ClinicalTrials.gg
CompletedNCT06592378Updated Nov 3, 2026

Opioid Management for Discharged Emergency Department Patients

An interventional study of Addinex and Standard Pill Bottle in Bone Fractures, sponsored by Addinex Technologies, Inc.. Completed at 1 site in United States. Open to participants aged 6 Years and older. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by Addinex Technologies, Inc. · Not applicable, Interventional, and Treatment

Updated Nov 3, 2026Now CompletedPrimary completion moved+2 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
95
Allocation
Randomized
Ages
6 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 192 studies in Fractures, Bone with a site in United States — 37 open to participants now, 43 under way, 2 of them phase 3. Fractures, Bone · United States.

Enrollment
60th of 129
95 · median 87
Started
2025
with 9 others
No phase
64 of 192
13 open now
Registered
175th of 192
by date

Among the 192 studies in Fractures, Bone with a site in United States, this one is the 60th largest by enrollment of the 129 interventional ones, is one of 10 that started in 2025, is one of 64 with no phase, and was the 175th registered.

By phase

192 studies; the count open now beside each. This study's row is marked.

No phasethis study64 · 13 open
Observational63 · 17 open
Phase 219 · 0 open
Phase 419 · 3 open
Phase 317 · 2 open
Phase 1/24 · 1 open
Phase 2/34 · 0 open
Phase 12 · 1 open

By the year they started

First in 1991; this study’s year is marked. 10 started in 2025.

Size and results

Median enrollment 87 across the 129 interventional studies, 100 across the 63 observational. Of the 134 that completed or were terminated, 54 (40%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 192 studies in Fractures, Bone with a site in United States, or all of them as a file.
02

Study summary

The goal of this study is to analyze the use of the Addinex system for opioid dispensing after ambulatory care to determine whether it will reduce opioid consumption, increase pill disposal, show variables that may predict opioid consumption, and determine whether this intervention is acceptable to patients.

Read the detailed description

Prescription opioids remain a popular drug class with 143 million (M) opioid prescriptions written in 2020. In that same year, 8.7 million people (2.6% of the US population) misused prescription pain relievers, and overdose deaths from opioids continue to rise to 83,695 in 2022. Across six studies, 67% to 92% of patients prescribed opioids reported unused pills. In 2017, patients were prescribed 3.3 billion excess pills, yet no more than 9% of patients properly disposed of their unused opioids. Despite attempts to reduce overprescribing, increase disposal, and decrease diversion, these issues still contribute to increasing misuse, addiction, and overdose deaths.

Addinex Technologies has developed a novel system to reduce the use of opioids through controlling, monitoring, and disposing of excess opioids. The unique "closed-loop" system starts with clinicians prescribing opioids with the Addinex system. Addinex's partner pharmacy then fills the patented dispenser and delivers it to the patient. The patient uses the Addinex app to access each individual dose code and to obtain education and feedback. Finally, the patient returns the dispenser with any excess pills in a DEA-approved mailer to Addinex's partner disposal company. In a study with Columbia University Medical Center using the Addinex system with 30 post-surgical cancer patients, results showed 70% fewer pills used than prescribed, 60% fewer refills for the same surgeries, and an 84% excess pill disposal rate.

Addinex is now partnering with Brown Emergency Medicine and Rhode Island Hospital ("Brown") to perform a feasibility study using Addinex\'s system. We will conduct a clinical trial involving 100 patients with extremity fractures treated by the emergency department. Half the patients (25 adults and 25 minors) will utilize the Addinex system, while the other half will have their opioids dispensed in a standard pill bottle as the control group. Addinex's system promotes the return of medication using a pre-paid disposal mailer once patients have completed their course of treatment. The clinical study\'s main goals involve evaluating the system\'s effectiveness with patients obtaining same day treatment. This evaluation will encompass an analysis of medication consumption, disposal rates, pain levels, the impact of monitoring policies, and ensuring that the established commercial protocols function seamlessly. Ultimately, the project aims to demonstrate that the Addinex system can successfully operate within the broader hospital environment (same day and scheduled procedures), controlling and monitoring opioid usage, promoting patient well-being, and lowering costs.

