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Dexmedetomidine in the Treatment of Symptoms Of Acute Opioid Withdrawal (RELEASE)

Primary Purpose

Opioid Withdrawal

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Sublingual film containing Dexmedetomidine (BXCL501)
Placebo film for BXCL501
Sponsored by
BioXcel Therapeutics Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Opioid Withdrawal

Eligibility Criteria

18 Years - 64 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

A patient will be eligible for inclusion in the study if he or she meets the following criteria:

  1. Male and female patients between the ages of 18-64, inclusive.
  2. Patients who have met DSM-5 criteria for moderate to severe opioid use disorder confirmed by the Mini-International Neuropsychiatric Interview (MINI) with physiological dependence as evidenced by a Clinical Opiate Withdrawal (COWS) score of >5 or a positive naloxone challenge upon inpatient admission.
  3. Patients who read, understand, and provide written informed consent.
  4. Participants who agree to use a medically acceptable and effective birth control method.

Exclusion Criteria:

A patient will be excluded from the study if he or she meets the following criteria:

  1. Female patients who have a positive urine pregnancy test at screening or when tested or currently breast feeding.
  2. Clinically significant history of cardiac disease.
  3. History or presence of a significant medical disease or disorder.
  4. Hepatic dysfunction at the screening visit.
  5. Acute active Hepatitis B or C.
  6. Patients with ECG abnormalities considered clinically significant by the investigator.
  7. Any psychiatric disorder that would compromise ability to complete study requirements.
  8. Currently meets DSM-5 criteria for substance abuse disorder, moderate or severe, for any substance other than opioids, caffeine, or nicotine.
  9. History of suicidal behavior within the last 1 year prior to screening.
  10. Patients who have received an investigational drug within 30 days prior to screening.
  11. Use of any excluded medication at screening or anticipated/required use during the study period.
  12. Patients with a history of intolerance to morphine.
  13. Any finding that, in the view of the investigator, would compromise the patient's ability to fulfill the protocol visit schedule or visit requirements.

Sites / Locations

  • BioXcel Clinical Research SiteRecruiting
  • BioXcel Clinical Research SiteRecruiting
  • BioXcel Clinical Research SiteRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Cohort 1- 30 Micrograms

Cohort 2- 60 Micrograms

Cohort 3- 90 Micrograms

Cohort 4- 120 Micrograms

Cohort 5- 180 Micrograms

Cohort 6- Placebo

Arm Description

Sublingual film containing 30 Micrograms Dexmedetomidine

Sublingual film containing 60 Micrograms Dexmedetomidine

Sublingual film containing 90 Micrograms Dexmedetomidine

Sublingual film containing 120 Micrograms Dexmedetomidine

Sublingual film containing 180 Micrograms Dexmedetomidine

Sublingual placebo film

Outcomes

Primary Outcome Measures

Incidence of Adverse Events
Incidence of Adverse Events
Reasons for withdrawal related to safety
Listings of subjects who withdraw from the study due to an AE, serious AEs and/or death or lack of treatment effect
Incidence of abnormal vital signs
Incidence of abnormal vital signs

Secondary Outcome Measures

Peak SOWS (Subjective Opiate Withdrawal Scale) scores
After the morphine maintenance phase, treatment differences between BXCL501 and placebo on peak SOWS (Subjective Opiate Withdrawal Scale, range 0-64 with higher score meaning worse outcome) scores will be analyzed using linear regression or Mixed Model Repeated Measures [MMRM].

Full Information

First Posted
July 1, 2020
Last Updated
July 9, 2020
Sponsor
BioXcel Therapeutics Inc
Collaborators
Cognitive Research Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT04470050
Brief Title
Dexmedetomidine in the Treatment of Symptoms Of Acute Opioid Withdrawal
Acronym
RELEASE
Official Title
A Phase 1b/2 Randomized, Double-Blind, Placebo-Controlled, Ascending- Dose Study of BXCL501 to Treat Symptoms of Acute Opioid Withdrawal in Patients With Opioid Use Disorder Who Are Physically Dependent on Opioids
Study Type
Interventional

2. Study Status

Record Verification Date
July 2020
Overall Recruitment Status
Recruiting
Study Start Date
June 12, 2020 (Actual)
Primary Completion Date
December 31, 2020 (Anticipated)
Study Completion Date
December 31, 2020 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
BioXcel Therapeutics Inc
Collaborators
Cognitive Research Corporation

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a dose-ranging study to support the safety and efficacy evaluation of BXCL501 to treat the symptoms of acute opioid withdrawal. The BXCL501-201 study is designed to characterize the efficacy, safety, tolerability, and pharmacokinetics of escalating doses of BXCL501 (sublingual film formulation of DEX, HCl) versus placebo following discontinuation of morphine maintenance in patients with opioid use disorder who are physically dependent on opioids.
Detailed Description
The study will enroll approximately 125 patients randomized 4:1 to dose regimens of twice a day dosing of 30µg, 60µg, 90µg, 120µg, and 180µg of BXCL501 or placebo. Male and female adults with opioid use disorder who are physically dependent on opioids will be enrolled to treat symptoms of acute opioid withdrawal following discontinuation of morphine maintenance. Patients will be domiciled in an inpatient unit to remain under medical supervision after deemed eligible for the study. Efficacy and safety assessments will be conducted periodically before and after dosing.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Opioid Withdrawal

