Office-based Methadone Versus Buprenorphine to Address Retention in Medication for Opioid Use Disorder Treatment.
Part of paid clinical trials in Oakland, California.
- Sponsor
- Yale University
- Study ID
- NCT06323824
- Phase
- PHASE4
- Status
- Recruiting
Conditions
- Opioid Use Disorder
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - 99 Years
- Healthy Volunteers
- Not accepted
Interventions
- Methadone — DRUGDrug: Methadone Possible formulations: 10 and 50 mg tablets
- Buprenorphine (BUP) — DRUGDrug: Buprenorphine (BUP) Possible formulations: A. Buprenorphine 225 mcg to 24 mg 225 mcg to 32 mg per day B. Buprenorphine (Extended release) 300 mg q 28 days (Sublocade) 100 mg q 28 days (Sublocade) 8 mg q 7 days (Brixadi) 16 mg q 7 days (Brixadi) 24 mg q 7 days (Brixadi) 32 mg q 7 days (Brixadi) 64 mg q 7 28 days (Brixadi) 96 mg q 7 28 days (Brixadi) 128 mg q 7 28 days (Brixadi)
Study Details
The purpose of this clinical trial is to compare the effectiveness of office-based methadone with pharmacy administration and/or dispensing to office-based buprenorphine for the treatment of opioid use disorder. This study will also examine factors influencing the implementation of office-based methadone.
Key Dates
- Start date
- Jun 4, 2024
- Status verified
- Apr 2026
- Primary completion
- Dec 31, 2028
- Completion
- Dec 31, 2028
Study Design
- Enrollment
- 600 participants (estimated)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- TREATMENT
Arms
- Experimental: Office-based methadoneUnder special Drug Enforcement Administration (DEA) exception, Clinician prescribes methadone and oral methadone is administered and/or dispensed at a pharmacy which also has an exception to do so. All randomized controlled trial (RCT) participants are offered additional behavioral treatments (e.g., individual, group, telehealth, phone-based).
- Active Comparator: Office-based buprenorphine (BUP)Clinician prescribes BUP formulations that are dispensed at a pharmacy or administered in the office (e.g., extended-release formulations). All RCT participants are offered additional behavioral treatments (e.g., individual, group, telehealth, phone-based).
Primary Outcome Measure
Number of days of continuous treatment with study site clinician-prescribed methadone or buprenorphine, as randomized, during the 168 days post-randomization among RCT participants. [ Time Frame: up to Day 168 ]
Central Contacts
- Jessica Research Associate203-785-6821
- Melissa Gordon203-937-3486
Locations (6)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Highland Hospital Bridge Clinic at Alameda Health System | Oakland | California | 94602 | Monish Ullal, MD (PRINCIPAL_INVESTIGATOR) |
| Outpatient Buprenorphine Induction Clinic, University of California, San Francisco | San Francisco | California | 94103 | Paula Lum, MD (PRINCIPAL_INVESTIGATOR) Andy Tompkins, MD (PRINCIPAL_INVESTIGATOR) Christine Soran, MD (SUB_INVESTIGATOR) |
| Rapid Start Clinic, Kaiser Permanente Colorado | Denver | Colorado | 80205 | Ingrid Binswanger, MD (PRINCIPAL_INVESTIGATOR) |
| Officed Based Addiction Treatment Program, Boston Medical Center | Boston | Massachusetts | 02118 | Zoe Weinstein, MD (PRINCIPAL_INVESTIGATOR) |
| Hennepin Healthcare Addiction Medicine | Minneapolis | Minnesota | 55415 | Gavin Bart, MD (PRINCIPAL_INVESTIGATOR) |
| Marshall University Division of Addiction Sciences P.R.O.A.C.T | Huntington | West Virginia | 25703 | Zachary Hansen, MD (PRINCIPAL_INVESTIGATOR) Todd Davies, PhD (SUB_INVESTIGATOR) |
Find similar trials in Oakland, CA
By research site
Highland Hospital Bridge Clinic at Alameda Health System· Oakland, CAOutpatient Buprenorphine Induction Clinic, University of California, San Francisco· San Francisco, CARapid Start Clinic, Kaiser Permanente Colorado· Denver, COOfficed Based Addiction Treatment Program, Boston Medical Center· Boston, MAHennepin Healthcare Addiction Medicine· Minneapolis, MNMarshall University Division of Addiction Sciences P.R.O.A.C.T· Huntington, WV
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