Extended-Release Naltrexone vs. Buprenorphine for Opioid Treatment
NCT02032433 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 570
Last updated 2020-08-13
Summary
CTN-0051 assesses the comparative effectiveness of extended release injectable naltrexone (XR-NTX, Vivitrol®), an opioid antagonist recently approved and indicated for the prevention of relapse to opioid dependence, versus buprenorphine-naloxone (BUP-NX, Suboxone®), a high affinity partial agonist indicated for maintenance treatment of opioid dependence, as pharmacotherapeutic aids to recovery.
The study is conducted in 8 NIDA Clinical Trials Network affiliated community based treatment programs. Up to 600 eligible participants will be randomized to treatment with XR-NTX or BUP-NX for 24 weeks (sufficient to include 350 participants who are randomized more than 72 hours after their last opioid).
The primary goal of the study is to estimate the difference, if one exists, between XR-NTX and BUP-NX in the distribution of the time to relapse (i.e.., loss of persistent abstinence) during the 6-month trial. Secondary objectives are to: (1) compare outcome on XR-NTX versus BUP-NX across a range of clinical safety and secondary efficacy domains, and (2) explore demographic and, clinical, and genetic predictors of successful treatment and moderators of differential effectiveness (i.e., what variables may help clinicians choose which of these treatments is best for a given patient).), and (3) collect a limited dataset to permit analyses of economic costs and benefits of the two treatments.
Conditions
Interventions
- DRUG
-
Extended-Release Naltrexone
Extended-Release Naltrexone (Vivitrol®)
- DRUG
-
Buprenorphine-Naloxone
Buprenorphine-Naloxone (Suboxone®)
Sponsors & Collaborators
-
National Institute on Drug Abuse (NIDA)
collaborator NIH -
The Emmes Company, LLC
collaborator INDUSTRY - lead OTHER
Principal Investigators
-
John Rotrosen, MD · NYU Langone Health
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-01-29
- Primary Completion
- 2017-01-25
- Completion
- 2017-01-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
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