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NCT04433975: Persist

Psychosocial Pain Management to Improve Opioid Use Disorder Treatment Outcomes

Completed NA Results posted Last updated 9 July 2025
What this trial tests

NA trial testing Psychosocial Pain Management (PPMI) in Opioid-use Disorder in 200 participants. Completed in 19 January 2025.

Timeline
14 August 2020
Primary endpoint
23 May 2024
19 January 2025

Quick facts

Lead sponsorUniversity of Michigan
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposesupportive care
Enrollment200
Start date14 August 2020
Primary completion23 May 2024
Estimated completion19 January 2025
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Michigan

Who can join

18 and older, any sex, with Opioid-use Disorder or Medication Assisted Treatment. 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.

Retention on Buprenorphine Treatment According to TimeLine Follow-Back - 3-months Primary · 3-months post enrollment

In this study, "retention on buprenorphine treatment" was defined as the time until a participant stopped taking their medication for 7 or more days in a row. This information was collected using a calendar recall method, the TimeLine Follow-Back (TLFB) measure at 3 months. The average number of days participants remained on buprenorphine before this happened was calculated, using the data collected at 3-month follow-up.

GroupValue95% CI
Psychosocial Pain Management (PPMI)81.1± 26.6
Enhanced Usual Care (EUC)75.4± 32.3
Retention on Buprenorphine Treatment According to TimeLine Follow-Back - 12 Months Secondary · 12-months post enrollment

In this study, "retention on buprenorphine treatment" was defined as the time until a participant stopped taking their medication for 7 or more days in a row. This information was collected using a calendar recall method, the TimeLine Follow-Back (TLFB) measure at 12 months. The average number of days participants remained on buprenorphine before this happened was calculated, using the data collected at 12-month follow-up.

GroupValue95% CI
Psychosocial Pain Management (PPMI)252.1± 135.5
Enhanced Usual Care (EUC)236.5± 148.9
Average Change in Self-reported Level of Pain Intensity on the Numerical Rating Scale for Pain Intensity (NRS-I) at 3-month Follow up (Compared to Baseline) Secondary · 3-months post enrollment

Pain level will be measured using the Numerical Rating Scale for Pain Intensity (NRS-I), an 11-point numeric rating scale (0=no pain, 10= worst pain imaginable), which will be collected at the baseline enrollment assessment and 3-month follow-up. To calculate our measure, we subtracted each participant's score at 3-month assessment and subtracted it from their baseline score. We then averaged calculated average change in scores for each intervention group.

GroupValue95% CI
Psychosocial Pain Management (PPMI)-0.7± 1.4
Enhanced Usual Care (EUC)-1.1± 2.2
Average Change in Self-Reported Level of Pain Related Functioning on the Brief Pain Inventory - Short Form (BPI) at 3-month Follow up (Compared to Baseline) Secondary · 3-months post enrollment

Pain-related functioning will be measured using the pain interference subscale of the Brief Pain Inventory - Short Form (BPI), an 11-point numeric rating scale (0 = no pain/does not interfere, 10 = worst pain imaginable/completely interferes). For this study, an increase in pain-related functioning will be measured as a reduction in the pain interference scale scores over time. The BPI interference subscale measures how much pain has interfered with seven daily activities and will provide a current level of pain-related functioning (past 24-hours) at the 3-month follow-up. BPI pain interferenc

GroupValue95% CI
Psychosocial Pain Management (PPMI)-0.3± 2.1
Enhanced Usual Care (EUC)-0.8± 2.2
Percent Days Abstinent From Substance Use on the TimeLine Follow-Back - 3-months Secondary · 3-months post enrollment

Frequency of substance use will be measured using the TimeLine Follow-Back and will be collected at 3-month follow-up. During the administration, the participant will be asked to recall their alcohol and drug use utilizing a calendar-assisted structured interview that provides the participant with temporal cues to increase the accuracy of recall. At each follow-up, data will be collected for the entire period since the previous date of data collection. Percent days abstinent from substances (e.g. alcohol and drugs) will be used as the primary measure of substance use. Values shown are the trea

GroupValue95% CI
Psychosocial Pain Management (PPMI)76.7± 37.5
Enhanced Usual Care (EUC)74.2± 37.8
Average Change in Self-reported Level of Pain Intensity on the Numerical Rating Scale for Pain Intensity (NRS-I) at 12-month Follow up (Compared to Baseline) Secondary · 12-months post enrollment

Pain level will be measured using the Numerical Rating Scale for Pain Intensity (NRS-I), an 11-point numeric rating scale (0 = no pain, 10 = worst pain imaginable), which will be collected at the baseline enrollment assessment and the 12-month follow-up. For each follow-up time point, the baseline value will be subtracted to obtain a change score.

