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Behavioral Intervention

Naloxone + Buprenorphine Induction for Opioid Use Disorder (NBIM Trial)

Phase 3
Recruiting
Led By Cecilia Bergeria, PhD
Research Sponsored by Johns Hopkins University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
18 years or older
Provides urine sample that tests positive for fentanyl
Timeline
Screening 3 weeks
Treatment Varies
Follow Up after initial buprenorphine dose up to 24 hours
Awards & highlights

NBIM Trial Summary

This trial will assess a new method to rapidly transition people with chronic opioid use to treatment, using naloxone & buprenorphine, to help combat the opioid epidemic.

Who is the study for?
This trial is for adults over 18 who speak English, have a moderate to severe opioid use disorder with fentanyl present in their urine, and are medically cleared to take the study medication. They must be willing to follow the study protocol but not currently on medications for OUD or pregnant/breastfeeding.Check my eligibility
What is being tested?
The trial tests a new method of starting buprenorphine treatment using naloxone nasal spray among individuals who use fentanyl. It aims to see if this approach can safely and quickly transition patients without prolonged withdrawal by gradually increasing buprenorphine doses.See study design
What are the potential side effects?
Potential side effects may include typical reactions associated with naloxone such as body aches, diarrhea, rapid heart rate, fever, sneezing, goosebumps, weakness and changes in blood pressure.

NBIM Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I am 18 years old or older.
Select...
My urine test was positive for fentanyl.

NBIM Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~after initial buprenorphine dose up to 24 hours
This trial's timeline: 3 weeks for screening, Varies for treatment, and after initial buprenorphine dose up to 24 hours for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Length of time (hours) for participants to reach 8mg of buprenorphine
Peak opioid withdrawal as assessed by the Subjective Opiate Withdrawal Scale (SOWS)
Self-report acceptability

Side effects data

From 2017 Phase 4 trial • 570 Patients • NCT02032433
13%
Gastrointestinal
10%
Psychiatric
10%
Nervous system disorders
8%
Infections and infestations
6%
Injury, poisoning and procedural complications
6%
Injury poisoning and procedural complications
6%
Musculoskeletal and connective tissue disorders
4%
General Disorders and Administration Site Conditions
4%
Investigations
3%
Skin and subcutaneous tissue disorders
2%
Respiratory, thoracic, and mediastinal disorders
2%
Metabolism and nutrition
2%
Eye disorders
2%
Respiratory, thoracic and mediastinal disorders
1%
Renal and urinary disorders
1%
Reproductive system and breast disorders
1%
General disorders and administration site conditions
100%
80%
60%
40%
20%
0%
Study treatment Arm
Extended-Release Naltrexone
Buprenorphine-Naloxone

NBIM Trial Design

4Treatment groups
Experimental Treatment
Group I: 8mg buprenorphineExperimental Treatment1 Intervention
8mg of buprenorphine will be given to a subset of participants immediately after naloxone administration.
Group II: 4mg buprenorphineExperimental Treatment1 Intervention
4mg of buprenorphine will be given to a subset of participants immediately after naloxone administration.
Group III: 24mg buprenorphineExperimental Treatment1 Intervention
24mg of buprenorphine will be given to a subset of participants immediately after naloxone administration.
Group IV: 16mg buprenorphineExperimental Treatment1 Intervention
16mg of buprenorphine will be given to a subset of participants immediately after naloxone administration.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Naloxone Nasal Spray
2021
Completed Phase 1
~80

Find a Location

Who is running the clinical trial?

Johns Hopkins UniversityLead Sponsor
2,266 Previous Clinical Trials
14,837,472 Total Patients Enrolled
Cure Addiction NowUNKNOWN
Cecilia Bergeria, PhDPrincipal InvestigatorJohns Hopkins School of Medicine
1 Previous Clinical Trials
30 Total Patients Enrolled

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are there any safety issues associated with administering 4mg buprenorphine to patients?

"Our team has determined that 4mg buprenorphine is likely safe, as evidenced by the Phase 3 rating of 3. This indicates there are already studies demonstrating its effectiveness and multiple trials showcasing safety results."

Answered by AI

Are there any available vacancies in this clinical investigation?

"The information on clinicaltrials.gov suggests that this particular trial is not currently accepting enrolment; the first post date was January 15th 2024 and its last update took place October 13th 2023. However, there are 282 other active studies seeking patients at present."

Answered by AI
~17 spots leftby Jan 2026