AzTrials
AzTrials

ECG EffectsPhase 1NCT01999114

The Effect of Buprenorphine Delivered by Buprenorphine Transdermal System (BTDS) at Doses up to 80 Micrograms/Hour (mcg/hr) and Naltrexone on Electrocardiogram (ECG) Intervals in Healthy Volunteers

A Phase 1 study testing Buprenorphine transdermal patch, Naltrexone tablet and Moxifloxacin tablet in people with ECG Effects, run by Purdue Pharma LP at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the ECG effects of 10, 40, and 80 mcg/hr buprenorphine delivered by BTDS alone, or by BTDS dosed with naltrexone, relative to placebo in healthy male and female subjects. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
ECG Effects
What is being tested?
Buprenorphine transdermal patch, Naltrexone tablet and Moxifloxacin tablet
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
328 participants
Where
1 siteUnited States
Study dates
Mar 2012to Oct 2012
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Provide written informed consent.
  • Males and females aged 18 to 55, inclusive.
  • Body weight ranging from 50 to 100 kilograms (kg) (110 to 220 lbs) and body mass index (BMI) ranging from 18 to 30 (kg/m2), inclusive.
  • Healthy and free of significant abnormal findings as determined by medical history, physical examination, clinical laboratory values, vital signs, and resting 12-lead ECG.
  • Females of child-bearing potential must be using an adequate and reliable method of contraception (ie, barrier with additional spermicidal foam or jelly, intra-uterine device, hormonal contraception). Females who are postmenopausal must have been postmenopausal ≥ 1 year and have elevated serum follicle stimulating hormone (FSH).
  • Willing to eat the food supplied during the study.
  • Willing to refrain from strenuous exercise during the entire study. Subjects will not begin a new exercise program nor participate in any unusually strenuous physical exertion.
  • All 8 anatomical transdermal system (TDS) application sites (upper back, upper chest, upper outer arm, or lateral thorax) must be acceptable for study use.

Who cannot join

  • Females who are pregnant (positive beta human chorionic gonadotropin test) or lactating.
  • Current or recent (within 5 years) history of drug or alcohol abuse.
  • History or any current conditions that might interfere with drug absorption (transdermal or gastrointestinal), distribution, metabolism or excretion.
  • Use of an opioid-containing medication in the past 30 days preceding the initial dose in this study.
  • Known allergy to buprenorphine, any excipient of BTDS, opioids, psychotropic or hypnotic drugs, and/or moxifloxacin or any member of the quinolone class drugs.
  • Any history of frequent nausea or emesis regardless of etiology.
Show all 36Show fewer
  • Any history of seizures or head trauma with sequelae.
  • Participation in a clinical drug study during the 30 days preceding the initial dose in this study.
  • Any significant illness during the 30 days preceding the initial dose in this study.
  • Use of any medication including thyroid hormonal therapy (hormonal contraception and hormonal replacement therapy in the form of estrogen with or without progestin is allowed), vitamins, herbal and/or mineral supplements during the 7 days preceding the initial dose.
  • Any personal or family history of prolonged QT interval or disorders of cardiac rhythm.
  • Abnormal cardiac conditions including hypertension.
  • Abnormal cardiac condition denoted by any of the following:
  • QTcF interval > 450 milliseconds (msec)
  • PR interval > 240 msec or QRS > 110 msec
  • Evidence of second- or third-degree atrioventricular (AV) block
  • Pathological Q-waves (defined as Q-wave >40 msec or depth > 0.5 mV)
  • Evidence of ventricular pre-excitation, complete left bundle branch block, right bundle branch block (RBBB), or incomplete RBBB
  • With a resting heart rate outside the range of 45 to 85 beats per minute (bpm)
  • Abnormalities on physical examination, vital signs, ECG, or clinical laboratory values, unless those abnormalities were judged clinically insignificant by the investigator.
  • Oxygen saturation (SpO2) ≤ 94% as measured by pulse oximetry.
  • Refusal to abstain from caffeine or xanthine containing beverages entirely during confinement.
  • Refusal to abstain from consumption of alcoholic beverages 48 hours prior to initial study drug administration and any time during study.
  • History of smoking or use of nicotine products within 45 days of study drug administration or a positive urine cotinine test
  • Blood or blood products donated within 30 days prior to study drug administration or anytime during the study.
  • Positive results of urine drug screen or alcohol screen.
  • Positive results of hepatitis B surface antigen (HBsAg), hepatitis C antibody (anti-HCV).
  • Positive naloxone challenge test.
  • Presence of Gilbert's Syndrome, or any known hepatobiliary abnormalities.
  • The investigator believes the subject to be unsuitable for reason(s) not specifically stated in the exclusion criteria.
  • Subjects who have allergies or other contraindications to transdermal systems or patch adhesives.
  • Clinically significant history of allergic reaction to wound dressings or elastoplast.
  • Subjects with a dermatological disorder at any relevant patch application site that precludes proper placement and/or rotation of patch.
  • Taking antihistamines within 72 hours prior to dosing or systemic or topical corticosteroids within 3 weeks prior to dosing.
  • Subjects will not allow hair to be removed at the proposed patch application site which may prevent proper placement of the patch.
  • Subjects for whom a proper assessment of possible application site reactions would be confounded by local skin conditions.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • PPD Phase I Clinic

