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Preference for Subutex® (Buprenorphine) Versus Suboxone® (Buprenorphin/Naloxone) in Opioid Dependent Patients on Subutex (Study P05094)(COMPLETED)
This study has been completed.
First Received: May 22, 2008   Last Updated: May 23, 2008   History of Changes
Sponsor: Schering-Plough
Information provided by: Schering-Plough
ClinicalTrials.gov Identifier: NCT00684073
  Purpose

This study is designed to determine if opioid dependent subjects who are already receiving Subutex prefer the Suboxone tablet over the Subutex tablet after switching from Subutex to Suboxone. Subjects who are selected to participate in this study will continue their prescribed dose of Subutex (buprenorphin 2 to 16 mg daily) for the first two days of the study (Day 1 and Day 2) then switch to and receive an equivalent dose of Suboxone (buprenorphine 2 to 16 mg daily) for the last 3 days of the study (Day 3, Day 4 and Day 5). The Day 5 Visit will be the subject's last study visit. Upon completing the study, subjects will continue their pre-study prescribed dosage of Subutex.


Condition Intervention Phase
Opiate-Related Disorders
Opiate Dependence
Drug Abuse
Drug: buprenorphine
Drug: buprenorphine/naloxone
Phase IV

Study Type: Interventional
Study Design: Treatment, Open Label, Uncontrolled, Single Group Assignment
Official Title: Evaluation of Preference for a Buprenorphine-Based Maintenance Therapy, After a Switch From Buprenorphine Alone (Subutex®) to the Buprenorphin/Naloxone Combination (Suboxone), in Opioid-Dependent Patients With Buprenorphine Maintenance Therapy

Resource links provided by NLM:


Further study details as provided by Schering-Plough:

Primary Outcome Measures:
  • Patient's self assessment using 10 cm visual analogic scale (VAS) of overall preference for one of the two buprenorphine-based maintenance therapies. [ Time Frame: Each treatment Day ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Patient's self assessment using 10-cm visual analogic scale (VASE) of tablet taste, tablet size, sublingual retention time, and well-being over the past 24 hours. [ Time Frame: Each treatment Day ] [ Designated as safety issue: No ]
  • Direct questioning of patient's final preference for one of the two buprenorphine-based maintenance therapies and their wish to continue with Suboxone. [ Time Frame: Day 5 ] [ Designated as safety issue: No ]

Enrollment: 60
Study Start Date: July 2007
Study Completion Date: December 2007
Primary Completion Date: December 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Subutex/Suboxone: Experimental
Subutex for first two days of study followed by Suboxone for last 3 days of study
Drug: buprenorphine
2 mg buprenorphine and 8 mg buprenorphine tablets at doses from 2 to 16 mg buprenorphine daily for first two days of study
Drug: buprenorphine/naloxone
2/0.5 mg buprenorphine/naloxone and 8/2 mg buprenorphine/naloxone tablets at doses from 2/0.5 mg buprenorphine/naloxone to 16/4 mg buprenorphin/naloxone daily for last 3 days of study

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patient must demonstrate their willingness to participate in the study and comply with its procedures by signing a written informed consent.
  • Patient must be at least (>=) 18 years of age, of either sex.
  • Patient treated for opioid dependence with Subutex® with a stable daily dose between 2 mg and 16 mg daily, for at least 6 months.
  • Patient who do not inject/misuse their treatment with Subutex®.
  • Patient must be free of illicit opiate drug use as assessed by urine test performed prior to inclusion.
  • Patient must understand and be able to adhere to the dosing and visit schedules, and agree to report concomitant medications / products and adverse events to the investigator or designee.
  • Women of childbearing potential (includes women who are less than one year postmenopausal and women who become sexually active) must be using or agree to use an acceptable method of birth control (e.g., hormonal contraceptive, medically prescribed IUD, condom in combination with spermicide) or be surgically sterile (e.g., hysterectomy or tubal ligation).
  • Women of childbearing potential should be counseled in the appropriate use of birth control while in this study. Women who are not currently sexually active must agree and consent to use one of the above-mentioned methods should they become sexually active while participating in the study. Women of childbearing potential must have a urine pregnancy test with negative result within 2 weeks prior to inclusion (as performed under control of the investigator or designee).

Exclusion Criteria:

  • Patient not eligible for treatment with Subutex® or Suboxone® according to the legal drug attachments.
  • Patient refusing to take the daily dose of the study medication under control in the center.
  • Patient unable to complete the evaluations.
  • Women who are pregnant or nursing.
  • Patient with a history of hypersensitivity to buprenorphine hydrochloride or naloxone hydrochloride dihydrate or any excipient of Subutex® or Suboxone®.
  • Patient with a current evidence of alcohol abuse.
  • Patient with severe respiratory dysfunction, severe hepatic dysfunction, acute alcohol intoxication or delirium tremens .
  • Patient with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucosegalactose malabsorption.
  • Initiation or increase in the dose, within the past 7 days or scheduled during the study, of a treatment with:

    • benzodiazepines,
    • other depressants of the central nervous system: other morphine derivatives (analgesics, antitussives), certain antidepressive agents, sedative H1 antihistamines, barbiturates, benzodiazepines, anxiolytics other than benzodiazepines, neuroleptics, clonidine and clonidine-like agents and monoamine oxydase [MAO] inhibitors,
    • CYP3A4 inhibitors,
    • CYP3A4 inducers.
  • Patients who have any current evidence of clinically significant hematopoietic, metabolic, cardiovascular, immunologic, neurologic, hematological, gastrointestinal, hepatic, renal, psychiatric, cerebrovascular, or respiratory disease, or any other disorder which, in the judgment of the investigator, may interfere with the study evaluations or affect patient safety.
  • Patients who have used any investigational product within 30 days prior to enrollment.
  • Patients participating in another trial at the same time.
  • Patient who intend to donate blood during the study or within 3 months after study completion.
  • Patients in the exclusion period of the "Fichier National des Personnes qui se Prêtent à des Recherches Biomédicales" (National Index of Persons Participating in Biomedical Researches, or National Index of Volunteers).
  • Patients without Social Security number, or whose maximum annual compensation (4,500 €) has been exceeded.
  Contacts and Locations
No Contacts or Locations Provided
  More Information

No publications provided

Responsible Party: Schering-Plough ( Head, Clinical Trials Registry & Results Disclosure Group )
Study ID Numbers: P05094, 2006-006686-17
Study First Received: May 22, 2008
Last Updated: May 23, 2008
ClinicalTrials.gov Identifier: NCT00684073     History of Changes
Health Authority: France: Afssaps - French Health Products Safety Agency

Keywords provided by Schering-Plough:
Suboxone
Subutex
Buprenorphine
Naloxone

Additional relevant MeSH terms:
Narcotic Antagonists
Physiological Effects of Drugs
Central Nervous System Depressants
Disorders of Environmental Origin
Narcotics
Opioid-Related Disorders
Pharmacologic Actions
Naloxone
Buprenorphine
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 November 05, 2009