CClinicalTrials.gg
CompletedNCT00475878Updated Apr 3, 2012Results posted

SSRI and Buprenorphine

A Phase 3 interventional study of escitalopram and placebo in Opiate Dependence and Depression, sponsored by Butler Hospital. Completed at 1 site in United States. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2012-04-03.

Sponsored by Butler Hospital · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
147
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This study is designed to test whether treatment of depressive symptoms using escitalopram improves adherence to Buprenorphine and reduces symptoms of depression for individuals receiving Buprenorphine through their medical provider.

Read the detailed description

Participants interested in receiving Buprenorphine will be offered the opportunity to enroll in this study. Enrolled study participants will complete interviews at baseline and again every two weeks for a total of 8 interviews over 3 months. In this double-blind randomized controlled trial, participants will either receive a placebo or escitalopram (10mg). All participants will also be followed by their Buprenorphine clinic medical provider. Questions during the face-to-face interviews will assess mood, drug craving, pain, sleep, medication adherence and drug-related experiences. Comparison(s): Participants randomized into the medication component of the study as compared to participants randomized into the placebo component of the study.

02

Conditions studied

  • Opiate Dependence
  • Depression

Keywords

  • opiate use
  • depression
  • buprenorphine
  • escitalopram
03

In context

Opioid-Related Disorders

1,411 studies on the registry are indexed under Opioid-Related Disorders; 290 are open to participants now.

This study's enrollment of 147 is above the median of 63 across 1,123 interventional studies indexed under Opioid-Related Disorders.

Browse Opioid-Related Disorders studies →

Lead sponsor

Butler Hospital is the lead sponsor of 113 studies on the registry; 11 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • opiate dependence
  • Ham-D > 14

Exclusion criteria

Exclusion Criteria:

  • no psychiatric contraindications to using escitalopram
  • no medical contraindications to using escitalopram
  • methadone dose \< 30
  • no current SSRI use
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
147 participants (actual)

Study arms

  • Placebo comparator
    placebo

    Drug: placebo

  • Active comparator
    escitalopram

    Drug: escitalopram

Interventions

  • Drugescitalopram

    10mg escitalopram/day for 3 months

  • Drugplacebo

    placebo capsule/day for 3 months

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Who Dropped Out of Buprenorphine Treatment

    Drop-out is defined as 7 or more days of missed Buprenorphine doses

    Time frame: 3 months

Secondary outcomes

  1. Depressive Symptoms

    Depressive symptoms, as measured by self-report during study interviews, using the Beck Depression Inventory II. Scores ranged from 0-63; higher scores indicate more depressive symptoms.

    Time frame: 3 months

07

Results

Posted Apr 3, 2012

Participant flow

Participant flow — Overall Study
MilestonePlacebo10 mg Escitalopram
Started7572
Completed7572
Not completed00

Outcome measures

PrimaryPercentage of Participants Who Dropped Out of Buprenorphine Treatment

Drop-out is defined as 7 or more days of missed Buprenorphine doses

Time frame:
3 months
Reported as:
Number · percentage of participants
Percentage of Participants Who Dropped Out of Buprenorphine Treatment
percentage of participants10 mg EscitalopramPlacebo
Percentage of Participants Who Dropped Out of Buprenorphine Treatment33.344.0
Statistical analysis
  • 10 mg Escitalopram vs Placebo · Chi-squared · p = .19 · Odds ratio (or): .64 · 95% CI .33 to 1.24
SecondaryDepressive Symptoms

Depressive symptoms, as measured by self-report during study interviews, using the Beck Depression Inventory II. Scores ranged from 0-63; higher scores indicate more depressive symptoms.

