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Extension to Safety and Efficacy of Probuphine in the Treatment of Opioid Dependence (PRO-807)
This study has been suspended.
First Received: February 26, 2008   Last Updated: December 4, 2008   History of Changes
Sponsor: Titan Pharmaceuticals
Information provided by: Titan Pharmaceuticals
ClinicalTrials.gov Identifier: NCT00630201
  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 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
Phase III

Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Single Group Assignment, Safety/Efficacy Study
Official Title: An Open-Label, Multi-Center Extension Study Of Probuphine in Patients With Opioid Dependence

Further study details as provided by Titan Pharmaceuticals:

Primary Outcome Measures:
  • To evaluate the safety of Probuphine in patients who have completed 24 weeks of treatment and who will be re-treated with Probuphine [ Time Frame: 24 weeks ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • To evaluate the efficacy of Probuphine through pharmacokinetic analyses in patients who have completed 24 weeks of treatment and who will be re-treated with Probuphine [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]

Estimated Enrollment: 75
Study Start Date: October 2007
Estimated Study Completion Date: January 2009
Estimated Primary Completion Date: January 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Open-label: Experimental Drug: Probuphine
4 implants 6-month duration

  Eligibility

Ages Eligible for Study:   18 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

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
Please refer to this study by its ClinicalTrials.gov identifier: NCT00630201

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
Fidelity Clinical Research, Inc.
Lauderhill, Florida, United States
Scientific Clinical Research, Inc.
Jacksonville, Florida, United States, 32256
Jacksonville, Florida, United States, 32256
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
Puget Sound Health CareSystem
Seattle, Washington, United States
Providence Behavioral Health Services
Everett, Washington, United States, 98201-1067
Sponsors and Collaborators
Titan Pharmaceuticals
  More Information

No publications provided

Responsible Party: Titan Pharmaceuticals ( Katherine Beebe, Ph.D., VP of Clinical Development )
Study ID Numbers: PRO-807
Study First Received: February 26, 2008
Last Updated: December 4, 2008
ClinicalTrials.gov Identifier: NCT00630201     History of Changes
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:
Physiological Effects of Drugs
Disorders of Environmental Origin
Central Nervous System Depressants
Opioid-Related Disorders
Pharmacologic Actions
Mental Disorders
Sensory System Agents
Therapeutic Uses
Substance-Related Disorders
Analgesics
Peripheral Nervous System Agents
Central Nervous System Agents
Analgesics, Opioid

ClinicalTrials.gov processed this record on February 08, 2010