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Open-Label Treatment Extension Study

An Open-Label, Depot Buprenorphine (RBP-6000) Treatment Extension Study in Subjects With Opioid Use Disorder

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02896296
Enrollment
208
Registered
2016-09-12
Start date
2016-08-17
Completion date
2017-08-23
Last updated
2018-11-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Opioid Use Disorder, Opioid-related Disorders

Brief summary

Study is to provide ongoing treatment with RBP-6000 and safety monitoring for subjects who complete the RB-US-13-0003 study (NCT02510014) and for whom a new treatment venue has not been identified or arranged.

Detailed description

This is a multi-center, open-label, RBP-6000 treatment extension study in which subjects who have completed the End of Study (EOS) procedures for study RB-US-13-0003 are eligible. EOS assessments completed at the RB-US-13-0003 EOS visit serve as part of the screening visit for this study. In addition, subjects were requested to complete a Columbia Suicide Severity Rating Scale (C-SSRS) baseline/screening survey and a medical history and height was obtained. The informed consent may be shared with subjects up to 2 months prior to the RB-US-13-0003 EOS visit, however should not be signed until all assessments for the EOS visit have been completed. On Day 1, eligible subjects receive a subcutaneous (SC) injection of RBP-6000 at a low or high dose based on the medical judgment of the investigator. After the injection, vital signs and the injection site were assessed. Prior to departing the site, subjects were also assessed for adverse events (AEs) and use of concomitant medications (ConMeds). Subjects return to the site for monthly injection visits every 28 days (-2 / +7 days) for a total of up to 6 injections (participants were not required to complete all 6 injections). At each subsequent visit (Injections 2 through 6) the following procedures / assessments were performed : urine pregnancy test performed for all female subjects who are of childbearing potential before each injection; previous injection site assessed for potential reaction and evidence of attempts to remove the depot; vital signs collected pre and post each injection; RBP-6000 injection, urine drug screen (UDS); C-SSRS since last visit assessment, counseling (manual-guided behavioral therapy); use of ConMeds; local injection site grading, subject self-assessment of injection site pain (Injection Site Pain Visual Analog Scale \[VAS\]), assessment for adverse events (AEs). Laboratory tests (hematology, chemistry and urinalysis) may be requested by the Investigator on an ad-hoc basis in order to assess for AEs. A subject's alternative treatment options were assessed at least two months before EOS at each visit. At EOS or early termination (ET), the following assessments were performed: urine pregnancy test performed for all female subjects who are of childbearing potential; vital signs; previous injection site assessed for potential reaction and evidence of attempts to remove the depot; UDS; C-SSRS since last visit assessment, counseling (manual-guided behavioral therapy); use of ConMeds; assessment for AEs; a brief physical exam; height and body weight were measured and a subject's body mass index (BMI) and waist-to-hip ratio calculated; laboratory tests (hematology, chemistry, urinalysis). Subjects were to be contacted by telephone approximately 4 weeks after EOS/ET for a safety follow-up assessment of AEs and use of ConMeds.

Interventions

Monthly injections subcutaneously on alternate sides of participant's abdomen. Dose could be adjusted from 100 mg to 300 mg (or the reverse) based on the medical judgment of the investigator.

Sponsors

Indivior Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

1. Provide written consent to participate in this study. 2. Completed the End of Study Visit for the RB-US-13-0003 study (NCT02510014). 3. Be considered eligible in the medical judgment of the Investigator. 4. Females: Women of childbearing potential (defined as all women who are not surgically sterile or postmenopausal for at least 1 year prior to informed consent form (ICF)) must have a negative pregnancy test prior to enrollment and must agree to use a medically acceptable means of contraception from screening through at least 6 months after the last dose of investigational medicinal product (IMP). Males: Subjects with female partners of child-bearing potential must agree to use medically acceptable contraception after signing the ICF through at least 6 months after the last dose of IMP. Male subjects must also agree not to donate sperm during the study and for 6 months after receiving the last dose of IMP. 5. Subjects must agree not to take any buprenorphine products other than those administered during the current study throughout participation in the study. 6. Subjects must be willing to adhere to study procedures.