03

Conditions studied

  • Bone Fractures

Keywords

  • opioids
  • fractures
  • pain
04

Who can participate

Ages eligible
6 Years and older
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

  • Ages six years and older
  • Ability to swallow pills
  • Isolated bone fracture
  • Planned to receive opioids in the post-treatment period
  • Not taking opioids daily prior to the procedure
  • English or Spanish-speaking
  • Able to give or a parent that can give informed consent
  • Ownership of and comfort using apps on a smartphone with compatible operating system
  • WIFI or cellular access
  • Patient not admitted to hospital

Exclusion criteria

Exclusion Criteria:

  • Recent opioid use (last 30 days or 2 or more prescriptions in the past 3 months
  • Impaired decisional capacity
  • In police custody
  • Ward of the state
Terms in these criteria, in plain language(1)

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
95 participants (actual)

Study arms

  • Active comparator
    Control Adult

    Patients in this arm will be adults who undergo standard at-home acute pain management with opioids after treatment for isolated bone fracture (n=25)

    Device: Standard Pill Bottle

  • Active comparator
    Control Child

    Patients in this arm will be children who undergo standard at-home acute pain management with opioids after treatment for isolated bone fracture (n=25)

    Device: Standard Pill Bottle

  • Experimental
    Device Adult

    Patients in this arm will be adults who undergo at-home acute pain management using the Addinex system after treatment for isolated bone fracture (n=25)

    Device: Addinex

  • Experimental
    Device Child

    Patients in this arm will be children who undergo at-home acute pain management using the Addinex system after treatment for isolated bone fracture (n=25)

    Device: Addinex

Interventions

  • DeviceAddinex

    Medication dispensing system to control and monitor opioid use

  • DeviceStandard Pill Bottle

    Access and use of opioids in a standard pill bottle.

06

What researchers measure

Primary outcomes

  1. Median pill consumption

    Patients are expected to consume at least 16% fewer pills/MMEs using the Addinex system as compared to the control group.

    Time frame: One month post treatment

Secondary outcomes

  1. Median disposal of opioids

    Patients are expected to dispose of at least 50% of excess opioid pills using the Addinex system vs. 20% in the control group.

    Time frame: 12 months post treatment

07

Study locations

1 site
  • Rhode Island Hospital/Lifespan
    Providence, Rhode Island 02903, United States
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

Ran from Jun 2025 to primary completion in Aug 2026, 14 months.

Of 166 interventional studies with no phase under Fractures, Bone, half reached primary completion within 29 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 57. This study's 14 months is below that.

Since we started tracking on Sep 25, 2026, the dates moved once, on Nov 3, 2026: primary completion May 2026 → Aug 2026 and completion Jun 2026 → Aug 2026.

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
Sep 9, 2024
First posted
Sep 19, 2024
StartActual
Jun 27, 2025
Primary completionActual
Aug 31, 2026was May 2026
CompletionActual
Aug 31, 2026was Jun 2026
Last update
Nov 3, 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.
Status
Recruiting→Completed
changed Nov 3, 2026
Primary completion
May 31, 2026→Aug 31, 2026 (actual)
Nov 3, 2026
Study completion
Jun 30, 2026→Aug 31, 2026 (actual)
Nov 3, 2026
Enrollment
100 (estimated)→95 (actual)
Nov 3, 2026
Show all 1 update
  1. Nov 3, 2026
    Recruiting→Completed
    Primary completion May 31, 2026→Aug 31, 2026 (now actual)
    Study completion Jun 30, 2026→Aug 31, 2026 (now actual)
    Enrollment 100 (estimated)→95 (actual)
    + 3 other changes: verification date, contact details and site details

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
NCT06592378
Lead sponsor
Addinex Technologies, Inc.
Responsible party
Sponsor
First posted
Sep 19, 2024
Start date
Jun 27, 2025
Primary completion
Aug 31, 2026
Completion
Aug 31, 2026
Last update
Nov 3, 2026

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 completed, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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