ClinicalTrials.gg
CompletedNCT00574067Updated Aug 29, 2018Results posted

Buprenorphine for Prisoners

A Phase 3 interventional study of Buprenorphine +OTP and Buprenorphine +CHC in Heroin Addiction, sponsored by Friends Research Institute, Inc.. Completed at 2 sites in United States. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-08-29.

Sponsored by Friends Research Institute, Inc. · Phase 3, Interventional, and Health services research

Phase
Phase 3
Study type
Interventional
Enrollment
213
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
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Study summary

This five-year study examines the effectiveness of buprenorphine treatment provided to previously-addicted inmates(N=320; 160 males, 160 females) initiated in prison and continued in the community. The study also examines the extent to which the setting of post-release buprenorphine is provided.It is expected that participants receiving in-prison buprenorphine will have superior outcomes compared to participants who did not receive in-prison buprenorphine.

Read the detailed description

Participants will be randomly assigned, within gender, to one of four treatment conditions: 1) buprenorphine and counseling in prison, with referral for continued treatment at an OTP upon release; 2) buprenorphine and counseling in prison, with referral for continued treatment at a CHC upon release; 3) counseling only in prison, with referral for buprenorphine and counseling at a OTP upon release; and 4) counseling only in prison, with referral for buprenorphine and counseling at a CHC upon release. Participants will be assessed at study entry and at 1, 3, 6, and 12 months following their release from prison. Outcome measures include: treatment entry and retention in the community, heroin use, cocaine use, HIV infection, HIV-risk behaviors, criminal activity, and employment.

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Conditions studied

  • Heroin Addiction

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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 213 is above the median of 87 across 57 interventional studies indexed under Heroin Dependence.

Browse Heroin Dependence studies →

Lead sponsor

Friends Research Institute, Inc. is the lead sponsor of 45 studies on the registry; 5 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  1. pre-release prison inmate with 3-6 months remaining until planned release
  2. history of heroin dependence(meeting criteria of heroin dependence at the time of incarceration and manifesting physical dependence during the year preceding incarceration
  3. suitability for buprenorphine treatment as determined by medical evaluation
  4. willingness to participate in the study
  5. having a Baltimore address and planning to live in Baltimore after release from prison -

Exclusion criteria

Exclusion Criteria:

  1. evidence of kidney failure
  2. evidence of liver failure
  3. history of psychosis
  4. having a pending parole hearing
  5. unadjudicated charges that could result in additional prison time or transfer to another facility -
Terms in these criteria, in plain language(1)

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.

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Study design

Phase
Phase 3
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
213 participants (actual)

Study arms

  • Experimental
    Buprenorphine+OTP

    Buprenorphine and counseling in prison and continued at opioid treatment program (OTP) upon release.

    Drug: Buprenorphine +OTP

  • Experimental
    Buprenorphine+CHC

    Buprenorphine and counseling in prison and continued at a community health center (CHC) upon release.

    Drug: Buprenorphine +CHC

  • Active comparator
    Counseling + OTP

    Counseling only in prison and Buprenorphine upon release at a opioid treatment program (OTP)

    Drug: Counseling +OTP

  • Active comparator
    Counseling + CHC

    Counseling only in prisons and Buprenorphine upon release at a community health center (CHC)

    Drug: Counseling +CHC

Interventions

  • DrugBuprenorphine +OTP

    Drug page: Buprenorphine

    Buprenorphine thrice weekly and counseling for four months while in pre-release prison, with referral for continued treatment at an opioid agonist treatment (OTP) program upon release. Such treatment lasts for 1 year in the community. Buprenorphine dosage, following an induction period,is 32 mg Mondays and Wednesdays and 48 mg Fridays

    Also known as: Suboxone

  • DrugBuprenorphine +CHC

    Drug page: Buprenorphine

    Buprenorphine thrice weekly and counseling provided in pre-release prison for 4 months, with referral for continued treatment for 1 year in the community at a community health center (CHC). Following an induction period, buprenorphine dosing will be 32 mg on Mondays and Wednesdays and 48 mg on Fridays.

    Also known as: Suboxone

  • DrugCounseling +OTP

    Drug page: Buprenorphine

    Counseling only for 4 months in pre-release prison, with referral upon release for buprenorphine treatment and counseling at an opioid agonist treatment program to last for 1 year. Following an induction period, buprenorphine dosing will be thrice weekly, with 32 mg on Mondays and Wednesdays and 48 mg on Fridays.

    Also known as: Suboxone

  • DrugCounseling +CHC

    Drug page: Buprenorphine

    Counseling only for 4 months in pre-release prison, with referral upon release for buprenorphine treatment and counseling at a community health center to last for 1 year. Following an induction period, buprenorphine dosing will be thrice weekly, with 32 mg on Mondays and Wednesdays and 48 mg on Fridays.

    Also known as: Suboxone

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What researchers measure

Primary outcomes

  1. Number of Days of Heroin Use

    mean days used heroin during the past 30 days

    Time frame: 1 year

  2. Drug Abuse Treatment Entry and Retention in the Community

    entered community treatment within 10 days of release from prison (yes vs. no)

    Time frame: 1 year

Secondary outcomes

  1. Number of Days of Cocaine Use

    Number of days used cocaine during the past 30 days.

