Opioid Related Disorder
Conditions
Keywords
Opioid Dependence, Buprenorphine, Depot, SUBUTEX, RBP-6000
Brief summary
This is an open-label study in treatment seeking opioid-dependent subjects for safety, tolerability, pharmacokinetics (PK), efficacy markers, and opioid receptor availability of subcutaneous injections of depot buprenorphine after induction and stabilization of treatment seeking subjects onto Subutex. Subjects were planned to receive 4 subcutaneous (SC) injections of RBP-6000 separated by 28 days (Cohorts 1-5) or 6 SC injections of RBP-6000 separated by 28 days (Cohort 6) after a 13-day induction and dose stabilisation period on SUBUTEX Sublingual (SL) tablet at dose levels of 8-24 mg.
Detailed description
* Open-label SUBUTEX Sublingual Tablet Induction and Stabilisation Period After completing the screening period, subjects entered an open-label SUBUTEX SL tablet induction and stabilisation period to achieve stable daily doses of 8 mg, 12 mg, 14 mg, 24 mg or 8 - 24 mg (variable) during a 13 day inpatient (Day -14 to Day -1) period. * Open-label Treatment Phase On Day 1, eligible subjects discontinued use of SUBUTEX SL tablet and received a subcutaneous (SC) injection of RBP-6000. The dose of RBP-6000 received and the cohort to which a subject was assigned depended upon the SUBUTEX SL tablet dose on Day -1. * Injection 1 (Day 1): 3 days inpatient post-dose (Day 1 to Day 3) and outpatient visits (Day 4 to Day 28); serial pharmacokinetic (PK) samples * Injection 2 (Day 29): 60-hour inpatient pre-dose and post-dose (Day 28 to Day 31) and outpatient visits (Day 32 to Day 56); sparse PK samples * Injection 3 (Day 57): 60-hour inpatient pre-dose and post-dose (Day 56 to Day 59) and outpatient visits (Day 60 to Day 84); sparse PK samples * Injection 4 (Day 85): 60-hour inpatient pre-dose and post-dose (Day 84 to Day 87) and outpatient visits (Day 88 to Day 113 \[or Day 112 for Cohort 6\]); serial PK samples * Cohort 6 ONLY: Injection 5 (Day 113): 60-hour inpatient pre-dose and post-dose (Day 112 to Day 115) and outpatient visits (Day 116 to Day 140); serial PK samples * Cohort 6 ONLY: Injection 6 (Day 141): 60-hour inpatient pre- and post-dose (Day 140 to Day 143) and outpatient visits (Day 144 to Day 169); serial PK samples * Safety Follow-up: weekly visits up to 60 days post-Injection 4 (PK Day 114 to Day 141) for subjects in Cohorts 1-5 who did not take part in the positron emission tomography (PET) imaging sub-study and up to 60 days post-Injection 6 (PK Day 169 to Day 197) for subjects in Cohort 6 The objective of the PET imaging sub-study was to evaluate the relationship between buprenorphine plasma levels and the ability of the 200 mg and 300 mg doses of RBP-6000 to reduce mu-opioid receptor availability measured with \[11C\]carfentanil and positron emission tomography (PET) scans. This objective was exploratory in nature and results are not reported as part of these summary results.
Interventions
18% Buprenorphine Sterile Solution for subcutaneous (SC) injection using the ATRIGEL® Delivery System. Each injection of RBP-6000 is separated by a minimum of 28 days and given on alternate sides of the participant's abdomen.
Participants were inducted and stabilized over a 14-day period (study days -14 to -1) on SUBUTEX sublingual tablets. Tablets are placed under the tongue until dissolved.
Sponsors
Study design
Eligibility
Inclusion criteria
* Male and female subjects * Agree not to take any buprenorphine products other than those administered for the current study throughout participation in the study * Body mass index (BMI) of \>18.0 to \< 33.0 kg/m
Exclusion criteria
* Participants with a current diagnosis requiring chronic opioid treatment * Participants with a history of risk factors of Torsades de Pointes (e.g., heart failure, hypokalemia, family history of Long QT Syndrome) or an ECG demonstrating a Fridericia's corrected QT interval (QTcF) \>450 msec in males and QTcF \> 470 in females at screening * Abuse of buprenorphine or use of buprenorphine within 14 days of informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Norbuprenorphine PK: Terminal Phase Half Life (t1/2) Calculated For Injection 4 | Days 85-113, 141-197 | The terminal phase half life calculated for Injection 4 in subjects not participating in PET imaging sub-study. The t1/2 was reported only if the coefficient of determination R2 was at least 0.8. |
| Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Day -1, Days 1-29, 85-113, 141-197 | Maximum observed plasma concentration, determined directly from individual concentration time data. Results are reported across four timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading at hours 0-24. * Initial Burst Parameters (Days 1-2 relative to RBP-6000 injections 1, 4 and 6) at hours 0-48 * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) at hours 48-672 * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6 |
| Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Day -1, Days 1-29, 85-113, 141-197 | Minimum observed plasma concentration, determined directly from individual concentration time data. Results are reported across three timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading at hours 0-24. * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) at hours 48-672 * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6 |
| Norbuprenorphine PK: Swing of Plasma Concentrations | Day -1, Days 1-29, 85-113, 141-197 | The swing of norbuprenorphine plasma concentrations calculated as (Cmax-Cmin)/Cmin within the dosing interval. Cmax=maximum plasma concentration Cmin=minimum plasma concentration Results are reported across three timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading. * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6 |
| Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Day -1, Days 1-29, 85-113, 141-197 | Results are reported across four timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading at hours 0-24. * Initial Burst Parameters (Days 1-2 relative to RBP-6000 injections 1, 4 and 6) at hours 0-48 * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) at hours 48-672 * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) at hours 0-24, hours 0-672 The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6 |
| Norbuprenorphine PK: Accumulation Index in Terms of Area Under the Curve (Rac(AUC)) | Days 1-28, 85-113 | Accumulation index in terms of AUC calculated as ratio of AUCtau Injection 4/ AUCtau Injection 1. AUCtau = area under plasma concentration time curve over the dosing interval tau (for SC RBP-6000, tau=28 days). |
| Norbuprenorphine PK: Accumulation Index in Terms of Maximum Observed Plasma Drug Concentration (Rac(Cmax)) | Days 1-28, 85-113 | Accumulation index in terms of Cmax calculated as ratio of Cmax Injection 4/ Cmax Injection 1. |
| Norbuprenorphine PK: Area Under Plasma Concentration Time Curve From Time Zero Of Injection 4 and 6 (AUC0-∞) | Days 85-113, 141-197 | Area under plasma concentration time curve from time zero of Injection 4 extrapolated to infinity; calculated for Injection 4 and 6 (last injection) in subjects not participating in PET imaging sub-study only as: (AUC0-∞ was reported if the coefficient of determination R2 was at least 0.8 and the extrapolated area is less than 25%). A minimum of 5 data points was required. AUC up to the last measurable concentration (AUClast) was calculated by using the linear trapezoidal rule. |
| Participants With Treatment-Emergent Adverse Events (TEAEs) | Days -14 to -1 (Subutex treatment), Days 1-316 (RBP-6000 treatment) | TEAE=any untoward medical occurrence that develops or worsens in severity after dispensation of the study drug and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= a marked limitation in activity. Relation of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent one of the outcomes listed in this definition. A serious AE (SAE) is defined as any AE occurring at any dose that results in any of the following outcomes: death; lifethreatening AE; hospitalization or prolongation of existing hospitalization; a persistent or significant disability/incapacit |
| Buprenorphine PK: % Fluctuation | Day -1, Days 1-29, 85-113, 141-197 | % Fluctuation was defined as the degree of fluctuation of buprenorphine plasma concentrations calculated as (Cmax-Cmin)/Cavg\*100, expressed as a percentage. Cmax=maximum plasma concentration Cmin=minimum plasma concentration Cavg = average plasma concentration Results are reported across three timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading. * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6 |
| Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Day -1, Days 1-29, 85-113, 141-197 | AUC calculated using the linear trapezoidal rule and requiring a minimum of 5 data points for each time range. Results are reported across four timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading at hours 0-24. * Initial Burst Parameters (Days 1-2 relative to RBP-6000 injections 1, 4 and 6) at hours 0-48 * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) at hours 48-672 * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) at hours 0-24, hours 0-672 The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6 |
| Buprenorphine PK: Average Plasma Concentration (Cavg) | Day -1, Days 1-29, 85-113, 141-197 | Cavg was defined as the AUC (timeframe)/timeframe. For example, the sublingual steady-state Cavg reading on Day -1 = AUC0-24/ 24 hours Results are reported across three timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading. * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6 |
| Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Day -1, Days 1-29, 85-113, 141-197 | Maximum observed plasma concentration, determined directly from individual concentration time data. Results are reported across four timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading at hours 0-24. * Initial Burst Parameters (Days 1-2 relative to RBP-6000 injections 1, 4 and 6) at hours 0-48 * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) at hours 48-672 * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6 |
| Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Day -1, Days 1-29, 85-113, 141-197 | Minimum observed plasma concentration, determined directly from individual concentration time data. Results are reported across three timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading at hours 0-24. * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) at hours 48-672 * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6 |
| Buprenorphine PK: Swing of Plasma Concentrations | Day -1, Days 1-29, 85-113, 141-197 | The swing of buprenorphine plasma concentrations calculated as (Cmax-Cmin)/Cmin within the dosing interval. Cmax=maximum plasma concentration Cmin=minimum plasma concentration Results are reported across three timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading. * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6 |
| Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Day -1, Days 1-29, 85-113, 141-197 | Results are reported across four timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading at hours 0-24. * Initial Burst Parameters (Days 1-2 relative to RBP-6000 injections 1, 4 and 6) at hours 0-48 * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) at hours 48-672 * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) at hours 0-24, hours 0-672 The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6 |
| Buprenorphine PK: Accumulation Index in Terms of Area Under the Curve (Rac(AUC)) | Days 1-28, 85-113 | Accumulation index in terms of AUC calculated as ratio of AUCtau Injection 4/ AUCtau Injection 1. AUCtau = area under plasma concentration time curve over the dosing interval tau (for SC RBP-6000, tau=28 days). |
| Buprenorphine PK: Accumulation Index in Terms of Maximum Observed Plasma Drug Concentration (Rac(Cmax)) | Days 1-28, 85-113 | Accumulation index in terms of Cmax calculated as ratio of Cmax Injection 4/ Cmax Injection 1. |
| Buprenorphine PK: Apparent Clearance at Steady-State (CLss/F) Following Injections 4 and 6 | Days 85-113, 141-169 | Apparent clearance at steady-state (CLss/F) = Dose / AUCtau (tau was 28 days). |
| Buprenorphine PK: Area Under Plasma Concentration Time Curve From Time Zero Of Injection 4 (AUC0-∞) | Days 85-113 | Area under plasma concentration time curve from time zero of Injection 4 extrapolated to infinity; calculated for Injection 4 (last injection) in subjects not participating in PET imaging sub-study only as: (AUC0-∞ was reported if the coefficient of determination R2 was at least 0.8 and the extrapolated area is less than 25%). A minimum of 5 data points was required. AUC up to the last measurable concentration (AUClast) was calculated by using the linear trapezoidal rule. |
| Buprenorphine PK: Terminal Phase Half Life (t1/2) Calculated For Injection 4 | Days 85-113 | The terminal phase half life calculated for Injection 4 in subjects not participating in PET imaging sub-study. The t1/2 was reported only if the coefficient of determination R2 was at least 0.8. |
| Norbuprenorphine PK: % Fluctuation | Day -1, Days 1-29, 85-113, 141-197 | % Fluctuation was defined as the degree of fluctuation of norbuprenorphine plasma concentrations calculated as (Cmax-Cmin)/Cavg\*100, expressed as a percentage. Cmax=maximum plasma concentration Cmin=minimum plasma concentration Cavg = average plasma concentration Results are reported across three timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading. * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6 |
| Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Day -1, Days 1-29, 85-113, 141-197 | AUC calculated using the linear trapezoidal rule and requiring a minimum of 5 data points for each time range. Results are reported across four timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading at hours 0-24. * Initial Burst Parameters (Days 1-2 relative to RBP-6000 injections 1, 4 and 6) at hours 0-48 * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) at hours 48-672 * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) at hours 0-24, hours 0-672 The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6 |
| Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Day -1, Days 1-29, 85-113, 141-197 | Cavg was defined as the AUC (timeframe)/timeframe. For example, the sublingual steady-state Cavg reading on Day -1 = AUC0-24/ 24 hours Results are reported across three timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading. * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Baseline (screening to Day -13), Days -1, 1, 29, 57, 85 141 | The Subjective Opiate Withdrawal Scale (SOWS) contains 16 symptoms whose intensity the participant rates on a scale of 0 (not at all) to 4 (extremely) for a full scale of 0 (no withdrawal symptoms) to 64 (extreme withdrawal symptoms). Baseline was defined as the peak (maximum) value from screening to study Day -13 pre-SUBUTEX dose. The baseline score is reported as the mean of observed values. Other measurements were taken prior to dosing and reported as change from baseline values. Negative change from baseline values indicate a lessening of withdrawal symptoms. |
| Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Baseline (screening to Day -13), Days -1, 1, 29, 57, 85 141 | The Total Score was the sum of 10 questions regarding cravings each ranging from 0 (no craving) - 10 (extreme craving) for a total range from 0 (no cravings) to 100 (most intense craving I have ever had). Baseline was defined as the peak (maximum) value from screening to study Day -13 pre-SUBUTEX dose. The baseline score is reported as the mean of observed values. Other measurements were taken prior to dosing and reported as change from baseline values. Negative change from baseline values indicate a lessening of craving symptoms. |
| Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Baseline (screening Day -15), Days 1, 7, 29, 57, 85, 141 | The CGI-S is a 7-item scale completed by the clinician used to rate the severity of symptoms. The total range is 1 (normal, not at all ill) to 7 (most extremely ill). Baseline was defined as value from screening (Day -13). The baseline score is reported as the mean of observed values. Other measurements were taken prior to dosing (not applicable for Day 7) and reported as change from baseline values. Negative change from baseline values indicate a lessening of the severity of symptoms. |
| Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Baseline (Day 1), Days 7, 29, 57, 85, 141 | The CGI-I is a 7-item scale completed by the clinician used to rate their impression of how much the participant has improved over a baseline state. The total range is 1 (very much improved) to 7 (very much worse). Baseline was defined as value from Day 1. The baseline score is reported as the mean of observed values. Other measurements were taken prior to dosing (not applicable for Day 7) and reported as change from baseline values. Negative change from baseline values indicate an improvement. |
| Columbia Suicide Severity Rating Scale (C-SSRS): Severity | Screening (summary of lifetime), Screening (last 6 months), Day 65, Day 113, End of Study (up to day 365) | The scale used in the C-SSRS is a continuous variable ranging from 0 (no suicidal ideation present) to 5 (active ideation with specific plan and intent). Only participants with suicidal ideation (scale of 1-5) are reported. 1=desire to be dead to 5=active ideation with specific plan and intent. |
| Percentage of Urine Drug Screen Samples Negative for Opioids | Day 1 to End of Study (up to day 365) | Urine samples were screened for the following drugs: * opiates * cocaine * amphetamines * methadone * cannabinoids * barbiturates * buprenorphine. Buprenorphine was only included in the urine drug screen at screening and Day -14 to determine if the subject had used any buprenorphine-containing products prior to the start of SUBUTEX SL tablet dosing. * benzodiazepines * methamphetamine * phencyclidine Urine drug screens were run every day when the participant was an inpatient; every 2-3 days when the participant was an outpatient. Drug screens were run less often for those participants in the PET substudy. |
| Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Baseline (screening to Day -13), Days -1, 1, 29, 57, 85 141 | COWS is an 11-item instrument used to assess symptoms of opioid withdrawal (Wesson et al., 1999). The score is the sum of the responses for a total range of 0-48. The COWS is commonly used by clinicians treating patients with buprenorphine to monitor the severity of withdrawal. COWS scores below 5 are considered not indicative of withdrawal. Scores from 5 to 12 are considered mild withdrawal; from 13 to 24 moderate withdrawal; 25 to 36 moderate/severe withdrawal, and 37-48 severe withdrawal. Each participant was to be assessed by the same qualified and trained individuals throughout the course of the study as much as possible. Baseline was defined as the peak (maximum) value from screening to study Day -13 pre-SUBUTEX dose. The baseline score is reported as the mean of observed values. Other measurements were taken prior to dosing and reported as change from baseline values. Negative change from baseline values indicate a lessening of withdrawal symptoms. |
Countries
United States
Participant flow
Pre-assignment details
A total of 395 subjects provided informed consent to participate in the main study and underwent screening procedures. Of these 395 subjects, 124 received study treatment.
