The CORE Buprenorphine Project - An HIV Primary Care Program Demonstration - Full Text View

Sponsor:	Ruth M. Rothstein CORE Center
Collaborators:	Health Resources and Services Administration (HRSA) The New York Academy of Medicine
Information provided by:	Ruth M. Rothstein CORE Center
ClinicalTrials.gov Identifier:	NCT00227357

Purpose

The goal of this study is to develop and evaluate an innovative model of care to better serve patients who are both HIV-infected and opioid-dependent.

Condition	Intervention
HIV Infections AIDS Opiate Dependence Post-Traumatic Stress Disorders	Drug: On-site - buprenorphine/naloxone (Suboxone) Drug: Off-site - methadone or no agonist

Study Type:	Observational
Study Design:	Time Perspective: Prospective
Official Title:	SPNS - An Evaluation of Innovative Methods for Integrating Buprenorphine Opioid Abuse Treatment in HIV Primary Care

Resource links provided by NLM:

Genetics Home Reference related topics: complement factor I deficiency

MedlinePlus related topics: HIV/AIDS Post-Traumatic Stress Disorder

Drug Information available for: Buprenorphine Buprenorphine hydrochloride Methadone Naloxone hydrochloride Naloxone Methadone hydrochloride

U.S. FDA Resources

Further study details as provided by Ruth M. Rothstein CORE Center:

Enrollment:	101
Study Start Date:	July 2005
Study Completion Date:	December 2008
Primary Completion Date:	December 2008 (Final data collection date for primary outcome measure)

Groups/Cohorts	Assigned Interventions
Buprenorphine Study patients receiving buprenorphine treatment	Drug: On-site - buprenorphine/naloxone (Suboxone) Tablet, sub-lingual, 8/2 mg, 1-3 daily
Comparison Study patients receiving methadone or no agonist treatment	Drug: Off-site - methadone or no agonist

Detailed Description:

Hypothesis: HIV, opioid dependent patients provided agonist therapy at the site of their primary care will have better retention, utilization of services, health, social and quality of care measures and psychiatric treatment outcomes.

The Buprenorphine Project is an examination of two methods of service delivery. The purpose of this study is to assess the feasibility, cost and effectiveness of an intervention designed to integrate buprenorphine treatment for opioid dependence into HIV primary care at the CORE Center. For this project we will provide buprenorphine to 60 opioid dependent patients at any one time and will compare this on-site treatment group to 60 opioid dependent HIV+ patients who select off-site methadone or no agonist treatment at the time of enrollment.

Eligibility

Ages Eligible for Study:	18 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No
Sampling Method:	Non-Probability Sample

Study Population

Patients receiving buprenorphine treatment Patients not receiving buprenorphine treatment (methadone or none)

Criteria

Inclusion Criteria:

18 years or older
Patient of the CORE Center
HIV-infected (confirmed by HIV assay results)
Opioid-dependent (by Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision [DSM-IV-TR] criteria)
Fluent in English or Spanish
Planning to stay in Chicago area for the next 12 months

Exclusion Criteria:

Liver function tests (LFTs) (transaminase only) at 5 times or higher than normal
DSM-IV-TR criteria for benzodiazepine abuse or dependence within the past 6 months
DSM-IV-TR criteria for alcohol dependence within the past 6 months or actively suicidal
Psychiatric impairment that impedes ability to consent
Methadone dose exceeds level allowing for safe transition to buprenorphine
Pregnant women or women actively trying to become pregnant
Clinical judgement that patient is inappropriate for medical or psychiatric reasons

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00227357

Locations

United States, Illinois
The CORE Center
Chicago, Illinois, United States, 60612

Sponsors and Collaborators

Ruth M. Rothstein CORE Center

Health Resources and Services Administration (HRSA)

The New York Academy of Medicine

Investigators

Principal Investigator:

Jeffrey D. Watts, M.D.

The CORE Center and John H. Stroger, Jr. Hospital of Cook County, Affiliates of the Cook County Bureau of Health Services

More Information

Additional Information:

Click here for more information about The CORE Center. This link exits the ClinicalTrials.gov site

Evaluation and Support Center for the Mult-site Buprenorphine Study This link exits the ClinicalTrials.gov site

No publications provided

Responsible Party:	Jeffrey D. Watts, M.D., The Ruth M. Rothstein CORE Center
ClinicalTrials.gov Identifier:	NCT00227357 History of Changes
Other Study ID Numbers:	1-H97HA03796-01-00
Study First Received:	September 27, 2005
Last Updated:	June 4, 2010
Health Authority:	United States: Institutional Review Board

Keywords provided by Ruth M. Rothstein CORE Center:

HIV
AIDS
Buprenorphine
Methadone

Primary care
dual diagnosis
ptsd

Additional relevant MeSH terms:

HIV Infections
Acquired Immunodeficiency Syndrome
Stress Disorders, Post-Traumatic
Stress Disorders, Traumatic
Opioid-Related Disorders
Lentivirus Infections
Retroviridae Infections
RNA Virus Infections
Virus Diseases
Sexually Transmitted Diseases, Viral
Sexually Transmitted Diseases
Immunologic Deficiency Syndromes
Immune System Diseases
Slow Virus Diseases
Anxiety Disorders

Mental Disorders
Substance-Related Disorders
Buprenorphine
Methadone
Naloxone
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

ClinicalTrials.gov processed this record on February 12, 2012