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Opioid Use DisorderSOMATICS FRINCT02334215

A Randomized Trial of Interim Methadone and Patient Navigation Initiated in Jail

A study testing Methadone, Patient Navigation and Enhanced Treatment as Usual (ETAU) in people with Opioid Use Disorder, run by Friends Research Institute, Inc. 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
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Trial summary

The purpose of this study is to determine which of three approaches started in jail is more effective in treating opioid use disorder: (1) methadone treatment without counseling (termed interim methadone) coupled with case management (termed patient navigation); (2) interim methadone without patient navigation; (3) or… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Opioid Use Disorder
What is being tested?
Methadone, Patient Navigation and Enhanced Treatment as Usual (ETAU)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
225 participants
Where
1 siteUnited States
Study dates
15 Dec 2014to May 2020
Phase
Interventional
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 1) Meets Diagnostic and Statistical Manual -5 (DSM-5) criteria for opioid use disorder; (2) detained for at least 48 hours; (3) receiving opioid withdrawal treatment (as-usual) through the Detention Center's medical providers; (4) able and willing to provide informed consent in English; (5) detained for a charge that, if found guilty, will result in a sentence of less than 1 year; (6) plan to reside in Baltimore upon release; (7) 18 years of age and older.

Who cannot join

  • (1) enrolled in methadone or buprenorphine treatment in the community at the time of arrest; (2) having a medical (liver failure, congestive heart failure) or psychiatric condition (e.g., suicidal ideation, psychosis) that would make participation unsafe in the judgment of the medical staff or the PI; (3) pregnancy; (4) allergy to methadone; and, (5) requiring treatment for alcohol or sedative hypnotic withdrawal.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Baltimore City Detention Center

    Baltimore, Maryland, 21202

Other trials in United States

About this study

The purpose of this study is to determine which of three approaches started in jail is more effective in treating opioid use disorder: (1) methadone treatment without counseling (termed interim methadone) coupled with case management (termed patient navigation); (2) interim methadone without patient navigation; (3) or an enhanced treatment as usual including opioid detoxification, overdose prevention and drug treatment information and referral.

Read the detailed description

This study is part of the NIDA "Studies of Medication for Addiction Treatment in Correctional Settings (SOMATICS)" U01 Collaborative. Our distinct NIH-funded study at Friends Research Institute has been aligned with two other jail-based opioid treatment studies conducted by researchers at New York University (NYU) and at University of California Los Angeles (UCLA). SOMATICS seeks to harmonize assessments and interventions across the three research centers (RCs) and the three independent studies in order to leverage power, sample size, and increase the generalizability of findings. Each of the RCs in the SOMATICS cooperative will conduct their own individual trial, sharing one study arm with another RC, and several core assessments across all sites. The SOMATICS collaborative will have a common Statistical Analysis Plan and Data and Safety Monitoring Plan (DSMP) including a single DSMB. The collaborative primary and secondary outcomes across all sites are listed below:

Collaborative Primary Outcome Measure:

  1. DSM-5 Opioid Use Disorder Diagnosis during the 30 days prior to the 6 months post-release follow-up assessment: Measured by: modified World Mental Health Composite International Diagnostic Interview.

Collaborative Secondary Outcome Measures:

  1. Illicit Opioid use: measured by urine drug testing results at 6 months post-release
  2. Number of days incarcerated: Measured by self-report during the 6 months post-release.
  3. HIV risk behavior: Measured by self-report (Drug Risk Assessment Battery [RAB] Needle Use score) at the 6-month post-release follow-up assessment.
  4. Number of days of Opioids, Cocaine, Alcohol, Benzodiazepines, and/or IV Drug Use: Measured by Time Line Follow Back at 6 months post-release follow-up (TLFB; NYU, UCLA) and ASI (FRI).
  5. Non-opioid drug use (Cocaine, Amphetamines, and Benzodiazepines): measured by urine drug testing at 6 months post-release
  6. Number of days in any drug abuse treatment: Measured by self-report at 6 months post-release.
  7. Number of arrests: Measured by self-report data collected at 6 months post-release.
  8. Craving scores (for NYU and UCLA sites only): Measured by self-report craving scale at 6 months post-release.
  9. Non-lethal overdose (Yes/No): Measured by self-report during the 6 months post-release.
  10. Lethal overdose (Yes/No): Measured by public records data reviewed at 6 months post-release.
  11. WHO Quality of Life-BREF (WHOQOL-BREF) score: Measured by self-report at 6 months post-release.
  12. Analyses of above self-same outcomes at 12 months follow-up.
  13. Once the primary trial is complete, the site in Baltimore will collect longer-term outcome data at a 24-month follow-up point through funding from the Arnold Foundation.
Being tested
Methadone, Patient Navigation, Enhanced Treatment as Usual (ETAU)
Medical subject headings
Opioid-Related Disorders

What participants receive

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

  • MethadoneDrug

    Interim methadone treatment (methadone without routine counseling) will be provided in jail. Methadone treatment with counseling will be continued in the community.

