psychosocial function. Total scores range from 0 to 60, with higher scores indicating greater disability. (NCT03447782)
Timeframe: 3 months

Interventionscore on a scale (Mean)
FDI V1FDI V4
NDPH Persistent15.1610.96

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Pain Intensity

1. A change in pain intensity scores and headache frequency from visit 1 (V1) compared to visit 4 (V4) for NDPH patients after naltrexone has been administered for approximately 3 months. The NRS (numerical rating scale) will be used, with a pain score between 0 to 10, with 0 being no pain and 10 being worst pain imaginable. (NCT03447782)
Timeframe: 3 months

Interventionscore on a scale (Mean)
V1 Pain RatingV4 Pain Rating
NDPH Persistent5.824.92

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Self- Perceived Pain Sensitivity

A change in self-perceived pain sensitivity - The Pain Sensitivity Questionnaire (PSQ) will be used to assess differences in pain sensitivity pre- and post-naltrexone treatment, as well as between persistent patients and healthy controls. The Pain Sensitivity Questionnaire (PSQ) PSQ is a valid 17 item self-report measure of pain sensitivity. Each item is rated on a scale of 0 to 10, with 0 being no pain and 10 being worst pain imaginable. The PSQ will be used to assess differences in pain sensitivity pre- and post-naltrexone treatment, as well as between recovered and persistent patients. (NCT03447782)
Timeframe: 3 months

Interventionunits on a scale (Mean)
PSQ total V1PSQ total V4
NDPH Persistent3.213.22

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Change in Binge Eating Frequency

"Binge eating will be assessed by interview (Eating Disorder Examination) and the primary outcome is frequency of binge episodes in the past month, comparing baseline and post-treatment. Change is defined as the change in frequency from baseline to post-treatment." (NCT03539900)
Timeframe: Post-treatment (3 months)

Interventionbinge-eating episodes per month (Mean)
NB Medication6.4
Placebo5.4

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Percent BMI Change

BMI was calculated using measured height and weight. We report percent BMI change using the following formula: ([BMI at posttreatment] - [BMI at baseline])/[BMI at baseline]. Negative values indicate loss. (NCT03539900)
Timeframe: Post-treatment (3 months)

Interventionpercent BMI change (Mean)
NB Medication-8.0
Placebo-0.5

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Visual Acuity Measured by Assessing Average Change in LogMAR Units for Both Eyes at Day 29. LogMAR Units Range From 0-1.0, With the Higher the Number Indicating a Worsening in Vision.

Mean change in visual acuity (LogMAR units 0-1.0) for both eyes at Day 29 was determined for each treatment arm and considered a measure of safety. (NCT03660475)
Timeframe: Day 29

Interventionunits on a scale (Mean)
Naltrexone0.08
Placebo0.07

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Total Ocular Surface Disease Index

"The OSDI is a 12-item questionnaire designed to provide a rapid assessment of the symptoms of ocular irritation consistent with dry eye disease and their impact on vision-related functioning. It is a scale of 0-4 for each of the 12 questions. A minimum value would be 0 and a maximum value would be 48. The higher the value the worse the outcome." (NCT03660475)
Timeframe: Day 29

Interventionscore on a scale (Mean)
Naltrexone21.17
Placebo21.36

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Tear Osmolarity

Normal tear osmolarity is defined as < 300 mOsm/L in both eyes and an inter-eye difference of < 8 mOsm/L. Values greater than 300 mOsm/L are suggestive of dry eye. (NCT03660475)
Timeframe: Day 29

InterventionmOsm/L (Mean)
Naltrexone304.31
Placebo310.66

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Visual Analog Scale for Pain

"Standard scale assessing a patient's level of pain on a scale of 0-100. The subject will be asked to rate each ocular symptom due to ocular dryness by placing a vertical mark on the horizontal line to indicate the level of discomfort. 0% corresponds to no discomfort and 100% corresponds to maximal discomfort. The following parameters will be assessed: burning/stinging, itching, foreign body sensation, blurred vision, eye dryness, photophobia, and pain, with a total score for each eye reported. A minimal score would be 0 and a maximum score would be 200. The higher the value the worse the outcome." (NCT03660475)
Timeframe: Day 29

Interventionscore on a scale (Mean)
Naltrexone16.27
Placebo25.07

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Lissamine Green Staining

"Lissamine green staining; regions: inferior, superior, central, corneal sum, temporal, nasal, conjunctival sum, total eye will be measured using an ocular discomfort score on a scale of 0 (no staining) to 4 (confluent staining). The total eye score is presented. A minimum score would be 0 and a maximal score would be 8. The higher the value the worse the outcome." (NCT03660475)
Timeframe: Day 29

Interventionscore on a scale (Mean)
Naltrexone2.65
Placebo2.59

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Tear Film Break-up Time

Tear film break-up time is the time taken for the first dry spot to appear on the cornea after a complete blink. (NCT03660475)
Timeframe: Day 29

Interventionseconds (Mean)
Naltrexone2.76
Placebo3.48

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Cochet-Bonnet Corneal Sensitivity Test

After extending the Cochet-Bonnet corneal sensitivity device (containing a thin, retractable, nylon monofilament) up to 6 cm in length and pressing against the cornea, the monofilament is slowly retracted incrementally in 0.5 cm steps until the patient can feel its contact and the length is recorded. The greater the length indicates increased sensation and the shorter the length indicates decreased sensation. (NCT03660475)
Timeframe: Day 29

Interventioncm (Mean)
Naltrexone59.78
Placebo59.37

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Conjunctival Redness

"Conjunctival redness will be assessed and conjunctival pain will be assessed using a visual analog scale ranging from 0 (none: normal without vasodilation) to 5 (severe: broad ciliary and prominent, horizontal conjunctival vasodilation). A minimal score would be 0 and a maximal score would be 10. The higher the value the worse the outcome ." (NCT03660475)
Timeframe: Day 29

