Opioid-use Disorder Clinical Trial
Official title:
Evaluation of Long-term Buprenorphine Plasma Exposure in Subjects Who Received at Least 2 Subcutaneous (SC) Injections of Extended-release Buprenorphine (SUBLOCADEā¢) in Phase III Studies
The study objective is to characterise the long-term plasma exposure to buprenorphine after
stopping SUBLOCADE treatment. There are no interventions planned.
This multicentre investigation will enroll participants from Study RB-US-13-0003
(NCT02510014) or both Studies RB-US-13-0003 and INDV-6000-301 (NCT02896296) and who received
at least 2 subcutaneous (SC) injections of SUBLOCADE.
There are two parts to the study:
Part A consists of a single visit during which urine samples are collected to measure free
buprenorphine and free norbuprenorphine concentrations; qualitative urine drug samples (UDS)
for opioids, including buprenorphine; quantitative UDS for buprenorphine, norbuprenorphine
and naloxone; and determination of creatinine concentration. Blood samples are collected for
the determination of buprenorphine and norbuprenorphine plasma concentrations.
Results on the quantitative UDS performed in Part A determine enrollment in Part B:
participants who provide a quantifiable (i.e., positive) result for buprenorphine and/or
norbuprenorphine and a non-quantifiable (i.e., negative) result for naloxone meet
continuation criteria to move on to Part B if Part B is still open to enrolment. Part B
consists of two visits 30 days apart in which the same tests are run as were done in Part A.
Data indicate that after discontinuing SUBLOCADE patients may have detectable concentrations of buprenorphine in plasma and urine for 12 months or longer. Previous Phase II/III studies did not evaluate the pharmacokinetics (PK) of buprenorphine beyond 2 months after the last injection; this study will characterize the long-term plasma exposure starting at least 12 months after the last injection. The study will also assess relationships between plasma drug concentrations, free drug concentrations in urine and urine drug screen (UDS) results in order to provide refined guidance to patients and physicians with respect to long-term exposure to buprenorphine after stopping SUBLOCADE treatment. ;
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