Participants by arm
| Arm | Count |
|---|---|
| Group 1 (8 mg) RBP-6000: 50 mg Participants are stabilized by day -5 on Subutex 8 mg. During the study, four subcutaneous (SC) injections containing RBP-6000 50 mg are given at 28 day intervals. | 15 |
| Group 2 (12 mg) RBP-6000: 100 mg Participants are stabilized by day -5 on Subutex 12 mg. During the study, four subcutaneous (SC) injections containing RBP-6000 100 mg are given at 28 day intervals | 15 |
| Group 3 (24 mg) RBP-6000: 200 mg Participants are stabilized by day -5 on Subutex 24 mg. During the study, four subcutaneous (SC) injections containing RBP-6000 200 mg are given at 28 day intervals.
Participants who reach Day 113 (and have received all 4 planned SC injections) have the option to participate in the Positron Emission Tomography (PET) Pilot substudy. In the PET Pilot sub-study participants remain on 200 mg SC injections at 28 day intervals for an additional 6-9 intervals until they complete an magnetic resonance imaging (MRI) and a PET scan and pharmacokinetic samples at week 1 and week 4 post injection. | 15 |
| Group 4 (8 mg) RBP-6000: 100 mg Participants are stabilized by day -5 on Subutex 8 mg. During the study, four subcutaneous (SC) injections containing RBP-6000 100 mg are given at 28 day intervals. | 15 |
| Group 5 (14 mg) RBP-6000: 200 mg Participants are stabilized by day -5 on Subutex 14 mg. During the study, four subcutaneous (SC) injections containing RBP-6000 200 mg are given at 28 day intervals.
Participants who reach Day 113 (and have received all 4 planned SC injections) have the option to participate in the Positron Emission Tomography (PET) Pilot substudy. In the PET Pilot sub-study participants remain on 200 mg SC injections at 28 day intervals for an additional 6-9 intervals until they complete an magnetic resonance imaging (MRI) and a PET scan and pharmacokinetic samples at week 1 and week 4 post injection. | 15 |
| Group 6 (8-24 mg) RBP-6000: 300 mg Participants are stabilized by day -5 on a Subutex between 8-24 mg. During the study, up to six subcutaneous (SC) injections containing RBP-6000 300 mg are given at 28 day intervals.
Participants who reach Day 168 (and have received all 6 planned SC injections) have the option to participate in the Positron Emission Tomography (PET) Pilot substudy. In the PET Pilot sub-study participants remain on 300 mg SC injections at 28 day intervals for an additional 6 intervals until they complete an magnetic resonance imaging (MRI) and a PET scan and pharmacokinetic samples at week 1 and week 4 post injection. | 14 |
| Total | 89 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 | FG005 | FG006 |
|---|---|---|---|---|---|---|---|---|
| Induction/Stabilization (Days -14 to -1) | Other | 35 | 0 | 0 | 0 | 0 | 0 | 0 |
| PET Imaging Sub-study | Adverse Event | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
| PET Imaging Sub-study | Scheduling issues with imaging facility | 0 | 0 | 0 | 0 | 0 | 1 | 1 |
| Treatment Period | Adverse Event | 0 | 1 | 0 | 1 | 2 | 2 | 2 |
| Treatment Period | Lost to Follow-up | 0 | 0 | 3 | 4 | 1 | 1 | 5 |
| Treatment Period | Other | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
| Treatment Period | Protocol Violation | 0 | 3 | 1 | 0 | 4 | 2 | 0 |
| Treatment Period | Withdrawal by Subject | 0 | 1 | 0 | 1 | 1 | 1 | 1 |
Baseline characteristics
| Characteristic | Group 2 (12 mg) RBP-6000: 100 mg | Total | Group 6 (8-24 mg) RBP-6000: 300 mg | Group 5 (14 mg) RBP-6000: 200 mg | Group 4 (8 mg) RBP-6000: 100 mg | Group 1 (8 mg) RBP-6000: 50 mg | Group 3 (24 mg) RBP-6000: 200 mg |
|---|---|---|---|---|---|---|---|
| Age, Continuous | 31.1 years STANDARD_DEVIATION 11.14 | 33.8 years STANDARD_DEVIATION 12.1 | 32.9 years STANDARD_DEVIATION 11 | 36.2 years STANDARD_DEVIATION 12.85 | 36.1 years STANDARD_DEVIATION 14.87 | 36.5 years STANDARD_DEVIATION 11.36 | 30.1 years STANDARD_DEVIATION 11.21 |
| Body Mass Index | 24.67 kg/m^2 STANDARD_DEVIATION 3.239 | 24.64 kg/m^2 STANDARD_DEVIATION 3.394 | 25.36 kg/m^2 STANDARD_DEVIATION 3.355 | 25.67 kg/m^2 STANDARD_DEVIATION 3.635 | 25.26 kg/m^2 STANDARD_DEVIATION 4.295 | 23.55 kg/m^2 STANDARD_DEVIATION 3.084 | 23.39 kg/m^2 STANDARD_DEVIATION 2.298 |
| Height | 172.87 cm STANDARD_DEVIATION 8.532 | 171.22 cm STANDARD_DEVIATION 9.906 | 170.64 cm STANDARD_DEVIATION 11.469 | 168.71 cm STANDARD_DEVIATION 10.963 | 171.17 cm STANDARD_DEVIATION 8.701 | 173.41 cm STANDARD_DEVIATION 8.514 | 170.50 cm STANDARD_DEVIATION 11.738 |
| Heroin Use | 9.78 years STANDARD_DEVIATION 11.454 | 9.62 years STANDARD_DEVIATION 10.292 | 8.56 years STANDARD_DEVIATION 12.471 | 10.70 years STANDARD_DEVIATION 7.987 | 11.64 years STANDARD_DEVIATION 12.549 | 11.25 years STANDARD_DEVIATION 10.463 | 5.00 years STANDARD_DEVIATION 5.604 |
| Other Opioid Use | 6.18 years STANDARD_DEVIATION 4.191 | 6.15 years STANDARD_DEVIATION 6.165 | 6.30 years STANDARD_DEVIATION 8.693 | 8.36 years STANDARD_DEVIATION 9.77 | 5.27 years STANDARD_DEVIATION 3.927 | 6.75 years STANDARD_DEVIATION 5.545 | 4.17 years STANDARD_DEVIATION 2.887 |
| Race/Ethnicity, Customized Hispanic or Latino | 1 Participants | 4 Participants | 1 Participants | 1 Participants | 1 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized Not Hispanic or Latino | 14 Participants | 85 Participants | 13 Participants | 14 Participants | 14 Participants | 15 Participants | 15 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 3 Participants | 26 Participants | 3 Participants | 5 Participants | 5 Participants | 7 Participants | 3 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 1 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 11 Participants | 62 Participants | 11 Participants | 10 Participants | 10 Participants | 8 Participants | 12 Participants |
| Sex: Female, Male Female | 5 Participants | 29 Participants | 4 Participants | 6 Participants | 6 Participants | 3 Participants | 5 Participants |
| Sex: Female, Male Male | 10 Participants | 60 Participants | 10 Participants | 9 Participants | 9 Participants | 12 Participants | 10 Participants |
| Smoking History (Nicotine Use) | 10.64 years STANDARD_DEVIATION 5.387 | 15.30 years STANDARD_DEVIATION 11.243 | 17.31 years STANDARD_DEVIATION 13.054 | 20.07 years STANDARD_DEVIATION 11.526 | 19.83 years STANDARD_DEVIATION 14.282 | 15.14 years STANDARD_DEVIATION 10.596 | 9.57 years STANDARD_DEVIATION 8.225 |
| Weight | 73.71 kg STANDARD_DEVIATION 10.411 | 72.50 kg STANDARD_DEVIATION 13.159 | 74.64 kg STANDARD_DEVIATION 16.825 | 73.16 kg STANDARD_DEVIATION 12.753 | 74.43 kg STANDARD_DEVIATION 15.995 | 71.12 kg STANDARD_DEVIATION 12.929 | 68.08 kg STANDARD_DEVIATION 9.9 |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk | EG005 affected / at risk | EG006 affected / at risk |
|---|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 35 | 0 / 15 | 0 / 15 | 0 / 15 | 0 / 15 | 0 / 15 | 0 / 14 |
| other Total, other adverse events | 24 / 35 | 15 / 15 | 15 / 15 | 15 / 15 | 15 / 15 | 15 / 15 | 14 / 14 |
| serious Total, serious adverse events | 0 / 35 | 0 / 15 | 2 / 15 | 1 / 15 | 1 / 15 | 2 / 15 | 0 / 14 |
Outcome results
Buprenorphine PK: Accumulation Index in Terms of Area Under the Curve (Rac(AUC))
Accumulation index in terms of AUC calculated as ratio of AUCtau Injection 4/ AUCtau Injection 1. AUCtau = area under plasma concentration time curve over the dosing interval tau (for SC RBP-6000, tau=28 days).
Time frame: Days 1-28, 85-113
Population: PK population of participants with data at both timepoints
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| SUBUTEX Only | Buprenorphine PK: Accumulation Index in Terms of Area Under the Curve (Rac(AUC)) | 2.580 ratio | Standard Deviation 0.9662 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Accumulation Index in Terms of Area Under the Curve (Rac(AUC)) | 2.738 ratio | Standard Deviation 0.5104 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Accumulation Index in Terms of Area Under the Curve (Rac(AUC)) | 3.456 ratio | Standard Deviation 0.9296 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Accumulation Index in Terms of Area Under the Curve (Rac(AUC)) | 3.379 ratio | Standard Deviation 0.9182 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Accumulation Index in Terms of Area Under the Curve (Rac(AUC)) | 2.837 ratio | Standard Deviation 0.866 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Accumulation Index in Terms of Area Under the Curve (Rac(AUC)) | 3.573 ratio | Standard Deviation 0.566 |
Buprenorphine PK: Accumulation Index in Terms of Maximum Observed Plasma Drug Concentration (Rac(Cmax))
Accumulation index in terms of Cmax calculated as ratio of Cmax Injection 4/ Cmax Injection 1.
Time frame: Days 1-28, 85-113
Population: PK population of participants with data at both timepoints
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| SUBUTEX Only | Buprenorphine PK: Accumulation Index in Terms of Maximum Observed Plasma Drug Concentration (Rac(Cmax)) | 1.380 ratio | Standard Deviation 0.461 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Accumulation Index in Terms of Maximum Observed Plasma Drug Concentration (Rac(Cmax)) | 1.560 ratio | Standard Deviation 0.5322 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Accumulation Index in Terms of Maximum Observed Plasma Drug Concentration (Rac(Cmax)) | 1.766 ratio | Standard Deviation 0.5407 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Accumulation Index in Terms of Maximum Observed Plasma Drug Concentration (Rac(Cmax)) | 1.729 ratio | Standard Deviation 0.6106 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Accumulation Index in Terms of Maximum Observed Plasma Drug Concentration (Rac(Cmax)) | 1.559 ratio | Standard Deviation 0.2642 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Accumulation Index in Terms of Maximum Observed Plasma Drug Concentration (Rac(Cmax)) | 1.908 ratio | Standard Deviation 0.4411 |
Buprenorphine PK: Apparent Clearance at Steady-State (CLss/F) Following Injections 4 and 6
Apparent clearance at steady-state (CLss/F) = Dose / AUCtau (tau was 28 days).
Time frame: Days 85-113, 141-169
Population: PK population
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| SUBUTEX Only | Buprenorphine PK: Apparent Clearance at Steady-State (CLss/F) Following Injections 4 and 6 | Injection 4 | 85.543 L/hour | Standard Deviation 34.6133 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Apparent Clearance at Steady-State (CLss/F) Following Injections 4 and 6 | Injection 4 | 85.043 L/hour | Standard Deviation 21.9189 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Apparent Clearance at Steady-State (CLss/F) Following Injections 4 and 6 | Injection 4 | 105.155 L/hour | Standard Deviation 23.4377 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Apparent Clearance at Steady-State (CLss/F) Following Injections 4 and 6 | Injection 4 | 87.404 L/hour | Standard Deviation 21.0436 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Apparent Clearance at Steady-State (CLss/F) Following Injections 4 and 6 | Injection 4 | 105.390 L/hour | Standard Deviation 29.3714 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Apparent Clearance at Steady-State (CLss/F) Following Injections 4 and 6 | Injection 6 | 77.749 L/hour | Standard Deviation 8.3342 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Apparent Clearance at Steady-State (CLss/F) Following Injections 4 and 6 | Injection 6 | 79.777 L/hour | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Apparent Clearance at Steady-State (CLss/F) Following Injections 4 and 6 | Injection 4 | 80.860 L/hour | Standard Deviation 15.8555 |
Buprenorphine PK: Area Under Plasma Concentration Time Curve From Time Zero Of Injection 4 (AUC0-∞)
Area under plasma concentration time curve from time zero of Injection 4 extrapolated to infinity; calculated for Injection 4 (last injection) in subjects not participating in PET imaging sub-study only as: (AUC0-∞ was reported if the coefficient of determination R2 was at least 0.8 and the extrapolated area is less than 25%). A minimum of 5 data points was required. AUC up to the last measurable concentration (AUClast) was calculated by using the linear trapezoidal rule.
