Skip to content

Pharmacokinetic Study of Vivitrol in Healthy Participants

A Bioequivalence Study Comparing Vivitrol and O'Neil Long Acting Naltrexone Implant (OLANI) in Healthy Participants

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04716881
Enrollment
9
Registered
2021-01-20
Start date
2021-01-25
Completion date
2022-04-04
Last updated
2024-02-23

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

Conditions

Opioid-use Disorder

Keywords

naltrexone, opioids, Opioid Use Disorder

Brief summary

This is a Phase I, single-center, single arm, open-label study, to establish the pharmacokinetic (PK) parameters of Vivitrol 380 mg IM injection (IP), a US Food and Drug Administration (FDA) approved medication.

Detailed description

This is a Phase I, single-center, single arm, open-label study, to establish the PK parameters of Vivitrol 380 mg IM injection (IP), a US FDA approved medication. Participants will be healthy volunteers with no significant medical or mental health disorders, who have completed participation in clinical trial GM0017 (i.e. have received the OLANI treatment and have subsequently provided two consecutive plasma levels of naltrexone (NTX) \<0.1ng/mL). This study will examine the PK profile of Vivitrol IM 380 mg over 6 doses for a treatment period of 196 days. Intense sampling will occur after the 1st and 6th dose of Vivitrol. Participants will be without a DSM 5 - Substance Related Disorders classification. Participants will be required to undergo a Naloxone Challenge Test (NCT) to confirm opiate naivety before administration of the IP. No randomization will occur.

Interventions

Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days

Sponsors

National Institute on Drug Abuse (NIDA)
CollaboratorNIH
New York State Psychiatric Institute
CollaboratorOTHER
Columbia University
CollaboratorOTHER
Clinilabs, Inc.
CollaboratorOTHER
Go Medical Industries Pty Ltd
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 57 Years
Healthy volunteers
Yes

Inclusion criteria

* Have completed GM0017 (i.e. been administered OLANI (3.6 gram) and provided two consecutive monthly blood samples of NTX below 0.1 ng/mL) * Men or women between ≥18 and \<58 years old Without DSM 5 - Substance Related Disorders classification; in sustained remission is not exclusionary * Able and willing to comply with the requirements of the protocol * Able and willing to provide written informed consent * Willing to undergo an injection of NTX to allow for investigational drug administration in the intramuscular tissue * Have an initial weight between 45.3 and 81.6 kilograms (inclusive) or have a BMI inclusive of 18.5 to 30.0.

Exclusion criteria

* Is currently on active NTX medication. * Positive UDS at screening for illicit substances. * Has a condition which requires treatment with opioid based medication. * Has a known hypersensitivity to NTX. * Is prone to skin rashes, irritation or has a skin condition such as recurrent eczema that is likely to impact the injection site area, or as determined by the evaluating physician. * Demonstrates any abnormal skin tissue in the proposed injection area. * Is pregnant or planning to be. Women need to have negative pregnancy test at screening. Women need to agree to practice an effective method of contraception throughout participation. * Participant is breastfeeding or planning to be. * Has a current significant neurological (including cognitive and psychiatric disorders), * Any clinically important abnormal finding as determined by medical history, physical examination, ECG or clinical laboratory tests. * Any additional condition(s) that in the investigator's opinion would prohibit the participant from completing the study or would not be in the best interest of the participant. * ALT or AST \>3 times the upper end of the laboratory normal range. * Any methadone use 14 days prior to screening, and up to Study Day 0. * Current DSM 5 diagnosis of schizophrenia, bipolar, anxiety, or depressive disorder, confirmed by MINI assessment, or currently treated with medications for anxiety or depression. Past history (in remission DSM 5 classification) of anxiety or depression is not exclusionary. * Any elevated risk for suicide measured using the Columbia Suicide Severity Rating Scale, endorsing any of the items in the past month (C-SSRS, Lifetime) * Is participating or intending to participate in any other clinical trial during the duration of this study. * Is allergic to any of the ingredients in Vivitrol or the diluent used to mix Vivitrol (i.e. carboxymethylcellulose sodium, polysorbate 20, sodium chloride, sodium hydroxide and hydrochloric acid as pH adjusters, in water for injection).