Interventionscore on a scale (Mean)
Naltrexone1.0
Placebo1.0

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Dilated Fundoscopy

Dilated fundus examination is a diagnostic procedure that employs the use of mydriatic eye drops to dilate the pupil in order to obtain a better view of the fundus of the eye. The number of subjects that demonstrate clinically significant abnormalities in the vitreous, choroid, macula, and optic nerve at Day 29 in either treatment arm will be reported. (NCT03660475)
Timeframe: Day 29

Interventionparticipants (Number)
Naltrexone0
Placebo0

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Fluorescein Staining

"The following regions of each eye will be assessed for fluorescein staining: inferior, superior, central, corneal sum, temporal, nasal, conjunctival sum, and a total eye score recorded. A score of 0 represents no staining and a score of 4 represents confluent staining. A minimum score would be 0 and a maximum score would be 8. A higher values represent a worse outcome." (NCT03660475)
Timeframe: Day 29

Interventionscore on a scale (Mean)
Naltrexone7.70
Placebo7.14

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Intraocular Pressure

Intraocular pressure is the fluid pressure inside the eye. (NCT03660475)
Timeframe: Day 29

InterventionmmHg (Mean)
Naltrexone14.95
Placebo14.65

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Matrix Metalloprotienase-9 (MMP-9) is a Marker of Inflammation.

Levels of MMP-9 will be measured in each eye using InflammaDry at Visit 5. The test will be recorded as either positive or negative. Dry eye patients generally exhibit positive levels of MMP-9., so the number of subjects testing positive for MMP-9 at Day 29 will be recorded. (NCT03660475)
Timeframe: Day 29

InterventionParticipants (Count of Participants)
Naltrexone3
Placebo3

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Ocular Discomfort (Scale 1)

"Ocular discomfort scores will be subjectively graded by the subjects according to the following scale, rating each eye separately on a scale from 0-4. A score of 0 represents no discomfort and a score of 4 represents constant discomfort. A minimum score would be 0 and a maximum score would be 8. The higher the value the worse the outcome." (NCT03660475)
Timeframe: Day 29

Interventionscore on a scale (Mean)
Naltrexone1.03
Placebo1.07

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Ocular Discomfort (Scale 2)

"Subjects will rate the severity of each of the following symptoms, with regard to how both their eyes feel: overall ocular discomfort, burning, dryness, grittiness and stinging according to the following 6-point (0 to 5) scale where 0 = none and 5 = worst. A minimum score would be 0 and a maximum score would be 10. The higher the value the worse the outcome." (NCT03660475)
Timeframe: Day 29

Interventionscore on a scale (Mean)
Naltrexone1.40
Placebo1.45

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Schirmer's Test

Schirmer's Test (without anesthesia) ) involves placing a Schirmer test strip in the lower temporal lid margin of each eye such that the strip fits tightly. Subjects will be instructed to close their eyes. After 5 minutes have elapsed, the Schirmer strip will be removed. The length of the moistened area will be recorded (mm) for each eye. A normal reading is ≥10 mm wetting of the paper after 5 minutes. Tear deficiency is <5 mm wetting of the paper after 5 minutes. (NCT03660475)
Timeframe: Day 29

Interventionmm (Mean)
Naltrexone8.97
Placebo12.48

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Slit-lamp Biomicroscopy

The binocular slit-lamp examination provides a stereoscopic magnified view of the eye structures in detail, enabling anatomical diagnoses to be made of the cornea, conjunctiva, anterior chamber, iris, lens and lid for both eyes. The number of subjects in each treatment arm that have changes in the cornea, conjunctiva, anterior chamber, iris, lens and lid for both eyes at Day 29 will be reported. (NCT03660475)
Timeframe: Day 29

Interventionparticipants (Number)
Naltrexone0
Placebo0

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AUC of 6β-naltrexol

Single-dose PK measurement of the AUC for 6β-naltrexol concentration after dosing on Day 1 (NCT03810495)
Timeframe: pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days

Interventionday*ng/mL (Median)
OLANI (Naltrexone Implant)2856.50

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Incidence of Adverse Events (AEs)

Incidence and Severity of AEs (NCT03810495)
Timeframe: Up to 540 days or until NTX blood levels become undetectable

Interventionparticipants (Number)
Participants with at least One Treatment-Emergent Adverse EventImplant site inflammationVomitingHeadacheImplant site pruritusNauseaDiarrhoeaUpper respiratory tract infectionImplant site painBack painWeight increased
OLANI (Naltrexone Implant)197754333222

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Tmax of Naltrexone

Single-dose PK measurement of the time to reach the maximum (Tmax) naltrexone concentration after dosing on Day 1 (NCT03810495)
Timeframe: pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days

Interventionday (Median)
OLANI (Naltrexone Implant)49.63

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Time>Minimum Effective Concentration

Time (T) naltrexone remains above the minimum effective concentration (MEC) of 1.33 (NCT03810495)
Timeframe: pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days

Interventionhours (Median)
OLANI (Naltrexone Implant)12

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Percentage of Participants That Maintain MEC

Percentage of participants who maintain naltrexone (NTX) blood levels of ≥1.33 ng/mL for ≥180 days (NCT03810495)
Timeframe: up to 540 days or until NTX blood levels become undetectable

InterventionParticipants (Count of Participants)
OLANI (Naltrexone Implant)10

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Median Tmax of 6β-naltrexol

Single-dose PK measurement of the time to reach the maximum 6β-naltrexol concentration after dosing on Day 1 (NCT03810495)
Timeframe: pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days

Interventionday (Median)
OLANI (Naltrexone Implant)49.70

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Median Cmax of Naltrexone

Single-dose pharmacokinetic (PK) measurement of the plasma naltrexone concentration (Cmax) after dosing on Day 1 (NCT03810495)
Timeframe: pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days

