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NCT04278586: Mindful-OBOT

Effect of Mindfulness on Opioid Use and Anxiety During Primary Care Buprenorphine Treatment (R33 Phase)

Completed NA Results posted Last updated 22 July 2025
What this trial tests

NA trial testing Live-Online M-ROCC in Opioid-use Disorder in 260 participants. Completed in 19 September 2023.

Timeline
15 February 2021
Primary endpoint
19 September 2023
19 September 2023

Quick facts

Lead sponsorCambridge Health Alliance
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposetreatment
Enrollment260
Start date15 February 2021
Primary completion19 September 2023
Estimated completion19 September 2023
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Cambridge Health Alliance — full company profile →

Who can join

Adults 18 to 70, any sex, with Opioid-use Disorder or Stress Related Disorder. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Biochemically-confirmed Opioid Abstinent 2-week Time Periods Primary · Weeks 13-24

Biochemically-confirmed opioid abstinence, which is defined as the number of two-week periods with a negative oral fluid screen AND no opioid use reported in weekly self report self-report during the final 12 weeks (weeks 13-24) of the study (6 is the highest possible number of negative oral fluid toxicology screen time periods). Participants will be randomly selected to undergo a live-online supervised oral fluid screen at a rate of once every 2 weeks.

GroupValue95% CI
Live-Online Mindful Recovery OUD Care Continuum13.46.2 – 20.5
Live-Online Control12.77.5 – 18.0
Number of Positive Oral-fluid Toxicology Tests for Cocaine. Secondary · Weeks 13-24

Biochemically-confirmed cocaine use, which is defined as the number of two-week periods with a positive oral-fluid screen. Oral-fluid toxicology screens will be conducted during the final 12 weeks (weeks 13-24) of the study (6 is the highest possible number of negative oral fluid toxicology screen time periods). Participants will be randomly selected to undergo a live-online supervised oral fluid screen at a rate of once every 2 weeks.

GroupValue95% CI
Live-Online Mindful Recovery OUD Care Continuum8.40 – 16.6
Live-Online Control1.50 – 4.0
Number of Positive Oral-fluid Toxicology Tests for Benzodiazepines. Secondary · Weeks 13-24

Biochemically-confirmed benzodiazepine use, which is defined as the number of two-week periods with a positive oral-fluid screen. Oral-fluid toxicology screens will be conducted during the final 12 weeks (weeks 13-24) of the study (6 is the highest possible number of negative oral fluid toxicology screen time periods). Participants will be randomly selected to undergo a live-online supervised oral fluid screen at a rate of once every 2 weeks.

GroupValue95% CI
Live-Online Mindful Recovery OUD Care Continuum22.112.7 – 31.5
Live-Online Control20.212.7 – 27.7
Patient Report Outcomes Measurement Information System - Anxiety Short Form 8a (PROMIS-ASF) Secondary · 24 Weeks

The Patient Reported Outcomes Measurement Information System - Anxiety Short Form 8a (PROMIS-ASF) is an 8-item scale from 7-35 used to assess patient-reported health status for anxiety. Subjects are asked to rate their experience of the item in the past seven days on a 5-point scale from 1 (Never) to 5 (Always). Higher ratings indicate greater anxiety symptoms while lower ratings indicate less anxiety symptoms. This will be assessed among participants with an anxiety disorder (defined as PROMIS \>55 at baseline) as well at weeks 8, 16, and 24.

GroupValue95% CI
Live-Online Mindful Recovery OUD Care Continuum-9.0-11.7 – -6.3
Live-Online Control-10.0-12.0 – -8.0
Pain Interference PROMIS (PROMIS-PISF) Secondary · 24 Weeks

The PROMIS Pain Interference instruments measure the self-reported consequences of pain on relevant aspects of one's life. This includes the extent to which pain hinders engagement with social, cognitive, emotional, physical, and recreational activities. The Pain Interference short form is universal rather than disease-specific. It assesses pain interference over the past seven days. Each question has five response options ranging in value from one to five with a total scale range of 7-35. Higher ratings indicate greater pain interference and lower ratings indicate lesser pain interference. Th

GroupValue95% CI
Live-Online Mindful Recovery OUD Care Continuum-4.1-7.3 – -0.9
Live-Online Control-4.4-6.8 – -2
Substance Craving Scale (SUBCS) Secondary · 24 Weeks

