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Medisorb naltrexone

Phase 3

Alcohol Dependence | Small molecule | Psychiatry |Alkermes plc|Last Updated: Dec 11, 2018

Success Probability

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Market & Valuation

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Trial Design

Double-BlindCONTROLLED
Total Trials1
Total Enrollment332

FDA Designations

No designations recorded

Clinical trial landscape

Medisorb naltrexone · 6 trials · 3 indications

Phase 3 5Phase 2 1
NCT00834080ALK21-021: A Safety Study of Medisorb® Naltrexone (VIVITROL®) Administered to Health Care ProfessionalsOpiate Dependence
COMPLETED38 Analytics
NCT00156923ALK21-010: Long-term Safety of Medisorb® Naltrexone (VIVITROL®) in Alcohol-dependent AdultsAlcoholism
COMPLETED108 Analytics
NCT01218997ALK21-006: Long-Term Study of Medisorb® Naltrexone (VIVITROL®)Alcoholism
COMPLETED436 Analytics
NCT01218971ALK21-003EXT: An Extension of Study ALK21-003 (NCT01218958) to Test the Long-term Safety of Medisorb® Naltrexone (VIVITROL®)Alcohol Dependence
COMPLETED332 Analytics
NCT01218958ALK21-003: Study of Medisorb® Naltrexone (VIVITROL®) in Alcohol-Dependent AdultsAlcoholism
COMPLETED624 Analytics
PHASE3COMPLETED
ALK21-021: A Safety Study of Medisorb® Naltrexone (VIVITROL®) Administered to Health Care Professionals
Opiate DependenceUnlock trial analytics
PHASE3COMPLETED
ALK21-010: Long-term Safety of Medisorb® Naltrexone (VIVITROL®) in Alcohol-dependent Adults
AlcoholismUnlock trial analytics
PHASE3COMPLETED
ALK21-006: Long-Term Study of Medisorb® Naltrexone (VIVITROL®)
AlcoholismUnlock trial analytics
PHASE3COMPLETED
ALK21-003EXT: An Extension of Study ALK21-003 (NCT01218958) to Test the Long-term Safety of Medisorb® Naltrexone (VIVITROL®)
Alcohol DependenceUnlock trial analytics
PHASE3COMPLETED
ALK21-003: Study of Medisorb® Naltrexone (VIVITROL®) in Alcohol-Dependent Adults
AlcoholismUnlock trial analytics

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).

Number of Participants Reporting at Least 1 Treatment-emergent Adverse Event (TEAE)
Up to 3.5 years of monthly treatment

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 in this extension through the end of the follow-up period).

Number of Subjects Reporting at Least 1 Treatment-emergent Adverse Event (TEAE) While on Study
up to 1 year

A TEAE was defined as any adverse event (AE) that started or worsened on or after the administration of the first dose of study medication through 30 days after the end of study treatment.

Number of Participants Reporting at Least 1 Treatment-emergent Adverse Event (TEAE) While in Study
Up to 48 weeks (13 injections), not including base study

A TEAE is any adverse event, 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).

Percentage of Heavy Drinking Days Over the Treatment Period
Baseline through Week 24 (168 days)

Drinking rates were assessed from participants' self-reports using the validated Timeline Follow-Back (TLFB) method. Using a TLFB calendar, participants reported the number of days they had consumed alcohol along with the amount they consumed on each day. A heavy drinking day was defined as ≥5 drinks/day for men and ≥4 drinks/day for women.

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.

Secondary Endpoints

Number of Participants Reporting at Least 1 Treatment-emergent Adverse Event (TEAE)
24 weeks (Baseline to Week 24)
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Medisorb naltrexone 380 mg (VIVITROL)EXPERIMENTAL -
Medisorb naltrexone 380 mgEXPERIMENTAL -
Medisorb naltrexone 190 mgEXPERIMENTAL -
Oral naltrexone 50 mgACTIVE_COMPARATOR -
Placebo for Medisorb naltrexone 190 mgPLACEBO_COMPARATOR -
Placebo for Medisorb naltrexone 380 mgPLACEBO_COMPARATOR -
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 190 mgDRUGAdministered via IM injection once every 4 weeks for up to 3.5 years.
Oral naltrexone 50 mgDRUGTablet taken orally once daily for up to 1 year
Placebo matching Medisorb naltrexone 190 mgDRUGIM injection once every 4 weeks for a total of 6 administrations.
Placebo matching Medisorb naltrexone 380 mgDRUGIM injection once every 4 weeks for a total of 6 administrations.
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 to 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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Frequently asked questions about Medisorb naltrexone

What is Medisorb naltrexone used for?

Medisorb naltrexone is used for the treatment of alcohol dependence, alcoholism, and opiate dependence. It is a small molecule developed by Alkermes plc for psychiatric conditions. The drug is being studied in clinical trials to address these substance use disorders.

What does Medisorb naltrexone target?

Medisorb naltrexone is an opioid antagonist that works by blocking the effects of opioids on the brain. It targets opioid receptors to reduce the rewarding effects of alcohol and opioids, thereby helping to decrease cravings and support abstinence in individuals with alcohol or opiate dependence.

Who makes Medisorb naltrexone?

Medisorb naltrexone is developed by Alkermes plc, a biopharmaceutical company. Alkermes is responsible for the clinical development and potential commercialization of this drug for alcohol and opiate dependence indications.

What phase is Medisorb naltrexone in?

Medisorb naltrexone is in Phase 3 clinical development. It has completed multiple Phase 3 trials, including studies in alcohol-dependent adults and long-term safety studies. The drug is investigational and not yet approved by regulatory authorities.

What clinical trials is Medisorb naltrexone in?

Medisorb naltrexone has completed three clinical trials. NCT00834080 was a Phase 3 safety study in healthcare professionals with opiate dependence. NCT01218958 was a Phase 3 study in alcohol-dependent adults. NCT01218984 was a Phase 2 single-dose opiate challenge study in adults who use opioids.

Is Medisorb naltrexone the same as VIVITROL?

Yes, Medisorb naltrexone is the same as VIVITROL. The clinical trials listed for Medisorb naltrexone refer to it as Medisorb Naltrexone (VIVITROL), indicating that VIVITROL is the brand name for this extended-release formulation of naltrexone.