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CompletedNCT04345718EXHITENTREUpdated Dec 9, 2025

EXHIT ENTRE Comparative Effectiveness Trial

A Phase 2/3 interventional study of Extended Release Buprenorphine and Treatment as Usual in Substance Use Disorder, Opioid Use Disorder, Moderate and Opioid Use Disorder, Severe, sponsored by Gavin Bart. Completed at 6 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-09.

Sponsored by Gavin Bart · Phase 2/3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Aug 2025, 1 year 1 month ago, and no results have been posted to the registry.
Phase
Phase 2/3
Study type
Interventional
Enrollment
344
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study is a multi-site open-label randomized comparative effectiveness trial of a 28-day formulation of extended-release buprenorphine (XR-BUP) versus treatment as usual (TAU) for hospitalized patients with a moderate or severe opioid use disorder (OUD) seen by an addiction consultation service (ACS) and agreeing to initiate a medication for OUD (MOUD). Participants will be randomly assigned to XR-BUP or TAU to be received within 72 hours of anticipated hospital discharge. Follow up will occur at approximately 34, 90, and 180 days following hospital discharge.

Read the detailed description

The study will randomize approximately 314 hospitalized men and women ages 18 years and older with opioid use disorder (OUD) moderate or severe and who have not been taking prescribed medication for OUD (MOUD) for 14 days or more prior to hospitalization. Eligibility will be determined over one or more assessments during the index hospitalization. Once eligibility has been determined, participants will be randomized 1:1 to either a single injection of extended-release buprenorphine or TAU, which will include methadone, sublingual buprenorphine, or naltrexone. Connection to OUD care and ongoing MOUD following hospitalization will be per community standard. Participants will be assessed for engagement in OUD treatment by the presence of a legitimately prescribed MOUD on day 34 following hospital discharge. Further outcomes will be assessed at 90 and 180 days following hospital discharge.

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Conditions studied

  • Substance Use Disorder
  • Opioid Use Disorder, Moderate
  • Opioid Use Disorder, Severe

Keywords

  • MOUD
  • XR-BUP
  • ACS
  • OUD
  • SUD
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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 enrollment of 344 is above the median of 108 across 1,727 interventional studies indexed under Substance-Related Disorders.

Browse Substance-Related Disorders studies →

Lead sponsor

Gavin Bart is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Hospitalized.
  2. At least 18 years of age.
  3. Meet Diagnostic and Statistical Manual (DSM-5) criteria for moderate or severe OUD.
  4. Willing to initiate MOUD, including buprenorphine.
  5. Able to speak English sufficiently to understand the study procedures and provide written informed consent to participate in the study.

Exclusion criteria

Exclusion Criteria:

  1. Anticipated length of stay less than 24-hours as determined by the ACS
  2. Affected by a serious medical, psychiatric, or substance use disorder that, in the opinion of the study physician, would make it unsafe to participate in the study or may prevent collection of study data. This may include:

    1. Disabling terminal diagnosis for which discharge from hospital is not anticipated.
    2. Disabling terminal diagnosis for which hospice care is being sought.
    3. Severe alcohol or benzodiazepine use disorder that is anticipated to require complex medical detoxification which cannot be completed prior to randomization.
  3. Taking a long-acting opioid other than buprenorphine (e.g., methadone, extended-release oxycodone, extended-release morphine) in the three consecutive days prior to randomization.
  4. Liver enzyme tests (Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT)) more than 5 times upper limit of normal or chronic decompensated liver disease.
  5. Currently pregnant.
  6. Known allergy to buprenorphine or components of Atrigel delivery system.
  7. Receipt of MOUD in the 14 days prior to hospitalization as maintenance treatment; however, patients may have received MOUD for withdrawal management during or prior to hospitalization at the time of enrollment.
  8. Are currently in jail, prison or other overnight facility as required by court of law and/or is considered a prisoner under local law or is under current terms of civil commitment or guardianship.
  9. Previously randomized as a participant in the study - individuals may only be enrolled and randomized once.
05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
344 participants (actual)

Study arms

  • Experimental
    Interventional

    Single subcutaneous injection of a 28-day formulation of extended-release buprenorphine within 72 hours of anticipated hospital discharge.

    Drug: Extended Release Buprenorphine

  • Active comparator
    Treatment as Usual

    Community standard of care that includes initiation of either methadone, sublingual (SL) buprenorphine, or naltrexone prior to hospital discharge.

    Drug: Treatment as Usual

Interventions

  • DrugExtended Release Buprenorphine

    XR-BUP administration prior to hospital discharge will increase engagement in OUD care on the 34th day following hospital discharge more than is currently afforded by ACS TAU approaches (e.g., methadone, SL-BUP, and naltrexone).

    Also known as: Medication for Opioid Use Disorder

  • DrugTreatment as Usual

    Community standard medication for opioid use disorder (e.g., methadone, sublingual buprenorphine, naltrexone) initiated prior to hospital discharge.