Interventionng/mL (Median)
OLANI (Naltrexone Implant)17.00

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Median Cmax of 6β-naltrexol

Single-dose PK measurement of the peak plasma 6β-naltrexol concentration after dosing on Day 1 (NCT03810495)
Timeframe: pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days

Interventionng/mL (Median)
OLANI (Naltrexone Implant)23.45

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AUC of Naltrexone

Single-dose PK measurement of the area under the curve (AUC) for naltrexone after dosing on Day 1 (NCT03810495)
Timeframe: pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days

Interventionday*ng/mL (Median)
OLANI (Naltrexone Implant)1440.5

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Number of Participants With a Reduction in CAPS-5 Total Symptom Severity Score (TSSS) of 10 or More Points

The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) is a 30-item structured interview to assess PTSD diagnosis and symptom severity. The CAPS-5 produces a PTSD Total Symptom Severity Score (TSSS) that ranges from 0 to 80, with a higher score indication worse PTSD symptoms. For this study, a reduction in PTSD symptoms is defined as a 10 or more point decrease in the CAPS-5 Total Symptom Severity Score (TSSS) from baseline to week 8. (NCT03852628)
Timeframe: Baseline and 8 weeks

InterventionParticipants (Count of Participants)
2mg Buprenex and 380mg Vivitrol14
Placebo15

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Composite Outcome Measure for a Reduction in Both Alcohol Use Disorder (AUD) and Post-Traumatic Stress Disorder (PTSD) Symptoms

AUD is measured by the Timeline Follow Back (TLFB). This instrument documents the amount of daily alcohol consumption (in grams) and categorizes the World Health Organization Risk Levels of Alcohol Use. The are 4 different WHO Risk Levels: Very High Risk, High Risk, Medium Risk, and Low Risk (including abstinence). An AUD reduction is defined as a WHO risk reduction of at least one category from baseline to week 8. PTSD symptom is measured by the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5). This 30-item interview assesses PTSD diagnosis and symptom severity. The CAPS-5 Total Symptom Severity Score (TSSS) ranges from 0 to 80, with higher scores indicating worse symptoms. A reduction in PTSD symptom is defined as a 10+ point decrease in the TSSS from baseline to week 8. A positive response for the composite primary outcome measure is defined as at least a 1-category risk reduction on the WHO s and at least a 10-point decrease in TSSS from baseline to Week 8. (NCT03852628)
Timeframe: Baseline and 8 Weeks

InterventionParticipants (Count of Participants)
2mg Buprenex and 380mg Vivitrol10
Placebo12

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Number of Participants With a Reduction in Alcohol Use Disorder (AUD), With TLFB Tool

Timeline Follow Back (TLFB) is a calendar-based method of assessing drinking patterns used to document the frequency and amount of daily alcohol consumption and to categorize the World Health Organization Risk Levels of Alcohol Use. An AUD reduction is defined as a WHO risk reduction of at least one category from baseline to week 8. The are 4 different WHO Risk Levels based on the grams of alcohol consumed per day: Very High Risk, High Risk, Medium Risk, and Low Risk (including abstinence). (NCT03852628)
Timeframe: Baseline and 8 weeks

InterventionParticipants (Count of Participants)
2mg Buprenex and 380mg Vivitrol17
Placebo23

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PGIC Score (Nonmenstrual Pelvic Pain)

Patient's Global Impression of Change (PGIC) scale will be used to rate nonmenstrual pelvic pain. This is a 7 point scale ranging from 1 (much worse) to 7 (much better). (NCT03970330)
Timeframe: 4, 8, 12 and 16 weeks

,
Interventionunits on a scale (Median)
Week 4Week 8Week 12Week 16
Low-Dose Naltrexone5.04.04.04.0
Placebo6.56.56.55.5

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PGIC Score (Dyspareunia)

Patient's Global Impression of Change (PGIC) scale will be used to rate pelvic pain during sex. This is a 7 point scale ranging from 1 (much worse) to 7 (much better). (NCT03970330)
Timeframe: 4, 8, 12 and 16 weeks

,
Interventionunits on a scale (Median)
Week 4Week 8Week 12Week 16
Low-Dose Naltrexone4.04.04.04.0
Placebo6.06.06.05.0

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Pain Score Area Under the Curve (AUC)

Pain is reported daily using the Visual Analog Scale, a 100mm horizontal line on which the patient's pain intensity is represented by a point between the extremities of 0 (no pain) and 100 (worst pain). The final outcome measure will be calculated as area under the curve from randomization through 12-weeks of intervention. AUC was calculated using the trapezoid rule. Calculated AUC per subject across this 12-week period can range from 0 - 8300. (NCT03970330)
Timeframe: 12 weeks

Interventionunits on a scale*days (Mean)
Low-Dose Naltrexone2461
Placebo1338

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Ibuprofen Use

Average # of ibuprofen 200 mg pills per week during the study treatment period (NCT03970330)
Timeframe: 12 weeks

Interventionpills/week (Mean)
Low-Dose Naltrexone5.5
Placebo1.2

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EHP-30 Score

Quality of life measured by the validated Endometriosis Health Profile (EHP-30) questionnaire. Scores range from 0 (best health status) to 100 (worst health status). (NCT03970330)
Timeframe: Baseline, 4, 8, 12, and 16 weeks

,
Interventionscore on a scale (Mean)
BaselineWeek 4Week 8Week 12Week 16
Low-Dose Naltrexone56.535.534.934.135.7
Placebo27.625.116.018.628.9

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PGIC Score (Painful Periods)

Patient's Global Impression of Change (PGIC) scale will be used to rate painful periods. This is a 7 point scale ranging from 1 (much worse) to 7 (much better). (NCT03970330)
Timeframe: 4, 8, 12 and 16 weeks