    Austin, Texas, 78744

Other trials in United States

About this study

Official title: A Randomized, Triple-blind, Placebo- and Positive-Controlled, Parallel Group Study of the Effect of Buprenorphine Delivered by the Buprenorphine Transdermal System (BTDS) at Doses up to 80 mcg/Hour and Naltrexone on ECG Intervals in Healthy Adult Subjects

The purpose of this study is to evaluate the ECG effects of 10, 40, and 80 mcg/hr buprenorphine delivered by BTDS alone, or by BTDS dosed with naltrexone, relative to placebo in healthy male and female subjects.

Conditions
ECG Effects
Being tested
Buprenorphine transdermal patch, Naltrexone tablet, Placebos (for TDS and for naltrexone and for moxifloxacin), Moxifloxacin tablet
Keywords
Healthy subjects, Opioid, Transdermal, ECG

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Buprenorphine transdermal patchDrug

    Also called Butrans

    Buprenorphine patch applied transdermally

  • Naltrexone tabletDrug

    Also called ReVia

    Naltrexone tablet; 1 tablet taken orally every 12 hours

  • Placebos (for TDS and for naltrexone and for moxifloxacin)Drug

    Matching placebos

  • Moxifloxacin tabletDrug

    Also called Avelox®

    Moxifloxacin tablet; 1 tablet taken orally on Days 6, 13 and 17

Study groups in NCT01999114
Study groupRoleWhat they receive
BTDSExperimentalBuprenorphine transdermal patches 10, 40 (2 x 20), and 80 (4 x 20) mcg/hr
Receives: Drug: Buprenorphine transdermal patch
BTDS with naltrexoneExperimentalBuprenorphine transdermal patches 10, 40 (2 x 20), and 80 (4 x 20) mcg/hr and naltrexone 50 mg tablets
Receives: Drug: Buprenorphine transdermal patch; Drug: Naltrexone tablet
NaltrexoneActive comparatorNaltrexone 50 mg tablets
Receives: Drug: Naltrexone tablet
PlaceboPlacebo comparatorMatching placebo for transdermal patches and/or naltrexone tablets and/or moxifloxacin tablets
Receives: Drug: Placebos (for TDS and for naltrexone and for moxifloxacin)
MoxifloxacinActive comparatorMoxifloxacin 400-mg tablets
Receives: Drug: Moxifloxacin tablet

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The Maximum Time-matched Change From Baseline in QT Data Corrected for Heart Rate (QTc), Placebo-corrected, Based on an Individual Correction (QTcI) Method (ΔΔQTcI)

    The effects of 10 mcg/hr buprenorphine (Day 6) delivered by BTDS alone, or by BTDS dosed with naltrexone, and naltrexone alone on cardiac repolarization, were assessed based on the corrected QT interval since HR inversely affects QT duration. The time-matched analysis was conducted as the primary endpoint as recommended by ICH E14, with the 2-sided 90% confidence interval for each treatment at each time point showing the placebo- and baseline-corrected (ΔΔ) analysis for QTcI. The effect of BTDS 10 on QT intervals was compared with the moxifloxacin-positive control after placebo and baseline correction.

