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Transfer From Methadone to Buprenorphine Maintenance Treatment Using Buprenorphine Patches

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 Psychiatric University Hospital, Zurich.
Recruitment status was:  Recruiting
Information provided by:
Psychiatric University Hospital, Zurich Identifier:
First received: September 9, 2008
Last updated: NA
Last verified: August 2008
History: No changes posted
Buprenorphine is an important alternative to methadone in the maintenance treatment of heroin addiction. Transfer from methadone to buprenorphine requires a reduction of daily methadone dosage below 30 mg to avoid withdrawal after the first buprenorphine intake. The study hypothesis states that the transfer from a daily methadone dosage between 60 mg and 100 mg to buprenorphine can be carried out without withdrawal using buprenorphine patches (35 micro grams per hour) within 12 to 48 hours after last methadone intake.

Condition Intervention Phase
Heroin Addiction
Drug: Buprenorphine patch and sublingual tablets
Phase 4

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Transfer From Methadone to Buprenorphine Maintenance Treatment Using Buprenorphine Patches: A Study on Practicability With Patients Maintained With Daily Dosages Between 60mg and 100mg Methadone.

Resource links provided by NLM:

Further study details as provided by Psychiatric University Hospital, Zurich:

Primary Outcome Measures:
  • Short Opiate Withdrawal Scale [ Time Frame: 14 days ]

Secondary Outcome Measures:
  • Heroin use [ Time Frame: 60 days ]

Estimated Enrollment: 10
Study Start Date: August 2008
Estimated Study Completion Date: May 2009
Estimated Primary Completion Date: February 2009 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: Buprenorphine patch and sublingual tablets

    Buprenorphine patch: 35 micro grams per hour 12 to 48 hours after last methadone intake.

    Buprenorphine sublingual tablets: 2mg 48 and 60 hours after last methadone intake; 8mg 72 and 84 hours after last methadone intake; 8mg 96, 102 and 109 hours after last methadone intake.

    Other Names:
    • Transtec (buprenorphine patch)
    • Subutex (buprenorphine sublingual tablets)

Ages Eligible for Study:   18 Years to 60 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Age between 18 and 60 years
  • Methadone maintenance treatment for at least 3 months preceding the study
  • Daily methadone dosage between 60mg amd 100mg
  • Sufficient knowledge of German language
  • Ability to give informed consent

Exclusion Criteria:

  • Daily methadone dosage below 60mg amd over 100mg
  • Prescribed use of benzodiazepines over 30 mg equivalent to diazepam
  • Misuse or dependence of alcohol and/or GHB/GBL
  • Pregnant or breast-feeding women
  • Known intolerance of buprenorphine
  • Somatic diseases interfering with the study plan
  Contacts and Locations
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Please refer to this study by its identifier: NCT00750217

Psychiatric University Hospital Recruiting
Zurich, Switzerland, 8032
Contact: Melanie Hess, med. pract.    0041 44 384 21 11   
Contact: Rudolf Stohler, MD    0041 44 205 58 00   
Principal Investigator: Melanie Hess, med. pract.         
Sponsors and Collaborators
Psychiatric University Hospital, Zurich
Study Director: Rudolf Stohler, MD Psychiatric University Hospital
Study Chair: Lukas Boesch, PhD Psychiatirc University Hospital
  More Information

Responsible Party: Stohler Rudolf MD, Psychiatric University Hospital, Zurich Identifier: NCT00750217     History of Changes
Other Study ID Numbers: E-54/2007
Study First Received: September 9, 2008
Last Updated: September 9, 2008

Keywords provided by Psychiatric University Hospital, Zurich:
transfer methadone buprenorphine patch heroin addiction

Additional relevant MeSH terms:
Behavior, Addictive
Heroin Dependence
Compulsive Behavior
Impulsive Behavior
Opioid-Related Disorders
Substance-Related Disorders
Chemically-Induced Disorders
Mental Disorders
Analgesics, Opioid
Central Nervous System Depressants
Physiological Effects of Drugs
Sensory System Agents
Peripheral Nervous System Agents
Antitussive Agents
Respiratory System Agents
Narcotic Antagonists processed this record on May 25, 2017