ClinicalTrials.gg
Not yet recruitingNCT05382091GM0020Updated Sep 28, 2026

Evaluation of the O'Neil Long Acting Naltrexone Implant in Opioid Dependent Persons

A Phase 2 interventional study of naltrexone implant in Opioid Use Disorder, sponsored by Go Medical Industries Pty Ltd. Not yet recruiting. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-09-28.

Sponsored by Go Medical Industries Pty Ltd · Phase 2, Interventional, and Treatment

Updated Sep 28, 2026Start date movedPrimary completion moved+1 moreGo to Updates ↓

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Phase
Phase 2
Study type
Interventional
Enrollment
250
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

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.

Planned enrollment
10th of 52
250 · median 61
Started
2027
the only one that year
Phase 2
14 of 52
1 open now
Registered
51st 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 10th largest by planned enrollment, is the only one that started in 2027, is one of 14 in phase 2, and was the 51st 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.

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 65 Years · all sexes · no healthy volunteers.

The full table on the hub →

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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 safety and efficacy of the O'Neil Long Acting Naltrexone Implant (OLANI) in persons with opioid dependency who are seeking relapse-prevention treatment. All participants will be treated in an open label manner. No randomization will occur. The OLANI is a long-acting biodegradable form of naltrexone which is implanted in the abdominal region. It is hypothesized that the OLANI will produce blood levels sufficient to block the effects of opioids for an extended period allowing patients to engage in psychosocial treatment and recovery over the long term. After the initial set of implants, participants will be offered 3 sets of single implants 13 weeks, each with an acceptable window of 12-16 weeks after the previous dose.

Read the detailed description

This is a Phase II, multi-center, open-label study designed to evaluate the safety profile and the efficacy of the OLANI when used in participants who meet the diagnosis of opioid use disorder (OUD), as defined by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), and who will be voluntarily seeking relapse-prevention treatment using the naltrexone (NTX) implant.

Participants eligible for the study have diagnosed OUD, have completed withdrawal from opioids, and are no longer physically dependent at the time of study enrollment. After completing the informed consent process for the study, all participants will receive their initial OLANI set (two implants) implanted subcutaneously by a study surgeon and will be followed by a medical and surgical research team, receiving medical management intervention and blood draws to measure levels of NTX and its metabolite, 6-beta-naltrexol (6BN).

For interested participants, a standard dose of OLANI (standard dose contains 1 x OLANI, for a total of 1.8 g NTX) will be offered 13 weeks (91 days), within an acceptable dosing window of 12-16 weeks (84-112 days) after the initial loading dose, with a preference for participants to receive the dose between 84-91 days. Participants will continue to be offered a repeat standard dose of OLANI every 13 weeks (91 days), within an acceptable dosing window of 12-16 weeks (84-112 days) after their previous dose for a further two repeats. This will result in a maximum of 4 procedures within 36 to 48-weeks. All participants will be followed up until 60 weeks post their initial IP procedure, irrespective of the number of procedures that they have. This will result in a total study duration of 60 weeks for all participants.

03

Conditions studied

  • Opioid Use Disorder

Keywords

  • naltrexone
  • opioids
  • OLANI implant
  • opioid use disorder
  • opioid dependence
  • opioid receptor antagonist
04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • All genders between 18 and 65 (inclusive) years old
  • Meet criteria for a current (within the previous 12-months) diagnosis of OUD at screening, and voluntarily seeking relapse-prevention treatment with NTX implant
  • Completed opioid withdrawal as demonstrated by a negative naloxone challenge test (i.e., has tolerated naloxone 0.8 mg)
  • Individuals currently treated with NTX will be eligible to receive the implant at the end of the dosing interval of either Vivitrol or oral NTX
  • Have no medical or psychiatric to treatment either with NTX or with the OLANI, as determined by the site clinician and based on medical history and current health status
  • Able to sufficiently speak and understand English and understand study procedures
  • Able and willing to provide written
  • Able and willing to provide detailed contact information for both self and for close contact(s) on the locator form
  • Able and willing to comply with the requirements and procedures of the protocol, including tolerating a minor surgical procedure with local anesthetic for placement of the implant sets into the subcutaneous tissue of the abdomen
  • Have an initial weight between 45.3 and 130 kg (inclusive) or have a of 18.5 to 35.0 (inclusive)
  • For female participants of , a willingness to practice an effective method of for the duration of participation in the study. Acceptable methods of birth control are specified on the data collection form and in the Manual of Procedures (MOP), and methods other than those specified are not permitted, except in combination with a study-acceptable method; and willingness to complete urine pregnancy testing to confirm non-pregnant status, as per the study schedule and as requested by the site clinician.