,
Interventionunits on a scale (Median)
4 weeks8 weeks12 weeks16 weeks
Low-Dose Naltrexone4.04.04.04.0
Placebo6.56.56.54.5

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Oxycodone Use

Number of subjects who used oxycodone at any time during the study (NCT03970330)
Timeframe: 12 weeks

InterventionParticipants (Count of Participants)
Low-Dose Naltrexone0
Placebo0

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Change in Biomarker IL-10

Mean change in IL-10 values measured on blood samples collected using commercially available enzyme-linked immunosorbent assay kits (R&D Systems). (NCT04052139)
Timeframe: Baseline, 8 weeks

Interventionpg/ml (Mean)
Low-dose Naltrexone-0.13
Gabapentin0.07
Placebo-0.26

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Change in IL-1beta

Mean change in IL-1beta values measured on blood samples collected using commercially available enzyme-linked immunosorbent assay kits (R&D Systems). (NCT04052139)
Timeframe: Baseline, 8-weeks

Interventionpg/ml (Mean)
Low-dose Naltrexone0.30
Gabapentin0.95
Placebo0.41

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Number of Participants With a Change in HIV Viral Load Suppression Status

Defined as number of participants who change from suppressed to unsuppressed or unsuppressed to suppressed from lab tests (NCT04052139)
Timeframe: Baseline, 8-weeks

InterventionParticipants (Count of Participants)
Low-dose Naltrexone1
Gabapentin0
Placebo0

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Change in TNF-alpha

Mean change in TNF-alpha values measured on blood samples collected using commercially available enzyme-linked immunosorbent assay kits (R&D Systems). (NCT04052139)
Timeframe: Baseline, 8-weeks

Interventionpg/ml (Mean)
Low-dose Naltrexone0.27
Gabapentin0.47
Placebo0.21

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Change in Percentage of Past Month Heavy Drinking Days

Mean percentage of change in self-reported heavy drinking in the past 30 days of alcohol consumption obtained via the Timeline Followback (TLFB) method. The NIAAA definition of heavy drinking is used (> 4 drinks in a day for men; > 3 drinks in a day for women). Participants were asked about their alcohol consumption on each day in the previous 30 days. (NCT04052139)
Timeframe: Baseline, 8-weeks

Intervention% of change in heavy drinking days (Mean)
Low-dose Naltrexone3.07
Gabapentin-4.22
Placebo-4.63

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Change in Past Week Pain Severity

Change in past week pain severity (score 0 [no pain] -10 [high pain]) from baseline to week 8. Pain severity will be measured using the Brief Pain Inventory, which allows patients to rate the severity of their pain and the degree to which their pain interferes with common dimensions of feeling and function (NCT04052139)
Timeframe: Baseline, 8-weeks

Interventionunits on a scale (Mean)
Low-dose Naltrexone-0.97
Gabapentin-2.12
Placebo-1.85

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Change in Past Week Pain Interference

Change in past week pain interference (score 0 [no pain]-10 [high pain]) from baseline to week 8. Pain interference will be measured using the Brief Pain Inventory, which allows patients to rate the severity of their pain and the degree to which their pain interferes with common dimensions of feeling and function (NCT04052139)
Timeframe: Baseline, 8-weeks

Interventionunits on a scale (Mean)
Low-dose Naltrexone-1.73
Gabapentin-1.97
Placebo-2.14

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Change in Cold Pain Tolerance

Mean change in the number of seconds a participant can keep their hand submerged in a container of iced water. Participants were instructed to keep their hand in as long as they could, up to 3 minutes. (NCT04052139)
Timeframe: Baseline, 8-weeks

Interventionseconds (Mean)
Low-dose Naltrexone-14.78
Gabapentin-3.33
Placebo-3.15

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Change in CD4 Count

Defined as mean change in CD4 values from lab assay (NCT04052139)
Timeframe: Baseline, 8-weeks

Interventioncell/mm^3 (Mean)
Low-dose Naltrexone15.85
Gabapentin-106.47
Placebo-52.13

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Change in Biomarker IL-6

Mean change in IL-6 values measured on blood samples collected using commercially available enzyme-linked immunosorbent assay kits (R&D Systems). (NCT04052139)
Timeframe: Baseline, 8-weeks

Interventionpg/ml (Mean)
Low-dose Naltrexone-0.12
Gabapentin0.04
Placebo0.29

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Change in Daily Total Alcohol Consumption From Baseline at 3 Months

Self-reported total daily alcohol consumption at 3 months, compared to baseline (NCT04094584)
Timeframe: 3 months after enrollment

Interventiondrinks per day (Median)
Multimodal Intervention-7.5

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Change in Quality of Life Score at 3 Months

Kemp Quality of Life score at 3 months compared to baseline. Score is 1-7 with higher scores indicating higher quality of life. (NCT04094584)
Timeframe: 3 months after enrollment

Interventionscore on a scale (Mean)
Multimodal Intervention1.2

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Receipt of All Study Naltrexone Injections

Percentage of participants receiving all 3 scheduled naltrexone injections received (NCT04094584)
Timeframe: 3 months

InterventionParticipants (Count of Participants)
Multimodal Intervention23

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Participants Retained in Study at 3 Months

Percentage of enrolled participants who attend final study visit at the end of the intervention period (NCT04094584)
Timeframe: 3 months

InterventionParticipants (Count of Participants)
Multimodal Intervention27

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Continued Naltrexone Use After Intervention Period

Percentage of enrolled who self reported continuing treatment with naltrexone through their primary physician after the end of the study intervention period (NCT04094584)
Timeframe: 3 months

InterventionParticipants (Count of Participants)
Multimodal Intervention22

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Change in WHO Drinking Risk Level