GroupValue95% CI
Psychosocial Pain Management (PPMI)-1.5± 2.2
Enhanced Usual Care (EUC)-1.9± 2.6
Average Change in Self-Reported Level of Pain Related Functioning on the Brief Pain Inventory - Short Form (BPI) at 12-month Follow up (Compared to Baseline) Secondary · 12-months post enrollment

Pain-related functioning will be measured using the pain interference subscale of the Brief Pain Inventory - Short Form (BPI), an 11-point numeric rating scale (0 = no pain/does not interfere, 10 = worst pain imaginable/completely interferes). For this study, an increase in pain-related functioning will be measured as a reduction in the pain interference scale scores over time. The BPI interference subscale measures how much pain has interfered with seven daily activities and will provide a current level of pain-related functioning (past 24-hours) at the 12-month follow-up. BPI pain interferen

GroupValue95% CI
Psychosocial Pain Management (PPMI)-0.6± 2.9
Enhanced Usual Care (EUC)-0.9± 2.5
Percent Days Abstinent From Substance Use on the TimeLine Follow-Back - 12 Months Secondary · 12-months post enrollment

Frequency of substance use will be measured using the TimeLine Follow-Back and will be collected at the 12-month follow-up. During the administration, the participant will be asked to recall their alcohol and drug use utilizing a calendar-assisted structured interview that provides the participant with temporal cues to increase the accuracy of recall. At each follow-up, data will be collected for the entire period since the previous date of data collection. Percent days abstinent from substances (e.g. alcohol and drugs) will be used as the primary measure of substance use. Values shown are the

GroupValue95% CI
Psychosocial Pain Management (PPMI)74.7± 35.2
Enhanced Usual Care (EUC)79.6± 32.0

Adverse events — posted to ClinicalTrials.gov

Time frame: 12 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Psychosocial Pain Management (PPMI)
Serious: 20/98 (20%)
Deaths: 1/98
Enhanced Usual Care (EUC)
Serious: 16/102 (16%)
Deaths: 1/102

Serious adverse events (2 terms)

ReactionSystemPsychosocial Pain Manageme…Enhanced Usual Care (EUC)
Hospitalization - general medicalGeneral disorders
Hospitalization - psychPsychiatric disorders
Other adverse events (5 terms — click to expand)

ReactionSystemPsychosocial Pain Manageme…Enhanced Usual Care (EUC)
Residential Substance Use TreatmentGeneral disorders
DetoxGeneral disorders
Emergency Medical VisitGeneral disorders
Injury - FallGeneral disorders
Car AccidentGeneral disorders

Most-reported serious reactions: Hospitalization - general medical, Hospitalization - psych.

Data from ClinicalTrials.gov NCT04433975 adverse events section.

Sponsor's own description

The purpose of this research study is to look at the effect of programs aimed at helping people manage chronic pain and medication treatment. The program sessions focus on educational information and strategies for pain and medication management. The researchers enroll people who have chronic pain and have recently begun buprenorphine treatment to see if participants could benefit from these programs. This research study will help the researchers learn how to improve current therapies for pain and medication management.

Publications & conference data

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

  1. 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
  2. The psychosocial pain management to improve opioid use disorder treatment outcomes study: Protocol for a randomized controlled trial.
    Ilgen M, Blow F, Piette JD, Goldstick J, et al · · 2025 · PMID 40972890 · DOI 10.1016/j.cct.2025.108081

Verify or expand the search:

Other recruiting trials for Opioid-use Disorder

Currently open trials in the same condition.

Other University of Michigan trials

Trials by the same sponsor.

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