Design outcomes

Primary

MeasureTime frameDescription
Median Ctrough of 6β-naltrexol (After 6th Dose)6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196PK measurement of 6β-naltrexol concentration at the end of the dosing interval (Ctrough) after dosing on Day 140
Median Cmax of Naltrexone (After 6th Dose)6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196PK measurement of the maximum observed plasma naltrexone concentration (Cmax) after 6th dose on Day 140
Median Tmax of Naltrexone (After 6th Dose)6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196PK measurement of the time to maximum plasma naltrexone concentration (Tmax) after dosing on Day 140
Median AUC0-inf of Naltrexone (After 6th Dose)6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196PK measurement of the area under the plasma concentration-time curve for naltrexone from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 140
Median Ctrough of Naltrexone (After 6th Dose)6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196PK measurement of naltrexone concentration at the end of the dosing interval (Ctrough) after dosing on Day 140
Median Cmax of 6β-naltrexol (After 6th Dose)6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196PK measurement of the maximum observed plasma 6β-naltrexol concentration (Cmax) after dosing on Day 140
Median Tmax of 6β-naltrexol (After th Dose)6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196PK measurement of the time to maximum plasma 6β-naltrexol concentration (Tmax) after dosing on Day 140
Median AUC0-inf of 6β-naltrexol (After 6th Dose)6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196PK measurement of the area under the plasma concentration-time curve for 6β-naltrexol from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 140
Median Cmax of Naltrexone (After 1st Dose)1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.Single-dose PK measurement of the maximum observed plasma naltrexone concentration (Cmax) after dosing on Day 0
Median Tmax of Naltrexone (After 1st Dose)1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.Single-dose PK measurement of the time to maximum plasma naltrexone concentration (Tmax) after dosing on Day 0
Median AUC0-inf of Naltrexone (After 1st Dose)1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.Single-dose PK measurement of the area under the plasma concentration-time curve for naltrexone from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 0
Median Ctrough of Naltrexone (After 1st Dose)1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.Single-dose PK measurement of naltrexone concentration at the end of the dosing interval (Ctrough) after dosing on Day 0
Median Cmax of 6β-naltrexol (After First Dose)1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.Single-dose PK measurement of the maximum observed plasma 6β-naltrexol concentration (Cmax) after dosing on Day 0
Median Tmax of 6β-naltrexol (After 1st Dose)1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.Single-dose PK measurement of the time to maximum plasma 6β-naltrexol concentration (Tmax) after dosing on Day 0
Median AUC0-inf of 6β-naltrexol (After 1st Dose)1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.Single-dose PK measurement of the area under the plasma concentration-time curve for 6β-naltrexol from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 0
Median Ctrough of 6β-naltrexol (After 1st Dose)1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.Single-dose PK measurement of 6β-naltrexol concentration at the end of the dosing interval (Ctrough) after dosing on Day 0

Secondary

MeasureTime frameDescription
Naltrexone Accumulation Ratio (AR) for Cmax196 days after the 6th doseThe naltrexone AR was determined for Cmax by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
Naltrexone Accumulation Ratio (AR) for Ctrough196 days after the 6th doseThe naltrexone AR was determined for Crough by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
Naltrexone Accumulation Ratio (AR) for AUC0-inf196 days after the 6th doseThe naltrexone AR was determined for AUC0-inf by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
6β-naltrexol Accumulation Ratio (AR) for Cmax196 days after the 6th doseThe 6β-naltrexol AR was determined for Cmax by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
6β-naltrexol Accumulation Ratio (AR) for Ctrough196 days after the 6th doseThe 6β-naltrexol AR was determined for Ctrough by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
6β-naltrexol Accumulation Ratio (AR) for AUC0-inf196 days after the 6th doseThe 6β-naltrexol AR was determined for AUC0-inf by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.
Adverse Events (AEs)Up to Day 196Proportion of participants reporting AEs

Countries

United States

Participant flow

Participants by arm

ArmCount
Vivitrol (Naltrexone)
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
9
Total9

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event1
Overall StudyLost to Follow-up1

