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Pharmacokinetics, Safety, and Tolerability of Depot Buprenorphine at Three Different Molecular Weights in Treatment-Seeking Subjects With Opioid Use Disorder

Primary Purpose

Opioid Use Disorder

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
RBP-6000
SUBOXONE Sublingual Film
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 Buprenorphine, opioid use disorder

Eligibility Criteria

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

Inclusion Criteria:

  • Currently meets DSM-5 criteria for moderate or severe opioid use disorder (OUD)
  • Is seeking treatment for OUD
  • Body mass index: ≥ 18.0 to ≤ 35.0 kg/m^2
  • Females: Female individuals of childbearing potential (defined as all women who are not surgically sterile or postmenopausal for at least 1 year prior to informed consent) must have a negative serum pregnancy test prior to enrollment and must agree to use a medically acceptable means of contraception from Screening through at least 6 months after the last dose of Investigational Medicinal Product (IMP).
  • Males: Male individuals with female partners of child-bearing potential must agree to use medically acceptable contraception after signing the informed consent form through at least 6 months after the last dose of IMP. Male individuals must also agree not to donate sperm during the study and for 6 months after receiving the last dose of IMP.
  • Have a normal electrocardiogram (ECG) or ECG with no clinically significant findings in the opinion of the Investigator or medically qualified sub-investigator at Screening and through pre-dose on Day 1.
  • Agree not to take any buprenorphine-containing products, other than those administered for the current study, throughout the duration of the study.
  • Willing to adhere to study procedures and provide written informed consent prior to start of any study procedures.

Exclusion Criteria:

  • Current diagnosis, other than OUD, requiring chronic opioid treatment.
  • Pregnant or lactating females.
  • Have an ECG demonstrating a corrected QT interval using Fridericia's calculation (QTcF) > 450 msec in males and QTcF > 470 msec in females upon admission to the residential facility or prior to administration of RBP-6000.
  • Currently meet the criteria for diagnosis of moderate or severe substance use disorder, by DSM-5 criteria, for any substances other than opioids, and/or tobacco.
  • Had a significant traumatic injury, major surgery, or open biopsy within the 4 weeks prior to signing the informed consent form.
  • Used buprenorphine-containing products within the 14 days prior to signing the informed consent form.
  • Have a history of suicidal ideation within the 30 days prior to signing the informed consent form or prior to study drug administration
  • Have a history or presence of allergic or adverse response (including rash or anaphylaxis) to buprenorphine, naloxone, methadone, or the ATRIGEL Delivery System.
  • Individuals who have a positive urine drug screen (UDS) prior to admission to the residential facility for barbiturates, benzodiazepines, buprenorphine, or methadone.

Sites / Locations

  • Vince & Associates Clinical Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

RBP-6000 - Light MW

RBP-6000 - Heavy MW

RBP-6000 - Intermediate MW

Arm Description

Single subcutaneous injection of RBP-6000 (buprenorphine) 300 mg, formulated with a light molecular weight (MW) polymer.

Single subcutaneous injection of RBP-6000 (buprenorphine) 300 mg, formulated with a heavy molecular weight (MW) polymer.

Single subcutaneous injection of RBP-6000 (buprenorphine) 300 mg, formulated with an intermediate molecular weight (MW) polymer (reference).

Outcomes

Primary Outcome Measures

Area Under the Concentration-Time Curve from Study Day 1 to Day 29 (AUC0-28days) of Buprenorphine
Relative bioavailability will be assessed using AUC0-28days.
Maximum Observed Plasma Concentration (Cmax) of Buprenorphine
Relative bioavailability will also be assessed using Cmax

Secondary Outcome Measures

Area Under the Concentration-Time Curve from Study Day 1 to Day 29 (AUC0-28days) of Norbuprenorphine
Maximum Observed Plasma Concentration (Cmax) of Norbuprenorphine
Participants with Treatment-Emergent Adverse Events

Full Information

First Posted
September 23, 2015
Last Updated
January 30, 2017
Sponsor
Indivior Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02559973
Brief Title
Pharmacokinetics, Safety, and Tolerability of Depot Buprenorphine at Three Different Molecular Weights in Treatment-Seeking Subjects With Opioid Use Disorder
Official Title
A Single-Center, Randomized, Open-Label, Single-Dose Study to Evaluate the Pharmacokinetics, Safety, and Tolerability of Depot Buprenorphine (RBP-6000) Using Poly (DL-lactide-co-glycolide) Polymer of Two Different Molecular Weights (Low and High Molecular Weights as Test Treatments) in Comparison to Intermediate Molecular Weight (Reference Treatment) in Treatment-Seeking Subjects With Opioid Use Disorder
Study Type
Interventional

2. Study Status

Record Verification Date
January 2017
Overall Recruitment Status
Completed
Study Start Date
September 2015 (undefined)
Primary Completion Date
February 2016 (Actual)
Study Completion Date
March 2016 (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
This is a single-center, randomized, open-label, single-dose, parallel-group study which will enroll and randomize approximately 48 subjects (to achieve 36 completers) with opioid use disorder (OUD) who are seeking treatment for OUD. The study includes both a Residential (Inpatient) and Non-Residential (Outpatient) Period.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Opioid Use Disorder
Keywords
Buprenorphine, opioid use disorder

