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Opioid Use DisorderPhase 1NCT06216132

Study of the BIOPIN 6 Naltrexone Implant in Healthy Adults

A Phase 1 study testing BIOPIN-6 Active Implant with Naltrexone in people with Opioid Use Disorder, run by Akyso Therapeutics, LLC 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

The purpose of this study is to evaluate the safety and blood levels of a medicine, naltrexone, contained within an implant in healthy volunteers age 18 to 65 years. To do this, the implant containing the drug will be inserted under the skin, left in place for 3 months and then removed. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Opioid Use Disorder
What is being tested?
BIOPIN-6 Active Implant with Naltrexone
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
16 participants
Where
1 siteUnited States
Study dates
24 Jun 2024to 25 Apr 2025
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 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Subjects must meet all of the following criteria to be included in the study:
  • Healthy male or female volunteer, aged 18-to-55 years, inclusive.
  • BMI must be between 18 and 32 kg/m2 (inclusive) and weigh a minimum of 50 kg (110 lbs).
  • If female, be postmenopausal (at least 2 years prior to dosing) or agree to use an acceptable form of birth control from screening until 12 weeks after dosing. Subjects who claim postmenopausal status will have status confirmed with a follicle stimulating hormone (FSH) test. Acceptable forms of birth control for females include the following:
  • Vasectomized partner (at least 6 months prior to dosing)
  • Surgical sterilization (bilateral tubal ligation, hysterectomy, bilateral oophorectomy) at least 6 months prior to dosing
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  • Non-surgical permanent sterilization (eg, Essure procedure) at least 3 months prior to dosing.
  • Abstinence (must agree to use a double barrier method if they become sexually active during the study)
  • Double barrier (diaphragm with spermicide; condoms with spermicide)
  • Oral hormonal contraceptives
  • Not Breast feeding
  • Negative tests for human immunodeficiency virus (HIV), Hepatitis C antibody, Hepatitis B surface antigen, and Covid
  • Able and willing to comply with the requirements of the protocol
  • Able and willing to provide written informed consent
  • Willing to undergo a minor surgical procedure under local anesthetic to allow for investigational drug administration in the subcutaneous tissue
  • Agree to avoid blunt trauma to the implantation site
  • Agree that after implantation, not to shower for 2 days and not to bathe/swim for 4 weeks

Who cannot join

  • Subjects must have none of the exclusion criteria to be included in the study.
  • Clinically significant abnormal finding on the physical exam, medical history, electrocardiogram (EKG), or clinical laboratory results at screening. In particular, values of liver function tests (ALT, AST, bilirubin, albumin, GGT) and kidney function tests (creatinine, blood urea nitrogen) and reticulocytes shall not deviate by more than 25% from the ranges of normal.
  • Blood pressure: systolic >140 mmHg, diastolic >90 mmHg. [Europe Soc Hypertension guidelines]
  • Heart rate: >100 beats/minute.
  • Hemoglobin for female <11.5 and for male <12.5 are excluded.
  • Have a known or suspected history or family history of adverse reactions or hypersensitivity to the study drugs or to drugs with a similar chemical structure.
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  • History or presence of gastrointestinal, hepatic or renal disease, or other condition known to interfere with the absorption, distribution, metabolism or excretion of drugs.
  • Is on anticoagulant medications other than aspirin or NSAIDs. Agree to stop aspirin or NSAIDs 1 week prior to Biopin 6 implantation
  • Used any over-the-counter (OTC) medication, nutritional or dietary supplements, herbal preparations, or vitamins within 7 days prior to the first dose of medication.
  • Used any prescription medication within 14 days prior to the first dose of study medication.
  • More than moderate drinking averaged over the last month as assessed by history:
  • o Moderate drinking is here defined as up to 3 drinks per week. The standard drink will be defined by the guidelines of the National Institute on Alcohol Abuse and Alcoholism (NIAAA) and will contain no more than 14 g of alcohol.
  • Smoking: Use of tobacco or nicotine-containing products within the 3-month period preceding study drug administration is exclusionary.
  • Positive urine drug screen for amphetamines, barbiturates, benzodiazepines, cocaine, opiates, cannabinoids, phencyclidine, propoxyphene, methadone, methaqualone, and alcohol at the screening and Day -1 tests.
  • Any methadone use 14 days prior to screening, and up to Study Day -1.
  • Has had a naltrexone implant in the past 24 months.
  • Has received treatment with an extended naltrexone product (e.g. Vivitrol) in the past 12 months.
  • Fails the naloxone challenge test
  • Has a condition which requires treatment with opioid based medication.
  • Has a known hypersensitivity to naltrexone.
  • Has a known hypersensitivity to materials based on poly-d-l Lactic Acid and polycaprolactone (e.g. biodegradable sutures, surgical implants or previous biodegradable implants).
  • Has a known hypersensitivity to local anesthesia.
  • Is prone to skin rashes, irritation or has a skin condition such as recurrent eczema that is likely to impact the implant site area, or as determined by the evaluating physician.
  • Is known to form keloids at the site of skin injury.
  • Demonstrates any abnormal skin tissue in the proposed implantation area
  • Previous surgery to the upper abdominal wall
  • Donated blood or plasma within 30 days prior to the first dose of study medication.
  • Participated in another clinical trial within 30 days prior to the first dose of study medication.
  • Is participating or intending to participate in any other clinical trial during the duration of this study.
  • 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)
  • Not as much as "mild" depression as measured by the HAM-D17 test: HAM-D17 score must be 0-10.
  • 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.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • JBR Clinical Research

