Pilot Study to Assess the Feasibility, Efficacy and Safety of Extended-release Injectable Buprenorphine for the Treatment of Opioid Use Disorder Among Individuals at High Risk of Overdose
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Opioid-Use Disorder
- Sponsor
- BC Centre on Substance Use
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Number of XR-BUP injections received
- Status
- Recruiting
- Last Updated
- 3 years ago
Overview
Brief Summary
This pilot study will evaluate the feasibility and clinical utility of extended-release injectable buprenorphine (XR-BUP) for the treatment of opioid use disorder (OUD) among individuals at high-risk for overdose (OD).
Detailed Description
FASTER-BUP is a 24-week observational pilot study evaluating the feasibility and clinical utility of XR-BUP (brand name: Sublocade) for the treatment of OUD among individuals at high-risk of OD. Forty participants with moderate to severe OUD starting treatment with XR-BUP as part of standard of care will be followed.
Investigators
M. Eugenia Socias
Assistant Professor, Department of Medicine, UBC; Research Scientist, BCCSU
BC Centre on Substance Use
Eligibility Criteria
Inclusion Criteria
- •Participants must meet ALL the following criteria to be eligible to participate for the study:
- •Be above 19 years of age;
- •Be diagnosed with moderate or severe OUD as evidenced by their approval for treatment with XR-BUP (Sublocade);
- •Be at high-risk for recurrent overdose, defined as having experienced a recent non-fatal overdose within the past 6 months (e.g., admission to the emergency department for an overdose OR self-reported OD that required Naloxone administration OR had an overdose where an ambulance arrived at the scene);
- •Have a new prescription for XR-BUP, but have not yet initiated treatment;
- •Be able and willing to follow study procedures;
- •Be able to provide adequate locator information (e.g., phone number and at least one emergency contact);
- •Be able and willing to provide written informed consent;
- •Be able to understand, communicate and speak with the research staff. Non-English speaking individuals will require a translator to be present during all study visits and during all study activities. The translator will be independent (e.g., not known to the participant to prevent the risk for coercion or misrepresentation).
Exclusion Criteria
- •Participants will be excluded from the study if ANY of the following criteria are met:
- •Be on OAT other than buprenorphine/naloxone in the 7 days prior to screening;
- •Be on a stable buprenorphine/naloxone dose for more than 27 days prior to screening;
- •Use of an investigational drug in the 30 days prior to screening;
- •Incarcerated, pending legal action or other reasons that might prevent completion of the study.
Outcomes
Primary Outcomes
Number of XR-BUP injections received
Time Frame: 24 weeks
The primary outcome for this study will be retention in treatment, defined as having received the six scheduled XR-BUP injections and completed the EOS/Early Termination visit.
Proportion of treatment-engaged visits per participant
Time Frame: 24 weeks
Proportion of treatment-engaged visits per participant will be calculated as the number of received XR-BUP injections divided by the number of scheduled injections (i.e., six).
Secondary Outcomes
- Safety monitoring(24 weeks)
- Percentage of opioid free weeks(24 weeks)