Observational Study of Misuse of High Dose Buprenorphine (Subutex® or Generic) in Opiate-Addicted Patients in France (Study P05186AM1)(COMPLETED)

NCT00723697 — Completed, 1307 participants, Indivior Inc.

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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

RegistryNCT00723697, acronym OPUS R
StatusCompleted
Study typeObservational
Enrollment1307 (Actual)
SponsorIndivior Inc. (Industry)
ConditionsBuprenorphine, Naloxone, Opiate-related Disorders, Opiate Dependence, Drug Abuse
Interventionsbuprenorphine (Drug)
Datesstart 2007-05-01, primary completion 2010-02-01, completion 2010-02-01, first posted 2008-07-29, last updated 2023-03-20

Related Papers Related Patents Related Grants Related Experts
All trials for Buprenorphine All trials for Naloxone All trials of buprenorphine

-Summary

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.

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+Detailed description

Approximately 380 physicians will participate in this study. Patients will be enrolled in chronological order of consultations.

+Arms and interventions

ArmTypeInterventionsDescription
PatientsDrug: buprenorphinePatients addicted to opiates and requiring replacement treatment. Patients in this non-interventional study were prescribed treatment as per usual clinical practice.
  • buprenorphine (Drug), also known as Subutex, buprenorphine high dose (BHD) generic (Arrow Laboratories), SCH 028444: 0.4, 2, or 8 mg sublingual tablets

+Outcome measures

Primary outcomes

  • Number of Patients Reporting Misuse (Injection, Sniffing, Dose Fractionation, Modification of Prescribed Doses, and Combination With Psychotropic Agents) [first visit, 6 months, and 12 months]: Number of patients who indicate misuse behaviours on self-questionnaire response at first (D1), 6 month (M6), and 12 month (M12) visits.
  • Number of Patients With Misuse (Injection, Sniffing, Dose Fractionation, Modification of Prescribed Doses, and Combination With Psychotropic Agents) as Reported by Physician. [first visit, 6 months, and 12 months]: Number of patients with misuse behaviours on physician-questionnaire response at first (D1), 6 month (M6), and 12 month (M12) visits.

Secondary outcomes

  • Number of Patients Reporting Clinical Consequences of Engaging in Misuse [first visit, 6 months, and 12 months]: Number of patients with clinical consequences (development or progression of: abscess, nutritional deficiency, dental problems, psychiatric problems including depression, sleep problems, schizophrenia, anxiety, phobias, hallucinations, delirium, withdrawal symptoms, inhibition, suicide attempts and other problems) at first, 6 month, and/or 12 month visit.

+Eligibility

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

+Posted results

Participant flow

MilestonePatients
Started1307
Completed1289
Not completed18

Outcome results

  • Number of Patients Reporting Misuse (Injection, Sniffing, Dose Fractionation, Modification of Prescribed Doses, and Combination With Psychotropic Agents) (Primary), Number, participants: Patients 131 (30.61 to 39.57)
  • Number of Patients Reporting Clinical Consequences of Engaging in Misuse (Secondary), Number, participants: Patients at First Visit 41; Patients at 6 Month Visit 29; Patients at 12 Month Visit 31
  • Number of Patients With Misuse (Injection, Sniffing, Dose Fractionation, Modification of Prescribed Doses, and Combination With Psychotropic Agents) as Reported by Physician. (Primary), Number, participants: Patients 206

Adverse events

ArmDeathsSerious adverse eventsOther adverse events
Patients034/1305 (2.6%)0/1305 (0.0%)

Serious adverse events by term

TermOrgan systemPatients
CARDIAC DISORDERCardiac disorders1/1305
HYPERTHYROIDISMEndocrine disorders1/1305
CONSTIPATIONGastrointestinal disorders1/1305
GASTROINTESTINAL STENOSISGastrointestinal disorders1/1305
GENERAL PHYSICAL HEALTH DETERIORATIONGeneral disorders1/1305
INJECTION SITE NECROSISGeneral disorders5/1305
OEDEMAGeneral disorders6/1305
LIVER DISORDERHepatobiliary disorders1/1305
INJECTION SITE ABSCESSInfections and infestations9/1305
PSOAS ABSCESSInfections and infestations1/1305
TUBERCULOSISInfections and infestations1/1305
ROAD TRAFFIC ACCIDENTInjury, poisoning and procedural complications1/1305
SALIVARY GLAND CANCERNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/1305
CEREBROVASCULAR ACCIDENTNervous system disorders1/1305
STATUS EPILEPTICUSNervous system disorders1/1305
PREMATURE LABOURPregnancy, puerperium and perinatal conditions1/1305
DRUG DEPENDENCEPsychiatric disorders1/1305
INSOMNIAPsychiatric disorders1/1305
MENTAL DISORDERPsychiatric disorders7/1305
WITHDRAWAL SYNDROMEPsychiatric disorders3/1305
RESPIRATORY DEPRESSIONRespiratory, thoracic and mediastinal disorders1/1305
ALCOHOL USESocial circumstances1/1305
DRUG DETOXIFICATIONSurgical and medical procedures2/1305
AORTIC ANEURYSM RUPTUREVascular disorders1/1305
PHLEBITISVascular disorders2/1305