    Measured: Baseline to Day 6

  2. The Maximum Time-matched Change From Baseline in QT Data Corrected for Heart Rate (QTc), Placebo-corrected, Based on an Individual Correction (QTcI) Method (ΔΔQTcI)

    The effects of 40 mcg/hr buprenorphine (Day 13) delivered by BTDS alone, or by BTDS dosed with naltrexone, and naltrexone alone on cardiac repolarization, were assessed based on the corrected QT interval since HR inversely affects QT duration. The time-matched analysis was conducted as the primary endpoint as recommended by ICH E14, with the 2-sided 90% confidence interval for each treatment at each time point showing the placebo- and baseline-corrected (ΔΔ) analysis for QTcI. The effect of BTDS 40 on QT intervals was compared with the moxifloxacin-positive control after placebo and baseline correction.

    Measured: Baseline to Day 13

  3. The Maximum Time-matched Change From Baseline in QT Data Corrected for Heart Rate (QTc), Placebo-corrected, Based on an Individual Correction (QTcI) Method (ΔΔQTcI)

    The effects of 80 mcg/hr buprenorphine (Day 17) delivered by BTDS alone, or by BTDS dosed with naltrexone, and naltrexone alone on cardiac repolarization, were assessed based on the corrected QT interval since HR inversely affects QT duration. The time-matched analysis was conducted as the primary endpoint as recommended by ICH E14, with the 2-sided 90% confidence interval for each treatment at each time point showing the placebo- and baseline-corrected (ΔΔ) analysis for QTcI. The effect of BTDS 80 on QT intervals was compared with the moxifloxacin-positive control after placebo and baseline correction.

    Measured: Baseline to Day 17

Secondary outcomes (9)
  1. QTcF and QTcB for Historical Purposes, PR Interval, QRS Interval, and Uncorrected QT Interval

    Mean change from baseline for the BTDS 10 mcg/hr dose on Day 6, presented as time-averaged mean change from baseline for BTDS only, BTDS with naltrexone, naltrexone alone, moxifloxacin, and placebo.

    Measured: Baseline to Day 6

  2. Heart Rate (HR)

    Mean change from baseline for the BTDS 10 mcg/hr dose on Day 6, presented as time-averaged mean change from baseline for BTDS only, BTDS with naltrexone, naltrexone alone, moxifloxacin, and placebo.

    Measured: Baseline to Day 6

  3. QTcF and QTcB for Historical Purposes, PR Interval, QRS Interval, and Uncorrected QT Interval

    Mean change from baseline for the BTDS 40 mcg/hr dose on Day 13, presented as time-averaged mean change from baseline for BTDS only, BTDS with naltrexone, naltrexone alone, moxifloxacin, and placebo.

    Measured: Baseline to Day 13

  4. Heart Rate (HR)

    Mean change from baseline for the BTDS 40 mcg/hr dose on Day 13, presented as time-averaged mean change from baseline for BTDS only, BTDS with naltrexone, naltrexone alone, moxifloxacin, and placebo.

    Measured: Baseline to Day 13

  5. QTcF and QTcB for Historical Purposes, PR Interval, QRS Interval, and Uncorrected QT Interval

    Mean change from baseline for the BTDS 80 mcg/hr dose on Day 17, presented as time-averaged mean change from baseline for BTDS only, BTDS with naltrexone, naltrexone alone, moxifloxacin, and placebo.

    Measured: Baseline to Day 17

  6. Heart Rate (HR)

    Mean change from baseline for the BTDS 80 mcg/hr dose on Day 17, presented as time-averaged mean change from baseline for BTDS only, BTDS with naltrexone, naltrexone alone, moxifloxacin, and placebo.

