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NCT04447287

A Study to Assess the Effect of a Single Dose of ASP8062 on the Multiple Dose Safety, Tolerability and Pharmacokinetics of Buprenorphine/Naloxone in Participants With Opioid Use Disorder

Completed Phase 1 Results posted Last updated 21 November 2024
What this trial tests

Phase 1 trial testing ASP8062 in Opioid Use Disorder in 23 participants. Completed in 25 November 2020.

Timeline
29 June 2020
Primary endpoint
25 November 2020
25 November 2020

Quick facts

Lead sponsorAstellas Pharma Global Development, Inc.
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment23
Start date29 June 2020
Primary completion25 November 2020
Estimated completion25 November 2020
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Astellas Pharma Global Development, Inc. — full company profile →

Who can join

Adults 18 to 60, any sex, with Opioid Use 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 Participants With Adverse Events (AEs) Primary · From first dose of study drug up to end of study visit (up to day 27)

An AE is defined as any untoward medical occurrence in a participant administered an Investigational Product (IP) and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding; abnormal laboratory test result or other safety assessment, symptom, or disease temporally associated with the use of IP whether or not considered related to the IP. A treatment-emergent adverse event (TEAE) was defined as an AE with onset at any time from first dosing until last scheduled proced

TEAE
GroupValue95% CI
Buprenorphine/Naloxone (Run-in Period)16
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)6
ASP8062 in Combination With Buprenorphine/Naloxone (Down-titration Period)7
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)6
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Down-titration Period)2
Drug-Related TEAE
GroupValue95% CI
Buprenorphine/Naloxone (Run-in Period)12
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)6
ASP8062 in Combination With Buprenorphine/Naloxone (Down-titration Period)5
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)6
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Down-titration Period)1
Serious TEAE
GroupValue95% CI
Buprenorphine/Naloxone (Run-in Period)0
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)0
ASP8062 in Combination With Buprenorphine/Naloxone (Down-titration Period)0
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)0
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Down-titration Period)0
Drug-Related Serious TEAE
GroupValue95% CI
Buprenorphine/Naloxone (Run-in Period)0
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)0
ASP8062 in Combination With Buprenorphine/Naloxone (Down-titration Period)0
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)0
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Down-titration Period)0
TEAE Leading to Death
GroupValue95% CI
Buprenorphine/Naloxone (Run-in Period)0
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)0
ASP8062 in Combination With Buprenorphine/Naloxone (Down-titration Period)0
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)0
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Down-titration Period)0
Drug-Related TEAE Leading to Death
GroupValue95% CI
Buprenorphine/Naloxone (Run-in Period)0
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)0
ASP8062 in Combination With Buprenorphine/Naloxone (Down-titration Period)0
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)0
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Down-titration Period)0
TEAE Leading to Withdrawal of Treatment
GroupValue95% CI
Buprenorphine/Naloxone (Run-in Period)0
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)0
ASP8062 in Combination With Buprenorphine/Naloxone (Down-titration Period)0
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)0
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Down-titration Period)0
Drug-Related TEAE Leading to Withdrawal of Treatment
GroupValue95% CI
Buprenorphine/Naloxone (Run-in Period)0
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)0
ASP8062 in Combination With Buprenorphine/Naloxone (Down-titration Period)0
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)0
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Down-titration Period)0
Number of Participants With Suicidal Ideation and/or Suicidal Behavior as Assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS) Primary · Up to day 27

The Columbia-Suicide Severity Rating Scale (C-SSRS) is a clinician administered assessment tool that evaluates suicidal ideation and behavior. Number of participants that have an affirmative response to the 5 items for suicidal ideation (1. Wish to be dead, 2. Non-specific active suicidal thoughts, 3. Active suicidal ideation with any methods (not plan) without intent to act, 4. Active suicidal ideation with some intent to act, without specific plan, 5. Active suicidal ideation with specific plan and intent) and/or to the 5 items for suicidal behavior (1. Preparatory acts or behavior, 2. Abort

GroupValue95% CI
Buprenorphine/Naloxone (Run-in Period)0
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)0
ASP8062 in Combination With Buprenorphine/Naloxone (Down-titration Period)0
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)0
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Down-titration Period)0
Change From Baseline in Blood Oxygen Saturation (SpO2) at Predose Primary · 'buprenorphine/naloxone': Baseline and 1 hour postdose Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone': Baseline and 1 hour postdose Day 12

The blood oxygen saturation (SpO2 was measured using a pulse oximeter placed on the participant's fingertip. Change from baseline in SpO2 was calculated as Day 11 minus Baseline for arm 'buprenorphine/naloxone', and Day 12 minus Baseline for arms 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone'. Baseline observation was last non-missing observation prior to first dose.