Time frame: Days 85-113
Population: PK population of participants whose data met requirements.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| SUBUTEX Only | Buprenorphine PK: Area Under Plasma Concentration Time Curve From Time Zero Of Injection 4 (AUC0-∞) | 2280.295 hr*ng/mL | Standard Deviation 17.4444 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curve From Time Zero Of Injection 4 (AUC0-∞) | 3521.376 hr*ng/mL | — |
Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC)
AUC calculated using the linear trapezoidal rule and requiring a minimum of 5 data points for each time range. Results are reported across four timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading at hours 0-24. * Initial Burst Parameters (Days 1-2 relative to RBP-6000 injections 1, 4 and 6) at hours 0-48 * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) at hours 48-672 * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) at hours 0-24, hours 0-672 The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6
Time frame: Day -1, Days 1-29, 85-113, 141-197
Population: The PK analysis population was defined as any subject in Groups 1 - 6 who received a dose of RBP-6000 or at least 1 dose of SUBUTEX SL tablet and had an adequate number of PK samples collected to derive PK parameters.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| SUBUTEX Only | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 4 (0-28 days) | 667.611 hr*ng/mL | Standard Deviation 254.2712 |
| SUBUTEX Only | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 4 (0-24 hours) | 35.250 hr*ng/mL | Standard Deviation 14.5405 |
| SUBUTEX Only | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 1 (2-28 days) | 208.013 hr*ng/mL | Standard Deviation 43.2691 |
| SUBUTEX Only | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 1 (0-28 days) | 246.650 hr*ng/mL | Standard Deviation 54.9881 |
| SUBUTEX Only | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 4 (0-48 hours) | 69.845 hr*ng/mL | Standard Deviation 24.4947 |
| SUBUTEX Only | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 1 (0-48 hours) | 46.855 hr*ng/mL | Standard Deviation 11.5533 |
| SUBUTEX Only | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Sublingual Period (0-24 hours) | 28.452 hr*ng/mL | Standard Deviation 7.9415 |
| SUBUTEX Only | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 4 (2-28 days) | 596.568 hr*ng/mL | Standard Deviation 227.2414 |
| SUBUTEX Only | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 1 (0-24 hours) | 24.922 hr*ng/mL | Standard Deviation 6.445 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Sublingual Period (0-24 hours) | 40.971 hr*ng/mL | Standard Deviation 12.6823 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 1 (2-28 days) | 395.450 hr*ng/mL | Standard Deviation 115.3659 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 4 (0-28 days) | 1272.047 hr*ng/mL | Standard Deviation 434.1013 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 4 (0-24 hours) | 56.231 hr*ng/mL | Standard Deviation 15.6411 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 1 (0-48 hours) | 72.453 hr*ng/mL | Standard Deviation 25.4451 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 4 (2-28 days) | 1142.046 hr*ng/mL | Standard Deviation 380.1915 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 1 (0-28 days) | 461.366 hr*ng/mL | Standard Deviation 142.2166 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 4 (0-48 hours) | 113.347 hr*ng/mL | Standard Deviation 29.776 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 1 (0-24 hours) | 36.981 hr*ng/mL | Standard Deviation 14.3565 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 1 (2-28 days) | 541.226 hr*ng/mL | Standard Deviation 193.622 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Sublingual Period (0-24 hours) | 63.019 hr*ng/mL | Standard Deviation 16.4068 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 1 (0-48 hours) | 109.029 hr*ng/mL | Standard Deviation 30.2598 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 4 (0-48 hours) | 185.535 hr*ng/mL | Standard Deviation 48.233 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 4 (2-28 days) | 1807.403 hr*ng/mL | Standard Deviation 441.0377 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 1 (0-24 hours) | 55.291 hr*ng/mL | Standard Deviation 17.0179 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 1 (0-28 days) | 642.010 hr*ng/mL | Standard Deviation 228.0284 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 4 (0-24 hours) | 91.197 hr*ng/mL | Standard Deviation 27.4005 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 4 (0-28 days) | 1932.068 hr*ng/mL | Standard Deviation 455.154 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 4 (0-48 hours) | 98.566 hr*ng/mL | Standard Deviation 17.8092 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 4 (0-28 days) | 1275.098 hr*ng/mL | Standard Deviation 252.85 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 1 (0-24 hours) | 31.747 hr*ng/mL | Standard Deviation 13.218 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 1 (2-28 days) | 368.925 hr*ng/mL | Standard Deviation 137.2231 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 1 (0-28 days) | 413.438 hr*ng/mL | Standard Deviation 133.0365 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 4 (0-24 hours) | 47.633 hr*ng/mL | Standard Deviation 9.6147 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Sublingual Period (0-24 hours) | 30.029 hr*ng/mL | Standard Deviation 12.8676 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 1 (0-48 hours) | 62.395 hr*ng/mL | Standard Deviation 20.3054 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 4 (2-28 days) | 1073.201 hr*ng/mL | Standard Deviation 240.7532 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 6 (0-48 hours) | 216.540 hr*ng/mL | Standard Deviation 48.7904 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 4 (2-28 days) | 1859.204 hr*ng/mL | Standard Deviation 477.7799 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 6 (2-28 days) | 2209.11 hr*ng/mL | — |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 4 (0-48 hours) | 172.421 hr*ng/mL | Standard Deviation 29.3259 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 1 (0-24 hours) | 50.034 hr*ng/mL | Standard Deviation 11.4899 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 1 (0-48 hours) | 104.868 hr*ng/mL | Standard Deviation 22.6943 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 4 (0-28 days) | 2051.989 hr*ng/mL | Standard Deviation 466.6935 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 1 (0-28 days) | 756.053 hr*ng/mL | Standard Deviation 233.8099 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 4 (0-24 hours) | 81.417 hr*ng/mL | Standard Deviation 18.3829 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Sublingual Period (0-24 hours) | 46.681 hr*ng/mL | Standard Deviation 11.8403 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 6 (0-28 days) | 2585.976 hr*ng/mL | Standard Deviation 276.6695 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 1 (2-28 days) | 648.344 hr*ng/mL | Standard Deviation 217.2051 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Sublingual Period (0-24 hours) | 46.628 hr*ng/mL | Standard Deviation 23.2554 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 4 (0-28 days) | 3230.873 hr*ng/mL | Standard Deviation 430.6718 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 4 (2-28 days) | 3426.313 hr*ng/mL | Standard Deviation 672.5864 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 1 (2-28 days) | 926.110 hr*ng/mL | Standard Deviation 285.6452 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 4 (0-24 hours) | 178.109 hr*ng/mL | Standard Deviation 43.2176 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 1 (0-48 hours) | 164.511 hr*ng/mL | Standard Deviation 47.8237 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 4 (0-48 hours) | 381.729 hr*ng/mL | Standard Deviation 81.4365 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 6 (0-24 hours) | 155.779 hr*ng/mL | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 1 (0-24 hours) | 85.090 hr*ng/mL | Standard Deviation 28.7163 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 6 (0-48 hours) | 320.159 hr*ng/mL | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 1 (0-28 days) | 1268.012 hr*ng/mL | Standard Deviation 389.6719 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 6 (2-28 days) | 3460.459 hr*ng/mL | — |
Buprenorphine PK: Average Plasma Concentration (Cavg)
Cavg was defined as the AUC (timeframe)/timeframe. For example, the sublingual steady-state Cavg reading on Day -1 = AUC0-24/ 24 hours Results are reported across three timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading. * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6
Time frame: Day -1, Days 1-29, 85-113, 141-197
Population: The PK analysis population was defined as any subject in Groups 1 - 6 who received a dose of RBP-6000 or at least 1 dose of SUBUTEX SL tablet and had an adequate number of PK samples collected to derive PK parameters.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| SUBUTEX Only | Buprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 4 | 0.993 ng/mL | Standard Deviation 0.3784 |
| SUBUTEX Only | Buprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 1 | 0.333 ng/mL | Standard Deviation 0.0693 |
| SUBUTEX Only | Buprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 1 | 0.367 ng/mL | Standard Deviation 0.0818 |
| SUBUTEX Only | Buprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 4 | 0.954 ng/mL | Standard Deviation 0.3642 |
| SUBUTEX Only | Buprenorphine PK: Average Plasma Concentration (Cavg) | Sublingual Period | 1.186 ng/mL | Standard Deviation 0.3309 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 4 | 1.893 ng/mL | Standard Deviation 0.646 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 1 | 0.687 ng/mL | Standard Deviation 0.2116 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 1 | 0.634 ng/mL | Standard Deviation 0.1849 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 4 | 1.830 ng/mL | Standard Deviation 0.6093 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Sublingual Period | 1.707 ng/mL | Standard Deviation 0.5284 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 1 | 0.955 ng/mL | Standard Deviation 0.3393 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 4 | 2.896 ng/mL | Standard Deviation 0.7068 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 4 | 2.875 ng/mL | Standard Deviation 0.6773 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 1 | 0.867 ng/mL | Standard Deviation 0.3103 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Sublingual Period | 2.626 ng/mL | Standard Deviation 0.6836 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 1 | 0.591 ng/mL | Standard Deviation 0.2199 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 4 | 1.897 ng/mL | Standard Deviation 0.3763 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 1 | 0.615 ng/mL | Standard Deviation 0.198 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 4 | 1.720 ng/mL | Standard Deviation 0.3858 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Sublingual Period | 1.251 ng/mL | Standard Deviation 0.5362 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 6 | 3.848 ng/mL | Standard Deviation 0.4117 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Sublingual Period | 1.945 ng/mL | Standard Deviation 0.4933 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 1 | 1.039 ng/mL | Standard Deviation 0.3481 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 4 | 2.979 ng/mL | Standard Deviation 0.7657 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 6 | 3.540 ng/mL | — |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 1 | 1.125 ng/mL | Standard Deviation 0.3331 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 4 | 3.054 ng/mL | Standard Deviation 0.6945 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 6 | 5.546 ng/mL | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 4 | 5.491 ng/mL | Standard Deviation 1.0779 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 1 | 1.484 ng/mL | Standard Deviation 0.4578 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Sublingual Period | 1.943 ng/mL | Standard Deviation 0.969 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 4 | 4.808 ng/mL | Standard Deviation 0.6409 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 1 | 1.887 ng/mL | Standard Deviation 0.5799 |
Buprenorphine PK: % Fluctuation
% Fluctuation was defined as the degree of fluctuation of buprenorphine plasma concentrations calculated as (Cmax-Cmin)/Cavg\*100, expressed as a percentage. Cmax=maximum plasma concentration Cmin=minimum plasma concentration Cavg = average plasma concentration Results are reported across three timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading. * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6
Time frame: Day -1, Days 1-29, 85-113, 141-197
Population: The PK analysis population was defined as any subject in Groups 1 - 6 who received a dose of RBP-6000 or at least 1 dose of SUBUTEX SL tablet and had an adequate number of PK samples collected to derive PK parameters.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| SUBUTEX Only | Buprenorphine PK: % Fluctuation | Overall: Injection 4 | 152.755 % of average concentration | Standard Deviation 75.3194 |
| SUBUTEX Only | Buprenorphine PK: % Fluctuation | Plateau: Injection 1 | 213.664 % of average concentration | Standard Deviation 50.7221 |
| SUBUTEX Only | Buprenorphine PK: % Fluctuation | Overall: Injection 1 | 315.777 % of average concentration | Standard Deviation 106.6237 |
| SUBUTEX Only | Buprenorphine PK: % Fluctuation | Plateau: Injection 4 | 68.333 % of average concentration | Standard Deviation 16.8729 |
| SUBUTEX Only | Buprenorphine PK: % Fluctuation | Sublingual Period | 256.993 % of average concentration | Standard Deviation 68.4944 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: % Fluctuation | Overall: Injection 4 | 95.140 % of average concentration | Standard Deviation 20.9504 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: % Fluctuation | Overall: Injection 1 | 234.098 % of average concentration | Standard Deviation 60.7481 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: % Fluctuation | Plateau: Injection 1 | 175.068 % of average concentration | Standard Deviation 69.0037 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: % Fluctuation | Plateau: Injection 4 | 63.611 % of average concentration | Standard Deviation 27.6839 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: % Fluctuation | Sublingual Period | 272.702 % of average concentration | Standard Deviation 62.1424 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: % Fluctuation | Overall: Injection 1 | 234.598 % of average concentration | Standard Deviation 66.4979 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: % Fluctuation | Plateau: Injection 4 | 42.699 % of average concentration | Standard Deviation 5.6645 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: % Fluctuation | Overall: Injection 4 | 75.633 % of average concentration | Standard Deviation 17.3765 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: % Fluctuation | Plateau: Injection 1 | 168.963 % of average concentration | Standard Deviation 31.8302 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: % Fluctuation | Sublingual Period | 233.978 % of average concentration | Standard Deviation 84.1776 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: % Fluctuation | Plateau: Injection 1 | 140.924 % of average concentration | Standard Deviation 39.3779 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: % Fluctuation | Overall: Injection 4 | 77.067 % of average concentration | Standard Deviation 21.4559 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: % Fluctuation | Overall: Injection 1 | 213.254 % of average concentration | Standard Deviation 68.1754 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: % Fluctuation | Plateau: Injection 4 | 41.275 % of average concentration | Standard Deviation 14.1786 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: % Fluctuation | Sublingual Period | 268.690 % of average concentration | Standard Deviation 54.5116 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: % Fluctuation | Overall: Injection 6 | 54.789 % of average concentration | Standard Deviation 1.6355 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: % Fluctuation | Sublingual Period | 227.874 % of average concentration | Standard Deviation 69.1437 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: % Fluctuation | Plateau: Injection 1 | 135.433 % of average concentration | Standard Deviation 31.4609 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: % Fluctuation | Plateau: Injection 4 | 47.282 % of average concentration | Standard Deviation 21.0395 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: % Fluctuation | Plateau: Injection 6 | 22.597 % of average concentration | — |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: % Fluctuation | Overall: Injection 1 | 206.691 % of average concentration | Standard Deviation 79.9858 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: % Fluctuation | Overall: Injection 4 | 75.202 % of average concentration | Standard Deviation 28.4598 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: % Fluctuation | Plateau: Injection 6 | 31.376 % of average concentration | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: % Fluctuation | Plateau: Injection 4 | 53.383 % of average concentration | Standard Deviation 20.9467 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: % Fluctuation | Plateau: Injection 1 | 107.909 % of average concentration | Standard Deviation 33.9246 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: % Fluctuation | Sublingual Period | 245.513 % of average concentration | Standard Deviation 61.2524 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: % Fluctuation | Overall: Injection 4 | 83.695 % of average concentration | Standard Deviation 12.8165 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: % Fluctuation | Overall: Injection 1 | 220.854 % of average concentration | Standard Deviation 70.3346 |
Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax)
Maximum observed plasma concentration, determined directly from individual concentration time data. Results are reported across four timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading at hours 0-24. * Initial Burst Parameters (Days 1-2 relative to RBP-6000 injections 1, 4 and 6) at hours 0-48 * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) at hours 48-672 * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6
Time frame: Day -1, Days 1-29, 85-113, 141-197
Population: The PK analysis population was defined as any subject in Groups 1 - 6 who received a dose of RBP-6000 or at least 1 dose of SUBUTEX SL tablet and had an adequate number of PK samples collected to derive PK parameters.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| SUBUTEX Only | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 4 | 2.085 ng/mL | Standard Deviation 1.4381 |
| SUBUTEX Only | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 1 (2-28 days) | 0.853 ng/mL | Standard Deviation 0.2687 |
| SUBUTEX Only | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 4 (0-48 hours) | 2.085 ng/mL | Standard Deviation 1.4381 |
| SUBUTEX Only | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Sublingual Period (0-24 hours) | 3.521 ng/mL | Standard Deviation 1.0407 |
| SUBUTEX Only | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 1 | 1.352 ng/mL | Standard Deviation 0.4641 |
| SUBUTEX Only | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 4 (2-28 days) | 1.384 ng/mL | Standard Deviation 0.4767 |