Exclusion criteria

1. Subject compliance issues during participation in the RB-US-13-0003 study which, in the opinion of the Investigator, could potentially compromise subject safety. 2. Women of childbearing potential who have a positive pregnancy test at RB-US-13-0003 at the end-of-study (EOS) visit, who are pregnant or breastfeeding, seeking pregnancy, or failing to use adequate contraceptive methods during the study. 3. History of suicidal ideation within 28 days prior to signing the ICF as evidenced by answering yes' to questions 4 or 5 on the suicidal ideation portion of the Columbia-Suicide Severity Rating Scale (C-SSRS) since last visit assessment (completed in the EOS Visit for Study RB-US-13-0003), screening/baseline assessment for the current study), or history of a suicide attempt (per the C-SSRS) in the 6 months prior to signing the ICF. 4. Taking any cytochrome P450 3A4 and 2C8 inducers and inhibitors, self-reported additional buprenorphine, or over the counter (OTC) and/or herbal supplements with the potential to prolong QTc within 28 days of Day 1 unless prior written approval was obtained from the Medical Monitor.

Design outcomes

Primary

MeasureTime frameDescription
Participants With Treatment-Emergent Adverse Events (TEAE) During the Treatment PeriodDay 1 up to Week 29TEAE=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 or surgical intervention to prevent one of the outcomes listed in this definition.
Percentage Change From Baseline to Week 25 in Vital SignsDay 1, Week 25Vital signs include: * systolic blood pressure (mmHg) * diastolic blood pressure (mmHg) * respiratory rate (breaths/minute) * pulse oximetry (%) * pulse rate (beats/min) * temperature (C)
Participants With Treatment-emergent Adverse Events (TEAEs) Pertaining to Laboratory Test ValuesDay 1 up to Week 25TEAE=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. The number of participants with TEAEs specific to laboratory tests are summarized.

Countries

United States

Participant flow

Pre-assignment details

A total of 208 subjects were screened across 25 sites, and of those, all 208 subjects entered the treatment period and received at least 1 dose of RBP-6000.

Participants by arm

ArmCount
RBP-6000 (100/300 mg Flex)
On Day 1 of the study all eligible subjects received a single subcutaneous (SC) injection of RBP-6000. Participants returned to the site for monthly injection visits every 28 days (-2/+7 days) for a total of up to 6 injections. Participants were not required to complete all 6 injections and could choose to terminate from the study at any time. For each injection, participants could receive either a dose of 100 mg RBP-6000 or 300 mg RBP-6000, based on the medical judgement of the investigator.
208
Total208

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event1
Overall StudyIncarceration1
Overall StudyLost to Follow-up19
Overall StudyPhysician Decision2
Overall StudyPregnancy1
Overall StudyRelocation1
Overall StudySite closing7
Overall StudyWithdrawal by Subject10

Baseline characteristics

CharacteristicRBP-6000 (100/300 mg Flex)
Age, Continuous42.1 years
STANDARD_DEVIATION 11.47
Age, Customized
>=18 and <30 years
32 Participants
Age, Customized
>= 30 and < 45 years
88 Participants
Age, Customized
>=45 and < 60 years
71 Participants
Age, Customized
>= 60 years
17 Participants
Body Mass Index26.12 kg/m^2
STANDARD_DEVIATION 5.031
Ethnicity (NIH/OMB)
Hispanic or Latino
10 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
198 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
Females of Childbearing Potential40 Participants
Height173.26 cm
STANDARD_DEVIATION 9.788
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
Race (NIH/OMB)
Asian
0 Participants
Race (NIH/OMB)
Black or African American
78 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
129 Participants
Sex: Female, Male
Female
70 Participants
Sex: Female, Male
Male
138 Participants
Waist-to-Hip Ratio0.925 ratio
STANDARD_DEVIATION 0.0878
Weight78.41 kg
STANDARD_DEVIATION 16.949

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 208
other
Total, other adverse events
0 / 208
serious
Total, serious adverse events
5 / 208

Outcome results

Primary

Participants With Treatment-Emergent Adverse Events (TEAE) During the Treatment Period

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 or surgical intervention to prevent one of the outcomes listed in this definition.