Change in World Health Organization drinking risk level from baseline. Risk levels are scored 1-4 with higher scores indicating more severe health risk from alcohol use (NCT04094584)
Timeframe: 3 months after enrollment

Interventionscore on a scale (Median)
Multimodal Intervention-2

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Cue-induced Craving

Randomized participants completed a cue-exposure paradigm at two time points during the study, once on Day 1 prior to ingesting the first does of study medication, and again on Day 14. After every 3 minutes of exposure (water and alcohol), participants rated their urge to drink on the Alcohol Urge Questionnaire (AUQ). The AUQ is comprised of eight items rated on a 7-point Likert scale with items related to the subjective experience of alcohol craving, with higher total scores indicating higher craving and a minimum score of 8 and maximum score of 56. Alcohol urge questionnaire score (alcohol minus water) is the primary outcome for the cue-reactivity paradigm. The investigators are primarily interested in the difference in craving from post-treatment (day 14) to pre-treatment (randomization/day 1). (NCT04249882)
Timeframe: Cue reactivity paradigm takes place on Day 1 and on Day 14. Craving is measured 3 min after each cue exposure

Interventionunits on a scale (Mean)
Placebo-0.11
Varenicline0.31
Naltrexone-0.32

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# of Drinks Per Drinking Day

The drinks per drinking day outcome is determined using the the Timeline Follow Back (TLFB). The TLFB was administered to assess quantity and frequency of alcohol use each day during the practice quit period (Day 8 - Day 14). Information obtained in this interview was recorded on the TLFB Calendar and transcribed to a database. The primary outcome variable was calculated as the number of drinks per drinking day during the practice quit period. (NCT04249882)
Timeframe: 6 days

Interventionnumber of drinks per drinking day (Least Squares Mean)
Placebo1.66
Varenicline2.19
Naltrexone2.73

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Percentage of Days Abstinent

The percentage of days abstinent from alcohol is determined using the Timeline Follow Back (TLFB). The TLFB was administered to assess quantity and frequency of alcohol use each day during the practice quit period (Day 8 - Day 14). Information obtained in this interview was recorded on the TLFB Calendar and transcribed to a database. The primary outcome variable was calculated as the percent of days participants were abstinent during the practice quit period. (NCT04249882)
Timeframe: 6 days

Interventionpercent days (Least Squares Mean)
Placebo80.59
Varenicline75.62
Naltrexone77.59

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BOLD Responses in the rACC Cortex During the Processing of Contextual Cues at Baseline (Post-placebo)

In order to identify the neural correlates of contextual processing, we examined changes in blood oxygenation level-dependent (BOLD) signal during the post-placebo fMRI scanning session. (NCT04322526)
Timeframe: [Approximately at day 1, 7]

InterventionBOLD signal (Mean)
fMRI BOLD Responses in the rACC Cortex (Placebo Session)0.47

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Naltrexone-induced Changes in BOLD Responses in the rACC Cortex During the Processing of Contextual Cues (Placebo vs. Naltrexone)

In order to identify naltrexone-induced changes in the neural correlates of contextual processing, we examined changes in blood oxygenation level-dependent (BOLD) during the fMRI scanning session between Naltrexone vs. placebo pill. (NCT04322526)
Timeframe: [Approximately at day 1, 7]

Interventionchanges in BOLD signal (Mean)
fMRI BOLD Responses in the rACC Cortex (Naltrexone vs Placebo)1.23

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Intensive Care Unit (ICU) Duration

Length of ICU stay in days (NCT04365985)
Timeframe: up to 1 month

Interventiondays (Mean)
Placebo2.56
Naltrexone0
Ketamine16.68

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Intubation

Count of participants requiring intubation (NCT04365985)
Timeframe: up to 1 month

InterventionParticipants (Count of Participants)
Placebo0
Naltrexone1
Ketamine29

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Intubation Duration

Length of intubation, measured in days (NCT04365985)
Timeframe: up to 1 month

Interventiondays (Mean)
Naltrexone3.32
Ketamine15.53

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Length of Hospital Stay

Length of hospital stay in days (NCT04365985)
Timeframe: up to 1 month

Interventiondays (Mean)
Ketamine21.37

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Liver Failure

Count of participants who develop or experience worsened liver failure as defined by serum transaminases five times normal limits (NCT04365985)
Timeframe: up to 1 month

InterventionParticipants (Count of Participants)
Placebo0
Naltrexone0
Ketamine4

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Progression of Oxygenation Needs

Count of participants initially presenting with mild/moderate disease who progress to requiring advanced oxygenation (high flow nasal canula, non-rebreather, continuous positive airway pressure (CPAP), bilevel positive airway pressure (BIPAP), or intubation) (NCT04365985)
Timeframe: up to 1 month

InterventionParticipants (Count of Participants)
Placebo1
Naltrexone0
Ketamine21

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COVID Mortality

Count of participants who die from COVID-19 (NCT04365985)
Timeframe: up to 1 month post hospital discharge

InterventionParticipants (Count of Participants)
Placebo0
Naltrexone0
Ketamine16

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Renal Failure

Count of participants who develop or experience worsened renal failure as defined by RIFLE criteria, a 5-point scale where the categories are labeled: Risk-Injury-Failure-Loss-End stage renal disease, with Risk being the least severe and End stage renal disease being the most severe. The criteria for determination of stage are factors of serum creatinine and urine output. Numbers of participants worsening one or more RIFLE stages will be reported. (NCT04365985)
Timeframe: up to 1 month

InterventionParticipants (Count of Participants)
Placebo1
Naltrexone0
Ketamine12

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Cytokine Storm

Count of participants who develop cytokine storm as measured by elevated markers of inflammation (elevated D-dimer, hypofibrinogenemia, hyperferritinemia), evidence of acute respiratory distress syndrome (ARDS) measured by imaging findings and mechanical ventilator requirements, and/or continuous fever (≥ 38.1 ° Celsius unremitting) (NCT04365985)
Timeframe: up to 1 month