  • Patient NavigationBehavioural

    A patient navigator will assist the participant for the first three months after release from jail to enter and remain in methadone treatment in the community.

  • Enhanced Treatment as Usual (ETAU)Behavioural

    Participants will receive methadone detoxification, drug abuse and overdose prevention information, drug treatment and overdose prevention referral in the community.

Study groups in NCT02334215
Study groupRoleWhat they receive
Methadone plus Patient NavigationExperimentalParticipants will begin methadone treatment during detention and will have a patient navigator for up to 3 months post-release from detention.
Receives: Drug: Methadone; Behavioral: Patient Navigation
MethadoneExperimentalParticipants will begin methadone during detention.
Receives: Drug: Methadone
Enhanced Treatment as UsualActive comparatorParticipants will receive opioid detoxification during detention, as well as drug abuse education, overdose prevention education, and referral to drug abuse treatment and overdose prevention services in the community.
Receives: Behavioral: Enhanced Treatment as Usual (ETAU)

What is being measured

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

  1. Predicted Probability Derived From the Generalized Linear Mixed Model of Opioid Urine Test Positive Results Over Time

    Predicted probability derived from the generalized linear mixed model opioid positive urine tests (0= negative; 1- positive) for heroin, oxycodone, methadone, or buprenorphine -- excluding the latter two positives when they results from prescribed medications to treat opioid use disorder)

    Measured: 1, 3, 6, and 12 months post-release from incarceration

  2. Predicted Probability Derived From the General Linear Mixed Model of Entry Into Treatment for Opioid Use Disorder on the Methadone Treatment Exposure Form

    Predicted probability derived from the general linear mixed model of self-reported entry into treatment for opioid use disorder following release from incarceration and being in treatment 30 days post-release (0= no entry in treatment; 1= entry in treatment).

    Measured: 30 days post-release from incarceration

Secondary outcomes (16)
  1. Predicted Probability Derived From Generalized Linear Mixed Model of Meeting Opioid Use Disorder Criteria as Determined by the Modified Composite International Diagnostic Interview (CIDI)

    Predicted probability derived from the Generalized Linear Mixed Model of meeting the Data and Statistical Manual - 5 criteria for Opioid Use Disorder in response to modified CIDI interview (0= does not meet criteria; 1= meets criteria).

    Measured: one month period prior to the 3, 6, and 12 month post-release from incarceration

  2. Number of Participants With Arrests

    Official data on participant arrests subsequent to release from index incarceration.

    Measured: one year post-release from incarceration

  3. Drug Risk Score on the Risk Assessment Battery (RAB)

    Drug Risk Scale Score on the Risk Assessment Battery. The scale's range goes from 0 to 22. Higher score represents greater frequency of drug risk behaviors

    Measured: Baseline and 6, and 12 months post-release from incarceration

  4. Sex Risk Score on the Risk Assessment Battery (RAB)

    Sex Risk Score on the Risk Assessment Battery (RAB). Higher scores represents greater risk. The score ranges from 0 to 18.

    Measured: Baseline and 6, and 12 months post-release from incarceration

  5. Physical Domain Score on the World Health Organization Quality of Life Scale (WHOQOL-BREF)

    The score on the Physical Domain Scale of the World Health Organization Quality of Life Scale-BREF (WHOQOL-BREF). The scales range is from 0 to 100. The higher score represents better quality of life.

    Measured: 1, 3, 6, and 12 months post-incarceration

  6. Psychological Domain Score on the World Health Organization Quality of Life Scale (WHOQOL-BREF)

    Scale score on the Psychological Domain on the World Health Organization Quality of Life Scale (WHOQOL-BREF) goes from 1 to 100. The higher score represents a better quality of life.

    Measured: 1, 3, 6, and 12 months post-release from incarceration

  7. Social Domain Score on the World Health Organization Quality of Life Scale (WHOQOL-BREF)

    Social domain scale score on the World Health Organization Quality of Life Scale (WHOQOL-BREF) goes from 1 to 100. The higher score represents a better quality of life.

    Measured: 1, 3, 6, and 12 month post-release from incarceration

  8. Environmental Domain Score on the World Health Organization Quality of Life Scale (WHOQOL-BREF)

    Environmental domain score on the World Health Organization Quality of Life Scale (WHOQOL-BREF) goes from 1 to 100. A higher score represents a better quality of life.

    Measured: 1, 3, 6, and 12 months post-release from incarceration

  9. Overall Quality of Life Score on the World Health Organization Quality of Life Scale (WHOQOL-BREF)

    Self report quality of life as reported by participants following release from their index incarceration on a scale from 1 to 5. A higher score is a better outcome.

