ClinicalTrials.gg
CompletedNCT00471042Updated Apr 23, 2019

Study of Buprenorphine Maintenance Treatment for Opioid Dependence in Primary Care

An observational study in Heroin Dependence, Opioid-Related Disorders and Substance Abuse, Intravenous, sponsored by New York State Psychiatric Institute. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2019-04-23.

Sponsored by New York State Psychiatric Institute · Observational

Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
30
Ages
18 Years to 65 Years
Sex
All
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Study summary

The purpose of this treatment research study is to assess the effectiveness of buprenorphine maintenance treatment for opioid dependence delivered in a primary care clinic setting. This study will determine whether buprenorphine treatment in primary care is effective in reducing cravings, reducing illicit opioid use, reducing addiction severity, and retaining patients in primary care treatment for opioid dependence.

Read the detailed description

Buprenorphine maintenance treatment of opioid dependence in primary care may expand treatment access. Buprenorphine is a partial mu-opioid agonist approved for treatment of opioid dependence (dependence on heroin, prescription opioid pain medication, or methadone), which can be prescribed in primary care by authorized physicians. The purpose of this study is to assess the effectiveness of buprenorphine maintenance treatment in a primary care setting. Outcome measures include illicit opioid use during treatment, addiction severity scores from the Addiction Severity Index (ASI), patient craving ratings on a 100mm visual analog scale (VAS), and patient retention in treatment.

This is a 6-month, prospective cohort study of adults aged 18-65 who are seeking buprenorphine maintenance treatment for opioid dependence. This study is observational, not experimental, and patients will be treated in a naturalistic condition according to their individual treatment needs. Clinic visits will occur weekly for the first 4 weeks (Induction and Stabilization Phases), and monthly for the remaining 20 weeks (Maintenance Phase), at which time up to a month of medication may be prescribed. Participation in ancillary psychosocial treatment is recommended but not required. Urine toxicology and craving ratings will be collected at each visit. Additionally, research visits will occur monthly to collect data assessing addiction severity, risk factors, general health, and psychiatric symptoms.

02

Conditions studied

  • Heroin Dependence
  • Opioid-Related Disorders
  • Substance Abuse, Intravenous

Keywords

  • Heroin Dependence
  • Opioid Dependence
  • Primary Care
  • Buprenorphine
03

In context

Heroin Dependence

90 studies on the registry are indexed under Heroin Dependence; 1 is open to participants now.

This study's enrollment of 30 is close to the median of 30 across 17 observational studies indexed under Heroin Dependence.

Browse Heroin Dependence studies →

Lead sponsor

New York State Psychiatric Institute is the lead sponsor of 435 studies on the registry; 27 are open to participants now.

Of its 51 completed or terminated interventional studies of FDA-regulated products, 45 (88%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adults aged 18-65 who are seeking buprenorphine maintenance treatment for opioid dependence

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • criteria for current opioid dependence
  • Must be seeking treatment
  • Must describe opioid medication or heroin as primary drug of abuse
  • Must be financially able to receive treatment at the primary care clinic site and to receive medication (e.g., Medicaid)
  • Able to give and comply with study procedures

Exclusion criteria

Exclusion Criteria:

  • Axis I psychiatric disorder(s) as defined by that are unstable or would be disrupted by study participation
  • Individuals at significant risk for suicide based on current mental state
  • DSM-IV dependence with physiologic dependence other than opioid and nicotine
  • Women must not be pregnant or lactating, and must agree to use a proven effective method of and not become pregnant during the study
  • Unstable physical disorder that might make participation hazardous
  • Known allergy, sensitivity or adverse reaction to buprenorphine
  • Current buprenorphine maintenance
  • Inability to read or understand the self-report assessment forms unaided
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Observational model
Other
Time perspective
Prospective
Enrollment
30 participants (actual)

Interventions

  • Dose is determined according to the participants' individual need.

06

Study locations

1 site
  • Columbia University/New York State Psychiatric Institute
    New York, New York 10032, United States
07

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jun 2006, a primary completion of Aug 2008 and a completion of Aug 2012. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
May 7, 2007
First posted
May 9, 2007
Start
Jun 2006
Primary completionActual
Aug 2008
CompletionActual
Aug 2012
Last update
Apr 23, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 23, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
08

Registry details

Key details

Study ID
NCT00471042
Responsible party
Frances R Levin (Director of Substance Use Disorder, New York State Psychiatric Institute) — Principal investigator
First posted
May 9, 2007
Start date
Jun 2006
Primary completion
Aug 2008
Completion
Aug 2012
Last update
Apr 23, 2019

Study contacts

Erik W. Gunderson, M.D.
principal investigator · Columbia University

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2019. You cannot join it, but the record below documents what was studied.

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Discussion

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