| SUBUTEX Only | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 1 (0-48 hours) | 1.352 ng/mL | Standard Deviation 0.4641 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 1 | 2.023 ng/mL | Standard Deviation 0.8251 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Sublingual Period (0-24 hours) | 5.350 ng/mL | Standard Deviation 1.734 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 1 (0-48 hours) | 1.916 ng/mL | Standard Deviation 0.6773 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 4 (0-48 hours) | 2.958 ng/mL | Standard Deviation 0.9624 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 1 (2-28 days) | 1.518 ng/mL | Standard Deviation 0.8167 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 4 (2-28 days) | 2.590 ng/mL | Standard Deviation 0.8536 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 4 | 3.066 ng/mL | Standard Deviation 0.8658 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 1 | 2.732 ng/mL | Standard Deviation 0.7866 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 1 (2-28 days) | 2.018 ng/mL | Standard Deviation 0.6205 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 1 (0-48 hours) | 2.755 ng/mL | Standard Deviation 0.763 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 4 (0-48 hours) | 4.526 ng/mL | Standard Deviation 1.3078 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 4 | 4.526 ng/mL | Standard Deviation 1.3078 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Sublingual Period (0-24 hours) | 7.571 ng/mL | Standard Deviation 3.0928 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 4 (2-28 days) | 3.776 ng/mL | Standard Deviation 0.897 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 4 (0-48 hours) | 2.549 ng/mL | Standard Deviation 0.4797 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 4 (2-28 days) | 2.211 ng/mL | Standard Deviation 0.3824 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 1 (0-48 hours) | 1.686 ng/mL | Standard Deviation 0.62 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 1 | 1.686 ng/mL | Standard Deviation 0.62 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 4 | 2.554 ng/mL | Standard Deviation 0.4775 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Sublingual Period (0-24 hours) | 3.964 ng/mL | Standard Deviation 1.9131 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 1 (2-28 days) | 1.174 ng/mL | Standard Deviation 0.3432 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 4 | 4.404 ng/mL | Standard Deviation 0.9231 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 4 (0-48 hours) | 4.404 ng/mL | Standard Deviation 0.9231 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 6 (0-48 hours) | 5.015 ng/mL | Standard Deviation 0.898 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 1 (2-28 days) | 2.112 ng/mL | Standard Deviation 0.6935 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 6 | 5.015 ng/mL | Standard Deviation 0.898 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 4 (2-28 days) | 3.780 ng/mL | Standard Deviation 0.6646 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 6 (2-28 days) | 4.650 ng/mL | Standard Deviation 0.891 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Sublingual Period (0-24 hours) | 5.260 ng/mL | Standard Deviation 1.5595 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 1 | 2.861 ng/mL | Standard Deviation 0.7136 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 1 (0-48 hours) | 2.861 ng/mL | Standard Deviation 0.7136 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 6 (0-48 hours) | 7.140 ng/mL | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 1 | 4.817 ng/mL | Standard Deviation 1.4337 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Sublingual Period (0-24 hours) | 5.813 ng/mL | Standard Deviation 3.4264 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 6 | 7.140 ng/mL | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 1 (2-28 days) | 2.975 ng/mL | Standard Deviation 0.8839 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 4 | 9.637 ng/mL | Standard Deviation 2.3409 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 4 (0-48 hours) | 9.637 ng/mL | Standard Deviation 2.3409 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 1 (0-48 hours) | 4.817 ng/mL | Standard Deviation 1.4337 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 6 (2-28 days) | 6.550 ng/mL | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 4 (2-28 days) | 7.452 ng/mL | Standard Deviation 1.6913 |
Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin)
Minimum observed plasma concentration, determined directly from individual concentration time data. Results are reported across three timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading at hours 0-24. * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) at hours 48-672 * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6
Time frame: Day -1, Days 1-29, 85-113, 141-197
Population: The PK analysis population was defined as any subject in Groups 1 - 6 who received a dose of RBP-6000 or at least 1 dose of SUBUTEX SL tablet and had an adequate number of PK samples collected to derive PK parameters.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| SUBUTEX Only | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Sublingual Period (0-24 hours) | 0.524 ng/mL | Standard Deviation 0.2212 |
| SUBUTEX Only | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 4 | 0.557 ng/mL | Standard Deviation 0.1559 |
| SUBUTEX Only | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 1 | 0.206 ng/mL | Standard Deviation 0.0556 |
| SUBUTEX Only | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 4 (2-28 days) | 0.791 ng/mL | Standard Deviation 0.3017 |
| SUBUTEX Only | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 1 (2-28 days) | 0.206 ng/mL | Standard Deviation 0.0556 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 4 (2-28 days) | 1.434 ng/mL | Standard Deviation 0.3706 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 1 (2-28 days) | 0.388 ng/mL | Standard Deviation 0.1145 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 4 | 1.263 ng/mL | Standard Deviation 0.3574 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 1 | 0.375 ng/mL | Standard Deviation 0.1001 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Sublingual Period (0-24 hours) | 0.806 ng/mL | Standard Deviation 0.3638 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 1 (2-28 days) | 0.600 ng/mL | Standard Deviation 0.2623 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 1 | 0.589 ng/mL | Standard Deviation 0.2522 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Sublingual Period (0-24 hours) | 1.385 ng/mL | Standard Deviation 0.4806 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 4 (2-28 days) | 2.575 ng/mL | Standard Deviation 0.6439 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 4 | 2.121 ng/mL | Standard Deviation 0.4689 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 4 (2-28 days) | 1.552 ng/mL | Standard Deviation 0.3448 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 1 | 0.410 ng/mL | Standard Deviation 0.1955 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 1 (2-28 days) | 0.388 ng/mL | Standard Deviation 0.1554 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Sublingual Period (0-24 hours) | 0.568 ng/mL | Standard Deviation 0.2367 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 4 | 1.180 ng/mL | Standard Deviation 0.2803 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 6 (2-28 days) | 3.325 ng/mL | Standard Deviation 0.1485 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 4 | 2.256 ng/mL | Standard Deviation 0.6472 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 1 | 0.700 ng/mL | Standard Deviation 0.2196 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 4 (2-28 days) | 2.498 ng/mL | Standard Deviation 0.7269 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 1 (2-28 days) | 0.714 ng/mL | Standard Deviation 0.2315 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Sublingual Period (0-24 hours) | 0.920 ng/mL | Standard Deviation 0.28 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 6 | 2.910 ng/mL | Standard Deviation 0.7354 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 6 | 4.290 ng/mL | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Sublingual Period (0-24 hours) | 0.927 ng/mL | Standard Deviation 0.4667 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 1 (2-28 days) | 1.244 ng/mL | Standard Deviation 0.4455 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 4 (2-28 days) | 4.600 ng/mL | Standard Deviation 0.7743 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 6 (2-28 days) | 4.810 ng/mL | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 1 | 0.836 ng/mL | Standard Deviation 0.3756 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 4 | 4.043 ng/mL | Standard Deviation 0.6936 |
Buprenorphine PK: Swing of Plasma Concentrations
The swing of buprenorphine plasma concentrations calculated as (Cmax-Cmin)/Cmin within the dosing interval. Cmax=maximum plasma concentration Cmin=minimum plasma concentration Results are reported across three timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading. * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6
Time frame: Day -1, Days 1-29, 85-113, 141-197
Population: The PK analysis population was defined as any subject in Groups 1 - 6 who received a dose of RBP-6000 or at least 1 dose of SUBUTEX SL tablet and had an adequate number of PK samples collected to derive PK parameters.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| SUBUTEX Only | Buprenorphine PK: Swing of Plasma Concentrations | Sublingual Period | 656.884 percentage of Cmin | Standard Deviation 303.7135 |
| SUBUTEX Only | Buprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 4 | 279.713 percentage of Cmin | Standard Deviation 214.1821 |
| SUBUTEX Only | Buprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 1 | 586.788 percentage of Cmin | Standard Deviation 219.99 |
| SUBUTEX Only | Buprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 4 | 79.731 percentage of Cmin | Standard Deviation 27.3175 |
| SUBUTEX Only | Buprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 1 | 332.132 percentage of Cmin | Standard Deviation 127.9638 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 4 | 84.772 percentage of Cmin | Standard Deviation 48.3724 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 1 | 295.987 percentage of Cmin | Standard Deviation 229.0036 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 4 | 147.264 percentage of Cmin | Standard Deviation 48.3533 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 1 | 440.102 percentage of Cmin | Standard Deviation 200.5223 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Swing of Plasma Concentrations | Sublingual Period | 665.742 percentage of Cmin | Standard Deviation 314.653 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 1 | 253.417 percentage of Cmin | Standard Deviation 61.2944 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 1 | 399.355 percentage of Cmin | Standard Deviation 140.2055 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Swing of Plasma Concentrations | Sublingual Period | 493.475 percentage of Cmin | Standard Deviation 273.1229 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 4 | 47.479 percentage of Cmin | Standard Deviation 10.5422 |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 4 | 112.812 percentage of Cmin | Standard Deviation 32.8955 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 4 | 44.874 percentage of Cmin | Standard Deviation 18.5656 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 1 | 350.591 percentage of Cmin | Standard Deviation 158.0245 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 1 | 223.388 percentage of Cmin | Standard Deviation 94.3116 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Swing of Plasma Concentrations | Sublingual Period | 597.543 percentage of Cmin | Standard Deviation 136.8431 |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 4 | 120.236 percentage of Cmin | Standard Deviation 28.1402 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 6 | 39.390 percentage of Cmin | Standard Deviation 20.5703 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 4 | 103.271 percentage of Cmin | Standard Deviation 43.4914 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 1 | 336.666 percentage of Cmin | Standard Deviation 149.7124 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 4 | 57.889 percentage of Cmin | Standard Deviation 30.3975 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 1 | 197.895 percentage of Cmin | Standard Deviation 49.3822 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Swing of Plasma Concentrations | Sublingual Period | 500.322 percentage of Cmin | Standard Deviation 183.7474 |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 6 | 73.993 percentage of Cmin | Standard Deviation 13.1102 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 6 | 66.434 percentage of Cmin | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Swing of Plasma Concentrations | Sublingual Period | 534.280 percentage of Cmin | Standard Deviation 217.8816 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 1 | 147.463 percentage of Cmin | Standard Deviation 66.0341 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 4 | 61.481 percentage of Cmin | Standard Deviation 24.0339 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 6 | 36.175 percentage of Cmin | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 1 | 548.179 percentage of Cmin | Standard Deviation 272.0431 |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 4 | 138.783 percentage of Cmin | Standard Deviation 47.6186 |
Buprenorphine PK: Terminal Phase Half Life (t1/2) Calculated For Injection 4
The terminal phase half life calculated for Injection 4 in subjects not participating in PET imaging sub-study. The t1/2 was reported only if the coefficient of determination R2 was at least 0.8.
Time frame: Days 85-113
Population: PK population of participants whose data met requirements.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| SUBUTEX Only | Buprenorphine PK: Terminal Phase Half Life (t1/2) Calculated For Injection 4 | 550.329 hours | Standard Deviation 36.7325 |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Terminal Phase Half Life (t1/2) Calculated For Injection 4 | 138.238 hours | — |
Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax)
Results are reported across four timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading at hours 0-24. * Initial Burst Parameters (Days 1-2 relative to RBP-6000 injections 1, 4 and 6) at hours 0-48 * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) at hours 48-672 * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) at hours 0-24, hours 0-672 The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6
Time frame: Day -1, Days 1-29, 85-113, 141-197
Population: The PK analysis population was defined as any subject in Groups 1 - 6 who received a dose of RBP-6000 or at least 1 dose of SUBUTEX SL tablet and had an adequate number of PK samples collected to derive PK parameters.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| SUBUTEX Only | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Sublingual Period (0-24 hours) | 2.000 hours |
| SUBUTEX Only | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 1 (2-28 days) | 48.000 hours |
| SUBUTEX Only | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 4 (0-48 hours) | 20.000 hours |
| SUBUTEX Only | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 4 (0-28 days) | 20.000 hours |
| SUBUTEX Only | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 1 (0-28 days) | 20.000 hours |
| SUBUTEX Only | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 4 (2-28 days) | 48.000 hours |
| SUBUTEX Only | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 1 (0-48 hours) | 20.000 hours |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 4 (0-28 days) | 20.000 hours |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Sublingual Period (0-24 hours) | 1.017 hours |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 1 (0-48 hours) | 20.000 hours |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 4 (0-48 hours) | 20.000 hours |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 1 (0-28 days) | 20.000 hours |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 1 (2-28 days) | 48.000 hours |
| Group 1 (8 mg) RBP-6000: 50 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 4 (2-28 days) | 48.000 hours |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Sublingual Period (0-24 hours) | 1.117 hours |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 4 (2-28 days) | 48.000 hours |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 1 (0-28 days) | 20.000 hours |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 1 (0-48 hours) | 20.000 hours |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 4 (0-48 hours) | 20.083 hours |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 1 (2-28 days) | 48.000 hours |
| Group 2 (12 mg) RBP-6000: 100 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 4 (0-28 days) | 20.083 hours |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 1 (2-28 days) | 48.000 hours |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 1 (0-48 hours) | 20.000 hours |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 4 (2-28 days) | 48.000 hours |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 4 (0-48 hours) | 24.000 hours |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 1 (0-28 days) | 20.000 hours |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 4 (0-28 days) | 24.000 hours |
| Group 3 (24 mg) RBP-6000: 200 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Sublingual Period (0-24 hours) | 2.000 hours |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 4 (0-28 days) | 24.000 hours |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 4 (0-48 hours) | 24.000 hours |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 6 (0-48 hours) | 24.000 hours |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 6 (0-28 days) | 24.000 hours |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 1 (2-28 days) | 48.000 hours |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 4 (2-28 days) | 48.000 hours |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 6 (2-28 days) | 48.000 hours |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Sublingual Period (0-24 hours) | 2.000 hours |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 1 (0-28 days) | 20.000 hours |
| Group 4 (8 mg) RBP-6000: 100 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 1 (0-48 hours) | 20.000 hours |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 4 (0-48 hours) | 24.000 hours |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 1 (0-28 days) | 20.000 hours |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 6 (0-28 days) | 24.350 hours |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Sublingual Period (0-24 hours) | 2.000 hours |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 1 (2-28 days) | 48.000 hours |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 6 (0-48 hours) | 24.350 hours |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 4 (0-28 days) | 24.000 hours |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 1 (0-48 hours) | 20.000 hours |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 6 (2-28 days) | 48.000 hours |
| Group 5 (14 mg) RBP-6000: 200 mg | Buprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 4 (2-28 days) | 48.000 hours |
Norbuprenorphine PK: Accumulation Index in Terms of Area Under the Curve (Rac(AUC))
Accumulation index in terms of AUC calculated as ratio of AUCtau Injection 4/ AUCtau Injection 1. AUCtau = area under plasma concentration time curve over the dosing interval tau (for SC RBP-6000, tau=28 days).
Time frame: Days 1-28, 85-113
Population: PK population of participants with data at both timepoints
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| SUBUTEX Only | Norbuprenorphine PK: Accumulation Index in Terms of Area Under the Curve (Rac(AUC)) | 1.071 ratio | Standard Deviation 0.4044 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Accumulation Index in Terms of Area Under the Curve (Rac(AUC)) | 1.924 ratio | Standard Deviation 1.9274 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Accumulation Index in Terms of Area Under the Curve (Rac(AUC)) | 1.147 ratio | Standard Deviation 0.5899 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Accumulation Index in Terms of Area Under the Curve (Rac(AUC)) | 1.709 ratio | Standard Deviation 0.4088 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Accumulation Index in Terms of Area Under the Curve (Rac(AUC)) | 1.711 ratio | Standard Deviation 0.5931 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Accumulation Index in Terms of Area Under the Curve (Rac(AUC)) | 1.247 ratio | Standard Deviation 0.6737 |
Norbuprenorphine PK: Accumulation Index in Terms of Maximum Observed Plasma Drug Concentration (Rac(Cmax))
Accumulation index in terms of Cmax calculated as ratio of Cmax Injection 4/ Cmax Injection 1.
