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CompletedNCT01668706Updated Nov 9, 2016

Pharmacogenomics Study of Sleep Disturbance and Neurocognitive Impairments in the Opioid Addicts

An observational study in Heroin Dependence, sponsored by National Health Research Institutes, Taiwan. Completed at 5 sites in Taiwan. Open to participants aged 20 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2016-11-09.

Sponsored by National Health Research Institutes, Taiwan · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
340
Ages
20 Years to 65 Years
Sex
All
01

Study summary

Opioid abuse is a complex problem, which not only impacts on addicts' physical and psychological health individually, but also threats the society. Recently, spread of HIV via sexual behavior and needle sharing among injecting drug users (IDUs) also becomes a serious public health problem all over the world. In Taiwan, since the first HIV-infected IDU identified in 1987, the incident cases have mounted to 2,461 in 2005. To prevent the epidemics of HIV among IDUs, the Center for Disease Control (CDC) thus collaborated with Department of Justice and implemented harm reduction programs in 2005. It is the milestone that opioid addiction is officially treated as a health rather than a legal issue in Taiwan. Among the harm reduction programs of needle and syringe exchange for IDUs as well as substitution treatment for opioid dependence, methadone maintenance treatment (MMT) is one of the most important parts. Till 2008, there were over 13,000 heroin addicts participated in more than 80 MMT programs.

Although the clinical evidences have proven the superior effectiveness of maintenance therapy in ameliorating illicit substances abuse, decreasing criminality and improving quality of life, there are common problems of sleep disturbance and neurocognitive impairments among the subjects receiving opioid medications. The concerns of the adverse effects might thus frustrate the subjects' motivation and compliance to maintain treatments. However, sleep disturbance and neurocognitive impairments related to opioid medications are often neglected in the clinical practices and there are scanty researches focusing on these crucial issues in the existing literature.

In this prospective study, four groups of subjects including methadone maintenance treatment, buprenorphine/naloxone, medication-free opioid ex-addicts and healthy volunteers will be enrolled. Via the comprehensive assessments including clinical interview, neurocognitive examinations, electrocardiogram-based sleep breathing detector and pharmacogenomical evaluation, we will not only have the opportunities to have more insights on the impacts of opioid medications on sleep and neurocognitive performances, but also develop more adequate strategies to improve motivation and outcome in treating the opioid addicts.

02

Conditions studied

  • Heroin Dependence
03

In context

Dyssomnias

324 studies on the registry are indexed under Dyssomnias; 51 are open to participants now.

This study's enrollment of 340 is above the median of 126 across 63 observational studies indexed under Dyssomnias.

Browse Dyssomnias studies →

Lead sponsor

National Health Research Institutes, Taiwan is the lead sponsor of 125 studies on the registry; 29 are open to participants now.

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

04

Who can participate

Ages eligible
20 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

  1. Normal control group:

    Healthy adults will be recruited from community.

  2. Methadone Maintenance treatment group Study subjects will be enrolled only in the methadone clinic.
  3. Buprenorphine/Naloxone treatment group Subjects will be enrolled only in the clinic.
  4. Drug-free ex-addict group Subjects will be recruited from the therapeutic communities and halfway house of Operation Dawn.

Eligibility criteria

  1. Normal control group (NC):

    Inclusion criteria:

    1. Chinese ethnicity
    2. Men or women above age of 20
    3. Able to participate in a clinical assessment in Chinese (including Mandarin and Taiwanese dialects)
    4. Individuals who have completed a written consent form

    Exclusion criteria:

    1. Patients with comorbid severe mental disorders including:

      1. Organic mental disorders, or
      2. Schizophrenia
    2. Past diagnosis of Heroin dependence by DSM-IV definition
    3. Severe cognitive impairment
    4. Being pregnant
  2. Methadone maintenance treatment group (MMT)

    Inclusion criteria:

    1. Chinese ethnicity
    2. Men or women above age of 20, below age of 65
    3. Able to participate in a clinical assessment in Chinese (including Mandarin and Taiwanese dialects)
    4. Diagnosis of Heroin dependence by DSM-IV definition
    5. Enter methadone maintenance therapy for at least 3 months
    6. No change of methadone dosage for the last week
    7. Regularly took methadone for the last week
    8. Individuals who have completed a written consent form

    Exclusion criteria:

    1. Patients with comorbid severe mental disorders including:

      1. Organic mental disorders, or
      2. Schizophrenia
    2. Severe cognitive impairment
    3. Being pregnant
  3. Buprenorphine/Naloxone treatment group (BNT)

    Inclusion criteria:

    1. Chinese ethnicity
    2. Men or women above age of 20, below age of 65
    3. Able to participate in a clinical assessment in Chinese (including Mandarin and Taiwanese dialects)
    4. Diagnosis of Heroin dependence by DSM-IV definition
    5. Enter buprenorphine maintenance therapy for at least 3 months
    6. No change of buprenorphine dosage for the last week
    7. Regularly took buprenorphine for the last week
    8. Individuals who have completed a written consent form

    Exclusion criteria:

    1. Patients with comorbid severe mental disorders including:

      1. Organic mental disorders, or
      2. Schizophrenia
    2. Severe cognitive impairment
    3. Being pregnant
  4. Medication-free ex-addict group (MF)

Inclusion criteria:

  1. Chinese ethnicity
  2. Men or women above age of 20
  3. Able to participate in a clinical assessment in Chinese (including Mandarin and Taiwanese dialects)
  4. Diagnosis of Heroin dependence by DSM-IV definition
  5. Individuals who have completed a written consent form

Exclusion criteria:

  1. Patients with comorbid severe mental disorders including:

    1. Organic mental disorders, or
    2. Schizophrenia
  2. Severe cognitive impairment
  3. Being pregnant
  4. Exposure of methadone, buprenorphine and other opioid treatment in the previous 3 months
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
340 participants (actual)
Biospecimen retention
Samples with dna

Groups and cohorts

  • Methadone maintenance treatment (MMT)
  • Buprenorphine-Naloxone treatment (BNT)
  • Medication-free ex-addicts(MF)
  • Normal control (NC)
06

What researchers measure

Primary outcomes

  1. Group differences in demopraphics

    support system, vital sign, substance use history

    Time frame: one year

Secondary outcomes

  1. Gruop differences in neuro-cognitive functions

    attention, executive function, decision making

    Time frame: one year

07

Study locations

5 sites
  • ChangHua Christian Hospital
    Lukang, ChangHua 50550, Taiwan
  • Far Eastern Memorial Hospital
    Banqiao, New Taipei City 22060, Taiwan
  • Far Eastern Memorial Hospital
    Banqiao, New Taipei 22060, Taiwan
  • En-Chu-Gong Hospital
    Sanxia, New Taipei 23702, Taiwan
  • National Health Research Institute
    Miaoli County, 35053, Taiwan
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 9, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01668706
Lead sponsor
National Health Research Institutes, Taiwan
Responsible party
Sponsor
First posted
Aug 20, 2012
Start date
Mar 2009
Primary completion
Dec 2013
Completion
Dec 2013
Last update
Nov 9, 2016

Study contacts

Sheng-Chang Wang, M.D., M.Sc.
principal investigator · National Health Research Institutes, Taiwan

Oversight

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

Not currently enrolling

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

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