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Opioid UsePhase 1NCT04315181

Prescription Medication Interactions

A Phase 1 study testing Opioid Agonist and Sedatives in people with Opioid Use and Sedative Use, run by Sharon Walsh 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

This study will examine the effects of doses of opioid/placebo and doses of sedative/placebo, alone and in combination. The primary outcomes are related to pharmacodynamic measures (subjective ratings of drug liking and other abuse-related effects; physiological outcomes) to determine the interaction effects of these… Read more about this study

Who is it for?
Ages 18 to 55 years
Conditions the study is for
Opioid Use, Sedative Use
What is being tested?
Opioid Agonist and Sedatives
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
11 participants
Where
1 siteUnited States
Study dates
25 Mar 2019to 6 May 2023
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
  • No healthy volunteers
  • Adult

Who may be able to join

  • Healthy adults, ages 18-55
  • Current non-medical use of opioids and sedatives

Who cannot join

  • Physical dependence on opioids, alcohol, or benzodiazepines/sedatives/hypnotics
  • Seeking treatment for drug use
  • Significant medical problems

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Center on Drug and Alcohol Research

    Lexington, Kentucky, 40508

Other trials in United States

About this study

Official title: Prescription Medications: Pharmacodynamics and Interaction Effects

This study will examine the effects of doses of opioid/placebo and doses of sedative/placebo, alone and in combination. The primary outcomes are related to pharmacodynamic measures (subjective ratings of drug liking and other abuse-related effects; physiological outcomes) to determine the interaction effects of these compounds.

Read the detailed description

Gabapentin and oxycodone are commonly used in combination for the treatment of chronic pain. Gabapentin is now widely misused/abused with studies indicating that gabapentin abuse is especially common among individuals with opioid misuse. The nature of gabapentin's abuse-related effects have been described in case reports and online as sedative-like and opioid-like, with descriptive reports including sedation, euphoria, talkativeness and increased energy. Despite their widespread co-administration both for licit and illicit purposes, no controlled psychopharmacological studies to our knowledge have directly examined the effects of oxycodone (or another opioid agonist) and gabapentin in combination. This study's objective is to characterize the subjective effect profile of gabapentin, examine the interaction between gabapentin and oxycodone, and assess the acute analgesic response to gabapentin and oxycodone, alone and in combination, across a range of doses for each drug.

Being tested
Opioid Agonist, Sedatives
Keywords
opioid, sedative, opiate

What participants receive

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

  • Opioid AgonistDrug

    Abuse liability evaluation.

  • SedativesDrug

    Abuse liability evaluation.

Study groups in NCT04315181
Study groupRoleWhat they receive
Placebo / PlaceboPlacebo comparatorParticipants will receive non-therapeutic experimental doses of gabapentin (600 and 1200 mg, p.o.), alone and in combination with oxycodone (20 and 40 mg, p.o.). The experimental sessions are designed to capture the time-action curves for the test drugs (Tmax for gabapentin ≈ 2.5 hr; oxycodone ≈ 1.5 hr). Therefore, oxycodone will be administered 1 hr after gabapentin to align peak responses.
Receives: Drug: Opioid Agonist; Drug: Sedatives
Placebo / Oxycodone 20mgExperimentalParticipants will receive non-therapeutic experimental doses of gabapentin (600 and 1200 mg, p.o.), alone and in combination with oxycodone (20 and 40 mg, p.o.). The experimental sessions are designed to capture the time-action curves for the test drugs (Tmax for gabapentin ≈ 2.5 hr; oxycodone ≈ 1.5 hr). Therefore, oxycodone will be administered 1 hr after gabapentin to align peak responses.
Receives: Drug: Opioid Agonist; Drug: Sedatives
Placebo / Oxycodone 40mgExperimentalParticipants will receive non-therapeutic experimental doses of gabapentin (600 and 1200 mg, p.o.), alone and in combination with oxycodone (20 and 40 mg, p.o.). The experimental sessions are designed to capture the time-action curves for the test drugs (Tmax for gabapentin ≈ 2.5 hr; oxycodone ≈ 1.5 hr). Therefore, oxycodone will be administered 1 hr after gabapentin to align peak responses.
Receives: Drug: Opioid Agonist; Drug: Sedatives
Gabapentin 600mg / PlaceboExperimentalParticipants will receive non-therapeutic experimental doses of gabapentin (600 and 1200 mg, p.o.), alone and in combination with oxycodone (20 and 40 mg, p.o.). The experimental sessions are designed to capture the time-action curves for the test drugs (Tmax for gabapentin ≈ 2.5 hr; oxycodone ≈ 1.5 hr). Therefore, oxycodone will be administered 1 hr after gabapentin to align peak responses.
Receives: Drug: Opioid Agonist; Drug: Sedatives
Gabapentin 1200mg / PlaceboExperimentalParticipants will receive non-therapeutic experimental doses of gabapentin (600 and 1200 mg, p.o.), alone and in combination with oxycodone (20 and 40 mg, p.o.). The experimental sessions are designed to capture the time-action curves for the test drugs (Tmax for gabapentin ≈ 2.5 hr; oxycodone ≈ 1.5 hr). Therefore, oxycodone will be administered 1 hr after gabapentin to align peak responses.
Receives: Drug: Opioid Agonist; Drug: Sedatives
Gabapentin 600mg / Oxycodone 20mgExperimentalParticipants will receive non-therapeutic experimental doses of gabapentin (600 and 1200 mg, p.o.), alone and in combination with oxycodone (20 and 40 mg, p.o.). The experimental sessions are designed to capture the time-action curves for the test drugs (Tmax for gabapentin ≈ 2.5 hr; oxycodone ≈ 1.5 hr). Therefore, oxycodone will be administered 1 hr after gabapentin to align peak responses.
Receives: Drug: Opioid Agonist; Drug: Sedatives
Gabapentin 1200mg / Oxycodone 20mgExperimentalParticipants will receive non-therapeutic experimental doses of gabapentin (600 and 1200 mg, p.o.), alone and in combination with oxycodone (20 and 40 mg, p.o.). The experimental sessions are designed to capture the time-action curves for the test drugs (Tmax for gabapentin ≈ 2.5 hr; oxycodone ≈ 1.5 hr). Therefore, oxycodone will be administered 1 hr after gabapentin to align peak responses.
Receives: Drug: Opioid Agonist; Drug: Sedatives
Gabapentin 600mg / Oxycodone 40mgExperimentalParticipants will receive non-therapeutic experimental doses of gabapentin (600 and 1200 mg, p.o.), alone and in combination with oxycodone (20 and 40 mg, p.o.). The experimental sessions are designed to capture the time-action curves for the test drugs (Tmax for gabapentin ≈ 2.5 hr; oxycodone ≈ 1.5 hr). Therefore, oxycodone will be administered 1 hr after gabapentin to align peak responses.
Receives: Drug: Opioid Agonist; Drug: Sedatives
Gabapentin 1200mg / Oxycodone 40mgExperimentalParticipants will receive non-therapeutic experimental doses of gabapentin (600 and 1200 mg, p.o.), alone and in combination with oxycodone (20 and 40 mg, p.o.). The experimental sessions are designed to capture the time-action curves for the test drugs (Tmax for gabapentin ≈ 2.5 hr; oxycodone ≈ 1.5 hr). Therefore, oxycodone will be administered 1 hr after gabapentin to align peak responses.
Receives: Drug: Opioid Agonist; Drug: Sedatives