    Also known as: Standard Medication for Opioid Use Disorder

06

What researchers measure

Primary outcomes

  1. The proportion of participants engaged in OUD care on the 34th day following hospital discharge.

    Engagement in OUD is defined as coverage with a legitimately prescribed MOUD on that 34th day regardless of the source of prescribed MOUD coverage (e.g., formalized treatment program, primary care, jail, etc.).

    Time frame: 34 days post discharge from hospital

Secondary outcomes

  1. Proportion of participants that experience Adverse Events (AE)

    34-days following hospital discharge

    Time frame: 34 days

  2. Proportion of participants engaged with MOUD

    90- and 180-days following hospital discharge

    Time frame: Days 90 and 180 post hospital discharge

  3. Proportion of participants with positive urine drug test

    for illicit opioids 34-, and 90-, and 180-days following hospital discharge

    Time frame: Days 34, 90 and 180 post hospital discharge

  4. Proportion of participants with self-reported opioid use

    Time frame: Days 34, 90 and 180 post hospital discharge

  5. Self-reported 30- and 90-day hospital readmission rates

    Time frame: Days 30 and 90 post hospital discharge

  6. Self-reported 30- and 90-day Emergency Department (ED) visit rates

    Time frame: Days 30 and 90 post hospital discharge

07

Study locations

6 sites
  • Yale New Haven Hospital
    New Haven, Connecticut 06520, United States
  • Johns Hopkins Bayview Medical Center
    Baltimore, Maryland 21224, United States
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • Boston University
    Boston, Massachusetts 02118, United States
  • Hennepin Healthcare Research Institute
    Minneapolis, Minnesota 55404, United States
  • University of Pittsburgh Medical Center
    Pittsburgh, Pennsylvania 15213, United States
08

References and documents

Publications

  • Liebschutz JM, Crooks D, Herman D, Anderson B, Tsui J, Meshesha LZ, Dossabhoy S, Stein M. Buprenorphine treatment for hospitalized, opioid-dependent patients: a randomized clinical trial. JAMA Intern Med. 2014 Aug;174(8):1369-76. doi: 10.1001/jamainternmed.2014.2556. PubMed 25090173 ↗
  • Lofwall MR, Walsh SL, Nunes EV, Bailey GL, Sigmon SC, Kampman KM, Frost M, Tiberg F, Linden M, Sheldon B, Oosman S, Peterson S, Chen M, Kim S. Weekly and Monthly Subcutaneous Buprenorphine Depot Formulations vs Daily Sublingual Buprenorphine With Naloxone for Treatment of Opioid Use Disorder: A Randomized Clinical Trial. JAMA Intern Med. 2018 Jun 1;178(6):764-773. doi: 10.1001/jamainternmed.2018.1052. PubMed 29799968 ↗
  • Trowbridge P, Weinstein ZM, Kerensky T, Roy P, Regan D, Samet JH, Walley AY. Addiction consultation services - Linking hospitalized patients to outpatient addiction treatment. J Subst Abuse Treat. 2017 Aug;79:1-5. doi: 10.1016/j.jsat.2017.05.007. Epub 2017 May 11. PubMed 28673521 ↗
  • Bart G, Barth KS, Baukol P, Enns E, Ghitza UE, Harris J, Jelstrom E, Liebschutz JM, Magane KM, Voronca D, Weinstein ZM, Korthuis PT. Exemplar Hospital Initiation Trial to Enhance Treatment Engagement (EXHIT ENTRE): protocol for CTN-0098 an open-label randomized comparative effectiveness trial of extended-release buprenorphine versus treatment as usual on post-hospital treatment engagement for hospitalized patients with opioid use disorder. Addict Sci Clin Pract. 2024 Dec 2;19(1):91. doi: 10.1186/s13722-024-00510-5. PubMed 39623502 ↗

Individual participant data

Plan to share: Yes — Data will be transmitted by the study Data and Statistics Center to the designated party for de-identification, posting, storing, and archiving on the National Institute on Drug Abuse (NIDA) Data Share website. Data Share is an online repository of data from studies funded by the National Institute on Drug Abuse. De-identified individual participant data is expected to be made available.

Supporting information: Study protocol

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 9, 2025, 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
NCT04345718
Lead sponsor
Gavin Bart
Collaborators
Hennepin Healthcare Research Institute, National Institute on Drug Abuse (NIDA), The Emmes Company, LLC
Responsible party
Gavin Bart (Gavin Bart, MD PhD FACP DFASAM, Hennepin Healthcare Research Institute) — Sponsor-investigator
First posted
Apr 14, 2020
Start date
Aug 9, 2021
Primary completion
Aug 27, 2025
Completion
Aug 27, 2025
Last update
Dec 9, 2025

Study contacts

Gavin Bart, MD,PhD
principal investigator · Hennepin Healthcare

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 completed, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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