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Intoxication; OpioidIPAISNCT07738835

Early Addiction Care Pathway After Acute Drug Intoxication in Emergency Departments

A study testing Structured early addiction care and Not structured early addiction care in people with Intoxication; Opioid, run by Assistance Publique - Hôpitaux de Paris at 4 sites in France.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

Acute intoxication with psychoactive substances represents a major public health issue and a frequent reason for emergency department (ED) visits. Beyond the acute medical management of intoxication, one of the main challenges remains the continuity of addiction care after discharge. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Intoxication; Opioid
What is being tested?
Structured early addiction care and Not structured early addiction care
Could I receive a placebo?
No, everyone receives an active treatment
How many people
266 participants
Where
4 sitesFrance
Study dates
15 Oct 2026to 15 Apr 2030
Phase
Interventional
Are there results?
Not yet: the study is under way

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

  • Patients admitted and/or hospitalized in the emergency department or intensive care unit following acute poisoning must:
  • Be over 18 years of age
  • Have consumed at least one identifiable non-alcoholic narcotic, including psychoactive substances detected by standard urine drug screening (dipstick)
  • Have a history of using at least one non-alcoholic psychoactive substance within the last 30 days
  • Speak and understand French
  • Have at least 1 cm of hair
Show all 9Show fewer
  • Be covered by a social security scheme (member or dependent)
  • Be the patient or a relative/close contact/trusted person who has been informed about the study and has given their informed consent (or completed the emergency inclusion procedure)
  • Have a mobile phone number or email address to be contacted

Who cannot join

  • Acute suicidal crisis requiring priority psychiatric care
  • Acute alcohol intoxication (after confirmation by urine drug screening in the Emergency Department)
  • Acute episode related to exclusive opiate use, requiring opiate substitution therapy
  • Prolonged hospitalization in intensive care or follow-up care due to complications of alcohol intoxication beyond 8 days after the initial addiction assessment
  • Protected patient: under a valid legal guardianship, curatorship, or conservatorship
  • Patient requiring involuntary psychiatric hospitalization

Trial locations and contacts

4 sites in 1 country. Contact the study team or a site near you to ask about taking part.

France4 sites
  • Hôpital Saint Antoine

    Paris, 75012

    PANIZZI Vincent, MD, vincent.panizzi@aphp.fr

  • Unité d'Addictologie Hospitalière/ELSA Hôpital Pitié Salpêtrière

    Paris, 75013

    NGUYEN An Hung, MD, 01 42 17 85 16, an-hung.nguyen@aphp.fr

  • Hôpital Tenon

    Paris, 75020

  • hôpital kremlin Bicêtre

    Paris

    SAUNIER Marc, MD, eric.saunier@aphp.fr

Other trials in France

About this study

Official title: Interventions Précoces en Addictologie Dans le Cadre Des Urgences Par Intoxications aiguës Aux Stupéfiants (IPAIS)

Acute intoxication with psychoactive substances represents a major public health issue and a frequent reason for emergency department (ED) visits. Beyond the acute medical management of intoxication, one of the main challenges remains the continuity of addiction care after discharge. Many patients disengage rapidly from follow-up services, leading to recurrent intoxication episodes, repeated ED admissions, and increased morbidity.

The IPAIS study (Interventions Précoces en Addictologie dans le cadre des urgences par Intoxications aiguës aux Stupéfiants) is a multicenter, randomized, parallel-group, open-label clinical trial designed to evaluate whether an enhanced early addiction care pathway improves retention in addiction treatment among patients admitted to emergency departments for acute intoxication involving at least one illicit psychoactive substance (excluding isolated alcohol intoxication).

Read more

All participants will receive an early addiction consultation within 24 to 72 hours following the acute event. In the experimental group, this consultation will be combined with a structured and standardized feedback session on toxicological analysis results and a proactive follow-up strategy including scheduled telephone contacts over a 6-month period. The control group will receive early addiction consultation according to usual care procedures, without the structured feedback and standardized follow-up program implemented in the experimental arm.