    Time frame: 1 year

  2. Criminal Activity

    Days of crime during the past 30 days

    Time frame: 1 year

  3. Employment Status

    Number of days employed during the past year

    Time frame: 1 year

  4. HIV Risk Behavior Needle Sharing

    Number of times shared a needle during the past year

    Time frame: 1 year

  5. HIV Risk Behavior

    Number of times had sex without using a condom during the past year

    Time frame: 1 year

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Results

Posted Apr 11, 2016

Participant flow

Participant flow — Overall Study
MilestoneBup+OTPBup+CHCCounseling+OTPCounseling+CHC
Started53535453
Completed52525453
Not completed1100

Outcome measures

PrimaryNumber of Days of Heroin Use

mean days used heroin during the past 30 days

Time frame:
1 year
Reported as:
Mean · days
Number of Days of Heroin Use
daysBup+OTPBup+CHCCounseling+OTPCounseling+CHC
Number of Days of Heroin Use6.0 ± 11.46.4 ± 11.56.5 ± 11.34.0 ± 9.0
PrimaryDrug Abuse Treatment Entry and Retention in the Community

entered community treatment within 10 days of release from prison (yes vs. no)

Time frame:
1 year
Reported as:
Number · participants
Drug Abuse Treatment Entry and Retention in the Community
participantsB+OTPB+CHCC+OTPC+CHC
Drug Abuse Treatment Entry and Retention in the Community22262311
SecondaryNumber of Days of Cocaine Use

Number of days used cocaine during the past 30 days.

Time frame:
1 year
Reported as:
Mean · days
Number of Days of Cocaine Use
daysBup+OTPBup+CHCCounseling+OTPCounseling+CHC
Number of Days of Cocaine Use1.1 ± 4.34.1 ± 9.54.7 ± 9.42.7 ± 6.0
SecondaryCriminal Activity

Days of crime during the past 30 days

Time frame:
1 year
Reported as:
Mean · days
Criminal Activity
daysBup+OTPBup+CHCCounseling+OTPCounseling+CHC
Criminal Activity3.4 ± 9.45.4 ± 11.43.3 ± 9.23.2 ± 9.0
SecondaryEmployment Status

Number of days employed during the past year

Time frame:
1 year
Reported as:
Mean · days
Employment Status
daysB+OTPB+CHCC+OTPC+CHC
Employment Status30.0 ± 28.129.6 ± 26.922.3 ± 32.431.4 ± 30.1
SecondaryHIV Risk Behavior Needle Sharing

Number of times shared a needle during the past year

Time frame:
1 year
Reported as:
Mean · times
HIV Risk Behavior Needle Sharing
timesB+OTPB+CHCC+OTPC+CHC
HIV Risk Behavior Needle Sharing2.9 ± 15.9.1 ± .52.1 ± 13.6.1 ± 1.3
SecondaryHIV Risk Behavior

Number of times had sex without using a condom during the past year

Time frame:
1 year
Reported as:
Mean · times
HIV Risk Behavior
timesB+OTPB+CHCC+OTPC+CHC
HIV Risk Behavior59.7 ± 52.636.1 ± 40.333.3 ± 29.350.4 ± 38.4

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
B+OTP—4/52 (7.7%)—
B+CHC—14/52 (26.9%)—
C+OTP—10/54 (18.5%)—
C+CHC—10/53 (18.9%)—
Most frequent serious events
Showing 10 of 26
Most frequent serious events
EventB+OTPB+CHCC+OTPC+CHC
pneumoniaInfections and infestations0/520/523/540/53
unkownInvestigations1/522/520/541/53
kidney problemInfections and infestations0/522/520/541/53
suicidal ideationPsychiatric disorders0/520/522/542/53
constipationGastrointestinal disorders1/52—0/540/53
back injuryInjury, poisoning and procedural complications1/520/520/540/53
swollen footInvestigations1/520/521/540/53
depressionPsychiatric disorders0/521/520/540/53
physical assualtInvestigations0/521/520/540/53
blood clotBlood and lymphatic system disorders0/521/520/540/53

Baseline characteristics

Age, Continuous
Age, Continuous(years)B+OTPB+CHCC+OTPC+CHCTotal
Mean39.15 ± 7.539.18 ± 8.739.55 ± 10.038.42 ± 9.139.08 ± 8.8
Sex: Female, Male
Sex: Female, Male(Participants)B+OTPB+CHCC+OTPC+CHCTotal
Female1517161563
Male37353838148
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Study locations

2 sites
  • Metropolitan Transition Center
    Baltimore, Maryland 21201, United States
  • Maryland Correctional Institution for Women
    Jessup, Maryland 20794, United States
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References and documents

Publications

  • Kinlock TW, Gordon MS, Schwartz RP, Fitzgerald TT. Developing and Implementing a New Prison-Based Buprenorphine Treatment Program. J Offender Rehabil. 2010 Feb;49(2):91-109. doi: 10.1080/10509670903534951. PubMed 20473351 ↗
  • Gordon MS, Kinlock TW, Schwartz RP, Couvillion KA, O'Grady KE. The Severity, Frequency, and Variety of Crime in Heroin-Dependent Prisoners Enrolled in a Buprenorphine Clinical Trial. Prison J. 2013 Dec 1;93(4):390-410. doi: 10.1177/0032885513500753. PubMed 25392564 ↗
  • Blue TR, Gordon MS, Schwartz RP, Couvillion K, Vocci FJ, Fitzgerald TT, O'Grady KE. Longitudinal analysis of HIV-risk behaviors of participants in a randomized trial of prison-initiated buprenorphine. Addict Sci Clin Pract. 2019 Dec 2;14(1):45. doi: 10.1186/s13722-019-0172-2. PubMed 31787108 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 29, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00574067
Lead sponsor
Friends Research Institute, Inc.
Responsible party
Sponsor
First posted
Dec 14, 2007
Start date
Sep 2008
Primary completion
Mar 2013
Completion
Nov 2013
Results posted
Apr 11, 2016
Last update
Aug 29, 2018

Oversight

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

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Studies of the drug tested here: Buprenorphine

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