InterventionParticipants (Count of Participants)
Placebo0
Naltrexone0
Ketamine0

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Intensive Care Unit (ICU) Admission

Count of patients admitted to the ICU at any time during index hospitalization (NCT04365985)
Timeframe: up to 1 month

InterventionParticipants (Count of Participants)
Placebo2
Naltrexone1
Ketamine28

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Time Until Recovery

Time measured in days from hospital admission to determination patient is stable for discharge (NCT04365985)
Timeframe: up to 1 month

Interventiondays (Mean)
Placebo8.67
Naltrexone8.71
Ketamine17.57

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Patient Reported Burning/Pain

Patient reported burning/pain on 0-10 scale. Higher values are worse. A change between two time points is reported at 12 months. (NCT04409041)
Timeframe: 12 months

Interventionunits on a scale (Mean)
Low-dose Naltrexone Group-0.50

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Change in Patient-Reported Itch

0-10 scale for itch. Lower scores are better outcome. A change between two time points is reported at 12 months. (NCT04409041)
Timeframe: 12 months

Interventionunits on a scale (Mean)
Treatment Group (Low-dose Naltrexone)-0.33

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Change in Investigator Rated Erythema

0-3 scale for erythema. Higher scores are worse. A change between two time points is reported at 12 months. (NCT04409041)
Timeframe: 12 months

Interventionunits on a scale (Mean)
Treatment Group (Low-dose Naltrexone)-0.93

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Change in Investigator Rated Scale

Investigator assessed outcome of scale on 0-3 scale. Higher numbers are worse. A change between two time points is reported at 12 months. (NCT04409041)
Timeframe: 12 months

Interventionunits on a scale (Mean)
Low-dose Naltrexone Group-0.33

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Median Ctrough of Naltrexone (After 1st Dose)

Single-dose PK measurement of naltrexone concentration at the end of the dosing interval (Ctrough) after dosing on Day 0 (NCT04716881)
Timeframe: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

Interventionng/mL (Median)
Vivitrol (Naltrexone)0.81

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Median Ctrough of Naltrexone (After 6th Dose)

PK measurement of naltrexone concentration at the end of the dosing interval (Ctrough) after dosing on Day 140 (NCT04716881)
Timeframe: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

Interventionng/mL (Median)
Vivitrol (Naltrexone)1.37

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Median Tmax of 6β-naltrexol (After 1st Dose)

Single-dose PK measurement of the time to maximum plasma 6β-naltrexol concentration (Tmax) after dosing on Day 0 (NCT04716881)
Timeframe: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

Interventionday (Median)
Vivitrol (Naltrexone)3.02

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Median Tmax of Naltrexone (After 1st Dose)

Single-dose PK measurement of the time to maximum plasma naltrexone concentration (Tmax) after dosing on Day 0 (NCT04716881)
Timeframe: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

Interventionday (Median)
Vivitrol (Naltrexone)2.00

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Median Tmax of 6β-naltrexol (After th Dose)

PK measurement of the time to maximum plasma 6β-naltrexol concentration (Tmax) after dosing on Day 140 (NCT04716881)
Timeframe: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

Interventionday (Median)
Vivitrol (Naltrexone)2.95

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Median Cmax of 6β-naltrexol (After First Dose)

Single-dose PK measurement of the maximum observed plasma 6β-naltrexol concentration (Cmax) after dosing on Day 0 (NCT04716881)
Timeframe: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

Interventionng/mL (Median)
Vivitrol (Naltrexone)20.50

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Median Cmax of Naltrexone (After 1st Dose)

Single-dose PK measurement of the maximum observed plasma naltrexone concentration (Cmax) after dosing on Day 0 (NCT04716881)
Timeframe: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

Interventionng/mL (Median)
Vivitrol (Naltrexone)14.10

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Median Cmax of 6β-naltrexol (After 6th Dose)

PK measurement of the maximum observed plasma 6β-naltrexol concentration (Cmax) after dosing on Day 140 (NCT04716881)
Timeframe: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

Interventionng/mL (Median)
Vivitrol (Naltrexone)24.70

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Median AUC0-inf of Naltrexone (After 6th Dose)

PK measurement of the area under the plasma concentration-time curve for naltrexone from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 140 (NCT04716881)
Timeframe: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

Interventionday*ng/mL (Median)
Vivitrol (Naltrexone)167.14

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Median AUC0-inf of Naltrexone (After 1st Dose)

Single-dose PK measurement of the area under the plasma concentration-time curve for naltrexone from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 0 (NCT04716881)
Timeframe: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

Interventionday*ng/mL (Median)
Vivitrol (Naltrexone)153.00

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Median AUC0-inf of 6β-naltrexol (After 6th Dose)

PK measurement of the area under the plasma concentration-time curve for 6β-naltrexol from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 140 (NCT04716881)
Timeframe: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

Interventionday*ng/mL (Median)
Vivitrol (Naltrexone)310.49

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Median AUC0-inf of 6β-naltrexol (After 1st Dose)

Single-dose PK measurement of the area under the plasma concentration-time curve for 6β-naltrexol from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 0 (NCT04716881)
Timeframe: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

Interventionday*ng/mL (Median)
Vivitrol (Naltrexone)270.16

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Adverse Events (AEs)

Proportion of participants reporting AEs (NCT04716881)
Timeframe: Up to Day 196

InterventionParticipants (Count of Participants)
Vivitrol (Naltrexone)4

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6β-naltrexol Accumulation Ratio (AR) for Ctrough

The 6β-naltrexol AR was determined for Ctrough by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1. (NCT04716881)
Timeframe: 196 days after the 6th dose

