A Phase 1 interventional study of Naltrexone 380 MG 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 57 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-02-23.
Sponsored by Go Medical Industries Pty Ltd · Phase 1, Interventional, and Basic science
This is a Phase I, single-center, single arm, open-label study, to establish the pharmacokinetic (PK) parameters of Vivitrol 380 mg IM injection (IP), a US Food and Drug Administration (FDA) approved medication.
This is a Phase I, single-center, single arm, open-label study, to establish the PK parameters of Vivitrol 380 mg IM injection (IP), a US FDA approved medication. Participants will be healthy volunteers with no significant medical or mental health disorders, who have completed participation in clinical trial GM0017 (i.e. have received the OLANI treatment and have subsequently provided two consecutive plasma levels of naltrexone (NTX) \<0.1ng/mL).
This study will examine the PK profile of Vivitrol IM 380 mg over 6 doses for a treatment period of 196 days. Intense sampling will occur after the 1st and 6th dose of Vivitrol. Participants will be without a DSM 5 - Substance Related Disorders classification. Participants will be required to undergo a Naloxone Challenge Test (NCT) to confirm opiate naivety before administration of the IP. No randomization will occur.
Exclusion Criteria:
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart.
Drug: Naltrexone 380 MG
Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Also known as: Vivitrol
Median Cmax of Naltrexone (After 1st Dose)
Single-dose PK measurement of the maximum observed plasma naltrexone concentration (Cmax) after dosing on Day 0
Time frame: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.
Median Tmax of Naltrexone (After 1st Dose)
Single-dose PK measurement of the time to maximum plasma naltrexone concentration (Tmax) after dosing on Day 0
Time frame: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.
Median AUC0-inf of Naltrexone (After 1st Dose)
Single-dose PK measurement of the area under the plasma concentration-time curve for naltrexone from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 0
Time frame: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.
Median Ctrough of Naltrexone (After 1st Dose)
Single-dose PK measurement of naltrexone concentration at the end of the dosing interval (Ctrough) after dosing on Day 0
Time frame: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.
Median Cmax of 6β-naltrexol (After First Dose)
Single-dose PK measurement of the maximum observed plasma 6β-naltrexol concentration (Cmax) after dosing on Day 0
Time frame: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.
Median Tmax of 6β-naltrexol (After 1st Dose)
Single-dose PK measurement of the time to maximum plasma 6β-naltrexol concentration (Tmax) after dosing on Day 0
Time frame: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.
Median AUC0-inf of 6β-naltrexol (After 1st Dose)
Single-dose PK measurement of the area under the plasma concentration-time curve for 6β-naltrexol from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 0
Time frame: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.
Median Ctrough of 6β-naltrexol (After 1st Dose)
Single-dose PK measurement of 6β-naltrexol concentration at the end of the dosing interval (Ctrough) after dosing on Day 0
Time frame: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.
Median Cmax of Naltrexone (After 6th Dose)
PK measurement of the maximum observed plasma naltrexone concentration (Cmax) after 6th dose on Day 140
Time frame: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196
Median Tmax of Naltrexone (After 6th Dose)
PK measurement of the time to maximum plasma naltrexone concentration (Tmax) after dosing on Day 140
Time frame: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196
Median AUC0-inf of Naltrexone (After 6th Dose)
PK measurement of the area under the plasma concentration-time curve for naltrexone from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 140
Time frame: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196
Median Ctrough of Naltrexone (After 6th Dose)
PK measurement of naltrexone concentration at the end of the dosing interval (Ctrough) after dosing on Day 140
Time frame: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196
Median Cmax of 6β-naltrexol (After 6th Dose)
PK measurement of the maximum observed plasma 6β-naltrexol concentration (Cmax) after dosing on Day 140
