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Assessment of Tramadol as a Treatment for Opioid Addiction
This study has been completed.
Study NCT00301210   Information provided by National Institute on Drug Abuse (NIDA)
First Received: March 9, 2006   Last Updated: August 13, 2008   History of Changes

March 9, 2006
August 13, 2008
January 2006
October 2007   (final data collection date for primary outcome measure)
  • Self-reported effects [ Time Frame: up to 4 hours for acute effects ] [ Designated as safety issue: Yes ]
  • physiologic measures [ Time Frame: up to 4 hours for acute effects ] [ Designated as safety issue: Yes ]
  • observer ratings of effects [ Time Frame: up to 4 hours for acute effects ] [ Designated as safety issue: Yes ]
  • cognitive/performance measures [ Time Frame: up to 4 hours for acute effects ] [ Designated as safety issue: Yes ]
  • Self-reported effects
  • physiologic measures
  • observer ratings of effects
  • cognitive/performance measures
Complete list of historical versions of study NCT00301210 on ClinicalTrials.gov Archive Site
 
 
 
Assessment of Tramadol as a Treatment for Opioid Addiction
Assessment of the Level of Physical Dependence and Blockade Efficacy Produced by Tramadol

Opioids are one of the most commonly abused drugs among individuals who seek treatment for drug abuse. Thus, it is necessary to develop new treatments for opioid addiction. The purpose of this trial is determine whether tramadol is effective in treating opioid dependent individuals.

This human laboratory study will test the effects of tramadol as a step in its development as a new treatment for opioid dependence. Tramadol is a moderate mu agonist opioid that may produce low levels of opioid physical dependence. Tramadol's capacity for producing physical dependence has not been systematically studied in humans. It is important to quantify tramadol, as it provides a measure of its opioid agonist effects. This would also be informative in regards to the abuse liability of tramadol when used as an analgesic (as currently marketed), or when used in the treatment of opioid addiction (as proposed in this study). The purpose of this trial is to evaluate the level of physical dependence as well as blockade efficacy produced by chronic maintenance on oral tramadol in opioid dependent individuals.

Participants will be randomly assigned to receive different doses of tramadol or placebo for up to six weeks. Experimental sessions will take place up to three times per week during the treatment period. During challenge sessions, participants will receive an injection; four different kinds of effects may occur in a session following this injection. First, no effect may occur (a placebo). Second, an opioid agonist effect may occur (opioid agonists include heroin, morphine, hydromorphone, tramadol, and methadone), which may cause the participant to feel "high." Third, an opioid antagonist effect may occur (e.g., naloxone, naltrexone), which may cause the participant to feel a sense of opioid withdrawal.

Phase I, Phase II
Interventional
Treatment, Randomized, Double Blind (Subject, Caregiver, Outcomes Assessor), Placebo Control, Crossover Assignment, Pharmacodynamics Study
Opioid-Related Disorders
Drug: Tramadol
  • Experimental: tramadol dose 1
  • Experimental: tramadol dose 2
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Completed
9
November 2007
October 2007   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Currently opioid dependent

Exclusion Criteria:

  • Significant medical illness (e.g., diabetes mellitus)
  • History of seizure
  • Current sedative or alcohol dependence
  • Pregnant or breastfeeding
Both
21 Years to 55 Years
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00301210
Eric C. Strain/Principal Investigator, Johns Hopkins University School of Medicine
NIDA-18125-2, DPMC
National Institute on Drug Abuse (NIDA)
 
Principal Investigator: Eric C. Strain, MD Johns Hopkins University
National Institute on Drug Abuse (NIDA)
August 2008

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP