Trial Outcomes & Findings for An Innovative Intervention for OUD Treatment (NCT NCT04325659)

NCT ID: NCT04325659

Last Updated: 2026-06-09

Results Overview

The number of participants retained (dichotomous: retained, not retained) during the 5 day intervention. Greater retention is indicative of a better treatment outcome.

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

36 participants

Primary outcome timeframe

Up to 5 days

Results posted on

2026-06-09

Participant Flow

Participant milestones

Participant milestones
Measure
Active Bridge Device/ Placebo Study Drug
Active Bridge Device and placebo study drug
Lofexidine/Sham Bridge Device
Lofexidine (Lucemyra) encapsulated with inactive Bridge Device
Sham Bridge Device /Placebo Study Drug
Inactive Bridge Device and placebo study drug
Overall Study
STARTED
12
12
12
Overall Study
COMPLETED
6
7
8
Overall Study
NOT COMPLETED
6
5
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

An Innovative Intervention for OUD Treatment

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lofexidine/Sham Bridge Device
n=7 Participants
Lofexidine (Lucemyra) encapsulated with inactive Bridge Device
Sham Bridge Device /Placebo Study Drug
n=8 Participants
Inactive Bridge Device and placebo study drug
Active Bridge Device/ Placebo Study Drug
n=6 Participants
Active Bridge Device and placebo study drug
Total
n=21 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
0 Participants
n=6 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=20 Participants
8 Participants
n=20 Participants
6 Participants
n=40 Participants
21 Participants
n=6 Participants
Age, Categorical
>=65 years
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
0 Participants
n=6 Participants
Sex: Female, Male
Female
1 Participants
n=20 Participants
2 Participants
n=20 Participants
0 Participants
n=40 Participants
3 Participants
n=6 Participants
Sex: Female, Male
Male
6 Participants
n=20 Participants
6 Participants
n=20 Participants
6 Participants
n=40 Participants
18 Participants
n=6 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
0 Participants
n=6 Participants
Race (NIH/OMB)
Asian
0 Participants
n=20 Participants
0 Participants
n=20 Participants
1 Participants
n=40 Participants
1 Participants
n=6 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
0 Participants
n=6 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=20 Participants
5 Participants
n=20 Participants
4 Participants
n=40 Participants
12 Participants
n=6 Participants
Race (NIH/OMB)
White
4 Participants
n=20 Participants
3 Participants
n=20 Participants
1 Participants
n=40 Participants
8 Participants
n=6 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
0 Participants
n=6 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
0 Participants
n=6 Participants

PRIMARY outcome

Timeframe: Up to 5 days

The number of participants retained (dichotomous: retained, not retained) during the 5 day intervention. Greater retention is indicative of a better treatment outcome.

Outcome measures

Outcome measures
Measure
Lofexidine/Sham Bridge Device
n=12 Participants
Lofexidine (Lucemyra) encapsulated with inactive Bridge Device
Sham Bridge Device /Placebo Study Drug
n=12 Participants
Inactive Bridge Device and placebo study drug
Active Bridge Device/ Placebo Study Drug
n=12 Participants
Active Bridge Device and placebo study drug
Number of Participants Retained
7 Participants
8 Participants
6 Participants

PRIMARY outcome

Timeframe: At the end of day 5

Peak COWS Score (range: 0-48). Lower peak COWS scores are indicative of better withdrawal suppression.

Outcome measures

Outcome measures
Measure
Lofexidine/Sham Bridge Device
n=12 Participants
Lofexidine (Lucemyra) encapsulated with inactive Bridge Device
Sham Bridge Device /Placebo Study Drug
n=12 Participants
Inactive Bridge Device and placebo study drug
Active Bridge Device/ Placebo Study Drug
n=12 Participants
Active Bridge Device and placebo study drug
Withdrawal Severity as Measured by Clinical Opiate Withdrawal Scale (COWS) Peak Score
10.5 score on a scale
Standard Deviation 5.3
9.2 score on a scale
Standard Deviation 5.0
11.4 score on a scale
Standard Deviation 4.5

PRIMARY outcome

Timeframe: Four times a day (0800, 1200, 1600, 2000) on each of days 1-5

Area under the curve COWS scores (range: 0-240). Smaller area under the curve COWS scores are indicative of better withdrawal suppression.

Outcome measures

Outcome measures
Measure
Lofexidine/Sham Bridge Device
n=12 Participants
Lofexidine (Lucemyra) encapsulated with inactive Bridge Device
Sham Bridge Device /Placebo Study Drug
n=12 Participants
Inactive Bridge Device and placebo study drug
Active Bridge Device/ Placebo Study Drug
n=12 Participants
Active Bridge Device and placebo study drug
Withdrawal Severity as Measured by Area Under the Curve for COWS Score From Days 1-5 of Active Study Intervention
34.0 scores on a scale*day
Standard Deviation 5.6
28.5 scores on a scale*day
Standard Deviation 4.8
26.6 scores on a scale*day
Standard Deviation 5.0

PRIMARY outcome

Timeframe: Up to 5 days

Peak daily COWS score (range: 0-48). Lower peak daily COWS scores are indicative of better withdrawal suppression.

