Buprenorphine Dose Escalation Trial for Treatment of Non-Dependent Opiate Users - 2

PK 0396 - Buprenorphine Dose Escalation Trial

The purpose of this study is to evaluate the effect, pharmacokinetics and dose proportionality of buprenorphine when administered to non-dependent opiate users. 1) To evaluate whether plasma concentrations of buprenorphine increase proportionally to buprenorphine dose. 2) To evaluate the dose-response of subjective and physiological effects of buprenorphine; and 3) To determine the safety of buprenorphine.

Study Overview

• Status: Completed
• Conditions: Substance-Related Disorders; Opioid-Related Disorders
• Intervention / Treatment: Drug: Buprenorphine

Detailed Description

This will be an open-label, single dose-escalation trial. A total of 24 opiate experienced, but not dependent subjects will receive four ascending doses of buprenorphine, 4, 8, 16, and 24 mg, respectively, with an at least a 14 day washout interval between treatments. The four treatments are sublingual administration of:

1. two 2-mg buprenorphine sublingual tablets,
2. one 8-mg buprenorphine sublingual tablet,
3. two 8-mg buprenorphine sublingual tablets; and
4. three 8-mg buprenorphine sublingual tablets.

The dose proportionality in plasma profiles of buprenorphine and dose response of the buprenorphine sublingual tablets are evaluated at buprenorphine dose range of 4 to 24 mg.

• Study Type: Interventional
• Phase: Phase 1

Contacts and Locations

Study Locations

• United States
  • Ohio
    • Cincinnati, Ohio, United States, 45220
      • Cincinnati MDRU

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 21 years to 45 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

1. Be male or female of any race, between 21 and 45 years of age.
2. Weigh within 15% of ideal body weight for height according to the current life insurance table.
3. Be in good physical and mental health as judged by interview and physical examination.
4. Have no significant oral cavity pathology including excessive caries, gingivitis, infectious or inflammatory disease, or recent piercing of the oral cavity.
5. Be experienced in illicit use of opiates but not be physically dependent on opiates and other drugs (except nicotine or caffeine) at the time of the study. A history of other psychoactive drug use is acceptable but preference will be for subjects reporting less frequent and more controlled illicit drug use.
6. For female subjects, test nonpregnant and use adequate birth control, and not be lactating.
7. Be capable of providing written informed consent to participate in this study.
8. Be able to comply with protocol requirements and be likely to complete all four study treatments.

Exclusion Criteria:

1. Have a diagnosis of drug addiction (other than nicotine, caffeine, and opiate) as per DSM-IV criteria.
2. Have any significant, active medical or psychiatric illnesses (other than drug dependence) which might inhibit their ability to complete the study or might be complicated by administration of study medications.
3. Have clinically significant abnormal laboratory measurements in liver function tests (AST and ALT levels greater than 3 times the upper limit of normal), hematology (CBC, differential, platelet count), serum chemistries (SMA-24) and urinalysis at screening.
4. Test positive on the HIV blood screen.
5. Have a history of significant hepatic, renal, endocrine, cardiac, nervous, psychiatric, gastrointestinal, pulmonary, hematologic or metabolic disorders.
6. Have known hypersensitivity to buprenorphine and its derivatives or opiates or opiate-like analgesics.
7. Receive any medications for medical conditions.
8. Have any condition or history considered by the investigator(s) to place the subjects at increased risk.
9. Do not actively meet the inclusion criteria at the time of screening.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment

What is the study measuring?

Primary Outcome Measures

Outcome Measure
PK parameters of buprenorphine
Intoxication and withdrawal

Collaborators and Investigators

• Sponsor: National Institute on Drug Abuse (NIDA)
• Collaborators: Cincinnati MDRU
• Investigators: Principal Investigator: Eugene Somoza, M.D., Ph.D., Cincinnati MDRU

Study record dates

Study Major Dates

• Study Start: November 1, 1996
• Primary Completion (Actual): June 1, 1998
• Study Completion (Actual): July 1, 1998

Study Registration Dates

• First Submitted: April 18, 2001
• First Submitted That Met QC Criteria: April 17, 2001
• First Posted (Estimate): April 18, 2001

Study Record Updates

• Last Update Posted (Estimate): January 12, 2017
• Last Update Submitted That Met QC Criteria: January 11, 2017
• Last Verified: July 1, 1998

More Information

Terms related to this study

• Keywords: opiate dependence
• Additional Relevant MeSH Terms: Mental Disorders; Chemically-Induced Disorders; Pathologic Processes; Narcotic-Related Disorders; Substance-Related Disorders; Disease; Opioid-Related Disorders; Physiological Effects of Drugs; Central Nervous System Depressants; Peripheral Nervous System Agents; Analgesics; Sensory System Agents; Analgesics, Opioid; Narcotics; Narcotic Antagonists; Buprenorphine
• Other Study ID Numbers: NIDA-5-0012-2; Y01-5-0012-2