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Abuse Liability of Controlled-Release Oxycodone Formulations

Phase 4
Completed
Conditions
Substance-Related Disorders
Interventions
Drug: Apo-Oxycodone CR®
Drug: Placebo
Registration Number
NCT02101840
Lead Sponsor
Centre for Addiction and Mental Health
Brief Summary

The objective of this study is to examine the abuse liability of a single 40mg dose of 2 controlled release oxycodone formulations (Apo-Oxycodone CR® and OxyNEO®) in non-dependent recreational opioid users by assessing the self-reported acute effects of the drugs and taking blood samples to measure drug concentrations. The investigators think there may be differences in how well these drugs are liked when swallowed whole due to differences in how the products are formulated.

Detailed Description

This is a single-center, single-dose, double-blind, placebo-controlled, randomized, crossover, abuse liability study conducted in healthy subjects who are non-dependent recreational opioid users. The study consists of 3 study days during which each subject will take one tablet of either 40mg OxyNEO®, 40mg Apo-Oxycodone CR®, or placebo. The participants will be assessed for both pharmacokinetic and pharmacodynamic outcomes.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
11
Inclusion Criteria
  • Healthy male and female subjects 18 to 50 years of age
  • Willing and capable to give written informed consent
  • Subjects must have used opioids recreationally to achieve a "high" on at least five occasions in the 12 months before screening and at least once in the 90 days before screening according to self-report
  • Females of childbearing potential have to use a medically acceptable form of birth control and have a negative pregnancy test
  • Pass medical assessment, which includes physical examination, assessment of medical history, vital signs, blood work, and urine toxicology screen
  • Willing to abstain from alcohol 12 hours before and during the study days
Exclusion Criteria
  • Current or past Axis I psychiatric illness (including current drug dependence or past opioid dependence, except nicotine dependence)
  • Current hepatic disease or renal failure
  • Pregnancy or lactation in women
  • Current medication that is known to interact with opioids
  • Known contraindications or hypersensitivity to opioids
  • Current opioid therapy
  • Chronic pain disorder requiring regular medication

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
OxyNEO®OxyNEO®a single 40mg oral dose of the controlled release oxycodone formulation OxyNEO®
Apo-Oxycodone CR®Apo-Oxycodone CR®a single 40mg oral dose of the controlled release oxycodone formulation Apo-Oxycodone CR®
PlaceboPlaceboa single oral dose of placebo prepared using gelatin capsules and lactose filler with identical looking study capsules as the oxycodone products
Primary Outcome Measures
NameTimeMethod
Change from Baseline on Visual Analogue Scale for "Drug Liking" Over 8 Hours After Drug AdministrationBaseline and 1,1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, and 8 hours after drug administration
Change from Baseline on Visual Analogue Scale for "Drug High" Over 8 Hours After Drug AdministrationBaseline and 1,1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, and 8 hours after drug administration
Secondary Outcome Measures
NameTimeMethod
Visual Analogue Scale for "Bad Effects"Baseline and 1,1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, and 8 hours after drug administration
Pupil DiameterBaseline and 1,1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, and 8 hours after drug administration
CmaxBaseline to 6 hours post-administration

Plasma oxycodone concentration

Profile of Mood States (POMS)Baseline and 1,1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, and 8 hours after drug administration
Psychomotor PerformanceBaseline and 1,1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, and 8 hours after drug administration

Digit Symbol Substitution Test (DSST)

Visual Analogue Scale for "Any Drug Effects"Baseline and 1,1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, and 8 hours after drug administration
Visual Analogue Scale for "Good Effects"Baseline and 1,1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, and 8 hours after drug administration
TmaxBaseline to 6 hours post drug administration

Plasma oxycodone concentrations

Visual Analogue Scale for "Sleepy"Baseline and 1,1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, and 8 hours after drug administration
Visual Analogue Scale for "Dizzy"Baseline and 1,1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, and 8 hours after drug administration
SedationBaseline and 1,1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, and 8 hours after drug administration

Addiction Research Center Inventory (ARCI)

Psychotomimetic ChangesBaseline and 1,1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, and 8 hours after drug administration

Addiction Research Center Inventory (ARCI)

Somatic DisturbancesBaseline and 1,1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, and 8 hours after drug administration

Addiction Research Center Inventory (ARCI)

EuphoriaBaseline and 1,1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, and 8 hours after drug administration

Addiction Research Center Inventory (ARCI)

Dysphoric ChangesBaseline and 1,1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, and 8 hours after drug administration

Addiction Research Center Inventory (ARCI)

Visual Analogue Scale for "Take Drug Again"Baseline and 1,1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, and 8 hours after drug administration
Likert Scale for "Sedation"Baseline and 1,1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, and 8 hours after drug administration
Sensory DisturbancesBaseline and 1,1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, and 8 hours after drug administration

Addiction Research Center Inventory (ARCI)

Visual Analogue Scale for "Feel Sick"Baseline and 1,1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, and 8 hours after drug administration
Visual Analogue Scale for "Nausea"Baseline and 1,1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, and 8 hours after drug administration

Trial Locations

Locations (1)

Centre for Addiction and Mental Health

🇨🇦

Toronto, Ontario, Canada

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