Exclusion criteria

Exclusion Criteria:

  • Has a condition, disease state, previous medical history, or observed abnormality(ies) (including physical examination, [ECG], laboratory evaluation, or urinalysis finding) identified during screening that, in the opinion of the site clinician, would preclude safe participation in the study, would affect the ability of the participant to adhere to the protocol, or would interfere with the study assessments, including, but not limited to the following:

    • A significant neurological (including cognitive and psychiatric disorders), hepatic, renal, endocrine, cardiovascular, gastrointestinal, pulmonary, hematologic, or metabolic disease, unless currently controlled and stable using protocol-allowed medication(s) for the 30 days immediately preceding the proposed administration of OLANI
    • Has had significant suicidal ideation or behavior within the past year
    • (AST) or alanine aminotransferase (ALT) value more than three times the , or a different indicator of liver cirrhosis (e.g., and albumin will also be assessed)
    • Has a condition (e.g., chronic pain) that requires ongoing treatment with opiate based medication
    • Has any medical condition per the approved labelling for NTX containing products
  • Has physiological dependence on alcohol and/or sedative-hypnotics that require medical detoxification
  • If female, is currently pregnant or breastfeeding, is planning to conceive during the period of study engagement, has a positive blood pregnancy test, or is unwilling to practice effective during study participation
  • Has received a NTX implant in the last 12 months
  • Has a known to NTX
  • Is not able to provide blood samples due to extensive vein damage
  • Has a known hypersensitivity to polylactic acid based materials, including disposable sutures or implants
  • Has a known hypersensitivity to local anesthesia
  • Is prone to skin rashes, skin irritation, or has a diagnosed or observed skin condition (e.g., recurrent eczema)
  • Is tattooed in the proposed implantation area or demonstrates any abnormal skin tissue in the proposed implantation area
  • Currently confined or detained in a penal institution or sentenced to such an institution under a criminal or civil statute or detained in other facilities by virtue of statutes.
  • Any additional condition(s) that, in the investigator's opinion, would prohibit the participant from completing the study or that would not be in the best interest of the participant.
Terms in these criteria, in plain language(12)

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

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.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

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.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
250 participants (estimated)

Study arms

  • Experimental
    OLANI (naltrexone implant)

    2 OLANI implants containing 60% naltrexone (3.6 g total NXT) administered at Day 0 with repeat dosing of a single implant at Week 13 (within a window of 12-16 weeks). The repeat single dosing may be repeated 3 times in total.

    Drug: naltrexone implant

Interventions

  • 3.6 g per implant set each containing 60% naltrexone

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

06

What researchers measure

Primary outcomes

  1. Treatment Emergent Adverse Events (TEAEs)

    Incidence and Severity of TEAEs

    Time frame: time from from placement of first implant set until end of study at 60 weeks.

  2. Adverse Events of Special Interest (AESI)

    Incidence of AESIs related to the surgical procedure and local reaction to the implant over time

    Time frame: time from from placement of first implant set until end of study at 60 weeks.

  3. Deaths

    Incidence of study deaths

    Time frame: time from from placement of first implant set until end of study at 60 weeks.

  4. Serious Adverse Events (SAEs)

    Incidence of SAEs

    Time frame: time from from placement of first implant set until end of study at 60 weeks.

  5. Adverse events (AEs) causing study discontinuation

    AEs that lead to study discontinuation

    Time frame: time from from placement of first implant set until end of study at 60 weeks.

  6. Opioid overdose events

    Incidence of opioid overdose events

    Time frame: time from from placement of first implant set until end of study at 60 weeks.

  7. Laboratory abnormalities

    Incidence and Severity of lab abnormalities

    Time frame: time from from placement of first implant set until end of study at 60 weeks.

  8. Suicidality

    incidence of suicidal ideation and suicidal behavior captured with the Columbia-Suicide Severity Rating Scale (C-SSRS)

    Time frame: time from from placement of first implant set until end of study at 60 weeks.

  9. Concomitant medications

    Proportion of participants who initiate concomitant medications

    Time frame: time from from placement of first implant set until end of study at 60 weeks.

Secondary outcomes

  1. AUC0-t of naltrexone

    area under the plasma concentration-time curve from 0 to the time of last measurable concentration (AUC0-t)

    Time frame: collected before each implant administration (pre-dose), and 3 hours, 7 days, 14 days, 28 days, then every 14 days until next implant procedure. PK sampling is reduced to every 28 days after 12 weeks if the next implant procedure is not completed.

