CClinicalTrials.gg
Status unknownNCT00726960Updated Aug 1, 2008

Ability of Aprepitant to Block Opioid Reward in Non-Dependent Opiate Abusers

A Phase 1 interventional study of aprepitant and Pseudo-placebo - buprenorphine in Opioid-Related Disorders, Heroin Dependence and Substance-Related Disorders, sponsored by Karolinska University Hospital. Status unknown at 1 site in Sweden. Open to participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2008-08-01.

Sponsored by Karolinska University Hospital · Phase 1, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jul 2008), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Phase 1
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
All
01

Study summary

The objective of this study is to determine whether aprepitant blocks the opiate reward system in non-dependent opiate abusers, indicating its potential as a safe, non-addictive first line therapy for early heroin abuse.

Read the detailed description

This initial proof-of-concept study focuses on evaluating whether an NK1 antagonist, aprepitant, can block opiate reward in non-dependent opiate experienced volunteers in response to a standard opiate challenge. Sixty subjects will be included in a randomized controlled study. Following a training challenge session, they will receive 1 week treatment with aprepitant or matching placebo, followed by a challenge session during which subjective and physiological responses to the opiate partial agonist buprenorphine will be assessed.

02

Conditions studied

  • Opioid-Related Disorders
  • Heroin Dependence
  • Substance-Related Disorders

Keywords

  • Heroin abuse
  • Opioids
  • Opiates
  • Substance abuse
  • Addiction
03

In context

Substance-Related Disorders

2,124 studies on the registry are indexed under Substance-Related Disorders; 393 are open to participants now.

This study's planned enrollment of 60 is below the median of 108 across 1,727 interventional studies indexed under Substance-Related Disorders.

Browse Substance-Related Disorders studies →

Lead sponsor

Karolinska University Hospital is the lead sponsor of 275 studies on the registry; 54 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age 18 - 50
  • Current opiate use, without dependence

Exclusion criteria

Exclusion Criteria:

  • Clinical diagnosis of opiate dependence
  • Positive urine screen for opiates on day of challenge sessions
  • Meet diagnostic criteria for any other substance abuse disorder except nicotine within the last 12 months.
  • Any ongoing prescription medication other than oral contraceptives or hormone replacement
  • Any serious medical condition which in the judgment of the investigators makes administration of opiates medically inappropriate.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Single group
Masking
Double (Participant, Investigator)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    1

    Aprepitant

    Drug: aprepitant

  • Placebo comparator
    2

    Placebo

    Drug: Pseudo-placebo - buprenorphine

Interventions

  • Drugaprepitant

    Oral, 125 mg once daily for one week

    Also known as: Emend

  • DrugPseudo-placebo - buprenorphine

    Randomized to receive either 8 mg sublingual tablets or 0.4 mg sublingual tablets

    Also known as: Subutex

06

What researchers measure

Primary outcomes

  1. The primary outcome will be self-reported pleasurable opiate effect.

    Time frame: One week

Secondary outcomes

  1. The secondary outcome will be physiological opiate responses.

    Time frame: One week

07

Study locations

1 site
  • Karolinska University Hospital, Huddinge
    Stockholm, 14186, Sweden
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 1, 2008, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00726960
Lead sponsor
Karolinska University Hospital
Collaborators
Ministry of Health and Social Affairs, Sweden, County of Stockholm
First posted
Aug 1, 2008
Start date
Jan 2008
Primary completion
Dec 2009 (estimated)
Completion
Jun 2010 (estimated)
Last update
Aug 1, 2008

Study contacts

Markus Heilig, MD, PhD
principal investigator · Karolinska Universitetssjukhuset
Johan Kakko, MD
study director · Karolinska Universitetssjukhuset

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Jul 2008. You cannot join it, but the record below documents what was studied.

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