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Opioid-use DisorderPhase 1NCT04716881

Pharmacokinetic Study of Vivitrol in Healthy Participants

A Phase 1 study testing Naltrexone 380 MG in people with Opioid-use Disorder, run by Go Medical Industries Pty Ltd at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a Phase I, single-center, single arm, open-label study, to establish the pharmacokinetic (PK) parameters of Vivitrol 380 mg IM injection (IP), a US Food and Drug Administration (FDA) approved medication. Read more about this study

Who is it for?
Ages 18 to 57 yearsHealthy volunteers can take part
Conditions the study is for
Opioid-use Disorder
What is being tested?
Naltrexone 380 MG
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
9 participants
Where
1 siteUnited States
Study dates
25 Jan 2021to 4 Apr 2022
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 57 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Have completed GM0017 (i.e. been administered OLANI (3.6 gram) and provided two consecutive monthly blood samples of NTX below 0.1 ng/mL)
  • Men or women between ≥18 and <58 years old Without DSM 5 - Substance Related Disorders classification; in sustained remission is not exclusionary
  • Able and willing to comply with the requirements of the protocol
  • Able and willing to provide written informed consent
  • Willing to undergo an injection of NTX to allow for investigational drug administration in the intramuscular tissue
  • Have an initial weight between 45.3 and 81.6 kilograms (inclusive) or have a BMI inclusive of 18.5 to 30.0.

Who cannot join

  • Is currently on active NTX medication.
  • Positive UDS at screening for illicit substances.
  • Has a condition which requires treatment with opioid based medication.
  • Has a known hypersensitivity to NTX.
  • Is prone to skin rashes, irritation or has a skin condition such as recurrent eczema that is likely to impact the injection site area, or as determined by the evaluating physician.
  • Demonstrates any abnormal skin tissue in the proposed injection area.
Show all 17Show fewer
  • Is pregnant or planning to be. Women need to have negative pregnancy test at screening. Women need to agree to practice an effective method of contraception throughout participation.
  • Participant is breastfeeding or planning to be.
  • Has a current significant neurological (including cognitive and psychiatric disorders),
  • Any clinically important abnormal finding as determined by medical history, physical examination, ECG or clinical laboratory tests.
  • Any additional condition(s) that in the investigator's opinion would prohibit the participant from completing the study or would not be in the best interest of the participant.
  • ALT or AST >3 times the upper end of the laboratory normal range.
  • Any methadone use 14 days prior to screening, and up to Study Day 0.
  • Current DSM 5 diagnosis of schizophrenia, bipolar, anxiety, or depressive disorder, confirmed by MINI assessment, or currently treated with medications for anxiety or depression. Past history (in remission DSM 5 classification) of anxiety or depression is not exclusionary.
  • Any elevated risk for suicide measured using the Columbia Suicide Severity Rating Scale, endorsing any of the items in the past month (C-SSRS, Lifetime)
  • Is participating or intending to participate in any other clinical trial during the duration of this study.
  • Is allergic to any of the ingredients in Vivitrol or the diluent used to mix Vivitrol (i.e. carboxymethylcellulose sodium, polysorbate 20, sodium chloride, sodium hydroxide and hydrochloric acid as pH adjusters, in water for injection).

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Columbia University Medical Center

    New York, New York, 10032

Other trials in United States

About this study

Official title: A Bioequivalence Study Comparing Vivitrol and O'Neil Long Acting Naltrexone Implant (OLANI) in Healthy Participants

This is a Phase I, single-center, single arm, open-label study, to establish the pharmacokinetic (PK) parameters of Vivitrol 380 mg IM injection (IP), a US Food and Drug Administration (FDA) approved medication.

Read the detailed description

This is a Phase I, single-center, single arm, open-label study, to establish the PK parameters of Vivitrol 380 mg IM injection (IP), a US FDA approved medication. Participants will be healthy volunteers with no significant medical or mental health disorders, who have completed participation in clinical trial GM0017 (i.e. have received the OLANI treatment and have subsequently provided two consecutive plasma levels of naltrexone (NTX) <0.1ng/mL).

This study will examine the PK profile of Vivitrol IM 380 mg over 6 doses for a treatment period of 196 days. Intense sampling will occur after the 1st and 6th dose of Vivitrol. Participants will be without a DSM 5 - Substance Related Disorders classification. Participants will be required to undergo a Naloxone Challenge Test (NCT) to confirm opiate naivety before administration of the IP. No randomization will occur.

