AzTrials
AzTrials

Opioid Use DisorderPhase 3NCT02672111

Long-Term Safety Study of Buprenorphine (CAM2038) in Adult Outpatients With Opioid Use Disorder

A Phase 3 study testing CAM2038 q1w or q4w exposure to SL BPN/NX and CAM2038 q1w or q4w new to BPN treatment in people with Opioid Use Disorder, run by Braeburn Pharmaceuticals at 32 sites in 8 countries.

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

Open-label multi-center, 48 week safety study, consistent with standard practice for long-term safety studies. This one year safety study will utilize CAM2038 q1w (once weekly) and q4w (once monthly) and will have 3 phases: Screening, Treatment, and Follow-up. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Opioid Use Disorder
What is being tested?
CAM2038 q1w or q4w exposure to SL BPN/NX and CAM2038 q1w or q4w new to BPN treatment
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
228 participants
Where
32 sitesin 8 countries
Study dates
Nov 2015to May 2017
Phase
Phase 3
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 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject must provide written informed consent prior to the conduct of any study-related procedures.
  • Male or female, 18-65 years of age, inclusive.
  • Female subjects of childbearing potential must be willing to use a highly effective method of contraception during the entire study (Screening Visit to Follow-Up Visit).
  • Current diagnosis of moderate or severe opioid use disorder (DSM-V) or past medical history of opioid use disorder currently being treated with SL BPN.
  • Considered by the Investigator to be a good candidate for BPN treatment, based on medical and psychosocial history.
  • Subjects must meet one of the following criteria for BPN treatment history:
  • Voluntarily seeking treatment for opioid use disorder (not currently on BPN treatment for at least last 60 days but seeking BPN treatment), or;
  • Currently on SL BPN treatment.

Who cannot join

  • Current diagnosis of Acquired Immune Deficiency Syndrome (AIDS).
  • Current diagnosis of chronic pain requiring opioids for treatment.
  • Current DSM-V diagnosis for moderate to severe substance use disorder (including alcohol) other than opioids, caffeine or nicotine and currently being treated as the primary substance use disorder.
  • Recent history of or current evidence of suicidal ideation or active suicidal behavior as based on the Columbia Suicide Severity Rating Scale (C-SSRS) ("Yes" responses to questions 4 or 5).
  • Pregnant or lactating or planning to become pregnant during the study.
  • Hypersensitivity or allergy to naloxone (only for subjects receiving the SL BPX test dose), BPN or excipients of CAM2038.
Show all 14Show fewer
  • Requires chronic use of agents that are strong inhibitors or inducers of cytochrome P450 3A4 (CYP 3A4) such as some azole antifungals (e.g., ketoconazole), macrolide antibiotics (e.g., clarithromycin), or protease inhibitors (e.g., ritonavir, indinavir, and saquinavir).
  • Hepatitis, unless under stable treatment, at the discretion of the Investigator.
  • Any pending legal action that could prohibit participation or compliance in the study.
  • Exposure to any investigational drug within the 4 weeks prior to Screening.
  • Aspartate aminotransferase (AST) levels ≥3 X the upper limit of normal, alanine aminotransferase (ALT), levels ≥ 3 X the upper limit of normal, total bilirubin ≥ 1.5 X the upper limit of normal, or creatinine ≥ 1.5 X upper limit of normal on the Screening laboratory assessments, or other clinically significant laboratory abnormalities, which in the opinion of the Investigator may prevent the subject from safely participating in study.
  • Participants with a history of risk factors of Torsades de Pointes (e.g., heart failure, hypokalemia, family history of Long QT Syndrome) or an ECG demonstrating a Fridericia's corrected QT interval (QTcF) >450 msec in males and QTcF > 470 in females at screening.
  • Significant symptoms, medical conditions, or other circumstances which, in the opinion of the Investigator, would preclude compliance with the protocol, adequate cooperation in the study or obtaining informed consent, or may prevent the subject from safely participating in study. This includes, but is not limited to, subjects with attention deficit hyperactivity disorder receiving central stimulants (e.g. methylphenidate or other central stimulants), as well as subjects with severe respiratory insufficiency, respiratory depression, airway obstruction, gastrointestinal motility disorders, severe hepatic insufficiency, planned surgery and prior treatment with monoamine oxidase inhibitors.
  • Is an employee of the Investigator or the trial site, with direct involvement in the proposed trial or other studies under the direction of the Investigator or trial site, or is a family member of an employee or of the Investigator.

Trial locations and contacts

32 sites in 8 countries.