GroupValue95% CI
Buprenorphine/Naloxone (Run-in Period)0.2± 2.1
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-0.4± 2.3
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-0.3± 1.9
Change From Baseline in Blood Oxygen Saturation (SpO2) at 1 Hour Postdose Primary · 'buprenorphine/naloxone': Baseline and 1 hour postdose Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone': Baseline and 1 hour postdose Day 12

The blood oxygen saturation (SpO2) was measured using a pulse oximeter placed on the participant's fingertip. Change from baseline in SpO2 was calculated as Day 11 minus Baseline for arm 'buprenorphine/naloxone', and Day 12 minus Baseline for arms 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone'. Baseline observation was last non-missing observation prior to first dose.

GroupValue95% CI
Buprenorphine/Naloxone (Run-in Period)0.1± 2.5
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-0.6± 2.6
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-0.7± 2.3
Change From Baseline in Blood Oxygen Saturation (SpO2) at 2 Hour Postdose Primary · 'buprenorphine/naloxone': Baseline and 2 hour postdose Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone': Baseline and 2 hour postdose Day 12

The blood oxygen saturation (SpO2) was measured using a pulse oximeter placed on the participant's fingertip. Change from baseline in SpO2 was calculated as Day 11 minus Baseline for arm 'buprenorphine/naloxone', and Day 12 minus Baseline for arms 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone'. Baseline observation was last non-missing observation prior to first dose.

GroupValue95% CI
Buprenorphine/Naloxone (Run-in Period)0.2± 2.2
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-0.8± 2.0
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)0.3± 1.8
Change From Baseline in Blood Oxygen Saturation (SpO2) at 4 Hour Postdose Primary · 'buprenorphine/naloxone': Baseline and 4 hour postdose Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone': Baseline and 4 hour postdose Day 12

The blood oxygen saturation (SpO2) was measured using a pulse oximeter placed on the participant's fingertip. Change from baseline in SpO2 was calculated as Day 11 minus Baseline for arm 'buprenorphine/naloxone', and Day 12 minus Baseline for arms 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone'. Baseline observation was last non-missing observation prior to first dose.

GroupValue95% CI
Buprenorphine/Naloxone (Run-in Period)0.3± 1.9
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-0.4± 1.7
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-0.2± 1.2
Change From Baseline in Blood Oxygen Saturation (SpO2) at 8 Hour Postdose Primary · 'buprenorphine/naloxone': Baseline and 8 hour postdose Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone': Baseline and 8 hour postdose Day 12

The blood oxygen saturation (SpO2) was measured using a pulse oximeter placed on the participant's fingertip. Change from baseline in SpO2 was calculated as Day 11 minus Baseline for arm 'buprenorphine/naloxone', and Day 12 minus Baseline for arms 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone'. Baseline observation was last non-missing observation prior to first dose.

GroupValue95% CI
Buprenorphine/Naloxone (Run-in Period)0.1± 2.3
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-0.1± 2.4
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)0.7± 1.6
Change From Baseline in Blood Oxygen Saturation (SpO2) at 12 Hour Postdose Primary · 'buprenorphine/naloxone': Baseline and 12 hour postdose Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone': Baseline and 12 hour postdose Day 12

The blood oxygen saturation (SpO2) was measured using a pulse oximeter placed on the participant's fingertip. Change from baseline in SpO2 was calculated as Day 11 minus Baseline for arm 'buprenorphine/naloxone', and Day 12 minus Baseline for arms 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone'. Baseline observation was last non-missing observation prior to first dose.

GroupValue95% CI
Buprenorphine/Naloxone (Run-in Period)-0.6± 1.8
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-0.3± 2.5
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-0.5± 0.8
Change From Baseline in End Tidal Carbon Dioxide (CO2) at Predose Primary · 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone': Baseline and predose Day 12

End tidal CO2 measurements was obtained per participant utilizing a portable bedside capnography device. Change from baseline in CO2 was calculated as Day 12 minus Baseline for arms 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone'.