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Model Description
Phase 1b/2, randomized, double-blind, placebo-controlled, ascending dose
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Double-blind, placebo-controlled
Allocation
Randomized
Enrollment
125 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1- 30 Micrograms
Arm Type
Experimental
Arm Description
Sublingual film containing 30 Micrograms Dexmedetomidine
Arm Title
Cohort 2- 60 Micrograms
Arm Type
Experimental
Arm Description
Sublingual film containing 60 Micrograms Dexmedetomidine
Arm Title
Cohort 3- 90 Micrograms
Arm Type
Experimental
Arm Description
Sublingual film containing 90 Micrograms Dexmedetomidine
Arm Title
Cohort 4- 120 Micrograms
Arm Type
Experimental
Arm Description
Sublingual film containing 120 Micrograms Dexmedetomidine
Arm Title
Cohort 5- 180 Micrograms
Arm Type
Experimental
Arm Description
Sublingual film containing 180 Micrograms Dexmedetomidine
Arm Title
Cohort 6- Placebo
Arm Type
Placebo Comparator
Arm Description
Sublingual placebo film
Intervention Type
Drug
Intervention Name(s)
Sublingual film containing Dexmedetomidine (BXCL501)
Intervention Description
Sublingual film containing Dexmedetomidine (BXCL501)
Intervention Type
Drug
Intervention Name(s)
Placebo film for BXCL501
Intervention Description
Placebo film for BXCL501
Primary Outcome Measure Information:
Title
Incidence of Adverse Events
Description
Incidence of Adverse Events
Time Frame
14 days
Title
Reasons for withdrawal related to safety
Description
Listings of subjects who withdraw from the study due to an AE, serious AEs and/or death or lack of treatment effect
Time Frame
14 days
Title
Incidence of abnormal vital signs
Description
Incidence of abnormal vital signs
Time Frame
14 days
Secondary Outcome Measure Information:
Title
Peak SOWS (Subjective Opiate Withdrawal Scale) scores
Description
After the morphine maintenance phase, treatment differences between BXCL501 and placebo on peak SOWS (Subjective Opiate Withdrawal Scale, range 0-64 with higher score meaning worse outcome) scores will be analyzed using linear regression or Mixed Model Repeated Measures [MMRM].
Time Frame
14 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: A patient will be eligible for inclusion in the study if he or she meets the following criteria: Male and female patients between the ages of 18-64, inclusive. Patients who have met DSM-5 criteria for moderate to severe opioid use disorder confirmed by the Mini-International Neuropsychiatric Interview (MINI) with physiological dependence as evidenced by a Clinical Opiate Withdrawal (COWS) score of >5 or a positive naloxone challenge upon inpatient admission. Patients who read, understand, and provide written informed consent. Participants who agree to use a medically acceptable and effective birth control method. Exclusion Criteria: A patient will be excluded from the study if he or she meets the following criteria: Female patients who have a positive urine pregnancy test at screening or when tested or currently breast feeding. Clinically significant history of cardiac disease. History or presence of a significant medical disease or disorder. Hepatic dysfunction at the screening visit. Acute active Hepatitis B or C. Patients with ECG abnormalities considered clinically significant by the investigator. Any psychiatric disorder that would compromise ability to complete study requirements. Currently meets DSM-5 criteria for substance abuse disorder, moderate or severe, for any substance other than opioids, caffeine, or nicotine. History of suicidal behavior within the last 1 year prior to screening. Patients who have received an investigational drug within 30 days prior to screening. Use of any excluded medication at screening or anticipated/required use during the study period. Patients with a history of intolerance to morphine. Any finding that, in the view of the investigator, would compromise the patient's ability to fulfill the protocol visit schedule or visit requirements.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Cedric Burg
Phone
475-238-6837
Email
cburg@bioxceltherapeutics.com
Facility Information:
Facility Name
BioXcel Clinical Research Site
City
Miami Lakes
State/Province
Florida
ZIP/Postal Code
33016
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
BioXcel CTM
Phone
475-238-6837
Email
info@bioxceltherapeutics.com
Facility Name
BioXcel Clinical Research Site
City
Marlton
State/Province
New Jersey
ZIP/Postal Code
08053
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
BioXcel CTM
Phone
475-238-6837
Email
info@bioxceltherapeutics.com
Facility Name
BioXcel Clinical Research Site
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
BioXcel CTM
Phone
475-238-6837
Email
info@bioxceltherapeutics.com

12. IPD Sharing Statement

Learn more about this trial

Dexmedetomidine in the Treatment of Symptoms Of Acute Opioid Withdrawal

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