  2. AUC0-t of 6-beta-naltrexol

    area under the plasma concentration-time curve from 0 to the time of last measurable concentration (AUC0-t)

    Time frame: collected before each implant administration (pre-dose), and 3 hours, 7 days, 14 days, 28 days, then every 14 days until next implant procedure. PK sampling is reduced to every 28 days after 12 weeks if the next implant procedure is not completed.

  3. AUC0-infinity of naltrexone

    area under the plasma concentration-time curve extrapolated to infinity (AUC0-infinity)

    Time frame: collected before each implant administration (pre-dose), and 3 hours, 7 days, 14 days, 28 days, then every 14 days until next implant procedure. PK sampling is reduced to every 28 days after 12 weeks if the next implant procedure is not completed.

  4. AUC0-infinity of 6-beta-naltrexol

    area under the plasma concentration-time curve extrapolated to infinity (AUC0-infinity)

    Time frame: collected before each implant administration (pre-dose), and 3 hours, 7 days, 14 days, 28 days, then every 14 days until next implant procedure. PK sampling is reduced to every 28 days after 12 weeks if the next implant procedure is not completed.

  5. Cmax of naltrexone

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

    Time frame: collected before each implant administration (pre-dose), and 3 hours, 7 days, 14 days, 28 days, then every 14 days until next implant procedure. PK sampling is reduced to every 28 days after 12 weeks if the next implant procedure is not completed.

  6. Cmax of 6-beta-naltrexol

    Single-dose PK measurement of the plasma 6-beta-naltrexol concentration (Cmax) after dosing on Day 1

    Time frame: collected before each implant administration (pre-dose), and 3 hours, 7 days, 14 days, 28 days, then every 14 days until next implant procedure. PK sampling is reduced to every 28 days after 12 weeks if the next implant procedure is not completed.

  7. Tmax of naltrexone

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

    Time frame: collected before each implant administration (pre-dose), and 3 hours, 7 days, 14 days, 28 days, then every 14 days until next implant procedure. PK sampling is reduced to every 28 days after 12 weeks if the next implant procedure is not completed.

  8. Tmax of 6-beta-naltrexol

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

    Time frame: collected before each implant administration (pre-dose), and 3 hours, 7 days, 14 days, 28 days, then every 14 days until next implant procedure. PK sampling is reduced to every 28 days after 12 weeks if the next implant procedure is not completed.

  9. Proportion of participants that maintain a minimum plasma concentration

    Proportion of participants who maintain NTX blood levels of ≥2 ng/mL

    Time frame: up to Week 60

  10. Proportion of participants that maintain a minimum plasma concentration

    Proportion of participants who maintain NTX blood levels of ≥1.16 ng/mL

    Time frame: up to Week 60

  11. Abstinence from drugs of abuse by UDS

    Proportion of participants who maintain abstinence from opioids, benzodiazepines; barbiturates; cocaine; amphetamine; methamphetamine; phencyclidine (PCP); ecstasy (MDMA); and marijuana (THC) as measured through a urine drug screen (UDS)

    Time frame: pre-dose (prior to each implant procedure) and at every study visit through Week 60.

  12. Abstinence from drugs of abuse by Timeline Followback (TLFB)

    Proportion of participants who maintain abstinence from opioids, benzodiazepines; barbiturates; cocaine; amphetamine; methamphetamine; phencyclidine (PCP); ecstasy (MDMA); and marijuana (THC) as measured through a urine drug screen (UDS)

    Time frame: At every study visit through Week 60 except for days of implant procedures.

  13. Abstinence from alcohol

    Proportion of participants who maintain abstinence from alcohol as measured using and alcohol breathalyzer

    Time frame: pre-dose (prior to each implant procedure) and at every study visit through Week 60.

  14. Opioid craving (VAS)

    The craving for opioids will be measured using a horizontal visual analog scale (VAS), which ranges from 0 (no craving) to 10 (most intense craving possible).

    Time frame: pre-dose (prior to each implant procedure) and at every study visit through Week 60.

  15. Opioid withdrawal (SOWS)

    The SOWS is a 16-item questionnaire designed to measure the severity of opioid withdrawal symptoms. The participant rates the intensity of symptoms using a 5-point scale; with 0 representing "not at all" and 4 representing "extremely".

    Time frame: pre-dose (prior to each implant procedure) and at every study visit through Week 60.

