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Evaluation of Buprenorphine Extended-Release Subcutaneous Injection at Alternative Injection Locations

Primary Purpose

Opioid Use Disorder

Status
Active
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Buprenorphine Extended-Release Injection
Sponsored by
Indivior Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Opioid Use Disorder focused on measuring medicine for opioid use disorder (MOUD)

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Signed the informed consent form (ICF) and have the ability to comply with the requirements and restrictions listed therein. Sex: male or female. Between the ages of 18 and 65 years inclusive, at the time of signing the ICF. Currently meets Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) criteria for moderate or severe opioid use disorder (OUD), or documented history of moderate to severe OUD and receiving/stabilized on medicine for opioid use disorder (MOUD). Body mass index: ≥ 18.0 to ≤ 33.0 kg/m^2. New to treatment and seeking MOUD, or currently prescribed transmucosal (TM) buprenorphine (BUP) for OUD at the dose of 12 mg daily or can dose adjust to 12 mg daily. Agree not to take any BUP-containing products, other than those administered for the current study, throughout the duration of the study. Exclusion Criteria: Has current diagnosis, other than OUD, requiring chronic opioid treatment. Has concurrent primary substance use disorder, as defined by DSM-5 criteria, other than opioid, tobacco, cannabis, or mild to moderate alcohol use disorders. Has target areas unsuitable for subcutaneous injections or evaluation of injections site (eg, nodules, scarring, lesions, excessive pigment) in the areas designated for possible injection in the study. Has had significant traumatic injury or major surgical procedure (as defined by the investigator) within 30 days prior to the first dose of SUBLOCADE or still recovering from prior such injury or surgery. Known personal and/or family history of congenital QT prolongation, or taking Class IA antiarrhythmic medications (eg, quinidine, procainamide, disopyramide) or Class III antiarrhythmic medications (eg, sotalol, amiodarone) or other medications that prolong the QT interval. Known family history of sudden unexplained death. Currently taking (within the 30 days prior to signing the ICF) prescription or over-the-counter medications that are clinically relevant CYP 3A4 or CYP 2C8 inducers or inhibitors (eg, rifampin, azole antifungals [eg, ketoconazole], macrolide antibiotics [eg, erythromycin]). Has history of suicidal ideation within 30 days prior to informed consent or history of a suicide attempt in the 6 months prior to informed consent. Has any active medical condition, or psychiatric illness, or social/legal situation (including court order requiring treatment for OUD), or organ disease, or concurrent medication/treatment that may compromise participant safety, interfere with study endpoints, or limit compliance with study requirements, or compromise the ability of the participant to provide written informed consent. Moderate or severe hepatic impairment (Child-Pugh B or C). Has known allergy or hypersensitivity to BUP or any component of the ATRIGEL Delivery System. Concurrent or has had prior treatment with any BUP long-acting injectable product (eg, SUBLOCADE) in the past 3 years prior to consent; or treatment with depot naltrexone within the 3 months prior to consent. Treatment with another investigational agent within 30 days prior to Screening or enrollment in another clinical study (except for an observational study). Concurrent treatment with medications contraindicated for use with BUP as per local prescribing information. Is a member of site staff, has a financial interest in Indivior, or is an immediate family member of anyone directly involved in the study (ie, site staff or Indivior employee).

Sites / Locations

  • Artemis Institute for Clinical Research
  • Research Centers of America
  • Miami Lakes Medical Research
  • Rivus Wellness and Research Institute
  • InSite Clinical Research, LLC
  • Pillar Clinical Research, LLC

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Active Comparator

Experimental

Experimental

Experimental

Arm Label

Extended-release Buprenorphine: Abdomen

Extended-release Buprenorphine: Upper Arm

Extended-release Buprenorphine: Buttocks

Extended-release Buprenorphine: Thigh

Arm Description

Participants will receive a single, subcutaneous injection of 300 mg extended-release buprenorphine in the abdomen on Day 1.

Participants will receive a single, subcutaneous injection of 300 mg extended-release buprenorphine in the back of the upper arm on Day 1.

Participants will receive a single, subcutaneous injection of 300 mg extended-release buprenorphine in the buttocks on Day 1.

Participants will receive a single, subcutaneous injection of 300 mg extended-release buprenorphine in the thigh on Day 1.