Time frame: Days 1-28, 85-113
Population: PK population of participants with data at both timepoints
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| SUBUTEX Only | Norbuprenorphine PK: Accumulation Index in Terms of Maximum Observed Plasma Drug Concentration (Rac(Cmax)) | 0.300 ratio | Standard Deviation 0.1294 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Accumulation Index in Terms of Maximum Observed Plasma Drug Concentration (Rac(Cmax)) | 0.697 ratio | Standard Deviation 0.9077 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Accumulation Index in Terms of Maximum Observed Plasma Drug Concentration (Rac(Cmax)) | 0.272 ratio | Standard Deviation 0.1131 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Accumulation Index in Terms of Maximum Observed Plasma Drug Concentration (Rac(Cmax)) | 0.548 ratio | Standard Deviation 0.2978 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Accumulation Index in Terms of Maximum Observed Plasma Drug Concentration (Rac(Cmax)) | 0.445 ratio | Standard Deviation 0.2231 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Accumulation Index in Terms of Maximum Observed Plasma Drug Concentration (Rac(Cmax)) | 0.730 ratio | Standard Deviation 0.583 |
Norbuprenorphine PK: Area Under Plasma Concentration Time Curve From Time Zero Of Injection 4 and 6 (AUC0-∞)
Area under plasma concentration time curve from time zero of Injection 4 extrapolated to infinity; calculated for Injection 4 and 6 (last injection) in subjects not participating in PET imaging sub-study only as: (AUC0-∞ was reported if the coefficient of determination R2 was at least 0.8 and the extrapolated area is less than 25%). A minimum of 5 data points was required. AUC up to the last measurable concentration (AUClast) was calculated by using the linear trapezoidal rule.
Time frame: Days 85-113, 141-197
Population: PK population of participants whose data met requirements.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| SUBUTEX Only | Norbuprenorphine PK: Area Under Plasma Concentration Time Curve From Time Zero Of Injection 4 and 6 (AUC0-∞) | Overall: Injection 4 (0-28 days) | 499.733 hr*ng/mL | Standard Deviation 391.9606 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curve From Time Zero Of Injection 4 and 6 (AUC0-∞) | Overall: Injection 4 (0-28 days) | 1583.219 hr*ng/mL | Standard Deviation 1471.7341 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curve From Time Zero Of Injection 4 and 6 (AUC0-∞) | Overall: Injection 4 (0-28 days) | 639.892 hr*ng/mL | Standard Deviation 135.9113 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curve From Time Zero Of Injection 4 and 6 (AUC0-∞) | Overall: Injection 4 (0-28 days) | 1472.769 hr*ng/mL | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curve From Time Zero Of Injection 4 and 6 (AUC0-∞) | Overall: Injection 6 (0-28 days) | 737.097 hr*ng/mL | — |
Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC)
AUC calculated using the linear trapezoidal rule and requiring a minimum of 5 data points for each time range. Results are reported across four timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading at hours 0-24. * Initial Burst Parameters (Days 1-2 relative to RBP-6000 injections 1, 4 and 6) at hours 0-48 * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) at hours 48-672 * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) at hours 0-24, hours 0-672 The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6
Time frame: Day -1, Days 1-29, 85-113, 141-197
Population: The PK analysis population was defined as any subject in Groups 1 - 6 who received a dose of RBP-6000 or at least 1 dose of SUBUTEX SL tablet and had an adequate number of PK samples collected to derive PK parameters.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| SUBUTEX Only | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 1 (2-28 days) | 122.265 hr*ng/mL | Standard Deviation 43.4215 |
| SUBUTEX Only | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 4 (0-28 days) | 182.405 hr*ng/mL | Standard Deviation 91.5308 |
| SUBUTEX Only | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 4 (0-24 hours) | 6.274 hr*ng/mL | Standard Deviation 2.7973 |
| SUBUTEX Only | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 4 (0-48 hours) | 15.435 hr*ng/mL | Standard Deviation 8.0734 |
| SUBUTEX Only | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 1 (0-24 hours) | 32.465 hr*ng/mL | Standard Deviation 14.2953 |
| SUBUTEX Only | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 1 (0-28 days) | 181.912 hr*ng/mL | Standard Deviation 81.61 |
| SUBUTEX Only | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 1 (0-48 hours) | 60.834 hr*ng/mL | Standard Deviation 27.8301 |
| SUBUTEX Only | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 4 (2-28 days) | 166.360 hr*ng/mL | Standard Deviation 82.1264 |
| SUBUTEX Only | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Sublingual Period (0-24 hours) | 42.536 hr*ng/mL | Standard Deviation 17.9975 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 4 (0-48 hours) | 29.401 hr*ng/mL | Standard Deviation 16.3007 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 1 (0-24 hours) | 52.878 hr*ng/mL | Standard Deviation 28.0773 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 4 (0-28 days) | 557.707 hr*ng/mL | Standard Deviation 471.2095 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 1 (0-48 hours) | 98.705 hr*ng/mL | Standard Deviation 54.0709 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 4 (2-28 days) | 523.076 hr*ng/mL | Standard Deviation 431.7284 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Sublingual Period (0-24 hours) | 72.339 hr*ng/mL | Standard Deviation 35.1371 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 4 (0-24 hours) | 15.199 hr*ng/mL | Standard Deviation 11.7793 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 1 (0-28 days) | 343.357 hr*ng/mL | Standard Deviation 150.5029 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 1 (2-28 days) | 209.679 hr*ng/mL | Standard Deviation 85.5994 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 1 (0-28 days) | 541.539 hr*ng/mL | Standard Deviation 176.5176 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 1 (0-24 hours) | 99.040 hr*ng/mL | Standard Deviation 30.8899 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Sublingual Period (0-24 hours) | 134.739 hr*ng/mL | Standard Deviation 40.4214 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 4 (2-28 days) | 519.103 hr*ng/mL | Standard Deviation 236.8835 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 1 (2-28 days) | 384.101 hr*ng/mL | Standard Deviation 133.4394 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 4 (0-48 hours) | 50.185 hr*ng/mL | Standard Deviation 19.6558 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 1 (0-48 hours) | 180.685 hr*ng/mL | Standard Deviation 53.1546 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 4 (0-28 days) | 570.958 hr*ng/mL | Standard Deviation 254.4439 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 4 (0-24 hours) | 22.870 hr*ng/mL | Standard Deviation 9.3521 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 1 (2-28 days) | 197.483 hr*ng/mL | Standard Deviation 59.5501 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Sublingual Period (0-24 hours) | 49.312 hr*ng/mL | Standard Deviation 22.605 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 1 (0-48 hours) | 69.878 hr*ng/mL | Standard Deviation 26.1289 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 4 (0-48 hours) | 30.755 hr*ng/mL | Standard Deviation 11.0344 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 4 (2-28 days) | 410.621 hr*ng/mL | Standard Deviation 146.1564 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 1 (0-24 hours) | 37.446 hr*ng/mL | Standard Deviation 15.9959 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 1 (0-28 days) | 261.745 hr*ng/mL | Standard Deviation 81.3672 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 4 (0-24 hours) | 13.807 hr*ng/mL | Standard Deviation 5.3021 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 4 (0-28 days) | 452.892 hr*ng/mL | Standard Deviation 152.6941 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 6 (0-48 hours) | 59.352 hr*ng/mL | Standard Deviation 2.2741 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 4 (0-28 days) | 673.245 hr*ng/mL | Standard Deviation 167.146 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 4 (0-24 hours) | 16.301 hr*ng/mL | Standard Deviation 6.4778 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 1 (0-28 days) | 426.283 hr*ng/mL | Standard Deviation 224.4167 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 1 (0-48 hours) | 131.277 hr*ng/mL | Standard Deviation 82.0351 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 1 (2-28 days) | 295.342 hr*ng/mL | Standard Deviation 142.3582 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Sublingual Period (0-24 hours) | 65.558 hr*ng/mL | Standard Deviation 25.0632 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 6 (0-28 days) | 814.570 hr*ng/mL | Standard Deviation 306.2799 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 6 (2-28 days) | 537.212 hr*ng/mL | — |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 1 (0-24 hours) | 68.660 hr*ng/mL | Standard Deviation 38.8033 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 4 (0-48 hours) | 45.941 hr*ng/mL | Standard Deviation 24.8979 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 4 (2-28 days) | 550.225 hr*ng/mL | Standard Deviation 215.6699 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 1 (0-48 hours) | 148.016 hr*ng/mL | Standard Deviation 97.0872 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 1 (0-24 hours) | 80.525 hr*ng/mL | Standard Deviation 51.3662 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 6 (0-48 hours) | 90.719 hr*ng/mL | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 4 (0-28 days) | 658.609 hr*ng/mL | Standard Deviation 159.7954 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 1 (0-28 days) | 688.487 hr*ng/mL | Standard Deviation 429.8748 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Initial Burst: Injection 4 (0-48 hours) | 101.888 hr*ng/mL | Standard Deviation 39.8768 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 1 (2-28 days) | 513.577 hr*ng/mL | Standard Deviation 322.852 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 6 (0-24 hours) | 37.093 hr*ng/mL | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Overall: Injection 4 (0-24 hours) | 43.722 hr*ng/mL | Standard Deviation 16.4542 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Sublingual Period (0-24 hours) | 98.407 hr*ng/mL | Standard Deviation 81.7085 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 6 (2-28 days) | 592.199 hr*ng/mL | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Area Under Plasma Concentration Time Curves (AUC) | Plateau: Injection 4 (2-28 days) | 1208.505 hr*ng/mL | Standard Deviation 463.9637 |
Norbuprenorphine PK: Average Plasma Concentration (Cavg)
Cavg was defined as the AUC (timeframe)/timeframe. For example, the sublingual steady-state Cavg reading on Day -1 = AUC0-24/ 24 hours Results are reported across three timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading. * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6
Time frame: Day -1, Days 1-29, 85-113, 141-197
Population: The PK analysis population was defined as any subject in Groups 1 - 6 who received a dose of RBP-6000 or at least 1 dose of SUBUTEX SL tablet and had an adequate number of PK samples collected to derive PK parameters.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| SUBUTEX Only | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 4 | 0.271 ng/mL | Standard Deviation 0.1362 |
| SUBUTEX Only | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 1 | 0.196 ng/mL | Standard Deviation 0.0696 |
| SUBUTEX Only | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 1 | 0.271 ng/mL | Standard Deviation 0.1214 |
| SUBUTEX Only | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 4 | 0.267 ng/mL | Standard Deviation 0.1316 |
| SUBUTEX Only | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Sublingual Period | 1.772 ng/mL | Standard Deviation 0.7499 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 4 | 0.830 ng/mL | Standard Deviation 0.7012 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 1 | 0.511 ng/mL | Standard Deviation 0.224 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 1 | 0.336 ng/mL | Standard Deviation 0.1372 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 4 | 0.838 ng/mL | Standard Deviation 0.6919 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Sublingual Period | 3.014 ng/mL | Standard Deviation 1.464 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 1 | 0.806 ng/mL | Standard Deviation 0.2627 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 4 | 0.832 ng/mL | Standard Deviation 0.3796 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 4 | 0.850 ng/mL | Standard Deviation 0.3786 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 1 | 0.616 ng/mL | Standard Deviation 0.2138 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Sublingual Period | 5.614 ng/mL | Standard Deviation 1.6842 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 1 | 0.316 ng/mL | Standard Deviation 0.0954 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 4 | 0.674 ng/mL | Standard Deviation 0.2272 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 1 | 0.390 ng/mL | Standard Deviation 0.1211 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 4 | 0.658 ng/mL | Standard Deviation 0.2342 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Sublingual Period | 2.055 ng/mL | Standard Deviation 0.9419 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 6 | 1.212 ng/mL | Standard Deviation 0.4558 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Sublingual Period | 2.732 ng/mL | Standard Deviation 1.0443 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 1 | 0.473 ng/mL | Standard Deviation 0.2281 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 4 | 0.882 ng/mL | Standard Deviation 0.3456 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 6 | 0.861 ng/mL | — |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 1 | 0.634 ng/mL | Standard Deviation 0.334 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 4 | 1.002 ng/mL | Standard Deviation 0.2487 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 6 | 0.949 ng/mL | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 4 | 1.937 ng/mL | Standard Deviation 0.7435 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Plateau: Injection 1 | 0.823 ng/mL | Standard Deviation 0.5174 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Sublingual Period | 4.100 ng/mL | Standard Deviation 3.4045 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 4 | 0.980 ng/mL | Standard Deviation 0.2378 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Average Plasma Concentration (Cavg) | Overall: Injection 1 | 1.025 ng/mL | Standard Deviation 0.6397 |
Norbuprenorphine PK: % Fluctuation
% Fluctuation was defined as the degree of fluctuation of norbuprenorphine plasma concentrations calculated as (Cmax-Cmin)/Cavg\*100, expressed as a percentage. Cmax=maximum plasma concentration Cmin=minimum plasma concentration Cavg = average plasma concentration Results are reported across three timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading. * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6
Time frame: Day -1, Days 1-29, 85-113, 141-197
Population: The PK analysis population was defined as any subject in Groups 1 - 6 who received a dose of RBP-6000 or at least 1 dose of SUBUTEX SL tablet and had an adequate number of PK samples collected to derive PK parameters.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| SUBUTEX Only | Norbuprenorphine PK: % Fluctuation | Overall: Injection 4 | 128.273 % of average concentration | Standard Deviation 31.6391 |
| SUBUTEX Only | Norbuprenorphine PK: % Fluctuation | Plateau: Injection 1 | 577.952 % of average concentration | Standard Deviation 119.5038 |
| SUBUTEX Only | Norbuprenorphine PK: % Fluctuation | Overall: Injection 1 | 612.998 % of average concentration | Standard Deviation 141.7474 |
| SUBUTEX Only | Norbuprenorphine PK: % Fluctuation | Plateau: Injection 4 | 114.801 % of average concentration | Standard Deviation 33.7254 |