Interventionratio (Geometric Mean)
Vivitrol (Naltrexone)1.37

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6β-naltrexol Accumulation Ratio (AR) for AUC0-inf

The 6β-naltrexol AR was determined for AUC0-inf by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1. (NCT04716881)
Timeframe: 196 days after the 6th dose

Interventionratio (Geometric Mean)
Vivitrol (Naltrexone)1.14

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6β-naltrexol Accumulation Ratio (AR) for Cmax

The 6β-naltrexol AR was determined for Cmax by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1. (NCT04716881)
Timeframe: 196 days after the 6th dose

Interventionratio (Geometric Mean)
Vivitrol (Naltrexone)1.08

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Median Ctrough of 6β-naltrexol (After 6th Dose)

PK measurement of 6β-naltrexol concentration at the end of the dosing interval (Ctrough) after dosing on Day 140 (NCT04716881)
Timeframe: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

Interventionng/mL (Median)
Vivitrol (Naltrexone)2.02

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Naltrexone Accumulation Ratio (AR) for Ctrough

The naltrexone AR was determined for Crough by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1. (NCT04716881)
Timeframe: 196 days after the 6th dose

Interventionratio (Geometric Mean)
Vivitrol (Naltrexone)1.58

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Naltrexone Accumulation Ratio (AR) for Cmax

The naltrexone AR was determined for Cmax by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1. (NCT04716881)
Timeframe: 196 days after the 6th dose

Interventionratio (Geometric Mean)
Vivitrol (Naltrexone)0.96

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Naltrexone Accumulation Ratio (AR) for AUC0-inf

The naltrexone AR was determined for AUC0-inf by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1. (NCT04716881)
Timeframe: 196 days after the 6th dose

Interventionratio (Geometric Mean)
Vivitrol (Naltrexone)1.08

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Median Tmax of Naltrexone (After 6th Dose)

PK measurement of the time to maximum plasma naltrexone concentration (Tmax) after dosing on Day 140 (NCT04716881)
Timeframe: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

Interventionday (Median)
Vivitrol (Naltrexone)2.00

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Median Cmax of Naltrexone (After 6th Dose)

PK measurement of the maximum observed plasma naltrexone concentration (Cmax) after 6th dose on Day 140 (NCT04716881)
Timeframe: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

Interventionng/mL (Median)
Vivitrol (Naltrexone)14.00

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Median Ctrough of 6β-naltrexol (After 1st Dose)

Single-dose PK measurement of 6β-naltrexol concentration at the end of the dosing interval (Ctrough) after dosing on Day 0 (NCT04716881)
Timeframe: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

Interventionng/mL (Median)
Vivitrol (Naltrexone)1.71

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Total Duration of Hospitalization (From First Dose of Study Drug to Discharge)

Study team will investigate the effects of colchicine and LDN, alone or in combination, on total amount of time (in days) patient spent in hospital from first dose of any study medication (or when first dose would be given for standard of care arm) to hospital discharge (or when ready for discharge but remains hospitalized for non-medical reasons [e.g. transitional care unit placement delays]) (NCT04756128)
Timeframe: Assessed from time of study drug administration to discharge, calculated after patient completes hospital stay; 7 days after admission on average)

Interventiondays (Median)
Colchicine-Only Arm3.5
"Colchicine and Naltrexone (Combined) Arm"3.7
Naltrexone-Only Arm4.6
Standard of Care Arm4.3
Colchicine Group3.7
No Colchicine Group4.5
Naltrexone Group3.8
No Naltrexone Group3.9

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In Patients Hospitalized With Moderate COVID-19, Subjects Who Required Remdesivir

Study team will investigate the effects of colchicine and LDN, alone or in combination, on requiring remdesivir (NCT04756128)
Timeframe: Assessed from time of study drug administration to discharge, calculated after patient completes hospital stay; 7 days after admission on average)

InterventionParticipants (Count of Participants)
Colchicine-Only Arm20
"Colchicine and Naltrexone (Combined) Arm"23
Naltrexone-Only Arm25
Standard of Care Arm24
Colchicine Group43
No Colchicine Group49
Naltrexone Group48
No Naltrexone Group44

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In Patients Hospitalized With Moderate COVID-19, Subjects Who Required Corticosteroids

Study team will investigate the effects of colchicine and LDN, alone or in combination, on requiring corticosteroids (NCT04756128)
Timeframe: Assessed from time of study drug administration to discharge, calculated after patient completes hospital stay; 7 days after admission on average)

InterventionParticipants (Count of Participants)
Colchicine-Only Arm31
"Colchicine and Naltrexone (Combined) Arm"31
Naltrexone-Only Arm34
Standard of Care Arm33
Colchicine Group62
No Colchicine Group67
Naltrexone Group65
No Naltrexone Group64

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In Patients Hospitalized With Moderate COVID-19, Patients Who Required ICU or ICU Stepdown Cares

Study team will investigate the effects of colchicine and LDN, alone or in combination, on requiring ICU or Stepdown ICU admission (NCT04756128)
Timeframe: Assessed from time of study drug administration to discharge, calculated after patient completes hospital stay; 7 days after admission on average)

InterventionParticipants (Count of Participants)
Colchicine-Only Arm2
"Colchicine and Naltrexone (Combined) Arm"2
Naltrexone-Only Arm6
Standard of Care Arm3
Colchicine Group4
No Colchicine Group9
Naltrexone Group8
No Naltrexone Group5

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In Patients Hospitalized With Moderate COVID-19, The Need for High Flow Nasal Cannula (HFNC) or Non-Invasive Positive Pressure Ventilation (NIPPV)