Outcomes

Primary Outcome Measures

Area Under the Concentration-time Curve from Study Day 1 to Day 29 (AUC0-28days) of Buprenorphine
Maximum Observed Plasma Concentration (Cmax) of Buprenorphine

Secondary Outcome Measures

Participants with Treatment-emergent Adverse Events
Number of Participants with Treatment-emergent Adverse Events Identified as Injection Site Reactions
Number of Participants with Treatment-emergent Serious Adverse Events
Injection Site Grading
Injection sites will be assessed for pain, tenderness, erythema/redness, induration, or swelling. Local injection site tolerability will be assigned a severity grade, including none (grade 0), mild (grade 1), moderate (grade 2), severe (grade 3), or potentially life-threatening (grade 4) utilizing the Injection Site Grading Scale.
Injection Site Pain
Measured on a 100 mm visual analog scale (VAS), where 0 represents no pain and 100 represents maximum pain.

Full Information

First Posted
January 19, 2023
Last Updated
September 26, 2023
Sponsor
Indivior Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05704543
Brief Title
Evaluation of Buprenorphine Extended-Release Subcutaneous Injection at Alternative Injection Locations
Official Title
A Single-Dose Study to Evaluate the Relative Bioavailability, Safety, and Tolerability of SUBLOCADE at Alternative Injection Locations in Adults
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
March 1, 2023 (Actual)
Primary Completion Date
October 31, 2023 (Anticipated)
Study Completion Date
October 31, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Indivior Inc.

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
Extended-release buprenorphine (SUBLOCADE®) injection is currently approved for subcutaneous administration in 4 different quadrants of the abdomen for treatment of opioid use disorder (OUD). Injection locations are rotated to minimize irritation. Having 1 or more alternate injection sites is desirable for patients who may be taking SUBLOCADE for extended durations, based upon clinical response. The primary objective of this study is to assess the relative bioavailability of extended-release buprenorphine when administered at alternative injection locations (test treatments), in comparison to the abdomen (reference treatment).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Opioid Use Disorder
Keywords
medicine for opioid use disorder (MOUD)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
88 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Extended-release Buprenorphine: Abdomen
Arm Type
Active Comparator
Arm Description
Participants will receive a single, subcutaneous injection of 300 mg extended-release buprenorphine in the abdomen on Day 1.
Arm Title
Extended-release Buprenorphine: Upper Arm
Arm Type
Experimental
Arm Description
Participants will receive a single, subcutaneous injection of 300 mg extended-release buprenorphine in the back of the upper arm on Day 1.
Arm Title
Extended-release Buprenorphine: Buttocks
Arm Type
Experimental
Arm Description
Participants will receive a single, subcutaneous injection of 300 mg extended-release buprenorphine in the buttocks on Day 1.
Arm Title
Extended-release Buprenorphine: Thigh
Arm Type
Experimental
Arm Description
Participants will receive a single, subcutaneous injection of 300 mg extended-release buprenorphine in the thigh on Day 1.
Intervention Type
Drug
Intervention Name(s)
Buprenorphine Extended-Release Injection
Other Intervention Name(s)
SUBLOCADE®
Intervention Description
Administered as a subcutaneous injection.
Primary Outcome Measure Information:
Title
Area Under the Concentration-time Curve from Study Day 1 to Day 29 (AUC0-28days) of Buprenorphine
Time Frame
Day 1 at predose and at 1, 2, 4, 6, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, and 48 hours post-dose and on Days 4, 6, 8, 11, 15, 18, 22, 25, and 29
Title
Maximum Observed Plasma Concentration (Cmax) of Buprenorphine
Time Frame
Day 1 at predose and at 1, 2, 4, 6, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, and 48 hours post-dose and on Days 4, 6, 8, 11, 15, 18, 22, 25, and 29
Secondary Outcome Measure Information:
Title
Participants with Treatment-emergent Adverse Events
Time Frame
28 days
Title
Number of Participants with Treatment-emergent Adverse Events Identified as Injection Site Reactions
Time Frame
28 days
Title
Number of Participants with Treatment-emergent Serious Adverse Events
Time Frame
28 days
Title
Injection Site Grading
Description
Injection sites will be assessed for pain, tenderness, erythema/redness, induration, or swelling. Local injection site tolerability will be assigned a severity grade, including none (grade 0), mild (grade 1), moderate (grade 2), severe (grade 3), or potentially life-threatening (grade 4) utilizing the Injection Site Grading Scale.
Time Frame
Day 1 at 10 minutes and 2 hours post dosing
Title
Injection Site Pain
Description
Measured on a 100 mm visual analog scale (VAS), where 0 represents no pain and 100 represents maximum pain.
Time Frame
Day 1 at 1, 5, 10, 15, and 30 minutes post dosing

