Single-dose, Study of RBP-6000 in Opioid Dependent Individuals
Primary Purpose
Opioid Use Disorder
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
RBP-6000
Sponsored by
About this trial
This is an interventional treatment trial for Opioid Use Disorder
Eligibility Criteria
Inclusion Criteria:
- If female, must be surgically sterile or two-years post-menopausal and have a negative pregnancy test. Subjects should take reasonable precautions during the study to avoid pregnancy by agreeing to remain abstinent or to practice double-barrier forms of birth control from study screening through the last dose of study medication.
- Meet Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR) criteria for opioid dependence and who are seeking opioid-dependence treatment with methadone.
- Willing to cooperate with study procedures and provide written informed consent prior to start of any study procedures.
- Agree not to take any buprenorphine product (other than RBP-6000) throughout their participation in the study.
- Body mass index of ≥ 18 to ≤ 33 kg/m2.
- Total bilirubin < 2.5 mg/dL (51 μmol/L), alanine aminotransferase (ALT) or aspartate aminotransferase (AST) < 3 × the upper limit of normal (ULN), serum creatinine < 2 x ULN, or international normalized ratio (INR) ≤ 2.0.
- Normal or no clinically significant ECG findings at screening
Exclusion Criteria:
- Require ongoing opioid therapy for pain or other chronic medical conditions.
- Additionally, individuals who answer "yes" to both of the following questions will be excluded from participation: A) Throughout our lives, most of us have had pain from time to time (such as minor headaches, sprains, and toothaches). Have you had pain other than those kinds of pain today? B) If yes, has the pain persisted for three months or more?
- Currently dependent by DSM-IV-TR criteria on any substance other than opioids, caffeine, or nicotine.
- Positive urine screen at intake for barbiturates, benzodiazepines, buprenorphine, or methadone.
- History or presence of clinically significant cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, oncologic, or psychiatric disease or any other condition that, in the opinion of the study physician, would jeopardize the safety of the subject.
- Clinically significant abnormal finding on physical exam or in medical history; serology positive for HIV, hepatitis B or C [HBV antigen S positive, acute HBsAg and IgM antiHBc Chronic HCV antibody HCV, HCV RNA- acute: HCV RNA (PCR)].
- History or presence of allergic or adverse response (including rash or anaphylaxis) to buprenorphine, methadone, or the ATRIGEL Delivery System.
- Donation of more than 250 mL of blood or plasma, or participation in another clinical trial, within 30 days prior to signing of the informed consent document for this study.
- Currently (during past 30 days from the signing of the informed consent document) engaged in opioid agonist, partial agonist, or antagonist treatment, or require on-going prescription or over-the-counter medications that are clinically relevant P450 3A4 inducers or inhibitors [azole antifungals (e.g. ketoconazole), macrolide antibiotics (e.g. erythromycin),].
- Reporting taking buprenorphine within 30 days of screening.
- Significant traumatic injury, major surgery or open biopsy within the prior 4 weeks.
- Subjects who have been previously excluded from participation or previously enrolled into the study.
- Subjects who are unable, in the opinion of the Principal Investigator and/or the medically responsible physician, to comply fully with the study requirements.
- Subjects who have participated in another investigational product trial within 30 days of screening.
Sites / Locations
- Scientific Clinical Research
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
RBP-6000
Arm Description
A single dose of RBP-6000 will be administered on Study Day 1
Outcomes
Primary Outcome Measures
To assess the incidence of treatment emergent adverse events (safety and tolerability) of a single SC injection of RBP-6000 in subjects with opioid dependence.
The frequency of all adverse events (AE) and serious adverse events (SAE) deemed to be related to treatment.
Secondary Outcome Measures
Maximum plasma concentration (Cmax) for buprenorphine and norbuprenorphine
PK samples to be collected to determine Cmax over the post-injection period
Time to occurrence of Cmax (Tmax) for buprenorphine and norbuprenorphine
PK samples to be collected to determine Tmax over the post-injection period
Area under the plasma concentration versus time curve (AUC) for buprenorphine and norbuprenorphine
AUC to be measured from time 0 to the last sampling time post-injection at which concentrations were at or above the limit of quantitation
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02765867
Brief Title
Single-dose, Study of RBP-6000 in Opioid Dependent Individuals
Official Title
A Single-Dose, Open-Label Study of Depot Buprenorphine (RBP-6000) in Opioid-Dependent Individuals
Study Type
Interventional
2. Study Status
Record Verification Date
May 2016
Overall Recruitment Status
Completed
Study Start Date
November 2010 (undefined)
Primary Completion Date
May 2011 (Actual)
Study Completion Date
May 2011 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Indivior Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to evaluate the safety, tolerability and pharmacokinetic profile of an injection of RBP-6000.
Detailed Description
This is an open-label, single-center, first-in-human study, designed to evaluate the safety, tolerability and pharmacokinetic (PK) profile of a single subcutaneous (SC) injection of RBP-6000 in opioid dependent subjects. Enrollment will begin with 6 subjects, and additional subjects will not be enrolled until safety through Day 4 has been reviewed and analyzed. Subjects will remain in a residential unit through Day 30 post-injection and will continue with visits to the clinical unit until Day 85 or plasma buprenorphine levels are below 100 pg/mL, whichever comes later. The expected maximum duration of participation for each subject (including screening) is 120 days.
