Chronic Pain Clinical Trial
— Micro-bupeOfficial title:
Randomized Trial of Buprenorphine Microdose Inductions During Hospitalization
Investigators will test a novel protocol for starting BUP (buprenorphine-naloxone) treatment. The BUP microdose induction protocol has participants start very low doses of BUP without stopping other opioids that they are taking. The treatment as usual (TAU) has participants stop other opioids and experience opioid withdrawal before starting BUP. Investigators propose to test BUP microdose inductions vs. TAU in a randomized controlled trial.
Status | Recruiting |
Enrollment | 270 |
Est. completion date | December 2026 |
Est. primary completion date | July 2026 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Age > 18 years - Opioid misuse or OUD - Chronic pain - Currently taking opioids - Fluency in English or Spanish - Planned hospitalization for = 48 hours Exclusion Criteria: - Current OUD treatment (BUP, methadone, naltrexone) - Severe alcohol or benzodiazepine use disorder - Hypersensitivity to BUP or naloxone - Pain due to malignancy - Severe untreated mental illness (suicidality, psychosis) - Pregnancy - Unable to consent due to pain or cognitive impairment |
Country | Name | City | State |
---|---|---|---|
United States | Montefiore Medical Center | Bronx | New York |
Lead Sponsor | Collaborator |
---|---|
Aaron D. Fox | National Institute on Drug Abuse (NIDA) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Pain Intensity | Mean pain intensity score, measured using the Brief Pain Inventory (BPI), will be reported for each study arm. | 3 months | |
Other | Pain interference | Mean pain interference score, measured using the pain interference scale from the BPI, which is a 7-item instrument measuring the impact of pain on daily activities and physical functioning, will be reported for each study arm. | 3 months | |
Primary | BUP treatment uptake | The percentage of participants who start BUP treatment, defined as receiving BUP 7 days after the baseline visit, will be reported for each arm. | 7 days | |
Secondary | Illicit opioid use | The mean number of days of illicit opioid use, defined as self-reported use of heroin, fentanyl, or non-prescribed opioid analgesics in the prior 30 days based on the Addiction Severity Index, will be reported for each arm. | 1, 3, and 6 months | |
Secondary | BUP retention in care | The percentage of participants who are retained in BUP treatment, defined as having a BUP prescription written 180-210 days (6-month retention) after enrollment, will be reported for each arm. | 6 months |
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