Time frame: Day 1 up to Week 29

Population: Safety analysis set

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
RBP-6000 (100/300 mg Flex)Participants With Treatment-Emergent Adverse Events (TEAE) During the Treatment Period>=1 TEAE71 Participants
RBP-6000 (100/300 mg Flex)Participants With Treatment-Emergent Adverse Events (TEAE) During the Treatment Period>=1 TEAE related to study drug14 Participants
RBP-6000 (100/300 mg Flex)Participants With Treatment-Emergent Adverse Events (TEAE) During the Treatment Period>=1 serious TEAE5 Participants
RBP-6000 (100/300 mg Flex)Participants With Treatment-Emergent Adverse Events (TEAE) During the Treatment Period>=1 serious study treatment-related TEAE0 Participants
RBP-6000 (100/300 mg Flex)Participants With Treatment-Emergent Adverse Events (TEAE) During the Treatment PeriodDeath0 Participants
RBP-6000 (100/300 mg Flex)Participants With Treatment-Emergent Adverse Events (TEAE) During the Treatment Period>=1 severe TEAE8 Participants
RBP-6000 (100/300 mg Flex)Participants With Treatment-Emergent Adverse Events (TEAE) During the Treatment PeriodTEAE leading to study treatment discontinuation1 Participants
Primary

Participants With Treatment-emergent Adverse Events (TEAEs) Pertaining to Laboratory Test Values

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. The number of participants with TEAEs specific to laboratory tests are summarized.

Time frame: Day 1 up to Week 25

Population: Safety population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
RBP-6000 (100/300 mg Flex)Participants With Treatment-emergent Adverse Events (TEAEs) Pertaining to Laboratory Test ValuesAspartate aminotransferase increased1 Participants
RBP-6000 (100/300 mg Flex)Participants With Treatment-emergent Adverse Events (TEAEs) Pertaining to Laboratory Test ValuesAlanine aminotransferase increased1 Participants
RBP-6000 (100/300 mg Flex)Participants With Treatment-emergent Adverse Events (TEAEs) Pertaining to Laboratory Test ValuesBlood cholesterol increased1 Participants
RBP-6000 (100/300 mg Flex)Participants With Treatment-emergent Adverse Events (TEAEs) Pertaining to Laboratory Test ValuesDiabetes mellitus1 Participants
RBP-6000 (100/300 mg Flex)Participants With Treatment-emergent Adverse Events (TEAEs) Pertaining to Laboratory Test ValuesHepatic enzyme increased1 Participants
RBP-6000 (100/300 mg Flex)Participants With Treatment-emergent Adverse Events (TEAEs) Pertaining to Laboratory Test ValuesLiver function test increased1 Participants
Primary

Percentage Change From Baseline to Week 25 in Vital Signs

Vital signs include: * systolic blood pressure (mmHg) * diastolic blood pressure (mmHg) * respiratory rate (breaths/minute) * pulse oximetry (%) * pulse rate (beats/min) * temperature (C)

Time frame: Day 1, Week 25

Population: Safety analysis set. Participants with both baseline and Week 25 data are included.

ArmMeasureGroupValue (MEAN)Dispersion
RBP-6000 (100/300 mg Flex)Percentage Change From Baseline to Week 25 in Vital SignsSystolic blood pressure1.93 percentage change from baselineStandard Deviation 11.208
RBP-6000 (100/300 mg Flex)Percentage Change From Baseline to Week 25 in Vital SignsDiastolic blood pressure2.61 percentage change from baselineStandard Deviation 12.397
RBP-6000 (100/300 mg Flex)Percentage Change From Baseline to Week 25 in Vital SignsPulse oximetry0.13 percentage change from baselineStandard Deviation 1.377
RBP-6000 (100/300 mg Flex)Percentage Change From Baseline to Week 25 in Vital SignsPulse rate6.04 percentage change from baselineStandard Deviation 16.975
RBP-6000 (100/300 mg Flex)Percentage Change From Baseline to Week 25 in Vital SignsRespiratory rate0.67 percentage change from baselineStandard Deviation 8.36
RBP-6000 (100/300 mg Flex)Percentage Change From Baseline to Week 25 in Vital SignsTemperature0.02 percentage change from baselineStandard Deviation 1.003

Source: ClinicalTrials.gov · Data processed: Feb 26, 2026