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Science-Based Treatment for Opioid-Dependent Adolescents

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified August 2008 by National Development and Research Institutes, Inc..
Recruitment status was:  Recruiting
St. Luke's-Roosevelt Hospital Center
Information provided by:
National Development and Research Institutes, Inc. Identifier:
First received: September 10, 2005
Last updated: August 11, 2008
Last verified: August 2008
The purpose of this study is to evaluate ways to optimize outcomes from combined behavioral-pharmacological treatment for opioid-dependent youth.

Condition Intervention Phase
Opioid-Dependence Among Adolescents Drug: buprenorphine Drug: naltrexone Procedure: behavior therapy Procedure: voucher-based contingency management Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double
Primary Purpose: Treatment
Official Title: Science-Based Treatment for Opioid-Dependent Adolescents

Further study details as provided by National Development and Research Institutes, Inc.:

Primary Outcome Measures:
  • opiate use

Secondary Outcome Measures:
  • treatment retention
  • other drug use
  • HIV risk behavior
  • opiate agonist and withdrawal effects
  • psychological status
  • family relations
  • motivation to change drug use
  • opiate craving
  • criminal activity

Estimated Enrollment: 80
Study Start Date: July 2005
Detailed Description:
Adolescents are increasingly abusing and becoming dependent on heroin and other opioids. The number of emergency room visits related to heroin among 12-17 year olds rose almost 600%, and the self-reported prevalence of heroin use among this group more than doubled in the last decade. As a result of the increased availability of high-potency, low-cost heroin, many adolescents initiate heroin use by snorting it; however, many often then progress to injection of heroin. Despite the critical need to identify efficacious treatments for this population, virtually no research has been conducted to systematically characterize or evaluate treatment interventions for adolescent heroin and opioid abusers. We recently conducted the first controlled study funded by NIDA to systematically evaluate the efficacy of several pharmacotherapies as detoxification agents along with intensive behavioral interventions in the treatment of this population. The purpose of this study is to evaluate ways to further improve on the promising outcomes from our initial study via combined behavioral-buprenorphine treatment for opioid-dependent youth. The primary aim is to examine if improved treatment outcomes can be achieved if the duration of buprenorphine detoxification is lengthened (when the rate of decrease in buprenorphine dose is slower, withdrawal symptoms may be of reduced intensity and youth are provided with a greater opportunity to learn new skills and behaviors addressing how they might best discontinue their opiate use, prevent relapse, and meet treatment goals). A secondary aim is to examine if the provision of monetary voucher-based incentives contingent on consumption of the opioid antagonist, naltrexone, reduces rates of relapse to opiate use in adolescents post-detoxification compared to when no such incentives are provided. This analysis may provide critical empirical information regarding how to best prevent relapse to opioid use among opioid-dependent youth. Another secondary aim is to identify significant predictors of treatment outcome. We will thus conduct an exploratory evaluation of demographic, baseline drug use, psychological and other history variables that may predict successful treatment outcomes. This work may help inform the refinement of treatment interventions for various sub-populations of opioid-dependent youth. Outcome measures will include opiate and other drug abstinence, retention, opiate withdrawal symptoms, HIV risk behavior, family relationships, as well as a variety of other secondary outcome measures. We plan to collect these measures at intake, during treatment and at several post-treatment follow-up timepoints. Overall, this research will contribute new empirical information that will inform the development of effective treatment interventions for the largely unstudied and rapidly expanding population of opioid-dependent youth.

Ages Eligible for Study:   13 Years to 18 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • clinical diagnosis of opioid dependence
  • ages 13-18 years

Exclusion Criteria:

  • active psychosis
  • active suicidality
  • major medical problems (e.g., cardiovascular disease)
  • pregnancy
  • require inpatient detoxification from non-opiate drugs
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00182572

Contact: Lisa Marsch, PhD 212-636-1253
Contact: Ramon Solhkhah, MD 212-523-3069

United States, New York
Behavioral Science Research Unit, St. Luke's Hospital Recruiting
New York, New York, United States, 10025
Principal Investigator: Lisa Marsch, PhD         
Sponsors and Collaborators
National Development and Research Institutes, Inc.
St. Luke's-Roosevelt Hospital Center
Principal Investigator: Lisa Marsch, PhD National Development and Research Institutes, Inc.
  More Information Identifier: NCT00182572     History of Changes
Other Study ID Numbers: R01DA018297 ( U.S. NIH Grant/Contract )
Study First Received: September 10, 2005
Last Updated: August 11, 2008

Keywords provided by National Development and Research Institutes, Inc.:

Additional relevant MeSH terms:
Analgesics, Opioid
Central Nervous System Depressants
Physiological Effects of Drugs
Sensory System Agents
Peripheral Nervous System Agents
Narcotic Antagonists processed this record on September 21, 2017