32 sites in 8 countries

United States10 sites
  • Wellness and Research Center

    Belvidere, New Jersey, 07823

  • Comprehensive Clinical Research

    Berlin, New Jersey, 08009

  • Parkway Medical Center

    Birmingham, Alabama, 35215

  • Frost Medical Group, LLC

    Conshohocken, Pennsylvania, 19428

  • Stanley Street Treatment and Resources Inc

    Fall River, Massachusetts, 02720

  • Haleyville Clinical Research LLC

    Haleyville, Alabama, 35565

  • Boyett Health Services Inc

    Hamilton, Alabama, 35570

  • Dr Vijapura and Associates

    Jacksonville, Florida, 32256

  • TRY Research

    Maitland, Florida, 32751

  • STARS/Columbia University

    New York, New York, 10019

Other trials in United States

Germany5 sites
  • Gemeinschaftspraxis Schnaitmann/Schaffert Salzstrasse

    Heilbronn, 74076

  • Studikum - Zentrum fur Klinische Studien im Praxiszentrum Friedrichsplatz

    Kassel, 34117

  • Klinik fur Abhangiges Verhalten und Suchtmedizin Zentralinstitut

    Mannheim, 68159

  • Psychosoziale Begleitung - Praxis Boniakowski

    Regensburg, 93051

  • Praxisgemeinschaft

    Stuttgart, 70197

Other trials in Germany

Australia4 sites
  • Newcastle Community Health Services

    Newcastle, NSW 2300

  • Drug & Alcohol Services SA Drug and Alcohol Services

    Norwood, 5070

  • Royal Prince Alfred Hospital

    Sydney, 2050

  • South Eastern Sydney Local Health District (SESLHD)

    Sydney, NSW 2010

Other trials in Australia

United Kingdom4 sites
  • NHS Tayside

    Dundee, DD1 9SY

  • Blackberry Centre Blackberry Hill Hospital

    Fishponds, Bristol, BS16 2EW

  • Hellesdon Hospital The Weavers Centre

    Hellesdon, Norwich, NR6 5BE

  • Lambeth Drug and Alcohol Service Lorraine Hewitt House

    London, SW9 8DG

Other trials in United Kingdom

Taiwan3 sites
  • China Medical University Hospita

    Taichung, 40447

  • Jinan Psychiatric Center, Ministry of Health and Welfa

    Tainan, Tainan County, 717

  • Taipei City Hospital

    Taipei, 103

Other trials in Taiwan

Denmark2 sites
  • Center for Misbrugsbehandling

    Aarhus, 8000

  • Behandlingscenter Odense

    Odense, 5000

Other trials in Denmark

Hungary2 sites
  • Clinexpert Kft

    Budapest, 1033

  • XVI. Kerület Kertvárosi Egészségügyi Szolgálata, Addiktológia

    Budapest, 1165

Other trials in Hungary

Sweden2 sites
  • Metadonsektionen

    Stockholm, 118 67

  • Centrallasarettet Vasteras

    Västerås, 72189

Other trials in Sweden

About this study

Official title: An Open-Label Multicenter Study Assessing the Long-Term Safety of a Once-Weekly and Once-Monthly, Long-Acting Subcutaneous Injection Depot of Buprenorphine (CAM2038) in Adult Outpatients With Opioid Use Disorder

Open-label multi-center, 48 week safety study, consistent with standard practice for long-term safety studies. This one year safety study will utilize CAM2038 q1w (once weekly) and q4w (once monthly) and will have 3 phases: Screening, Treatment, and Follow-up.

Read the detailed description

Open-label multi-center, 48 week safety study, consistent with standard practice for long-term safety studies. This one year safety study will utilize CAM2038 q1w (once weekly) and q4w (once monthly) and will have 3 phases: Screening, Treatment, and Follow-up.

Patients who are currently taking sublingual (SL) BPN (weekly or monthly prescription visits) or individuals who are actively seeking BPN treatment but who have not yet begun a treatment regimen, may be eligible for the study.

Following Screening, qualified subjects meeting inclusion criteria and not meeting exclusion criteria will be initiated on either CAM2038 q1w or q4w, based on their current treatment status (qualified subjects currently on SL BPN or seeking BPN treatment). Qualified subjects will be initiated or transitioned to CAM2038 q1w or q4w as follows:

Initiation of BPN treatment - initiate with CAM2038 q1w

Currently receiving SL BPN treatments - transfer to corresponding CAM2038 q1w or q4w dose

Being tested
CAM2038 q1w or q4w exposure to SL BPN/NX, CAM2038 q1w or q4w new to BPN treatment
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.

  • CAM2038 q1w or q4w exposure to SL BPN/NXDrug

    Also called Buprenorphine injection

  • CAM2038 q1w or q4w new to BPN treatmentDrug

    Also called Buprenorphine injection

Study groups in NCT02672111
Study groupRoleWhat they receive
CAM2038 q1w or q4w exposure to SL BPN/NXExperimentalCAM2038 (buprenorphine FluidCrystal®) Subjects previously exposed to SL BPN/NX who received CAM2038 q1w or q4w
Receives: Drug: CAM2038 q1w or q4w exposure to SL BPN/NX
CAM2038 q1w or q4w new to BPN treatmentExperimentalCAM2038 (buprenorphine FluidCrystal®) New to BPN Treatment who received CAM2038r q1w or q4w
Receives: Drug: CAM2038 q1w or q4w new to BPN treatment

