ClinicalTrials.gg
TerminatedNCT03711318Updated Dec 22, 2022Results posted

Buprenorphine Stabilization and Induction Onto Vivitrol for Heroin-dependent Individuals

A Phase 3 interventional study of Buprenorphine/naloxone in Heroin Dependence, sponsored by New York State Psychiatric Institute. Terminated at 1 site in United States. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-12-22.

Sponsored by New York State Psychiatric Institute · Phase 3, Interventional, and Treatment

Why this study was terminated
continuing study was no longer feasible
Phase
Phase 3
Study type
Interventional
Enrollment
8
Allocation
Not applicable
Ages
18 Years to 60 Years
Sex
All
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Study summary

A short-term treatment with buprenorphine prior to initiating treatment with naltrexone may increase the proportion of heroin-dependent patients successfully inducted onto Vivitrol.

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Conditions studied

  • Heroin Dependence

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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 8 is below the median of 87 across 57 interventional 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 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. Individuals between the ages of 18-60
  2. Meets criteria of current opioid use disorder with six consecutive months of reported heroin use, supported by a positive urine for opiates indicating regular use of heroin
  3. Seeking treatment for opioid use disorder with Vivitrol
  4. Capable of giving and complying with study procedures
  5. In otherwise good health based on complete medical history and physical examination, laboratory tests, and
  6. between 18-40

Exclusion criteria

Exclusion Criteria:

  1. Reported treatment with methadone in the last 3 months or positive urine toxicology for methadone on the day of consent
  2. Maintenance on, or regular use of buprenorphine or other prescription opioids
  3. Pregnancy, lactation, or failure in a sexually active woman to use adequate methods.
  4. Active medical illness which might make participation hazardous, such as untreated hypertension, acute hepatitis with or ALT > 3 times normal, AIDS ( under 200 currently or medically ill with an opportunistic infection), unstable diabetes, cardiovascular disease.
  5. Active psychiatric disorder which might interfere with participation or make participation hazardous, including Schizophrenia or any psychotic disorder, severe Major Depressive Disorder, or suicide risk or 1 or more suicide attempts within the past year.
  6. Physiologically dependent on alcohol or sedative- hypnotics with impending withdrawal. Other substance use diagnoses are not exclusionary.
  7. History of allergic or adverse reaction to buprenorphine, naltrexone, naloxone, clonidine, or clonazepam.
  8. Chronic neurocognitive disorder
  9. History of accidental drug overdose in the last 3 years as defined as an episode of opioid-induced unconsciousness or incapacitation, whether or not medical treatment was sought or received.
  10. Painful medical condition that requires ongoing opioid analgesia or anticipated surgery necessitating opioid medications
  11. Fentanyl only use, supported by a urine toxicology that is positive for fentanyl only and negative for all other opioids.
  12. Court mandated to treatment
Terms in these criteria, in plain language(7)

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.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

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.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

CD4 count

The number of CD4 cells, a type of white blood cell, in a given amount of blood. It is used to follow how well the immune system is doing in HIV.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
8 participants (actual)

Study arms

  • Experimental
    Short-term treatment with buprenorphine

    Short-term treatment with buprenorphine

    Drug: Buprenorphine/naloxone

Interventions

  • DrugBuprenorphine/naloxone

    Drug pages: Buprenorphine · Naloxone

    3 week treatment with buprenorphine/naloxone

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What researchers measure

Primary outcomes

  1. Proportion of Heroin-dependent Patients Successfully Inducted Onto Vivitrol

    Number of patients who received the first Vivitrol injection among those who initiated the induction

    Time frame: 12 weeks

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Results

Posted Dec 22, 2022

Participant flow

Participant flow — Overall Study
MilestoneShort-term Treatment With Buprenorphine
Started8
Completed1
Not completed7

Outcome measures

PrimaryProportion of Heroin-dependent Patients Successfully Inducted Onto Vivitrol

Number of patients who received the first Vivitrol injection among those who initiated the induction

Time frame:
12 weeks
Reported as:
Count of participants · Participants
Proportion of Heroin-dependent Patients Successfully Inducted Onto Vivitrol
ParticipantsShort-term Treatment With Buprenorphine
Proportion of Heroin-dependent Patients Successfully Inducted Onto Vivitrol3

Adverse events

Collected over 12 weeks of treatment. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Short-term Treatment With Buprenorphine0/8 (0%)0/8 (0%)1/8 (12.5%)
Most frequent other events
Most frequent other events
EventShort-term Treatment With Buprenorphine
depressive symptomsPsychiatric disorders1/8

Baseline characteristics

Participants who consented to and initiated study

Age, Categorical
Age, Categorical(Participants)Short-term Treatment With Buprenorphine
<=18 years0
Between 18 and 65 years8
>=65 years0
Age, Continuous
Age, Continuous(years)Short-term Treatment With Buprenorphine
Mean44.5 ± 10.4
Sex: Female, Male
Sex: Female, Male(Participants)Short-term Treatment With Buprenorphine
Female3
Male5
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Short-term Treatment With Buprenorphine
Hispanic or Latino5
Not Hispanic or Latino3
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Short-term Treatment With Buprenorphine
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American1
White4
More than one race2
Unknown or Not Reported1
08

Study locations

1 site
  • New York State Psychiatric Institute
    New York, New York 10032, United States
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References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2018 to primary completion in Dec 2021, 37 months.

Results were first posted in Dec 2022, 11 months after primary completion.

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

Registered
Oct 16, 2018
First posted
Oct 18, 2018
StartActual
Nov 1, 2018
Primary completionActual
Dec 31, 2021
CompletionActual
Dec 31, 2021
Results first posted
Dec 22, 2022
Last update
Dec 22, 2022
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 Dec 22, 2022, 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
NCT03711318
Collaborators
Alkermes, Inc.
Responsible party
Adam Bisaga (Professor of Psychiatry, New York State Psychiatric Institute) — Principal investigator
First posted
Oct 18, 2018
Start date
Nov 1, 2018
Primary completion
Dec 31, 2021
Completion
Dec 31, 2021
Results posted
Dec 22, 2022
Last update
Dec 22, 2022

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Nov 2022. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: Buprenorphine · Naloxone

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