ClinicalTrials.gg
CompletedNCT03810495Updated Nov 12, 2024Results posted

The O'Neil Long Acting Naltrexone Implant (OLANI) Pharmacokinetic (PK)/Safety Study in Healthy Volunteers

A Phase 1 interventional study of naltrexone implant in Opioid Use Disorder, sponsored by Go Medical Industries Pty Ltd. Completed at 1 site in United States. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-11-12.

Sponsored by Go Medical Industries Pty Ltd · Phase 1, Interventional, and Basic science

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Phase
Phase 1
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years to 55 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 52 studies testing naltrexone in Opioid-Related Disorders — 1 open to participants now, 2 under way, none of them phase 3. Naltrexone · Opioid-Related Disorders.

Enrollment
39th of 52
20 · median 61
Started
2019
the only one that year
Phase 1
7 of 52
none open now
Registered
45th of 52
by date
Lead sponsor
3 of 52
Go Medical Industries Pty Ltd

Among the 52 studies testing naltrexone in Opioid-Related Disorders, this one is the 39th largest by enrollment, is the only one that started in 2019, is one of 7 in phase 1, and was the 45th registered.

Opioid-Related Disorders

1,473 studies on the registry are indexed under Opioid-Related Disorders; 290 are open to participants now.

Browse Opioid-Related Disorders studies →

Open to participants now

1 of the 52 studies testing naltrexone in Opioid-Related Disorders is open now. Recruiting first, the newest first:

About naltrexone

Naltrexone: first FDA approval 1984 (REVIA), first EMA approval 2015. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 210 Opioid-Related Disorders studies recruiting now, 122 (58%) set no upper age limit and 74 (35%) stop at 75 or younger; 14 take children under 18; 53 take healthy volunteers.

This study: 18 Years to 55 Years · all sexes · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 52 studies testing naltrexone in Opioid-Related Disorders, or all of them as a file.
02

Study summary

This study will examine the pharmacokinetic profile and safety of the O'Neil Long Acting Naltrexone Implant (OLANI) overtime in healthy volunteers. All participants will be treated in an open label manner. No randomization will occur. It is hypothesized that the OLANI will provide sustained therapeutic doses of naltrexone (NTX) for periods up to 6 months via a single subcutaneous application of 2 OLANIs.

Read the detailed description

Naltrexone (NTX) is a nonspecific pure opioid antagonist with a high affinity for the µ-opioid receptor. It blocks the effects of opioids by competitive binding at opiate receptors. NTX is used primarily in the management of opiate and alcohol dependence. It is available in the United States (US) as 2 formulations; a once daily oral formulation (Revia) and a once monthly intramuscular injection (Vivitrol). While NTX is a potent antagonist and efficiently blocks the effects of exogenous opiates such as heroin, the success of NTX for the treatment of opiate dependence has been limited by poor patient compliance. Therefore, the development of a sustained release NTX formulation (in excess of 1 month) would be of great benefit for the treatment of opioid use disorder.

03

Conditions studied

  • Opioid Use Disorder

Keywords

  • naltrexone
  • opioids
  • opioid use disorder
  • OLANI implant
04

Who can participate

Ages eligible
18 Years to 55 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

  • Men or women between the ages of 18 and 55 years old (inclusive)
  • Without The , Fifth Edition (DSM 5) - Substance Related Disorders classification; in sustained remission is not exclusionary
  • Able and willing to comply with the requirements of the protocol
  • Able and willing to provide written
  • Willing to undergo a minor surgical procedure under local anesthetic to allow for drug administration in the subcutaneous tissue
  • inclusive of 18.5 to 30.0
  • Have an initial weight between 45.3 and 81.6 kilograms (inclusive)

Exclusion criteria

Exclusion Criteria:

  • Positive urine drug screen (UDS) at screening for illicit substances.
  • Is currently on naltrexone medication.
  • Has had a naltrexone implant in the past 24 months.
  • Has received treatment with an extended naltrexone product (e.g. Vivitrol) in the past 12 months.
  • Has a condition which requires treatment with opioid based medication.
  • Has a known to naltrexone.
  • Has a known hypersensitivity to poly-lactic based materials e.g. biodegradable sutures, surgical implants or previous biodegradable implants.
  • Has a known hypersensitivity to local anesthesia.
  • Is prone to skin rashes, irritation or has a skin condition such as recurrent eczema that is likely to impact the implant site area, or as determined by the evaluating physician.
  • Demonstrates any abnormal skin tissue in the proposed implantation area.
  • Is pregnant or planning to be. Women need to have negative blood pregnancy test at screening. Women need to agree to practice dual .
  • Participant is breastfeeding or planning to be.
  • Has a current significant neurological (including cognitive and psychiatric disorders), hepatic, renal, endocrine, cardiovascular, gastrointestinal, pulmonary, hematological or metabolic disease unless currently controlled and stable with protocol-allowed medication 30 days prior to proposed product administration.
  • Any abnormal finding as determined by medical history, physical examination, or clinical laboratory tests.
  • Any additional condition(s) that in the investigator's opinion would prohibit the participant from completing the study or would not be in the best interest of the participant.
  • (ALT) or aspartate transaminase (AST) > 3 times the upper end of the laboratory normal range.
  • Any methadone use 14 days prior to screening, and up to Study Day 0.
  • Current diagnosis of schizophrenia, bipolar, anxiety, or depressive disorder, confirmed by The Mini International Neuropsychiatric Interview (MINI) diagnostic interview assessment, or currently treated with medications for anxiety or depression. Past history (in remission DSM-5 classification) of anxiety or depression is not exclusionary.
  • Any elevated risk for suicide measured using the Columbia Suicide Severity Rating Scale (C-SSRS), endorsing any of the items in the past month (C-SSRS, Lifetime)
  • Is participating or intending to participate in any other clinical trial during the duration of this study.
Terms in these criteria, in plain language(9)