Safety will be assessed by adverse events, electrocardiograms, clinical laboratory assessments, local injection site tolerability and vital signs. PK will be assessed by measuring concentrations of buprenorphine and norbuprenorphine in plasma. The need for rescue medication will be assessed using clinical judgment along with information provided by the COWS scores.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Opioid Use Disorder
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
18 (Actual)
8. Arms, Groups, and Interventions
Arm Title
RBP-6000
Arm Type
Experimental
Arm Description
A single dose of RBP-6000 will be administered on Study Day 1
Intervention Type
Drug
Intervention Name(s)
RBP-6000
Intervention Description
A single injection of RBP-6000 containing a low dose of buprenorphine in the Atrigel delivery system
Primary Outcome Measure Information:
Title
To assess the incidence of treatment emergent adverse events (safety and tolerability) of a single SC injection of RBP-6000 in subjects with opioid dependence.
Description
The frequency of all adverse events (AE) and serious adverse events (SAE) deemed to be related to treatment.
Time Frame
Day 1 to Day 85
Secondary Outcome Measure Information:
Title
Maximum plasma concentration (Cmax) for buprenorphine and norbuprenorphine
Description
PK samples to be collected to determine Cmax over the post-injection period
Time Frame
Day 1 through Day 85
Title
Time to occurrence of Cmax (Tmax) for buprenorphine and norbuprenorphine
Description
PK samples to be collected to determine Tmax over the post-injection period
Time Frame
Day 1 through Day 85
Title
Area under the plasma concentration versus time curve (AUC) for buprenorphine and norbuprenorphine
Description
AUC to be measured from time 0 to the last sampling time post-injection at which concentrations were at or above the limit of quantitation
Time Frame
Day 1 through Day 85
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
If female, must be surgically sterile or two-years post-menopausal and have a negative pregnancy test. Subjects should take reasonable precautions during the study to avoid pregnancy by agreeing to remain abstinent or to practice double-barrier forms of birth control from study screening through the last dose of study medication.
Meet Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR) criteria for opioid dependence and who are seeking opioid-dependence treatment with methadone.
Willing to cooperate with study procedures and provide written informed consent prior to start of any study procedures.
Agree not to take any buprenorphine product (other than RBP-6000) throughout their participation in the study.
Body mass index of ≥ 18 to ≤ 33 kg/m2.
Total bilirubin < 2.5 mg/dL (51 μmol/L), alanine aminotransferase (ALT) or aspartate aminotransferase (AST) < 3 × the upper limit of normal (ULN), serum creatinine < 2 x ULN, or international normalized ratio (INR) ≤ 2.0.
Normal or no clinically significant ECG findings at screening
Exclusion Criteria:
Require ongoing opioid therapy for pain or other chronic medical conditions.
Additionally, individuals who answer "yes" to both of the following questions will be excluded from participation: A) Throughout our lives, most of us have had pain from time to time (such as minor headaches, sprains, and toothaches). Have you had pain other than those kinds of pain today? B) If yes, has the pain persisted for three months or more?
Currently dependent by DSM-IV-TR criteria on any substance other than opioids, caffeine, or nicotine.
Positive urine screen at intake for barbiturates, benzodiazepines, buprenorphine, or methadone.
History or presence of clinically significant cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, oncologic, or psychiatric disease or any other condition that, in the opinion of the study physician, would jeopardize the safety of the subject.
Clinically significant abnormal finding on physical exam or in medical history; serology positive for HIV, hepatitis B or C [HBV antigen S positive, acute HBsAg and IgM antiHBc Chronic HCV antibody HCV, HCV RNA- acute: HCV RNA (PCR)].
History or presence of allergic or adverse response (including rash or anaphylaxis) to buprenorphine, methadone, or the ATRIGEL Delivery System.
Donation of more than 250 mL of blood or plasma, or participation in another clinical trial, within 30 days prior to signing of the informed consent document for this study.
Currently (during past 30 days from the signing of the informed consent document) engaged in opioid agonist, partial agonist, or antagonist treatment, or require on-going prescription or over-the-counter medications that are clinically relevant P450 3A4 inducers or inhibitors [azole antifungals (e.g. ketoconazole), macrolide antibiotics (e.g. erythromycin),].
Reporting taking buprenorphine within 30 days of screening.
Significant traumatic injury, major surgery or open biopsy within the prior 4 weeks.
Subjects who have been previously excluded from participation or previously enrolled into the study.
Subjects who are unable, in the opinion of the Principal Investigator and/or the medically responsible physician, to comply fully with the study requirements.
Subjects who have participated in another investigational product trial within 30 days of screening.
Facility Information:
Facility Name
Scientific Clinical Research
City
Ft. Lauderdale
State/Province
Florida
ZIP/Postal Code
33301
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
Undecided
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Single-dose, Study of RBP-6000 in Opioid Dependent Individuals
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