    Measured: Baseline to Day 17

  7. ECG Morphology

    Morphological analyses were performed with regard to the digital ECG waveform interpretation as defined by a central ECG laboratory's cardiologist blinded to the study treatment. Changes from baseline to each day of treatment were evaluated separately. Any T-U wave complex that suggested an abnormal form compatible with an effect on cardiac repolarization was noted. New ECG morphological onset changes were presented as the percentage of subjects meeting the "new" criterion ("new" meant not present on any baseline ECG and became present on at least 1 on-treatment ECG) for the following variables:

    • Second degree heart block
    • Third degree heart block
    • Complete right bundle branch block (RBBB)
    • Complete left bundle branch block (LBBB)
    • ST segment changes (elevation and depression separately)
    • T-wave abnormalities (negative T waves only)
    • Myocardial infarction (MI) pattern
    • Any new abnormal U waves

    Measured: Baseline to Day 6

  8. ECG Morphology

    Morphological analyses were performed with regard to the digital ECG waveform interpretation as defined by a central ECG laboratory's cardiologist blinded to the study treatment. Changes from baseline to each day of treatment were evaluated separately. Any T-U wave complex that suggested an abnormal form compatible with an effect on cardiac repolarization was noted. New ECG morphological onset changes were presented as the percentage of subjects meeting the "new" criterion ("new" meant not present on any baseline ECG and became present on at least 1 on-treatment ECG) for the following variables:

    • Second degree heart block
    • Third degree heart block
    • Complete right bundle branch block (RBBB)
    • Complete left bundle branch block (LBBB)
    • ST segment changes (elevation and depression separately)
    • T-wave abnormalities (negative T waves only)
    • Myocardial infarction (MI) pattern
    • Any new abnormal U waves

    Measured: Baseline to Day 13

  9. ECG Morphology

    Morphological analyses were performed with regard to the digital ECG waveform interpretation as defined by a central ECG laboratory's cardiologist blinded to the study treatment. Changes from baseline to each day of treatment were evaluated separately. Any T-U wave complex that suggested an abnormal form compatible with an effect on cardiac repolarization was noted. New ECG morphological onset changes were presented as the percentage of subjects meeting the "new" criterion ("new" meant not present on any baseline ECG and became present on at least 1 on-treatment ECG) for the following variables:

    • Second degree heart block
    • Third degree heart block
    • Complete right bundle branch block (RBBB)
    • Complete left bundle branch block (LBBB)
    • ST segment changes (elevation and depression separately)
    • T-wave abnormalities (negative T waves only)
    • Myocardial infarction (MI) pattern
    • Any new abnormal U waves

    Measured: Baseline to Day 17

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Dec 2013 (estimated)
  2. Study startMar 2012
  3. Primary completionOct 2012
  4. Study completionOct 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
328 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01999114
Sponsor's protocol ID
BUP1025
Status last verified
Feb 2018
First submitted
19 Nov 2013
Last updated
5 Nov 2018
Data monitoring committee
Yes

Publications

  • Harris SC, Morganroth J, Ripa SR, Thorn MD, Colucci S. Effects of buprenorphine on QT intervals in healthy subjects: results of 2 randomized positive- and placebo-controlled trials. Postgrad Med. 2017 Jan;129(1):69-80. doi: 10.1080/00325481.2017.1270156.

    PubMed 27927048

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Buprenorphine transdermal patch, Naltrexone tablet and Moxifloxacin tablet in people with ECG Effects, run by Purdue Pharma LP at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 36 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 Nov 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 5 Nov 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The Maximum Time-matched Change From Baseline in QT Data Corrected for Heart Rate (QTc), Placebo-corrected, Based on an Individual Correction (QTcI) Method (ΔΔQTcI) (time frame: Baseline to Day 6). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01999114, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Nov 2018; AzTrials last refreshed its copy on 8 Nov 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in