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Clinical Trials/NCT05688410
NCT05688410Active, not recruitingNot Applicable

Enhancing Exercise and Psychotherapy to Treat Pain and Addiction in Adults With an Opioid Use Disorder (EXPO): A Randomized Trial (R33 Phase)

Case Western Reserve University2 sites in 1 country198 target enrollmentStarted: February 10, 2023Last updated:
Conditions

Trial Snapshot

Phase
Not Applicable
Status
Active, not recruiting
Enrollment
198
Locations
2
Primary Endpoint
Drug cravings

Study Overview

Brief Summary

This work will involve conducting a randomized trial that will evaluate preliminary efficacy of "assisted" rate cycling, voluntary rate cycling and psychotherapy for pain individually and in combination as adjunctive treatments on cravings (primary outcome) in adults with an opioid use disorder. The investigators will also evaluate the effects of "assisted" rate cycling, voluntary rate cycling and I-STOP on secondary outcomes including depression, anxiety and sleep.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Factorial
Primary Purpose
Treatment
Masking
Double (Care Provider, Outcomes Assessor)

Eligibility Criteria

Ages
18 Years to 65 Years (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • 18 to 65 years old
  • Must be enrolled in a residential/inpatient drug treatment program at a collaborating drug treatment center
  • Must be diagnosed with an Opioid Use Disorder (OUD; ICD-10 F11.20) or a Poly-substance Drug Use that includes an opioid component (ICD-10,F19.xx)
  • Must have self-reported pain or a pain condition describing a non-cancer related chronic pain disorder
  • Must be approved to exercise in the study by the drug treatment center (Medical Director, physician or other relevant clinical staff or primary care physician (PCP))

Exclusion Criteria

  • Any substantive contraindications to exercise
  • Psychiatrically unstable
  • Pregnant women
  • Non-English speaking adults
  • Adults unable to provide informed written consent

Outcomes

Primary Outcomes

Drug cravings

Time Frame: Change from baseline to intervention program completion, an average of 8 weeks

Change in drug cravings: self-report, visual analog scale (VAS), higher scores indicate higher levels of cravings;

Secondary Outcomes

  • Anxiety(Change from baseline to intervention program completion, an average of 8 weeks)
  • Depression(Change from baseline to intervention program completion, an average of 8 weeks)
  • Sleep(Change from baseline to intervention program completion, an average of 8 weeks)
  • Drug Cravings using Questionnaire(Change from baseline to intervention program completion, an average of 8 weeks)

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Nora Nock

Associate Professor

Case Western Reserve University

Study Sites (2)

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