The primary objective of the study is to determine whether the enhanced intervention improves retention in the addiction care pathway at 6 months after inclusion. Retention is defined as sustained engagement in addiction care, operationalized as at least one addiction-related consultation per month and/or regular telephone-based addiction follow-up over the 6-month period.

Read the detailed description

Acute intoxication with psychoactive substances is a major public health issue and a frequent reason for emergency department visits. Beyond the acute medical management of intoxication, a key challenge remains ensuring continuity of addiction care after discharge. Many patients quickly disengage from follow-up services, leading to recurrent episodes of intoxication, repeated emergency department admissions, and increased morbidity.

The IPAIS study (Early Addiction Interventions in Emergency Settings for Acute Intoxication with Illicit Drugs) is a multicenter, randomized, parallel-group, open-label clinical trial designed to evaluate whether an enhanced early addiction care pathway improves retention in addiction treatment among patients admitted to the emergency department for acute intoxication involving at least one illicit psychoactive substance (excluding isolated alcohol intoxication).

All participants will receive an early addiction consultation within 24 to 72 hours of the acute event. In the experimental group, this consultation will be combined with a structured, standardized feedback session regarding toxicology results and a proactive follow-up strategy involving scheduled telephone contacts over a 6-month period. The control group will receive an early addiction consultation according to standard care procedures, without the structured feedback and standardized follow-up program implemented in the experimental group.

The primary objective of the study is to determine whether the enhanced intervention improves retention in the addiction care pathway 6 months after enrollment. Retention is defined as sustained engagement in addiction care, operationalized as at least one addiction-related consultation per month and/or regular telephone follow-up over the 6-month period.

Being tested
Structured early addiction care, Not structured early addiction care
Keywords
psychoactive substances, Intoxications aiguës, Stupéfiants, acute intoxication

What participants receive

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

  • Structured early addiction careBehavioural

    The intervention consists of a structured early addiction care program initiated during hospitalization for acute psychoactive substance intoxication. It includes:

    • A standardized addiction consultation during the index hospitalization;
    • A protocolized follow-up schedule over 6 months, with 1-2 structured contacts per month (in-person or telephone);
    • Systematic harm reduction assessment and counseling at predefined visits;
    • Collection and structured feedback of toxicological results (urine, blood, and hair samples), including discussion of discrepancies between declared and detected substance use;
    • Reinforcement of linkage to addiction services and maintenance in the care pathway.

    The intervention aims to enhance patient engagement, insight into substance use patterns, and long-term retention in addiction care.

  • Not structured early addiction careBehavioural

    The intervention consists of a streamlined consultation with the implementation of addiction follow-up, possibly via video and telephone, and "treatment as usual" with routine toxicology tests typically used in most emergency departments. This program includes:

    • A standardized addiction consultation during initial hospitalization;
    • Addiction follow-up with random interviews and/or workshops, at least once a month, lasting 6 months or at the patient's request;
    • A systematic harm reduction assessment and support during pre-defined consultations, without taking into account the results of hair samples tests;
    • Collection of toxicology results (hair follicle), including a discussion of discrepancies between reported and detected substance use, at the end of the study at month 6.
Study groups in NCT07738835
Study groupRoleWhat they receive
Structured early addiction careExperimentalParticipants randomized to the experimental arm receive a structured, protocol-based early addiction care pathway initiated during hospitalization for acute intoxication. The intervention includes a standardized addiction assessment, scheduled addiction follow-up visits (1-2 contacts per month) over a 6-month period, structured harm reduction evaluation, and systematic feedback of biological toxicology results, including hair analysis, at predefined timepoints (Month 1, Month 3, Month 4, and Month 6). Follow-up contacts may include in-person consultations and protocolized telephone interviews delivered by addiction specialists or trained psychologists.
Receives: Behavioral: Structured early addiction care
Not structured early addiction careOtherParticipants randomized to the control group receive addiction follow-up with randomized interviews and/or workshops, at least once a month, for a duration of 6 months or as requested by the patient, and harm reduction assessments at months 1, 3, 4, and 6, disregarding toxicology results. Follow-up contacts may include in-person consultations and structured telephone interviews conducted by trained substance abusers or psychologists.
Receives: Behavioral: Not structured early addiction care

