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Phase 2 N=103 Randomized Quadruple-blind Treatment

Medications Development for Drug Abuse Disorders

Opioid Related Disorders · Opioid Dependence · Opioid Addiction

Enrolled (actual)
103
Serious AEs
0.0%
Results posted
Jul 2017
Primary outcome: Primary: Mean Ratings on Clinical Opiate Withdrawal Scale (COWS) Measure of Withdrawal During Double-blind Taper (7-days) and Post-taper (7-days) Period. — 7.79; 8.41; 8.28; 6.16 units on a scale — p=.275

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Buprenorphine/naloxone (Drug); Clonidine (Drug); Tramadol ER (Drug)
Age
Adult · 18+ yrs
Sex
All
Sponsor
Johns Hopkins University
Primary completion
Jun 2015

Outcome Measures

OutcomeResultp-value
PRIMARY
Mean Ratings on Clinical Opiate Withdrawal Scale (COWS) Measure of Withdrawal During Double-blind Taper (7-days) and Post-taper (7-days) Period.
7.79; 8.41; 8.28; 6.16; 6.10; 8.00 .275

Summary

This is a study of tramadol as an agent for short-term opioid withdrawal treatment. A randomized, double blind clinical trial comparing the efficacy and safety of tramadol to clonidine and buprenorphine in the short-term treatment of opioid withdrawal will be conducted. Opioid dependent participants will be treated on a residential unit. The primary outcome measure is opioid withdrawal symptoms.

Eligibility Criteria

Inclusion/Exclusion Criteria:

  • Participants in this study will be males and females between the ages of 18 and 60 years.
  • Applicants must be opioid dependent based upon the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) (SCID); in addition, they must have an opioid positive urine during the screening process (or have evidence of opioid withdrawal).
  • They must be healthy, with no significant medical illnesses (e.g., insulin dependent diabetes), and without significant psychiatric illness (e.g., schizophrenia) besides their drug dependence.
  • Females will have a pregnancy test prior to study enrollment, and if found to be pregnant will be excluded and referred to a substance abuse program for pregnant women (the Center for Addiction and Pregnancy) on the campus.
  • Volunteers will also be excluded if they have pre-admission hypotension (due to the use of clonidine in the study).
  • Applicants with a history of seizures (including substance-related seizures, such as alcohol withdrawal related) will be excluded.
  • Alcohol and/or sedative dependence will be specific exclusionary criteria (given the small risk of seizures associated with tramadol use).
  • Allergies to any of the study medications will be grounds for exclusion.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01188421). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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