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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.

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.

05

Study design

Phase
Phase 1
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    OLANI (naltrexone implant)

    2 OLANI containing 60% naltrexone (1.8 g total) administered one time subcutaneously

    Drug: naltrexone implant

Interventions

  • 1.8 g implant containing 60% naltrexone

    Also known as: OLANI, O'Neil Long Acting Naltrexone Implant

06

What researchers measure

Primary outcomes

  1. Percentage of Participants That Maintain MEC

    Percentage of participants who maintain naltrexone (NTX) blood levels of ≥1.33 ng/mL for ≥180 days

    Time frame: up to 540 days or until NTX blood levels become undetectable

Secondary outcomes

  1. Median Cmax of Naltrexone

    Single-dose pharmacokinetic (PK) measurement of the plasma naltrexone concentration (Cmax) after dosing on Day 1

    Time frame: pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days

  2. Tmax of Naltrexone

    Single-dose PK measurement of the time to reach the maximum (Tmax) naltrexone concentration after dosing on Day 1

    Time frame: pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days

  3. AUC of Naltrexone

    Single-dose PK measurement of the area under the curve (AUC) for naltrexone after dosing on Day 1

    Time frame: pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days

  4. Median Cmax of 6β-naltrexol

    Single-dose PK measurement of the peak plasma 6β-naltrexol concentration after dosing on Day 1

    Time frame: pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days

  5. Median Tmax of 6β-naltrexol

    Single-dose PK measurement of the time to reach the maximum 6β-naltrexol concentration after dosing on Day 1

    Time frame: pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days

  6. Time>Minimum Effective Concentration

    Time (T) naltrexone remains above the minimum effective concentration (MEC) of 1.33

    Time frame: pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days

  7. AUC of 6β-naltrexol

    Single-dose PK measurement of the AUC for 6β-naltrexol concentration after dosing on Day 1

    Time frame: pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days

  8. Incidence of Adverse Events (AEs)

    Incidence and Severity of AEs

    Time frame: Up to 540 days or until NTX blood levels become undetectable

07

Results

Posted Aug 1, 2022
Limitations and caveats
This is a pilot study with a small sample size.

Participant flow

Participant flow — Overall Study
MilestoneOLANI (Naltrexone Implant)
Started20
Completed17
Not completed3
Withdrew: Lost to follow-up2
Withdrew: Withdrawal by subject1

Outcome measures

PrimaryPercentage of Participants That Maintain MEC

Percentage of participants who maintain naltrexone (NTX) blood levels of ≥1.33 ng/mL for ≥180 days

Time frame:
up to 540 days or until NTX blood levels become undetectable
Reported as:
Count of participants · Participants
Percentage of Participants That Maintain MEC
ParticipantsOLANI (Naltrexone Implant)
Percentage of Participants That Maintain MEC10
SecondaryMedian Cmax of Naltrexone

Single-dose pharmacokinetic (PK) measurement of the plasma naltrexone concentration (Cmax) after dosing on Day 1

Time frame:
pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days
Reported as:
Median · ng/mL
Median Cmax of Naltrexone
ng/mLOLANI (Naltrexone Implant)
Median Cmax of Naltrexone17.00 (5.38 to 71.4)
SecondaryTmax of Naltrexone

Single-dose PK measurement of the time to reach the maximum (Tmax) naltrexone concentration after dosing on Day 1

Time frame:
pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days
Reported as:
Median · day
Tmax of Naltrexone
dayOLANI (Naltrexone Implant)
Tmax of Naltrexone49.63 (0.47 to 268)
SecondaryAUC of Naltrexone

Single-dose PK measurement of the area under the curve (AUC) for naltrexone after dosing on Day 1

Time frame:
pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days
Reported as:
Median · day*ng/mL
AUC of Naltrexone
day*ng/mLOLANI (Naltrexone Implant)
AUC of Naltrexone1440.5 (991.1 to 2022)
SecondaryMedian Cmax of 6β-naltrexol

Single-dose PK measurement of the peak plasma 6β-naltrexol concentration after dosing on Day 1