| SUBUTEX Only | Norbuprenorphine PK: % Fluctuation | Sublingual Period | 69.798 % of average concentration | Standard Deviation 21.5137 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: % Fluctuation | Overall: Injection 4 | 131.080 % of average concentration | Standard Deviation 57.4294 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: % Fluctuation | Overall: Injection 1 | 502.856 % of average concentration | Standard Deviation 101.2508 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: % Fluctuation | Plateau: Injection 1 | 475.800 % of average concentration | Standard Deviation 149.9103 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: % Fluctuation | Plateau: Injection 4 | 127.106 % of average concentration | Standard Deviation 64.0505 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: % Fluctuation | Sublingual Period | 94.132 % of average concentration | Standard Deviation 43.7842 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: % Fluctuation | Overall: Injection 1 | 685.962 % of average concentration | Standard Deviation 195.9687 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: % Fluctuation | Plateau: Injection 4 | 110.567 % of average concentration | Standard Deviation 42.0264 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: % Fluctuation | Overall: Injection 4 | 127.005 % of average concentration | Standard Deviation 37.8487 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: % Fluctuation | Plateau: Injection 1 | 504.540 % of average concentration | Standard Deviation 170.1714 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: % Fluctuation | Sublingual Period | 79.225 % of average concentration | Standard Deviation 19.2173 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: % Fluctuation | Plateau: Injection 1 | 403.009 % of average concentration | Standard Deviation 115.9346 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: % Fluctuation | Overall: Injection 4 | 95.960 % of average concentration | Standard Deviation 18.6296 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: % Fluctuation | Overall: Injection 1 | 497.361 % of average concentration | Standard Deviation 138.6539 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: % Fluctuation | Plateau: Injection 4 | 77.455 % of average concentration | Standard Deviation 24.7664 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: % Fluctuation | Sublingual Period | 82.834 % of average concentration | Standard Deviation 29.0182 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: % Fluctuation | Overall: Injection 6 | 94.048 % of average concentration | Standard Deviation 7.4553 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: % Fluctuation | Sublingual Period | 89.832 % of average concentration | Standard Deviation 31.3881 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: % Fluctuation | Plateau: Injection 1 | 407.217 % of average concentration | Standard Deviation 160.6071 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: % Fluctuation | Plateau: Injection 4 | 101.898 % of average concentration | Standard Deviation 28.8808 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: % Fluctuation | Plateau: Injection 6 | 91.763 % of average concentration | — |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: % Fluctuation | Overall: Injection 1 | 609.481 % of average concentration | Standard Deviation 145.865 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: % Fluctuation | Overall: Injection 4 | 131.650 % of average concentration | Standard Deviation 43.626 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: % Fluctuation | Plateau: Injection 6 | 242.246 % of average concentration | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: % Fluctuation | Plateau: Injection 4 | 83.579 % of average concentration | Standard Deviation 18.6265 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: % Fluctuation | Plateau: Injection 1 | 354.764 % of average concentration | Standard Deviation 136.5715 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: % Fluctuation | Sublingual Period | 71.213 % of average concentration | Standard Deviation 18.7721 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: % Fluctuation | Overall: Injection 4 | 102.192 % of average concentration | Standard Deviation 12.2405 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: % Fluctuation | Overall: Injection 1 | 468.074 % of average concentration | Standard Deviation 186.0526 |
Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax)
Maximum observed plasma concentration, determined directly from individual concentration time data. Results are reported across four timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading at hours 0-24. * Initial Burst Parameters (Days 1-2 relative to RBP-6000 injections 1, 4 and 6) at hours 0-48 * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) at hours 48-672 * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6
Time frame: Day -1, Days 1-29, 85-113, 141-197
Population: The PK analysis population was defined as any subject in Groups 1 - 6 who received a dose of RBP-6000 or at least 1 dose of SUBUTEX SL tablet and had an adequate number of PK samples collected to derive PK parameters.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| SUBUTEX Only | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 4 | 0.474 ng/mL | Standard Deviation 0.2849 |
| SUBUTEX Only | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 1 (2-28 days) | 1.165 ng/mL | Standard Deviation 0.5506 |
| SUBUTEX Only | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 4 (0-48 hours) | 0.462 ng/mL | Standard Deviation 0.2894 |
| SUBUTEX Only | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Sublingual Period (0-24 hours) | 2.559 ng/mL | Standard Deviation 1.059 |
| SUBUTEX Only | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 1 | 1.698 ng/mL | Standard Deviation 0.7748 |
| SUBUTEX Only | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 4 (2-28 days) | 0.464 ng/mL | Standard Deviation 0.2903 |
| SUBUTEX Only | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 1 (0-48 hours) | 1.674 ng/mL | Standard Deviation 0.7498 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 1 | 2.753 ng/mL | Standard Deviation 1.4051 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Sublingual Period (0-24 hours) | 4.941 ng/mL | Standard Deviation 2.5414 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 1 (0-48 hours) | 2.704 ng/mL | Standard Deviation 1.3861 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 4 (0-48 hours) | 0.966 ng/mL | Standard Deviation 0.5829 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 1 (2-28 days) | 1.904 ng/mL | Standard Deviation 1.0984 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 4 (2-28 days) | 1.423 ng/mL | Standard Deviation 1.1714 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 4 | 1.431 ng/mL | Standard Deviation 1.1652 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 1 | 5,572 ng/mL | Standard Deviation 1.9291 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 1 (2-28 days) | 3.201 ng/mL | Standard Deviation 1.1802 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 1 (0-48 hours) | 5.335 ng/mL | Standard Deviation 1.7751 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 4 (0-48 hours) | 1.343 ng/mL | Standard Deviation 0.4299 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 4 | 1.456 ng/mL | Standard Deviation 0.4572 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Sublingual Period (0-24 hours) | 8.515 ng/mL | Standard Deviation 2.3854 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 4 (2-28 days) | 1.387 ng/mL | Standard Deviation 0.4635 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 4 (0-48 hours) | 0.799 ng/mL | Standard Deviation 0.2673 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 4 (2-28 days) | 0.926 ng/mL | Standard Deviation 0.3107 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 1 (0-48 hours) | 1.965 ng/mL | Standard Deviation 0.7884 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 1 | 1.977 ng/mL | Standard Deviation 0.788 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 4 | 0.929 ng/mL | Standard Deviation 0.3058 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Sublingual Period (0-24 hours) | 3.268 ng/mL | Standard Deviation 1.6946 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 1 (2-28 days) | 1.320 ng/mL | Standard Deviation 0.4278 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 4 | 1.539 ng/mL | Standard Deviation 0.6406 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 4 (0-48 hours) | 1.305 ng/mL | Standard Deviation 0.5998 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 6 (0-48 hours) | 1.885 ng/mL | Standard Deviation 0.6152 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 1 (2-28 days) | 2.203 ng/mL | Standard Deviation 1.4464 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 6 | 1.885 ng/mL | Standard Deviation 0.6152 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 4 (2-28 days) | 1.420 ng/mL | Standard Deviation 0.7152 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 6 (2-28 days) | 1.885 ng/mL | Standard Deviation 0.6152 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Sublingual Period (0-24 hours) | 5.268 ng/mL | Standard Deviation 1.9934 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 1 | 3.989 ng/mL | Standard Deviation 2.3167 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 1 (0-48 hours) | 3.878 ng/mL | Standard Deviation 2.1658 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 6 (0-48 hours) | 2.620 ng/mL | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 1 | 4.555 ng/mL | Standard Deviation 3.101 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Sublingual Period (0-24 hours) | 5.820 ng/mL | Standard Deviation 4.7007 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 6 | 2.620 ng/mL | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 1 (2-28 days) | 3.212 ng/mL | Standard Deviation 2.881 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Overall: Injection 4 | 2.769 ng/mL | Standard Deviation 1.2538 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 4 (0-48 hours) | 2.769 ng/mL | Standard Deviation 1.2538 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Initial Burst: Injection 1 (0-48 hours) | 4.496 ng/mL | Standard Deviation 3.0242 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 6 (2-28 days) | 2.620 ng/mL | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Maximum Observed Plasma Concentration (Cmax) | Plateau: Injection 4 (2-28 days) | 2.710 ng/mL | Standard Deviation 1.1727 |
Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin)
Minimum observed plasma concentration, determined directly from individual concentration time data. Results are reported across three timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading at hours 0-24. * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) at hours 48-672 * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6
Time frame: Day -1, Days 1-29, 85-113, 141-197
Population: The PK analysis population was defined as any subject in Groups 1 - 6 who received a dose of RBP-6000 or at least 1 dose of SUBUTEX SL tablet and had an adequate number of PK samples collected to derive PK parameters.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| SUBUTEX Only | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Sublingual Period (0-24 hours) | 1.361 ng/mL | Standard Deviation 0.601 |
| SUBUTEX Only | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 4 | 0.125 ng/mL | Standard Deviation 0.0539 |
| SUBUTEX Only | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 1 | 0.057 ng/mL | Standard Deviation 0.0202 |
| SUBUTEX Only | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 4 (2-28 days) | 0.165 ng/mL | Standard Deviation 0.0708 |
| SUBUTEX Only | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 1 (2-28 days) | 0.057 ng/mL | Standard Deviation 0.0202 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 4 (2-28 days) | 0.432 ng/mL | Standard Deviation 0.4181 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 1 (2-28 days) | 0.099 ng/mL | Standard Deviation 0.0447 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 4 | 0.327 ng/mL | Standard Deviation 0.2592 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 1 | 0.098 ng/mL | Standard Deviation 0.0441 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Sublingual Period (0-24 hours) | 2.342 ng/mL | Standard Deviation 1.2494 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 1 (2-28 days) | 0.162 ng/mL | Standard Deviation 0.0827 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 1 | 0.162 ng/mL | Standard Deviation 0.0827 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Sublingual Period (0-24 hours) | 4.287 ng/mL | Standard Deviation 1.3351 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 4 (2-28 days) | 0.548 ng/mL | Standard Deviation 0.2119 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 4 | 0.461 ng/mL | Standard Deviation 0.2292 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 4 (2-28 days) | 0.439 ng/mL | Standard Deviation 0.155 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 1 | 0.152 ng/mL | Standard Deviation 0.1427 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 1 (2-28 days) | 0.119 ng/mL | Standard Deviation 0.0592 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Sublingual Period (0-24 hours) | 1.582 ng/mL | Standard Deviation 0.7554 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 4 | 0.349 ng/mL | Standard Deviation 0.1609 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 6 (2-28 days) | 0.895 ng/mL | Standard Deviation 0.3323 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 4 | 0.459 ng/mL | Standard Deviation 0.2191 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 1 | 0.177 ng/mL | Standard Deviation 0.0919 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 4 (2-28 days) | 0.587 ng/mL | Standard Deviation 0.3165 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 1 (2-28 days) | 0.177 ng/mL | Standard Deviation 0.0919 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Sublingual Period (0-24 hours) | 2.482 ng/mL | Standard Deviation 1.1788 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 6 | 0.728 ng/mL | Standard Deviation 0.0962 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 6 | 0.281 ng/mL | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Sublingual Period (0-24 hours) | 2.923 ng/mL | Standard Deviation 2.1949 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 1 (2-28 days) | 0.258 ng/mL | Standard Deviation 0.1289 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 4 (2-28 days) | 1.234 ng/mL | Standard Deviation 0.5279 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Plateau: Injection 6 (2-28 days) | 0.321 ng/mL | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 1 | 0.301 ng/mL | Standard Deviation 0.218 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Minimum Observed Plasma Concentration (Cmin) | Overall: Injection 4 | 0.982 ng/mL | Standard Deviation 0.3281 |
Norbuprenorphine PK: Swing of Plasma Concentrations
The swing of norbuprenorphine plasma concentrations calculated as (Cmax-Cmin)/Cmin within the dosing interval. Cmax=maximum plasma concentration Cmin=minimum plasma concentration Results are reported across three timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading. * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6
Time frame: Day -1, Days 1-29, 85-113, 141-197
Population: The PK analysis population was defined as any subject in Groups 1 - 6 who received a dose of RBP-6000 or at least 1 dose of SUBUTEX SL tablet and had an adequate number of PK samples collected to derive PK parameters.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| SUBUTEX Only | Norbuprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 4 | 180.340 percentage of Cmin | Standard Deviation 82.996 |
| SUBUTEX Only | Norbuprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 1 | 2903.100 percentage of Cmin | Standard Deviation 1102.0127 |
| SUBUTEX Only | Norbuprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 4 | 322.876 percentage of Cmin | Standard Deviation 297.9631 |
| SUBUTEX Only | Norbuprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 1 | 1993.328 percentage of Cmin | Standard Deviation 1002.6237 |
| SUBUTEX Only | Norbuprenorphine PK: Swing of Plasma Concentrations | Sublingual Period | 93.472 percentage of Cmin | Standard Deviation 33.4835 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 4 | 379.301 percentage of Cmin | Standard Deviation 371.3835 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 1 | 2812.484 percentage of Cmin | Standard Deviation 1305.9088 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Sublingual Period | 130.823 percentage of Cmin | Standard Deviation 74.2916 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 4 | 289.316 percentage of Cmin | Standard Deviation 271.1318 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 1 | 1871.238 percentage of Cmin | Standard Deviation 933.9815 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Sublingual Period | 102.059 percentage of Cmin | Standard Deviation 29.6116 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 1 | 4477.582 percentage of Cmin | Standard Deviation 3470.4282 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 1 | 2531.386 percentage of Cmin | Standard Deviation 1775.806 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 4 | 171.673 percentage of Cmin | Standard Deviation 98.3404 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 4 | 265.586 percentage of Cmin | Standard Deviation 132.0434 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 4 | 186.942 percentage of Cmin | Standard Deviation 65.4013 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Sublingual Period | 109.416 percentage of Cmin | Standard Deviation 42.1913 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 1 | 1188.490 percentage of Cmin | Standard Deviation 491.1526 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 4 | 121.682 percentage of Cmin | Standard Deviation 62.5967 |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 1 | 1776.276 percentage of Cmin | Standard Deviation 923.9753 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 6 | 112.503 percentage of Cmin | Standard Deviation 10.1733 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 4 | 151.990 percentage of Cmin | Standard Deviation 82.836 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 1 | 1210.967 percentage of Cmin | Standard Deviation 874.2858 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 1 | 2355.099 percentage of Cmin | Standard Deviation 1345.4616 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Sublingual Period | 124.601 percentage of Cmin | Standard Deviation 45.9786 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 4 | 272.260 percentage of Cmin | Standard Deviation 139.1806 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 6 | 155.577 percentage of Cmin | Standard Deviation 50.7422 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 4 | 118.215 percentage of Cmin | Standard Deviation 42.3788 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 6 | 716.199 percentage of Cmin | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 4 | 173.090 percentage of Cmin | Standard Deviation 51.8058 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 1 | 2116.996 percentage of Cmin | Standard Deviation 2015.7199 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Plateau: Injection 1 | 1250.370 percentage of Cmin | Standard Deviation 866.186 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Sublingual Period | 101.558 percentage of Cmin | Standard Deviation 38.5511 |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Swing of Plasma Concentrations | Overall: Injection 6 | 832.384 percentage of Cmin | — |
Norbuprenorphine PK: Terminal Phase Half Life (t1/2) Calculated For Injection 4
The terminal phase half life calculated for Injection 4 in subjects not participating in PET imaging sub-study. The t1/2 was reported only if the coefficient of determination R2 was at least 0.8.