    Salt Lake City, Utah, 84107

Other trials in United States

About this study

Official title: A Phase 1, Placebo-controlled, Single-Ascending-Dose, Study of BIOPIN 6 in Healthy Adults

The purpose of this study is to evaluate the safety and blood levels of a medicine, naltrexone, contained within an implant in healthy volunteers age 18 to 65 years. To do this, the implant containing the drug will be inserted under the skin, left in place for 3 months and then removed.

Read the detailed description

Naltrexone (NTX) is a medication that helps people with opioid and alcohol dependence. It works by blocking the effects of opioids like heroin in the body. In the United States, participants can get NTX in two forms: a pill participants take once a day (Revia) and a shot participants get once a month (Vivitrol). Even though NTX is good at stopping the effects of opioids, some people find it hard to take it regularly. That's why scientists are looking into making a new version of NTX that participants only need to take once a month. This could make it easier for people with opioid use problems to stick with their treatment plan.

The device being tried out in this research is called BIOPIN-6. It's made to stay in the body for more than a month. The study will go on for three months and aims to check if the BIOPIN-6 is safe and how much medicine it releases into the blood. Once the three months are up, the device will be taken out.

Being tested
BIOPIN-6 Active Implant with Naltrexone, BIOPIN-6 Placebo Implant
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.

  • BIOPIN-6 Active Implant with NaltrexoneCombination product

    Also called BIOPIN, Subcutaneous naltrexone implant, Extended release naltrexone implant

    An extended release formulation of naltrexone implanted in the subcutaneous space.

  • BIOPIN-6 Placebo ImplantDevice

    The placebo will be an implant consisting of the poly-d-l Lactic Acid and polycaprolactone contained in BIOPIN 6 without naltrexone.

Study groups in NCT06216132
Study groupRoleWhat they receive
BIOPIN-6 active implantExperimentalTwo sequential cohorts receiving 4.8 or 9.6 BIOPIN 6 implanted into a subcutaneous pocket in the upper abdominal wall.
Receives: Combination Product: BIOPIN-6 Active Implant with Naltrexone
BIOPIN-6 placebo implantPlacebo comparatorThe placebo will be an implant consisting of the poly-d-l Lactic Acid and polycaprolactone contained in BIOPIN 6 without naltrexone.
Receives: Device: BIOPIN-6 Placebo Implant

What is being measured

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

  1. Naltrexone Plasma Concentration Area Under the Curve (AUC₀-Day 98)

    Area under the plasma naltrexone concentration-time curve (AUC) from implant placement through Day 98, calculated using noncompartmental pharmacokinetic methods based on serial plasma concentration measurements. Plasma concentrations below the lower limit of quantification (LLOQ) were represented as 0 in the reported results; therefore, 0 values do not represent placeholder entries.

    Measured: Predose and 1, 3, 6, 12, 24, 48, and 72 hours post-implant; Days 7 and 10; Weeks 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11 post-implant; Week 12 pre-explant and 1, 3, 6, 12, 24, 48, 72, and 96 hours post-explant; and Week 14 (Day 98).

