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A randomised double blind placebo controlled clinical trial of the efficacy of an Australian naltrexone implant compared to oral naltrexone for the long-term management of heroin-dependent persons

Phase 2
Completed
Conditions
Heroin dependence
Mental Health - Addiction
Registration Number
ACTRN12606000308594
Lead Sponsor
niversity of Western Australia
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
70
Inclusion Criteria

Heroin dependence (DSM-IV criteria which covers the previous 12 months)Resident in the Perth (Western Australia) metropolitan area or regional areas with approved study support services Willing and able to provide written informed consentWilling to be randomised to either arm of the studySatisfactory completion of screening questionnaire.

Exclusion Criteria

High risk of overdose (3+ overdoses in previous month)Non compliant with oral naltrexone (4 + times in last 3 months) or prior implantPregnancyContra indications or prior adverse reactions for study medications/procedures.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Proportion with blood naltrexone concentrations above therapeutic levels (2 ng/ml)[Measured at 1, 2, 3, 4, 5, & 6 months];Number of accidental opiate overdoses (hospital admissions or ED presentations) to 6 months[baseline to 6 months]
Secondary Outcome Measures
NameTimeMethod
Opiate related morbidity (hospital admissions) and mortality to 6 months[baseline to 6 months];Craving for heroin questionnaire (Tiffany). [Measured at 0, 1, 2, 3, 4, 5, & 6 months.];Proportion returning to dependent heroin/opiate use (DSM IV criteria).[At 6 months.];Frequency of other drug use.[At 0, 1, 2, 3, 4, 5, & 6 months.];Other drug related accidental overdose, other morbidity (hospital admission or ED presentation) or mortality to 6 months[baseline to 6 months];Opiate Treatment Index scores.[At 0, 1, 2, 3, 4, 5, & 6 months.]
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