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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02672111
Registration number
NCT02672111
Ethics application status
Date submitted
15/01/2016
Date registered
3/02/2016
Titles & IDs
Public title
Long-Term Safety Study of Buprenorphine (CAM2038) in Adult Outpatients With Opioid Use Disorder
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Scientific 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
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Secondary ID [1]
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HS-14-499
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Opioid Use Disorder
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Condition category
Condition code
Mental Health
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Addiction
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Experimental: CAM2038 q1w or q4w exposure to SL BPN/NX - CAM2038 (buprenorphine FluidCrystal®)
Subjects previously exposed to SL BPN/NX who received CAM2038 q1w or q4w
Experimental: CAM2038 q1w or q4w new to BPN treatment - CAM2038 (buprenorphine FluidCrystal®) New to BPN Treatment who received CAM2038r q1w or q4w
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Subjects With Treatment-Emergent Adverse Events (TEAE) During the Treatment Period-Overall Safety Population
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Assessment method [1]
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Subjects With Treatment-Emergent Adverse Events (TEAE) During the Treatment Period. Safety Assessments: Adverse events (AEs) and serious adverse events (SAEs)-Overall Safety Population
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Timepoint [1]
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12 months- 48 week
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Primary outcome [2]
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Subjects With Treatment-Emergent Adverse Events (TEAE) During the Treatment Period-Full Exposure Safety Population
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Assessment method [2]
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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
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Timepoint [2]
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12 months- 48 week
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Secondary outcome [1]
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Mean Percentage of Negative Urine Toxicology Results for Illicit Opioid Use Supported by Self Reported Illicit Opioid Use (Efficacy Population)
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Assessment method [1]
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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)
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Timepoint [1]
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12 months (48 weeks)
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Secondary outcome [2]
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Mean Percentage of Self-reported No Illicit Opioid Use (Efficacy Population)
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Assessment method [2]
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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.
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Timepoint [2]
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12 months (48 weeks)
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Secondary outcome [3]
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Summary of Retention in Treatment (Efficacy Population)
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Assessment method [3]
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The following is a summary of treatment retention over 48 weeks
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Timepoint [3]
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48 weeks of treatment
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Secondary outcome [4]
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Summary of Clinical Opiate Withdrawal Scale (COWS) at Selected Time Points (Efficacy Population)
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Assessment method [4]
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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
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Timepoint [4]
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12 months- 48 week
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Secondary outcome [5]
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Summary of Subjective Opiate Withdrawal Scale (SOWS) at Selected Time Points (Efficacy Population)
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Assessment method [5]
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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
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Timepoint [5]
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12 months- 48 week
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Secondary outcome [6]
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Summary of Desire to Use Visual Analog Scale (VAS) at Selected Time Points (Efficacy Population)
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Assessment method [6]
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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.
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Timepoint [6]
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12 months- 48 week
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Secondary outcome [7]
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Summary of Need to Use Visual Analog Scale (VAS) at Selected Time Points (Efficacy Population)
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Assessment method [7]
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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.
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Timepoint [7]
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12 months- 48 week
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Eligibility
Key inclusion criteria
1. Subject must provide written informed consent prior to the conduct of any study-related procedures.
2. Male or female, 18-65 years of age, inclusive.
3. 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).
4. 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.
5. Considered by the Investigator to be a good candidate for BPN treatment, based on medical and psychosocial history.
6. 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.
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Current diagnosis of Acquired Immune Deficiency Syndrome (AIDS).
2. Current diagnosis of chronic pain requiring opioids for treatment.
3. 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.
4. 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).
5. Pregnant or lactating or planning to become pregnant during the study.
6. Hypersensitivity or allergy to naloxone (only for subjects receiving the SL BPX test dose), BPN or excipients of CAM2038.
7. 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).
8. Hepatitis, unless under stable treatment, at the discretion of the Investigator.
9. Any pending legal action that could prohibit participation or compliance in the study.
10. Exposure to any investigational drug within the 4 weeks prior to Screening.
11. 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.
12. 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.
13. 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.
14. 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.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/11/2015
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/05/2017
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Sample size
Target
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Accrual to date
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Final
228
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Newcastle Community Health Services - Newcastle
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Recruitment hospital [2]
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Drug & Alcohol Services SA Drug and Alcohol Services - Norwood
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Recruitment hospital [3]
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Royal Prince Alfred Hospital - Sydney
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Recruitment hospital [4]
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South Eastern Sydney Local Health District (SESLHD) - Sydney
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Recruitment postcode(s) [1]
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NSW 2300 - Newcastle
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Recruitment postcode(s) [2]
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5070 - Norwood
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Recruitment postcode(s) [3]
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2050 - Sydney
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Recruitment postcode(s) [4]
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NSW 2010 - Sydney
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Alabama
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Country [2]
0
0
United States of America
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State/province [2]
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Florida
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Country [3]
0
0
United States of America
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State/province [3]
0
0
Massachusetts
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Country [4]
0
0
United States of America
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State/province [4]
0
0
New Jersey
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Country [5]
0
0
United States of America
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State/province [5]
0
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New York
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Country [6]
0
0
United States of America
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State/province [6]
0
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Pennsylvania
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Country [7]
0
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Denmark
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State/province [7]
0
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Aarhus
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Country [8]
0
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Denmark
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State/province [8]
0
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Odense
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Country [9]
0
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Germany
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State/province [9]
0
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Heilbronn
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Country [10]
0
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Germany
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State/province [10]
0
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Kassel
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Country [11]
0
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Germany
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State/province [11]
0
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Mannheim
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Country [12]
0
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Germany
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State/province [12]
0
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Regensburg
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Country [13]
0
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Germany
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State/province [13]
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Stuttgart
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Country [14]
0
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Hungary
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State/province [14]
0
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Budapest
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Country [15]
0
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Sweden
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State/province [15]
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Stockholm
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Country [16]
0
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Sweden
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State/province [16]
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Västerås
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Country [17]
0
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Taiwan
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State/province [17]
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Tainan County
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Country [18]
0
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Taiwan
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State/province [18]
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Taichung
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Country [19]
0
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Taiwan
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State/province [19]
0
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Taipei
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Country [20]
0
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United Kingdom
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State/province [20]
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Bristol
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Country [21]
0
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United Kingdom
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State/province [21]
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Norwich
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Country [22]
0
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United Kingdom
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State/province [22]
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Dundee
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Country [23]
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United Kingdom
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State/province [23]
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Braeburn Pharmaceuticals
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief 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.
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Trial website
https://clinicaltrials.gov/study/NCT02672111
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Trial related presentations / 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.
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Public notes
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Contacts
Principal investigator
Name
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Michael Frost, MD
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Address
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Frost Medical Group
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/11/NCT02672111/SAP_000.pdf
Study protocol
https://cdn.clinicaltrials.gov/large-docs/11/NCT02672111/Prot_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT02672111