What is being measured

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

  1. Retention in addiction care at 6 months

    Proportion of randomized participants who are still actively engaged in a structured addiction care pathway 6 months after randomization.

    Retention is defined as attendance at ≥1 scheduled addiction care contact (in-person visit, structured psychological session, or protocol-defined telephone follow-up) within the predefined follow-up window around Month 6 (±30 days), without documented loss to follow-up or withdrawal from addiction care.

    Measured: 6 months after randomization

Secondary outcomes (12)
  1. Rate of recurrent acute intoxication episodes.

    Proportion of randomized participants experiencing at least one new episode of acute intoxication requiring emergency department visit or hospitalization within 3 months and within 6 months after randomization. A recurrent acute intoxication episode is defined as a documented presentation to an emergency department or hospital admission for acute poisoning related to new psychoactive substances (NPS) or other psychoactive drugs occurring after the index episode that led to study inclusion. Data will be collected through hospital medical records review and structured follow-up interviews. Separate proportions will be calculated at 3 months and 6 months.

    Measured: 3 months and 6 months after randomization

  2. Change in Anxiety and depression score

    Assenssment of Anxiety and depression using the HADS scale : Hospital Anxiety and Depression Scale, between baseline and 6 months.

    Anxiety subscale from 0 to 21 Depression subscale from 0 to 21 A higher score indicates a more severe condition (worse result).

    Measured: Randomisation (Day 7) and Month 1; relapse assessed up to 6 months

  3. Change in health-related quality score

    Assenssment of health-related quality usign the Short Form-36 (SF-36), between baseline and 6 months. SF-36 ranging from 0 to 100. A higher score indicates a better quality of life (better outcome)

    Measured: Randomisation (Day 7) and Month 1; relapse assessed up to 6 months

  4. Change in severity of sleep disorders score

    Assessment of sleep disorders usign the Insomnia Severity Index scale (ISI) between baseline and 6 months, rangin from 0 to 28. A higher score indicates more severe insomnia.

    Measured: Randomisation (Day 7) and Month 1; relapse assessed up to 6 months

  5. Change in Need for thrills score

    Assenssment of the need for thrills using the Sensation Seeking Scale (SSS),between baseline and 6 months, raging from 0 to 40 (for the short version).

    A higher score indicates a more pronounced need for sensation.

    Measured: Randomisation (Day 7) and Month 1; relapse assessed up to 6 months

  6. Change in drug use practices : weekly Number of Drug Use Sessions

    Evolution of individual weekly number of substance use sessions (sessions/week) - all substances combined or by substance, as reported by the participant -, between baseline and 6 months (at M1, M3, M4, and M6), using the CANDITOX questionnaire (Assessment of the infectious risks related to intravenous drug use) -not validated, but routinely used in clinical practice for evaluating patients with injection drug use -, administered at baseline (by day 7 at the latest). A decrease in the number of sessions may indicate an improvement.

    Analyses will focus on within-participant change between baseline and Month 6, with intermediate assessments used to describe trajectories over follow-up.

    Measured: From baseline (inclusion) to 6 months; assessed at Month 1 (M1), Month 3 (M3), Month 4 (M4), and Month 6 (M6)

  7. Change in drug use practices : daily quantity consumed

    Evolution in Daily Quantity of Drug Consumed (grams/day), between baseline and 6 months (at M1, M3, M4, and M6), using the CANDITOX questionnaire (Assessment of the infectious risks related to intravenous drug use) -not validated, but routinely used in clinical practice for evaluating patients with injection drug use -, administered at baseline (by day 7 at the latest). A decrease in the number of sessions may indicate an improvement.

