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VIVITROL

Phase 3FDA approved 2006

Alcohol Dependence | Small molecule | Psychiatry |Alkermes plc|Trials Updated: Jan 26, 2018

VIVITROL development status

FDA approval Apr 13, 2006
Approval holderAlkermes
ApplicationNDA021897
Highest phase Phase 3
Registered trials 5 across 4 sponsors since Aug 2001

Label indication Treatment with naltrexone for extended-release injectable suspension should be part of a comprehensive management program that includes psychosocial support. Naltrexone for extended-release injectable suspension contains naltrexone, an opioid antagonist, and is indicated for the treatment of alcohol dependence in patients who are able to abstain from alcohol in an outpatient setting prior to initiation of treatment… FDA label

VIVITROL target and mechanism

ModalitySmall molecule

Also known as VIVITROL (Naltrexone extended-release injectable suspension), Extended-Release Naltrexone, XR-NTX, long-acting naltrexone

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials3
Total Enrollment630

FDA Designations

No designations recorded

VIVITROL clinical trials

VIVITROL · 3 trials · 3 indications

Phase 3 2Phase 2 1
NCT00678418ALK21-013: Efficacy and Safety of Medisorb® Naltrexone (VIVITROL®) in Adults With Opioid DependenceOpiate Dependence
COMPLETED250 Analytics
NCT00501631ALK21-014: Efficacy and Safety of Medisorb® Naltrexone (VIVITROL®) After Enforced AbstinenceAlcohol Dependence
COMPLETED300 Analytics
PHASE3COMPLETED
ALK21-013: Efficacy and Safety of Medisorb® Naltrexone (VIVITROL®) in Adults With Opioid Dependence
Opiate DependenceUnlock trial analytics
PHASE3COMPLETED
ALK21-014: Efficacy and Safety of Medisorb® Naltrexone (VIVITROL®) After Enforced Abstinence
Alcohol DependenceUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage (%) of Opioid-free Weeks Per Subject in Double-blind Period (Part A)
20 weeks

Included are data from the last 20 weeks of the 24-week double-blind treatment period (Part A). Response profiles for each Arm are based on subjects' individual rates of weekly opioid-free data, including negative urine test results, attendance at study visits, and self-reports of opioid use/non-use.

Cumulative Percentage of Participants by Heavy Drinking Rate
up to 12 weeks

Cumulative percentage (%) of subjects reporting heavy drinking by category reflecting the various cut-offs for percentage of days that were heavy drinking days. A "heavy drinking day" was defined as 4 or more alcohol drinks in 1 day for women, and 5 or more alcohol drinks in 1 day for men. The Timeline Follow-Back (TLFB) method (Sobell \& Sobell: Humana Press, 1992) was utilized to collect subjects' daily drinking information (ie, the number of drinks consumed per day per subject which was retrospectively recalled and recorded in a diary).

Urine Assay for Benzoylecgonine (BE), the Primary Metabolite of Cocaine.
8 week medication phase

Percentage of subjects with no cocaine use for at least 3 weeks

Time Line Follow Back -Reported Days of Abstinence From Drinking
8 week medication phase

Percentage of participants who were abstinent from drinking

Secondary Endpoints

Days to Discontinuation During Part A
168 days (24 weeks)
Craving Score: Change From Baseline
Baseline to 6 months (24 weeks)
Incidence of Subjects Who Relapsed to Physiologic Opioid Dependence During the 24-week Treatment Period (Part A)
24 Weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
VIVITROL® 380 mgEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
VIVITROL 380 mgACTIVE_COMPARATORAdministered via intramuscular (IM) injection once every 4 weeks.
Placebo for VIVITROL 380 mgPLACEBO_COMPARATORAdministered via IM injection once every 4 weeks.
1EXPERIMENTALVIVITROL (Naltrexone extended-release injectable suspension), 380 mg injection at the start of weeks 2 and 6
2PLACEBO_COMPARATORPlacebo injection, 380 mg injection at the start of weeks 2 and 6.

Interventions

NameTypeDescription
VIVITROL® 380 mgDRUGAdministered via intramuscular (IM) injection once every 4 weeks for 24 weeks during Part A, followed by once every 4 weeks for 52 weeks in Part B.
PlaceboDRUGAdministered via IM injection once every 4 weeks for 24 weeks during Part A, followed by VIVITROL® 380 mg via IM injection once every 4 weeks for 52 weeks in Part B.
VIVITROL 380 mgDRUGAdministered via IM injection once every 4 weeks.
Placebo for VIVITROL 380 mgDRUGAdministered via IM injection once every 4 weeks.
VIVITROL (Naltrexone extended-release injectable suspension)DRUGVIVITROL (Naltrexone extended-release injectable suspension), 380 mg injection at the start of weeks 2 and 6.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Primary Inclusion Criteria: * Written, informed consent * 18 years of age or older * Current diagnosis of opioid dependence, based on Diagnostic and Statistical Manual of Mental Health Disorders, 4th Ed. (DSM-IV-TR) criteria * Voluntarily seeking treatment for opioid dependence * Completing or rece...

Countries:RussiaUnited States
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Frequently asked questions about VIVITROL

What is VIVITROL used for?

VIVITROL is used to treat alcohol dependence, opioid dependence, and cocaine dependence. It is an extended-release injectable suspension of naltrexone, developed by Alkermes plc (ticker ALKS). The drug is a small molecule in the psychiatry therapeutic area and has been studied in placebo-controlled, double-blind, randomized clinical trials.

What is VIVITROL also known as?

VIVITROL is also known as naltrexone extended-release injectable suspension, VIVITROL 380 mg, and VIVITROL 380 mg. These names refer to the same product: a long-acting injectable formulation of naltrexone developed by Alkermes plc under the ticker ALKS.

Who makes VIVITROL?

VIVITROL is made by Alkermes plc, which trades under the ticker ALKS. Alkermes developed the extended-release injectable suspension formulation of naltrexone for the treatment of alcohol dependence, opioid dependence, and cocaine dependence.

What phase is VIVITROL in?

VIVITROL has been studied in Phase 3 clinical trials. The Phase 3 program includes trials such as ALK21-013 in adults with opioid dependence and ALK21-014 in alcohol dependence. The drug is an extended-release injectable suspension of naltrexone developed by Alkermes plc.

What clinical trials is VIVITROL in?

VIVITROL has been evaluated in completed clinical trials including NCT00777062, a Phase 2 study of VIVITROL as a treatment for cocaine and alcohol dependence; NCT00678418, a Phase 3 trial in adults with opioid dependence; and NCT00501631, a Phase 3 trial in alcohol dependence after enforced abstinence.