Outcome measures

Outcome measures
Measure
Lofexidine/Sham Bridge Device
n=12 Participants
Lofexidine (Lucemyra) encapsulated with inactive Bridge Device
Sham Bridge Device /Placebo Study Drug
n=12 Participants
Inactive Bridge Device and placebo study drug
Active Bridge Device/ Placebo Study Drug
n=12 Participants
Active Bridge Device and placebo study drug
Withdrawal Severity as Measured by COWS Peak Daily Score
Day 3
8.8 COWS Total Daily Peak Score
Standard Deviation 4.6
7.2 COWS Total Daily Peak Score
Standard Deviation 3.3
6.0 COWS Total Daily Peak Score
Standard Deviation 2.8
Withdrawal Severity as Measured by COWS Peak Daily Score
Day 4
8.0 COWS Total Daily Peak Score
Standard Deviation 5.0
5.7 COWS Total Daily Peak Score
Standard Deviation 2.7
6.0 COWS Total Daily Peak Score
Standard Deviation 3.8
Withdrawal Severity as Measured by COWS Peak Daily Score
Day 5
5.6 COWS Total Daily Peak Score
Standard Deviation 2.1
5.7 COWS Total Daily Peak Score
Standard Deviation 3.8
4.0 COWS Total Daily Peak Score
Standard Deviation 2.9
Withdrawal Severity as Measured by COWS Peak Daily Score
Day 1
8.5 COWS Total Daily Peak Score
Standard Deviation 3.8
7.8 COWS Total Daily Peak Score
Standard Deviation 3.6
9.3 COWS Total Daily Peak Score
Standard Deviation 5.6
Withdrawal Severity as Measured by COWS Peak Daily Score
Day 2
10.2 COWS Total Daily Peak Score
Standard Deviation 2.8
8.9 COWS Total Daily Peak Score
Standard Deviation 3.8
9.3 COWS Total Daily Peak Score
Standard Deviation 5.6

SECONDARY outcome

Timeframe: At the end of day 9

The number of participants who are retained (dichotomous: retained, not retained) during the 9 day intervention. Greater retention is indicative of better intervention outcome.

Outcome measures

Outcome measures
Measure
Lofexidine/Sham Bridge Device
n=12 Participants
Lofexidine (Lucemyra) encapsulated with inactive Bridge Device
Sham Bridge Device /Placebo Study Drug
n=12 Participants
Inactive Bridge Device and placebo study drug
Active Bridge Device/ Placebo Study Drug
n=12 Participants
Active Bridge Device and placebo study drug
Number of Participants Retained
1 Participants
2 Participants
1 Participants

SECONDARY outcome

Timeframe: Up to day 5

Peak SOWS Score (range: 0-64). Lower peak SOWS scores are indicative of better withdrawal suppression.

Outcome measures

Outcome measures
Measure
Lofexidine/Sham Bridge Device
n=12 Participants
Lofexidine (Lucemyra) encapsulated with inactive Bridge Device
Sham Bridge Device /Placebo Study Drug
n=12 Participants
Inactive Bridge Device and placebo study drug
Active Bridge Device/ Placebo Study Drug
n=12 Participants
Active Bridge Device and placebo study drug
Withdrawal Severity as Measured by the SOWS Peak Daily Score
Day 1
22.8 Peak Daily Score
Standard Deviation 18.9
10.6 Peak Daily Score
Standard Deviation 7.7
16.0 Peak Daily Score
Standard Deviation 11.6
Withdrawal Severity as Measured by the SOWS Peak Daily Score
Day 2
18.6 Peak Daily Score
Standard Deviation 11.9
15.6 Peak Daily Score
Standard Deviation 13.3
22.2 Peak Daily Score
Standard Deviation 23.1
Withdrawal Severity as Measured by the SOWS Peak Daily Score
Day 3
22.7 Peak Daily Score
Standard Deviation 20.1
16.1 Peak Daily Score
Standard Deviation 19.6
10.6 Peak Daily Score
Standard Deviation 6.7
Withdrawal Severity as Measured by the SOWS Peak Daily Score
Day 4
19.5 Peak Daily Score
Standard Deviation 21.2
8.3 Peak Daily Score
Standard Deviation 11.3
9.9 Peak Daily Score
Standard Deviation 10.0
Withdrawal Severity as Measured by the SOWS Peak Daily Score
Day 5
15.1 Peak Daily Score
Standard Deviation 14.5
8.1 Peak Daily Score
Standard Deviation 11.9
10.4 Peak Daily Score
Standard Deviation 14.6

SECONDARY outcome

Timeframe: Four times a day (0800, 1200, 1600, 2000) days 1-5

Area under the curve SOWS scores (range: 0-320). Smaller area under the curve SOWS scores are indicative of better withdrawal suppression.