Study team will investigate the effects of colchicine and LDN, alone or in combination, on the need of oxygen supplementation with High Flow Nasal Cannula (HFNC) or Non-Invasive Positive Pressure Ventilation (NIPPV) (NCT04756128)
Timeframe: Assessed from time of study drug administration to discharge, calculated after patient completes hospital stay; 7 days after admission on average)

InterventionParticipants (Count of Participants)
Colchicine-Only Arm6
"Colchicine and Naltrexone (Combined) Arm"8
Naltrexone-Only Arm9
Standard of Care Arm9
Colchicine Group14
No Colchicine Group18
Naltrexone Group17
No Naltrexone Group15

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The Number of Doses of Remdesivir Required In Patients Hospitalized With Moderate COVID-19

Study team will investigate the effects of colchicine and LDN, alone or in combination, on the number of doses of Remdesivir received. This was only used in patients who met/required this outcome (received Remdesiver, n=92) (NCT04756128)
Timeframe: Assessed from time of study drug administration to discharge, calculated after patient completes hospital stay; 7 days after admission on average)

Interventiondoses (Median)
Colchicine-Only Arm4.5
"Colchicine and Naltrexone (Combined) Arm"4
Naltrexone-Only Arm5
Standard of Care Arm5
Colchicine Group4
No Colchicine Group5
Naltrexone Group4
No Naltrexone Group5

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Total Duration of Hospitalization

Study team will investigate the effects of colchicine and LDN, alone or in combination, on total amount of time (in days) patient spent in hospital from admission to discharge (NCT04756128)
Timeframe: Assessed from time of hospitalization until discharge, calculated after patient completes hospital stay - approximately 7 days on average

Interventiondays (Median)
Colchicine-Only Arm4.5
"Colchicine and Naltrexone (Combined) Arm"4.7
Naltrexone-Only Arm5.7
Standard of Care Arm6.0
Colchicine Group4.7
No Colchicine Group5.7
Naltrexone Group4.8
No Naltrexone Group4.9

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In Patients Hospitalized With Moderate COVID-19, the Impact of Colchicine and LDN, Alone or in Combination, on Achieving Disease Recovery by Day 5.

Disease recovery from moderate COVID-19 was defined as achieving a clinical scale score of 1 (indicating the patient no longer required hospital-level care for COVID-19. Attainment of a score of 1 by study day 5 was chosen based on initial experience treating COVID-19 within this specific health system-patients with similar disease severity were typically hospitalized for 6-7 days, and time from admission to enrollment in preceding COVID-19 studies was generally 1-2 days. (NCT04756128)
Timeframe: Assessed from time of hospitalization until (1) 5 days after enrollment, while still hospitalized (or until discharge, which may be less than 5 days)

InterventionParticipants (Count of Participants)
Colchicine-Only Arm22
"Colchicine and Naltrexone (Combined) Arm"24
Naltrexone-Only Arm20
Standard of Care Arm18
Colchicine Group46
No Colchicine Group38
Naltrexone Group44
No Naltrexone Group40

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The Dosage Amount (in Milligrams) of Corticosteroids Required In Patients Hospitalized With Moderate COVID-19

Study team will investigate the effects of colchicine and LDN, alone or in combination, on the amount in milligrams (mg) of corticosteroids required. This was only used in patients who met/required this outcome (received Corticosteroids, n=129) (NCT04756128)
Timeframe: Assessed from time of study drug administration to discharge, calculated after patient completes hospital stay; 7 days after admission on average)

Interventionmg (Median)
Colchicine-Only Arm200
"Colchicine and Naltrexone (Combined) Arm"200
Naltrexone-Only Arm240
Standard of Care Arm240
Colchicine Group200
No Colchicine Group240
Naltrexone Group200
No Naltrexone Group233

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Brain Activation to Emotion Regulation

"Percent signal change from baseline in the amygdala during trials to regulate emotion relative to trials to passively experience emotion during a functional MRI scan. Cues will be negative images, and instructions will be either decrease or look." (NCT04854551)
Timeframe: one week

Interventionpercentage signal change (Mean)
Naltrexone0.1
Placebo0.1

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Change in Brain Activation to Reward Between Placebo and Active Medication

Percent signal change relative to baseline in the nucleus accumbens during cue to win $5 as assessed during functional MRI. Higher values of percent signal change indicate greater activation to reward. We will compare the active medication condition to the placebo, establishing whether there is a difference between the conditions. (NCT04854551)
Timeframe: one week

Interventionpercentage signal change (Mean)
Naltrexone0.25
Placebo0.26

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Alcohol Value

"Maximum alcohol expenditure, or Omax, is the maximum amount of money that a person will pay for alcohol in a hypothetical alcohol consumption task called the Alcohol Purchase Task. Higher values of Omax indicate that a person values consuming alcohol at a greater level." (NCT04854551)
Timeframe: one week

InterventionDollars (Mean)
Naltrexone19.4
Placebo19.9

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Exposure

Maximum plasma concentration of naltrexone at 2 hours post-single dose (NCT04935931)
Timeframe: 2 hours post-naltrexone

Interventionnanomolar (Mean)
Single Pre/Post Design44.1

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Change in % Blood Oxygenation Level Dependent Change (%BOLD) in the Nucleus Accumbens

Change in %BOLD following single dose naltrexone (post-pre) within individuals during passive food view task in the nucleus accumbens (NCT04935931)
Timeframe: 2 hours post-naltrexone vs baseline

Intervention%BOLD signal change (Mean)
Single Pre/Post Design-0.08

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Change in % Blood Oxygenation Level Dependent Change (%BOLD) in the Dorsal Anterior Cingulate Cortex

Change in %BOLD following single dose naltrexone (post-pre) within individuals during monetary incentive delay in dorsal anterior cingulate cortex (NCT04935931)
Timeframe: 2 hours post-naltrexone vs baseline

Intervention%BOLD signal change (Mean)
Single Pre/Post Design0.06

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