  2. Naltrexone Plasma Levels (Peak)

    Naltrexone Peak Plasma Concentration (Cmax) [ng/ml]. Plasma concentrations below the lower limit of quantification (LLOQ) were represented as 0 in the reported results; therefore, 0 values do not represent placeholder entries.

    Measured: Predose and 1, 3, 6, 12, 24, 48, and 72 hours post-implant; Days 7 and 10; Weeks 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11 post-implant; Week 12 pre-explant and 1, 3, 6, 12, 24, 48, 72, and 96 hours post-explant; and Week 14 (Day 98).

  3. Time to Peak Plasma Concentration of Naltrexone (Tmax)

    Time to maximum observed plasma concentration (Tmax) of naltrexone following implant placement.

    Measured: Predose and 1, 3, 6, 12, 24, 48, and 72 hours post-implant; Days 7 and 10; Weeks 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11 post-implant; Week 12 pre-explant and 1, 3, 6, 12, 24, 48, 72, and 96 hours post-explant; and Week 14 (Day 98).

  4. 6-β-naltrexol Plasma Concentration Area Under the Curve (AUC₀-98 Days)

    Area under the plasma concentration-time curve (AUC) of 6-β-naltrexol from implant placement through Day 98. Plasma concentrations below the lower limit of quantification (LLOQ) were represented as 0 in the reported results; therefore, 0 values do not represent placeholder entries.

    Measured: Predose and 1, 3, 6, 12, 24, 48, and 72 hours post-implant; Days 7 and 10; Weeks 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11 post-implant; Week 12 pre-explant and 1, 3, 6, 12, 24, 48, 72, and 96 hours post-explant; and Week 14 (Day 98).

  5. 6-β-naltrexol Peak Plasma Concentration (Cmax)

    Maximum observed plasma concentration (Cmax) of 6-β-naltrexol following implant placement.[ng/ml]. Plasma concentrations below the lower limit of quantification (LLOQ) were represented as 0 in the reported results; therefore, 0 values do not represent placeholder entries.

    Measured: Predose and 1, 3, 6, 12, 24, 48, and 72 hours post-implant; Days 7 and 10; Weeks 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11 post-implant; Week 12 pre-explant and 1, 3, 6, 12, 24, 48, 72, and 96 hours post-explant; and Week 14 (Day 98).

  6. Time to Peak Plasma Concentration of 6-β-naltrexol (Tmax)

    Time to maximum observed plasma concentration (Tmax) of 6-β-naltrexol following implant placement.

    Measured: Day 0 to Day 98

Timeline

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

  1. First posted22 Jan 2024
  2. Study start24 Jun 2024
  3. Primary completion18 Apr 2025
  4. Study completion25 Apr 2025

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Determine naltrexone and 6b-naltrexole pharmacokinetic parameters in subjects administered a single dose of BIOPIN 6 \[BIOPIN 6 implants containing 4.8g (dose-level #1) or 9.6g (dose-level #2) naltrexone\]. Each of the two dose groups will be compared to a placebo implant group. The initial study design had 3 groups and a high dose group receiving 14.4 g naltrexone. After the PK data became available for the second cohort, the sponsor chose to not proceed with the final cohort because the target PK parameters had been achieved with the 9.6 gram group.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
16 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06216132
Sponsor's protocol ID
BIOPIN101
Other IDs
5UG3DA048338-02
Status last verified
Apr 2026
First submitted
27 Dec 2023
Last updated
28 Apr 2026
Data monitoring committee
No
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 BIOPIN-6 Active Implant with Naltrexone in people with Opioid Use Disorder, run by Akyso Therapeutics, LLC 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 17 inclusion and 32 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 28 Apr 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. Some participants in this study may receive a placebo. 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 28 Apr 2026). 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?

Naltrexone Plasma Concentration Area Under the Curve (AUC₀-Day 98) (time frame: Predose and 1, 3, 6, 12, 24, 48, and 72 hours post-implant; Days 7 and 10; Weeks 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11 post-implant; Week 12 pre-explant and 1, 3, 6, 12, 24, 48, 72, and 96 hours post-explant; and Week 14 (Day 98).). The study lists 6 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 28 Apr 2026.

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