  16. Opioid withdrawal (COWS)

    The COWS is a questionnaire designed to measure 11 common opioid withdrawal signs and symptoms. The summed score provides information about the severity of opioid withdrawal and the level of physical dependence on opioids. Total scores range from 0 to 47, and withdrawal is classified as mild (5-12), moderate (13-24), moderately severe (25-36), or severe (\>36)

    Time frame: pre-dose (prior to each implant procedure) and at every study visit through Week 60.

  17. Hamilton Depression Rating Scale (HDRS)

    Assessment of Depression/Mood via the HDRS, is a clinician-administered instrument, useful for following both depression and suicidal ideation, and for following typical symptoms of subacute withdrawal (e.g., low appetite, fatigue, poor sleep). A score of 1 or more to item 3 (suicidality) prompts a clinician assessment for suicide risk before leaving the clinic.

    Time frame: At every study visit through Week 60 except for days of implant procedures.

  18. Brief Symptom Inventory 18 (BSI-18)

    Assessment of Depression/Mood via the BSI-18; comprising 18 items (ranging from 0 = not at all to 4 = extremely), assesses psychiatric symptoms in three distinct domains: depression, anxiety, and somatization. The total score ranges from 0 to 72 with higher scores indicating higher symptom severity.

    Time frame: Baseline, Day 28, Day 42, Day 56, Day 84, and then every 28 days until Week 60.

  19. Quality of Life Score (QoL)

    Quality of life as measured through Quality of Life Enjoyment and Satisfaction Questionnaire (short form). is a 16 item self-administered questionnaire that captures life satisfaction over the past week. Each question is rated on a 5 point scale from 1 (Very Poor) to 5 (Very Good). Scores from the individual items are added together and reported as percentage maximum possible score. The Total Score is reported as percentage maximum possible % Max = Raw-minimum score/maximum score-minimum score. (Raw score minus the minimum possible raw score divided by the maximum possible raw score minus the minimum possible raw score). If items are left blank the maximum and minimum scores must be modified to reflect the number of items scored.

    Time frame: Day 28, Day 42, Day 56, Day 84, and then every 28 days until Week 60.

  20. Treatment Satisfaction (TSQM-14)

    The TSQM-14 is comprised of 14 questions that provide scores on four scales: effectiveness (3 items), side effects (5 items), convenience (3 items) and global satisfaction (3 items). With the exception of item 4 (presence of side effects; yes or no), all items have five or seven responses, scored from one (least satisfied) to five or seven (most satisfied). Item scores are summed to give four domain scores, which are in turn transformed to a scale of 0-100

    Time frame: Repeat implant procedure days and at Week 60.

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar 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

Start is estimated for Jan 2027; primary completion for Jul 2029, 30 months later.

Of 68 phase 2 interventional studies under Opioid-Related Disorders, half reached primary completion within 40 months of starting (the median), counting those still running; a quarter within 23 and three quarters within 55. This study's planned 30 months is below that.

Since we started tracking on Sep 25, 2026, the dates moved once, on Sep 28, 2026: start Jul 2026 → Jan 2027, primary completion Jul 2028 → Jul 2029 and completion Jul 2029 → Jul 2030.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
May 16, 2022
First posted
May 19, 2022
StartEst.
Jan 1, 2027was Jul 2026
Primary completionEst.
Jul 1, 2029was Jul 2028
CompletionEst.
Jul 1, 2030was Jul 2029
Last update
Sep 28, 2026
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.
Start date
Jul 15, 2026→Jan 1, 2027
Sep 28, 2026
Primary completion
Jul 15, 2028→Jul 1, 2029
Sep 28, 2026
Study completion
Jul 15, 2029→Jul 1, 2030
Sep 28, 2026
Show all 1 update
  1. Sep 28, 2026
    Start date Jul 15, 2026→Jan 1, 2027
    Primary completion Jul 15, 2028→Jul 1, 2029
    Study completion Jul 15, 2029→Jul 1, 2030
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT05382091
Lead sponsor
Go Medical Industries Pty Ltd
Collaborators
National Institute on Drug Abuse (NIDA), New York State Psychiatric Institute, Columbia University, The Emmes Company, LLC, University at Buffalo
Responsible party
Sponsor
First posted
May 19, 2022
Start date
Jan 1, 2027 (estimated)
Primary completion
Jul 1, 2029 (estimated)
Completion
Jul 1, 2030 (estimated)
Last update
Sep 28, 2026

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 ↗

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Naltrexone

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