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Active Not RecruitingNCT03345173

Facilitating Rapid Naltrexone Initiation

Glutamatergic Modulation to Facilitate Naltrexone Initiation: A Randomized, Controlled Trial

Status
Active Not Recruiting
Phase
Phase 3
Study type
Interventional
Enrollment
100 (estimated)
Sponsor
New York State Psychiatric Institute · Academic / Other
Sex
All
Age
18 Years – 70 Years
Healthy volunteers
Accepted

Summary

The incidence of opioid use disorders (OUDs) has increased to near-epidemic proportions. While maintenance with long-acting opioids such as methadone or buprenorphine represents an effective treatment strategy, it may be unacceptable to many individuals. As a result, long-acting injectable naltrexone (XR-NTX), an antagonist medication that blocks the effects of opioids for at least 4 weeks, is now indicated for relapse prevention following detoxification. This randomized, controlled trial aims to test the efficacy of a glutamate modulator at facilitating a rapid non-opioid based naltrexone induction.

Detailed description

This study combines a nonopioid detoxification; a naltrexone titration schedule that allows for pushing the dose rapidly while monitoring closely to ensure tolerability; and infusions integrated into the treatment in such a way as to potentially ameliorate spontaneous and precipitated withdrawal. The first part of the treatment trial involves receiving inpatient treatment for up to 5 days. Following week 1, participants will meet with staff twice weekly and receive 12 weeks of mindfulness based relapse prevention and motivational interviewing sessions.

Conditions

Interventions

TypeNameDescription
DRUGCI-581-aTwo infusions in the context of naltrexone induction protocol.
DRUGCI-581-bTwo infusions in the context of naltrexone induction protocol.

Timeline

Start date
2017-11-25
Primary completion
2024-10-01
Completion
2024-10-01
First posted
2017-11-17
Last updated
2024-02-02

Locations

1 site across 1 country: United States

Regulatory

Source: ClinicalTrials.gov record NCT03345173. Inclusion in this directory is not an endorsement.