Status:

ACTIVE_NOT_RECRUITING

Extended-release Buprenorphine Compared to Sublingual Buprenorphine in Rural Settings (RXR)

Lead Sponsor:

Yih-Ing Hser

Collaborating Sponsors:

National Institute on Drug Abuse (NIDA)

National Institutes of Health (NIH)

Conditions:

Opioid-Related Disorders

Substance-Related Disorders

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

This pilot trial will explore the feasibility, acceptability, and effectiveness of the most recently approved formulation of injectable extended-release buprenorphine (XR-BUP) for treatment of opioid ...

Detailed Description

This 24-month randomized controlled open-label pilot study will be conducted in approximately 6 clinics in rural settings. The study objectives are to describe the feasibility of implementing the stud...

Eligibility Criteria

Inclusion

  • Be ≥18 years of age
  • Meet DSM-5 criteria for moderate to severe OUD or be on buprenorphine medication for OUD
  • Be interested in receiving buprenorphine treatment for OUD
  • Be willing to be randomized to either SL-BUP or XR-BUP
  • Be willing to comply with all study procedures
  • Be in good general health, as determined by the study Medical Clinician based on medical/psychiatric histories and physical exam, to permit treatment in an outpatient setting
  • If female of childbearing potential, be willing to practice an effective method of birth control for the duration of participation in the study intervention and agree to study-administered pregnancy testing during their participation in the study
  • Be able to speak English sufficiently to understand the study procedures
  • Be willing and able to provide written informed consent to participate in the study

Exclusion

  • Have evidence of a serious psychiatric disorder as assessed by the study Medical Clinician that would make participation difficult or unsafe (e.g., active psychosis, severe depression, or mania)
  • Have suicidal or homicidal ideation or behavior that requires immediate attention
  • Have a medical condition or serious medical illness that, in the opinion of the study Medical Clinician, would make study participation medically unsafe
  • Have been in treatment with naltrexone within 28 days of consent
  • Have been in methadone maintenance treatment within 28 days of consent
  • Be taking medication or require any medication that, in the judgment of the study Medical Clinician, could interact adversely with study medication
  • Have known allergy or sensitivity to SL-BUP or XR-BUP formulations or their components
  • Be currently incarcerated or have pending legal action that could preclude participation in study activities
  • Have other situation that might prevent the participant from remaining in the area for the duration of the study (e.g., planned move)
  • Have a current pattern of alcohol, benzodiazepine, or other sedative hypnotic use, as determined by the study Medical Clinician, that would require a different level of care and preclude safe participation in the study
  • Be currently pregnant or breastfeeding or planning on conception

Key Trial Info

Start Date :

October 14 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

February 28 2026

Estimated Enrollment :

144 Patients enrolled

Trial Details

Trial ID

NCT06023459

Start Date

October 14 2024

End Date

February 28 2026

Last Update

December 31 2025

Active Locations (7)

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Page 1 of 2 (7 locations)

1

AppleGate Recovery El Dorado

El Dorado, Arkansas, United States, 71730

2

Southern Humboldt Community Healthcare District - Jerold Phelps Community Hospital

Garberville, California, United States, 95542

3

Gibson Area Hospital and Health Services - Gibson Recovery Optimizing Wellness

Gibson City, Illinois, United States, 60936

4

Penobscot Community Health Care Inc. - Seaport Community Health Center

Belfast, Maine, United States, 04915