Baseline characteristics

CharacteristicVivitrol (Naltrexone)
Age, Continuous50.0 years
Body Mass Index (kg/m^2)25.90 kg/m^2
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
1 Participants
Race (NIH/OMB)
Black or African American
4 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
1 Participants
Race (NIH/OMB)
White
3 Participants
Region of Enrollment
United States
9 participants
Sex: Female, Male
Female
5 Participants
Sex: Female, Male
Male
4 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 8
other
Total, other adverse events
4 / 8
serious
Total, serious adverse events
0 / 8

Outcome results

Primary

Median AUC0-inf of 6β-naltrexol (After 1st Dose)

Single-dose PK measurement of the area under the plasma concentration-time curve for 6β-naltrexol from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 0

Time frame: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

ArmMeasureValue (MEDIAN)
Vivitrol (Naltrexone)Median AUC0-inf of 6β-naltrexol (After 1st Dose)270.16 day*ng/mL
Primary

Median AUC0-inf of 6β-naltrexol (After 6th Dose)

PK measurement of the area under the plasma concentration-time curve for 6β-naltrexol from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 140

Time frame: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

ArmMeasureValue (MEDIAN)
Vivitrol (Naltrexone)Median AUC0-inf of 6β-naltrexol (After 6th Dose)310.49 day*ng/mL
Primary

Median AUC0-inf of Naltrexone (After 1st Dose)

Single-dose PK measurement of the area under the plasma concentration-time curve for naltrexone from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 0

Time frame: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

ArmMeasureValue (MEDIAN)
Vivitrol (Naltrexone)Median AUC0-inf of Naltrexone (After 1st Dose)153.00 day*ng/mL
Primary

Median AUC0-inf of Naltrexone (After 6th Dose)

PK measurement of the area under the plasma concentration-time curve for naltrexone from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 140

Time frame: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

ArmMeasureValue (MEDIAN)
Vivitrol (Naltrexone)Median AUC0-inf of Naltrexone (After 6th Dose)167.14 day*ng/mL
Primary

Median Cmax of 6β-naltrexol (After 6th Dose)

PK measurement of the maximum observed plasma 6β-naltrexol concentration (Cmax) after dosing on Day 140

Time frame: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

ArmMeasureValue (MEDIAN)
Vivitrol (Naltrexone)Median Cmax of 6β-naltrexol (After 6th Dose)24.70 ng/mL
Primary

Median Cmax of 6β-naltrexol (After First Dose)

Single-dose PK measurement of the maximum observed plasma 6β-naltrexol concentration (Cmax) after dosing on Day 0

Time frame: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

ArmMeasureValue (MEDIAN)
Vivitrol (Naltrexone)Median Cmax of 6β-naltrexol (After First Dose)20.50 ng/mL
Primary

Median Cmax of Naltrexone (After 1st Dose)

Single-dose PK measurement of the maximum observed plasma naltrexone concentration (Cmax) after dosing on Day 0

Time frame: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

ArmMeasureValue (MEDIAN)
Vivitrol (Naltrexone)Median Cmax of Naltrexone (After 1st Dose)14.10 ng/mL
Primary

Median Cmax of Naltrexone (After 6th Dose)

PK measurement of the maximum observed plasma naltrexone concentration (Cmax) after 6th dose on Day 140

Time frame: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

ArmMeasureValue (MEDIAN)
Vivitrol (Naltrexone)Median Cmax of Naltrexone (After 6th Dose)14.00 ng/mL
Primary

Median Ctrough of 6β-naltrexol (After 1st Dose)

Single-dose PK measurement of 6β-naltrexol concentration at the end of the dosing interval (Ctrough) after dosing on Day 0

Time frame: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

ArmMeasureValue (MEDIAN)
Vivitrol (Naltrexone)Median Ctrough of 6β-naltrexol (After 1st Dose)1.71 ng/mL
Primary

Median Ctrough of 6β-naltrexol (After 6th Dose)

PK measurement of 6β-naltrexol concentration at the end of the dosing interval (Ctrough) after dosing on Day 140

Time frame: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

ArmMeasureValue (MEDIAN)
Vivitrol (Naltrexone)Median Ctrough of 6β-naltrexol (After 6th Dose)2.02 ng/mL
Primary

Median Ctrough of Naltrexone (After 1st Dose)

Single-dose PK measurement of naltrexone concentration at the end of the dosing interval (Ctrough) after dosing on Day 0