Being tested
Naltrexone 380 MG
Keywords
naltrexone, opioids, Opioid Use Disorder
Medical subject headings
Opioid-Related Disorders

What participants receive

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

  • Naltrexone 380 MGDrug

    Also called Vivitrol

    Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days

Study groups in NCT04716881
Study groupRoleWhat they receive
Vivitrol (naltrexone)ExperimentalIntramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart.
Receives: Drug: Naltrexone 380 MG

What is being measured

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

  1. Median Cmax of Naltrexone (After 1st Dose)

    Single-dose PK measurement of the maximum observed plasma naltrexone concentration (Cmax) after dosing on Day 0

    Measured: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

  2. Median Tmax of Naltrexone (After 1st Dose)

    Single-dose PK measurement of the time to maximum plasma naltrexone concentration (Tmax) after dosing on Day 0

    Measured: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

  3. Median AUC0-inf of Naltrexone (After 1st Dose)

    Single-dose PK measurement of the area under the plasma concentration-time curve for naltrexone from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 0

    Measured: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

  4. Median Ctrough of Naltrexone (After 1st Dose)

    Single-dose PK measurement of naltrexone concentration at the end of the dosing interval (Ctrough) after dosing on Day 0

    Measured: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

  5. Median Cmax of 6β-naltrexol (After First Dose)

    Single-dose PK measurement of the maximum observed plasma 6β-naltrexol concentration (Cmax) after dosing on Day 0

    Measured: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

  6. Median Tmax of 6β-naltrexol (After 1st Dose)

    Single-dose PK measurement of the time to maximum plasma 6β-naltrexol concentration (Tmax) after dosing on Day 0

    Measured: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

  7. Median AUC0-inf of 6β-naltrexol (After 1st Dose)

    Single-dose PK measurement of the area under the plasma concentration-time curve for 6β-naltrexol from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 0

    Measured: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

  8. Median Ctrough of 6β-naltrexol (After 1st Dose)

    Single-dose PK measurement of 6β-naltrexol concentration at the end of the dosing interval (Ctrough) after dosing on Day 0

    Measured: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

  9. Median Cmax of Naltrexone (After 6th Dose)

    PK measurement of the maximum observed plasma naltrexone concentration (Cmax) after 6th dose on Day 140

    Measured: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

  10. Median Tmax of Naltrexone (After 6th Dose)

    PK measurement of the time to maximum plasma naltrexone concentration (Tmax) after dosing on Day 140

    Measured: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

  11. Median AUC0-inf of Naltrexone (After 6th Dose)

    PK measurement of the area under the plasma concentration-time curve for naltrexone from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 140

    Measured: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

  12. Median Ctrough of Naltrexone (After 6th Dose)

    PK measurement of naltrexone concentration at the end of the dosing interval (Ctrough) after dosing on Day 140

    Measured: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

  13. Median Cmax of 6β-naltrexol (After 6th Dose)

    PK measurement of the maximum observed plasma 6β-naltrexol concentration (Cmax) after dosing on Day 140

    Measured: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

  14. Median Tmax of 6β-naltrexol (After th Dose)

    PK measurement of the time to maximum plasma 6β-naltrexol concentration (Tmax) after dosing on Day 140

    Measured: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

  15. Median AUC0-inf of 6β-naltrexol (After 6th Dose)

    PK measurement of the area under the plasma concentration-time curve for 6β-naltrexol from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 140

    Measured: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

  16. Median Ctrough of 6β-naltrexol (After 6th Dose)

    PK measurement of 6β-naltrexol concentration at the end of the dosing interval (Ctrough) after dosing on Day 140

    Measured: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

Secondary outcomes (7)
  1. Adverse Events (AEs)

    Proportion of participants reporting AEs

    Measured: Up to Day 196

  2. Naltrexone Accumulation Ratio (AR) for Cmax

    The naltrexone AR was determined for Cmax by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.

    Measured: 196 days after the 6th dose

  3. Naltrexone Accumulation Ratio (AR) for Ctrough

    The naltrexone AR was determined for Crough by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.

    Measured: 196 days after the 6th dose

  4. Naltrexone Accumulation Ratio (AR) for AUC0-inf

    The naltrexone AR was determined for AUC0-inf by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.

    Measured: 196 days after the 6th dose

  5. 6β-naltrexol Accumulation Ratio (AR) for Cmax

    The 6β-naltrexol AR was determined for Cmax by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.

    Measured: 196 days after the 6th dose

  6. 6β-naltrexol Accumulation Ratio (AR) for Ctrough

    The 6β-naltrexol AR was determined for Ctrough by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.

    Measured: 196 days after the 6th dose

  7. 6β-naltrexol Accumulation Ratio (AR) for AUC0-inf

    The 6β-naltrexol AR was determined for AUC0-inf by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.

    Measured: 196 days after the 6th dose

Timeline

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

  1. First posted20 Jan 2021
  2. Study start25 Jan 2021
  3. Primary completion4 Apr 2022
  4. Study completion4 Apr 2022

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 1
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
9 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04716881
Sponsor's protocol ID
GM0019
Other IDs
UG3DA047720, 406190
Status last verified
Feb 2024
First submitted
17 Jan 2021
Last updated
23 Feb 2024
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Naltrexone 380 MG in people with Opioid-use Disorder, run by Go Medical Industries Pty Ltd 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 6 inclusion and 17 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: finished, as of the sponsor's last update on 23 Feb 2024. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 9 Jun 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Median Cmax of Naltrexone (After 1st Dose) (time frame: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.). The study lists 16 primary outcomes in all. 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 23 Feb 2024.

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