CClinicalTrials.gg
WithdrawnNCT03762798Updated Sep 23, 2021

Can The Bridge Transition Opiate Use Disorder Patients in Stable Recovery From Buprenorphine to Naltrexone

An interventional study of The Bridge in Substance Use Disorders, Substance Abuse and Substance Use, sponsored by The Cleveland Clinic. Withdrawn at 1 site in United States. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2021-09-23.

Sponsored by The Cleveland Clinic · Not applicable, Interventional, and Treatment

Why this study was withdrawn
Not able to enroll participants.
Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Not applicable
Ages
18 Years to 99 Years
Sex
All
01

Study summary

This is an open-label, single center study of The Bridge in patients with sustained remission of opiate dependence on established, low-dose MAT with buprenorphine. A fixed number of patients will be admitted to the study.

Read the detailed description

This is an open-label, single center study of The Bridge in patients with sustained remission of opiate dependence on established, low-dose MAT with buprenorphine. A fixed number of patients will be admitted to the study.

After determination that the subject meets the inclusion criteria and does not meet any of the exclusion criteria for the study, the subject will receive the device which will be applied in the clinical office setting on an outpatient basis. Buprenorphine MAT will be stopped immediately and the subject will be followed on an outpatient basis to ensure the process has been successful. The subject will have the option to return to the office for a follow-up assessment in 1-4 days after device application. Seven to ten days after the last dose of buprenorphine, a urine sample will be collected for drug testing and a prescription for naltrexone will be provided. Then three visits on a roughly monthly basis will be scheduled. At each visit a urine sample for drug testing will be collected. After three follow-up visits are completed, if the drug testing demonstrates continued sobriety, the subject will be released from the study and may or may not continue treatment with naltrexone.

02

Conditions studied

  • Substance Use Disorders
  • Substance Abuse
  • Substance Use
  • Substance Dependence

Keywords

  • substance abuse
  • the bridge
03

In context

Substance-Related Disorders

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

Browse Substance-Related Disorders studies →

Lead sponsor

The Cleveland Clinic is the lead sponsor of 819 studies on the registry; 118 are open to participants now.

Of its 89 completed or terminated interventional studies of FDA-regulated products, 72 (81%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Diagnosis of opiate use disorder, any severity
  • Age range 18-99 years old
  • Not pregnant or breastfeeding
  • Able to understand and provide informed consent.
  • Able to understand and speak the English language.
  • At least one year of abstinence from drugs of abuse including, but not limited to, all opiates, cannabis, benzodiazepines, barbiturates, alcohol and cocaine.
  • Use of nicotine is excluded from this criterion.
  • Use of any prescribed, controlled substance, taken according to the prescribing instructions, for no more than seven consecutive days, at least three months prior to the subject's study enrollment, is excluded from this criterion.
  • Taking dose of buprenorphine less than or equal to no more than 4 mg daily for at least three months prior to starting the study.
  • In the case of Zubsolv rapid-dissolve tablets, equivalent daily dose maximum would be 2.9mg.
  • In the case of Bunavail buccal film, equivalent daily dose maximum would be 2.1mg.
  • At least one year of self-reported, established 12-step based recovery work, including
  • Home group membership and regular attendance of two 12- step meetings per week
  • Regular work with 12-step sponsor who can attest that the subject has worked through step nine of the twelve steps of Alcoholics Anonymous or a similar 12-step based mutual help organization.

Exclusion criteria

Exclusion Criteria:

  • Exhibits active psychosis or suicide ideation or is otherwise psychiatrically unstable.
  • Positive Utox2 Immunoassay, Quantitative Pain Panel Liquid Chromatography/Mass Spectroscopy, or Ethylglucuronide test for any nonprescribed substance or medication.
  • Meets criteria for any other active substance use disorder except nicotine
  • Allergic to naltrexone or has any condition of such nature and/or severity that would clinically contraindicate the prescribing of naltrexone.
  • Any condition that contraindicates the use of NSS-2 including hemophilia, cardiac pacemakers and psoriasis vulgaris.
05

Study design

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

Study arms

  • Experimental
    Treatment

    All participants will receive the Bridge device.

    Device: The Bridge

Interventions

  • DeviceThe Bridge

    The Bridge (Also known as NSS-2) is a percutaneous, auricular field stimulator developed to alleviate pain through stimulation of peripheral cranial neurovascular bundles in the external ear that could potentially gain access to brain areas involved in fear, pain and nociception. After five days, the subject will return to the clinic for device removal and disposal.

06

What researchers measure

Primary outcomes

  1. Primary Objective

    Number of patients who complete three follow-up visits while taking naltrexone and produce entirely negative urine opiate screens during that period

    Time frame: Three Months

07

Study locations

1 site
  • Cleveland Clinic Lutheran Hospital
    Cleveland, Ohio 44113, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 23, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03762798
Lead sponsor
The Cleveland Clinic
Responsible party
David Streem, MD (Principal Investigator, The Cleveland Clinic) — Principal investigator
First posted
Dec 4, 2018
Start date
Nov 19, 2018
Primary completion
Oct 25, 2020
Completion
Dec 1, 2020
Last update
Sep 23, 2021

Study contacts

David W Streem, MD
principal investigator · The Cleveland Clinic

Oversight

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

Not currently enrolling

This study is withdrawn, as verified in Sep 2021. You cannot join it, but the record below documents what was studied.

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