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NTX/BUP

Phase 3

Opioid Use Disorder | Small molecule | Psychiatry |Alkermes plc|Last Updated: Mar 6, 2019

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment380

FDA Designations

No designations recorded

Clinical trial landscape

NTX/BUP · 1 trial · 1 indication

Phase 3 1
NCT02537574Naltrexone for Use in Conjunction With Buprenorphine in Adults With Opioid Use Disorder Prior to First Dose of VIVITROL® (Naltrexone for Extended-Release Injectable Suspension)Opioid Use Disorder
COMPLETED380 Analytics
PHASE3COMPLETED
Naltrexone for Use in Conjunction With Buprenorphine in Adults With Opioid Use Disorder Prior to First Dose of VIVITROL® (Naltrexone for Extended-Release Injectable Suspension)
Opioid Use DisorderUnlock trial analytics

Study Endpoints

Primary Endpoints

Proportion of Subjects Who Receive and Tolerate a VIVITROL Injection
1 week

Toleration to the injection was demonstrated by mild opioid withdrawal symptoms (Clinical Opiate Withdrawal Scale \[COWS\] \</=12 or Subjective Opiate Withdrawal Scale \[SOWS\] \</=10) following VIVITROL administration. The COWS is a clinician-rated questionnaire designed to measure 11 common opioid withdrawal signs or symptoms. The summed score provides information about the level of physical dependence on opioids. The range of COWS scores is 0-4 (none to minimal); 5-12 (mild); 13-24 (moderate); 25-36 (moderately severe); and 37-48 (severe withdrawal. The SOWS is a 16-item self-report questionnaire designed to measure the severity of opioid withdrawal symptoms. The subject rates the intensity of symptoms using a 5-point scale. The range of SOWS scores is 1-10 (mild); 11-20 (moderate); and 21-30 (severe).

Secondary Endpoints

Proportion of Days With COWS Peak Score of Less Than or Equal to 12 During the Treatment Period Prior to the VIVITROL Injection
1 week
Mean Peak COWS Score During Treatment Period Prior to VIVITROL Injection
1 week
Area Under the Curve (AUC) COWS Score During the Treatment Period Prior to VIVITROL Injection
The COWS was administered 4-6 times per day during the Treatment Period (Days 1-7)
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
NTX/BUPEXPERIMENTALOral naltrexone + sublingual buprenorphine
NTX/PBO-BACTIVE_COMPARATOROral naltrexone + sublingual placebo
PBO-N/PBO-BPLACEBO_COMPARATOROral placebo naltrexone + sublingual placebo buprenorphine

Interventions

NameTypeDescription
NTX/BUPDRUGDaily doses
NTX/PBO-BDRUGDaily doses
PBO-N/PBO-BDRUGDaily doses
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Eligibility Criteria

Age Range18 Years to 60 Years
SexALL
Healthy VolunteersNo
Study Sites20

Inclusion Criteria: * Willing and able to provide informed consent * Willing and able to provide government-issued identification * Has a BMI of 18.0-40.0 kg/m\^2 * Has a physiologic dependence on opioids * Is voluntarily seeking treatment for opioid use disorder and willing to completely withdraw ...

Countries:United States
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Frequently asked questions about NTX/BUP

What is NTX used for?

NTX is an investigational small molecule being developed for Alcohol Use Disorder and Opioid Use Disorder. It is studied as a pharmacotherapy to support harm reduction and treatment in these psychiatric conditions. The drug is in clinical development and has not been approved by the FDA.

Who makes NTX?

NTX is being developed by Alkermes plc, a biopharmaceutical company traded on the NASDAQ under the ticker symbol ALKS. Alkermes is conducting clinical trials to evaluate NTX for the treatment of Alcohol Use Disorder and Opioid Use Disorder.

What phase is NTX in?

NTX is in Phase 2 and Phase 3 clinical development. One completed Phase 2 trial evaluated NTX for Alcohol Use Disorder, and two completed Phase 3 trials assessed it for Opioid Use Disorder. The drug remains investigational and is not yet approved.

What clinical trials is NTX in?

NTX has been studied in three completed clinical trials. NCT01932801 was a Phase 2 trial for Alcohol Use Disorder with 308 participants. NCT02110264 and NCT02537574 were Phase 3 trials for Opioid Use Disorder, with 151 and 380 participants respectively. All trials were conducted in the United States.

Is NTX the same as naltrexone?

NTX is a form of naltrexone, an opioid antagonist. One trial, NCT02537574, evaluated naltrexone for use with buprenorphine in adults with Opioid Use Disorder prior to the first dose of VIVITROL, which is naltrexone for extended-release injectable suspension. NTX is being developed by Alkermes.