Time frame: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196
Median Tmax of 6β-naltrexol (After th Dose)
PK measurement of the time to maximum plasma 6β-naltrexol concentration (Tmax) after dosing on Day 140
Time frame: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196
Median AUC0-inf of 6β-naltrexol (After 6th Dose)
PK measurement of the area under the plasma concentration-time curve for 6β-naltrexol from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 140
Time frame: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196
Median Ctrough of 6β-naltrexol (After 6th Dose)
PK measurement of 6β-naltrexol concentration at the end of the dosing interval (Ctrough) after dosing on Day 140
Time frame: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196
Adverse Events (AEs)
Proportion of participants reporting AEs
Time frame: Up to Day 196
Naltrexone Accumulation Ratio (AR) for Cmax
The naltrexone AR was determined for Cmax by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
Time frame: 196 days after the 6th dose
Naltrexone Accumulation Ratio (AR) for Ctrough
The naltrexone AR was determined for Crough by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
Time frame: 196 days after the 6th dose
Naltrexone Accumulation Ratio (AR) for AUC0-inf
The naltrexone AR was determined for AUC0-inf by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
Time frame: 196 days after the 6th dose
6β-naltrexol Accumulation Ratio (AR) for Cmax
The 6β-naltrexol AR was determined for Cmax by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
Time frame: 196 days after the 6th dose
6β-naltrexol Accumulation Ratio (AR) for Ctrough
The 6β-naltrexol AR was determined for Ctrough by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
Time frame: 196 days after the 6th dose
6β-naltrexol Accumulation Ratio (AR) for AUC0-inf
The 6β-naltrexol AR was determined for AUC0-inf by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
Time frame: 196 days after the 6th dose
| Milestone | Vivitrol (Naltrexone) |
|---|---|
| Started | 9 |
| Completed | 7 |
| Not completed | 2 |
| Withdrew: Adverse event | 1 |
| Withdrew: Lost to follow-up | 1 |
Single-dose PK measurement of the maximum observed plasma naltrexone concentration (Cmax) after dosing on Day 0
| ng/mL | Vivitrol (Naltrexone) |
|---|---|
| Median Cmax of Naltrexone (After 1st Dose) | 14.10 (13.40 to 23.10) |
Single-dose PK measurement of the time to maximum plasma naltrexone concentration (Tmax) after dosing on Day 0
| day | Vivitrol (Naltrexone) |
|---|---|
| Median Tmax of Naltrexone (After 1st Dose) | 2.00 (1.96 to 3.02) |
Single-dose PK measurement of the area under the plasma concentration-time curve for naltrexone from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 0
| day*ng/mL | Vivitrol (Naltrexone) |
|---|---|
| Median AUC0-inf of Naltrexone (After 1st Dose) | 153.00 (107.01 to 180.83) |
Single-dose PK measurement of naltrexone concentration at the end of the dosing interval (Ctrough) after dosing on Day 0
| ng/mL | Vivitrol (Naltrexone) |
|---|---|
| Median Ctrough of Naltrexone (After 1st Dose) | 0.81 (0.49 to 1.06) |
Single-dose PK measurement of the maximum observed plasma 6β-naltrexol concentration (Cmax) after dosing on Day 0
| ng/mL | Vivitrol (Naltrexone) |
|---|---|
| Median Cmax of 6β-naltrexol (After First Dose) | 20.50 (17.30 to 26.10) |
Single-dose PK measurement of the time to maximum plasma 6β-naltrexol concentration (Tmax) after dosing on Day 0
| day | Vivitrol (Naltrexone) |
|---|---|
| Median Tmax of 6β-naltrexol (After 1st Dose) | 3.02 (2.00 to 3.15) |
Single-dose PK measurement of the area under the plasma concentration-time curve for 6β-naltrexol from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 0
| day*ng/mL | Vivitrol (Naltrexone) |
|---|---|
| Median AUC0-inf of 6β-naltrexol (After 1st Dose) | 270.16 (216.32 to 342.38) |
Single-dose PK measurement of 6β-naltrexol concentration at the end of the dosing interval (Ctrough) after dosing on Day 0
| ng/mL | Vivitrol (Naltrexone) |
|---|---|
| Median Ctrough of 6β-naltrexol (After 1st Dose) | 1.71 (1.33 to 1.97) |
PK measurement of the maximum observed plasma naltrexone concentration (Cmax) after 6th dose on Day 140
| ng/mL | Vivitrol (Naltrexone) |
|---|---|
| Median Cmax of Naltrexone (After 6th Dose) | 14.00 (11.80 to 17.60) |
PK measurement of the time to maximum plasma naltrexone concentration (Tmax) after dosing on Day 140
