Extension to Safety and Efficacy of Probuphine in the Treatment of Opioid Dependence (PRO-807)
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Purpose
Buprenorphine (BPN) is an approved treatment for opioid dependence; however, in taking oral tablets, patients experience withdrawal and cravings when the variable BPN levels in the blood are low. Probuphine (buprenorphine implant) is an implant placed just beneath the skin that contains BPN. It is designed to provide 6 months of stable BPN blood levels. This study will test the safety and efficacy of Probuphine in the treatment of patient with opioid dependence. Patients who have completed 24 weeks of treatment in the Randomized, Double-Blind, Placebo-Controlled, Multi-Center Study of Probuphine in Patients with Opioid Dependence, will be re-treated with Probuphine over an additional 24 weeks.
| Condition | Intervention | Phase |
|---|---|---|
|
Opioid Dependence |
Drug: Probuphine (buprenorphine implant) |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | An Open-Label, Multi-Center Extension Study Of Probuphine in Patients With Opioid Dependence |
- Number of subjects with adverse events as a measure of safety [ Time Frame: approx. 26 weeks ] [ Designated as safety issue: Yes ]Adverse events that occurred after the signing of the informed consent until 14 days after study drug treatment has been discontinued, or AEs designated as possibly-related to study drug and all Serious AEs until resolution or stabilization, were followed.
- Buprenorphine concentration in plasma [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
- Percent of urine samples that are negative for illicit opioids [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
- Percent of subjects retained as a measure of efficacy [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
- Percent of subjects reporting illicit drug use as a measure of efficacy [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
- Average daily dose of supplemental sublingual buprenorphine as a measure of efficacy [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
- Mean total score on SOWS as a measure of efficacy [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
- Mean total score on COWS as a measure of efficacy [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
- Mean subjective opioid cravings scores as a measure of efficacy [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
- Mean composite score Drug Problems area of Addiction Severity Index [ Time Frame: Baseline and End of Treatment ] [ Designated as safety issue: No ]
- Patient-rated Opioid use and Problems Responder Analysis as a measure of efficacy [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
- Physician-rated severity of opioid use and symptoms Responder Analysis as a measure of efficacy [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
| Enrollment: | 62 |
| Study Start Date: | October 2007 |
| Study Completion Date: | February 2009 |
| Primary Completion Date: | February 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Probuphine
buprenorphine implant
|
Drug: Probuphine (buprenorphine implant)
Implantable formulation of buprenorphine made of buprenorphine HCl/ethylene vinyl acetate, considered a drug. (4 implants, 6-month duration).
|
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Voluntarily provide written informed consent prior to conduct of any study-related procedures
- Completed 24 weeks of treatment in PRO-805
- Deemed appropriate for entry into this extension study by the Investigator
- Females of childbearing potential and fertile males must use a reliable means of contraception
Exclusion Criteria:
- Presence of aspartate aminotransferase (AST) levels ≥ 3 X upper limit of normal and/or alanine aminotransferase (ALT) levels ≥ 3 X upper limit of normal and/or total bilirubin ≥ 1.5 X upper limit of normal and/or creatinine ≥ 1.5 X upper limit of normal
- Current diagnosis of chronic pain requiring opioids for treatment
- Pregnant or lactating females
- Current use of agents metabolized through cytochrome P450 3A4 (CYP 3A4) such as azole antifungals (e.g., ketoconazole), macrolide antibiotics (e.g., erythromycin), and protease inhibitors (e.g., ritonavir, indinavir, and saquinavir)
- Current anti-coagulant therapy (such as warfarin) or an INR > 1.2
- Current use of benzodiazepines other than physician prescribed use
- Significant medical or psychiatric symptoms, cognitive impairment, or other factors which in the opinion of the Investigator, would preclude compliance with the protocol, patient safety, adequate cooperation in the study, or obtaining informed consent
- Concurrent medical conditions (such as severe respiratory insufficiency) that may prevent the patient from safely participating in study; and/or any pending legal action that could prohibit participation and/or compliance in study
Contacts and Locations| United States, California | |
| David Geffen School of Medicine at UCLA | |
| Los Angeles, California, United States | |
| Synergy Clinical Research Center | |
| National City, California, United States, 91950 | |
| United States, Florida | |
| Scientific Clinical Research, Inc. | |
| Jacksonville, Florida, United States, 32256 | |
| Jacksonville, Florida, United States, 32256 | |
| Fidelity Clinical Research, Inc. | |
| Lauderhill, Florida, United States | |
| United States, Maryland | |
| Behavioral Biology Research Unit, Johns Hopkins Bayview Campus | |
| Baltimore, Maryland, United States | |
| United States, Massachusetts | |
| Dual Diagnosis Unit, SSTAR: Stanley Street Treatment and Resources, Inc. | |
| Fall River, Massachusetts, United States | |
| United States, Michigan | |
| Wayne State Univ. School of Medicine, Dept of Psychiatry & Behavioral Neuroscience | |
| Detroit, Michigan, United States | |
| United States, Missouri | |
| Psych Care Consultants Research | |
| St. Louis, Missouri, United States, 63128 | |
| United States, New York | |
| New York VA Medical Center, NYU School of Medicine | |
| New York, New York, United States | |
| United States, North Carolina | |
| Duke Addictions Program | |
| Durham, North Carolina, United States, 27705 | |
| United States, Oklahoma | |
| Pahl Pharmaceutical Research, LLC | |
| Oklahoma City, Oklahoma, United States, 73118 | |
| United States, Pennsylvania | |
| University of Pennsylvania, Treatment Research Center | |
| Philadelphia, Pennsylvania, United States, 19104 | |
| United States, Washington | |
| Providence Behavioral Health Services | |
| Everett, Washington, United States, 98201-1067 | |
| Puget Sound Health CareSystem | |
| Seattle, Washington, United States | |
More Information
No publications provided
| Responsible Party: | Titan Pharmaceuticals |
| ClinicalTrials.gov Identifier: | NCT00630201 History of Changes |
| Other Study ID Numbers: | PRO-807 |
| Study First Received: | February 26, 2008 |
| Last Updated: | January 25, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Titan Pharmaceuticals:
|
opioid dependence opioid addiction buprenorphine methadone heroin |
implant opioid withdrawal opioid pain medication suboxone |
Additional relevant MeSH terms:
|
Opioid-Related Disorders Substance-Related Disorders Mental Disorders Buprenorphine Analgesics, Opioid Analgesics Sensory System Agents Peripheral Nervous System Agents |
Physiological Effects of Drugs Pharmacologic Actions Central Nervous System Agents Therapeutic Uses Central Nervous System Depressants Narcotic Antagonists Narcotics |
ClinicalTrials.gov processed this record on June 18, 2013