Time frame:
3 months
Reported as:
Mean · units on a scale
Depressive Symptoms
units on a scale10 mg EscitalopramPlacebo
Depressive Symptoms12.31 ± 1.7911.35 ± 1.46
Statistical analysis
  • 10 mg Escitalopram vs Placebo · t-test, 2 sided · p = .18 · Mean difference (final values): .96 · 95% CI -2.79 to 5.84

Adverse events

Collected over adverse event information was collected at each study appointment, which occurred every 1-2 weeks throughout participant's 12-week study participation.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo—1/75 (1.3%)0/75 (0%)
10 mg Escitalopram—0/72 (0%)0/72 (0%)
Most frequent serious events
Most frequent serious events
EventPlacebo10 mg Escitalopram
increasing clinical symptomsPsychiatric disorders1/750/72

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Placebo10 mg EscitalopramTotal
<=18 years000
Between 18 and 65 years7572147
>=65 years000
Age Continuous
Age Continuous(years)Placebo10 mg EscitalopramTotal
Mean36.8 ± 9.838.3 ± 9.637.5 ± 9.9
Sex: Female, Male
Sex: Female, Male(Participants)Placebo10 mg EscitalopramTotal
Female181735
Male5755112
Region of Enrollment
Region of Enrollment(participants)Placebo10 mg EscitalopramTotal
United States7572147
08

Study locations

1 site
  • Butler Hospital
    Providence, Rhode Island 02906, United States
09

References and documents

Publications

  • Tsui JI, Anderson BJ, Strong DR, Stein MD. Craving predicts opioid use in opioid-dependent patients initiating buprenorphine treatment: a longitudinal study. Am J Drug Alcohol Abuse. 2014 Mar;40(2):163-9. doi: 10.3109/00952990.2013.848875. Epub 2014 Feb 12. PubMed 24521036 ↗
  • Cioe PA, Anderson BJ, Stein MD. Change in symptoms of erectile dysfunction in depressed men initiating buprenorphine therapy. J Subst Abuse Treat. 2013 Nov-Dec;45(5):451-6. doi: 10.1016/j.jsat.2013.06.004. Epub 2013 Jul 23. PubMed 23891461 ↗
  • Strong DR, Brown RA, Sims M, Herman DS, Anderson BJ, Stein MD. Persistence on a stress-challenge task before initiating buprenorphine treatment was associated with successful transition from opioid use to early abstinence. J Addict Med. 2012 Sep;6(3):219-25. doi: 10.1097/ADM.0b013e31825d927f. PubMed 22864399 ↗
  • Tsui JI, Herman DS, Kettavong M, Anderson BJ, Stein MD. Escitalopram is associated with reductions in pain severity and pain interference in opioid dependent patients with depressive symptoms. Pain. 2011 Nov;152(11):2640-2644. doi: 10.1016/j.pain.2011.08.011. Epub 2011 Sep 15. PubMed 21924552 ↗
  • Tsui JI, Herman DS, Kettavong M, Anderson BJ, Stein MD. Chronic pain and hepatitis C virus infection in opioid dependent injection drug users. J Addict Dis. 2011 Apr;30(2):91-7. doi: 10.1080/10550887.2011.554775. PubMed 21491290 ↗
  • Stein MD, Herman DS, Kettavong M, Cioe PA, Friedmann PD, Tellioglu T, Anderson BJ. Antidepressant treatment does not improve buprenorphine retention among opioid-dependent persons. J Subst Abuse Treat. 2010 Sep;39(2):157-66. doi: 10.1016/j.jsat.2010.05.014. Epub 2010 Jul 3. PubMed 20598836 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 3, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00475878
Lead sponsor
Butler Hospital
Responsible party
Michael Stein, MD (Principal Investigator, Butler Hospital) — Principal investigator
First posted
May 21, 2007
Start date
Dec 2006
Primary completion
Sep 2009
Completion
Sep 2009
Results posted
Apr 3, 2012
Last update
Apr 3, 2012

Study contacts

Michael D Stein, M.D.
principal investigator · Rhode Island Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2012. You cannot join it, but the record below documents what was studied.

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