| day | Vivitrol (Naltrexone) |
|---|---|
| Median Tmax of Naltrexone (After 6th Dose) | 2.00 (1.97 to 2.94) |
PK measurement of the area under the plasma concentration-time curve for naltrexone from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 140
| day*ng/mL | Vivitrol (Naltrexone) |
|---|---|
| Median AUC0-inf of Naltrexone (After 6th Dose) | 167.14 (127.03 to 199.65) |
PK measurement of naltrexone concentration at the end of the dosing interval (Ctrough) after dosing on Day 140
| ng/mL | Vivitrol (Naltrexone) |
|---|---|
| Median Ctrough of Naltrexone (After 6th Dose) | 1.37 (0.52 to 1.75) |
PK measurement of the maximum observed plasma 6β-naltrexol concentration (Cmax) after dosing on Day 140
| ng/mL | Vivitrol (Naltrexone) |
|---|---|
| Median Cmax of 6β-naltrexol (After 6th Dose) | 24.70 (19.50 to 31.00) |
PK measurement of the time to maximum plasma 6β-naltrexol concentration (Tmax) after dosing on Day 140
| day | Vivitrol (Naltrexone) |
|---|---|
| Median Tmax of 6β-naltrexol (After th Dose) | 2.95 (2.00 to 3.02) |
PK measurement of the area under the plasma concentration-time curve for 6β-naltrexol from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 140
| day*ng/mL | Vivitrol (Naltrexone) |
|---|---|
| Median AUC0-inf of 6β-naltrexol (After 6th Dose) | 310.49 (217.12 to 367.51) |
PK measurement of 6β-naltrexol concentration at the end of the dosing interval (Ctrough) after dosing on Day 140
| ng/mL | Vivitrol (Naltrexone) |
|---|---|
| Median Ctrough of 6β-naltrexol (After 6th Dose) | 2.02 (1.45 to 3.50) |
Proportion of participants reporting AEs
| Participants | Vivitrol (Naltrexone) |
|---|---|
| Adverse Events (AEs) | 4 |
The naltrexone AR was determined for Cmax by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
| ratio | Vivitrol (Naltrexone) |
|---|---|
| Naltrexone Accumulation Ratio (AR) for Cmax | 0.96 ± 49.16 |
The naltrexone AR was determined for Crough by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
| ratio | Vivitrol (Naltrexone) |
|---|---|
| Naltrexone Accumulation Ratio (AR) for Ctrough | 1.58 ± 33.91 |
The naltrexone AR was determined for AUC0-inf by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
| ratio | Vivitrol (Naltrexone) |
|---|---|
| Naltrexone Accumulation Ratio (AR) for AUC0-inf | 1.08 ± 12.27 |
The 6β-naltrexol AR was determined for Cmax by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
| ratio | Vivitrol (Naltrexone) |
|---|---|
| 6β-naltrexol Accumulation Ratio (AR) for Cmax | 1.08 ± 0.63 |
The 6β-naltrexol AR was determined for Ctrough by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
| ratio | Vivitrol (Naltrexone) |
|---|---|
| 6β-naltrexol Accumulation Ratio (AR) for Ctrough | 1.37 ± 34.53 |
The 6β-naltrexol AR was determined for AUC0-inf by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
| ratio | Vivitrol (Naltrexone) |
|---|---|
| 6β-naltrexol Accumulation Ratio (AR) for AUC0-inf | 1.14 ± 7.43 |
Collected over 196 days. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Vivitrol (Naltrexone) | 0/8 (0%) | 0/8 (0%) | 4/8 (50%) |
| Event | Vivitrol (Naltrexone) |
|---|---|
| Injection site inflammationGeneral disorders | 1/8 |
| Injection site painGeneral disorders | 1/8 |
| Corona virus infectionInfections and infestations | 1/8 |
| Foot fractureInjury, poisoning and procedural complications | 1/8 |
| Humerus fractureInjury, poisoning and procedural complications | 1/8 |
| UrticariaSkin and subcutaneous tissue disorders | 1/8 |
| Aborted pregnancySocial circumstances | 1/8 |
| Age, Continuous(years) | Vivitrol (Naltrexone) |
|---|---|
| Median | 50.0 (40 to 55) |
| Sex: Female, Male(Participants) | Vivitrol (Naltrexone) |
|---|---|
| Female | 5 |
| Male | 4 |
| Ethnicity (NIH/OMB)(Participants) | Vivitrol (Naltrexone) |
|---|---|
| Hispanic or Latino | 4 |
| Not Hispanic or Latino | 5 |
| Unknown or Not Reported | 0 |
| Race (NIH/OMB)(Participants) | Vivitrol (Naltrexone) |
|---|---|
| American Indian or Alaska Native | 0 |
| Asian | 1 |
| Native Hawaiian or Other Pacific Islander | 0 |
| Black or African American | 4 |
| White | 3 |
| More than one race | 0 |
| Unknown or Not Reported | 1 |
| Region of Enrollment(participants) | Vivitrol (Naltrexone) |
|---|---|
| United States | 9 |
| Body Mass Index (kg/m^2)(kg/m^2) | Vivitrol (Naltrexone) |
|---|---|
| Median | 25.90 (22.8 to 29.9) |
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Go Medical Industries Pty Ltd