Trial Outcomes & Findings for Neurobehavioral Mechanisms of Choice in Opioid Use Disorder (NCT NCT03958474)

NCT ID: NCT03958474

Last Updated: 2026-07-02

Results Overview

Subjects completed a 300-trial probabilistic concurrent monetary choice task, also known as an n-bandit task (here, n=2 choice options, with unsigned probability reversals every 50 trials). In each trial, subjects chose between two options signaled by blue and green envelopes. When a reward was scheduled for the chosen option, subjects were notified they earned $0.25 USD; task earnings were provided upon session completion. Choice of the high probability option was more likely to be reinforced than the low probability option at a 6:1 ratio, with probabilities summing to 0.3, resulting in a low reinforcement density context. Because choosing the higher probability option is associated with a higher likelihood of receiving a monetary reinforcer, making more high probability choices is considered better performance on the task.

Recruitment status

COMPLETED

Study phase

EARLY_PHASE1

Target enrollment

12 participants

Primary outcome timeframe

Subjects complete the task twice; once under opioid maintained and once under opioid withdrawn conditions during a 16-day inpatient participation. The task takes approximately 20 minutes to complete each time.

Results posted on

2026-07-02

Participant Flow

Participant milestones

Participant milestones
Measure
Active Oxycodone and Placebo
Participants complete a probabilistic money-vs-money choice task during opioid maintained and opioid withdrawn conditions. Opioid withdrawal is accomplished via double-blind substitution of placebo for active oxycodone in daily maintenance capsules.
Overall Study
STARTED
12
Overall Study
COMPLETED
12
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Neurobehavioral Mechanisms of Choice in Opioid Use Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active Oxycodone and Placebo
n=12 Participants
Participants complete a probabilistic money-vs-money choice task during opioid maintained and opioid withdrawn conditions. Opioid withdrawal is accomplished via double-blind substitution of placebo for active oxycodone in daily maintenance capsules.
Age, Continuous
33.6 years
STANDARD_DEVIATION 6.8 • n=20 Participants
Sex: Female, Male
Female
6 Participants
n=20 Participants
Sex: Female, Male
Male
6 Participants
n=20 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=20 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
12 Participants
n=20 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=20 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=20 Participants
Race (NIH/OMB)
Asian
0 Participants
n=20 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=20 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=20 Participants
Race (NIH/OMB)
White
11 Participants
n=20 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=20 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=20 Participants
Region of Enrollment
United States
12 participants
n=20 Participants

PRIMARY outcome

Timeframe: Subjects complete the task twice; once under opioid maintained and once under opioid withdrawn conditions during a 16-day inpatient participation. The task takes approximately 20 minutes to complete each time.

Subjects completed a 300-trial probabilistic concurrent monetary choice task, also known as an n-bandit task (here, n=2 choice options, with unsigned probability reversals every 50 trials). In each trial, subjects chose between two options signaled by blue and green envelopes. When a reward was scheduled for the chosen option, subjects were notified they earned $0.25 USD; task earnings were provided upon session completion. Choice of the high probability option was more likely to be reinforced than the low probability option at a 6:1 ratio, with probabilities summing to 0.3, resulting in a low reinforcement density context. Because choosing the higher probability option is associated with a higher likelihood of receiving a monetary reinforcer, making more high probability choices is considered better performance on the task.

Outcome measures

Outcome measures
Measure
Oxycodone
n=12 Participants
Subjects complete a probabilistic money-vs-money choice task during oxycodone maintenance. Oxycodone: Participants receive oxycodone or placebo.
Withdrawal
n=12 Participants
Subjects complete a probabilistic money-vs-money choice task during opioid withdrawal induced via double-blind substitution of placebo for active oxycodone in maintenance capsules. Oxycodone: Participants receive oxycodone or placebo.
Probabilistic Money vs Money Choice Task
198.2 Number high probability option choices
Standard Deviation 15.3
191.2 Number high probability option choices
Standard Deviation 16.5

