Status:
COMPLETED
Dexmedetomidine in the Treatment of Symptoms Of Acute Opioid Withdrawal
Lead Sponsor:
BioXcel Therapeutics Inc
Collaborating Sponsors:
Cognitive Research Corporation
Conditions:
Opioid Withdrawal
Eligibility:
All Genders
18-65 years
Phase:
PHASE1
PHASE2
Brief Summary
This Phase 1b/2 inpatient study assessed the safety, pharmacokinetics, and early signs of efficacy of escalating doses of BXCL501 versus placebo following discontinuation of morphine maintenance. The ...
Detailed Description
This Study included two phases, Phase 1b and Phase 2. Phase 1b was the morphine maintenance phase, Days 1 through 5 and Phase 2 was the randomized, double-blind, placebo-controlled, ascending-dose stu...
Eligibility Criteria
Inclusion
- Inclusion Criteria
- Male and female subjects who are 18 years of age to less than 65 years of age.
- Meets criteria for moderate to severe opioid use disorder as per Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria and confirmed by the Mini International Neuropsychiatric Interview (MINI) with physiological dependence as evidenced by a Clinical Opiate Withdrawal (COWS) score of \>5 or a positive naloxone challenge upon admission on Day 1.
- Subjects who can read, understand, and provide written informed consent. Women of childbearing potential must have a negative pregnancy test and agree to be abstinent or use an acceptable method of contraception for the duration of the study.
- Exclusion Criteria
- Positive urine pregnancy test at screening or when tested or currently breast feeding.
- Clinically significant history of cardiac disease, screening and baseline heart rate of \<55 beats per minutes or systolic blood pressure \<110 mmHg or diastolic blood pressure \<70 mmHg.
- History or presence of a significant medical disease or disorder which, in the opinion of the investigator, increases the risk or may confound the interpretation of study measures, as confirmed by screening laboratory results.
- Hepatic dysfunction (marked by ascites, or bilirubin \>10% above the upper limit of normal \[ULN\] or liver function tests \>3 x ULN) at the screening visit.
- Acute active Hepatitis B or C as evidenced by positive serology and aspartate aminotransferase (AST)/alanine aminotransferase (ALT) \>2 x ULN.
- Clinically significant abnormal ECG findings such as second- or third-degree heart block, uncontrolled arrhythmia, or QTcF (Fridericia correction formula) interval \>450 msec for males, and \>470 msec for females at screening or prior to dosing.
- Any psychiatric disorder that would compromise ability to complete study requirements.
- Currently meets DSM-5 criteria for substance abuse disorder, moderate or severe for any substance other than opioids, caffeine, or nicotine and/or current physical dependence on drugs that pose risk of withdrawal that requires medical management such as alcohol or benzodiazepines.
- History of suicidal behavior within the last 1 year prior to screening.
- Participation in a clinical trial of a non-FDA-approved pharmacological agent within 30 days prior to screening.
- Use of any excluded medication at screening or anticipated/required use during the study period.
- Subjects with a history of intolerance to morphine.
- Any finding that, in the view of the principal investigator, would compromise the subject's ability to fulfill the protocol visit schedule or visit requirements.
Exclusion
Key Trial Info
Start Date :
June 9 2020
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
February 18 2021
Estimated Enrollment :
225 Patients enrolled
Trial Details
Trial ID
NCT04470050
Start Date
June 9 2020
End Date
February 18 2021
Last Update
October 26 2023
Active Locations (3)
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1
BioXcel Clinical Research Site
Miami Lakes, Florida, United States, 33016
2
BioXcel Clinical Research Site
Marlton, New Jersey, United States, 08053
3
BioXcel Clinical Research Site
New York, New York, United States, 10032