Outcome measures

Outcome measures
Measure
Lofexidine/Sham Bridge Device
n=12 Participants
Lofexidine (Lucemyra) encapsulated with inactive Bridge Device
Sham Bridge Device /Placebo Study Drug
n=12 Participants
Inactive Bridge Device and placebo study drug
Active Bridge Device/ Placebo Study Drug
n=12 Participants
Active Bridge Device and placebo study drug
Withdrawal Severity as Measured by Area Under the Curve SOWS Score
79.7 Scores on a scale*day
Standard Deviation 25.3
49.4 Scores on a scale*day
Standard Deviation 19.9
55.8 Scores on a scale*day
Standard Deviation 20.6

SECONDARY outcome

Timeframe: End of Day 5

Peak daily SOWS score (range: 0-64). Lower peak daily SOWS scores are indicative of better withdrawal suppression.

Outcome measures

Outcome measures
Measure
Lofexidine/Sham Bridge Device
n=12 Participants
Lofexidine (Lucemyra) encapsulated with inactive Bridge Device
Sham Bridge Device /Placebo Study Drug
n=12 Participants
Inactive Bridge Device and placebo study drug
Active Bridge Device/ Placebo Study Drug
n=12 Participants
Active Bridge Device and placebo study drug
Withdrawal Severity as Measured by the Subjective Opiate Withdrawal Scale (SOWS) Peak Score
28.7 peak daily score
Standard Deviation 21.6
18.2 peak daily score
Standard Deviation 17.0
27.4 peak daily score
Standard Deviation 20.0

SECONDARY outcome

Timeframe: At the end of day 9

The number of participants who initiate naltrexone (dichotomous: yes, no) at the end of day 9. A larger number of participants is indicative of better naltrexone initiation success.

Outcome measures

Outcome measures
Measure
Lofexidine/Sham Bridge Device
n=12 Participants
Lofexidine (Lucemyra) encapsulated with inactive Bridge Device
Sham Bridge Device /Placebo Study Drug
n=12 Participants
Inactive Bridge Device and placebo study drug
Active Bridge Device/ Placebo Study Drug
n=12 Participants
Active Bridge Device and placebo study drug
Number of Participants Who Initiate Naltrexone at the End of the Study
0 Participants
0 Participants
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 5 days

Number of concomitant medications used per day. A smaller number of concomitant medications used per day is indicative of better treatment efficacy.

Outcome measures

Outcome data not reported

Adverse Events

Lofexidine/Sham Bridge Device

Serious events: 3 serious events
Other events: 11 other events
Deaths: 0 deaths

Sham Bridge Device /Placebo Study Drug

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Active Bridge Device/ Placebo Study Drug

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Lofexidine/Sham Bridge Device
n=12 participants at risk
Lofexidine (Lucemyra) encapsulated with inactive Bridge Device
Sham Bridge Device /Placebo Study Drug
n=12 participants at risk
Inactive Bridge Device and placebo study drug
Active Bridge Device/ Placebo Study Drug
n=12 participants at risk
Active Bridge Device and placebo study drug
Psychiatric disorders
Anxiety
8.3%
1/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
0.00%
0/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
0.00%
0/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
Gastrointestinal disorders
Vomiting
8.3%
1/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
0.00%
0/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
0.00%
0/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
Psychiatric disorders
Agitation
8.3%
1/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
0.00%
0/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
0.00%
0/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)

Other adverse events

Other adverse events
Measure
Lofexidine/Sham Bridge Device
n=12 participants at risk
Lofexidine (Lucemyra) encapsulated with inactive Bridge Device
Sham Bridge Device /Placebo Study Drug
n=12 participants at risk
Inactive Bridge Device and placebo study drug
Active Bridge Device/ Placebo Study Drug
n=12 participants at risk
Active Bridge Device and placebo study drug
Nervous system disorders
Dizziness
0.00%
0/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
8.3%
1/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
8.3%
1/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
Psychiatric disorders
Anxiety
16.7%
2/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
8.3%
1/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
16.7%
2/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
Cardiac disorders
Abnormal ECG
8.3%
1/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
16.7%
2/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
8.3%
1/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
Nervous system disorders
Pain (including headache)
25.0%
3/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
8.3%
1/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
16.7%
2/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
Psychiatric disorders
Insomnia
0.00%
0/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
8.3%
1/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
8.3%
1/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
Cardiac disorders
Elevated blood pressure
25.0%
3/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
41.7%
5/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
50.0%
6/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
Cardiac disorders
Low blood pressure
25.0%
3/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
25.0%
3/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
0.00%
0/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
Gastrointestinal disorders
Gastrointestinal symptoms
33.3%
4/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
16.7%
2/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
16.7%
2/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
Nervous system disorders
Headache
0.00%
0/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
16.7%
2/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
8.3%
1/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
Psychiatric disorders
Suicidal ideation
0.00%
0/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
0.00%
0/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)
8.3%
1/12 • From the time of randomization up to day 9 (the end of the participant's residential stay)

Additional Information

Eric Strain

Johns Hopkins University School of Medicne

Phone: 410-550-1191

Results disclosure agreements

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