Adverse Events

Oxycodone

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Withdrawal

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Oxycodone
n=12 participants at risk
Subjects complete a probabilistic money-vs-money choice task during oxycodone maintenance. Oxycodone: Participants receive oxycodone or placebo.
Withdrawal
n=12 participants at risk
Subjects complete a probabilistic money-vs-money choice task during opioid withdrawal induced via double-blind substitution of placebo for active oxycodone in maintenance capsules. Oxycodone: Participants receive oxycodone or placebo.
Nervous system disorders
Yawning
8.3%
1/12 • Number of events 1 • On each of the two days that choice task data were collected.
Udvalg for Kliniske Undersøgelser Side Effect Rating Scale Clinical Opiate Withdrawal Scale
33.3%
4/12 • Number of events 4 • On each of the two days that choice task data were collected.
Udvalg for Kliniske Undersøgelser Side Effect Rating Scale Clinical Opiate Withdrawal Scale
Psychiatric disorders
Anxiety
16.7%
2/12 • Number of events 2 • On each of the two days that choice task data were collected.
Udvalg for Kliniske Undersøgelser Side Effect Rating Scale Clinical Opiate Withdrawal Scale
58.3%
7/12 • Number of events 7 • On each of the two days that choice task data were collected.
Udvalg for Kliniske Undersøgelser Side Effect Rating Scale Clinical Opiate Withdrawal Scale
Cardiac disorders
Elevated heart rate (>100 bpm)
0.00%
0/12 • On each of the two days that choice task data were collected.
Udvalg for Kliniske Undersøgelser Side Effect Rating Scale Clinical Opiate Withdrawal Scale
25.0%
3/12 • Number of events 3 • On each of the two days that choice task data were collected.
Udvalg for Kliniske Undersøgelser Side Effect Rating Scale Clinical Opiate Withdrawal Scale
Skin and subcutaneous tissue disorders
Sweating
8.3%
1/12 • Number of events 1 • On each of the two days that choice task data were collected.
Udvalg for Kliniske Undersøgelser Side Effect Rating Scale Clinical Opiate Withdrawal Scale
91.7%
11/12 • Number of events 11 • On each of the two days that choice task data were collected.
Udvalg for Kliniske Undersøgelser Side Effect Rating Scale Clinical Opiate Withdrawal Scale
Musculoskeletal and connective tissue disorders
Restlessness
8.3%
1/12 • Number of events 1 • On each of the two days that choice task data were collected.
Udvalg for Kliniske Undersøgelser Side Effect Rating Scale Clinical Opiate Withdrawal Scale
66.7%
8/12 • Number of events 8 • On each of the two days that choice task data were collected.
Udvalg for Kliniske Undersøgelser Side Effect Rating Scale Clinical Opiate Withdrawal Scale
Eye disorders
Pupil dilation
66.7%
8/12 • Number of events 8 • On each of the two days that choice task data were collected.
Udvalg for Kliniske Undersøgelser Side Effect Rating Scale Clinical Opiate Withdrawal Scale
91.7%
11/12 • Number of events 11 • On each of the two days that choice task data were collected.
Udvalg for Kliniske Undersøgelser Side Effect Rating Scale Clinical Opiate Withdrawal Scale
Musculoskeletal and connective tissue disorders
Bone and joint aches
16.7%
2/12 • Number of events 2 • On each of the two days that choice task data were collected.
Udvalg for Kliniske Undersøgelser Side Effect Rating Scale Clinical Opiate Withdrawal Scale
75.0%
9/12 • Number of events 9 • On each of the two days that choice task data were collected.
Udvalg for Kliniske Undersøgelser Side Effect Rating Scale Clinical Opiate Withdrawal Scale
Respiratory, thoracic and mediastinal disorders
Runny nose
33.3%
4/12 • Number of events 4 • On each of the two days that choice task data were collected.
Udvalg for Kliniske Undersøgelser Side Effect Rating Scale Clinical Opiate Withdrawal Scale
83.3%
10/12 • Number of events 10 • On each of the two days that choice task data were collected.
Udvalg for Kliniske Undersøgelser Side Effect Rating Scale Clinical Opiate Withdrawal Scale
Gastrointestinal disorders
Stomach cramps
16.7%
2/12 • Number of events 2 • On each of the two days that choice task data were collected.
Udvalg for Kliniske Undersøgelser Side Effect Rating Scale Clinical Opiate Withdrawal Scale
50.0%
6/12 • Number of events 6 • On each of the two days that choice task data were collected.
Udvalg for Kliniske Undersøgelser Side Effect Rating Scale Clinical Opiate Withdrawal Scale
Gastrointestinal disorders
Diarrhea
0.00%
0/12 • On each of the two days that choice task data were collected.
Udvalg for Kliniske Undersøgelser Side Effect Rating Scale Clinical Opiate Withdrawal Scale
8.3%
1/12 • Number of events 1 • On each of the two days that choice task data were collected.
Udvalg for Kliniske Undersøgelser Side Effect Rating Scale Clinical Opiate Withdrawal Scale
Musculoskeletal and connective tissue disorders
Tremor
16.7%
2/12 • Number of events 2 • On each of the two days that choice task data were collected.
Udvalg for Kliniske Undersøgelser Side Effect Rating Scale Clinical Opiate Withdrawal Scale
75.0%
9/12 • Number of events 9 • On each of the two days that choice task data were collected.
Udvalg for Kliniske Undersøgelser Side Effect Rating Scale Clinical Opiate Withdrawal Scale
Skin and subcutaneous tissue disorders
Piloerection
8.3%
1/12 • Number of events 1 • On each of the two days that choice task data were collected.
Udvalg for Kliniske Undersøgelser Side Effect Rating Scale Clinical Opiate Withdrawal Scale
50.0%
6/12 • Number of events 6 • On each of the two days that choice task data were collected.
Udvalg for Kliniske Undersøgelser Side Effect Rating Scale Clinical Opiate Withdrawal Scale

Additional Information

Dr. Joshua Lile

University of Kentucky

Phone: 859-323-6034

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place