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RBP-6000

Phase 3

Opioid Use Disorder | Small molecule | Pain |Indivior Pharmaceuticals, Inc.|Last Updated: Nov 29, 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
RandomizedACTIVE_CONTROLLEDBiomarker
Total Trials4
Total Enrollment321
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02896296Open-Label Treatment Extension StudyPHASE3 COMPLETED 208Aug 17, 2016Aug 23, 2017Nov 29, 201829 United States
NCT02559973Pharmacokinetics, Safety, and Tolerability of Depot Buprenorphine at Three Different Molecular Weights in Treatment-Seeking Subjects With Opioid Use DisorderPHASE1 COMPLETED 47Sep 1, 2015Mar 1, 2016Jan 31, 20171 United States
NCT03002961Single Ascending Dose Study of RBP-6000PHASE1 COMPLETED 48Jul 1, 2012Oct 1, 2013Dec 26, 20161 United States
NCT02765867Single-dose, Study of RBP-6000 in Opioid Dependent IndividualsPHASE1 COMPLETED 18Nov 1, 2010May 1, 2011May 9, 20161 United States
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Study Endpoints
Primary Endpoints
Participants With Treatment-Emergent Adverse Events (TEAE) During the Treatment Period
Day 1 up to Week 29

TEAE=any untoward medical occurrence that develops or worsens in severity after dispensation of the study drug and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= a marked limitation in activity. Relation of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical or surgical intervention to prevent one of the outcomes listed in this definition.

Percentage Change From Baseline to Week 25 in Vital Signs
Day 1, Week 25

Vital signs include: * systolic blood pressure (mmHg) * diastolic blood pressure (mmHg) * respiratory rate (breaths/minute) * pulse oximetry (%) * pulse rate (beats/min) * temperature (C)

Participants With Treatment-emergent Adverse Events (TEAEs) Pertaining to Laboratory Test Values
Day 1 up to Week 25

TEAE=any untoward medical occurrence that develops or worsens in severity after dispensation of the study drug and does not necessarily have a causal relationship to the study drug. The number of participants with TEAEs specific to laboratory tests are summarized.

Area Under the Concentration-Time Curve from Study Day 1 to Day 29 (AUC0-28days) of Buprenorphine
Day 1 to Day 29

Relative bioavailability will be assessed using AUC0-28days.

Maximum Observed Plasma Concentration (Cmax) of Buprenorphine
Day 1 to Day 57

Relative bioavailability will also be assessed using Cmax

Safety will be assessed by the frequency of adverse events (AEs), serious AEs, and discontinuations due to AEs (safety and tolerability) in subjects receiving a single dose of RBP-6000.
Baseline (defined as last non-missing value prior to dosing) to end of study/day 150 or early termination

Safety will be assessed by AEs, ECGs, laboratory measurements, local injection site tolerability and vital signs

Individual, mean and median PK concentrations over time profiles will be plotted for subjects receiving a single dose of RBP-6000 with an adequate number of PK samples collected to derive PK parameters.
PK prior to injection through Day 150/End of Study or Early Termination

Individual plasma concentrations will be collected to compute PK parameters. The individual concentrations will be summarized using descriptive statistics.

The safety of RBP-6000 when administered as a single SC injection after daily dosing of SL Suboxone will be assessed as a measure of the occurrence of AEs, serious AEs and discontinuations due to AEs
Day -7 through Day 150/End of Study or Early Termination

Safety to be assessed by AEs, ECGs, laboratory measurements, local injection site tolerability and vital signs

To assess the incidence of treatment emergent adverse events (safety and tolerability) of a single SC injection of RBP-6000 in subjects with opioid dependence.
Day 1 to Day 85

The frequency of all adverse events (AE) and serious adverse events (SAE) deemed to be related to treatment.

Secondary Endpoints
Area Under the Concentration-Time Curve from Study Day 1 to Day 29 (AUC0-28days) of Norbuprenorphine
Day 1 to Day 29
Maximum Observed Plasma Concentration (Cmax) of Norbuprenorphine
Day 1 to Day 57
Participants with Treatment-Emergent Adverse Events
Day 1 to Day 57
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
RBP-6000 (100/300 mg Flex)EXPERIMENTALOn Day 1 of the study all eligible subjects received a single subcutaneous (SC) injection of RBP-6000. Participants returned to the site for monthly injection visits every 28 days (-2/+7 days) for a total of up to 6 injections. Participants were not required to complete all 6 injections and could choose to terminate from the study at any time. For each injection, participants could receive either a dose of 100 mg RBP-6000 or 300 mg RBP-6000, based on the medical judgement of the investigator.
RBP-6000 - Light MWEXPERIMENTALSingle subcutaneous injection of RBP-6000 (buprenorphine) 300 mg, formulated with a light molecular weight (MW) polymer.
RBP-6000 - Heavy MWEXPERIMENTALSingle subcutaneous injection of RBP-6000 (buprenorphine) 300 mg, formulated with a heavy molecular weight (MW) polymer.
RBP-6000 - Intermediate MWACTIVE_COMPARATORSingle subcutaneous injection of RBP-6000 (buprenorphine) 300 mg, formulated with an intermediate molecular weight (MW) polymer (reference).
Cohort 1EXPERIMENTALSubjects to receive low dose of RBP-6000 subcutaneously as a single injection
Cohort 2EXPERIMENTALSubjects to receive medium dose of RBP-6000 subcutaneously as a single injection
Cohort 3EXPERIMENTALSubjects to receive high dose of RBP-6000 subcutaneously as a single injection
Cohort 4EXPERIMENTALSubjects would receive medium dose RBP-6000 as a single injection after up to 12 mg daily dosing of sublingual (SL) suboxone tablets for 7 days
RBP-6000EXPERIMENTALA single dose of RBP-6000 will be administered on Study Day 1
Interventions
NameTypeDescription
RBP-6000DRUGMonthly injections subcutaneously on alternate sides of participant's abdomen. Dose could be adjusted from 100 mg to 300 mg (or the reverse) based on the medical judgment of the investigator.
SUBOXONE Sublingual FilmDRUGSubjects will be dose-stabilized on SUBOXONE sublingual film prior to administration of RBP-6000. SUBOXONE sublingual film will be administered beginning after the subject is experiencing signs and symptoms of withdrawal on Day -8 and continue until Day -1.
SuboxoneDRUGRBP-6000 injection after 7 days of SL Suboxone administration. Interventions as above with additional daily PK collections during Suboxone treatment prior to RBP-6000 administration
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Eligibility Criteria
Age Range18 Years — 65 Years
SexALL
Healthy VolunteersNo
Study Sites29

Inclusion Criteria: 1. Provide written consent to participate in this study. 2. Completed the End of Study Visit for the RB-US-13-0003 study (NCT02510014). 3. Be considered eligible in the medical judgment of the Investigator. 4. Females: Women of childbearing potential (defined as all women who ar...

Countries:United States
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