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Medisorb naltrexone

Phase 3

Opiate Dependence | Small molecule | Other |Alkermes plc|Last Updated: Dec 11, 2018

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDBiomarker
Total Trials2
Total Enrollment65
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00834080ALK21-021: A Safety Study of Medisorb® Naltrexone (VIVITROL®) Administered to Health Care ProfessionalsPHASE3 COMPLETED 38Mar 1, 2009May 1, 2012Dec 11, 201811 United States
NCT01218984ALK21-004: Single-dose Opiate Challenge of Medisorb® Naltrexone (VIVITROL®) in Adults Who Use OpioidsPHASE2 COMPLETED 27Mar 1, 2002May 1, 2003Jan 11, 2017 -
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Study Endpoints
Primary Endpoints
Number of Subjects Reporting at Least 1 Treatment-emergent Adverse Event (TEAE) While on Study.
2 years (Baseline to end of study)

A TEAE is any adverse event (AE), whether or not considered drug-related, that develops or worsens in severity after study drug administration begins (ie, from the first administration through the end of the follow-up period).

Slope Change From Baseline for Pupil Size
4 weeks (Baseline to Day 28)

Photographs of subjects' pupils were measured horizontally and vertically, 15 minutes before the first hydromorphone dose and every 15 minutes after each hydromorphone/placebo for hydromorphone dose, for up to 1 hour. Size was the product of vertical and horizontal measures. The slope, determined by linear regression, was used as a summary measure of the dose-response relationship between the hydromorphone dose and pupil size. The steeper the slope, the greater the hydromorphone effect. A slope of zero indicated no evidence of a hydromorphone effect.

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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Medisorb naltrexone 380 mg (VIVITROL)EXPERIMENTAL -
Medisorb naltrexone 75 mgEXPERIMENTAL -
Medisorb naltrexone 150 mgEXPERIMENTAL -
Medisorb naltrexone 300 mgEXPERIMENTAL -
Interventions
NameTypeDescription
Medisorb naltrexone 380 mgDRUGIntramuscular (IM) injection administered once every 4 weeks for up to 2 years
Medisorb naltrexone 75 mgDRUGSingle administration via intramuscular (IM) injection.
Medisorb naltrexone 150 mgDRUGSingle administration via IM injection.
Medisorb naltrexone 300 mgDRUGSingle administration via IM injection.
Hydromorphone (10 mg/mL)DRUGIncreasing doses of 0, 3, 4.5, and 6 mg were administered at baseline (pre-study drug administration). After study drug administration, additional hydromorphone challenge sessions consisting of administering 0, 3, 4.5, and 6 mg were administered at 1-hr intervals at each of the postdose evaluation visits. In addition, at a randomly selected evaluation visit, subjects received four 0 mg (placebo) doses at 1-hour intervals.
Naloxone Challenge and Oral Naltrexone Tolerability TestingDRUGAdministered according to the instructions provided by the respective manufacturer. Testing occurred at least 7 days after the baseline hydromorphone challenge and prior to study drug administration.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites11

Primary Inclusion Criteria: * Health care professional (eg, physician, osteopath, nurse, pharmacist) * 18 years of age or older * Enrolled or enrolling in an extended outpatient treatment program for opioid dependence * Women of childbearing potential must agree to use an approved method of contrac...

Countries:United States
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