    Measured: 1, 3, 6, and 12 month post-release from incarceration

  10. Predicted Probability Derived From the Generalized Linear Mixed Model of Being Retained in Treatment for Opioid Use Disorder on the Methadone Treatment Exposure Form

    Predicted Probability derived from the Generalized Linear Mixed of self-reported enrolled in treatment for Opioid Use Disorder at the time of the follow-up interview (0=not enrolled; 1=enrolled).

    Measured: 12 months post-release from incarceration

  11. Mean Number of Days of Criminal Activity in the Past 30 Days Reported by Participants on the Addiction Severity Index (ASI)

    Mean number of days reported by participants of their criminal activity during the 30 days preceding the Addiction Severity Index interviews

    Measured: 1, 3, 6, and 12 months post-release from incarceration

  12. Mean Number of Days of Illicit Opioid Use Reported by Participants in the Past 30 Days

    Mean number of participant self-reported days of heroin use in the 30 days preceding the interview on the Addiction Severity Index (ASI)

    Measured: 1, 3, 6, and 12 months post-release from incarceration

  13. Participant Self-reported Mean Number of Days of Cocaine Use in the Past 30 Days

    Participant self-reported mean number of days of cocaine use in the 30 days preceding the interview on the Addiction Severity Index (ASI)

    Measured: 1, 3, 6, and 12 months post-release from incarceration

  14. Predicted Probability Derived From the Generalized Linear Mixed Model of Meeting Cocaine Use Disorder Criteria in the Past 30 Days

    Predicted Probability Derived from the Generalized Linear Mixed Model meeting Data and Statistical Manual - 5 criteria for Cocaine Use Disorder on the modified Composite International Diagnostic Interview (CIDI) (0=Does not meet criteria; 1=meets criteria).

    Measured: 3, 6, and 12 months post-release from incarceration

  15. Days of Hospitalization (Health Care Utilization) on the Economic Form 90 (EF-90)

    Mean number of days hospitalized during the 12 months post-release from incarceration

    Measured: 12 months post-release from incarceration

  16. Cost of Substance Abuse Services

    Cost in US Dollars of substance abuse services on the modified Substance Abuse Services Cost Analysis Program

    Measured: 12 months post-release from incarceration

Timeline

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

  1. First posted8 Jan 2015 (estimated)
  2. Study start15 Dec 2014
  3. Primary completion8 Mar 2019
  4. Study completionMay 2020

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 N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
225 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02334215
Sponsor's protocol ID
3U01DA013636
Other IDs
3U01DA013636
Acronym
SOMATICS FRI
Status last verified
Sep 2020
First submitted
26 Sep 2014
Last updated
16 Sep 2020
Data monitoring committee
Yes

Publications

  • Mitchell MM, Kelly SM, O'Grady KE, Jaffe JH, Mitchell SG, Schwartz RP. HIV-Risk Behavior Among Adults with Opioid Use Disorder During 12 Months Following Pre-trial Detention: Results from a Randomized Trial of Methadone Treatment. AIDS Behav. 2021 Apr;25(4):1247-1256. doi: 10.1007/s10461-020-03090-y. Epub 2020 Nov 16.

    PubMed 33196937
  • Schwartz RP, Kelly SM, Mitchell SG, O'Grady KE, Duren T, Sharma A, Gryczynski J, Jaffe JH. Randomized trial of methadone treatment of arrestees: 24-month post-release outcomes. Drug Alcohol Depend. 2021 Jan 1;218:108392. doi: 10.1016/j.drugalcdep.2020.108392. Epub 2020 Nov 2.

    PubMed 33187759
  • Mitchell MM, Gryczynski J, Mitchell SG, Kelly SM, O'Grady KE, Monico LB, Schwartz RP. A Latent Class Analysis of HIV Risk Factors Among Men and Women with Opioid Use Disorder in Pre-trial Detention. AIDS Behav. 2020 Jun;24(6):1776-1783. doi: 10.1007/s10461-019-02726-y.

    PubMed 31748939
  • Schwartz RP, Kelly SM, Mitchell SG, Dunlap L, Zarkin GA, Sharma A, O'Grady KE, Jaffe JH. Interim methadone and patient navigation in jail: Rationale and design of a randomized clinical trial. Contemp Clin Trials. 2016 Jul;49:21-8. doi: 10.1016/j.cct.2016.06.002. Epub 2016 Jun 7.

    PubMed 27282117

Questions about this trial

What is this clinical trial studying?

A study testing Methadone, Patient Navigation and Enhanced Treatment as Usual (ETAU) in people with Opioid Use Disorder, run by Friends Research Institute, Inc. 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 1 inclusion and 1 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 16 Sep 2020. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 16 Sep 2020). 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?

Predicted Probability Derived From the Generalized Linear Mixed Model of Opioid Urine Test Positive Results Over Time (time frame: 1, 3, 6, and 12 months post-release from incarceration). The study lists 2 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 NCT02334215, which also lists 4 linked publications.

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 16 Sep 2020.

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