What is being measured

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

  1. Change in Subject-Rated Outcome: Visual Analog Scale (VAS) Drug Liking

    Participants rated their subjective drug liking on a standardized VAS scale (0 to 100). Raw data transformed to peak scores. Higher scores indicate greater drug effects.

    Measured: This outcome was recorded prior to and in regular intervals after drug administration for the duration of the session (approx. 8 hours per session).

Secondary outcomes (4)
  1. Change in Subject-Rated Outcome: Visual Analog Scale (VAS) Drug Effect

    Participants rated their subjective drug effect on a standardized VAS scale (0 to 100). Raw data transformed to peak scores. Higher scores indicate greater drug effects.

    Measured: This outcome was recorded prior to and in regular intervals after drug administration for the duration of the session (approx. 8 hours per session).

  2. Change in Respiration Rate

    Respiration rate (number of breaths per minute). Raw data transformed to trough scores. Lower scores indicate greater impairment.

    Measured: Respiration rate was recorded prior to and in regular intervals after drug administration for the duration of the session (approx. 8 hours per session).

  3. Change in End-tidal Carbon Dioxide (EtCO2)

    EtCO2 collected via capnograph monitored throughout each session. Raw data transformed to peak scores. Higher scores indicate greater impairment.

    Measured: EtCO2 recorded prior to and in regular intervals after drug administration for the duration of the session (approx. 8 hours per session).

  4. Change in Oxygen Saturation

    Oxygen saturation (measured as a percentage through pulse ox) monitored throughout each session. Raw data transformed to trough scores. Lower scores indicate greater impairment.

    Measured: Oxygen saturation recorded prior to and in regular intervals after drug administration for the duration of the session (approx. 8 hours per session).

Timeline

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

  1. First posted19 Mar 2020
  2. Study start25 Mar 2019
  3. Primary completion6 May 2023
  4. Study completion6 May 2023

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
Basic science
Allocation
Randomised
Intervention model
Crossover
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
11 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04315181
Sponsor's protocol ID
46591
Other IDs
R01DA016718
Status last verified
Oct 2025
First submitted
17 Mar 2020
Last updated
20 Oct 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: We have no plans to share individual participant data with other researchers.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Opioid Agonist and Sedatives in people with Opioid Use and Sedative Use, run by Sharon Walsh 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 2 inclusion and 3 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 20 Oct 2025. 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 27 Jun 2024). 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?

Change in Subject-Rated Outcome: Visual Analog Scale (VAS) Drug Liking (time frame: This outcome was recorded prior to and in regular intervals after drug administration for the duration of the session (approx. 8 hours per session).). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 20 Oct 2025.

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