    Analyses will focus on within-participant change between baseline and Month 6, with intermediate assessments used to describe trajectories over follow-up.

    Measured: From baseline (inclusion) to 6 months; assessed at Month 1 (M1), Month 3 (M3), Month 4 (M4), and Month 6 (M6)

  8. Change in the frequency and/or occurrence of drug-related complications

    Evolution of associated complications associated with drug use between baseline and 6 months (at M1, M3, M4, and M6), using the CANDITOX questionnaire ((Assessment of the infectious risks related to intravenous drug use) -not validated, but routinely used in clinical practice for evaluating patients with injection drug use -, administered at baseline (by day 7 at the latest).

    A decrease in the total number of complications indicates an improvement.

    Measured: From baseline (inclusion) to 6 months; assessed at Month 1 (M1), Month 3 (M3), Month 4 (M4), and Month 6 (M6)

  9. Change in harm reduction knowledge and implementation score

    Assessment of participants' knowledge and implementation of harm reduction strategies related to psychoactive substance use. Knowledge will be evaluated using a structured harm reduction questionnaire.

    The primary metric will be the change in total knowledge score over time. Secondary analyses will assess the proportion of participants reporting implementation of harm reduction practices between assessments.

    Measured: Month 1 (baseline for knowledge assessment), Month 3, and Month 6

  10. Number of Declarations Submitted to the Regional Health Agency (ARS)

    Number of formal notifications and toxicological reports related to newly identified or atypical psychoactive substances generated by the study team during the 6-month study period.

    Notifications are based on biological samples (urine, blood, hair) and/or powder analyses collected during the study and reported using the SINTES questionnaire framework.

    The outcome will be reported as a cumulative count over the 6-month follow-up period.

    Measured: From baseline (Day 0) to Month 6

  11. Number of Addiction-Vigilance Notifications Transmitted to the French Addictovigilance Network (CEIP)

    Number of Addiction-Vigilance Notifications Transmitted to the French Addictovigilance generated by the study team during the 6-month study period.

    Notifications are based on biological samples (urine, blood, hair) and/or powder analyses collected during the study and reported using the SINTES questionnaire framework.

    The outcome will be reported as a cumulative count over the 6-month follow-up period.

    Measured: From baseline (Day 0) to Month 6

  12. Number of Analytical Results Transmitted to the OFDT

    Number of Analytical Results Transmitted to the French Monitoring Centre for Drugs and Drug Addiction (OFDT) specifically within the TREND-SINTES surveillance system (Île-de-France).

    Notifications are based on biological samples (urine, blood, hair) and/or powder analyses collected during the study and reported using the SINTES questionnaire framework.

    The outcome will be reported as a cumulative count over the 6-month follow-up period.

    Measured: From baseline (Day 0) to Month 6

Timeline

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

  1. First posted31 Jul 2026
  2. Study start15 Oct 2026 (estimated)
  3. Primary completion15 Oct 2029 (estimated)
  4. Study completion15 Apr 2030 (estimated)

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Investigator
Enrolment
266 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07738835
Sponsor's protocol ID
APHP210994
Acronym
IPAIS
Status last verified
Jul 2026
First submitted
8 Jun 2026
Last updated
31 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Structured early addiction care and Not structured early addiction care in people with Intoxication; Opioid, run by Assistance Publique - Hôpitaux de Paris at 4 sites in France.

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 9 inclusion and 6 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: opening soon, as of the sponsor's last update on 31 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in France. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact BISSERY Anne (0 1 42 16 24 32, anne.bissery@aphp.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Retention in addiction care at 6 months (time frame: 6 months after randomization). 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 31 Jul 2026.

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