Time frame:
pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days
Reported as:
Median · ng/mL
Median Cmax of 6β-naltrexol
ng/mLOLANI (Naltrexone Implant)
Median Cmax of 6β-naltrexol23.45 (10.2 to 126)
SecondaryMedian Tmax of 6β-naltrexol

Single-dose PK measurement of the time to reach the maximum 6β-naltrexol concentration after dosing on Day 1

Time frame:
pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days
Reported as:
Median · day
Median Tmax of 6β-naltrexol
dayOLANI (Naltrexone Implant)
Median Tmax of 6β-naltrexol49.70 (1 to 176.3)
SecondaryTime>Minimum Effective Concentration

Time (T) naltrexone remains above the minimum effective concentration (MEC) of 1.33

Time frame:
pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days
Reported as:
Median · days
Time>Minimum Effective Concentration
daysOLANI (Naltrexone Implant)
Time>Minimum Effective Concentration270 (56 to 360)
SecondaryAUC of 6β-naltrexol

Single-dose PK measurement of the AUC for 6β-naltrexol concentration after dosing on Day 1

Time frame:
pre-dose, at 3, 6, and 12 hours (± 60 minutes) after dosing; 24 and 48 hours (± 2 hours) after dosing; day 4 (± 1 day), day 8 (± 2 days); days 14, 21, 28, 35, 42, 49 and 56 (± 3 days); then every 30 days (± 10 days) up to 540 days
Reported as:
Median · day*ng/mL
AUC of 6β-naltrexol
day*ng/mLOLANI (Naltrexone Implant)
AUC of 6β-naltrexol2856.50 (1484 to 4990)
SecondaryIncidence of Adverse Events (AEs)

Incidence and Severity of AEs

Time frame:
Up to 540 days or until NTX blood levels become undetectable
Reported as:
Number · participants
Incidence of Adverse Events (AEs)
participantsOLANI (Naltrexone Implant)
Participants with at least One Treatment-Emergent Adverse Event19
Implant site inflammation7
Vomiting7
Headache5
Implant site pruritus4
Nausea3
Diarrhoea3
Upper respiratory tract infection3
Implant site pain2
Back pain2
Weight increased2

Adverse events

Collected over 18 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
OLANI (Naltrexone Implant)0/20 (0%)2/20 (10%)19/20 (95%)
Most frequent serious events
Most frequent serious events
EventOLANI (Naltrexone Implant)
Stab WoundInjury, poisoning and procedural complications1/20
VomitingGastrointestinal disorders1/20
Most frequent other events
Showing 10 of 37
Most frequent other events
EventOLANI (Naltrexone Implant)
VomitingGastrointestinal disorders7/20
Implant site inflammationGeneral disorders7/20
HeadacheNervous system disorders5/20
Implant site pruritusGeneral disorders4/20
DiarrhoeaGastrointestinal disorders3/20
NauseaGastrointestinal disorders3/20
Upper respiratory tract infectionInfections and infestations3/20
Implant site painGeneral disorders2/20
Weight increasedInvestigations2/20
Back painMusculoskeletal and connective tissue disorders2/20

Baseline characteristics

Age, Continuous
Age, Continuous(years)OLANI (Naltrexone Implant)
Mean38.4 ± 10.77
Sex: Female, Male
Sex: Female, Male(Participants)OLANI (Naltrexone Implant)
Female10
Male10
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)OLANI (Naltrexone Implant)
Hispanic or Latino7
Not Hispanic or Latino13
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)OLANI (Naltrexone Implant)
American Indian or Alaska Native0
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American9
White5
More than one race3
Unknown or Not Reported2
Region of Enrollment
Region of Enrollment(participants)OLANI (Naltrexone Implant)
United States20
Body Mass Index (kg/m^2)
Body Mass Index (kg/m^2)(kg/m^2)OLANI (Naltrexone Implant)
Mean24.92 ± 3.63
08

Study locations

1 site
  • Columbia University Medical Center
    New York, New York 10032, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2019 to primary completion in Mar 2021, 23 months.

Results were first posted in Aug 2022, 1 year 4 months after primary completion.

Of 78 phase 1 interventional studies under Opioid-Related Disorders, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 33. This study's 23 months is above that.

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

Registered
Jan 17, 2019
First posted
Jan 18, 2019
StartActual
Apr 11, 2019
Primary completionActual
Mar 18, 2021
CompletionActual
Mar 22, 2021
Results first posted
Aug 1, 2022
Last update
Nov 12, 2024
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 Nov 12, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03810495
Lead sponsor
Go Medical Industries Pty Ltd
Responsible party
Sponsor
First posted
Jan 18, 2019
Start date
Apr 11, 2019
Primary completion
Mar 18, 2021
Completion
Mar 22, 2021
Results posted
Aug 1, 2022
Last update
Nov 12, 2024

Study contacts

Adam Bisaga, MD
principal investigator · New York State Psychiatric Institute

Oversight

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

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Discussion

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Studies of the drug tested here: Naltrexone

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