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Signed the informed consent form (ICF) and have the ability to comply with the requirements and restrictions listed therein. Sex: male or female. Between the ages of 18 and 65 years inclusive, at the time of signing the ICF. Currently meets Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) criteria for moderate or severe opioid use disorder (OUD), or documented history of moderate to severe OUD and receiving/stabilized on medicine for opioid use disorder (MOUD). Body mass index: ≥ 18.0 to ≤ 33.0 kg/m^2. New to treatment and seeking MOUD, or currently prescribed transmucosal (TM) buprenorphine (BUP) for OUD at the dose of 12 mg daily or can dose adjust to 12 mg daily. Agree not to take any BUP-containing products, other than those administered for the current study, throughout the duration of the study. Exclusion Criteria: Has current diagnosis, other than OUD, requiring chronic opioid treatment. Has concurrent primary substance use disorder, as defined by DSM-5 criteria, other than opioid, tobacco, cannabis, or mild to moderate alcohol use disorders. Has target areas unsuitable for subcutaneous injections or evaluation of injections site (eg, nodules, scarring, lesions, excessive pigment) in the areas designated for possible injection in the study. Has had significant traumatic injury or major surgical procedure (as defined by the investigator) within 30 days prior to the first dose of SUBLOCADE or still recovering from prior such injury or surgery. Known personal and/or family history of congenital QT prolongation, or taking Class IA antiarrhythmic medications (eg, quinidine, procainamide, disopyramide) or Class III antiarrhythmic medications (eg, sotalol, amiodarone) or other medications that prolong the QT interval. Known family history of sudden unexplained death. Currently taking (within the 30 days prior to signing the ICF) prescription or over-the-counter medications that are clinically relevant CYP 3A4 or CYP 2C8 inducers or inhibitors (eg, rifampin, azole antifungals [eg, ketoconazole], macrolide antibiotics [eg, erythromycin]). Has history of suicidal ideation within 30 days prior to informed consent or history of a suicide attempt in the 6 months prior to informed consent. Has any active medical condition, or psychiatric illness, or social/legal situation (including court order requiring treatment for OUD), or organ disease, or concurrent medication/treatment that may compromise participant safety, interfere with study endpoints, or limit compliance with study requirements, or compromise the ability of the participant to provide written informed consent. Moderate or severe hepatic impairment (Child-Pugh B or C). Has known allergy or hypersensitivity to BUP or any component of the ATRIGEL Delivery System. Concurrent or has had prior treatment with any BUP long-acting injectable product (eg, SUBLOCADE) in the past 3 years prior to consent; or treatment with depot naltrexone within the 3 months prior to consent. Treatment with another investigational agent within 30 days prior to Screening or enrollment in another clinical study (except for an observational study). Concurrent treatment with medications contraindicated for use with BUP as per local prescribing information. Is a member of site staff, has a financial interest in Indivior, or is an immediate family member of anyone directly involved in the study (ie, site staff or Indivior employee).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Global Director Clinical Development
Organizational Affiliation
Indivior Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Artemis Institute for Clinical Research
City
San Diego
State/Province
California
ZIP/Postal Code
92103
Country
United States
Facility Name
Research Centers of America
City
Hollywood
State/Province
Florida
ZIP/Postal Code
33024
Country
United States
Facility Name
Miami Lakes Medical Research
City
Miami Lakes
State/Province
Florida
ZIP/Postal Code
33016
Country
United States
Facility Name
Rivus Wellness and Research Institute
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73112
Country
United States
Facility Name
InSite Clinical Research, LLC
City
DeSoto
State/Province
Texas
ZIP/Postal Code
75115
Country
United States
Facility Name
Pillar Clinical Research, LLC
City
Richardson
State/Province
Texas
ZIP/Postal Code
75080
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Evaluation of Buprenorphine Extended-Release Subcutaneous Injection at Alternative Injection Locations

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