The Substance Craving Scale (SUBCS) is a 6-item scale with a range of 0-60. It includes the 3-item validated Opioid Craving Scale (OCS) as the primary measure with a 0-30 scale based on opioids. The SUBCS adds another 3 items based on other non-opioids substances. The OCS assesses participant craving for Opioids (including fentanyl, heroin, methadone, oxycodone or other opioids) and the (SUBCS) includes the OCS plus other substance use (including illicit drugs \[e.g., cocaine, methamphetamine, etc.\], using unprescribed pills or prescribed medications in ways or at doses for which they were no

GroupValue95% CI
Live-Online Mindful Recovery OUD Care Continuum-2.3-2.9 – -1.7
Live-Online Control-1.3-1.9 – -0.8

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse event data were collected over the 24 weeks that participants were in the study.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Live-Online Mindful Recovery OUD Care Continuum
Serious: 7/98 (7%)
Deaths: 0
Live-Online Control
Serious: 2/98 (2%)
Deaths: 0

Serious adverse events (7 terms)

ReactionSystemLive-Online Mindful Recove…Live-Online Control
InfectionInfections and infestations
PneumoniaRespiratory, thoracic and mediastinal disorders
Heart and Lung ProblemsCardiac disorders
OverdosePsychiatric disorders
Covid-19Immune system disorders
SurgerySurgical and medical procedures
MiscarriageReproductive system and breast disorders
Other adverse events (12 terms — click to expand)

ReactionSystemLive-Online Mindful Recove…Live-Online Control
Worsening Psychiatric Symptoms/StressPsychiatric disorders
Developed a new conditionGeneral disorders
PainGeneral disorders
SicknessImmune system disorders
InjuryInjury, poisoning and procedural complications
PregnancyReproductive system and breast disorders
Stomach IssuesGastrointestinal disorders
HeadachesNervous system disorders
Cardiac IssuesCardiac disorders
Kidney stonesRenal and urinary disorders
PainGeneral disorders
RelapsePsychiatric disorders

Most-reported serious reactions: Infection, Pneumonia, Heart and Lung Problems, Overdose, Covid-19, Surgery, Miscarriage.

Data from ClinicalTrials.gov NCT04278586 adverse events section.

Sponsor's own description

This will be a randomized controlled trial (RCT) designed to compare live-online Mindful Recovery Opioid Care Continuum (M-ROCC) groups with a live-online control group on the primary outcome of number of biochemically confirmed opioid negative abstinent periods (defined by a negative oral fluid test \[negative for opiate, oxycodone, fentanyl, methadone\] AND no self-reported illicit opioid use) during the final six two-week periods of the study (study weeks 13-24).

Publications & conference data

5 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Mindfulness-based interventions for substance use disorders.
    Goldberg SB, Pace B, Griskaitis M, Willutzki R, et al · · 2021 · cited 21× · PMID 34668188 · DOI 10.1002/14651858.cd011723.pub2
  2. Adjunct interventions to standard medical management of buprenorphine in outpatient settings: A systematic review of the evidence.
    Wyse JJ, Morasco BJ, Dougherty J, Edwards B, et al · · 2021 · cited 19× · PMID 34508958 · DOI 10.1016/j.drugalcdep.2021.108923
  3. Mindfulness Training vs Recovery Support for Opioid Use, Craving, and Anxiety During Buprenorphine Treatment: A Randomized Clinical Trial.
    Schuman-Olivier Z, Goodman H, Rosansky J, Fredericksen AK, et al · · 2025 · cited 7× · PMID 39836426 · DOI 10.1001/jamanetworkopen.2024.54950
  4. Effects of live-online, group mindfulness training on opioid use and anxiety during buprenorphine treatment: A comparative effectiveness RCT.
    Rosansky JA, Howard L, Goodman H, Okst K, et al · · 2024 · cited 3× · PMID 38135210 · DOI 10.1016/j.cct.2023.107417
  5. Modulating mechanisms of adverse childhood experiences in a mindfulness-based intervention: preliminary insights from an opioid use disorder study.
    Joss D, Rosansky J, Gardiner P, Edwards RR, et al · · 2025 · PMID 40370398 · DOI 10.3389/fpsyg.2025.1529106

Verify or expand the search:

Other recruiting trials for Opioid-use Disorder

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Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing