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Determining Genetic Biomarkers Predictive of the Development of Prescription Opioid Addiction

Conditions
Usage of Prescription Opioids
Registration Number
NCT01562353
Lead Sponsor
Analgesic Solutions
Brief Summary

This is a clinical study on patients who have been prescribed opioids (narcotic pain relievers) for the treatment of pain, to determine what genetic factors influence outcome of treatment. Procedures include: an initial telephone prescreening, completion of a number of questionnaires, and a blood draw to determine genetic factors. Participants will take part in a one-time clinic visit, during which all procedures will be completed.

The investigators hypothesize that several classes of genes, including genes in opioid, pain, and reward pathways, will differentiate opioid-dependent subjects from opioid-exposed nondependent subjects.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
30
Inclusion Criteria
  • Subject is 18 years or older.
  • Subject is willing and able to speak, read, and write in English and comply with all study procedures.
  • Subject is willing and able to voluntarily sign and date an Informed Consent Form (ICF), approved by an Institutional Review Board (IRB), prior to the conduct of any study-specific procedures.
  • Subject has been prescribed opioids for the treatment of pain for at least 6 months at the time of the study.

Cases:

  • Subject has a diagnosis of current prescription opioid dependence (confirmed by the MINI).
  • Subject had no history of dependence on alcohol or illicit or prescription drugs, including opioids, prior to prescription opioid exposure for the treatment of chronic pain. Patients who have abused these substances but have not met criteria for dependence (confirmed by the MINI and/or medical history) will be included.

Controls:

  • Subject's prescribing physician has reported absence of significant problematic behavior with respect to prescription opioids or other substances while under the physician's care.
  • Subject has a negative urine drug screen for alcohol, illicit drugs, and nonprescribed controlled substances at screening.
  • Subject has no current or past substance abuse or dependence (confirmed by the MINI and medical history).
Exclusion Criteria
  • Subject has any condition that poses undo study-related risk, or that interferes with assessment.
  • Subject is not willing to have blood drawn or has any condition that in the investigators' opinion precludes having blood drawn.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
mRNA Levels1 day

mRNA levels for all known genes and exons

Secondary Outcome Measures
NameTimeMethod
FTQ1 day

Family Tree Questionnaire

TEQ1 day

Trauma Exposure Questionnare

LSQ1 day

Life Stress Questionnaire

POCS1 day

Prescription Opioid Craving Scale

POAQ1 day

Prescription Opioid Analgesic Questionnaire

MINI1 day

Mini International Neuropsychiatric Interview

mARCI1 day

Modified Addiction Research Center Inventory

Trial Locations

Locations (1)

Analgesic Solutions

🇺🇸

Natick, Massachusetts, United States

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