Time frame: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

ArmMeasureValue (MEDIAN)
Vivitrol (Naltrexone)Median Ctrough of Naltrexone (After 1st Dose)0.81 ng/mL
Primary

Median Ctrough of Naltrexone (After 6th Dose)

PK measurement of naltrexone concentration at the end of the dosing interval (Ctrough) after dosing on Day 140

Time frame: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

ArmMeasureValue (MEDIAN)
Vivitrol (Naltrexone)Median Ctrough of Naltrexone (After 6th Dose)1.37 ng/mL
Primary

Median Tmax of 6β-naltrexol (After 1st Dose)

Single-dose PK measurement of the time to maximum plasma 6β-naltrexol concentration (Tmax) after dosing on Day 0

Time frame: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

ArmMeasureValue (MEDIAN)
Vivitrol (Naltrexone)Median Tmax of 6β-naltrexol (After 1st Dose)3.02 day
Primary

Median Tmax of 6β-naltrexol (After th Dose)

PK measurement of the time to maximum plasma 6β-naltrexol concentration (Tmax) after dosing on Day 140

Time frame: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

ArmMeasureValue (MEDIAN)
Vivitrol (Naltrexone)Median Tmax of 6β-naltrexol (After th Dose)2.95 day
Primary

Median Tmax of Naltrexone (After 1st Dose)

Single-dose PK measurement of the time to maximum plasma naltrexone concentration (Tmax) after dosing on Day 0

Time frame: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

ArmMeasureValue (MEDIAN)
Vivitrol (Naltrexone)Median Tmax of Naltrexone (After 1st Dose)2.00 day
Primary

Median Tmax of Naltrexone (After 6th Dose)

PK measurement of the time to maximum plasma naltrexone concentration (Tmax) after dosing on Day 140

Time frame: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

ArmMeasureValue (MEDIAN)
Vivitrol (Naltrexone)Median Tmax of Naltrexone (After 6th Dose)2.00 day
Secondary

6β-naltrexol Accumulation Ratio (AR) for AUC0-inf

The 6β-naltrexol AR was determined for AUC0-inf by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.

Time frame: 196 days after the 6th dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Vivitrol (Naltrexone)6β-naltrexol Accumulation Ratio (AR) for AUC0-inf1.14 ratioGeometric Coefficient of Variation 7.43
Secondary

6β-naltrexol Accumulation Ratio (AR) for Cmax

The 6β-naltrexol AR was determined for Cmax by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.

Time frame: 196 days after the 6th dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Vivitrol (Naltrexone)6β-naltrexol Accumulation Ratio (AR) for Cmax1.08 ratioGeometric Coefficient of Variation 0.63
Secondary

6β-naltrexol Accumulation Ratio (AR) for Ctrough

The 6β-naltrexol AR was determined for Ctrough by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.

Time frame: 196 days after the 6th dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Vivitrol (Naltrexone)6β-naltrexol Accumulation Ratio (AR) for Ctrough1.37 ratioGeometric Coefficient of Variation 34.53
Secondary

Adverse Events (AEs)

Proportion of participants reporting AEs

Time frame: Up to Day 196

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Vivitrol (Naltrexone)Adverse Events (AEs)4 Participants
Secondary

Naltrexone Accumulation Ratio (AR) for AUC0-inf

The naltrexone AR was determined for AUC0-inf by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.

Time frame: 196 days after the 6th dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Vivitrol (Naltrexone)Naltrexone Accumulation Ratio (AR) for AUC0-inf1.08 ratioGeometric Coefficient of Variation 12.27
Secondary

Naltrexone Accumulation Ratio (AR) for Cmax

The naltrexone AR was determined for Cmax by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.

Time frame: 196 days after the 6th dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Vivitrol (Naltrexone)Naltrexone Accumulation Ratio (AR) for Cmax0.96 ratioGeometric Coefficient of Variation 49.16
Secondary

Naltrexone Accumulation Ratio (AR) for Ctrough

The naltrexone AR was determined for Crough by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.

Time frame: 196 days after the 6th dose

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Vivitrol (Naltrexone)Naltrexone Accumulation Ratio (AR) for Ctrough1.58 ratioGeometric Coefficient of Variation 33.91

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026