Time frame: Days 85-113, 141-197
Population: PK population of participants whose data met requirements.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| SUBUTEX Only | Norbuprenorphine PK: Terminal Phase Half Life (t1/2) Calculated For Injection 4 | Overall: Injection 4 (0-28 days) | 405.325 hours | Standard Deviation 47.4883 |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Terminal Phase Half Life (t1/2) Calculated For Injection 4 | Overall: Injection 4 (0-28 days) | 241.914 hours | Standard Deviation 114.8553 |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Terminal Phase Half Life (t1/2) Calculated For Injection 4 | Overall: Injection 4 (0-28 days) | 334.080 hours | Standard Deviation 48.0676 |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Terminal Phase Half Life (t1/2) Calculated For Injection 4 | Overall: Injection 4 (0-28 days) | 310.879 hours | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Terminal Phase Half Life (t1/2) Calculated For Injection 4 | Overall: Injection 6 (0-28 days) | 158.840 hours | — |
Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax)
Results are reported across four timeframes: * Sublingual Period (Day -1 dose of SUBUTEX): a steady-state reading at hours 0-24. * Initial Burst Parameters (Days 1-2 relative to RBP-6000 injections 1, 4 and 6) at hours 0-48 * Plateau Parameters (Days 3-29 relative to RBP-6000 injections 1, 4 and 6) at hours 48-672 * Overall Parameters (Days 1-29 relative to RBP-6000 injections 1, 4 and 6) at hours 0-24, hours 0-672 The PK sampling schedule was * hour 0 (predose) on days -7 to -1, * hours 0.5, 1,2,4,6, 8,12, 24 post-dose on Day -1 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672 post injections 1 and 4 * hours 0 (pre-dose) 1, 2, 4, 6, 8, 12, 20, 24, 25, 26, 28, 30, 32, 36, 44, 48, 144, 192, 240, 312, 384, 456, 528, 600, 672, 846, 1008, 1200, 1344 post injection 6
Time frame: Day -1, Days 1-29, 85-113, 141-197
Population: The PK analysis population was defined as any subject in Groups 1 - 6 who received a dose of RBP-6000 or at least 1 dose of SUBUTEX SL tablet and had an adequate number of PK samples collected to derive PK parameters.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| SUBUTEX Only | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 4 (0-28 days) | 48.000 hours |
| SUBUTEX Only | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 1 (2-28 days) | 48.000 hours |
| SUBUTEX Only | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 4 (0-48 hours) | 48.000 hours |
| SUBUTEX Only | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Sublingual Period (0-24 hours) | 2.000 hours |
| SUBUTEX Only | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 1 (0-28 days) | 8.000 hours |
| SUBUTEX Only | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 4 (2-28 days) | 48.000 hours |
| SUBUTEX Only | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 1 (0-48 hours) | 8.000 hours |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 1 (0-28 days) | 6.000 hours |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Sublingual Period (0-24 hours) | 1.017 hours |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 1 (0-48 hours) | 6.000 hours |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 4 (0-48 hours) | 48.000 hours |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 1 (2-28 days) | 48.000 hours |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 4 (2-28 days) | 96.883 hours |
| Group 1 (8 mg) RBP-6000: 50 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 4 (0-28 days) | 48.000 hours |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 1 (0-28 days) | 2.525 hours |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 1 (2-28 days) | 48.000 hours |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 1 (0-48 hours) | 4.000 hours |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 4 (0-48 hours) | 48.000 hours |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 4 (0-28 days) | 48.000 hours |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Sublingual Period (0-24 hours) | 1.000 hours |
| Group 2 (12 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 4 (2-28 days) | 48.100 hours |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 4 (0-48 hours) | 39.000 hours |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 4 (2-28 days) | 182.808 hours |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 1 (0-48 hours) | 12.000 hours |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 1 (0-28 days) | 6.000 hours |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 4 (0-28 days) | 182.808 hours |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Sublingual Period (0-24 hours) | 2.000 hours |
| Group 3 (24 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 1 (2-28 days) | 48.000 hours |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 4 (0-28 days) | 30.067 hours |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 4 (0-48 hours) | 24.000 hours |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 6 (0-48 hours) | 48.000 hours |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 1 (2-28 days) | 48.000 hours |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 6 (0-28 days) | 48.000 hours |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 4 (2-28 days) | 167.017 hours |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 6 (2-28 days) | 48.000 hours |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Sublingual Period (0-24 hours) | 2.000 hours |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 1 (0-28 days) | 4.000 hours |
| Group 4 (8 mg) RBP-6000: 100 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 1 (0-48 hours) | 6.000 hours |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 6 (0-48 hours) | 48.000 hours |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 1 (0-28 days) | 4.000 hours |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Sublingual Period (0-24 hours) | 2.000 hours |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 6 (0-28 days) | 48.000 hours |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 1 (2-28 days) | 48.000 hours |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Overall: Injection 4 (0-28 days) | 12.000 hours |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 4 (0-48 hours) | 12.000 hours |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Initial Burst: Injection 1 (0-48 hours) | 4.000 hours |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 6 (2-28 days) | 48.000 hours |
| Group 5 (14 mg) RBP-6000: 200 mg | Norbuprenorphine PK: Time to Maximum Buprenorphine Plasma Concentration (Tmax) | Plateau: Injection 4 (2-28 days) | 303.133 hours |
Participants With Treatment-Emergent Adverse Events (TEAEs)
TEAE=any untoward medical occurrence that develops or worsens in severity after dispensation of the study drug and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= a marked limitation in activity. Relation of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent one of the outcomes listed in this definition. A serious AE (SAE) is defined as any AE occurring at any dose that results in any of the following outcomes: death; lifethreatening AE; hospitalization or prolongation of existing hospitalization; a persistent or significant disability/incapacit
Time frame: Days -14 to -1 (Subutex treatment), Days 1-316 (RBP-6000 treatment)
Population: Safety analysis group
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| SUBUTEX Only | Participants With Treatment-Emergent Adverse Events (TEAEs) | Withdrew from study due to a TEAE | 0 Participants |
| SUBUTEX Only | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 TEAE related to study drug | 0 Participants |
| SUBUTEX Only | Participants With Treatment-Emergent Adverse Events (TEAEs) | Deaths | 0 Participants |
| SUBUTEX Only | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 TEAE | 24 Participants |
| SUBUTEX Only | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 Severe TEAE | 1 Participants |
| SUBUTEX Only | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 SAE other than death | 0 Participants |
| Group 1 (8 mg) RBP-6000: 50 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 TEAE | 15 Participants |
| Group 1 (8 mg) RBP-6000: 50 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | Deaths | 0 Participants |
| Group 1 (8 mg) RBP-6000: 50 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | Withdrew from study due to a TEAE | 1 Participants |
| Group 1 (8 mg) RBP-6000: 50 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 TEAE related to study drug | 0 Participants |
| Group 1 (8 mg) RBP-6000: 50 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 SAE other than death | 0 Participants |
| Group 1 (8 mg) RBP-6000: 50 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 Severe TEAE | 0 Participants |
| Group 2 (12 mg) RBP-6000: 100 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 SAE other than death | 2 Participants |
| Group 2 (12 mg) RBP-6000: 100 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 Severe TEAE | 0 Participants |
| Group 2 (12 mg) RBP-6000: 100 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | Withdrew from study due to a TEAE | 0 Participants |
| Group 2 (12 mg) RBP-6000: 100 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | Deaths | 0 Participants |
| Group 2 (12 mg) RBP-6000: 100 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 TEAE | 15 Participants |
| Group 2 (12 mg) RBP-6000: 100 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 TEAE related to study drug | 0 Participants |
| Group 3 (24 mg) RBP-6000: 200 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 SAE other than death | 1 Participants |
| Group 3 (24 mg) RBP-6000: 200 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 TEAE | 15 Participants |
| Group 3 (24 mg) RBP-6000: 200 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 TEAE related to study drug | 0 Participants |
| Group 3 (24 mg) RBP-6000: 200 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 Severe TEAE | 0 Participants |
| Group 3 (24 mg) RBP-6000: 200 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | Deaths | 0 Participants |
| Group 3 (24 mg) RBP-6000: 200 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | Withdrew from study due to a TEAE | 1 Participants |
| Group 4 (8 mg) RBP-6000: 100 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | Deaths | 0 Participants |
| Group 4 (8 mg) RBP-6000: 100 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 TEAE related to study drug | 0 Participants |
| Group 4 (8 mg) RBP-6000: 100 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 SAE other than death | 1 Participants |
| Group 4 (8 mg) RBP-6000: 100 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | Withdrew from study due to a TEAE | 2 Participants |
| Group 4 (8 mg) RBP-6000: 100 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 Severe TEAE | 0 Participants |
| Group 4 (8 mg) RBP-6000: 100 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 TEAE | 15 Participants |
| Group 5 (14 mg) RBP-6000: 200 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 Severe TEAE | 1 Participants |
| Group 5 (14 mg) RBP-6000: 200 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | Deaths | 0 Participants |
| Group 5 (14 mg) RBP-6000: 200 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 TEAE related to study drug | 0 Participants |
| Group 5 (14 mg) RBP-6000: 200 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 SAE other than death | 2 Participants |
| Group 5 (14 mg) RBP-6000: 200 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 TEAE | 15 Participants |
| Group 5 (14 mg) RBP-6000: 200 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | Withdrew from study due to a TEAE | 2 Participants |
| Group 6 (8-24 mg) RBP-6000: 300 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 Severe TEAE | 0 Participants |
| Group 6 (8-24 mg) RBP-6000: 300 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 TEAE related to study drug | 0 Participants |
| Group 6 (8-24 mg) RBP-6000: 300 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | Withdrew from study due to a TEAE | 2 Participants |
| Group 6 (8-24 mg) RBP-6000: 300 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | Deaths | 0 Participants |
| Group 6 (8-24 mg) RBP-6000: 300 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 SAE other than death | 0 Participants |
| Group 6 (8-24 mg) RBP-6000: 300 mg | Participants With Treatment-Emergent Adverse Events (TEAEs) | >=1 TEAE | 14 Participants |
Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141
The CGI-I is a 7-item scale completed by the clinician used to rate their impression of how much the participant has improved over a baseline state. The total range is 1 (very much improved) to 7 (very much worse). Baseline was defined as value from Day 1. The baseline score is reported as the mean of observed values. Other measurements were taken prior to dosing (not applicable for Day 7) and reported as change from baseline values. Negative change from baseline values indicate an improvement.
Time frame: Baseline (Day 1), Days 7, 29, 57, 85, 141
Population: The pharmacodynamic (PD) population included subjects in Cohorts 1 - 6 who were dosed with RBP 6000 and had at least 1 post-dose value of the PD parameter. One participant from Group 6 did not have a baseline evaluation.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| SUBUTEX Only | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Day 85 | -2.18 units on a scale | Standard Deviation 0.603 |
| SUBUTEX Only | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Day 7 | -1.00 units on a scale | Standard Deviation 1.095 |
| SUBUTEX Only | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Day 57 | -2.08 units on a scale | Standard Deviation 0.793 |
| SUBUTEX Only | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Day 29 | -1.67 units on a scale | Standard Deviation 0.976 |
| SUBUTEX Only | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Baseline (observed values) | 4.0 units on a scale | Standard Deviation 0 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Day 7 | -0.73 units on a scale | Standard Deviation 0.905 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Day 57 | -1.79 units on a scale | Standard Deviation 0.975 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Day 85 | -2.00 units on a scale | Standard Deviation 0.953 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Baseline (observed values) | 4.1 units on a scale | Standard Deviation 0.26 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Day 29 | -1.07 units on a scale | Standard Deviation 1.072 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Baseline (observed values) | 4.0 units on a scale | Standard Deviation 0 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Day 29 | -1.77 units on a scale | Standard Deviation 1.092 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Day 85 | -2.73 units on a scale | Standard Deviation 0.467 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Day 57 | -2.36 units on a scale | Standard Deviation 0.809 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Day 7 | -1.42 units on a scale | Standard Deviation 1.084 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Day 29 | -1.69 units on a scale | Standard Deviation 0.947 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Day 85 | -2.60 units on a scale | Standard Deviation 0.699 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Day 57 | -2.17 units on a scale | Standard Deviation 0.937 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Baseline (observed values) | 4.0 units on a scale | Standard Deviation 0 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Day 57 | -2.15 units on a scale | Standard Deviation 0.801 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Day 85 | -2.73 units on a scale | Standard Deviation 0.647 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Day 141 | -2.67 units on a scale | Standard Deviation 0.577 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Day 29 | 02.07 units on a scale | Standard Deviation 0.616 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Baseline (observed values) | 4.0 units on a scale | Standard Deviation 0 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Day 141 | -2.50 units on a scale | Standard Deviation 0.707 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Baseline (observed values) | 4.0 units on a scale | Standard Deviation 0 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Day 29 | -2.27 units on a scale | Standard Deviation 1.191 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Day 57 | -2.40 units on a scale | Standard Deviation 0.966 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Global Impression Improvement (CGI-I) Scale on Days 7, 29, 57, 85 and 141 | Day 85 | -2.57 units on a scale | Standard Deviation 0.787 |
Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141
The CGI-S is a 7-item scale completed by the clinician used to rate the severity of symptoms. The total range is 1 (normal, not at all ill) to 7 (most extremely ill). Baseline was defined as value from screening (Day -13). The baseline score is reported as the mean of observed values. Other measurements were taken prior to dosing (not applicable for Day 7) and reported as change from baseline values. Negative change from baseline values indicate a lessening of the severity of symptoms.
Time frame: Baseline (screening Day -15), Days 1, 7, 29, 57, 85, 141
Population: The pharmacodynamic (PD) population included subjects in Cohorts 1 - 6 who were dosed with RBP 6000 and had at least 1 post-dose value of the PD parameter. One participant from Group 2 did not have a baseline evaluation.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| SUBUTEX Only | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 7 | -1.00 units on a scale | Standard Deviation 1.095 |
| SUBUTEX Only | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 29 | -1.40 units on a scale | Standard Deviation 1.056 |
| SUBUTEX Only | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 85 | -1.82 units on a scale | Standard Deviation 0.751 |
| SUBUTEX Only | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 1 | 0.00 units on a scale | Standard Deviation 0 |
| SUBUTEX Only | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 57 | -1.75 units on a scale | Standard Deviation 1.055 |
| SUBUTEX Only | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Baseline (observed values) | 4.3 units on a scale | Standard Deviation 0.49 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 29 | -1.00 units on a scale | Standard Deviation 1.038 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 7 | -0.50 units on a scale | Standard Deviation 0.527 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 85 | -1.83 units on a scale | Standard Deviation 1.115 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 1 | 0.00 units on a scale | Standard Deviation 0 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Baseline (observed values) | 4.3 units on a scale | Standard Deviation 0.61 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 57 | -1.29 units on a scale | Standard Deviation 1.204 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 29 | -1.23 units on a scale | Standard Deviation 0.927 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Baseline (observed values) | 4.4 units on a scale | Standard Deviation 0.51 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 1 | 0.13 units on a scale | Standard Deviation 0.352 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 7 | -1.25 units on a scale | Standard Deviation 0.965 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 57 | -1.91 units on a scale | Standard Deviation 1.221 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 85 | -2.18 units on a scale | Standard Deviation 0.874 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 29 | -1.38 units on a scale | Standard Deviation 0.961 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 57 | -1.83 units on a scale | Standard Deviation 1.115 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 1 | 0.00 units on a scale | Standard Deviation 0 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Baseline (observed values) | 4.6 units on a scale | Standard Deviation 0.51 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 85 | -2.30 units on a scale | Standard Deviation 1.16 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 1 | 0.00 units on a scale | Standard Deviation 0 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 29 | -1.64 units on a scale | Standard Deviation 0.929 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 141 | -3.00 units on a scale | Standard Deviation 1 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 57 | -2.00 units on a scale | Standard Deviation 1 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Baseline (observed values) | 4.7 units on a scale | Standard Deviation 0.72 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 85 | -2.64 units on a scale | Standard Deviation 1.12 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 141 | -2.00 units on a scale | Standard Deviation 2.828 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Baseline (observed values) | 4.6 units on a scale | Standard Deviation 0.51 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 29 | -1.91 units on a scale | Standard Deviation 1.044 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 85 | -2.86 units on a scale | Standard Deviation 1.345 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 1 | 0.00 units on a scale | Standard Deviation 0 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Global Impression Severity (CGI-S) Scale on Days 1, 7, 29, 57, 85 and 141 | Day 57 | -2.50 units on a scale | Standard Deviation 1.269 |
Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6
COWS is an 11-item instrument used to assess symptoms of opioid withdrawal (Wesson et al., 1999). The score is the sum of the responses for a total range of 0-48. The COWS is commonly used by clinicians treating patients with buprenorphine to monitor the severity of withdrawal. COWS scores below 5 are considered not indicative of withdrawal. Scores from 5 to 12 are considered mild withdrawal; from 13 to 24 moderate withdrawal; 25 to 36 moderate/severe withdrawal, and 37-48 severe withdrawal. Each participant was to be assessed by the same qualified and trained individuals throughout the course of the study as much as possible. Baseline was defined as the peak (maximum) value from screening to study Day -13 pre-SUBUTEX dose. The baseline score is reported as the mean of observed values. Other measurements were taken prior to dosing and reported as change from baseline values. Negative change from baseline values indicate a lessening of withdrawal symptoms.
