HIV Infection, Opioid-Related Disorders
Conditions
Keywords
HIV Infection, Opioid dependence, DSM-IV criteria for opioid dependence
Brief summary
A007 is a randomized, two-arm study evaluating the effectiveness of standard drug addiction counseling with buprenorphine/naloxone to enhanced motivational drug counseling with buprenorphine/naloxone for the treatment for opioid addiction in an integrated and nonintegrated HIV care setting.
Detailed description
DESIGN: A007 is a randomized, two-arm study evaluating the effectiveness of standard drug addiction counseling with buprenorphine/naloxone to enhanced motivational drug counseling with buprenorphine/naloxone for the treatment for opioid addiction in an integrated and nonintegrated HIV care setting. DURATION: Subjects will participate in this study for approximately 48 weeks. Chart abstractions will continue for up to four years. SAMPLE SIZE: This study will enroll 60 subjects (30 per arm) over 72 weeks. POPULATION: HIV-1 infected opioid dependent men and women ≥18 years of age who initiate buprenorphine for the treatment of opioid dependence and who are receiving primary care for HIV-1 infection. STRATIFICATION: Subjects will be stratified at screening based on HIV care setting (integrated HIV care vs. nonintegrated HIV care) INTERVENTON At entry subjects will be randomized to one of the following: ARM A: Standard drug addiction counseling + buprenorphine / naloxone ARM B: Enhanced behavioral motivation counseling + buprenorphine / naloxone The three primary outcomes are: 1. Cessation of illicit opioid use 2. Reduction in high risk behavior 3. Improved HIV therapy adherence
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* HIV infection * Receiving or seeking outpatient HIV care * Seeking outpatient treatment for opioid dependence and be willing to take buprenorphine * Meets DSM-IV criteria for opioid dependence, and be willing to stop illicit opioid use and be experiencing early symptoms of opioid withdrawal at the time that buprenorphine is given * Men and women age ≥ 18 years * Women of reproductive potential must have a negative serum or urine pregnancy test result available within 7 days prior to initiating buprenorphine * Within 30 days: (SGOT), ALT (SGPT), and alkaline phosphatase \<=5 X ULN, Total bilirubin \<= 2.5 x ULN
Exclusion criteria
* Serious medical problem * Acute and/or severe psychiatric conditions * High dose methadone (\>30 mg/day) * Documented co-dependence on alcohol and/or benzodiazepines, barbiturates * Chronic pain management requiring opioids * Pregnancy or breast-feeding * Imprisonment or involuntary incarceration in a medical facility for psychiatric or physical
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The three primary outcomes are Cessation of illicit opioid use, Reduction in high risk behavior and Improved HIV therapy adherence | week 48 |
Countries
United States