What is being measured

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

  1. Subjects With Treatment-Emergent Adverse Events (TEAE) During the Treatment Period-Overall Safety Population

    Subjects With Treatment-Emergent Adverse Events (TEAE) During the Treatment Period. Safety Assessments: Adverse events (AEs) and serious adverse events (SAEs)-Overall Safety Population

    Measured: 12 months- 48 week

  2. Subjects With Treatment-Emergent Adverse Events (TEAE) During the Treatment Period-Full Exposure Safety Population

    Subjects With Treatment-Emergent Adverse Events (TEAE) During the Treatment Period. Safety Assessments: Adverse events (AEs) and serious adverse events (SAEs)-Full Exposure Safety Population

    Measured: 12 months- 48 week

Secondary outcomes (7)
  1. Mean Percentage of Negative Urine Toxicology Results for Illicit Opioid Use Supported by Self Reported Illicit Opioid Use (Efficacy Population)

    The following is a summary of Mean Percentage of Negative Urine Toxicology Results for Illicit Opioid Use Supported by Self Reported Illicit Opioid Use (Efficacy Population)

    Measured: 12 months (48 weeks)

  2. Mean Percentage of Self-reported No Illicit Opioid Use (Efficacy Population)

    The following is a summary of Mean Percentage of Self-Reported No Illicit Opioid Use during the entire study (Efficacy Population). The proportion of patients who reported no illicit opioid use during the study was analyzed. For example if a subject provided 10 self reports and 2 out of the 10 were "Used", the percentage for the subject would be 20%. The average percentage of all patients is provided.

    Measured: 12 months (48 weeks)

  3. Summary of Retention in Treatment (Efficacy Population)

    The following is a summary of treatment retention over 48 weeks

    Measured: 48 weeks of treatment

  4. Summary of Clinical Opiate Withdrawal Scale (COWS) at Selected Time Points (Efficacy Population)

    A summary of COWS (administered by the Clinician) over 48 weeks to show withdrawal symptoms from baseline to end of treatment. This scale consists of 11 common opiate withdrawal signs or symptoms, rated on a numeric scale from 0 to 4 or 5 and based on a timed period of observation of the subject by the rater. Higher scores are associated with greater withdrawal symptoms with a total range for all items of between 0-48

    Measured: 12 months- 48 week

  5. Summary of Subjective Opiate Withdrawal Scale (SOWS) at Selected Time Points (Efficacy Population)

    Summary of SOWS over time to show withdrawal symtons, from baseline to end of treatment. This form contains 16 questions that rate the intensity of withdrawal from 0 ("Not at all") to 4 ("Extremely"), with higher scores associated with greater withdrawal symptoms and total range for all items of 0-64

    Measured: 12 months- 48 week

  6. Summary of Desire to Use Visual Analog Scale (VAS) at Selected Time Points (Efficacy Population)

    The following table summarizes the desire to use measurements over a period of 12 months - 48 weeks. Desire to Use assessments were administered using a unipolar 100 mm VAS. Subjects were asked "Since your last scheduled assessment visit, indicate your worst or strongest desire to use opioids, where 0 = No desire to use and 100 mm = Strongest possible desire.

    Measured: 12 months- 48 week

  7. Summary of Need to Use Visual Analog Scale (VAS) at Selected Time Points (Efficacy Population)

    The following results summarize the need to use VAS over a period of 12 months - 48 weeks. Need to Use assessments were administered using a unipolar 100 mm VAS. Subjects were asked "Since your last scheduled assessment visit, indicate your worst or strongest need to use opioids, where 0 = No need to use and 100 mm = Strongest possible need.

    Measured: 12 months- 48 week

Timeline

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

  1. First posted3 Feb 2016 (estimated)
  2. Study startNov 2015
  3. Primary completionMay 2017
  4. Study completionMay 2017

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 3
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
228 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02672111
Sponsor's protocol ID
HS-14-499
Status last verified
Jul 2019
First submitted
15 Jan 2016
Last updated
15 May 2020
Data monitoring committee
No
Individual data sharing
No

Publications

  • Frost M, Bailey GL, Lintzeris N, Strang J, Dunlop A, Nunes EV, Jansen JB, Frey LC, Weber B, Haber P, Oosman S, Kim S, Tiberg F. Long-term safety of a weekly and monthly subcutaneous buprenorphine depot (CAM2038) in the treatment of adult out-patients with opioid use disorder. Addiction. 2019 Aug;114(8):1416-1426. doi: 10.1111/add.14636. Epub 2019 Jun 3.

    PubMed 31013390

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing CAM2038 q1w or q4w exposure to SL BPN/NX and CAM2038 q1w or q4w new to BPN treatment in people with Opioid Use Disorder, run by Braeburn Pharmaceuticals at 32 sites in 8 countries.

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 14 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 15 May 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 32 sites in United States, Germany, Australia, United Kingdom, Taiwan and 3 more countries. 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.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 1 Aug 2019). 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?

Subjects With Treatment-Emergent Adverse Events (TEAE) During the Treatment Period-Overall Safety Population (time frame: 12 months- 48 week). 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 NCT02672111, 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 15 May 2020.

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