GroupValue95% CI
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-1.3± 4.0
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)0.5± 6.1
Change From Baseline in End Tidal Carbon Dioxide (CO2) at 1 Hour Postdose Primary · 'buprenorphine/naloxone': Baseline and 1 hour postdose Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone': Baseline and 1 hour postdose Day 12

End tidal CO2 measurements was obtained per participant utilizing a portable bedside capnography device. Change from baseline in CO2 was calculated as Day 11 minus Baseline for arm 'buprenorphine/naloxone', and Day 12 minus Baseline for arms 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone'.

GroupValue95% CI
Buprenorphine/Naloxone (Run-in Period)1.3± 5.8
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-0.5± 4.0
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)3.7± 7.2
Change From Baseline in End Tidal Carbon Dioxide (CO2) at 2 Hour Postdose Primary · 'buprenorphine/naloxone': Baseline and 2 hour postdose Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone': Baseline and 2 hour postdose Day 12

End tidal CO2 measurements was obtained per participant utilizing a portable bedside capnography device. Change from baseline in CO2 was calculated as Day 11 minus Baseline for arm 'buprenorphine/naloxone', and Day 12 minus Baseline for arms 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone'.

GroupValue95% CI
Buprenorphine/Naloxone (Run-in Period)1.2± 5.1
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)0.3± 3.2
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)4.2± 5.0
Change From Baseline in End Tidal Carbon Dioxide (CO2) at 4 Hour Postdose Primary · 'buprenorphine/naloxone': Baseline and 4 hour postdose Day 11; 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone': Baseline and 4 hour postdose Day 12

End tidal CO2 measurements was obtained per participant utilizing a portable bedside capnography device. Change from baseline in CO2 was calculated as Day 11 minus Baseline for arm 'buprenorphine/naloxone', and Day 12 minus Baseline for arms 'ASP8062 in combination with buprenorphine/naloxone' and 'Placebo ASP8062 in combination with buprenorphine/naloxone'.

GroupValue95% CI
Buprenorphine/Naloxone (Run-in Period)0.9± 4.9
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)-1.0± 2.3
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)5.3± 7.9

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose of study drug up to end of study visit (up to day 27). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Buprenorphine/Naloxone
Serious: 0/23 (0%)
Deaths: 0/23
ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)
Serious: 0/12 (0%)
Deaths: 0/12
ASP8062 in Combination With Buprenorphine/Naloxone (Down-titration Period)
Serious: 0/12 (0%)
Deaths: 0/12
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Investigational Period)
Serious: 0/6 (0%)
Deaths: 0/6
Placebo ASP8062 in Combination With Buprenorphine/Naloxone (Down-titration Period)
Serious: 0/6 (0%)
Deaths: 0/6
Other adverse events (23 terms — click to expand)

ReactionSystemBuprenorphine/NaloxoneASP8062 in Combination Wit…ASP8062 in Combination Wit…Placebo ASP8062 in Combina…Placebo ASP8062 in Combina…
HeadacheNervous system disorders
InsomniaPsychiatric disorders
ConstipationGastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
Drug withdrawal syndromeGeneral disorders
AnxietyPsychiatric disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
Neck painMusculoskeletal and connective tissue disorders
DyspepsiaGastrointestinal disorders
NauseaGastrointestinal disorders
Salivary hypersecretionGastrointestinal disorders
VomitingGastrointestinal disorders
AstheniaGeneral disorders
Feeling of relaxationGeneral disorders
Muscle twitchingMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
SomnolenceNervous system disorders
NervousnessPsychiatric disorders
DysuriaRenal and urinary disorders
PollakiuriaRenal and urinary disorders
HyperhidrosisSkin and subcutaneous tissue disorders
PruritusSkin and subcutaneous tissue disorders
PhlebitisVascular disorders

Data from ClinicalTrials.gov NCT04447287 adverse events section.

Sponsor's own description

The primary purpose of this study was to assess the safety and tolerability of multiple doses of buprenorphine/naloxone alone and buprenorphine/naloxone in combination with a single dose of ASP8062. This study also assessed the potential for pharmacokinetic interaction between ASP8062 and buprenorphine/naloxone.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. A phase 1b study to investigate the potential interactions between ASP8062 and buprenorphine/naloxone in patients with opioid use disorder.
    Ito M, Walzer M, Beth Blauwet M, Spence A, et al · · 2023 · cited 1× · PMID 36738100 · DOI 10.1177/02698811221149657

Verify or expand the search:

Other trials of ASP8062

Trials testing the same drug.

Other recruiting trials for Opioid Use Disorder

Currently open trials in the same condition.

Other Astellas Pharma Global Development, Inc. trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04447287.

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