Etude Observationnelle Prospective de l'Utilisation en Situation Reelle; Prospective Real Situation Observational Study of Subutex® or Its Buprenorphine High Dose Generic (BHD) in the Replacement Treatment of Major Opiate Dependence: Following Parameters With Respect to Misuse and Pharmacovigilance
| Registry | NCT00723697, acronym OPUS R |
|---|---|
| Status | Completed |
| Study type | Observational |
| Enrollment | 1307 (Actual) |
| Sponsor | Indivior Inc. (Industry) |
| Conditions | Buprenorphine, Naloxone, Opiate-related Disorders, Opiate Dependence, Drug Abuse |
| Interventions | buprenorphine (Drug) |
| Dates | start 2007-05-01, primary completion 2010-02-01, completion 2010-02-01, first posted 2008-07-29, last updated 2023-03-20 |
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The purpose of this study is to assess the risks of abuse, misuse and adverse events related to high dose buprenorphine. Approximately 1250 patients taking Subutex (Schering-Plough) or its Buprenorphine High Dose (BHD) generic (Arrow Laboratories) will participate in this study. Data will be collected using physician questionnaires and self evaluation patient questionnaires at the first visit and visits at 6 and 12 months.
Approximately 380 physicians will participate in this study. Patients will be enrolled in chronological order of consultations.
| Arm | Type | Interventions | Description |
|---|---|---|---|
| Patients | Drug: buprenorphine | Patients addicted to opiates and requiring replacement treatment. Patients in this non-interventional study were prescribed treatment as per usual clinical practice. |
Sex: All
Inclusion Criteria: * Eligible patients will be those already having a prescription for Subutex or its BHD generic, or being proposed a prescription for Subutex or its BHD generic for the first time when consulting the participating physician. * The patient must have been informed orally and in writing via the information notice and have signed it. Exclusion Criteria: * Criteria of non-eligibility will be related to the contraindications in the Marketing Authorization (MA) of Subutex or its BHD generic
| Milestone | Patients |
|---|---|
| Started | 1307 |
| Completed | 1289 |
| Not completed | 18 |
| Arm | Deaths | Serious adverse events | Other adverse events |
|---|---|---|---|
| Patients | 0 | 34/1305 (2.6%) | 0/1305 (0.0%) |
| Term | Organ system | Patients |
|---|---|---|
| CARDIAC DISORDER | Cardiac disorders | 1/1305 |
| HYPERTHYROIDISM | Endocrine disorders | 1/1305 |
| CONSTIPATION | Gastrointestinal disorders | 1/1305 |
| GASTROINTESTINAL STENOSIS | Gastrointestinal disorders | 1/1305 |
| GENERAL PHYSICAL HEALTH DETERIORATION | General disorders | 1/1305 |
| INJECTION SITE NECROSIS | General disorders | 5/1305 |
| OEDEMA | General disorders | 6/1305 |
| LIVER DISORDER | Hepatobiliary disorders | 1/1305 |
| INJECTION SITE ABSCESS | Infections and infestations | 9/1305 |
| PSOAS ABSCESS | Infections and infestations | 1/1305 |
| TUBERCULOSIS | Infections and infestations | 1/1305 |
| ROAD TRAFFIC ACCIDENT | Injury, poisoning and procedural complications | 1/1305 |
| SALIVARY GLAND CANCER | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 1/1305 |
| CEREBROVASCULAR ACCIDENT | Nervous system disorders | 1/1305 |
| STATUS EPILEPTICUS | Nervous system disorders | 1/1305 |
| PREMATURE LABOUR | Pregnancy, puerperium and perinatal conditions | 1/1305 |
| DRUG DEPENDENCE | Psychiatric disorders | 1/1305 |
| INSOMNIA | Psychiatric disorders | 1/1305 |
| MENTAL DISORDER | Psychiatric disorders | 7/1305 |
| WITHDRAWAL SYNDROME | Psychiatric disorders | 3/1305 |
| RESPIRATORY DEPRESSION | Respiratory, thoracic and mediastinal disorders | 1/1305 |
| ALCOHOL USE | Social circumstances | 1/1305 |
| DRUG DETOXIFICATION | Surgical and medical procedures | 2/1305 |
| AORTIC ANEURYSM RUPTURE | Vascular disorders | 1/1305 |
| PHLEBITIS | Vascular disorders | 2/1305 |