Opiate Addiction
Conditions
Keywords
Naloxone, 6β-Naltrexol, Opioid-dependent, Pharmacokinetics, peripheral effects of withdrawal, central effects of withdrawal
Brief summary
The purpose of this study is to evaluate the safety and efficacy of intravenous 6β-Naltrexol administered to opiate dependent subjects
Interventions
Drug: Naloxone 0.1 mg IV/5 minutes to all subjects to determine tolerability to precipitated withdrawal during screening. Those that tolerate withdrawal proceed to Stage 1: Drug: Lactulose 10 gm orally plus 3 IV infusions 30 minutes apart of Naloxone 0.1 mg IV and 2 placebo given randomly to all subjects. If tolerated, proceed to 5 additional medication dosing sessions with all subjects receiving oral Lactulose 10 GM plus IV escalating 6β-Naltrexol 0.05 mg, 0.15 mg, 0.5 mg with a randomized placebo.
Sponsors
Study design
Eligibility
Inclusion criteria
* Opiate dependent males and females age 21-45 on stable doses of methadone * Fluent English speaker * Willing and able to give written consent
Exclusion criteria
* Pregnancy or lactation FOR MORE DETAILS CONTACT THE RESEARCH CLINIC.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - 6β-Naltrexol will have 13 hr half-life. Plasma collected | -0-24 hrs post dose |
| - 6β-Naltrexol pharmacokinetic profile in opioid-dependent population will be similar in non-opioid-dependent population. Plasma levels collected | 0-8 hrs post dose |
Secondary
| Measure | Time frame |
|---|---|
| -6β-Naltrexol will have a lower potency in precipitating withdrawal and be better tolerated than Naloxone assessed by vital signs, objective/subjective ate Withdrawal Scales, Visual Analog Scales, Pupil Size and GI Motility measures | 0-8 hrs post dose |
| 6β-Naltrexol dose-dependent increases to reverse methadone-induced bowel dysfunction. Plasma levels and Hydrogen Breath Tests | 0-8 hrs post dose |
Countries
United States