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Opioid UsePhase 3NCT03616236

Buprenorphine for Probationers and Parolees: Bridging the Gap Into Treatment

A Phase 3 study testing Buprenorphine/Naloxone and Treatment as usual in people with Opioid Use, run by Friends Research Institute, Inc. at 1 site in United States.

Suspended

Paused. Enrolment is on hold for now and may resume.

Official record
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Trial summary

This five-year study will evaluate the effectiveness of the administration of buprenorphine bridge treatment (BBT) to probationers and parolees compared to treatment as usual (TAU), which consists of referral to a community buprenorphine treatment program. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Opioid Use
What is being tested?
Buprenorphine/Naloxone and Treatment as usual
Could I receive a placebo?
No, everyone receives an active treatment
How many people
320 participants
Where
1 siteUnited States
Study dates
1 Jul 2022to 30 Dec 2026
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Subject must provide written informed consent prior to the conduct of any study-related procedures
  • Male or female, 18-65 years of age, inclusive
  • Be on parole or probation for at least the next 4 months
  • Have a Baltimore City address, and (5) Primary diagnosis of (DSM-5) moderate-severe opioid use disorder (at least 4 symptoms) including current use and current physiologic dependence [Note: parolees not currently physically dependent will be allowed in the study].

Who cannot join

  • Current medical condition that may prevent the participant from safely participating in the study as determined by medical evaluation
  • Current psychosis or suicidal ideation
  • Cognitive disorders that prevent the participant from passing a study enrollment quiz
  • Any pending legal action that would interrupt study participation (eg, pending incarceration, probation/parole revocation, unadjudicated charges)
  • Exposure to any investigational drug within 8 weeks of screening
  • Current use benzodiazepines (such as Valium, Xanax and other sedatives), either prescribed or illicitly obtained
  • Currently enrolled in a methadone maintenance treatment program or taking long-acting naltrexone.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Division of Parole & Probation

    Baltimore, Maryland, 21202

Other trials in United States

About this study

This five-year study will evaluate the effectiveness of the administration of buprenorphine bridge treatment (BBT) to probationers and parolees compared to treatment as usual (TAU), which consists of referral to a community buprenorphine treatment program.

Read the detailed description

This five-year study will evaluate the effectiveness of the administration of buprenorphine bridge treatment (BBT) to probationers and parolees compared to treatment as usual (TAU), which consists of referral to a community buprenorphine treatment program. Project implementation will occur at Guilford Avenue, the primary intake unit for Baltimore City Community Supervision (Probation and Parole). The proposed study is a parallel two-group randomized controlled trial in which 160 men and 160 women with OUD on community supervision in Baltimore will be randomly assigned within community supervision status (probation or parole) and gender to one of two treatment conditions: (1) Buprenorphine Bridge Treatment (BBT): Participants will begin buprenorphine pharmacotherapy using the MedicaSafe buprenorphine dispensing device immediately after an on-site intake at a community supervision office and continue such treatment until they are transitioned to community buprenorphine treatment; or (2) Treatment as Usual (TAU): Participants will receive a referral to buprenorphine treatment in the community. Both conditions will receive information on overdose prevention. Participants will be assessed at baseline, and 1, 2, 3, 6, and 12 months post-intake using a comprehensive assessment battery. The Primary Aim: To compare the relative effectiveness of BBT to TAU in terms of: (a) illicit opioid drug test (oral saliva) results. The Secondary Aim: To examine the extent to which BBT is superior to TAU in terms of: (b) number of days receiving opioid treatment; (c) number of days using illicit opioids; (d) quality of life (i. physical health; ii. mental health); (e) HIV risk behaviors (i. sexual behavior; ii. needle use or sharing); (f) criminal activity; (g) re-arrest; and (h) re-incarceration. The proposed study is significant because the large number of probationers/parolees with OUD have limited access to an efficacious treatment, buprenorphine pharmacotherapy. The proposed study is innovative because it would be the first trial in the US assessing the effectiveness of interim buprenorphine initiated at a community supervision office compared to referral to a community treatment program. The public health impact would be widespread, as this model of care could be scaled-up throughout many areas of the US with criminal justice populations with high rates of OUD.

Conditions
Opioid Use
Being tested
Buprenorphine/Naloxone, Treatment as usual

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Buprenorphine/NaloxoneDrug

    Also called BBT

    Participants will begin buprenorphine pharmacotherapy using the MedicaSafe buprenorphine dispensing device immediately after an on-site intake at a community supervision office and continue such treatment until they are transitioned to community buprenorphine treatment

  • Treatment as usualOther

    Also called TAU

    Participants will receive a referral to buprenorphine treatment in the community

Study groups in NCT03616236
Study groupRoleWhat they receive
TAUActive comparatorParticipants will receive a referral to buprenorphine treatment in the community.
Receives: Other: Treatment as usual
BBTExperimentalParticipants will begin buprenorphine pharmacotherapy using the MedicaSafe buprenorphine dispensing device immediately after an on-site intake at a community supervision office and continue such treatment until they are transitioned to community buprenorphine treatment
Receives: Drug: Buprenorphine/Naloxone

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. opioid use

    illicit opioid drug test (oral saliva) results

    Measured: 12 months

Secondary outcomes (10)
  1. treatment adherence

    entered community based treatment

    Measured: 12 months

  2. treatment adherence

    number of days receiving opioid treatment

    Measured: 12 months

  3. opioid use days

    number of days using illicit opioids

    Measured: 12 months

  4. health-related quality of life

    physical health using the SF-12 Health Survey

    Measured: 12 months

  5. health-related quality of life

    mental health using the SF-12 Health Survey

    Measured: 12 months

  6. HIV risk behaviors

    sexual behavior using the Risk Assessment Battery (RAB)

    Measured: 12 months

  7. HIV risk behaviors

    needle use or sharing using the Risk Assessment Battery (RB)

    Measured: 12 months

  8. criminal activity

    criminal activity days

    Measured: 12 months

  9. re-arrest

    time to re-arrest

    Measured: 12 months

  10. re-incarceration

    time to re-incarceration

    Measured: 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Aug 2018
  2. Study start1 Jul 2022
  3. Primary completion31 Aug 2026 (estimated)
  4. Study completion30 Dec 2026 (estimated)

Why it stopped: Unable to recruit from study sites.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
320 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03616236
Sponsor's protocol ID
FRI
Status last verified
Jan 2026
First submitted
20 Jul 2018
Last updated
3 Feb 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: FRI is committed to the open and timely dissemination of research outcomes. Investigators in the proposed activity recognize that promising new methods and strategies may arise during the course of the research. Fri will abide by the principles for sharing research resources as described by NIH in "Principles and Guidelines for Recipients of NIH Research Grants and Contracts on Obtaining and Disseminating Biomedical Research Resources. Working with the research community, as well as the federal funding agency, FRI will serve the scientific community at large by sharing ideas and software to ensure that new knowledge benefits society. Our goals are to disseminate new ideas so the public can benefit from discoveries, and to generate new ideas for research and education. Any data shared will be de-identified and follow the regulations set forth in applicable Human Subjects Protection Guidelines.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Buprenorphine/Naloxone and Treatment as usual in people with Opioid Use, run by Friends Research Institute, Inc. at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: paused, as of the sponsor's last update on 3 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

opioid use (time frame: 12 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Feb 2026.

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Clinical Trial NCT03616236 | AzTrials