Time frame: Baseline (screening to Day -13), Days -1, 1, 29, 57, 85 141
Population: The pharmacodynamic (PD) population included subjects in Cohorts 1 - 6 who were dosed with RBP 6000 and had at least 1 post-dose value of the PD parameter.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| SUBUTEX Only | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day -1 | -16.53 units on a scale | Standard Deviation 3.335 |
| SUBUTEX Only | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 85 | -18.09 units on a scale | Standard Deviation 3.015 |
| SUBUTEX Only | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 1 | -16.67 units on a scale | Standard Deviation 3.155 |
| SUBUTEX Only | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 57 | -17.75 units on a scale | Standard Deviation 3.108 |
| SUBUTEX Only | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Baseline (observed values) | 17.6 units on a scale | Standard Deviation 3.18 |
| SUBUTEX Only | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 29 | -16.80 units on a scale | Standard Deviation 2.908 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 29 | -16.79 units on a scale | Standard Deviation 3.262 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Baseline (observed values) | 17.7 units on a scale | Standard Deviation 3.22 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day -1 | -16.33 units on a scale | Standard Deviation 4.152 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 1 | -16.73 units on a scale | Standard Deviation 3.788 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 57 | -16.62 units on a scale | Standard Deviation 3.776 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 85 | -17.08 units on a scale | Standard Deviation 3.895 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Baseline (observed values) | 20.4 units on a scale | Standard Deviation 4.42 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day -1 | -19.33 units on a scale | Standard Deviation 4.67 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 57 | -18.91 units on a scale | Standard Deviation 4.253 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 85 | -19.55 units on a scale | Standard Deviation 4.059 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 1 | -19.27 units on a scale | Standard Deviation 4.891 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 29 | -19.92 units on a scale | Standard Deviation 4.663 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 29 | -15.77 units on a scale | Standard Deviation 3.059 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 1 | -15.60 units on a scale | Standard Deviation 2.72 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Baseline (observed values) | 16.2 units on a scale | Standard Deviation 2.91 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 57 | -16.08 units on a scale | Standard Deviation 2.937 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day -1 | -15.50 units on a scale | Standard Deviation 2.324 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 85 | -16.10 units on a scale | Standard Deviation 2.998 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 141 | -19.67 units on a scale | Standard Deviation 4.041 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 1 | -16.87 units on a scale | Standard Deviation 3.563 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Baseline (observed values) | 17.9 units on a scale | Standard Deviation 3.65 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 29 | -16.71 units on a scale | Standard Deviation 3.989 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 57 | -17.62 units on a scale | Standard Deviation 3.453 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 85 | -18.00 units on a scale | Standard Deviation 3.873 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day -1 | -16.80 units on a scale | Standard Deviation 3.986 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 141 | -18.00 units on a scale | Standard Deviation 4.243 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Baseline (observed values) | 16.7 units on a scale | Standard Deviation 2.33 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 1 | -16.36 units on a scale | Standard Deviation 2.341 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day -1 | -15.93 units on a scale | Standard Deviation 2.056 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 85 | -16.00 units on a scale | Standard Deviation 2.828 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 57 | -17.00 units on a scale | Standard Deviation 2.449 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opiate Withdrawal Scale (COWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 29 | -16.91 units on a scale | Standard Deviation 2.548 |
Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6
The Total Score was the sum of 10 questions regarding cravings each ranging from 0 (no craving) - 10 (extreme craving) for a total range from 0 (no cravings) to 100 (most intense craving I have ever had). Baseline was defined as the peak (maximum) value from screening to study Day -13 pre-SUBUTEX dose. The baseline score is reported as the mean of observed values. Other measurements were taken prior to dosing and reported as change from baseline values. Negative change from baseline values indicate a lessening of craving symptoms.
Time frame: Baseline (screening to Day -13), Days -1, 1, 29, 57, 85 141
Population: The pharmacodynamic (PD) population included subjects in Cohorts 1 - 6 who were dosed with RBP 6000 and had at least 1 post-dose value of the PD parameter.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| SUBUTEX Only | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day -1 | -84.00 units on a scale | Standard Deviation 10.569 |
| SUBUTEX Only | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 85 | -84.91 units on a scale | Standard Deviation 12.136 |
| SUBUTEX Only | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 1 | -84.47 units on a scale | Standard Deviation 10.569 |
| SUBUTEX Only | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 57 | -84.42 units on a scale | Standard Deviation 11.437 |
| SUBUTEX Only | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Baseline (observed values) | 85.6 units on a scale | Standard Deviation 9.98 |
| SUBUTEX Only | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 29 | -81.73 units on a scale | Standard Deviation 15.975 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 29 | -85.00 units on a scale | Standard Deviation 12.247 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Baseline (observed values) | 89.7 units on a scale | Standard Deviation 10.13 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day -1 | -86.93 units on a scale | Standard Deviation 14.255 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 1 | -88.20 units on a scale | Standard Deviation 11.027 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 57 | -86.64 units on a scale | Standard Deviation 11.167 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 85 | -84.92 units on a scale | Standard Deviation 13.507 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Baseline (observed values) | 87.2 units on a scale | Standard Deviation 10.41 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day -1 | -84.53 units on a scale | Standard Deviation 11.141 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 57 | -86.36 units on a scale | Standard Deviation 11.792 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 85 | -86.55 units on a scale | Standard Deviation 11.725 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 1 | -84.40 units on a scale | Standard Deviation 11.451 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 29 | -85.31 units on a scale | Standard Deviation 11.272 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 29 | -83.46 units on a scale | Standard Deviation 8.771 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 1 | -83.73 units on a scale | Standard Deviation 8.293 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Baseline (observed values) | 86.0 units on a scale | Standard Deviation 7.67 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 57 | -82.08 units on a scale | Standard Deviation 9.229 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day -1 | -83.33 units on a scale | Standard Deviation 8.449 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 85 | -85.70 units on a scale | Standard Deviation 6.848 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 141 | -85.33 units on a scale | Standard Deviation 1.528 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 1 | -83.00 units on a scale | Standard Deviation 12.689 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Baseline (observed values) | 85.1 units on a scale | Standard Deviation 12.64 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 29 | -82.36 units on a scale | Standard Deviation 14.836 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 57 | -83.85 units on a scale | Standard Deviation 13.459 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 85 | -89.27 units on a scale | Standard Deviation 7.157 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day -1 | -82.07 units on a scale | Standard Deviation 12.975 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 141 | -85.00 units on a scale | Standard Deviation 4.243 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Baseline (observed values) | 87.4 units on a scale | Standard Deviation 11.56 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 1 | -85.36 units on a scale | Standard Deviation 11.263 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day -1 | -85.21 units on a scale | Standard Deviation 11.088 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 85 | -87.14 units on a scale | Standard Deviation 11.668 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 57 | -88.10 units on a scale | Standard Deviation 10.482 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Clinical Opioid Craving Visual Analog Scale (VAS) Total Score Prior to Injections 1, 2, 3, 4 and 6 | Day 29 | -88.45 units on a scale | Standard Deviation 10.377 |
Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6
The Subjective Opiate Withdrawal Scale (SOWS) contains 16 symptoms whose intensity the participant rates on a scale of 0 (not at all) to 4 (extremely) for a full scale of 0 (no withdrawal symptoms) to 64 (extreme withdrawal symptoms). Baseline was defined as the peak (maximum) value from screening to study Day -13 pre-SUBUTEX dose. The baseline score is reported as the mean of observed values. Other measurements were taken prior to dosing and reported as change from baseline values. Negative change from baseline values indicate a lessening of withdrawal symptoms.
Time frame: Baseline (screening to Day -13), Days -1, 1, 29, 57, 85 141
Population: The pharmacodynamic (PD) population included subjects in Cohorts 1 - 6 who were dosed with RBP 6000 and had at least 1 post-dose value of the PD parameter.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| SUBUTEX Only | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day -1 | -38.07 units on a scale | Standard Deviation 11.145 |
| SUBUTEX Only | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 85 | -38.36 units on a scale | Standard Deviation 11.595 |
| SUBUTEX Only | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 1 | -38.73 units on a scale | Standard Deviation 11.285 |
| SUBUTEX Only | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 57 | -39.50 units on a scale | Standard Deviation 11.844 |
| SUBUTEX Only | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Baseline (observed values) | 40.2 units on a scale | Standard Deviation 11.14 |
| SUBUTEX Only | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 29 | -38.20 units on a scale | Standard Deviation 12.616 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 29 | -45.64 units on a scale | Standard Deviation 16.832 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Baseline (observed values) | 47.8 units on a scale | Standard Deviation 14.65 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day -1 | -45.20 units on a scale | Standard Deviation 16.794 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 1 | -45.60 units on a scale | Standard Deviation 16.106 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 57 | -46.07 units on a scale | Standard Deviation 16.717 |
| Group 1 (8 mg) RBP-6000: 50 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 85 | -45.58 units on a scale | Standard Deviation 16.654 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Baseline (observed values) | 45.1 units on a scale | Standard Deviation 11.89 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day -1 | -43.40 units on a scale | Standard Deviation 12.385 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 57 | -43.09 units on a scale | Standard Deviation 11.631 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 85 | -43.82 units on a scale | Standard Deviation 11.763 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 1 | -43.47 units on a scale | Standard Deviation 12.489 |
| Group 2 (12 mg) RBP-6000: 100 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 29 | -44.15 units on a scale | Standard Deviation 11.689 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 29 | -40.62 units on a scale | Standard Deviation 13.997 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 1 | -40.80 units on a scale | Standard Deviation 13.624 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Baseline (observed values) | 42.7 units on a scale | Standard Deviation 13.8 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 57 | -39.50 units on a scale | Standard Deviation 13.945 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day -1 | -40.67 units on a scale | Standard Deviation 13.563 |
| Group 3 (24 mg) RBP-6000: 200 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 85 | -41.60 units on a scale | Standard Deviation 14.819 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 141 | -45.67 units on a scale | Standard Deviation 5.132 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 1 | -39.67 units on a scale | Standard Deviation 15.041 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Baseline (observed values) | 42.1 units on a scale | Standard Deviation 15.41 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 29 | -39.64 units on a scale | Standard Deviation 15.979 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 57 | -38.85 units on a scale | Standard Deviation 15.486 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 85 | -41.27 units on a scale | Standard Deviation 15.691 |
| Group 4 (8 mg) RBP-6000: 100 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day -1 | -39.47 units on a scale | Standard Deviation 16.048 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 141 | -59.50 units on a scale | Standard Deviation 6.364 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Baseline (observed values) | 43.9 units on a scale | Standard Deviation 16.2 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 1 | -42.57 units on a scale | Standard Deviation 16.603 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day -1 | -42.71 units on a scale | Standard Deviation 17.117 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 85 | -51.71 units on a scale | Standard Deviation 13.793 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 57 | -49.20 units on a scale | Standard Deviation 12.77 |
| Group 5 (14 mg) RBP-6000: 200 mg | Change From Baseline in the Subjective Opiate Withdrawal Scale (SOWS) Prior to Injections 1, 2, 3, 4 and 6 | Day 29 | -46.00 units on a scale | Standard Deviation 15.205 |
Columbia Suicide Severity Rating Scale (C-SSRS): Severity
The scale used in the C-SSRS is a continuous variable ranging from 0 (no suicidal ideation present) to 5 (active ideation with specific plan and intent). Only participants with suicidal ideation (scale of 1-5) are reported. 1=desire to be dead to 5=active ideation with specific plan and intent.
Time frame: Screening (summary of lifetime), Screening (last 6 months), Day 65, Day 113, End of Study (up to day 365)
Population: PD population
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| SUBUTEX Only | Columbia Suicide Severity Rating Scale (C-SSRS): Severity | Screening (summary of lifetime) | 1.0 units on a scale | — |
| Group 1 (8 mg) RBP-6000: 50 mg | Columbia Suicide Severity Rating Scale (C-SSRS): Severity | Day 113 | 1.0 units on a scale | — |
| Group 2 (12 mg) RBP-6000: 100 mg | Columbia Suicide Severity Rating Scale (C-SSRS): Severity | End of study | 5.0 units on a scale | — |
| Group 2 (12 mg) RBP-6000: 100 mg | Columbia Suicide Severity Rating Scale (C-SSRS): Severity | Screening (summary of lifetime) | 1.8 units on a scale | Standard Deviation 0.45 |
| Group 3 (24 mg) RBP-6000: 200 mg | Columbia Suicide Severity Rating Scale (C-SSRS): Severity | Screening (summary of lifetime) | 2.0 units on a scale | Standard Deviation 1.41 |
| Group 4 (8 mg) RBP-6000: 100 mg | Columbia Suicide Severity Rating Scale (C-SSRS): Severity | Screening (summary of lifetime) | 1.0 units on a scale | — |
| Group 4 (8 mg) RBP-6000: 100 mg | Columbia Suicide Severity Rating Scale (C-SSRS): Severity | Day 65 | 1.0 units on a scale | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Columbia Suicide Severity Rating Scale (C-SSRS): Severity | Screening (summary of lifetime) | 1.3 units on a scale | Standard Deviation 0.58 |
| Group 5 (14 mg) RBP-6000: 200 mg | Columbia Suicide Severity Rating Scale (C-SSRS): Severity | Screening (last 6 months) | 1.0 units on a scale | — |
| Group 5 (14 mg) RBP-6000: 200 mg | Columbia Suicide Severity Rating Scale (C-SSRS): Severity | Day 65 | 1.0 units on a scale | — |
Percentage of Urine Drug Screen Samples Negative for Opioids
Urine samples were screened for the following drugs: * opiates * cocaine * amphetamines * methadone * cannabinoids * barbiturates * buprenorphine. Buprenorphine was only included in the urine drug screen at screening and Day -14 to determine if the subject had used any buprenorphine-containing products prior to the start of SUBUTEX SL tablet dosing. * benzodiazepines * methamphetamine * phencyclidine Urine drug screens were run every day when the participant was an inpatient; every 2-3 days when the participant was an outpatient. Drug screens were run less often for those participants in the PET substudy.
Time frame: Day 1 to End of Study (up to day 365)
Population: Safety population
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| SUBUTEX Only | Percentage of Urine Drug Screen Samples Negative for Opioids | 41.2 percentage of total urine drug samples | Standard Deviation 32.89 |
| Group 1 (8 mg) RBP-6000: 50 mg | Percentage of Urine Drug Screen Samples Negative for Opioids | 42.0 percentage of total urine drug samples | Standard Deviation 35.43 |
| Group 2 (12 mg) RBP-6000: 100 mg | Percentage of Urine Drug Screen Samples Negative for Opioids | 54.6 percentage of total urine drug samples | Standard Deviation 23.98 |
| Group 3 (24 mg) RBP-6000: 200 mg | Percentage of Urine Drug Screen Samples Negative for Opioids | 49.9 percentage of total urine drug samples | Standard Deviation 25.53 |
| Group 4 (8 mg) RBP-6000: 100 mg | Percentage of Urine Drug Screen Samples Negative for Opioids | 41.6 percentage of total urine drug samples | Standard Deviation 27.68 |
| Group 5 (14 mg) RBP-6000: 200 mg | Percentage of Urine Drug Screen Samples Negative for Opioids | 64.9 percentage of total urine drug samples | Standard Deviation 23.56 |