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
47 (Actual)

8. Arms, Groups, and Interventions

Arm Title
RBP-6000 - Light MW
Arm Type
Experimental
Arm Description
Single subcutaneous injection of RBP-6000 (buprenorphine) 300 mg, formulated with a light molecular weight (MW) polymer.
Arm Title
RBP-6000 - Heavy MW
Arm Type
Experimental
Arm Description
Single subcutaneous injection of RBP-6000 (buprenorphine) 300 mg, formulated with a heavy molecular weight (MW) polymer.
Arm Title
RBP-6000 - Intermediate MW
Arm Type
Active Comparator
Arm Description
Single subcutaneous injection of RBP-6000 (buprenorphine) 300 mg, formulated with an intermediate molecular weight (MW) polymer (reference).
Intervention Type
Drug
Intervention Name(s)
RBP-6000
Other Intervention Name(s)
buprenorphine
Intervention Description
RBP-6000 uses buprenorphine in the ATRIGEL Delivery System. The single-syringe is prefilled with RBP-6000 containing 300 mg buprenorphine.
Intervention Type
Drug
Intervention Name(s)
SUBOXONE Sublingual Film
Other Intervention Name(s)
buprenorphine HCl and naloxone HCl dihydrate
Intervention Description
Subjects will be dose-stabilized on SUBOXONE sublingual film prior to administration of RBP-6000. SUBOXONE sublingual film will be administered beginning after the subject is experiencing signs and symptoms of withdrawal on Day -8 and continue until Day -1.
Primary Outcome Measure Information:
Title
Area Under the Concentration-Time Curve from Study Day 1 to Day 29 (AUC0-28days) of Buprenorphine
Description
Relative bioavailability will be assessed using AUC0-28days.
Time Frame
Day 1 to Day 29
Title
Maximum Observed Plasma Concentration (Cmax) of Buprenorphine
Description
Relative bioavailability will also be assessed using Cmax
Time Frame
Day 1 to Day 57
Secondary Outcome Measure Information:
Title
Area Under the Concentration-Time Curve from Study Day 1 to Day 29 (AUC0-28days) of Norbuprenorphine
Time Frame
Day 1 to Day 29
Title
Maximum Observed Plasma Concentration (Cmax) of Norbuprenorphine
Time Frame
Day 1 to Day 57
Title
Participants with Treatment-Emergent Adverse Events
Time Frame
Day 1 to Day 57

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: Currently meets DSM-5 criteria for moderate or severe opioid use disorder (OUD) Is seeking treatment for OUD Body mass index: ≥ 18.0 to ≤ 35.0 kg/m^2 Females: Female individuals of childbearing potential (defined as all women who are not surgically sterile or postmenopausal for at least 1 year prior to informed consent) must have a negative serum pregnancy test prior to enrollment and must agree to use a medically acceptable means of contraception from Screening through at least 6 months after the last dose of Investigational Medicinal Product (IMP). Males: Male individuals with female partners of child-bearing potential must agree to use medically acceptable contraception after signing the informed consent form through at least 6 months after the last dose of IMP. Male individuals must also agree not to donate sperm during the study and for 6 months after receiving the last dose of IMP. Have a normal electrocardiogram (ECG) or ECG with no clinically significant findings in the opinion of the Investigator or medically qualified sub-investigator at Screening and through pre-dose on Day 1. Agree not to take any buprenorphine-containing products, other than those administered for the current study, throughout the duration of the study. Willing to adhere to study procedures and provide written informed consent prior to start of any study procedures. Exclusion Criteria: Current diagnosis, other than OUD, requiring chronic opioid treatment. Pregnant or lactating females. Have an ECG demonstrating a corrected QT interval using Fridericia's calculation (QTcF) > 450 msec in males and QTcF > 470 msec in females upon admission to the residential facility or prior to administration of RBP-6000. Currently meet the criteria for diagnosis of moderate or severe substance use disorder, by DSM-5 criteria, for any substances other than opioids, and/or tobacco. Had a significant traumatic injury, major surgery, or open biopsy within the 4 weeks prior to signing the informed consent form. Used buprenorphine-containing products within the 14 days prior to signing the informed consent form. Have a history of suicidal ideation within the 30 days prior to signing the informed consent form or prior to study drug administration Have a history or presence of allergic or adverse response (including rash or anaphylaxis) to buprenorphine, naloxone, methadone, or the ATRIGEL Delivery System. Individuals who have a positive urine drug screen (UDS) prior to admission to the residential facility for barbiturates, benzodiazepines, buprenorphine, or methadone.
Facility Information:
Facility Name
Vince & Associates Clinical Research
City
Overland Park
State/Province
Kansas
ZIP/Postal Code
66212
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Pharmacokinetics, Safety, and Tolerability of Depot Buprenorphine at Three Different Molecular Weights in Treatment-Seeking Subjects With Opioid Use Disorder

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